SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $307.41 – $1,098.67 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $11.29 – $25.11 | 11 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $18.29 – $28.58 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.07 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.08 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $57.05 – $111.25 | 11 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.92 – $5.69 | 11 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $5.69 | 11 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $272.89 – $532.13 | 11 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $30.10 – $58.59 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $192.96 – $412.94 | 10 |
| D&c after delivery 59160 CPT 59160 | $3,315.40 | $6,028.00 | $286.71 – $6,662.61 | 12 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $356.85 – $6,662.61 | 12 |
| Dch glucoscan CPT 82948 | not published | not published | $3.99 – $10.79 | 11 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $126.87 – $768.03 | 10 |
| Dch validity tests CPT 81002 | $132.00 | $240.00 | $3.21 – $7.45 | 11 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $915.78 – $7,185.00 | 12 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,726.21 – $6,823.84 | 10 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $412.94 – $4,019.07 | 12 |
| D&c of cervical stump CPT 57558 | not published | not published | $196.23 – $6,662.61 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $78.10 | $142.00 | $10.38 – $25.79 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,059.79 – $4,386.82 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,148.40 | $2,088.00 | $42.61 – $1,101.83 | 10 |
| Debridement (>20 cm) charge pt CPT 97598 | $388.30 | $706.00 | $37.66 – $604.50 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,505.15 | $6,373.00 | $343.28 – $3,399.30 | 12 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $495.55 | $901.00 | $83.36 – $604.50 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,540.00 | $2,800.00 | $147.09 – $604.50 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $2,655.95 | $4,829.00 | $92.11 – $2,100.00 | 12 |
| Debride nail1-5 11720 CPT 11720 | $253.00 | $460.00 | $21.88 – $121.42 | 10 |
| Debride nail6 or more 11721 CPT 11721 | $293.70 | $534.00 | $36.55 – $121.42 | 10 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $2,453.55 | $4,461.00 | $450.42 – $2,100.00 | 12 |
| Debride skin bone at fx site CPT 11012 | $4,478.10 | $8,142.00 | $628.86 – $5,978.45 | 12 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $861.56 – $4,386.82 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,168.90 – $4,386.82 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $495.00 | $900.00 | $38.53 – $604.50 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $774.95 | $1,409.00 | $78.17 – $412.94 | 10 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $2,379.85 | $4,327.00 | $417.28 – $2,100.00 | 12 |
| Debr inf skin add-on 11001 CPT 11001 | $1,156.10 | $2,102.00 | $22.72 – $604.50 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $4,213.55 | $7,661.00 | $233.63 – $2,100.00 | 12 |
| Decalcification CPT 88311 | $83.05 | $151.00 | $10.60 – $27.15 | 4 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.02 – $2.82 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $969.10 | $1,762.00 | $49.75 – $679.83 | 10 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $6,794.15 | $12,353.00 | $722.34 – $6,734.39 | 12 |
| Decomp forearm 1 space 25020 CPT 25020 | $12,261.70 | $22,294.00 | $1,104.94 – $3,309.55 | 12 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $8,933.65 | $16,243.00 | $1,459.00 – $3,309.55 | 12 |
| Decompress fasciotomyhand 26037 CPT 26037 | $6,250.20 | $11,364.00 | $859.08 – $6,734.39 | 11 |
| Decompress fingers/hand CPT 26035 | $8,804.40 | $16,008.00 | $1,312.34 – $6,734.39 | 11 |
| Decompress forearm 1 space CPT 25023 | $16,270.10 | $29,582.00 | $1,459.00 – $6,734.39 | 12 |
| Decompress forearm 2 spaces CPT 25024 | $15,106.30 | $27,466.00 | $1,189.38 – $6,734.39 | 12 |
| Decompression fasct forearm CPT 24495 | $7,082.35 | $12,877.00 | $1,254.00 – $14,934.65 | 12 |
| Decompression of leg CPT 27892 | not published | not published | $816.62 – $6,734.39 | 12 |
| Decompression of leg CPT 27893 | not published | not published | $937.98 – $14,934.65 | 12 |
| Decompression of leg CPT 27894 | $6,910.20 | $12,564.00 | $1,237.34 – $6,734.39 | 12 |
| Decompression of lower leg CPT 27600 | $5,827.25 | $10,595.00 | $608.07 – $6,734.39 | 12 |
| Decompression of lower leg CPT 27601 | $6,511.45 | $11,839.00 | $673.05 – $6,734.39 | 12 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $839.89 – $6,734.39 | 12 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $888.54 – $6,734.39 | 12 |
| Decompression of thigh/knee CPT 27498 | $2,891.90 | $5,258.00 | $1,004.09 – $3,309.55 | 12 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,072.11 – $14,934.65 | 12 |
| Decompression of tibia nerve CPT 28035 | $7,582.30 | $13,786.00 | $548.87 – $4,019.07 | 12 |
| Decompression unspecified nerve 64722 CPT 64722 | $6,418.50 | $11,670.00 | $565.30 – $4,019.07 | 12 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,594.00 – $8,091.55 | 12 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,467.89 – $14,934.65 | 11 |
| Decompress small bowel CPT 44021 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,262.68 – $14,934.65 | 11 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,697.72 – $14,934.65 | 11 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $484.26 – $604.50 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | $7,638.95 | $13,889.00 | $234.32 – $5,978.45 | 12 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $9.36 – $14.13 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.48 – $8.74 | 11 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,152.07 – $17,224.29 | 12 |
| Delay flap arms/legs CPT 15610 | not published | not published | $367.49 – $4,246.62 | 12 |
| Delay flap eye/nos/ear/lip CPT 15630 | $4,503.40 | $8,188.00 | $518.98 – $4,246.62 | 12 |
| Delay flap fccnaxghf 15620 CPT 15620 | $6,244.70 | $11,354.00 | $492.49 – $4,246.62 | 12 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $318.35 – $7,293.65 | 12 |
| Delivery of placenta 59414 CPT 59414 | $4,678.30 | $8,506.00 | $137.72 – $6,662.61 | 10 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $978.42 – $4,386.82 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $128.05 – $274.02 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $160.05 | $291.00 | $25.79 – $450.70 | 10 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,594.00 – $6,734.39 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $30.10 – $58.70 | 11 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $3,388.00 | $6,160.00 | $127.96 – $1,579.00 | 12 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $5.43 – $5.81 | 2 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $48.24 – $67.72 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $557.92 – $5,978.45 | 10 |
| Dermabrasion segmental face 15781 CPT 15781 | $1,746.25 | $3,175.00 | $641.97 – $1,579.00 | 10 |
| Dermabrasion suprfl any site CPT 15783 | $1,935.45 | $3,519.00 | $390.97 – $1,579.00 | 10 |
| Dermabrasion total face CPT 15780 | $7,267.15 | $13,213.00 | $1,002.37 – $5,978.45 | 9 |
| Derma-fat-fascia graft 15770 CPT 15770 | $5,189.80 | $9,436.00 | $1,019.70 – $7,293.65 | 12 |
| Dermagraft HCPCS Q4106 | not published | not published | $73.81 – $73.81 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $104.15 – $4,246.62 | 10 |
| Derm autograft face/nck/hf/g CPT 15135 | $4,210.25 | $7,655.00 | $1,147.30 – $7,293.65 | 12 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $899.43 – $4,246.62 | 12 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $215.66 – $8,058.70 | 10 |
| Design mlc device for imrt CPT 77338 | $379.50 | $690.00 | $351.84 – $770.65 | 10 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.12 – $10.40 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.