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 |
|---|---|---|---|---|
| Dilate esophagus CPT 43453 | not published | not published | $131.10 – $3,949.47 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,637.25 | $4,795.00 | $120.40 – $1,866.75 | 12 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,618.10 | $2,942.00 | $517.35 – $4,386.82 | 4 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,618.10 | $2,942.00 | $258.68 – $4,386.82 | 4 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $736.50 – $4,386.82 | 4 |
| Dilate tear duct opening CPT 68801 | $492.80 | $896.00 | $118.65 – $919.44 | 10 |
| Dilate urethra stricture CPT 53600 | not published | not published | $96.55 – $1,579.00 | 11 |
| Dilate urethra stricture CPT 53601 | not published | not published | $80.96 – $1,579.00 | 11 |
| Dilate urethra stricture CPT 53605 | not published | not published | $97.40 – $7,255.07 | 12 |
| Dilate urethra stricture CPT 53621 | not published | not published | $109.28 – $1,579.00 | 11 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $63.20 – $281.63 | 10 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $258.32 – $2,462.91 | 12 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $73.45 – $6,662.61 | 11 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $293.60 – $2,462.91 | 12 |
| Dilation of salivary duct CPT 42660 | $704.55 | $1,281.00 | $130.09 – $1,110.04 | 10 |
| Dilation of urethra CPT 53661 | not published | not published | $61.35 – $273.84 | 10 |
| Dilation of urethra CPT 53665 | not published | not published | $57.75 – $4,302.40 | 12 |
| Dilation of vagina CPT 57400 | not published | not published | $199.04 – $6,662.61 | 12 |
| Dilation salivary duct 42650 CPT 42650 | $4,074.40 | $7,408.00 | $89.35 – $3,193.45 | 11 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $132.29 – $1,435.17 | 10 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,688.85 | $6,707.00 | $224.97 – $7,255.07 | 11 |
| Dilat xst trc new access rcs CPT 50437 | $6,204.00 | $11,280.00 | $373.88 – $7,255.07 | 10 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $67.70 – $95.45 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $9.52 – $14.70 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.88 – $1,460.31 | 11 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.03 – $0.31 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.75 – $1.31 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $69.39 – $108.55 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $35.92 – $76.88 | 10 |
| Disability dlco CPT 94727 | $115.50 | $210.00 | $47.40 – $444.41 | 10 |
| Disaccharidases CPT 82657 | $827.20 | $1,504.00 | $13.00 – $47.44 | 11 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $721.90 – $4,246.62 | 12 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $311.11 – $4,386.82 | 3 |
| Discography cerv/thor spine CPT 72285 | $1,860.10 | $3,382.00 | $110.66 – $4,019.07 | 11 |
| Dise eval slp do brth flx dx CPT 42975 | $418.00 | $760.00 | $147.74 – $3,663.36 | 10 |
| Dissolve clot heart vessel CPT 92975 | $1,151.15 | $2,093.00 | $560.39 – $2,951.70 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,705.03 – $11,452.76 | 10 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,209.70 – $12,184.12 | 10 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $516.43 – $4,386.82 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $22.23 – $35.46 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $440.16 – $4,386.82 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $126.13 – $597.06 | 10 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $123.30 – $293.18 | 10 |
| Dna antibody native/double stranded CPT 86225 | $152.35 | $277.00 | $10.00 – $29.40 | 11 |
| Dna gardnerella CPT 87510 | $119.35 | $217.00 | $20.05 – $42.91 | 11 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $48.68 | 11 |
| Dna probe gc CPT 87590 | not published | not published | $25.22 – $57.52 | 11 |
| Dna trichomonas CPT 87660 | $119.35 | $217.00 | $20.05 – $127.00 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $9.29 – $16.18 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.70 – $1.64 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $46.29 – $90.26 | 10 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $20.04 – $20.04 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $99.08 – $99.08 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.81 – $1.26 | 4 |
| Doppler echo complete CPT 93320 | $685.30 | $1,246.00 | $47.88 – $47.88 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $702.90 | $1,278.00 | $186.52 – $604.50 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $992.75 | $1,805.00 | $156.58 – $444.41 | 10 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $625.90 | $1,138.00 | $101.51 – $273.84 | 10 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.00 – $1.33 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $61.09 – $85.74 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | $23,330.71 | $42,419.48 | $37,262.35 – $37,262.35 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $251.30 – $490.03 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.59 – $5.39 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $116.60 – $240.65 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.14 – $0.19 | 3 |
| Dpyd gene common variants CPT 81232 | $852.50 | $1,550.00 | $157.33 – $374.09 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,384.90 | $2,518.00 | $178.21 – $1,457.47 | 10 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,573.00 | $2,860.00 | $216.97 – $1,457.47 | 10 |
| Drainage external ear complex 69005 CPT 69005 | $3,326.40 | $6,048.00 | $245.60 – $3,399.30 | 10 |
| Drainage external ear simple 69000 CPT 69000 | $612.15 | $1,113.00 | $189.92 – $1,457.47 | 10 |
| Drainage lymph node lesion 38300 CPT 38300 | $3,418.25 | $6,215.00 | $316.08 – $5,978.45 | 12 |
| Drainage lymph node lesion 38305 CPT 38305 | $5,771.70 | $10,494.00 | $750.74 – $5,978.45 | 12 |
| Drainage mouth roof lesion CPT 42000 | $640.20 | $1,164.00 | $165.32 – $2,100.00 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | $1,352.45 | $2,459.00 | $245.08 – $3,399.30 | 12 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $625.84 – $5,978.45 | 12 |
| Drainage of eye CPT 65800 | not published | not published | $134.49 – $4,749.93 | 12 |
| Drainage of eye CPT 65810 | not published | not published | $694.48 – $4,749.93 | 12 |
| Drainage of eye CPT 65815 | not published | not published | $712.75 – $4,749.93 | 12 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $565.17 – $3,309.55 | 12 |
| Drainage of kidney lesion CPT 50390 | $1,706.65 | $3,103.00 | $142.91 – $1,579.00 | 12 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $174.81 – $1,579.00 | 12 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $351.20 – $3,193.45 | 12 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $336.61 – $3,193.45 | 12 |
| Drainage of mouth lesion CPT 41008 | $3,076.15 | $5,593.00 | $390.87 – $6,823.84 | 12 |
| Drainage of mouth lesion CPT 41009 | $905.30 | $1,646.00 | $432.50 – $1,579.00 | 12 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $453.03 – $1,579.00 | 12 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $519.05 – $12,184.12 | 12 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $516.25 – $6,823.84 | 12 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $603.65 – $3,193.45 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | $444.95 | $809.00 | $183.62 – $487.48 | 10 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,906.85 | $3,467.00 | $186.01 – $1,110.04 | 10 |
| Drainage of pelvis bursa CPT 26991 | $9,662.40 | $17,568.00 | $804.69 – $3,309.55 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | $9,662.40 | $17,568.00 | $991.00 – $6,734.39 | 12 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $676.91 – $7,255.07 | 12 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $692.08 – $7,255.07 | 12 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $911.05 – $7,255.07 | 12 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $249.30 – $2,462.91 | 12 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $864.25 – $5,712.83 | 12 |
| Drainage of salivary gland CPT 42305 | $7,873.80 | $14,316.00 | $662.32 – $6,823.84 | 12 |
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.