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 |
|---|---|---|---|---|
| Drainage of salivary gland CPT 42320 | $2,228.05 | $4,051.00 | $272.80 – $1,579.00 | 12 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,218.74 – $12,184.12 | 12 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $600.05 – $7,255.07 | 12 |
| Drainage of urethra abscess 53060 CPT 53060 | $3,352.25 | $6,095.00 | $253.42 – $4,302.40 | 10 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $643.66 – $2,891.00 | 12 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $989.97 – $4,302.40 | 10 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $77.79 – $1,831.30 | 10 |
| Drain blood from under nail 11740 CPT 11740 | $170.50 | $310.00 | $48.52 – $273.84 | 10 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $310.91 – $3,399.30 | 11 |
| Drain cath image guided visceral pq CPT 49405 | $3,509.00 | $6,380.00 | $293.48 – $7,185.00 | 11 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,047.20 | $1,904.00 | $139.12 – $1,579.00 | 12 |
| Drain chest lesion CPT 21502 | not published | not published | $770.15 – $6,734.39 | 12 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $78.48 | $142.70 | $160.19 – $171.30 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | $676.50 | $1,230.00 | $192.96 – $412.94 | 10 |
| Drain lower leg bursa CPT 27604 | not published | not published | $493.54 – $6,734.39 | 12 |
| Drain lower leg lesion 27603 CPT 27603 | $8,091.05 | $14,711.00 | $593.09 – $5,978.45 | 12 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,179.35 | $9,417.00 | $511.08 – $5,978.45 | 12 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $655.03 – $6,662.61 | 10 |
| Drain ovary abscess open CPT 58820 | not published | not published | $517.34 – $6,662.61 | 12 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $465.68 – $3,399.30 | 12 |
| Drain shoulder bone lesion CPT 23035 | $9,481.45 | $17,239.00 | $1,033.53 – $3,309.55 | 12 |
| Drain shoulder bursa 23031 CPT 23031 | $7,408.50 | $13,470.00 | $338.39 – $5,978.45 | 12 |
| Drain shoulder lesion CPT 23030 | $8,847.30 | $16,086.00 | $387.83 – $5,978.45 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | $7,821.00 | $14,220.00 | $775.95 – $5,978.45 | 12 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $239.54 – $3,193.45 | 12 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,169.21 – $4,386.82 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $554.40 | $1,008.00 | $169.03 – $2,100.00 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $552.20 | $1,004.00 | $84.16 – $1,579.00 | 11 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $580.25 | $1,055.00 | $199.71 – $2,100.00 | 12 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,074.70 | $1,954.00 | $68.18 – $1,521.15 | 10 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $57.55 – $233.39 | 11 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $825.00 | $1,500.00 | $471.63 – $4,386.82 | 3 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | $7,251.75 | $13,185.00 | $849.73 – $6,734.39 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | $431.75 | $785.00 | $174.02 – $1,579.00 | 11 |
| Drng of finger abscess comp 26011 CPT 26011 | $3,905.55 | $7,101.00 | $281.20 – $3,399.30 | 12 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $128.87 – $1,457.47 | 10 |
| Drng of mouth lesion 40801 CPT 40801 | $2,350.15 | $4,273.00 | $300.84 – $2,100.00 | 12 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $482.40 – $6,662.61 | 12 |
| Drng of palm multi bursas 26030 CPT 26030 | $8,003.60 | $14,552.00 | $752.28 – $6,734.39 | 12 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $640.84 – $6,734.39 | 12 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $652.58 – $2,462.91 | 12 |
| Drng of salivary cyst 42409 CPT 42409 | $5,134.25 | $9,335.00 | $353.61 – $6,823.84 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,356.75 | $4,285.00 | $255.80 – $3,399.30 | 12 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,094.96 – $5,147.21 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $237.54 – $3,193.45 | 12 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $203.75 – $1,579.00 | 12 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.33 – $2.36 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $9.77 – $14.70 | 4 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $449.32 | $816.95 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $18.80 – $233.39 | 10 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $13.69 – $233.39 | 11 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $10.36 – $233.39 | 11 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $23.49 – $35.27 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $22.92 – $24.51 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $19.15 – $256.13 | 10 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $56.76 – $233.39 | 11 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $119.69 – $256.13 | 9 |
| Drug admin & hemodynmic meas CPT 93463 | $2,623.50 | $4,770.00 | $148.10 – $604.50 | 2 |
| Drug assay caffeine CPT 80155 | $154.00 | $280.00 | $17.37 – $82.54 | 10 |
| Drug assay posaconazole CPT 80187 | not published | not published | $24.40 – $58.02 | 9 |
| Drug assay rufinamide CPT 80210 | $254.38 | $462.50 | $24.40 – $58.02 | 10 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $34.71 – $82.54 | 9 |
| Drug assay voriconazole CPT 80285 | not published | not published | $24.40 – $58.02 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.78 – $39.89 | 10 |
| Drug of abuse screen urine CPT 80305 | $597.30 | $1,086.00 | $12.60 – $26.96 | 10 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $22.17 – $58.02 | 10 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $149.43 – $425.30 | 10 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $71.95 – $244.88 | 10 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $193.71 – $528.41 | 10 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $110.69 – $335.10 | 10 |
| Drug test prsmv instrmnt CPT 80306 | $620.40 | $1,128.00 | $17.14 – $36.68 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,083.50 | $1,970.00 | $62.14 – $132.98 | 10 |
| Drvvt confirm - quest CPT 85597 | $158.40 | $288.00 | $13.00 – $38.48 | 11 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $381.17 – $8,091.55 | 12 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,163.50 | $7,570.00 | $222.62 – $4,019.07 | 11 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $306.54 – $1,579.00 | 11 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $258.94 – $836.68 | 10 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $301.50 – $1,579.00 | 11 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $410.05 – $1,521.15 | 10 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $528.97 – $1,579.00 | 11 |
| Ductogram sgl duct CPT 77053 | $382.25 | $695.00 | $53.15 – $491.09 | 10 |
| Duodenal motility study CPT 91022 | not published | not published | $147.51 – $928.55 | 10 |
| Duplex scan bilateral study 93985 CPT 93985 | $345.40 | $628.00 | $229.48 – $491.09 | 10 |
| Duplex scan unilateral study 93986 CPT 93986 | $172.70 | $314.00 | $100.55 – $215.17 | 10 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $198.00 | $360.00 | $100.55 – $215.17 | 10 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,406.90 | $2,558.00 | $196.34 – $444.41 | 10 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $879.45 | $1,599.00 | $229.48 – $491.09 | 10 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $87.95 – $171.50 | 11 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $56.47 – $215.17 | 10 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $101.13 – $264.83 | 10 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $199.91 – $3,663.36 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,789.15 | $3,253.00 | $202.26 – $3,663.36 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,663.75 | $3,025.00 | $200.42 – $3,663.36 | 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.