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 |
|---|---|---|---|---|
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $53.63 – $919.44 | 10 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $76.97 – $1,866.75 | 11 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $116.49 – $1,866.75 | 11 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $56.85 – $1,579.00 | 11 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $90.35 – $1,579.00 | 11 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $237.69 – $805.00 | 10 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $238.21 – $3,663.36 | 12 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $176.27 – $514.23 | 10 |
| Dynamic surface emg CPT 96002 | not published | not published | $32.47 – $482.67 | 10 |
| Ear and throat examination CPT 92502 | $1,713.25 | $3,115.00 | $145.00 – $1,110.04 | 10 |
| Ear canal biopsy 69105 CPT 69105 | $4,481.95 | $8,149.00 | $96.48 – $3,193.45 | 10 |
| Ear cartilage graft CPT 21235 | $4,937.90 | $8,978.00 | $865.66 – $12,184.12 | 12 |
| Ear irrigation 69209 CPT 69209 | $373.45 | $679.00 | $22.96 – $121.42 | 10 |
| Ear protector evaluation CPT 92596 | $154.55 | $281.00 | $35.92 – $110.66 | 9 |
| Ecallantide injection HCPCS J1290 | not published | not published | $595.94 – $1,162.09 | 11 |
| Ecg 12 lead tracing only CPT 93005 | $292.60 | $532.00 | $9.07 – $121.42 | 10 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $10.41 – $10.98 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $9.07 – $121.42 | 10 |
| Ecg < 30 days transmission & analysis CPT 93271 | $473.55 | $861.00 | $91.44 – $205.54 | 10 |
| Ecg external < 48 hours recording CPT 93225 | $490.05 | $891.00 | $26.31 – $273.84 | 10 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $597.30 | $1,086.00 | $51.23 – $121.42 | 10 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $83.05 | $151.00 | $17.21 – $76.88 | 10 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $136.95 | $249.00 | $17.21 – $76.88 | 10 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,546.50 | $4,630.00 | $185.32 – $1,124.62 | 10 |
| Echocardiography doppler color flow mapping CPT 93325 | $548.90 | $998.00 | $29.24 – $29.24 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,424.40 | $4,408.00 | $753.95 – $1,613.46 | 9 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $752.95 | $1,369.00 | $106.78 – $491.09 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $812.35 | $1,477.00 | $335.54 – $718.05 | 9 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $343.20 | $624.00 | $25.87 – $25.87 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $35.41 – $215.17 | 11 |
| Echo exam of eye CPT 76519 | not published | not published | $55.07 – $215.17 | 11 |
| Echo exam of eye CPT 76529 | not published | not published | $77.59 – $179.11 | 11 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.22 – $59.53 | 11 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $133.00 – $1,124.62 | 11 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $118.00 – $491.09 | 11 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $61.30 – $215.17 | 11 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $32.54 – $215.17 | 11 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $118.33 – $491.09 | 11 |
| Echograp trans r pros study CPT 76873 | $1,009.80 | $1,836.00 | $100.55 – $215.17 | 11 |
| Echo guidance radiotherapy CPT 76965 | $1,112.65 | $2,023.00 | $39.73 – $153.92 | 3 |
| Echo guide for amniocentesis CPT 76946 | $219.45 | $399.00 | $21.99 – $92.00 | 3 |
| Echo guide for artery repair CPT 76936 | not published | not published | $92.00 – $622.80 | 11 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $85.89 – $107.82 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $76.82 – $149.18 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $79.69 – $106.62 | 3 |
| Echo stress CPT 93350 | $1,551.55 | $2,821.00 | $169.56 – $1,124.62 | 10 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $39.73 – $1,124.62 | 10 |
| Echo tee guidance CPT 93355 | $738.10 | $1,342.00 | $341.25 – $341.25 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,175.80 | $3,956.00 | $189.15 – $1,124.62 | 10 |
| Echo transesophageal CPT 93313 | not published | not published | $17.25 – $1,124.62 | 10 |
| Echo transesophageal CPT 93314 | not published | not published | $199.70 – $199.70 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $176.08 – $1,124.62 | 10 |
| Echo transesophageal intraop CPT 93318 | $2,474.45 | $4,499.00 | $141.70 – $1,124.62 | 10 |
| Echo transthoracic CPT 93303 | $2,636.70 | $4,794.00 | $228.93 – $1,124.62 | 10 |
| Echo transthoracic CPT 93304 | $1,425.05 | $2,591.00 | $172.91 – $1,124.62 | 10 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,789.15 | $3,253.00 | $135.05 – $491.09 | 10 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $349.90 – $4,386.82 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $358.38 – $4,386.82 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $3,738.90 | $6,798.00 | $513.94 – $4,386.82 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $3,775.75 | $6,865.00 | $464.40 – $4,386.82 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $703.50 – $4,386.82 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $629.83 – $4,386.82 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $711.35 – $4,386.82 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $12,694.55 | $23,081.00 | $639.06 – $4,386.82 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $763.38 – $4,386.82 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $782.68 – $4,386.82 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $405.53 – $4,386.82 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $274.07 – $4,386.82 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $424.24 – $4,386.82 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $354.58 – $4,386.82 | 3 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $734.12 – $4,386.82 | 3 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $695.27 – $4,386.82 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $349.10 – $4,386.82 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $274.07 – $4,386.82 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $349.10 – $4,386.82 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $274.07 – $4,386.82 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $35.89 – $160.93 | 10 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $9.00 – $27.09 | 11 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $754.73 – $4,749.93 | 12 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.20 – $86.19 | 10 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,189.49 – $12,069.50 | 11 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $73.70 | $134.00 | $44.00 – $47.14 | 2 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $846.45 | $1,539.00 | $207.67 – $544.95 | 10 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $466.40 | $848.00 | $84.92 – $928.55 | 10 |
| Eeg during surgery CPT 95955 | not published | not published | $198.82 – $246.57 | 2 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $691.11 – $1,780.43 | 10 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $358.89 – $928.55 | 10 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $972.40 | $1,768.00 | $207.67 – $544.95 | 10 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $931.15 | $1,693.00 | $207.67 – $544.95 | 10 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $207.67 – $544.95 | 10 |
| Eeg recording awake and asleep CPT 95819 | $973.50 | $1,770.00 | $207.67 – $573.82 | 10 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $336.60 | $612.00 | $207.67 – $698.26 | 10 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $336.60 | $612.00 | $207.67 – $544.95 | 10 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $633.60 | $1,152.00 | $358.89 – $1,431.78 | 10 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $633.60 | $1,152.00 | $358.89 – $1,136.17 | 10 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $336.60 | $612.00 | $207.67 – $591.15 | 10 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $633.60 | $1,152.00 | $324.82 – $928.55 | 10 |
| E equine encephalitis igg CPT 86652 | $30.25 | $55.00 | $9.00 – $28.23 | 11 |
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.