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 |
|---|---|---|---|---|
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.55 – $63.48 | 11 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $345.63 – $5,316.00 | 11 |
| Egd control bleeding any CPT 43255 | not published | not published | $301.88 – $3,949.47 | 12 |
| Egd dilate stricture CPT 43245 | not published | not published | $264.92 – $3,949.47 | 12 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $407.13 – $3,949.47 | 11 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $328.45 – $12,495.04 | 11 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $649.48 – $21,878.19 | 11 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $273.15 – $6,535.00 | 10 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $242.01 – $5,316.00 | 10 |
| Egd guide wire insertion CPT 43248 | not published | not published | $250.84 – $2,100.00 | 12 |
| Egd injection varices CPT 43243 | not published | not published | $358.56 – $3,949.47 | 12 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $4,711.85 | $8,567.00 | $214.95 – $3,949.47 | 12 |
| Egd lesion ablation CPT 43270 | not published | not published | $338.29 – $5,316.00 | 11 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $254.01 – $5,316.00 | 11 |
| Egd remove foreign body CPT 43247 | $1,199.00 | $2,180.00 | $266.69 – $2,100.00 | 12 |
| Egd remove lesion snare CPT 43251 | not published | not published | $295.55 – $3,949.47 | 12 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $256.64 – $3,949.47 | 12 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $340.42 – $3,949.47 | 12 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $350.15 – $3,949.47 | 12 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $396.32 – $3,949.47 | 12 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $395.84 – $5,316.00 | 11 |
| Egd varices ligation CPT 43244 | not published | not published | $369.64 – $3,949.47 | 12 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $352.89 – $7,935.28 | 12 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $591.35 – $12,495.04 | 12 |
| Egfr gene com variants CPT 81235 | not published | not published | $297.01 – $694.60 | 10 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $137.50 | $250.00 | $31.58 – $75.09 | 10 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $21.52 – $22.95 | 2 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $19.13 – $21.52 | 2 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $10.95 – $12.45 | 2 |
| EKG tracing for initial prev HCPCS G0404 | $13.86 | $25.20 | $9.07 – $59.53 | 10 |
| Elbow arthroscopy CPT 29830 | not published | not published | $697.47 – $6,734.39 | 12 |
| Elbow arthroscopy/surgery CPT 29834 | $4,534.75 | $8,245.00 | $750.72 – $6,734.39 | 12 |
| Elbow arthroscopy/surgery CPT 29835 | $4,534.75 | $8,245.00 | $778.74 – $6,734.39 | 12 |
| Elbow arthroscopy/surgery CPT 29836 | $4,807.00 | $8,740.00 | $891.73 – $14,934.65 | 12 |
| Elbow arthroscopy/surgery CPT 29837 | $4,534.75 | $8,245.00 | $802.07 – $6,734.39 | 12 |
| Elbow arthroscopy/surgery CPT 29838 | $4,534.75 | $8,245.00 | $908.48 – $6,734.39 | 12 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $52.48 – $2,100.00 | 11 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.04 – $23.63 | 10 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $38.02 – $2,100.00 | 11 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $53.43 – $632.15 | 10 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,316.72 | $13,303.12 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $46.86 – $136.82 | 10 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $18.74 – $19.05 | 2 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $73.80 – $92.46 | 2 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $51.27 – $68.92 | 2 |
| Electrocochleography CPT 92584 | $533.50 | $970.00 | $123.75 – $273.81 | 10 |
| Electroconvulsive therapy 90870 CPT 90870 | $2,267.65 | $4,123.00 | $163.74 – $1,767.45 | 10 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $2,080.28 – $2,351.38 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $243.83 – $1,767.45 | 10 |
| Electroejaculation CPT 55870 | not published | not published | $216.01 – $1,895.69 | 10 |
| Electrogastrography CPT 91132 | not published | not published | $207.67 – $591.78 | 10 |
| Electrogastrography w/test CPT 91133 | not published | not published | $127.96 – $614.30 | 10 |
| Electrolyte panel CPT 80051 | $125.95 | $229.00 | $5.00 – $15.00 | 11 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $65.70 – $68.11 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $74.91 – $195.67 | 10 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $179.85 – $1,658.24 | 11 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $109.18 – $273.84 | 10 |
| Electrophysiologic study CPT 93624 | $4,853.20 | $8,824.00 | $93.98 – $16,053.17 | 10 |
| Electrophysiology evaluation CPT 93619 | $6,876.65 | $12,503.00 | $403.17 – $16,053.17 | 10 |
| Electrophysiology evaluation CPT 93620 | $7,465.15 | $13,573.00 | $285.78 – $16,053.17 | 10 |
| Electrophysiology evaluation CPT 93621 | $3,971.00 | $7,220.00 | $38.17 – $7,119.13 | 2 |
| Electrophysiology evaluation CPT 93622 | $2,967.25 | $5,395.00 | $78.25 – $7,119.13 | 2 |
| Electrophysiology evaluation CPT 93641 | $2,849.55 | $5,181.00 | $379.29 – $604.50 | 2 |
| Electrophysiology evaluation CPT 93642 | $3,344.00 | $6,080.00 | $117.27 – $2,505.92 | 10 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $72.80 – $604.50 | 2 |
| Electrophys map 3d add-on CPT 93613 | $3,467.75 | $6,305.00 | $121.73 – $7,119.13 | 2 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $319.52 – $623.06 | 11 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.19 – $15.97 | 11 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $192.48 – $375.34 | 10 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $281.89 – $3,949.47 | 11 |
| Embolization s&i CPT 75894 | $6,889.30 | $12,526.00 | $225.66 – $1,337.32 | 3 |
| Embo or occlude vascular arterial s&i CPT 37242 | $11,625.35 | $21,137.00 | $714.21 – $37,729.94 | 10 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $11,625.35 | $21,137.00 | $992.94 – $23,760.10 | 10 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $11,625.35 | $21,137.00 | $842.85 – $23,760.10 | 10 |
| Embo or occlude vascular venous s&i CPT 37241 | $10,720.60 | $19,492.00 | $641.53 – $23,760.10 | 10 |
| Embryo hatching CPT 89253 | not published | not published | $39.36 – $350.65 | 9 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $221.82 – $1,895.69 | 11 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,528.18 – $11,452.76 | 10 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,418.81 – $11,452.76 | 10 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $61.48 – $604.50 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | $284.90 | $518.00 | $96.83 – $416.11 | 10 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $963.60 | $1,752.00 | $114.96 – $273.84 | 10 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $749.65 | $1,363.00 | $123.75 – $273.81 | 10 |
| Emg cranial nerve bilateral CPT 95868 | $169.40 | $308.00 | $111.13 – $544.95 | 10 |
| Emg needle test 1-extremity CPT 95860 | $586.30 | $1,066.00 | $90.04 – $273.84 | 10 |
| Emg needle test 4-extremities CPT 95864 | $941.60 | $1,712.00 | $123.75 – $273.81 | 10 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $108.73 – $544.95 | 10 |
| Encephalitis, california igg/igm CPT 86651 | $30.25 | $55.00 | $9.00 – $28.23 | 11 |
| Encephalitis, st louis igg/igm CPT 86653 | $30.25 | $55.00 | $9.00 – $28.23 | 11 |
| Encephalitis, western equine igg/igm CPT 86654 | $30.25 | $55.00 | $9.00 – $28.23 | 11 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,364.80 | $7,936.00 | $417.05 – $7,185.00 | 12 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $4,364.80 | $7,936.00 | $416.80 – $7,185.00 | 12 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $75.85 – $245.87 | 2 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $61.08 – $61.08 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $154.74 – $1,579.00 | 11 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $165.71 – $1,895.69 | 11 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $510.72 – $7,935.28 | 12 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $538.08 – $7,935.28 | 12 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $10,223.45 – $21,878.19 | 9 |
| Endoluminal bx biliary tree CPT 47543 | $1,468.50 | $2,670.00 | $215.15 – $604.50 | 2 |
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.