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 |
|---|---|---|---|---|
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,082.30 | $3,786.00 | $211.44 – $604.50 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,576.10 | $6,502.00 | $244.73 – $604.50 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | $2,737.90 | $4,978.00 | $122.61 – $604.50 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $352.60 – $10,295.98 | 12 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $542.35 – $10,295.98 | 10 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $4,386.82 – $21,878.19 | 9 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $303.42 – $7,255.07 | 12 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $179.76 – $7,185.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $295.16 – $3,949.47 | 12 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $24.05 – $604.50 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $134.98 – $1,914.03 | 12 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $946.16 – $11,495.55 | 6 |
| Endoscopy maxillary sinus CPT 31267 | $3,234.00 | $5,880.00 | $404.07 – $14,525.57 | 12 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $110.31 – $1,914.03 | 12 |
| Endoscopy of ureter CPT 50951 | not published | not published | $464.83 – $7,255.07 | 12 |
| Endoscopy of ureter CPT 50953 | not published | not published | $494.36 – $7,255.07 | 12 |
| Endoscopy swallow (fees) vid CPT 92612 | $361.35 | $657.00 | $52.56 – $271.65 | 10 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,377.10 | $4,322.00 | $254.46 – $3,663.36 | 12 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $4,386.82 – $11,495.55 | 3 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Endovasc tempory vessel occl CPT 61623 | $20,658.55 | $37,561.00 | $871.72 – $23,760.10 | 10 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $303.04 – $4,386.82 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,364.00 | $2,480.00 | $203.95 – $3,181.00 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $272.34 – $6,498.69 | 10 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $133.42 – $604.50 | 2 |
| Endovenous rf abl vein addl CPT 36476 | $1,364.00 | $2,480.00 | $200.07 – $3,181.00 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $269.55 – $11,452.76 | 10 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $132.73 – $604.50 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.66 – $71.48 | 11 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.59 – $1.12 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $9.00 – $25.64 | 11 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $364.18 – $4,386.82 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,133.03 – $7,935.28 | 9 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,278.72 – $3,949.47 | 9 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $21.00 – $94.22 | 11 |
| Enzyme histochemistry CPT 88319 | $424.05 | $771.00 | $10.60 – $1,658.24 | 11 |
| Ep & ablate supravent arrhyt CPT 93653 | $12,802.90 | $23,278.00 | $1,243.80 – $53,796.61 | 10 |
| Ep & ablate ventric tachy CPT 93654 | $12,802.90 | $23,278.00 | $1,498.63 – $53,796.61 | 10 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $57.99 – $113.08 | 11 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,060.35 – $4,246.62 | 12 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $209.30 – $991.00 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,084.82 – $4,246.62 | 12 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $153.80 – $991.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,919.50 | $3,490.00 | $78.76 – $991.00 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $493.00 – $1,820.41 | 12 |
| Epidural lysis on single day 62264 CPT 62264 | $1,024.65 | $1,863.00 | $373.41 – $1,820.41 | 12 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,254.00 – $12,184.12 | 12 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,203.70 – $5,239.92 | 10 |
| Ep induct arrhy by elect pacing CPT 93618 | $3,290.10 | $5,982.00 | $199.43 – $2,505.92 | 10 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,115.72 – $6,734.39 | 12 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $945.49 – $6,734.39 | 12 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.85 – $2.59 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $4,721.75 | $8,585.00 | $224.27 – $6,662.61 | 10 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.81 – $1.46 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.97 – $15.54 | 11 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.88 – $14.60 | 11 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.44 – $2.66 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $18.33 – $26.21 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $162.25 | $295.00 | $9.00 – $28.08 | 11 |
| Epstein barr nuclear antigen antibody CPT 86664 | $162.25 | $295.00 | $11.00 – $32.72 | 11 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $162.25 | $295.00 | $13.00 – $38.82 | 11 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.87 – $20.53 | 10 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $21.10 – $41.15 | 11 |
| Ercp biliary & pancreas CPT 74330 | $1,374.45 | $2,499.00 | $103.05 – $368.79 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $697.62 – $12,495.04 | 11 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $570.41 – $7,935.28 | 11 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $652.94 – $7,935.28 | 11 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $653.04 – $12,495.04 | 12 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $548.82 – $7,935.28 | 12 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $567.29 – $7,185.00 | 11 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $538.99 – $3,949.47 | 12 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $726.40 – $12,495.04 | 11 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $486.59 – $7,935.28 | 12 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $9.41 – $9.41 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $59.98 – $220.13 | 11 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.47 – $21.30 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $392.70 | $714.00 | $17.64 – $173.55 | 10 |
| ER Visit (level 2) CPT 99282 | $661.10 | $1,202.00 | $64.45 – $316.02 | 10 |
| ER Visit (level 3) CPT 99283 | $1,018.05 | $1,851.00 | $109.78 – $561.84 | 10 |
| ER Visit (level 4) CPT 99284 | $1,624.15 | $2,953.00 | $186.88 – $858.80 | 10 |
| ER Visit (level 5, high severity) CPT 99285 | $2,427.15 | $4,413.00 | $270.86 – $1,225.71 | 10 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $75.19 – $132.68 | 4 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,066.00 – $7,935.28 | 10 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.47 – $0.74 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.32 – $0.45 | 4 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $120.69 – $188.00 | 3 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $171.71 – $4,386.82 | 3 |
| Esophageal motility CPT 78258 | $867.35 | $1,577.00 | $237.03 – $822.80 | 11 |
| Esophageal recording CPT 93615 | not published | not published | $13.37 – $2,505.92 | 10 |
| Esophageal recording CPT 93616 | not published | not published | $27.18 – $2,505.92 | 10 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,066.00 – $7,935.28 | 10 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | $4,379.10 | $7,962.00 | $293.28 – $5,316.00 | 11 |
| Esophagosc flex trnsn biopsy CPT 43198 | $2,289.65 | $4,163.00 | $149.07 – $2,891.00 | 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.