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 |
|---|---|---|---|---|
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $354.17 – $3,949.47 | 11 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $285.02 – $12,495.04 | 11 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $237.46 – $3,949.47 | 12 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $178.31 – $3,949.47 | 12 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $249.23 – $3,949.47 | 12 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $155.76 – $3,949.47 | 12 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $132.94 – $1,866.75 | 12 |
| Esophagoscopy flex dx brush CPT 43197 | $2,289.65 | $4,163.00 | $124.83 – $2,891.00 | 11 |
| Esophagoscopy flex remove fb CPT 43215 | $2,400.20 | $4,364.00 | $213.49 – $3,949.47 | 12 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $297.03 – $7,935.28 | 11 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $201.63 – $3,949.47 | 12 |
| Esophagoscopy retro balloon CPT 43213 | $3,806.00 | $6,920.00 | $392.06 – $5,316.00 | 11 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $281.59 – $7,935.28 | 11 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $2,513.50 | $4,570.00 | $236.31 – $3,949.47 | 11 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $8,435.35 | $15,337.00 | $835.64 – $12,184.12 | 11 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $241.69 – $3,949.47 | 12 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $300.61 – $3,949.47 | 12 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $298.33 – $5,316.00 | 11 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $257.59 – $5,316.00 | 11 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $258.55 – $5,316.00 | 11 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $290.41 – $5,316.00 | 11 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $212.92 – $3,949.47 | 12 |
| Esophagus motility study CPT 91010 | not published | not published | $226.58 – $928.55 | 10 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $358.89 – $928.55 | 10 |
| Esoph egd dilation <30 mm CPT 43249 | $3,216.95 | $5,849.00 | $231.79 – $3,949.47 | 12 |
| Esoph endoscopy dilation CPT 43226 | $4,379.10 | $7,962.00 | $197.07 – $3,949.47 | 12 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $23.49 – $604.50 | 3 |
| Esoph imped function test CPT 91037 | not published | not published | $173.86 – $544.95 | 10 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $358.89 – $928.55 | 10 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $200.19 – $5,316.00 | 11 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $203.74 – $3,949.47 | 12 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $156.68 – $3,949.47 | 12 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $699.87 – $10,295.98 | 11 |
| Establish access to aorta CPT 36160 | $2,435.40 | $4,428.00 | $185.34 – $604.50 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $227.88 – $604.50 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $481.25 | $875.00 | $13.47 – $31.90 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $481.25 | $875.00 | $54.17 – $78.34 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $481.25 | $875.00 | $101.13 – $127.29 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $481.25 | $875.00 | $149.16 – $179.41 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $481.25 | $875.00 | $221.06 – $252.14 | 2 |
| Estradiol total CPT 82670 | $160.60 | $292.00 | $20.00 – $59.79 | 11 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.32 – $15.18 | 4 |
| Estrogens total-sendout CPT 82672 | not published | not published | $15.00 – $46.44 | 11 |
| Etanercept injection HCPCS J1438 | not published | not published | $901.49 – $1,447.32 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $547.27 – $1,067.18 | 11 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,415.52 – $6,823.84 | 12 |
| Ethylene glycol -sendout CPT 82693 | $207.90 | $378.00 | $11.00 – $31.89 | 11 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,275.36 – $1,848.22 | 2 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.22 – $1.71 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $87.16 – $171.71 | 11 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $98.14 – $209.09 | 11 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.00 – $18.00 | 11 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $812.13 – $6,662.61 | 12 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $374.55 | $681.00 | $113.46 – $273.81 | 10 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $652.85 | $1,187.00 | $115.74 – $247.68 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $130.90 | $238.00 | $81.58 – $209.96 | 10 |
| Evaluation heart device CPT 93640 | $2,873.20 | $5,224.00 | $367.82 – $604.50 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $387.20 | $704.00 | $126.98 – $271.74 | 10 |
| Evaluation psychiatric diagnostic CPT 90791 | $127.60 | $232.00 | $170.71 – $365.32 | 10 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,496.00 | $2,720.00 | $880.00 – $4,386.82 | 3 |
| Evasc prlng admn rx agnt add CPT 61651 | $749.65 | $1,363.00 | $375.66 – $4,386.82 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $662.17 – $4,386.82 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,166.11 – $4,386.82 | 3 |
| Event monitor CPT 93270 | $243.65 | $443.00 | $11.94 – $76.81 | 10 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $7.14 – $768.03 | 10 |
| Evoked oa emissions ltd CPT 92587 | $203.50 | $370.00 | $5.22 – $544.95 | 10 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $40.19 – $72.11 | 2 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $207.67 – $544.95 | 10 |
| Evoked potential visual not glaucoma CPT 95930 | $485.10 | $882.00 | $70.87 – $544.95 | 10 |
| Evok oa screening qual CPT 92558 | not published | not published | $12.93 – $12.93 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $137.20 – $1,579.00 | 11 |
| Exam pelvic add-on CPT 99459 | $23.76 | $43.20 | $28.60 – $32.59 | 2 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $2,031.15 | $3,693.00 | $161.90 – $6,662.61 | 12 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $5,606.15 | $10,193.00 | $834.32 – $5,978.45 | 12 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $7,473.95 | $13,589.00 | $1,055.36 – $7,185.00 | 11 |
| Exc abd les sc 3 cm/> CPT 22903 | $8,058.60 | $14,652.00 | $670.65 – $7,185.00 | 11 |
| Exc abdl tum deep < 5 cm CPT 22900 | $4,794.90 | $8,718.00 | $862.43 – $5,978.45 | 12 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $5,935.60 | $10,792.00 | $1,014.75 – $7,185.00 | 11 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,817.28 – $4,386.82 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,659.17 – $4,386.82 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $11,327.80 | $20,596.00 | $618.38 – $7,185.00 | 11 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $6,818.90 | $12,398.00 | $502.67 – $3,399.30 | 12 |
| Exc aurl glomus tum trnscanl CPT 69550 | $11,853.05 | $21,551.00 | $1,592.96 – $12,184.12 | 12 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,933.00 – $12,184.12 | 12 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $3,983.65 | $7,243.00 | $556.35 – $3,399.30 | 12 |
| Exc back tum deep 5 cm/> CPT 21933 | $8,539.30 | $15,526.00 | $1,122.40 – $7,185.00 | 11 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $481.32 – $6,662.61 | 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.