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 |
|---|---|---|---|---|
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,077.48 – $8,288.22 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,757.25 | $3,195.00 | $143.75 – $307.62 | 10 |
| Extnd color vision xm CPT 92283 | not published | not published | $56.74 – $121.42 | 10 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $343.20 | $624.00 | $13.00 – $38.37 | 11 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $101.41 – $1,330.59 | 9 |
| Extraction of lens CPT 66930 | not published | not published | $1,283.29 – $8,507.36 | 12 |
| Extraction of lens CPT 66940 | not published | not published | $1,173.93 – $5,316.00 | 12 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,120.86 – $4,749.93 | 12 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $127.96 – $1,579.00 | 11 |
| Eye allergy tests CPT 95060 | not published | not published | $56.50 – $273.84 | 10 |
| F-18 fdg pet diag HCPCS A9552 | $1,543.30 | $2,806.00 | $400.00 – $589.74 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,585.35 | $8,337.00 | $1,825.64 – $5,350.35 | 10 |
| F-18 fluciclovine per mci HCPCS A9588 | $589.05 | $1,071.00 | $306.00 – $898.78 | 10 |
| F-18 sodium fluoride HCPCS A9580 | $646.80 | $1,176.00 | $424.68 – $424.68 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $540.00 – $1,284.00 | 9 |
| Face bone graft CPT 21210 | $7,473.95 | $13,589.00 | $1,153.36 – $12,184.12 | 12 |
| Facial bones <3 CPT 70140 | $358.05 | $651.00 | $32.54 – $179.11 | 11 |
| Facial nerve function test CPT 92516 | not published | not published | $34.51 – $544.95 | 10 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,189.00 – $6,823.84 | 10 |
| Factor ix CPT 85250 | $275.00 | $500.00 | $13.00 – $40.75 | 11 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.71 – $7.24 | 11 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.75 – $3.41 | 11 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.51 – $10.74 | 11 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.40 – $2.74 | 11 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.67 – $9.11 | 11 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.86 – $3.63 | 11 |
| Factor viii CPT 85240 | $380.05 | $691.00 | $13.00 – $38.31 | 11 |
| Factor viii HCPCS J7190 | not published | not published | $1.25 – $2.43 | 11 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.58 – $5.03 | 11 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.22 – $2.38 | 11 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.12 – $4.13 | 11 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.58 – $3.08 | 11 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.44 – $2.81 | 11 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.24 – $6.31 | 11 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $11.24 – $21.91 | 11 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $19.11 – $37.27 | 11 |
| Fallopian tube recnl CPT 58345 | not published | not published | $442.59 – $6,662.61 | 10 |
| Family therapy without pt 50min 90846 CPT 90846 | $266.20 | $484.00 | $154.35 – $365.32 | 9 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $161.23 – $365.32 | 10 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.01 | 3 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $32.87 – $64.10 | 11 |
| Fancc gene CPT 81242 | not published | not published | $32.96 – $78.37 | 10 |
| Fat/lipids feces qualitative CPT 82705 | $90.20 | $164.00 | $4.00 – $10.91 | 11 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $9.00 – $40.17 | 11 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $206.61 – $442.15 | 10 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $9.76 | 11 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $65.60 – $127.93 | 11 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $107.39 – $1,914.03 | 10 |
| #fecal-sodium CPT 84302 | $81.40 | $148.00 | $3.00 – $10.40 | 11 |
| Feeding tube reposition CPT 74355 | not published | not published | $121.59 – $144.00 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $77.56 – $316.60 | 10 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $46.75 | $85.00 | $16.78 – $39.89 | 10 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $351.35 – $4,386.82 | 3 |
| Fem/popl revasc w/stent CPT 37226 | $6,178.70 | $11,234.00 | $773.37 – $20,413.03 | 4 |
| Feno poc CPT 95012 | not published | not published | $27.27 – $76.88 | 10 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.96 – $1.59 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $8.99 – $20.84 | 10 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.13 – $2.21 | 11 |
| Ferritin CPT 82728 | $127.05 | $231.00 | $10.00 – $29.17 | 11 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.37 – $0.72 | 11 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.37 – $0.72 | 11 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $99.55 – $215.17 | 11 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $722.10 – $1,624.37 | 10 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $354.75 | $645.00 | $50.28 – $416.11 | 10 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $293.08 – $627.19 | 10 |
| Fetal fibronectin CPT 82731 | $935.55 | $1,701.00 | $64.41 – $290.00 | 11 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $293.08 – $1,579.00 | 11 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $608.30 | $1,106.00 | $5.00 – $16.54 | 11 |
| Fetal hemoglobin rosette CPT 85461 | $74.25 | $135.00 | $7.00 – $20.03 | 11 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $74.25 | $135.00 | $19.32 – $41.34 | 11 |
| Fetal non stress test CPT 59025 | $406.45 | $739.00 | $29.19 – $416.11 | 10 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $170.16 – $627.19 | 10 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $293.08 – $1,579.00 | 11 |
| #_fet/norfentcnfrmur CPT 80354 | $204.05 | $371.00 | $22.23 – $35.46 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $10.00 – $11.17 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $99.00 | $180.00 | $7.00 – $21.79 | 11 |
| Fibrin degradation products CPT 85362 | $128.70 | $234.00 | $5.00 – $14.74 | 11 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $5.00 – $20.80 | 11 |
| Fibrinogen activity CPT 85384 | $173.80 | $316.00 | $6.00 – $20.80 | 11 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $6.00 – $33.13 | 11 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $16.50 | 11 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $12.00 – $36.79 | 11 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $165.55 | $301.00 | $5.00 – $13.97 | 11 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.32 – $0.63 | 11 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.01 – $1.96 | 11 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $0.69 | 11 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,032.29 – $4,246.62 | 12 |
| Filtered speech hearing test CPT 92571 | not published | not published | $35.92 – $76.88 | 10 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,747.40 | $4,995.28 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $1,932.24 | $3,513.16 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,257.83 – $5,147.21 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $0.26 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $950.40 | $1,728.00 | $136.67 – $1,579.00 | 11 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $855.25 | $1,555.00 | $79.12 – $604.50 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $707.30 | $1,286.00 | $65.96 – $604.50 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $778.25 | $1,415.00 | $76.36 – $604.50 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $715.00 | $1,300.00 | $83.55 – $836.68 | 10 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $648.61 – $648.61 | 1 |
| Finger tendon transfer CPT 26497 | $11,110.00 | $20,200.00 | $1,366.59 – $6,734.39 | 12 |
| Finger tendon transfer CPT 26498 | $13,333.10 | $24,242.00 | $1,594.00 – $6,734.39 | 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.