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 |
|---|---|---|---|---|
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,298.03 – $14,934.65 | 12 |
| Fusion of ankle joint open CPT 27870 | $11,971.85 | $21,767.00 | $1,537.30 – $26,424.41 | 12 |
| Fusion of big toe joint CPT 28750 | $17,164.95 | $31,209.00 | $880.63 – $14,934.65 | 12 |
| Fusion of big toe joint CPT 28755 | $10,371.35 | $18,857.00 | $512.61 – $14,934.65 | 12 |
| Fusion of finger joint CPT 26860 | $4,657.95 | $8,469.00 | $919.37 – $6,734.39 | 12 |
| Fusion of finger tendons CPT 26471 | $11,853.60 | $21,552.00 | $993.04 – $6,734.39 | 12 |
| Fusion of finger tendons CPT 26474 | $7,861.70 | $14,294.00 | $979.54 – $3,309.55 | 12 |
| Fusion of foot bones CPT 28730 | $11,971.85 | $21,767.00 | $1,106.90 – $26,424.41 | 12 |
| Fusion of foot bones CPT 28735 | $10,203.05 | $18,551.00 | $1,187.12 – $26,424.41 | 12 |
| Fusion of foot bones CPT 28740 | $10,018.80 | $18,216.00 | $942.84 – $14,934.65 | 12 |
| Fusion of hand joint CPT 26843 | $13,615.80 | $24,756.00 | $1,179.40 – $14,934.65 | 12 |
| Fusion of knuckle CPT 26850 | $9,210.85 | $16,747.00 | $1,106.77 – $14,934.65 | 12 |
| Fusion of knuckle joint CPT 26516 | $8,525.00 | $15,500.00 | $991.00 – $6,734.39 | 12 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,306.69 – $6,734.39 | 12 |
| Fusion of knuckle joints CPT 26518 | $16,869.05 | $30,671.00 | $1,323.44 – $14,934.65 | 12 |
| Fusion of knuckle with graft CPT 26852 | $8,798.90 | $15,998.00 | $1,258.96 – $14,934.65 | 12 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,221.79 – $4,302.40 | 12 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,594.00 – $7,255.07 | 12 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,054.80 – $6,734.39 | 12 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $985.16 – $6,734.39 | 12 |
| Fusion of thumb CPT 26841 | $11,301.95 | $20,549.00 | $1,167.49 – $14,934.65 | 12 |
| Fusion of tibiofibular joint CPT 27871 | $11,971.85 | $21,767.00 | $1,053.61 – $26,424.41 | 12 |
| Fusion of toes CPT 28280 | not published | not published | $529.23 – $6,734.39 | 12 |
| G0180 home health certification HCPCS G0180 | not published | not published | $80.88 – $80.88 | 1 |
| G6pc gene CPT 81250 | not published | not published | $52.64 – $125.17 | 10 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $540.00 – $1,284.00 | 9 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $157.33 – $374.09 | 9 |
| G6pd known familial variant CPT 81248 | not published | not published | $337.73 – $803.04 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $252.81 – $252.81 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $88.55 | $161.00 | $49.63 – $106.21 | 10 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.30 – $0.56 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.70 – $2.50 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.14 – $0.21 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $16.77 – $24.21 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $15.00 – $45.09 | 11 |
| Galactokinase - sendout CPT 82759 | not published | not published | $15.00 – $45.97 | 11 |
| Galactose transferase test CPT 82776 | not published | not published | $6.00 – $25.12 | 11 |
| Galectin-3 CPT 82777 | not published | not published | $16.02 – $94.70 | 10 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,004.87 – $12,442.83 | 11 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $1,296.43 | 10 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $1,324.08 | 10 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,189.73 | $2,163.15 | $478.52 – $1,760.10 | 10 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $1,542.90 | 10 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $162.52 – $833.17 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.87 – $95.30 | 11 |
| Gammaglobulin iga CPT 82784 | $90.75 | $165.00 | $9.30 – $19.90 | 11 |
| Gammaglobulin ige CPT 82785 | $102.85 | $187.00 | $16.46 – $35.22 | 11 |
| Gamma glutamyltransferase CPT 82977 | $71.50 | $130.00 | $5.00 – $15.41 | 11 |
| Gammaplex injection HCPCS J1557 | not published | not published | $65.53 – $129.23 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.01 – $95.58 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $36.58 – $73.78 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $89.37 | 10 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $14.36 | 10 |
| Gastric emptying imag study CPT 78265 | not published | not published | $384.49 – $822.80 | 10 |
| Gastric emptying imag study CPT 78266 | not published | not published | $517.72 – $1,117.53 | 10 |
| Gastric motility studies CPT 91020 | not published | not published | $295.06 – $928.55 | 10 |
| Gastric mucosa imaging CPT 78261 | $780.45 | $1,419.00 | $226.93 – $822.80 | 11 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $37.86 | 11 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $279.64 – $822.80 | 11 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $205.02 – $928.55 | 10 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $872.31 – $1,866.75 | 10 |
| Gated heart multiple CPT 78473 | not published | not published | $288.75 – $822.80 | 11 |
| Gba gene CPT 81251 | not published | not published | $42.53 – $101.12 | 10 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $1,040.50 | 11 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.14 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.40 – $6.00 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $247.37 – $482.37 | 11 |
| General health panel CPT 80050 | $1,128.05 | $2,051.00 | $23.00 – $57.98 | 4 |
| Generator barostim neo2 2014 HCPCS C1767 | $32,571.10 | $59,220.19 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $27,480.28 | $49,964.14 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $56,907.81 | $103,468.75 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,203.70 – $5,239.92 | 10 |
| Genioplasty augmentation CPT 21120 | $8,778.55 | $15,961.00 | $759.57 – $12,184.12 | 11 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,272.95 – $6,823.84 | 11 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $804.56 – $6,823.84 | 11 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,122.99 – $12,184.12 | 11 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,528.08 – $10,766.77 | 10 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.82 – $4.42 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $250.25 | $455.00 | $12.00 – $35.05 | 11 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $9.47 | 11 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $539.02 – $1,767.45 | 10 |
| Ghs abscess perianal iandd CPT 46050 | $774.95 | $1,409.00 | $153.38 – $1,914.03 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,902.80 | $7,096.00 | $269.63 – $5,978.45 | 12 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $97.35 | $177.00 | $5.00 – $20.99 | 11 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $231.00 | $420.00 | $11.00 – $36.62 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $2,048.20 | $3,724.00 | $92.03 – $218.84 | 10 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $57.42 | $104.40 | $27.81 – $273.84 | 10 |
| Ghs antibodies (torch) igm CPT 86694 | $98.45 | $179.00 | $14.39 – $30.79 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.74 – $514.23 | 10 |
| Ghs bladder cath - complex-foley CPT 51703 | $323.95 | $589.00 | $116.16 – $1,579.00 | 11 |
| Ghs bleeding time (ivy) CPT 85002 | $143.55 | $261.00 | $3.00 – $10.31 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $2,003.10 | $3,642.00 | $83.08 – $1,579.00 | 11 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,956.70 | $7,194.00 | $129.48 – $6,498.69 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $674.30 | $1,226.00 | $56.99 – $1,579.00 | 11 |
| Ghs chemo >8 hrs CPT 96416 | $1,571.35 | $2,857.00 | $183.99 – $679.83 | 10 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $242.53 – $679.83 | 10 |
| Ghs chemo IV push, ea addtl CPT 96411 | $227.70 | $414.00 | $69.25 – $148.19 | 10 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $553.85 | $1,007.00 | $35.09 – $75.09 | 10 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $513.15 | $933.00 | $237.24 – $507.69 | 10 |
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.