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 |
|---|---|---|---|---|
| Ghs closed reduction ankle dislocation CPT 27840 | $431.75 | $785.00 | $237.24 – $1,579.00 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,029.05 | $1,871.00 | $662.47 – $3,309.55 | 12 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $237.24 – $1,579.00 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $4,868.60 | $8,852.00 | $754.94 – $3,309.55 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $4,559.50 | $8,290.00 | $1,206.71 – $7,293.65 | 12 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $476.30 | $866.00 | $237.24 – $1,579.00 | 12 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,232.55 | $2,241.00 | $681.92 – $3,309.55 | 12 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $4,868.60 | $8,852.00 | $758.72 – $3,309.55 | 12 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $308.00 | $560.00 | $237.24 – $1,579.00 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $466.40 | $848.00 | $237.24 – $507.69 | 10 |
| Ghs community re-entry 15 minutes CPT 97537 | $89.65 | $163.00 | $30.31 – $64.86 | 9 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $591.25 | $1,075.00 | $54.25 – $919.44 | 10 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $535.15 | $973.00 | $43.95 – $273.84 | 10 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $680.35 | $1,237.00 | $62.73 – $919.44 | 10 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $748.00 | $1,360.00 | $76.11 – $273.84 | 10 |
| Ghs cricothyroidotomy CPT 31605 | $729.30 | $1,326.00 | $227.80 – $1,579.00 | 11 |
| Ghs cutdown placement age 1 and over CPT 36425 | $558.25 | $1,015.00 | $60.07 – $919.44 | 10 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $72.57 – $273.84 | 10 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $11.00 – $32.55 | 11 |
| Ghs dislocation elbow closed treatment CPT 24600 | $457.60 | $832.00 | $237.24 – $1,579.00 | 12 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $785.40 | $1,428.00 | $161.74 – $1,866.75 | 11 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $231.00 | $420.00 | $50.36 – $575.66 | 10 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,112.10 | $2,022.00 | $158.71 – $1,579.00 | 11 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $336.60 | $612.00 | $207.67 – $444.41 | 10 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $13.37 – $273.81 | 10 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $123.75 – $273.81 | 10 |
| Ghs elect vertical elct CPT 92547 | $203.50 | $370.00 | $12.47 – $12.47 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $107.85 – $836.68 | 10 |
| Ghs excision ingrown nail CPT 11765 | $310.20 | $564.00 | $140.91 – $836.68 | 10 |
| Ghs eye exam CPT 92002 | not published | not published | $69.28 – $274.02 | 10 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $880.00 | $1,600.00 | $175.91 – $653.28 | 10 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.00 – $10.38 | 11 |
| Ghs fb removal foot - deep - left CPT 28192 | $11,922.90 | $21,678.00 | $475.62 – $3,399.30 | 12 |
| Ghs fb removal from muscle - complicated CPT 20525 | $5,169.45 | $9,399.00 | $374.98 – $5,978.45 | 12 |
| Ghs fb removal - incisional CPT 10121 | $1,568.05 | $2,851.00 | $278.90 – $3,399.30 | 12 |
| Ghs fb removal - non-incisional CPT 20520 | $2,250.60 | $4,092.00 | $224.12 – $3,399.30 | 11 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $63.25 | $115.00 | $5.00 – $14.94 | 11 |
| Ghs fish cytogen CPT 88271 | $389.40 | $708.00 | $21.42 – $45.84 | 11 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $72.05 | $131.00 | $50.50 – $109.55 | 11 |
| Ghs flow volume loop CPT 94375 | $33.66 | $61.20 | $35.91 – $544.95 | 10 |
| Ghs gastric intub aspiration lavage CPT 43753 | $197.45 | $359.00 | $32.96 – $1,579.00 | 11 |
| Ghs hcv amplificaiton CPT 87521 | $545.05 | $991.00 | $35.09 – $75.09 | 11 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $12.00 – $49.16 | 11 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $11.00 – $33.15 | 11 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $6.00 – $20.27 | 11 |
| Ghs histoplasma antigen CPT 87385 | $901.45 | $1,639.00 | $9.00 – $28.36 | 11 |
| Ghs HIV antibody CPT 86703 | $254.10 | $462.00 | $10.00 – $29.34 | 11 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $46.00 – $227.14 | 11 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $6,285.95 | $11,429.00 | $325.54 – $4,302.40 | 12 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,980.35 | $7,237.00 | $644.75 – $2,891.00 | 12 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,899.05 | $5,271.00 | $259.47 – $1,457.47 | 10 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $841.50 | $1,530.00 | $158.70 – $1,457.47 | 10 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $26.00 – $64.03 | 11 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,040.60 | $1,892.00 | $166.94 – $1,579.00 | 11 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $191.98 – $2,100.00 | 12 |
| Ghs inf midline insertion CPT 36140 | $757.90 | $1,378.00 | $133.40 – $604.50 | 2 |
| Ghs inhibitor screen CPT 85335 | $287.65 | $523.00 | $9.00 – $27.54 | 11 |
| Ghs init tx 1st degree burn CPT 16000 | $326.15 | $593.00 | $69.81 – $412.94 | 10 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $3,573.90 | $6,498.00 | $270.45 – $1,820.41 | 12 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,191.20 | $3,984.00 | $181.32 – $1,820.41 | 11 |
| Ghs inj tendon origin/insertion CPT 20551 | $2,135.65 | $3,883.00 | $59.13 – $1,579.00 | 11 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $2,786.30 | $5,066.00 | $93.31 – $991.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $4,178.35 | $7,597.00 | $198.96 – $1,820.41 | 12 |
| Ghs insertion of needle - bone CPT 36680 | $370.15 | $673.00 | $90.93 – $919.44 | 10 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,357.95 | $2,469.00 | $364.82 – $2,100.00 | 12 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,394.80 | $2,536.00 | $426.98 – $2,100.00 | 12 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,890.80 | $5,256.00 | $496.40 – $4,246.62 | 12 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $142.45 | $259.00 | $13.91 – $604.50 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $435.60 | $792.00 | $205.15 – $1,579.00 | 12 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $211.20 | $384.00 | $27.31 – $96.38 | 10 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $658.43 – $658.43 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $442.75 | $805.00 | $658.43 – $658.43 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $658.43 – $658.43 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $436.15 | $793.00 | $317.68 – $1,579.00 | 11 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $651.20 | $1,184.00 | $232.25 – $2,100.00 | 12 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $969.10 | $1,762.00 | $228.23 – $836.68 | 10 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $967.45 | $1,759.00 | $219.67 – $836.68 | 10 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $862.95 | $1,569.00 | $255.79 – $836.68 | 10 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $902.00 | $1,640.00 | $301.43 – $836.68 | 10 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,129.70 | $2,054.00 | $295.78 – $836.68 | 10 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $950.95 | $1,729.00 | $325.51 – $836.68 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,267.75 | $2,305.00 | $310.45 – $2,100.00 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,159.95 | $2,109.00 | $324.46 – $2,100.00 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $994.40 | $1,808.00 | $334.13 – $2,100.00 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,266.65 | $2,303.00 | $412.99 – $2,100.00 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $993.85 | $1,807.00 | $390.97 – $2,100.00 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,142.35 | $2,077.00 | $479.58 – $2,100.00 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,408.00 | $2,560.00 | $390.97 – $2,100.00 | 12 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,742.95 | $3,169.00 | $532.60 – $4,246.62 | 12 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,943.70 | $3,534.00 | $390.97 – $2,100.00 | 12 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $298.65 | $543.00 | $6.00 – $18.40 | 11 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $14.09 – $20.37 | 2 |
| Ghs mbp CPT 83873 | $141.90 | $258.00 | $12.00 – $36.81 | 11 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $261.80 | $476.00 | $36.82 – $81.70 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $261.80 | $476.00 | $116.13 – $127.66 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $261.80 | $476.00 | $103.77 – $115.34 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $222.20 | $404.00 | $16.01 – $16.69 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $258.50 | $470.00 | $80.52 – $91.21 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | $67.98 | $123.60 | $74.75 – $128.15 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $56.82 | $103.30 | $62.78 – $81.22 | 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.