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 |
|---|---|---|---|---|
| Gjb2 gene full sequence CPT 81252 | not published | not published | $91.01 – $216.40 | 10 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $55.37 – $131.65 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $31.50 – $74.90 | 9 |
| Glassia injection HCPCS J0257 | not published | not published | $5.58 – $10.89 | 11 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $27.82 – $94.08 | 10 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.92 – $76.88 | 10 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,310.93 – $8,507.36 | 12 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,309.91 – $8,507.36 | 12 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,254.00 – $4,749.93 | 12 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,594.00 – $4,749.93 | 12 |
| Glove finger flexion right lg xl HCPCS L3912 | $96.51 | $175.48 | $140.19 – $300.01 | 10 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $117.33 – $309.40 | 11 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $129.28 – $252.10 | 11 |
| Glucagon plasma - sendout CPT 82943 | $40.15 | $73.00 | $10.00 – $30.58 | 11 |
| Glucose 1 hr post dose CPT 82950 | $145.20 | $264.00 | $3.00 – $10.16 | 11 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.00 – $12.95 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $64.90 | $118.00 | $2.94 – $7.02 | 11 |
| Glucose blood quantitative CPT 82947 | $58.85 | $107.00 | $3.00 – $8.41 | 11 |
| Glucose body fluid CPT 82945 | $114.95 | $209.00 | $3.00 – $8.41 | 11 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $68.64 | $124.80 | $56.74 – $121.42 | 10 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $254.65 | $463.00 | $9.00 – $27.54 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $81.40 | $148.00 | $3.00 – $8.39 | 11 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.76 – $1.02 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $21.52 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $151.80 | $276.00 | $13.00 – $39.76 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $144.10 | $262.00 | $13.00 – $39.63 | 11 |
| Gonioscopy CPT 92020 | not published | not published | $30.88 – $273.84 | 10 |
| Goniotomy CPT 65820 | not published | not published | $991.00 – $8,507.36 | 12 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $803.86 – $1,128.23 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $70.57 | $128.31 | $34.61 – $233.39 | 11 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $119.69 – $2,403.42 | 11 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $72.53 – $326.02 | 11 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,387.11 – $6,734.39 | 12 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $35.22 – $256.13 | 10 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,041.00 – $3,280.89 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,502.48 | $6,368.15 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $1,675.07 | $3,045.58 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $64.16 – $233.39 | 11 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $189.79 | $345.08 | $119.69 – $233.39 | 10 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,056.08 | $9,192.88 | $119.69 – $233.39 | 11 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $59.04 – $233.39 | 11 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $119.69 – $266.22 | 10 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $13,477.40 | $24,504.36 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $42.75 – $259.91 | 11 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $683.28 | $1,242.33 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,661.33 | $4,838.79 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.66 – $5.08 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.30 – $0.62 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,259.19 – $1,259.19 | 1 |
| Great toe with reduction 28495 CPT 28495 | $573.65 | $1,043.00 | $230.44 – $507.69 | 10 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $3,109.70 | $5,654.00 | $759.20 – $7,185.00 | 11 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $5,702.95 | $10,369.00 | $774.09 – $7,293.65 | 11 |
| Grfg autol fat lipo ea addl CPT 15772 | $2,852.30 | $5,186.00 | $224.05 – $604.50 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | $9,441.30 | $17,166.00 | $727.76 – $7,293.65 | 11 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $38.50 | $70.00 | $11.89 – $25.44 | 10 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.00 – $33.68 | 11 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $26.94 – $161.78 | 9 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,067.84 – $3,949.47 | 10 |
| G-tube reposition CPT 43761 | $1,018.60 | $1,852.00 | $158.35 – $1,579.00 | 12 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,401.40 | $2,548.00 | $116.40 – $4,302.40 | 11 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,892.55 | $3,441.00 | $205.07 – $1,457.47 | 10 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $1,071.68 – $1,071.68 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,150.42 | $2,091.68 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $154.53 | $280.97 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $505.45 | $919.00 | $146.59 – $146.59 | 1 |
| Gum graft CPT 41870 | not published | not published | $464.33 – $3,193.45 | 10 |
| Gw stiffened micro access kit HCPCS C1894 | $358.22 | $651.31 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $5,819.00 | $10,580.00 | $652.24 – $8,058.70 | 12 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $118.95 – $1,521.15 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $384.77 – $2,891.00 | 11 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $390.97 – $2,891.00 | 11 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $5.26 – $14.42 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.89 – $2.33 | 4 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $53.30 – $53.30 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $6.14 – $7.92 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $118.75 – $254.12 | 10 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,270.05 – $6,734.39 | 12 |
| Hand tendon reconstruction CPT 26500 | $8,003.60 | $14,552.00 | $1,034.58 – $14,934.65 | 12 |
| Hand tendon reconstruction CPT 26502 | $12,378.85 | $22,507.00 | $1,138.63 – $6,734.39 | 12 |
| Hand X-ray CPT 73130 | $394.90 | $718.00 | $41.65 – $179.11 | 11 |
| Haptoglobin quantitative CPT 83010 | $144.10 | $262.00 | $9.00 – $26.92 | 11 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $127.69 – $4,386.82 | 4 |
| Harvest auto stem cells CPT 38206 | not published | not published | $125.31 – $3,205.48 | 10 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $189.31 – $4,246.62 | 12 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $616.13 – $4,893.31 | 12 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $512.59 – $604.50 | 2 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $72.17 – $1,579.00 | 11 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $475.82 – $604.50 | 2 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $52.67 – $273.84 | 10 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $70.36 – $273.84 | 10 |
| Hba1/hba2 full gene sequence CPT 81259 | $3,865.95 | $7,029.00 | $540.00 – $1,284.00 | 9 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,237.50 | $2,250.00 | $182.16 – $433.14 | 9 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $337.73 – $803.04 | 9 |
| Hbb full gene sequence CPT 81364 | $8,528.30 | $15,506.00 | $292.12 – $694.60 | 10 |
| Hbb gene com variants CPT 81361 | not published | not published | $157.33 – $374.09 | 10 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $182.16 – $433.14 | 10 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $337.73 – $803.04 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | $479.05 | $871.00 | $132.35 – $283.23 | 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.