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 |
|---|---|---|---|---|
| Excise submaxillary gland CPT 42440 | $12,390.40 | $22,528.00 | $636.40 – $12,184.12 | 12 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $5,220.05 | $9,491.00 | $508.34 – $6,535.00 | 11 |
| Excise tendon forearm/wrist CPT 25109 | $8,003.60 | $14,552.00 | $821.59 – $6,734.39 | 11 |
| Excise wrist tendon sheath CPT 25118 | $5,997.20 | $10,904.00 | $588.33 – $3,309.55 | 12 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $242.65 – $1,459.00 | 3 |
| Excision aural polyp CPT 69540 | $3,273.05 | $5,951.00 | $195.82 – $3,193.45 | 10 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $2,096.05 | $3,811.00 | $201.26 – $1,579.00 | 11 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,338.50 | $6,070.00 | $205.44 – $3,399.30 | 11 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $677.05 | $1,231.00 | $174.94 – $1,579.00 | 11 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,354.45 | $6,099.00 | $376.79 – $3,399.30 | 12 |
| Excision breast lesion CPT 19125 | not published | not published | $703.01 – $8,058.70 | 12 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | $7,321.05 | $13,311.00 | $326.74 – $6,823.84 | 12 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision graft extremity CPT 35903 | $7,526.75 | $13,685.00 | $843.36 – $6,498.69 | 10 |
| Excision graft neck CPT 35901 | not published | not published | $714.64 – $4,386.82 | 3 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision gum each quadrant CPT 41820 | not published | not published | $371.40 – $6,823.84 | 11 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,280.33 – $6,734.39 | 12 |
| Excision lesion mouth roof CPT 42106 | $4,499.00 | $8,180.00 | $243.06 – $6,823.84 | 11 |
| Excision lesion mouth roof CPT 42107 | $5,638.60 | $10,252.00 | $491.34 – $12,184.12 | 12 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $2,350.15 | $4,273.00 | $201.96 – $3,193.45 | 10 |
| Excision of anal lesion(s) CPT 46922 | $5,366.90 | $9,758.00 | $209.52 – $5,712.83 | 12 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of brain tumor CPT 61545 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $973.13 – $4,386.82 | 3 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of gum flap CPT 41821 | not published | not published | $83.29 – $3,193.45 | 11 |
| Excision of gum lesion CPT 41822 | not published | not published | $303.63 – $3,193.45 | 10 |
| Excision of gum lesion CPT 41823 | not published | not published | $552.03 – $12,184.12 | 10 |
| Excision of gum lesion CPT 41826 | not published | not published | $293.93 – $6,823.84 | 10 |
| Excision of gum lesion CPT 41827 | $7,873.80 | $14,316.00 | $436.64 – $12,184.12 | 12 |
| Excision of gum lesion CPT 41828 | not published | not published | $336.12 – $3,193.45 | 10 |
| Excision of gum lesion 41825 CPT 41825 | $5,020.40 | $9,128.00 | $183.47 – $6,823.84 | 10 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of lingual tonsil CPT 42870 | $4,694.25 | $8,535.00 | $878.62 – $12,184.12 | 12 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,180.76 – $4,386.82 | 3 |
| Excision of mouth lesion complex 40816 CPT 40816 | $7,288.60 | $13,252.00 | $459.56 – $6,823.84 | 12 |
| Excision of neck cyst CPT 42815 | $10,749.75 | $19,545.00 | $818.82 – $12,184.12 | 12 |
| Excision of neck cyst confined 42810 CPT 42810 | $7,158.25 | $13,015.00 | $429.88 – $6,823.84 | 12 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $200.84 – $4,246.62 | 12 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,254.00 – $5,712.83 | 12 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of rectal stricture CPT 45150 | not published | not published | $643.73 – $2,462.91 | 12 |
| Excision of salivary cyst CPT 42408 | $7,873.80 | $14,316.00 | $528.03 – $6,823.84 | 12 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of skull/sutures CPT 61559 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision of tongue lesion CPT 41112 | $4,074.40 | $7,408.00 | $366.33 – $6,823.84 | 12 |
| Excision of tongue lesion CPT 41114 | $7,709.90 | $14,018.00 | $943.88 – $6,823.84 | 12 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $4,889.50 | $8,890.00 | $398.62 – $6,823.84 | 12 |
| Excision of tonsil tags CPT 42860 | $10,944.45 | $19,899.00 | $296.22 – $6,823.84 | 12 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $904.69 – $7,369.13 | 12 |
| Excision of uvula CPT 42140 | $4,074.40 | $7,408.00 | $246.16 – $6,823.84 | 12 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $263.80 – $6,662.61 | 12 |
| Excision olecranon bursa CPT 24105 | $8,933.65 | $16,243.00 | $551.88 – $6,734.39 | 12 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision radial head CPT 24130 | $9,288.95 | $16,889.00 | $782.42 – $6,734.39 | 12 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $196.54 – $6,823.84 | 11 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $3,983.65 | $7,243.00 | $715.83 – $7,185.00 | 11 |
| Excis partial tal calc CPT 28120 | $9,716.30 | $17,666.00 | $758.11 – $6,734.39 | 12 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,753.19 – $12,184.12 | 11 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $8,356.70 | $15,194.00 | $1,025.77 – $7,185.00 | 11 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $5,918.55 | $10,761.00 | $720.30 – $5,978.45 | 12 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $221.89 – $4,893.31 | 11 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $274.02 – $4,893.31 | 12 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $617.63 – $4,893.31 | 12 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $4,074.40 | $7,408.00 | $184.57 – $6,823.84 | 10 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $193.80 – $4,386.82 | 3 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,956.90 | $3,558.00 | $191.48 – $1,579.00 | 11 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $2,262.70 | $4,114.00 | $275.10 – $1,579.00 | 11 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $4,381.85 | $7,967.00 | $425.85 – $3,399.30 | 12 |
| Exc malig feenl >4cm 11646 CPT 11646 | $6,449.85 | $11,727.00 | $588.90 – $5,978.45 | 12 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $3,001.35 | $5,457.00 | $186.44 – $3,399.30 | 11 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $225.30 – $1,579.00 | 11 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $4,244.35 | $7,717.00 | $316.05 – $3,399.30 | 10 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $2,582.25 | $4,695.00 | $184.98 – $1,579.00 | 11 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $2,806.10 | $5,102.00 | $224.33 – $1,579.00 | 11 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $2,933.15 | $5,333.00 | $243.71 – $1,579.00 | 11 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $3,809.85 | $6,927.00 | $291.61 – $1,579.00 | 11 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $3,983.65 | $7,243.00 | $321.11 – $2,100.00 | 12 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,007.36 – $12,184.12 | 12 |
| Exc neck tum deep < 5 cm CPT 21556 | $5,747.50 | $10,450.00 | $807.26 – $5,978.45 | 12 |
| Exc neck tum deep 5 cm/> CPT 21554 | $9,392.90 | $17,078.00 | $1,114.26 – $7,185.00 | 11 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | $5,134.25 | $9,335.00 | $649.59 – $12,184.12 | 12 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $660.35 – $10,295.98 | 12 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $6,606.60 | $12,012.00 | $281.43 – $5,978.45 | 12 |
| Exc prtl bn phlnx toe CPT 28124 | $4,878.50 | $8,870.00 | $513.33 – $6,734.39 | 11 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $1,248.12 – $7,185.00 | 11 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $932.46 – $5,712.83 | 11 |
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.