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 |
|---|---|---|---|---|
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $131.51 – $131.51 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $127.51 | $231.84 | $142.90 – $142.90 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $132.26 | $240.48 | $143.97 – $143.97 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $174.56 – $174.56 | 1 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.14 – $13.14 | 10 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $130.04 – $416.11 | 10 |
| Anora (draw only) CPT 99001 | not published | not published | $6.82 – $9.41 | 3 |
| Anorectal myomectomy CPT 45108 | not published | not published | $568.90 – $5,712.83 | 12 |
| Anoscopy CPT 46611 | not published | not published | $122.27 – $1,914.03 | 12 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $137.77 – $5,712.83 | 12 |
| Anoscopy and biopsy CPT 46606 | $5,514.30 | $10,026.00 | $114.45 – $2,462.91 | 10 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $100.16 – $2,462.91 | 10 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $97.68 – $2,462.91 | 10 |
| Anoscopy remove fb 46608 CPT 46608 | $537.90 | $978.00 | $127.92 – $1,914.03 | 12 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $121.51 – $5,712.83 | 12 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $144.21 – $5,712.83 | 12 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $94.81 – $444.41 | 9 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $939.51 – $10,295.98 | 12 |
| Antibody CPT 86744 | not published | not published | $9.00 – $34.22 | 11 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $40.15 | $73.00 | $9.00 – $27.56 | 11 |
| Antibody elution rbc reference CPT 86860 | $314.05 | $571.00 | $9.00 – $350.65 | 11 |
| Antibody htlv/hiv confirm test CPT 86689 | $307.45 | $559.00 | $14.00 – $41.41 | 11 |
| Antibody htlv-i CPT 86687 | not published | not published | $6.00 – $19.45 | 11 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $29.96 | 11 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $474.65 | $863.00 | $13.00 – $39.31 | 11 |
| Antibody id rbc panel CPT 86870 | $411.95 | $749.00 | $16.00 – $737.75 | 11 |
| Antibody influenza virus CPT 86710 | $82.50 | $150.00 | $10.00 – $29.00 | 11 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $66.00 | $120.00 | $12.87 – $27.54 | 11 |
| Antibody screen rbc CPT 86850 | $117.70 | $214.00 | $12.38 – $107.25 | 11 |
| Antibody tetanus CPT 86774 | not published | not published | $10.00 – $31.67 | 11 |
| Antigen therapy services CPT 95145 | not published | not published | $4.62 – $96.38 | 10 |
| Antigen therapy services CPT 95146 | not published | not published | $4.62 – $96.38 | 10 |
| Antigen therapy services CPT 95147 | not published | not published | $4.62 – $148.19 | 10 |
| Antigen therapy services CPT 95148 | not published | not published | $4.62 – $148.19 | 10 |
| Antigen therapy services CPT 95149 | not published | not published | $4.62 – $148.19 | 10 |
| Antigen therapy services CPT 95165 | not published | not published | $5.11 – $96.38 | 10 |
| Antigen therapy services CPT 95170 | not published | not published | $4.62 – $96.38 | 10 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.54 – $2.99 | 11 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.27 – $2.47 | 11 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.45 – $4.77 | 11 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $10.85 – $25.79 | 9 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $167.20 | $304.00 | $10.85 – $25.79 | 10 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $10.85 – $25.79 | 10 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $9,553.50 | $17,370.00 | $1,094.55 – $11,495.55 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $9,553.50 | $17,370.00 | $1,139.09 – $11,495.55 | 2 |
| Antinuclear antibodies CPT 86038 | $137.50 | $250.00 | $9.00 – $25.87 | 11 |
| Antinuclear antibodies titer CPT 86039 | $155.10 | $282.00 | $8.00 – $23.88 | 11 |
| Antiphosphatidylserine antibody CPT 86148 | $109.45 | $199.00 | $11.00 – $34.39 | 11 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $4.00 – $12.35 | 11 |
| Antistreptolysin o titer CPT 86060 | $123.75 | $225.00 | $5.00 – $15.62 | 11 |
| Antithrombin iii activity CPT 85300 | $144.65 | $263.00 | $8.00 – $25.36 | 11 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $4.17 – $8.14 | 11 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $4,988.97 – $10,820.48 | 11 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,057.79 – $2,062.69 | 11 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,335.07 – $10,295.98 | 12 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $127.96 – $273.84 | 10 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $25.84 – $273.84 | 10 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $1,062.02 – $4,386.82 | 3 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $453.60 – $1,078.56 | 10 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,215.17 – $2,889.41 | 10 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $604.50 – $731.00 | 2 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $180.00 – $428.00 | 10 |
| Apc gene full sequence CPT 81201 | not published | not published | $702.00 – $1,669.20 | 10 |
| Apc gene known fam variants CPT 81202 | not published | not published | $252.00 – $599.20 | 10 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $16.74 – $121.42 | 10 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $129.56 – $8,964.44 | 10 |
| Apheresis plasma CPT 36514 | $3,890.70 | $7,074.00 | $141.76 – $3,205.48 | 10 |
| Apheresis platelets CPT 36513 | $3,958.35 | $7,197.00 | $160.92 – $908.02 | 10 |
| Apheresis rbc CPT 36512 | $3,521.10 | $6,402.00 | $160.74 – $3,205.48 | 10 |
| Apheresis wbc CPT 36511 | not published | not published | $168.36 – $3,205.48 | 10 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $207.31 – $443.64 | 10 |
| Appendectomy CPT 44950 | $3,426.50 | $6,230.00 | $977.01 – $13,324.34 | 10 |
| Appendectomy add-on 44955 CPT 44955 | $3,426.50 | $6,230.00 | $126.39 – $604.50 | 2 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $916.76 – $12,442.83 | 11 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $5,178.80 | $9,416.00 | $337.17 – $4,246.62 | 11 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $661.10 | $1,202.00 | $84.10 – $604.50 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $221.65 | $403.00 | $38.11 – $604.50 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,178.80 | $9,416.00 | $295.76 – $6,589.75 | 11 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $661.10 | $1,202.00 | $67.23 – $604.50 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $221.65 | $403.00 | $25.69 – $604.50 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $156.29 – $334.46 | 10 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $269.00 – $575.66 | 10 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $261.75 – $575.66 | 10 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $217.27 – $575.66 | 10 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $105.58 – $575.66 | 10 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $141.73 – $575.66 | 10 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $208.24 – $575.66 | 10 |
| Appl halo type body cast CPT 29000 | not published | not published | $269.00 – $1,579.00 | 11 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $268.01 – $575.66 | 10 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $239.25 – $575.66 | 10 |
| Application clubfoot cast CPT 29450 | not published | not published | $156.29 – $334.46 | 10 |
| Application finger splntstatic 29130 CPT 29130 | $441.10 | $802.00 | $44.25 – $273.84 | 10 |
| Application halo femoral CPT 20663 | not published | not published | $733.52 – $6,734.39 | 11 |
| Application halo pelvic CPT 20662 | not published | not published | $794.79 – $3,309.55 | 11 |
| Application long leg splint 29505 CPT 29505 | $558.80 | $1,016.00 | $79.25 – $334.46 | 10 |
| Application lower leg splint 29515 CPT 29515 | $431.75 | $785.00 | $75.70 – $334.46 | 10 |
| Application multi layer compression below knee (both sides) CPT 29581 | $495.55 | $901.00 | $41.33 – $334.46 | 10 |
| Application of body cast CPT 29010 | not published | not published | $242.25 – $575.66 | 10 |
| Application of body cast CPT 29015 | not published | not published | $269.00 – $575.66 | 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.