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 |
|---|---|---|---|---|
| Explore/treat eye socket CPT 67420 | not published | not published | $1,755.00 – $8,091.55 | 12 |
| Explore/treat eye socket CPT 67430 | not published | not published | $1,755.00 – $8,091.55 | 12 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $1,434.72 – $5,316.00 | 12 |
| Explore/treat finger joint CPT 26075 | $8,804.40 | $16,008.00 | $519.62 – $6,734.39 | 12 |
| Explore/treat finger joint CPT 26080 | $7,145.60 | $12,992.00 | $611.57 – $3,359.00 | 12 |
| Explore/treat knee joint CPT 27331 | $8,209.85 | $14,927.00 | $730.72 – $6,734.39 | 12 |
| Explore/treat wrist joint CPT 25101 | $13,732.40 | $24,968.00 | $623.33 – $6,734.39 | 12 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $388.73 – $4,246.62 | 10 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $317.35 – $4,246.62 | 10 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $518.71 – $1,579.00 | 11 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $623.00 – $4,386.82 | 3 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $614.57 – $4,386.82 | 3 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $2,172.42 – $8,091.55 | 10 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,755.00 – $8,091.55 | 12 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $504.35 – $4,386.82 | 3 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $193.42 – $4,386.82 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $10,824.55 | $19,681.00 | $650.27 – $3,309.55 | 12 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,728.00 | $4,960.00 | $394.43 – $3,399.30 | 10 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $3,364.90 | $6,118.00 | $515.37 – $3,399.30 | 11 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $268.31 – $574.18 | 10 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $35.43 – $37.33 | 2 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $127.96 – $321.50 | 10 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $393.61 – $435.89 | 2 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $39.08 – $41.18 | 2 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $127.96 – $337.32 | 10 |
| Extended culture of oocytes CPT 89272 | not published | not published | $39.36 – $1,658.24 | 9 |
| Extended steel shank HCPCS L2360 | not published | not published | $79.27 – $169.64 | 10 |
| Extended visual field xm CPT 92083 | not published | not published | $53.15 – $273.84 | 10 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $6.66 – $7.13 | 2 |
| Extension per extension per HCPCS L2760 | not published | not published | $93.09 – $199.21 | 10 |
| Extensive ear canal surgery 69150 CPT 69150 | $6,398.15 | $11,633.00 | $1,459.00 – $12,184.12 | 12 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,411.00 – $6,734.39 | 12 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,821.78 – $12,184.12 | 9 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,886.18 – $12,184.12 | 12 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,933.00 – $12,184.12 | 12 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,833.08 – $4,386.82 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,518.44 – $12,184.12 | 10 |
| Extensive surgery of throat CPT 42844 | not published | not published | $2,071.16 – $12,184.12 | 10 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,137.27 – $7,255.07 | 10 |
| Extensive thyroid surgery CPT 60254 | $20,807.60 | $37,832.00 | $2,540.14 – $4,386.82 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,191.83 – $19,664.12 | 3 |
| External cannula declotting CPT 36860 | $1,232.00 | $2,240.00 | $165.86 – $3,239.91 | 12 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,005.40 | $1,828.00 | $144.61 – $309.47 | 10 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $13.29 – $13.29 | 1 |
| External ocular photography CPT 92285 | not published | not published | $29.19 – $76.88 | 10 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $6.00 – $59.53 | 11 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,077.48 – $8,288.22 | 10 |
| External recharg sys extern HCPCS L8695 | not published | not published | $20.61 – $44.11 | 10 |
| External recharg sys intern HCPCS L8689 | $1,620.32 | $2,946.03 | $2,135.37 – $4,569.69 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,757.25 | $3,195.00 | $143.75 – $307.62 | 10 |
| Extnd color vision xm CPT 92283 | not published | not published | $56.74 – $121.42 | 10 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $343.20 | $624.00 | $13.00 – $38.37 | 11 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $101.41 – $1,330.59 | 9 |
| Extraction of lens CPT 66930 | not published | not published | $1,283.29 – $8,507.36 | 12 |
| Extraction of lens CPT 66940 | not published | not published | $1,173.93 – $5,316.00 | 12 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,120.86 – $4,749.93 | 12 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $127.96 – $1,579.00 | 11 |
| Eye allergy tests CPT 95060 | not published | not published | $56.50 – $273.84 | 10 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $41.41 – $604.50 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $231.97 – $1,594.00 | 3 |
| Eye suture during surgery CPT 67335 | not published | not published | $281.49 – $1,594.00 | 3 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $157.86 – $375.36 | 9 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $254.59 – $605.36 | 10 |
| F-18 fdg pet diag HCPCS A9552 | $1,543.30 | $2,806.00 | $400.00 – $589.74 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,585.35 | $8,337.00 | $1,825.64 – $5,350.35 | 10 |
| F-18 fluciclovine per mci HCPCS A9588 | $589.05 | $1,071.00 | $306.00 – $898.78 | 10 |
| F-18 sodium fluoride HCPCS A9580 | $646.80 | $1,176.00 | $424.68 – $424.68 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $540.00 – $1,284.00 | 9 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $461.21 – $986.99 | 10 |
| Face bone graft CPT 21210 | $7,473.95 | $13,589.00 | $1,153.36 – $12,184.12 | 12 |
| Facial bones <3 CPT 70140 | $358.05 | $651.00 | $32.54 – $179.11 | 11 |
| Facial nerve function test CPT 92516 | not published | not published | $34.51 – $544.95 | 10 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,189.00 – $6,823.84 | 10 |
| Factor ix CPT 85250 | $275.00 | $500.00 | $13.00 – $40.75 | 11 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.71 – $7.24 | 11 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.75 – $3.41 | 11 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.51 – $10.74 | 11 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.40 – $2.74 | 11 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.67 – $9.11 | 11 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.72 – $3.35 | 11 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.86 – $3.63 | 11 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.19 – $4.28 | 11 |
| Factor viii CPT 85240 | $380.05 | $691.00 | $13.00 – $38.31 | 11 |
| Factor viii HCPCS J7190 | not published | not published | $1.25 – $2.43 | 11 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.58 – $5.03 | 11 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.22 – $2.38 | 11 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.12 – $4.13 | 11 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.58 – $3.08 | 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.