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 |
|---|---|---|---|---|
| Flebogamma injection HCPCS J1572 | not published | not published | $63.57 – $194.18 | 10 |
| Flecainide (tambocor)-sendout CPT 80181 | $46.75 | $85.00 | $16.78 – $39.89 | 10 |
| Fl exam g/colon tube w contrast CPT 49465 | $737.00 | $1,340.00 | $46.04 – $491.09 | 10 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,831.48 – $6,059.37 | 10 |
| Flex foot system HCPCS L5980 | not published | not published | $4,801.22 – $10,274.61 | 10 |
| Flexible keel foot HCPCS L5972 | not published | not published | $524.57 – $1,122.58 | 10 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $247.59 – $529.84 | 10 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $85.41 – $1,914.03 | 11 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $410.70 – $878.90 | 10 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,096.93 – $14,934.65 | 12 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,198.12 – $14,934.65 | 12 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $187.48 – $401.21 | 9 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,666.67 – $7,846.67 | 10 |
| Floor of mouth biopsy 41108 CPT 41108 | $3,036.55 | $5,521.00 | $138.08 – $3,399.30 | 11 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,452.09 – $5,242.86 | 10 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $793.94 | 9 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $727.56 – $1,556.97 | 9 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $31.34 – $127.03 | 3 |
| Flow cytometry marker each additional CPT 88185 | $383.35 | $697.00 | $10.60 – $34.02 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $717.75 | $1,305.00 | $10.60 – $737.75 | 10 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $189.00 – $304.52 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $104.91 – $233.39 | 11 |
| #flow interp 9 - 15 markers CPT 88188 | $1,036.20 | $1,884.00 | $10.60 – $93.52 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,396.49 – $8,573.16 | 11 |
| Flt3 gene CPT 81245 | $220.00 | $400.00 | $149.33 – $354.19 | 10 |
| Flt3 gene analysis CPT 81246 | $220.00 | $400.00 | $74.74 – $177.62 | 10 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $4.08 – $5.72 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $67.86 – $285.75 | 4 |
| Fluidotherapy charges pt CPT 97022 | $130.90 | $238.00 | $14.59 – $31.22 | 10 |
| Fluid pressure muscle 20950 CPT 20950 | $1,298.55 | $2,361.00 | $133.93 – $1,579.00 | 11 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $30.83 – $30.83 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $516.41 – $1,006.99 | 11 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.80 – $660.67 | 11 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $52.26 – $928.55 | 10 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $173.91 – $544.95 | 10 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $207.67 – $544.95 | 10 |
| Fluorescent antibody titer dna CPT 86256 | $282.15 | $513.00 | $12.05 – $25.79 | 11 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $568.43 – $1,830.88 | 10 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,079.65 | $1,963.00 | $460.42 – $1,309.88 | 10 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $821.15 | $1,493.00 | $110.66 – $162.18 | 2 |
| Fluoroguide needle placement CPT 77002 | $517.55 | $941.00 | $128.87 – $179.05 | 2 |
| Fluoro polarize fetal lung CPT 83663 | $285.45 | $519.00 | $18.91 – $40.47 | 11 |
| Fluoroscopy up to 1 hour CPT 76000 | $676.50 | $1,230.00 | $40.21 – $491.09 | 11 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.52 – $5.29 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $10.07 – $15.03 | 4 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $35.94 – $59.03 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $6,179.09 | 10 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $30.58 – $30.58 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $126.90 – $126.90 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $229.48 – $815.39 | 10 |
| Fmri brain by tech CPT 70554 | not published | not published | $229.48 – $491.09 | 10 |
| Fna bx w/ct gdn 1st les CPT 10009 | $950.40 | $1,728.00 | $165.66 – $1,579.00 | 11 |
| Fna bx w/ct gdn ea addl CPT 10010 | $855.25 | $1,555.00 | $110.87 – $604.50 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $950.40 | $1,728.00 | $489.91 – $1,579.00 | 11 |
| Fna bx w/mr gdn ea addl CPT 10012 | $855.25 | $1,555.00 | $278.08 – $604.50 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $20.61 – $20.61 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $41.76 – $44.66 | 2 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $20.36 – $21.76 | 2 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $21.59 – $23.08 | 2 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $61.56 – $65.83 | 2 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $15.66 – $16.75 | 2 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $18.75 – $20.05 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $40.47 | 11 |
| Folic acid CPT 82746 | $135.30 | $246.00 | $10.00 – $31.46 | 11 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.07 – $0.10 | 3 |
| Follow-up angiography CPT 75898 | $2,116.40 | $3,848.00 | $62.96 – $6,498.69 | 11 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $30.83 – $274.02 | 10 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $832.35 – $4,893.31 | 12 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.18 – $24.64 | 10 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.98 – $1.79 | 4 |
| Fo nontorsion joint cf HCPCS L3935 | $171.05 | $311.00 | $248.46 – $531.70 | 10 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $94.30 – $201.80 | 10 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $58.14 – $124.42 | 9 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $95.45 – $204.26 | 10 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $278.64 – $596.29 | 10 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $199.51 – $426.95 | 10 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $163.39 – $349.65 | 9 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $215.28 – $460.70 | 10 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $151.31 – $323.80 | 9 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $215.28 – $460.70 | 9 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $245.12 – $524.56 | 9 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $62.84 – $134.48 | 9 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $408.31 – $873.78 | 10 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $324.52 – $694.47 | 10 |
| Foot X-ray CPT 73630 | $370.15 | $673.00 | $37.81 – $179.11 | 11 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,247.88 – $2,670.46 | 10 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $853.15 – $1,825.74 | 10 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $4,102.45 | $7,459.00 | $1,459.00 – $7,293.65 | 12 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $436.00 – $843.39 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $5.00 – $107.25 | 10 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $457.05 | $831.00 | $86.97 – $1,579.00 | 12 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.71 – $2.50 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.94 – $6.73 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.14 – $0.23 | 4 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $24.66 – $129.43 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $0.66 – $4.11 | 10 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $19.00 – $60.99 | 11 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $36.86 – $179.11 | 10 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $40.40 – $96.06 | 10 |
| Fragmenting of kidney stone CPT 50590 | $12,734.70 | $23,154.00 | $874.02 – $7,255.07 | 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.