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 |
|---|---|---|---|---|
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $834.62 – $1,786.09 | 10 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $706.16 – $1,511.18 | 10 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $873.35 – $1,868.97 | 10 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $947.61 – $2,027.89 | 10 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $3,066.00 – $4,386.82 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $3,066.00 – $4,386.82 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Free skin flap microvasc CPT 15757 | not published | not published | $3,066.00 – $4,386.82 | 3 |
| Frenectomy 41115 CPT 41115 | $2,097.70 | $3,814.00 | $221.24 – $3,193.45 | 11 |
| Frenotomy 40806 CPT 40806 | $2,024.55 | $3,681.00 | $44.25 – $1,110.04 | 10 |
| Frenulotomy of penis CPT 54164 | not published | not published | $296.36 – $4,302.40 | 12 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $363.55 | $661.00 | $73.77 – $157.87 | 9 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $530.75 | $965.00 | $85.98 – $184.00 | 9 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $8.00 – $350.65 | 11 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $53.25 – $113.96 | 9 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $35.92 – $137.05 | 11 |
| Frozen blood prep CPT 86930 | not published | not published | $48.13 – $350.65 | 11 |
| Frozen blood thaw CPT 86931 | not published | not published | $48.13 – $350.65 | 11 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.00 – $25.87 | 10 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $55.96 – $119.75 | 9 |
| Fructosamine glycated protein CPT 82985 | $68.75 | $125.00 | $11.00 – $35.87 | 11 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $58.14 – $124.42 | 9 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $2,882.00 | $5,240.00 | $204.33 – $1,254.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | $3,019.50 | $5,490.00 | $115.47 – $1,254.00 | 3 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $388.12 – $830.58 | 10 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,338.63 – $3,182.97 | 10 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $62.57 – $148.77 | 10 |
| Ftl cgen abnor four anal CPT 81511 | $562.65 | $1,023.00 | $138.15 – $328.49 | 10 |
| Ftl cgen abnor three anal CPT 81510 | $436.15 | $793.00 | $49.99 – $118.86 | 10 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $48.87 – $116.20 | 10 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $416.66 – $891.65 | 10 |
| Full field erg w/i&r CPT 92273 | not published | not published | $130.27 – $560.52 | 10 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $61.30 – $491.09 | 11 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $67.55 – $144.56 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,472.70 | $6,314.00 | $1,254.00 – $4,246.62 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $3,829.10 | $6,962.00 | $921.29 – $4,246.62 | 12 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,607.10 | $2,922.00 | $104.33 – $1,254.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,330.80 | $6,056.00 | $1,201.23 – $4,246.62 | 12 |
| Functional brain mapping CPT 96020 | not published | not published | $231.43 – $240.91 | 2 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $23.91 – $273.84 | 10 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,070.70 – $4,431.30 | 10 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.03 | 3 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.66 – $0.94 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse/graft added joint CPT 26863 | $15,029.30 | $27,326.00 | $343.64 – $1,459.00 | 3 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fusion/graft of finger joint CPT 26862 | $12,199.00 | $22,180.00 | $1,156.78 – $6,734.39 | 12 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,298.03 – $14,934.65 | 12 |
| Fusion of ankle joint open CPT 27870 | $11,971.85 | $21,767.00 | $1,537.30 – $26,424.41 | 12 |
| Fusion of big toe joint CPT 28750 | $17,164.95 | $31,209.00 | $880.63 – $14,934.65 | 12 |
| Fusion of big toe joint CPT 28755 | $10,371.35 | $18,857.00 | $512.61 – $14,934.65 | 12 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fusion of finger jnt add-on CPT 26861 | $12,378.85 | $22,507.00 | $154.02 – $1,254.00 | 3 |
| Fusion of finger joint CPT 26860 | $4,657.95 | $8,469.00 | $919.37 – $6,734.39 | 12 |
| Fusion of finger tendons CPT 26471 | $11,853.60 | $21,552.00 | $993.04 – $6,734.39 | 12 |
| Fusion of finger tendons CPT 26474 | $7,861.70 | $14,294.00 | $979.54 – $3,309.55 | 12 |
| Fusion of foot bones CPT 28730 | $11,971.85 | $21,767.00 | $1,106.90 – $26,424.41 | 12 |
| Fusion of foot bones CPT 28735 | $10,203.05 | $18,551.00 | $1,187.12 – $26,424.41 | 12 |
| Fusion of foot bones CPT 28740 | $10,018.80 | $18,216.00 | $942.84 – $14,934.65 | 12 |
| Fusion of hand joint CPT 26843 | $13,615.80 | $24,756.00 | $1,179.40 – $14,934.65 | 12 |
| Fusion of knee CPT 27580 | $9,553.50 | $17,370.00 | $2,237.84 – $26,424.41 | 9 |
| Fusion of knuckle CPT 26850 | $9,210.85 | $16,747.00 | $1,106.77 – $14,934.65 | 12 |
| Fusion of knuckle joint CPT 26516 | $8,525.00 | $15,500.00 | $991.00 – $6,734.39 | 12 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,306.69 – $6,734.39 | 12 |
| Fusion of knuckle joints CPT 26518 | $16,869.05 | $30,671.00 | $1,323.44 – $14,934.65 | 12 |
| Fusion of knuckle with graft CPT 26852 | $8,798.90 | $15,998.00 | $1,258.96 – $14,934.65 | 12 |
| Fusion of skull arteries CPT 61711 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,221.79 – $4,302.40 | 12 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,594.00 – $7,255.07 | 12 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,054.80 – $6,734.39 | 12 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $985.16 – $6,734.39 | 12 |
| Fusion of thumb CPT 26841 | $11,301.95 | $20,549.00 | $1,167.49 – $14,934.65 | 12 |
| Fusion of tibiofibular joint CPT 27871 | $11,971.85 | $21,767.00 | $1,053.61 – $26,424.41 | 12 |
| Fusion of toes CPT 28280 | not published | not published | $529.23 – $6,734.39 | 12 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $247.35 – $588.14 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $123.30 – $293.18 | 9 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $247.35 – $588.14 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $166.68 – $396.33 | 9 |
| G0180 home health certification HCPCS G0180 | not published | not published | $80.88 – $80.88 | 1 |
| G6pc gene CPT 81250 | not published | not published | $52.64 – $125.17 | 10 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $540.00 – $1,284.00 | 9 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $157.33 – $374.09 | 9 |
| G6pd known familial variant CPT 81248 | not published | not published | $337.73 – $803.04 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $252.81 – $252.81 | 1 |
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.