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 |
|---|---|---|---|---|
| Ga-68 gallium 68 dotatate HCPCS A9587 | $88.55 | $161.00 | $49.63 – $106.21 | 10 |
| Gabapentin non-blood CPT 80355 | $221.10 | $402.00 | $22.23 – $35.46 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.30 – $0.56 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.70 – $2.50 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.14 – $0.21 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $16.77 – $24.21 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $15.00 – $45.09 | 11 |
| Galactokinase - sendout CPT 82759 | not published | not published | $15.00 – $45.97 | 11 |
| Galactose transferase test CPT 82776 | not published | not published | $6.00 – $25.12 | 11 |
| Galectin-3 CPT 82777 | not published | not published | $16.02 – $94.70 | 10 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,004.87 – $12,442.83 | 11 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $1,296.43 | 10 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $1,324.08 | 10 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,189.73 | $2,163.15 | $478.52 – $1,760.10 | 10 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $1,542.90 | 10 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $3.94 – $3.94 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $525.97 – $1,025.64 | 11 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $162.52 – $833.17 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.87 – $95.30 | 11 |
| Gammaglobulin iga CPT 82784 | $90.75 | $165.00 | $9.30 – $19.90 | 11 |
| Gammaglobulin ige CPT 82785 | $102.85 | $187.00 | $16.46 – $35.22 | 11 |
| Gamma glutamyltransferase CPT 82977 | $71.50 | $130.00 | $5.00 – $15.41 | 11 |
| Gammagraft HCPCS Q4111 | not published | not published | $8.66 – $233.39 | 11 |
| Gammaplex injection HCPCS J1557 | not published | not published | $65.53 – $129.23 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.01 – $95.58 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $36.58 – $73.78 | 4 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $31,536.00 – $31,536.00 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $75.09 | 10 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $89.37 | 10 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $14.36 | 10 |
| Gastric emptying imag study CPT 78265 | not published | not published | $384.49 – $822.80 | 10 |
| Gastric emptying imag study CPT 78266 | not published | not published | $517.72 – $1,117.53 | 10 |
| Gastric motility studies CPT 91020 | not published | not published | $295.06 – $928.55 | 10 |
| Gastric mucosa imaging CPT 78261 | $780.45 | $1,419.00 | $226.93 – $822.80 | 11 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $37.86 | 11 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $279.64 – $822.80 | 11 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $205.02 – $928.55 | 10 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | $212.77 | $386.85 | $40.06 – $52.64 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $872.31 – $1,866.75 | 10 |
| Gated heart multiple CPT 78473 | not published | not published | $288.75 – $822.80 | 11 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $5.09 – $5.44 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $5.43 – $5.81 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $4.47 – $4.78 | 2 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $2.00 – $2.14 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $7.55 – $8.06 | 2 |
| Gba gene CPT 81251 | not published | not published | $42.53 – $101.12 | 10 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $158.25 | 9 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $187.61 | 9 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $219.67 | 9 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $117.40 | 9 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $134.07 | 9 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $154.36 | 9 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $209.42 | 9 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $249.70 | 9 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $295.77 | 9 |
| Gefitinib oral HCPCS J8565 | not published | not published | $147.22 – $230.90 | 2 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $78.14 – $167.22 | 10 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.70 – $5.78 | 10 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $1,040.50 | 11 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.14 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.40 – $6.00 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $247.37 – $482.37 | 11 |
| General health panel CPT 80050 | $1,128.05 | $2,051.00 | $23.00 – $57.98 | 4 |
| Generator barostim neo2 2014 HCPCS C1767 | $32,571.10 | $59,220.19 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $27,480.28 | $49,964.14 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $56,907.81 | $103,468.75 | not published | 0 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $74.11 – $74.11 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,203.70 – $5,239.92 | 10 |
| Genioplasty augmentation CPT 21120 | $8,778.55 | $15,961.00 | $759.57 – $12,184.12 | 11 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,272.95 – $6,823.84 | 11 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $804.56 – $6,823.84 | 11 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,122.99 – $12,184.12 | 11 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,103.89 – $5,002.57 | 10 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,528.08 – $10,766.77 | 10 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,438.96 – $5,799.29 | 10 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.82 – $4.42 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $250.25 | $455.00 | $12.00 – $35.05 | 11 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $9.47 | 11 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $539.02 – $1,767.45 | 10 |
| Gfrg autol fat lipo ea addl CPT 15774 | $1,554.85 | $2,827.00 | $216.42 – $604.50 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $774.95 | $1,409.00 | $153.38 – $1,914.03 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,902.80 | $7,096.00 | $269.63 – $5,978.45 | 12 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $97.35 | $177.00 | $5.00 – $20.99 | 11 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $231.00 | $420.00 | $11.00 – $36.62 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $2,048.20 | $3,724.00 | $92.03 – $218.84 | 10 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $57.42 | $104.40 | $27.81 – $273.84 | 10 |
| Ghs antibodies (torch) igm CPT 86694 | $98.45 | $179.00 | $14.39 – $30.79 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.74 – $514.23 | 10 |
| Ghs bladder cath - complex-foley CPT 51703 | $323.95 | $589.00 | $116.16 – $1,579.00 | 11 |
| Ghs bleeding time (ivy) CPT 85002 | $143.55 | $261.00 | $3.00 – $10.31 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $2,003.10 | $3,642.00 | $83.08 – $1,579.00 | 11 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,956.70 | $7,194.00 | $129.48 – $6,498.69 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $674.30 | $1,226.00 | $56.99 – $1,579.00 | 11 |
| Ghs chemo >8 hrs CPT 96416 | $1,571.35 | $2,857.00 | $183.99 – $679.83 | 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.