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 |
|---|---|---|---|---|
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $348.15 | $633.00 | $47.44 – $437.78 | 10 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $47.79 – $51.10 | 2 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $35.25 – $37.70 | 2 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $16.58 – $17.72 | 2 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $13.73 – $14.68 | 2 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $25.67 – $27.45 | 2 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.59 – $0.59 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $23.46 – $32.93 | 4 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $9.63 – $9.63 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $15.24 – $16.29 | 2 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $82.34 – $88.04 | 2 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $49.85 – $53.30 | 2 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $34.05 – $36.41 | 2 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $14.39 – $15.39 | 2 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $9.83 – $10.51 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.16 – $0.22 | 3 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $87.57 – $138.31 | 2 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $7.54 – $7.54 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.59 – $0.92 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $16.28 – $28.42 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.13 – $0.13 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $163.35 | $297.00 | $12.00 – $38.31 | 11 |
| Hymenotomy CPT 56442 | not published | not published | $72.01 – $6,662.61 | 12 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $35.36 | 11 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,498.53 – $12,184.12 | 11 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $58.24 – $58.24 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $147.93 – $161.75 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.00 – $21.79 | 11 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $332.00 – $1,433.48 | 11 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $332.00 – $793.83 | 11 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $332.00 – $1,156.94 | 11 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $332.00 – $1,156.94 | 11 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $332.00 – $1,406.34 | 11 |
| Hypnotherapy CPT 90880 | not published | not published | $97.71 – $209.09 | 9 |
| Hypothermia ill neonate CPT 99184 | $1,843.60 | $3,352.00 | $328.89 – $328.89 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.35 – $35.78 | 10 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,519.02 – $5,147.21 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,624.97 – $5,147.21 | 3 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $423.19 – $4,386.82 | 2 |
| Hysterosalpingography s&i CPT 74740 | $754.05 | $1,371.00 | $108.73 – $491.09 | 11 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $375.28 – $10,295.98 | 12 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $353.07 – $6,662.61 | 12 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $230.77 – $6,662.61 | 12 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $433.64 – $10,295.98 | 12 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $338.31 – $6,662.61 | 12 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $546.69 – $10,295.98 | 12 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $477.66 – $10,295.98 | 12 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,304.70 – $10,295.98 | 11 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $207.80 – $310.28 | 2 |
| I-123 iobenguane diag HCPCS A9582 | $4,904.90 | $8,918.00 | $2,317.50 – $8,434.94 | 10 |
| I-123 ioflupane diag HCPCS A9584 | $3,308.80 | $6,016.00 | $1,387.74 – $4,621.21 | 10 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $255.20 | $464.00 | $100.63 – $167.27 | 2 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $39.38 – $1,390.23 | 10 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $303.81 – $1,003.79 | 9 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $3,463.90 | $6,298.00 | $953.01 – $2,039.44 | 9 |
| I131 iodide cap, rx HCPCS A9517 | $30.49 | $55.43 | $24.07 – $70.36 | 10 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $16.29 – $44.45 | 10 |
| I131 max 100uci HCPCS A9531 | not published | not published | $6.23 – $6.23 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $95.00 – $148.24 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $86.35 | $157.00 | $9.00 – $28.72 | 11 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $378.40 | $688.00 | $35.09 – $75.09 | 10 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $24.42 | $44.40 | $9.00 – $38.71 | 11 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $40.75 – $96.90 | 10 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $33.33 – $42.05 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,203.70 – $5,239.92 | 10 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $3.25 – $6.34 | 11 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $175.89 – $489.96 | 10 |
| Icatibant injection HCPCS J1744 | not published | not published | $142.86 – $229.33 | 4 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $33,305.27 | $60,555.04 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $38,248.11 | $69,542.01 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $20,873.14 | $37,951.17 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $7,762.08 | $14,112.88 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $204.10 – $544.95 | 10 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $18.17 – $76.88 | 10 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $1.46 – $121.42 | 10 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $7.21 – $59.53 | 10 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $7,927.70 | $14,414.00 | $1,440.62 – $14,934.65 | 9 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $5,639.70 | $10,254.00 | $589.05 – $6,823.84 | 12 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $49.60 – $70.51 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $148.05 – $3,399.30 | 10 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $567,977.78 – $1,107,556.67 | 11 |
| Identify sperm tissue CPT 89264 | not published | not published | $39.36 – $107.25 | 9 |
| Idet 1 or more levels CPT 22527 | not published | not published | $233.05 – $7,185.00 | 4 |
| Idet single level CPT 22526 | not published | not published | $500.47 – $7,185.00 | 4 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $8,933.65 | $16,243.00 | $991.00 – $6,734.39 | 12 |
| Idh1 common variants CPT 81120 | not published | not published | $173.93 – $413.56 | 10 |
| Idh2 common variants CPT 81121 | not published | not published | $266.21 – $632.99 | 10 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $667.20 – $5,712.83 | 12 |
| I&d lacrimal gland CPT 68400 | not published | not published | $196.99 – $2,051.76 | 11 |
| I&d lacrimal sac CPT 68420 | not published | not published | $250.14 – $5,316.00 | 11 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $1,291.26 – $1,380.78 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $7,696.15 | $13,993.00 | $327.81 – $5,978.45 | 12 |
| Idursulfase injection HCPCS J1743 | not published | not published | $570.04 – $1,111.58 | 11 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $490.06 – $5,978.45 | 12 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $276.71 – $5,978.45 | 10 |
| Ifnl3 gene CPT 81283 | not published | not published | $67.90 – $157.01 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $28.07 – $43.94 | 4 |
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.