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 |
|---|---|---|---|---|
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $186.58 – $443.64 | 10 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $53.60 – $146.70 | 9 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $423.70 | 10 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,009.25 | $1,835.00 | $294.52 – $630.27 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $369.64 | 10 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $487.30 | $886.00 | $41.19 – $126.92 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $487.30 | $886.00 | $69.18 – $737.75 | 10 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $487.30 | $886.00 | $31.34 – $350.65 | 11 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $24.37 – $24.37 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $35.38 – $84.12 | 10 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,992.84 – $14,934.65 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $610.50 | $1,110.00 | $14.64 – $20.38 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | $4,802.05 | $8,731.00 | $276.28 – $11,495.55 | 2 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $169.59 – $240.91 | 4 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.12 – $5.39 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $59.53 – $116.09 | 10 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $25.36 – $121.42 | 10 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $19.12 – $76.88 | 10 |
| Img rta detc/mntr ds poc aly CPT 92229 | $52.80 | $96.00 | $56.74 – $121.42 | 10 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $31.75 – $31.75 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $59.03 – $59.03 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $70.96 – $70.96 | 1 |
| Immob elbow child sm HCPCS L3762 | $83.26 | $151.38 | $120.93 – $258.79 | 10 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $132.02 – $282.52 | 10 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $4.96 | $9.02 | $63.18 – $135.21 | 10 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $115.57 – $247.32 | 10 |
| Immt breast prosthesis 19340 CPT 19340 | $7,376.05 | $13,411.00 | $1,148.73 – $16,822.37 | 12 |
| Immune complex assay CPT 86332 | $753.50 | $1,370.00 | $17.00 – $52.15 | 11 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $49.30 – $96.14 | 11 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.96 – $157.87 | 11 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.06 – $91.76 | 11 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $99.83 – $160.85 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $157.30 | $286.00 | $15.00 – $44.53 | 11 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $131.45 | $239.00 | $15.00 – $44.53 | 11 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $14.00 – $54.72 | 11 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $45.65 | $83.00 | $9.00 – $25.64 | 11 |
| Immunodiffusion nes CPT 86329 | not published | not published | $10.00 – $30.07 | 11 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $28.00 – $43.61 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $248.60 | $452.00 | $22.34 – $75.00 | 11 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $39.31 – $145.14 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $478.50 | $870.00 | $31.34 – $350.65 | 11 |
| Immunoglobulin assay CPT 86023 | $157.85 | $287.00 | $9.00 – $26.66 | 11 |
| Immunology procedure CPT 86849 | not published | not published | $4.55 – $80.00 | 2 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $22.78 – $22.78 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $277.06 – $1,330.59 | 9 |
| Impedence cardiogram CPT 93701 | $266.20 | $484.00 | $28.23 – $273.84 | 10 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $4,386.82 – $36,087.88 | 8 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $585.14 – $4,386.82 | 3 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $1,234.06 – $1,234.06 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,057.34 – $2,262.71 | 10 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,386.82 – $33,879.47 | 8 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,411.00 – $4,386.82 | 3 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,411.00 – $4,386.82 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $1,682.85 | $3,059.72 | not published | 0 |
| Implant cochlear device CPT 69930 | $33,466.40 | $60,848.00 | $1,845.46 – $67,862.80 | 12 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,103.25 | $11,096.81 | $9,260.69 – $9,260.69 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $1,268.49 – $28,717.80 | 12 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $84.88 – $919.44 | 9 |
| Implant nerve end CPT 64787 | $7,060.35 | $12,837.00 | $354.62 – $1,254.00 | 3 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $425.41 – $4,386.82 | 3 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $751.38 – $4,386.82 | 3 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,274.74 – $39,929.07 | 11 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $683.66 – $22,933.75 | 12 |
| Implant neuroelectrodes CPT 64555 | $9,192.70 | $16,714.00 | $495.03 – $13,116.82 | 10 |
| Implant neuroelectrodes CPT 64561 | $11,970.20 | $21,764.00 | $462.94 – $13,116.82 | 12 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,336.29 – $63,510.93 | 12 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $1,933.00 – $1,933.00 | 1 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $960.44 – $2,055.34 | 10 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $823.71 – $7,567.45 | 5 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,385.68 – $14,934.65 | 11 |
| Implant spine infusion pump CPT 62361 | not published | not published | $660.79 – $37,096.47 | 12 |
| Implant spine infusion pump CPT 62362 | not published | not published | $587.00 – $37,096.47 | 12 |
| Implant tcat pulm vlv perq CPT 33477 | $12,623.60 | $22,952.00 | $1,189.00 – $4,386.82 | 3 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $1,707.23 | $3,104.06 | $423.63 – $423.63 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,877.12 – $4,017.04 | 10 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,996.01 – $8,551.46 | 10 |
| Impl neurostim electr perc CPT 63650 | $7,326.00 | $13,320.00 | $633.64 – $13,116.82 | 12 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $3,330.80 | $6,056.00 | $323.67 – $604.50 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $607.35 – $18,062.34 | 12 |
| Impl oi implt sk tc esp<100 CPT 69716 | $13,087.80 | $23,796.00 | $942.58 – $26,424.41 | 10 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $1,023.06 – $26,424.41 | 10 |
| Impl oi implt skull perq esp CPT 69714 | $10,157.40 | $18,468.00 | $750.46 – $26,424.41 | 11 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,071.16 – $4,386.82 | 3 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $131.25 – $4,386.82 | 3 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $662.86 – $8,507.36 | 10 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Implt neurostim elctr each HCPCS L8680 | $1,219.45 | $2,217.19 | $332.08 – $332.08 | 1 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $16,243.22 – $16,243.22 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $945.42 | 9 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $4.01 – $4.29 | 2 |
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.