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 |
|---|---|---|---|---|
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,966.37 – $6,823.84 | 10 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,020.98 – $6,823.84 | 10 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,188.71 – $6,823.84 | 10 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,791.74 – $6,823.84 | 10 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,854.46 – $12,184.12 | 10 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,966.37 – $12,184.12 | 10 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $227.80 – $731.00 | 10 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,668.06 – $12,184.12 | 10 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,709.43 – $6,823.84 | 10 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,580.18 – $6,823.84 | 10 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,829.12 – $6,823.84 | 10 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,082.65 – $3,193.45 | 10 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.33 – $84.49 | 11 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,420.46 – $6,696.36 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,089.35 | $5,617.00 | $1,103.19 – $6,696.36 | 10 |
| In-111 capromab pendet HCPCS A9507 | $5,056.70 | $9,194.00 | $1,730.29 – $8,664.53 | 9 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $6,898.50 – $6,898.50 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,198.45 | $2,179.00 | $831.46 – $3,348.17 | 10 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,410.75 | $2,565.00 | $745.62 – $1,595.63 | 10 |
| In-111 pentetreotide HCPCS A9572 | $7,524.55 | $13,681.00 | $2,000.94 – $11,187.40 | 10 |
| In-111 satumomab pend HCPCS A4642 | $1,696.20 | $3,084.00 | $2,751.19 – $2,751.19 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $309.83 – $459.01 | 2 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $685.48 – $6,734.39 | 9 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $13,515.70 | $24,574.00 | $902.23 – $14,934.65 | 12 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $786.33 – $6,734.39 | 12 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,715.45 – $14,934.65 | 9 |
| Incis 1 vertebral seg lumbar CPT 22214 | $4,219.60 | $7,672.00 | $2,297.50 – $14,934.65 | 9 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,297.05 – $14,934.65 | 9 |
| Incis addl spine segment CPT 22216 | not published | not published | $545.98 – $604.50 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $653.67 – $4,019.07 | 12 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $165.09 – $2,051.76 | 10 |
| Incise flexor carpi radialis CPT 25001 | $8,933.65 | $16,243.00 | $533.39 – $6,734.39 | 11 |
| Incise hand/finger tendon CPT 26460 | $8,804.40 | $16,008.00 | $678.99 – $3,309.55 | 12 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $783.77 – $4,019.07 | 11 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $967.30 – $4,019.07 | 11 |
| Incise inner ear CPT 69801 | not published | not published | $189.56 – $5,316.00 | 12 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,933.00 – $6,823.84 | 12 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $373.47 – $1,579.00 | 11 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $714.80 – $4,749.93 | 12 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $888.64 – $4,749.93 | 12 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $948.43 – $4,749.93 | 12 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $996.98 – $8,507.36 | 12 |
| Incise inner eye strands CPT 67030 | not published | not published | $830.76 – $4,749.93 | 12 |
| Incise nerve back of head CPT 64744 | not published | not published | $769.71 – $4,019.07 | 12 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $392.13 – $3,309.55 | 12 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,936.11 – $18,062.34 | 10 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise skull for treatment CPT 61770 | not published | not published | $2,465.56 – $11,527.33 | 11 |
| Incise skull repair CPT 62121 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $646.08 – $4,302.40 | 11 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,189.00 – $10,454.00 | 4 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $2,103.48 – $19,664.12 | 4 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,884.67 – $19,664.12 | 4 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,872.17 – $19,664.12 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $149.22 – $1,579.00 | 11 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,117.97 – $14,934.65 | 12 |
| Incise thigh tendon & fascia CPT 27305 | $12,100.00 | $22,000.00 | $739.29 – $6,734.39 | 12 |
| Incise & treat bladder CPT 51030 | not published | not published | $725.10 – $4,386.82 | 4 |
| Incise wrist/forearm tendon CPT 25290 | $12,261.70 | $22,294.00 | $669.65 – $6,734.39 | 12 |
| Incision anal septum infant CPT 46070 | not published | not published | $407.24 – $5,712.83 | 10 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $5,270.10 | $9,582.00 | $179.46 – $3,399.30 | 10 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $7,927.70 | $14,414.00 | $1,474.08 – $14,934.65 | 9 |
| Incision/fixation of femur CPT 27165 | $9,216.35 | $16,757.00 | $2,081.67 – $14,934.65 | 9 |
| Incision of achilles tendon CPT 27605 | not published | not published | $280.42 – $3,309.55 | 12 |
| Incision of achilles tendon CPT 27606 | $11,852.50 | $21,550.00 | $411.94 – $6,734.39 | 12 |
| Incision of anal sphincter CPT 46080 | $4,952.20 | $9,004.00 | $240.33 – $5,712.83 | 12 |
| Incision of ankle bone CPT 28302 | $3,675.10 | $6,682.00 | $1,092.36 – $14,934.65 | 12 |
| Incision of bile duct CPT 47425 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of brain tissue CPT 61541 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of brain tissue CPT 61567 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of breast lesion CPT 19020 | $5,354.25 | $9,735.00 | $474.75 – $3,399.30 | 12 |
| Incision of brow nerve CPT 64732 | not published | not published | $691.03 – $4,019.07 | 12 |
| Incision of burn scab initi CPT 16035 | $358.60 | $652.00 | $298.79 – $836.68 | 10 |
| Incision of cheek nerve CPT 64734 | $7,060.35 | $12,837.00 | $780.02 – $4,019.07 | 12 |
| Incision of chin nerve CPT 64736 | not published | not published | $506.33 – $4,019.07 | 12 |
| Incision of eardrum CPT 69420 | $479.05 | $871.00 | $182.65 – $1,579.00 | 11 |
| Incision of eardrum CPT 69421 | $4,074.40 | $7,408.00 | $229.82 – $6,823.84 | 12 |
| Incision of esophagus CPT 43020 | not published | not published | $859.26 – $3,193.45 | 11 |
| Incision of eye CPT 65850 | not published | not published | $1,262.92 – $4,749.93 | 12 |
| Incision of eye CPT 66172 | not published | not published | $1,594.00 – $4,749.93 | 12 |
| Incision of eyelid CPT 67710 | not published | not published | $146.30 – $2,051.76 | 11 |
| Incision of facial nerve CPT 64742 | not published | not published | $748.59 – $4,019.07 | 12 |
| Incision of fibula CPT 27707 | not published | not published | $618.53 – $6,734.39 | 12 |
| Incision of finger tendon CPT 26455 | $8,003.60 | $14,552.00 | $693.74 – $3,309.55 | 12 |
| Incision of foot fascia CPT 28008 | $9,259.80 | $16,836.00 | $452.16 – $6,734.39 | 12 |
| Incision of foot tendon 28234 CPT 28234 | $10,956.00 | $19,920.00 | $412.19 – $3,309.55 | 12 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of heel bone CPT 28300 | $10,018.80 | $18,216.00 | $994.52 – $14,934.65 | 12 |
| Incision of hip bone CPT 27146 | not published | not published | $1,941.88 – $14,934.65 | 9 |
| Incision of hip bones CPT 27151 | not published | not published | $2,397.23 – $14,934.65 | 9 |
| Incision of hip tendon CPT 27000 | not published | not published | $599.99 – $3,309.55 | 12 |
| Incision of hip tendon CPT 27001 | not published | not published | $824.93 – $6,734.39 | 12 |
| Incision of hip tendon CPT 27003 | not published | not published | $916.45 – $14,934.65 | 12 |
| Incision of hip tendons CPT 27006 | not published | not published | $1,092.07 – $6,734.39 | 10 |
| Incision of iris CPT 66500 | not published | not published | $586.18 – $4,749.93 | 12 |
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.