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 |
|---|---|---|---|---|
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.43 – $2.02 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.47 – $1.71 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.11 – $1.56 | 3 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $6.61 – $9.29 | 4 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.75 – $8.66 | 4 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.55 – $4.97 | 11 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $9.17 – $19.57 | 11 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $123.38 – $264.03 | 9 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $17.16 – $33.45 | 10 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $82.53 – $430.47 | 11 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $96.30 – $187.79 | 10 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $2.87 – $4.04 | 4 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $315.70 | $574.00 | $61.17 – $604.50 | 2 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $101.64 – $145.23 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,189.65 – $1,669.68 | 4 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $1,180.24 | 9 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.03 – $27.36 | 11 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $18.15 – $35.39 | 11 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.92 – $17.40 | 10 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.49 – $2.94 | 11 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $2.64 | 10 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.44 – $6.95 | 10 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.08 – $0.13 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.11 | 4 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.08 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.07 – $5.98 | 10 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.89 – $1.28 | 4 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,316,897.12 – $7,098,159.85 | 9 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.41 – $0.41 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,593.90 | $2,898.00 | $218.27 – $604.50 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $8.12 | 10 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $99.47 – $631.76 | 10 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.24 – $12.17 | 11 |
| Inj dx for sinogram CPT 20501 | $588.50 | $1,070.00 | $55.43 – $604.50 | 2 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $604.50 – $731.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,230.80 | $4,056.00 | $125.73 – $1,579.00 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $249.70 | $454.00 | $103.31 – $604.50 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $54.45 – $106.17 | 11 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $513.37 – $1,001.07 | 11 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $786.73 – $1,795.82 | 9 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,165.18 | $2,118.50 | $86.26 – $1,579.00 | 11 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $166.17 – $355.61 | 10 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $4.71 – $4.71 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $73.77 – $143.85 | 11 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.49 – $0.49 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.43 – $0.62 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $312.95 | $569.00 | $56.14 – $604.50 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $6.46 – $35.84 | 11 |
| Injection epidural blood patch or clot CPT 62273 | $1,069.75 | $1,945.00 | $173.17 – $1,579.00 | 12 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.08 – $0.08 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $137.84 – $1,579.00 | 11 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.93 – $1.46 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $375.65 | $683.00 | $111.38 – $604.50 | 2 |
| Injection for bladder x-ray CPT 51600 | $669.90 | $1,218.00 | $66.13 – $604.50 | 2 |
| Injection for hip x-ray CPT 27095 | $438.90 | $798.00 | $124.32 – $604.50 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $668.25 | $1,215.00 | $75.88 – $604.50 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $197.53 – $604.50 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $77.71 – $604.50 | 2 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $76.92 – $604.50 | 2 |
| Injection for ureter x-ray CPT 50690 | $247.50 | $450.00 | $105.50 – $604.50 | 2 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $41.74 – $61.59 | 2 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $7.87 – $13.88 | 4 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $94.44 – $184.89 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $432.33 – $961.08 | 9 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.90 – $25.16 | 11 |
| Injection into brain canal CPT 61026 | not published | not published | $166.60 – $1,579.00 | 12 |
| Injection into brain canal CPT 61055 | $423.50 | $770.00 | $178.08 – $1,579.00 | 12 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $274.59 – $1,914.03 | 10 |
| Injection into spinal artery CPT 62294 | not published | not published | $850.66 – $2,891.00 | 12 |
| Injection into vocal cord CPT 31513 | not published | not published | $199.33 – $2,100.00 | 12 |
| Injection intraop add-on CPT 48400 | not published | not published | $160.80 – $4,386.82 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.03 – $2.20 | 10 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $67.67 – $604.50 | 2 |
| Injection jugular CPT 36299 | not published | not published | $604.50 – $731.00 | 2 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.35 – $2.51 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $11.18 | 11 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $21.57 – $148.19 | 10 |
| Injection of sinus tract CPT 20500 | not published | not published | $135.79 – $3,193.45 | 10 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.51 – $12.69 | 11 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $102.59 – $160.47 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $3.59 | 10 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $3.43 – $3.43 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $132.43 – $1,579.00 | 11 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $988.35 | $1,797.00 | $49.00 – $1,579.00 | 11 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.62 – $51.90 | 11 |
| Injection, ruconest HCPCS J0596 | not published | not published | $37.83 – $73.77 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,496.00 | $2,720.00 | $678.90 – $1,579.00 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,578.95 | $4,689.00 | $97.01 – $1,579.00 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,578.95 | $4,689.00 | $63.93 – $1,579.00 | 11 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $4,420.35 | $8,037.00 | $169.47 – $1,820.41 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $744.15 | $1,353.00 | $90.63 – $604.50 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,486.65 | $2,703.00 | $160.39 – $1,820.41 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $726.00 | $1,320.00 | $77.81 – $604.50 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,533.40 | $2,788.00 | $137.66 – $1,820.41 | 11 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $852.50 | $1,550.00 | $163.97 – $1,579.00 | 11 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $852.50 | $1,550.00 | $151.64 – $1,579.00 | 11 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.07 – $339.43 | 11 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,906.30 | $3,466.00 | $59.56 – $1,579.00 | 11 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,069.20 | $1,944.00 | $56.24 – $1,579.00 | 11 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,129.70 | $2,054.00 | $63.93 – $1,579.00 | 11 |
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.