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 |
|---|---|---|---|---|
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $150.15 | $273.00 | $22.58 – $96.38 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $191.95 | $349.00 | $14.39 – $33.36 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $220.55 | $401.00 | $53.68 – $437.78 | 10 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $195.80 | $356.00 | $21.57 – $148.19 | 10 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $26.28 – $26.28 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $5.86 – $5.86 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $196.44 – $4,749.93 | 12 |
| Injection treatment of eye CPT 66030 | not published | not published | $166.30 – $4,749.93 | 12 |
| Injection treatment of nerve CPT 64605 | not published | not published | $642.43 – $4,019.07 | 12 |
| Injection treatment of nerve CPT 64610 | not published | not published | $729.19 – $4,019.07 | 12 |
| Injection treatment of nerve CPT 64681 | $2,899.60 | $5,272.00 | $333.13 – $2,100.00 | 12 |
| Injection treatment of nose CPT 30200 | not published | not published | $90.37 – $1,579.00 | 11 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $126.46 – $604.50 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $98.02 – $653.28 | 10 |
| Inject/treat eye socket CPT 67505 | not published | not published | $108.60 – $1,579.00 | 11 |
| Inject/treat eye socket CPT 67515 | not published | not published | $70.76 – $1,579.00 | 11 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.26 – $66.80 | 10 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $25.78 – $75.20 | 11 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $392.78 – $765.92 | 11 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $58.03 – $113.16 | 10 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $774.95 | $1,409.00 | $152.31 – $1,579.00 | 11 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $852.50 | $1,550.00 | $121.46 – $1,820.41 | 11 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.57 – $3.60 | 4 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.38 – $2.69 | 10 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.87 – $33.97 | 9 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.47 – $6.34 | 10 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.42 – $358.29 | 10 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $385.38 | 10 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.04 – $35.19 | 11 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,300,906.67 – $4,923,940.27 | 9 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $19.41 | 11 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.38 – $63.14 | 11 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $101.92 – $101.92 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.08 – $41.10 | 11 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $145.31 – $283.36 | 10 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.05 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $2.40 | 11 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $10.72 – $12.40 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.46 – $4.83 | 10 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $253.59 – $396.68 | 2 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $228.38 – $357.24 | 2 |
| Inj for ext venography CPT 36005 | $592.35 | $1,077.00 | $71.51 – $604.50 | 2 |
| Inj for mammo ductogram CPT 19030 | $2,395.25 | $4,355.00 | $115.20 – $604.50 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $1.82 | 11 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $503.85 – $1,140.19 | 11 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $5.24 – $5.24 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.78 – $87.05 | 11 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $33.84 – $89.17 | 9 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $5.21 – $18.68 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $52.50 – $84.59 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $193.20 – $328.89 | 2 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $9.86 – $14.42 | 4 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $120.92 – $235.78 | 11 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,864.68 – $5,586.12 | 11 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.89 – $2.65 | 3 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.92 – $1.92 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $168.00 – $270.68 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.22 – $9.31 | 11 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $66.92 – $223.51 | 10 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.22 – $17.90 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,691,450.00 – $7,899,703.00 | 9 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $3.35 – $7.52 | 4 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $58.34 – $113.77 | 11 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $32.46 – $92.61 | 9 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $54.94 – $117.58 | 11 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,219.90 | $2,218.00 | $69.58 – $604.50 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $77.54 – $604.50 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $82.67 – $604.50 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $40.29 – $604.50 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $386.65 | $703.00 | $38.98 – $604.50 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.49 – $2.90 | 11 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $14.32 – $23.08 | 2 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.51 – $155.05 | 11 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.85 – $4.04 | 4 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $81.24 – $158.42 | 11 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.16 – $0.22 | 3 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $510.65 – $995.77 | 11 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $3,080.00 | $5,600.00 | $215.92 – $1,820.41 | 12 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $45.60 – $66.16 | 2 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $2.45 – $2.45 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $963.60 | $1,752.00 | $45.45 – $412.94 | 10 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $69.05 – $412.94 | 10 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.26 – $25.86 | 11 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $51.22 – $99.88 | 11 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.94 – $3.78 | 11 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.76 – $5.37 | 11 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.60 – $3.11 | 11 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.57 – $4.20 | 4 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $88.22 – $172.02 | 10 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $20.33 – $80.12 | 11 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.34 – $2.62 | 11 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.82 – $1.15 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.94 – $44.73 | 11 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $27.79 – $58.01 | 4 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $0.11 | 4 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.84 – $13.33 | 10 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.86 – $8.22 | 3 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.01 – $0.01 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $7.23 – $32.95 | 4 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,235,303.98 – $6,923,550.52 | 9 |
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.