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. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $336.97 – $657.10 | 11 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $50.06 | 10 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,069.64 – $6,569.03 | 10 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $186.75 – $604.50 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $5.29 – $5.29 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $104.90 – $243.12 | 11 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $803.59 – $803.59 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $801.48 – $1,562.88 | 10 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $254.89 – $383.38 | 2 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $4.14 – $5.80 | 4 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.38 – $3.47 | 4 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.22 – $4.76 | 10 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.82 – $2.57 | 3 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.89 – $1.89 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.35 – $0.56 | 4 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $32.66 – $71.35 | 10 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $258.54 – $504.15 | 11 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $26.48 – $51.63 | 10 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $9.77 – $15.49 | 4 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $8.09 – $11.36 | 4 |
| Inj multihance HCPCS A9577 | not published | not published | $2.07 – $3.02 | 4 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $2.06 – $2.91 | 4 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.35 – $1.20 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $10.50 – $14.74 | 4 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $684.90 – $1,335.55 | 11 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $957.00 | $1,740.00 | $99.39 – $2,891.00 | 11 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.17 – $4.64 | 9 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.31 – $183.90 | 10 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $228.36 – $7,185.00 | 11 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $179.08 – $7,185.00 | 11 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.81 – $2.21 | 9 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $48.06 – $93.72 | 10 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,946.69 – $1,946.69 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $47.74 – $69.25 | 4 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $31.94 – $72.98 | 11 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $96.81 – $96.81 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $404.95 – $789.65 | 11 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $6.50 – $8.54 | 2 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.19 – $8.17 | 10 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,680,037.38 – $5,735,280.00 | 9 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $20.99 – $63.96 | 11 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $139.45 – $224.68 | 2 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $55.23 – $107.70 | 10 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.83 – $6.83 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $71.35 – $139.12 | 11 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $600.71 – $1,202.58 | 11 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $101.03 – $197.00 | 11 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $96.78 – $207.11 | 10 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $148.94 – $290.44 | 11 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $28.17 – $553.42 | 11 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $80.27 | 9 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.99 – $102.36 | 11 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.74 – $18.99 | 11 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $10.09 – $22.68 | 10 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $9.87 – $16.55 | 4 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.94 – $17.33 | 11 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.98 – $2.78 | 4 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $9.54 – $33.52 | 11 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $9,875.25 – $10,533.60 | 3 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $67.94 – $132.47 | 9 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $21.76 – $21.76 | 1 |
| Inj peritoneal venous shunt CPT 49427 | $176.00 | $320.00 | $59.39 – $604.50 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.20 – $23.80 | 11 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $36.91 – $82.22 | 10 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.52 – $6.86 | 11 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $90.87 – $196.30 | 9 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $78.36 – $604.50 | 2 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $101.06 – $604.50 | 2 |
| Inj proc for lymphang CPT 38790 | $2,132.35 | $3,877.00 | $123.65 – $604.50 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,593.90 | $2,898.00 | $238.33 – $604.50 | 2 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $126.19 – $604.50 | 2 |
| Inj proc sialogram CPT 42550 | $254.65 | $463.00 | $93.13 – $604.50 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.75 – $1.49 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.63 – $2.51 | 4 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $33.75 – $33.75 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.30 – $4.48 | 10 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.31 – $0.89 | 11 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.81 – $1.28 | 4 |
| Inj retro urethrocysto CPT 51610 | $727.65 | $1,323.00 | $97.19 – $604.50 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.29 – $25.91 | 11 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,553.71 – $26,864.95 | 9 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $1.51 – $1.51 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $32.51 – $71.88 | 10 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $27.88 | 9 |
| Inj scleros sol mult veins CPT 36471 | $812.90 | $1,478.00 | $114.40 – $836.68 | 10 |
| Inj scleros sol sgl vein CPT 36470 | $1,416.25 | $2,575.00 | $57.44 – $836.68 | 10 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.10 – $4.62 | 9 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $539.60 – $1,154.74 | 10 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $43.00 – $92.02 | 10 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $18.23 – $35.55 | 10 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.12 – $2.39 | 9 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $65.73 – $128.17 | 11 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $390.97 – $836.68 | 10 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $21.34 – $31.06 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.80 – $145.85 | 11 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $19.64 – $38.30 | 11 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $357.52 – $697.17 | 11 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $42.68 – $83.22 | 11 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $35.32 – $68.88 | 11 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $2.05 – $4.06 | 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.