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 |
|---|---|---|---|---|
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $19.04 – $19.04 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $31.50 – $49.28 | 2 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $62.32 – $88.19 | 2 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,511.58 – $3,263.61 | 2 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $746.09 – $844.36 | 2 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $8,549.22 – $12,871.42 | 2 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $13.83 – $19.40 | 4 |
| Intermediate visual field xm CPT 92082 | not published | not published | $38.29 – $121.42 | 10 |
| Internal nerve revision 64727 CPT 64727 | $7,582.30 | $13,786.00 | $271.72 – $991.00 | 3 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $587.57 – $587.57 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $35.89 – $76.81 | 10 |
| Interrogation vad in person CPT 93750 | not published | not published | $60.44 – $195.67 | 10 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $35.89 – $76.81 | 10 |
| Interrog dev eval scrms ip CPT 93291 | $36.30 | $66.00 | $27.82 – $59.53 | 10 |
| Interrog device eval heart CPT 93289 | $41.58 | $75.60 | $35.89 – $76.81 | 10 |
| Interrog evl pm/ldls pm ip CPT 93288 | $187.55 | $341.00 | $35.89 – $76.81 | 10 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $61.46 – $195.67 | 10 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $143.34 – $632.15 | 10 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $33.01 – $195.67 | 10 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $23,640.73 – $50,591.16 | 10 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $23,514.53 – $50,321.09 | 10 |
| Interstitial brachy inter CPT 77799 | not published | not published | $98.13 – $1,080.00 | 10 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,101.30 – $26,424.41 | 9 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $511.66 – $5,712.83 | 10 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $573.53 – $5,712.83 | 12 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,628.34 – $3,484.65 | 10 |
| Intra-atrial pacing CPT 93610 | $3,179.55 | $5,781.00 | $74.42 – $16,053.17 | 10 |
| Intra-atrial recording CPT 93602 | $3,179.55 | $5,781.00 | $61.56 – $16,053.17 | 10 |
| Intracard echo interv w/s&i CPT 93662 | $2,775.30 | $5,046.00 | $32.46 – $604.50 | 2 |
| Intracran angioplsty w/stent CPT 61635 | $9,646.45 | $17,539.00 | $1,189.00 – $4,386.82 | 4 |
| Intracranial angioplasty CPT 61630 | $31,452.85 | $57,187.00 | $1,189.00 – $4,386.82 | 4 |
| Intracranial complete study CPT 93886 | $883.30 | $1,606.00 | $229.48 – $491.09 | 10 |
| Intracranial limited study CPT 93888 | not published | not published | $100.55 – $215.17 | 10 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intranasal biopsy 30100 CPT 30100 | $2,571.25 | $4,675.00 | $103.67 – $3,193.45 | 11 |
| Intranasal reconstruction CPT 30620 | $11,824.45 | $21,499.00 | $1,010.86 – $12,184.12 | 12 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $255.90 – $604.50 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $182.74 – $7,119.13 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $503.21 – $731.00 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $873.40 | $1,588.00 | $157.75 – $1,579.00 | 11 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $11.46 – $179.11 | 9 |
| Intrapul surf admin endo tube CPT 94610 | $276.10 | $502.00 | $86.49 – $450.70 | 10 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $424.31 – $1,579.00 | 11 |
| Intraventricular pacing CPT 93612 | $3,626.70 | $6,594.00 | $85.89 – $16,053.17 | 10 |
| Intrinsic factor antibody CPT 86340 | $133.10 | $242.00 | $11.00 – $32.27 | 11 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $76.20 – $274.02 | 10 |
| Intro cath dialysis circuit CPT 36901 | $3,872.00 | $7,040.00 | $252.37 – $3,239.91 | 10 |
| Intro cath dialysis circuit w/pta CPT 36902 | $11,081.95 | $20,149.00 | $360.25 – $11,714.30 | 10 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $14,072.85 | $25,587.00 | $473.52 – $23,760.10 | 10 |
| Intro catheter aorta CPT 36200 | $1,099.45 | $1,999.00 | $208.71 – $604.50 | 2 |
| Intro cath svc/ivc CPT 36010 | $799.70 | $1,454.00 | $163.00 – $604.50 | 2 |
| Intro long gi tube CPT 44500 | $1,284.80 | $2,336.00 | $28.96 – $1,866.75 | 11 |
| Intro long gi tube w/mult fluo CPT 74340 | $312.95 | $569.00 | $107.35 – $121.59 | 3 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $224.64 – $3,663.36 | 12 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,471.05 | $6,311.00 | $133.19 – $604.50 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,914.00 | $3,480.00 | $106.02 – $604.50 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $627.55 | $1,141.00 | $215.61 – $1,579.00 | 11 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $68.10 – $70.14 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $26.90 – $121.42 | 10 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $3,564.55 – $3,564.55 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $237.78 – $848.12 | 10 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $336.41 – $599.92 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.89 – $76.81 | 10 |
| Ionm in operatng room 15 min CPT 95940 | $316.25 | $575.00 | $44.95 – $48.88 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $254.37 – $254.37 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.47 – $0.65 | 4 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.16 – $0.23 | 4 |
| Io radiation tx management CPT 77469 | not published | not published | $488.50 – $527.36 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,083.72 – $15,159.15 | 9 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,083.72 – $15,159.15 | 9 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.64 – $0.64 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $190.43 – $371.34 | 11 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $120.09 – $153.06 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $166.18 – $212.23 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $223.19 – $286.67 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $84.91 – $109.52 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.03 – $0.03 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.41 – $0.58 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.87 – $3.20 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.86 – $128.43 | 11 |
| Iron CPT 83540 | $575.30 | $1,046.00 | $5.00 – $13.85 | 11 |
| Iron binding capacity CPT 83550 | $75.90 | $138.00 | $6.00 – $18.70 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.99 – $37.04 | 11 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.00 – $14.72 | 11 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.27 – $0.38 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $106.15 | $193.00 | $18.39 – $76.88 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $165.00 | $300.00 | $36.14 – $121.42 | 10 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $284.23 – $3,193.45 | 11 |
| Irrigation syringe HCPCS A4322 | not published | not published | $6.30 – $6.73 | 2 |
| Irrigation tray HCPCS A4320 | not published | not published | $11.19 – $11.97 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $39.50 – $121.42 | 10 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $88.16 – $171.91 | 11 |
| Island pedicle flap graft CPT 15740 | $4,512.20 | $8,204.00 | $1,254.00 – $4,246.62 | 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.