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 |
|---|---|---|---|---|
| Ivc venogram s&i CPT 75825 | $2,708.20 | $4,924.00 | $88.61 – $6,498.69 | 11 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $194.15 | $353.00 | $41.80 – $148.19 | 10 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $212.30 | $386.00 | $26.06 – $29.22 | 2 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $232.10 | $422.00 | $30.24 – $96.38 | 10 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $349.80 | $636.00 | $91.16 – $437.78 | 10 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $58.00 – $822.80 | 10 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $161.31 – $919.44 | 10 |
| Ivp w/nephrotomography CPT 74415 | $1,466.30 | $2,666.00 | $168.70 – $361.01 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,065.35 | $1,937.00 | $160.93 – $361.01 | 11 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $272.52 | 11 |
| Jak2 targeted sequence analysis CPT 81279 | $983.95 | $1,789.00 | $166.68 – $396.33 | 10 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $810.92 – $6,734.39 | 12 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $904.48 – $6,734.39 | 12 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $361.17 – $3,949.47 | 12 |
| John cunningham antibody CPT 86711 | $557.70 | $1,014.00 | $16.89 – $36.14 | 10 |
| J-tube placement CPT 44015 | not published | not published | $213.46 – $4,386.82 | 3 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,341.77 – $2,871.39 | 10 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,176.93 – $2,518.63 | 10 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,970.44 – $4,216.74 | 10 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,307.92 – $2,798.95 | 10 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,376.03 – $2,944.70 | 10 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,480.79 – $3,168.89 | 10 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,045.73 – $2,237.86 | 10 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,594.53 – $5,552.29 | 10 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,913.97 – $4,095.90 | 10 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $214.05 – $458.07 | 10 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,165.54 – $2,494.26 | 10 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $5,062.71 – $10,834.20 | 10 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,138.18 – $2,435.71 | 10 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,642.94 – $3,515.89 | 10 |
| Keratomileusis CPT 65760 | not published | not published | $1,738.22 – $4,386.82 | 3 |
| Keratophakia CPT 65765 | not published | not published | $2,520.70 – $4,386.82 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,933.00 – $29,856.28 | 11 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $119.69 – $954.16 | 9 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $22.23 – $35.46 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $10.00 – $33.11 | 11 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $92.95 | $169.00 | $6.00 – $17.48 | 11 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.29 – $0.80 | 11 |
| Kidney endoscopy CPT 50551 | not published | not published | $444.90 – $11,035.58 | 12 |
| Kidney endoscopy CPT 50553 | not published | not published | $475.73 – $11,035.58 | 12 |
| Kidney endoscopy CPT 50570 | not published | not published | $744.32 – $7,255.07 | 11 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,079.58 – $11,035.58 | 10 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $516.50 – $19,483.75 | 12 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $854.82 – $7,255.07 | 11 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $523.22 – $19,483.75 | 12 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $597.80 – $11,035.58 | 12 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $852.29 – $19,483.75 | 10 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $918.70 – $11,035.58 | 10 |
| Kidney function study CPT 78725 | not published | not published | $114.84 – $822.80 | 11 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $307.00 – $307.00 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $198.22 – $822.80 | 11 |
| Kidney imag w/bld flow multi CPT 78709 | $1,408.55 | $2,561.00 | $347.00 – $1,117.53 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,308.45 | $2,379.00 | $246.62 – $1,117.53 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $779.35 | $1,417.00 | $100.55 – $215.17 | 11 |
| Kit case 4.2mm spinejack HCPCS C1062 | $8,550.75 | $15,546.81 | not published | 0 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $171.32 | $311.49 | $77.18 – $82.52 | 2 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $14.69 – $15.70 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $8,527.38 | $15,504.32 | $1,189.00 – $1,189.00 | 1 |
| Kit gene analys d816 variant CPT 81273 | $811.25 | $1,475.00 | $112.38 – $267.22 | 10 |
| Kit hfx iq ipg bundle HCPCS C1822 | $33,331.72 | $60,603.12 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $28.97 – $30.98 | 2 |
| Kit lead specify 5-6-5 HCPCS C1778 | $3,656.92 | $6,648.94 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $26.51 – $233.39 | 11 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $7,717.53 | $14,031.88 | $2,131.89 – $4,562.24 | 10 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $1.92 – $34.38 | 2 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $4,988.50 | $9,070.00 | $946.90 – $6,734.39 | 12 |
| Knee arthroscopy/drainage CPT 29871 | $4,534.75 | $8,245.00 | $786.86 – $6,734.39 | 12 |
| Knee arthroscopy dx CPT 29870 | $4,534.75 | $8,245.00 | $627.02 – $6,734.39 | 12 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $13,578.95 | $24,689.00 | $826.01 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $953.22 – $3,359.00 | 12 |
| Knee arthroscopy/surgery CPT 29851 | $7,424.45 | $13,499.00 | $1,414.75 – $3,359.00 | 12 |
| Knee arthroscopy/surgery CPT 29873 | $8,180.70 | $14,874.00 | $819.10 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29874 | $4,534.75 | $8,245.00 | $821.96 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29875 | $4,534.75 | $8,245.00 | $758.34 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29876 | $4,988.50 | $9,070.00 | $995.78 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29879 | $4,534.75 | $8,245.00 | $1,009.27 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29880 | $6,122.05 | $11,131.00 | $857.50 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29882 | $4,534.75 | $8,245.00 | $1,050.00 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29883 | $4,988.50 | $9,070.00 | $1,283.73 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29884 | $4,534.75 | $8,245.00 | $945.34 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29886 | $4,534.75 | $8,245.00 | $972.11 – $6,734.39 | 12 |
| Knee arthroscopy/surgery CPT 29887 | $4,534.75 | $8,245.00 | $1,149.08 – $14,934.65 | 12 |
| Knee arthroscopy/surgery CPT 29888 | $7,077.95 | $12,869.00 | $1,459.00 – $14,934.65 | 12 |
| Knee arthroscopy/surgery CPT 29889 | $7,091.15 | $12,893.00 | $1,459.00 – $26,424.41 | 12 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $122.57 – $262.30 | 10 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $99.90 – $213.79 | 10 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $112.56 – $240.88 | 10 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $729.34 – $1,560.79 | 10 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $782.83 – $1,675.26 | 10 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $177.11 – $379.02 | 10 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $177.11 – $379.02 | 10 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $150.07 – $321.15 | 10 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $107.73 – $230.54 | 10 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $130.79 – $279.89 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $2,512.40 | $4,568.00 | $335.54 – $718.05 | 10 |
| Knee MRI (with contrast) CPT 73722 | $2,346.85 | $4,267.00 | $354.48 – $1,613.46 | 10 |
| Knee MRI (without contrast) CPT 73721 | $2,093.30 | $3,806.00 | $207.89 – $491.09 | 10 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $363.62 – $778.15 | 10 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,463.86 – $5,272.66 | 10 |
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.