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 |
|---|---|---|---|---|
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,145.99 – $2,452.42 | 10 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $695.57 – $1,488.52 | 10 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,038.73 – $2,222.88 | 10 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $663.71 – $1,420.34 | 10 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $587.64 – $1,257.55 | 10 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,839.54 – $6,076.62 | 10 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,033.70 – $6,492.12 | 10 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,614.94 – $3,455.97 | 10 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,114.06 – $2,384.09 | 10 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,961.29 – $38,437.16 | 10 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,331.15 – $2,848.66 | 10 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,218.82 – $4,748.27 | 10 |
| Knee X-ray CPT 73564 | $467.50 | $850.00 | $52.20 – $215.17 | 11 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $523.99 – $1,121.34 | 10 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,635.37 – $9,919.69 | 10 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $710.64 – $1,520.77 | 10 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $710.64 – $1,520.77 | 10 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,298.28 – $2,778.32 | 10 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $70.12 – $150.06 | 10 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $89.34 – $191.19 | 10 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $1,108.58 – $2,372.36 | 10 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $600.78 – $1,285.67 | 10 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,256.72 – $2,689.38 | 10 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $205.78 – $440.37 | 10 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $892.02 – $1,908.92 | 10 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,348.79 – $2,886.41 | 10 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,917.72 – $4,103.92 | 10 |
| Kras gene addl variants CPT 81276 | not published | not published | $177.47 – $413.56 | 10 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $177.73 – $413.56 | 10 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,275.36 – $1,863.83 | 2 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $3,258.00 – $36,087.88 | 9 |
| Kyphectomy 3 or more CPT 22819 | $8,171.35 | $14,857.00 | $3,749.50 – $36,087.88 | 9 |
| Kyphosis pad HCPCS L1020 | not published | not published | $125.95 – $269.53 | 10 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $143.30 – $306.66 | 10 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $28.46 – $28.46 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $22.81 – $22.81 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.31 – $0.67 | 4 |
| Labioplasty 56800 CPT 56800 | not published | not published | $387.42 – $6,662.61 | 12 |
| Lab pathology consultation CPT 80500 | not published | not published | $24.00 – $24.00 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $59.00 – $59.00 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $478.23 – $1,023.41 | 10 |
| Lactate dehydrogenase (ldh) CPT 83615 | $55.00 | $100.00 | $4.00 – $12.93 | 11 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.62 – $4.25 | 4 |
| Lactation class HCPCS S9443 | $253.00 | $460.00 | not published | 0 |
| Lactic acid CPT 83605 | $125.40 | $228.00 | $8.00 – $24.76 | 11 |
| Lactoferrin fecal qualitative CPT 83630 | $122.65 | $223.00 | $14.51 – $42.16 | 10 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $42.01 | 10 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $2,389.75 | $4,345.00 | $389.16 – $10,454.00 | 3 |
| Lam facetec & foramot crv CPT 63045 | $10,484.65 | $19,063.00 | $1,957.24 – $14,934.65 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | $8,060.80 | $14,656.00 | $1,680.06 – $14,934.65 | 11 |
| Lam facetec & foramot thrc CPT 63046 | $10,986.80 | $19,976.00 | $1,869.00 – $14,934.65 | 11 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $2,441.45 | $4,439.00 | $345.81 – $10,454.00 | 3 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $3,009.36 – $19,664.12 | 4 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,189.00 – $10,454.00 | 4 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $12,085.70 | $21,974.00 | $2,607.06 – $14,934.65 | 11 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $217.28 – $464.98 | 10 |
| Laminotomy single cervical CPT 63040 | $13,127.95 | $23,869.00 | $2,093.32 – $14,934.65 | 11 |
| Laminotomy single lumbar CPT 63042 | $10,484.65 | $19,063.00 | $1,969.14 – $14,934.65 | 11 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | $13,127.95 | $23,869.00 | $916.07 – $10,454.00 | 3 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,189.00 – $10,454.00 | 4 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $37.43 – $79.56 | 11 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,904.66 – $21,878.19 | 10 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,397.72 – $21,878.19 | 11 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,768.38 – $21,878.19 | 10 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,352.53 – $12,442.83 | 12 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,698.90 – $21,878.19 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,092.59 – $12,442.83 | 11 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $1,179.97 – $4,386.82 | 3 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $972.70 – $12,442.83 | 11 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $658.12 – $12,442.83 | 12 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,708.04 – $21,878.19 | 12 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $2,107.21 – $21,878.19 | 12 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,933.62 – $21,878.19 | 12 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,325.58 – $7,567.45 | 3 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $2,267.93 – $21,878.19 | 10 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $4,386.82 – $12,442.83 | 10 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $4,386.82 – $12,442.83 | 10 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,382.77 – $12,442.83 | 12 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,189.00 – $5,147.21 | 3 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $1,216.22 – $21,878.19 | 12 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,812.56 – $7,567.45 | 3 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $570.90 – $12,442.83 | 12 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $524.66 – $12,442.83 | 12 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $4,386.82 – $12,442.83 | 10 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,093.22 – $12,442.83 | 12 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,635.80 – $21,878.19 | 11 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $878.38 – $12,442.83 | 12 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $1,018.29 – $4,386.82 | 3 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,011.19 – $21,878.19 | 12 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,371.14 – $21,878.19 | 12 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $787.73 – $12,442.83 | 12 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,048.05 – $12,442.83 | 12 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $1,001.83 – $12,442.83 | 12 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $1,153.66 – $12,442.83 | 11 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,888.99 – $21,878.19 | 11 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,000.12 – $12,442.83 | 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.