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 |
|---|---|---|---|---|
| Ligation/major artery/extremity 37618 CPT 37618 | $904.20 | $1,644.00 | $591.41 – $4,386.82 | 3 |
| Ligation major artery neck CPT 37615 | not published | not published | $779.63 – $6,498.69 | 10 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $914.02 – $6,498.69 | 12 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,000.25 – $11,452.76 | 9 |
| Ligation of femoral vein CPT 37650 | not published | not published | $690.72 – $6,498.69 | 12 |
| Ligation of inf vena cava CPT 37619 | $4,396.15 | $7,993.00 | $2,611.80 – $11,452.76 | 10 |
| Ligation of neck artery CPT 37606 | not published | not published | $1,108.70 – $6,498.69 | 10 |
| Ligation of salivary duct CPT 42665 | not published | not published | $331.01 – $6,823.84 | 12 |
| Ligation of shunt CPT 49428 | not published | not published | $654.42 – $4,386.82 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,320.72 – $6,498.69 | 12 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $382.21 – $6,498.69 | 12 |
| Lig/band angioaccess av fistula CPT 37607 | $3,964.95 | $7,209.00 | $560.82 – $6,498.69 | 12 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $875.32 – $6,498.69 | 12 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $931.73 – $1,429.71 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $92.92 – $273.81 | 10 |
| Limb nerve surgery add-on CPT 64783 | $2,332.00 | $4,240.00 | $324.30 – $1,254.00 | 3 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $72.84 – $155.88 | 10 |
| Limited autopsy CPT 88036 | not published | not published | $109.00 – $151.91 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $80.00 – $135.13 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $171.28 – $366.54 | 10 |
| Limited visual field xm CPT 92081 | not published | not published | $25.36 – $121.42 | 10 |
| Lincomycin injection HCPCS J2010 | not published | not published | $7.11 – $16.16 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.96 – $5.56 | 4 |
| Lipase CPT 83690 | $141.90 | $258.00 | $5.00 – $14.74 | 11 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $6,391.55 | $11,621.00 | $531.92 – $6,823.84 | 12 |
| Lipoprotein blood high res frac & quant CPT 83701 | $239.25 | $435.00 | $31.21 – $72.46 | 10 |
| Lipoprotein blood quant CPT 83704 | $129.80 | $236.00 | $34.19 – $73.17 | 10 |
| Lipoprotein direct measurement hdl CPT 83718 | $99.55 | $181.00 | $8.19 – $17.53 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $92.40 | $168.00 | $10.50 – $22.47 | 11 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $31.55 – $73.17 | 10 |
| Lip surgery procedure CPT 40799 | $998.80 | $1,816.00 | $227.80 – $731.00 | 10 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $579,570.61 – $1,130,162.70 | 11 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.00 – $28.23 | 11 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $199.61 – $427.17 | 10 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $52,842.97 | $96,078.12 | $80.05 – $171.31 | 10 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $624.79 – $1,337.05 | 10 |
| Lithium therapeutic drug level CPT 80178 | $163.35 | $297.00 | $5.00 – $14.15 | 11 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $7,500.90 | $13,638.00 | $221.46 – $221.46 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $158.57 – $377.05 | 9 |
| Liver elastography 91200 CPT 91200 | not published | not published | $29.19 – $273.81 | 10 |
| Liver Function Test CPT 80076 | $435.60 | $792.00 | $6.00 – $17.48 | 11 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $357.00 – $357.00 | 1 |
| Liver imaging CPT 78201 | $287.10 | $522.00 | $225.53 – $1,117.53 | 11 |
| Liver imaging (3d) CPT 78205 | not published | not published | $357.00 – $357.00 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $246.15 – $1,117.53 | 11 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $229.38 – $822.80 | 11 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $499.40 | $908.00 | $146.91 – $822.80 | 11 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $110.46 – $4,893.31 | 10 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $12,261.70 | $22,294.00 | $714.34 – $6,734.39 | 12 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,514.41 – $7,520.84 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.06 – $2.25 | 4 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $118.11 – $171.08 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $226.61 – $441.89 | 11 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $180.44 – $386.14 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.79 – $2.50 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $57.10 – $122.19 | 10 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $96.31 – $206.10 | 10 |
| Loudness balance test CPT 92562 | not published | not published | $69.44 – $544.95 | 10 |
| Low back disk surgery CPT 63030 | $10,986.80 | $19,976.00 | $1,388.55 – $14,934.65 | 11 |
| Low cost skin substitute app HCPCS C5271 | $1,078.00 | $1,960.00 | $604.50 – $1,579.00 | 4 |
| Low cost skin substitute app HCPCS C5273 | $3,375.35 | $6,137.00 | $1,411.00 – $7,185.00 | 4 |
| Low cost skin substitute app HCPCS C5275 | $1,103.30 | $2,006.00 | $604.50 – $1,579.00 | 4 |
| Low cost skin substitute app HCPCS C5277 | $3,375.35 | $6,137.00 | $604.50 – $1,579.00 | 4 |
| Low cost skin substitute app HCPCS C5272 | $279.95 | $509.00 | $604.50 – $731.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | $757.90 | $1,378.00 | $604.50 – $731.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | $279.95 | $509.00 | $604.50 – $731.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | $757.90 | $1,378.00 | $604.50 – $731.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,597.00 | $6,540.00 | $168.70 – $361.01 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,910.60 | $5,292.00 | $167.16 – $718.05 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,710.40 | $4,928.00 | $100.55 – $215.17 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,742.20 | $6,804.00 | $317.58 – $718.05 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,522.30 | $4,586.00 | $279.73 – $892.83 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,131.80 | $3,876.00 | $182.50 – $604.30 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $437.25 | $795.00 | $42.13 – $215.17 | 11 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,198.98 – $12,184.12 | 12 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $27.69 – $412.94 | 10 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $25.38 – $25.38 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,120.46 – $21,878.19 | 11 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,291.81 – $21,878.19 | 11 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,272.28 – $21,878.19 | 11 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,388.60 – $21,878.19 | 11 |
| Lso corset front HCPCS L0972 | not published | not published | $152.77 – $326.93 | 10 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $61.45 – $131.50 | 10 |
| Lso full corset HCPCS L0976 | not published | not published | $216.26 – $462.80 | 10 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $200.06 – $428.13 | 10 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,629.51 – $3,487.15 | 10 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $870.15 – $1,862.12 | 10 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $118.63 – $253.87 | 10 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,222.44 – $2,616.02 | 10 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,657.19 – $3,546.39 | 10 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $354.31 – $758.22 | 10 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $210.07 – $449.55 | 10 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,292.78 – $2,766.55 | 10 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,501.02 – $3,212.18 | 10 |
| L/s ratio fetal lung CPT 83661 | $66.55 | $121.00 | $16.00 – $47.06 | 11 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.93 – $3.12 | 2 |
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.