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 |
|---|---|---|---|---|
| Lumbar bolster pad HCPCS L1030 | not published | not published | $97.47 – $208.59 | 10 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $96.35 – $206.19 | 10 |
| Lumbar diskogram s&i CPT 72295 | $1,860.10 | $3,382.00 | $103.94 – $4,019.07 | 11 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $101.89 – $218.04 | 10 |
| Lumbar sling HCPCS L1090 | not published | not published | $117.80 – $252.09 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $9,369.80 | $17,036.00 | $2,399.76 – $36,087.88 | 10 |
| Lumizyme injection HCPCS J0221 | not published | not published | $211.13 – $411.70 | 11 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $17.69 – $121.42 | 10 |
| Lung Function Test (Spirometry) CPT 94010 | $336.05 | $611.00 | $27.76 – $444.41 | 10 |
| Lung perfusion imaging CPT 78580 | $778.25 | $1,415.00 | $261.00 – $822.80 | 11 |
| Lung transplant double CPT 32853 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $215.95 – $421.10 | 11 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $43.51 – $84.85 | 11 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $517.00 | $940.00 | $337.73 – $749.44 | 10 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $311.51 | $566.39 | $267.32 – $572.06 | 10 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $632.22 – $1,352.95 | 10 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $27.82 – $59.53 | 10 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $349.54 – $748.02 | 10 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $42.91 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,076.26 – $16,822.37 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $1,394.25 | $2,535.00 | $326.00 – $1,117.53 | 11 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $78.24 | 11 |
| Lymphocyte transformation mitogen CPT 86353 | $1,221.55 | $2,221.00 | $35.00 – $104.92 | 11 |
| Lymphocytotoxicity assay CPT 86805 | $545.05 | $991.00 | $59.00 – $405.55 | 11 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $101.84 | 11 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $266.00 – $1,291.11 | 11 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $266.00 – $3,239.91 | 11 |
| Lymph vessel x-ray trunk CPT 75805 | $2,615.80 | $4,756.00 | $266.00 – $6,498.69 | 11 |
| Lymph vessel x-ray trunk CPT 75807 | $5,232.15 | $9,513.00 | $266.00 – $6,498.69 | 11 |
| Lysis intranasal synechia 30560 CPT 30560 | $1,807.85 | $3,287.00 | $226.32 – $2,100.00 | 12 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $236.21 – $6,662.61 | 12 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $306.26 – $4,302.40 | 12 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $22.99 – $25.57 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $5.81 – $45.38 | 3 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.00 – $9.14 | 11 |
| Macroscopic exam parasite CPT 87169 | $45.10 | $82.00 | $3.00 – $9.22 | 11 |
| Magnesium CPT 83735 | $75.90 | $138.00 | $5.00 – $14.34 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.56 – $1.13 | 4 |
| Magnetic image bone marrow CPT 77084 | $1,342.55 | $2,441.00 | $229.48 – $491.09 | 10 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $15.75 – $33.24 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $9.00 – $28.23 | 11 |
| Male sling procedure CPT 53440 | not published | not published | $1,149.68 – $27,154.61 | 12 |
| Mammosite ced HCPCS C1728 | $3,056.45 | $5,557.18 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Manipulate finger w/anesth CPT 26340 | $1,828.20 | $3,324.00 | $543.75 – $3,309.55 | 11 |
| Manipulate wrist w/anesthes CPT 25259 | $13,732.40 | $24,968.00 | $660.79 – $3,309.55 | 11 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $86.35 | $157.00 | $56.42 – $273.84 | 10 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $176.00 | $320.00 | $35.86 – $273.84 | 10 |
| Manipulation of hip joint CPT 27275 | not published | not published | $280.59 – $3,309.55 | 12 |
| Manipulation of spine CPT 22505 | not published | not published | $197.44 – $3,309.55 | 12 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $118.67 – $1,579.00 | 11 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.58 – $4.27 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.91 – $11.14 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $79.22 – $169.53 | 9 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.00 – $10.85 | 11 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $157.09 – $437.85 | 2 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $208.17 – $604.50 | 2 |
| Map tachycard site(s) CPT 93609 | $3,119.60 | $5,672.00 | $146.97 – $7,119.13 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $55.32 – $110.06 | 11 |
| Marker biop eviva buckle ss HCPCS A4648 | $276.41 | $502.57 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $160.16 – $170.26 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.14 – $595.22 | 10 |
| Mastectomy partial CPT 19301 | not published | not published | $1,003.70 – $8,058.70 | 12 |
| Mast mod rad CPT 19307 | not published | not published | $1,789.93 – $13,666.71 | 11 |
| Mastoidectomy CPT 69501 | not published | not published | $1,076.74 – $12,184.12 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,431.19 – $12,184.12 | 12 |
| Mastoids complete CPT 70130 | $336.60 | $612.00 | $60.00 – $215.17 | 11 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,927.15 – $12,184.12 | 12 |
| Mastopexy CPT 19316 | $6,679.20 | $12,144.00 | $1,199.24 – $13,666.71 | 12 |
| Mast radical CPT 19305 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,456.04 – $13,666.71 | 12 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $119.69 – $233.39 | 10 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,310.00 – $3,721.91 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $24.51 – $233.39 | 11 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $75.09 | 10 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $14.00 – $58.40 | 11 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $91.68 | 10 |
| Maxillofacial fixation CPT 21100 | not published | not published | $539.54 – $12,184.12 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $46.75 | $85.00 | $10.00 – $30.94 | 11 |
| Mayo aathr protein s free CPT 85306 | $223.85 | $407.00 | $11.00 – $32.78 | 11 |
| Mayo activated protein c resistance assay CPT 85307 | $234.85 | $427.00 | $11.00 – $32.78 | 11 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $339.35 | $617.00 | $34.71 – $82.54 | 10 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $19.80 | $36.00 | $13.23 – $13.23 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $238.70 | $434.00 | $21.17 – $35.46 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $109.45 | $199.00 | $10.00 – $31.63 | 11 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $309.65 | $563.00 | $35.46 – $36.77 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $75.35 | $137.00 | $9.00 – $28.76 | 11 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $141.90 | $258.00 | $11.00 – $32.27 | 11 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $175.45 | $319.00 | $19.04 – $19.04 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $175.45 | $319.00 | $22.23 – $35.46 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $845.90 | $1,538.00 | $121.63 – $260.29 | 10 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,751.75 | $3,185.00 | $91.66 – $196.15 | 10 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $123.30 – $293.18 | 10 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,044.00 – $2,482.40 | 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.