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 |
|---|---|---|---|---|
| Mayo androstenedione CPT 82157 | $167.75 | $305.00 | $29.28 – $62.66 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $102.30 | $186.00 | $10.00 – $31.24 | 11 |
| Mayo antithrombin iii antigen CPT 85301 | $240.35 | $437.00 | $8.00 – $23.13 | 11 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $119.90 | $218.00 | $11.00 – $32.21 | 11 |
| Mayo avwpr vw factor activity CPT 85397 | $285.45 | $519.00 | $30.16 – $66.04 | 10 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $137.50 | $250.00 | $31.58 – $75.09 | 10 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $175.45 | $319.00 | $14.02 – $35.46 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $68.20 | $124.00 | $7.00 – $21.79 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $801.35 | $1,457.00 | $144.84 – $309.96 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $467.50 | $850.00 | $197.49 – $459.29 | 10 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $144.65 | $263.00 | $9.00 – $27.61 | 11 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $17.05 | $31.00 | $22.23 – $35.46 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $65.45 | $119.00 | $9.00 – $28.23 | 11 |
| Mayo brcmg brucella antibody igm CPT 86622 | $168.85 | $307.00 | $6.00 – $19.11 | 11 |
| Mayo c1 esterase inhibitor CPT 83883 | $142.45 | $259.00 | $10.00 – $29.10 | 11 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $264.00 | $480.00 | $22.23 – $35.46 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $156.20 | $284.00 | $12.00 – $36.10 | 11 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $289.85 | $527.00 | $26.78 – $57.31 | 10 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $261.55 | 10 |
| Mayo ceruloplasmin CPT 82390 | $109.45 | $199.00 | $8.00 – $22.98 | 11 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $347.60 | $632.00 | $14.12 – $30.22 | 11 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $307.45 | $559.00 | $9.00 – $27.56 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $52.25 | $95.00 | $8.00 – $25.29 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $54.45 | $99.00 | $9.00 – $27.14 | 11 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $151.25 | $275.00 | $116.49 – $249.29 | 10 |
| Mayo chromium CPT 82495 | $75.35 | $137.00 | $14.00 – $43.40 | 11 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $175.45 | $319.00 | $18.56 – $35.46 | 2 |
| Mayo coccidioides antibody CPT 86635 | $133.65 | $243.00 | $8.00 – $24.55 | 11 |
| Mayo cocou cortisone urine CPT 82542 | $1,050.50 | $1,910.00 | $22.71 – $51.55 | 11 |
| Mayo cortisol free CPT 82530 | $176.55 | $321.00 | $12.00 – $35.76 | 11 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $198.00 | $360.00 | $37.92 – $90.16 | 10 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $45.65 | $83.00 | $9.00 – $25.94 | 11 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $271.70 | $494.00 | $24.25 – $24.25 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $193.60 | $352.00 | not published | 0 |
| Mayo cyanide CPT 82600 | not published | not published | $14.00 – $41.52 | 11 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $50.78 – $752.69 | 10 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $142.45 | $259.00 | $9.00 – $28.36 | 11 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $191.95 | $349.00 | $18.00 – $54.08 | 11 |
| Mayo dihydrotestosterone CPT 82642 | $74.25 | $135.00 | $29.28 – $62.66 | 10 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $20.63 | 11 |
| Mayo efpo chloride stool CPT 82438 | $60.50 | $110.00 | $3.00 – $10.70 | 11 |
| Mayo estriol CPT 82677 | $92.95 | $169.00 | $24.18 – $51.75 | 11 |
| Mayo estrone CPT 82679 | $84.70 | $154.00 | $18.00 – $53.39 | 11 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $168.85 | $307.00 | $12.00 – $34.97 | 11 |
| Mayo everolimus therapeutic drug level CPT 80169 | $145.20 | $264.00 | $13.73 – $29.38 | 10 |
| Mayo factor ii CPT 85210 | $257.95 | $469.00 | $9.00 – $27.78 | 11 |
| Mayo factor v CPT 85220 | $275.00 | $500.00 | $12.00 – $37.77 | 11 |
| Mayo factor vii CPT 85230 | $275.00 | $500.00 | $13.00 – $38.31 | 11 |
| Mayo factor viii vw factor antigen CPT 85246 | $367.40 | $668.00 | $16.00 – $49.09 | 11 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $152.90 | $278.00 | $16.00 – $49.09 | 11 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $374.55 | $681.00 | $16.00 – $49.09 | 11 |
| Mayo factor x CPT 85260 | $275.00 | $500.00 | $13.00 – $38.31 | 11 |
| Mayo factor xi CPT 85270 | $154.00 | $280.00 | $13.00 – $38.31 | 11 |
| Mayo fat/lipids feces quantitative CPT 82710 | $116.05 | $211.00 | $12.00 – $35.95 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $375.10 | $682.00 | $6.00 – $43.78 | 11 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $10.00 – $172.18 | 11 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.00 – $16.73 | 11 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $6.00 – $30.94 | 11 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $233.75 | $425.00 | $16.28 – $46.37 | 10 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,469.05 | $2,671.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $84.15 | $153.00 | $3.00 – $10.16 | 11 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $1,384.90 | $2,518.00 | $35.09 – $75.09 | 11 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $75.09 | 11 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $66.55 | $121.00 | $9.00 – $29.51 | 11 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $211.75 | $385.00 | $18.00 – $55.23 | 11 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $64.35 | $117.00 | $6.00 – $19.02 | 11 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $397.10 | $722.00 | $10.00 – $28.93 | 11 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $131.45 | $239.00 | $27.17 – $58.14 | 11 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $508.75 | $925.00 | $16.28 – $36.96 | 11 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $127.05 | $231.00 | $11.00 – $32.08 | 11 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $267.30 | $486.00 | $15.00 – $44.53 | 11 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $266.75 | $485.00 | $20.81 – $44.53 | 11 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $31.58 – $75.09 | 9 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $565.95 | $1,029.00 | $14.00 – $34.39 | 11 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $1,337.60 | $2,432.00 | $11.98 – $25.64 | 10 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $1,049.40 | $1,908.00 | $35.09 – $75.09 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $162.80 | $296.00 | $31.58 – $75.09 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $419.65 | $763.00 | $35.09 – $75.09 | 11 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $31.58 – $75.09 | 9 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $386.10 | $702.00 | $30.00 – $91.68 | 11 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $64.97 – $154.49 | 10 |
| Mayo infliximab therapeutic drug level CPT 80230 | $339.35 | $617.00 | $34.71 – $82.54 | 9 |
| Mayo inhab inhibin a CPT 86336 | $200.20 | $364.00 | $15.59 – $33.36 | 11 |
| Mayo insft insulin free CPT 83527 | $37.40 | $68.00 | $9.00 – $27.71 | 11 |
| Mayo insulin antibodies CPT 86337 | $188.10 | $342.00 | $15.00 – $45.82 | 11 |
| Mayo iodine CPT 83789 | $521.95 | $949.00 | $13.00 – $51.60 | 11 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $24.40 – $58.02 | 10 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $157.30 | $286.00 | $24.40 – $58.02 | 9 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $337.15 | $613.00 | $13.25 – $28.36 | 10 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $97.35 | $177.00 | $9.00 – $27.37 | 11 |
| Mayo legionella antibody CPT 86713 | $152.35 | $277.00 | $11.00 – $32.74 | 11 |
| Mayo leptospira antibody igm CPT 86720 | $148.50 | $270.00 | $9.00 – $34.67 | 11 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $24.10 | 10 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $39.05 | $71.00 | $11.00 – $33.15 | 11 |
| Mayo manganese CPT 83785 | $119.90 | $218.00 | $17.00 – $57.03 | 11 |
| Mayo metanephrines plasma CPT 83835 | $488.95 | $889.00 | $12.00 – $36.25 | 11 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $175.45 | $319.00 | $20.00 – $35.46 | 2 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $711.15 | $1,293.00 | $12.05 – $25.79 | 10 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $50.60 | $92.00 | $16.56 – $39.38 | 10 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $184.80 | $336.00 | $10.00 – $31.14 | 11 |
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.