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 mitotane (lysodren) therapeutic drug level CPT 80299 | $413.05 | $751.00 | $10.00 – $39.89 | 11 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,637.90 | $2,978.00 | $123.30 – $293.18 | 10 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $166.68 – $396.33 | 10 |
| Mayo muramidase CPT 85549 | $46.20 | $84.00 | $13.00 – $40.12 | 11 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $26.95 | $49.00 | $16.56 – $39.38 | 10 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $66.00 | $120.00 | $18.05 – $38.63 | 10 |
| Mayo myoglobin CPT 83874 | $147.95 | $269.00 | $9.00 – $27.65 | 11 |
| Mayo nickel CPT 83885 | not published | not published | $17.00 – $52.45 | 11 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $178.75 | $325.00 | $31.48 – $35.46 | 2 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $188.10 | $342.00 | $22.23 – $35.46 | 2 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $779.90 | $1,418.00 | $22.23 – $35.46 | 2 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $460.35 | $837.00 | $12.00 – $45.39 | 11 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $12.00 – $35.20 | 11 |
| Mayo oxalate 24 hour urine CPT 83945 | $92.95 | $169.00 | $9.00 – $30.92 | 11 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $24.67 | 10 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $213.40 | $388.00 | $11.00 – $32.16 | 11 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $608.30 | $1,106.00 | $12.05 – $25.79 | 11 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $562.65 | $1,023.00 | $25.00 – $75.09 | 10 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $863.50 | $1,570.00 | $17.98 – $38.48 | 10 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $115.50 | $210.00 | $10.00 – $29.45 | 11 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $118.80 | $216.00 | $6.00 – $18.06 | 11 |
| Mayo pregnenolone CPT 84140 | $101.20 | $184.00 | $15.00 – $44.23 | 11 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $130.90 | $238.00 | $12.00 – $35.50 | 11 |
| Mayo proinsulin CPT 84206 | $139.70 | $254.00 | $13.00 – $57.12 | 11 |
| Mayo psaft prostate specific antigen free CPT 84154 | $178.75 | $325.00 | $18.39 – $39.35 | 11 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,614.80 | $2,936.00 | $10.00 – $39.38 | 11 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $9.00 – $28.59 | 11 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $26.00 – $78.26 | 11 |
| Mayo renin CPT 84244 | $150.15 | $273.00 | $16.00 – $47.06 | 11 |
| Mayo repu protein electrophoresis urine CPT 84166 | $260.15 | $473.00 | $17.83 – $38.16 | 10 |
| Mayo selenium CPT 84255 | $44.00 | $80.00 | $18.00 – $54.63 | 11 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $33.17 | 10 |
| Mayo serotonin CPT 84260 | $183.70 | $334.00 | $22.00 – $66.30 | 11 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $109.45 | $199.00 | $14.00 – $41.41 | 11 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $805.20 | $1,464.00 | $13.73 – $29.38 | 10 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | $92.03 – $196.94 | 8 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $190.85 | $347.00 | $3.00 – $9.14 | 11 |
| Mayo tau phosphorylated 217 each CPT 84393 | $137.50 | $250.00 | $128.92 – $275.89 | 8 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $447.09 | 10 |
| Mayo tgrp testosterone free CPT 84402 | $91.30 | $166.00 | $25.47 – $54.51 | 11 |
| Mayo tgrp testosterone total CPT 84403 | $283.25 | $515.00 | $25.81 – $55.23 | 11 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $259.60 | $472.00 | $19.95 – $47.44 | 10 |
| Mayo thyroglobulin CPT 84432 | $140.80 | $256.00 | $11.00 – $34.37 | 11 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $143.00 | $260.00 | $7.00 – $21.79 | 11 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $145.75 | $265.00 | $9.00 – $26.51 | 11 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $171.05 | $311.00 | $22.23 – $35.46 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $109.74 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $102.85 | $187.00 | $7.00 – $30.30 | 11 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $65.45 | $119.00 | $13.54 – $28.98 | 10 |
| Mayo vasoactive intestinal peptide CPT 84586 | $268.40 | $488.00 | $25.00 – $75.61 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $548.90 | $998.00 | $14.00 – $43.31 | 11 |
| Mayo vitamin b3 (niacin) CPT 84591 | $266.75 | $485.00 | $8.00 – $36.51 | 11 |
| Mayo vitamin k CPT 84597 | $160.05 | $291.00 | $10.00 – $29.36 | 11 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $171.60 | $312.00 | $13.25 – $28.36 | 10 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mcoln1 gene CPT 81290 | not published | not published | $35.38 – $84.12 | 10 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $770.68 – $6,734.39 | 12 |
| Mcp joint arthroscopy surg CPT 29901 | $5,123.25 | $9,315.00 | $826.49 – $6,734.39 | 12 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $876.72 – $3,309.55 | 12 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $30.60 – $30.60 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,385.12 – $7,293.65 | 11 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $13.47 – $13.47 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $11.82 – $13.42 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $28.63 – $928.55 | 10 |
| Measure kidney pressure CPT 50396 | $2,116.40 | $3,848.00 | $174.86 – $1,579.00 | 12 |
| Measurement post void urine by ultrasound CPT 51798 | $163.90 | $298.00 | $16.24 – $121.42 | 10 |
| Measure ureter pressure CPT 50686 | not published | not published | $123.75 – $281.63 | 10 |
| Mecasermin injection HCPCS J2170 | not published | not published | $248.77 – $386.01 | 2 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $420.79 – $900.49 | 10 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $508.70 – $508.70 | 1 |
| #mec-opiates CPT 80356 | $175.45 | $319.00 | $22.23 – $35.46 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $135.00 – $321.00 | 10 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $475.08 – $1,129.64 | 10 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $108.00 – $256.80 | 9 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $77.72 – $77.72 | 1 |
| Medial canthopexy CPT 21280 | $8,221.40 | $14,948.00 | $886.88 – $6,823.84 | 11 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $604.88 – $12,442.83 | 10 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $463.04 – $12,442.83 | 10 |
| Medical services after hrs CPT 99050 | not published | not published | $26.79 – $26.79 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $358.89 – $1,300.33 | 10 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.65 – $0.85 | 2 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $26.79 – $26.79 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $26.79 – $26.79 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.29 – $0.31 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $624.30 – $963.75 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $825.91 – $1,767.45 | 10 |
| Meg spontaneous CPT 95965 | not published | not published | $825.91 – $2,303.47 | 10 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.62 – $15.05 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $119.69 – $590.74 | 11 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $119.69 – $233.39 | 11 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $29.99 – $54.14 | 4 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $119.69 – $276.99 | 11 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $69,113.10 – $95,028.69 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $119.69 – $604.29 | 11 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $107.72 – $233.39 | 10 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $72.16 – $233.39 | 11 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $242.29 – $242.29 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | $7,091.15 | $12,893.00 | $2,530.96 – $14,934.65 | 10 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $11.56 – $16.22 | 4 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $6.23 – $6.23 | 1 |
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.