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 |
|---|---|---|---|---|
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $32.28 – $62.95 | 11 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.99 – $4.94 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.49 – $0.74 | 4 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $382.95 – $1,933.00 | 3 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.55 – $2.25 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $253.00 | $460.00 | $6.00 – $18.10 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $537.35 | $977.00 | $8.00 – $22.60 | 11 |
| Metabolic panel ionized ca CPT 80047 | $256.30 | $466.00 | $13.73 – $29.38 | 10 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $4,119.99 | 10 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $673.92 – $673.92 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.41 – $2.61 | 4 |
| Methadone injection HCPCS J1230 | not published | not published | $23.84 – $33.46 | 4 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.33 – $0.51 | 2 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $7.25 – $10.17 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.23 – $0.44 | 4 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.94 – $4.98 | 4 |
| Methotrexate therapeutic drug level CPT 80204 | $520.85 | $947.00 | $34.71 – $82.54 | 10 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $155.61 – $155.61 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $82.13 – $82.13 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $8.64 – $28.92 | 10 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $24.27 – $34.06 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.41 – $2.17 | 2 |
| Methylphenidate CPT 80360 | $15.95 | $29.00 | $22.23 – $35.46 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.27 – $0.39 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.13 – $0.18 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.29 – $0.40 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.29 – $1.80 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.04 | 4 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $195.08 | 11 |
| Mgmt promoter methylation analysis CPT 81287 | $2,406.80 | $4,376.00 | $74.78 – $266.73 | 10 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.32 – $1.25 | 4 |
| Microalbumin urine screen CPT 82044 | $8.58 | $15.60 | $5.00 – $13.33 | 11 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $7.00 – $85.96 | 11 |
| Microdissection laser CPT 88380 | not published | not published | $11.34 – $167.31 | 3 |
| Microdissection manual CPT 88381 | not published | not published | $95.11 – $256.69 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $21.22 – $48.11 | 10 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,634.16 – $12,057.10 | 10 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $745.92 | 10 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $326.86 – $604.50 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $123.75 – $281.63 | 10 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $4,386.82 – $6,750.90 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.15 – $0.23 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.19 – $0.46 | 4 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $80.47 – $215.17 | 11 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $45.15 – $70.63 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.79 – $2.56 | 4 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $653.22 – $1,397.89 | 10 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.74 – $5.85 | 10 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.48 – $0.76 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $78.16 – $233.39 | 11 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.99 – $140.38 | 11 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $1.59 | 2 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,991.60 – $7,113.36 | 10 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $29.18 – $104.05 | 11 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $329.94 – $643.38 | 11 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $29.70 – $71.58 | 11 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mlh1 gene CPT 81288 | $2,248.40 | $4,088.00 | $143.68 – $411.56 | 9 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $171.61 – $433.14 | 10 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $581.62 – $1,445.36 | 10 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $233.15 – $708.34 | 9 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.01 – $36.40 | 9 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.86 – $10.40 | 9 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,594.00 – $26,424.41 | 12 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $81.17 – $179.11 | 10 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $638.00 | $1,160.00 | $128.33 – $604.50 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $1,900.25 | $3,455.00 | $226.78 – $604.50 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $215.78 – $604.50 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $6,667.65 | $12,123.00 | $298.57 – $3,309.55 | 12 |
| Mnpj elbow under anes CPT 24300 | $7,334.80 | $13,336.00 | $671.77 – $3,359.00 | 11 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $364.09 – $3,193.45 | 10 |
| Mnt subs tx for change dx HCPCS G0270 | $72.05 | $131.00 | $21.26 – $45.50 | 10 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $804.84 – $1,722.36 | 10 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $181.58 – $4,386.82 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $58.90 – $273.84 | 10 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $873.43 – $4,386.82 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $2,432.10 | $4,422.00 | $10.85 – $80.74 | 9 |
| Molded inner boot HCPCS L2280 | not published | not published | $520.33 – $1,113.51 | 10 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,480.09 – $7,447.39 | 10 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,069.47 – $10,848.67 | 10 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,872.71 – $4,007.60 | 10 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,333.68 – $11,414.08 | 10 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $4.75 – $66.38 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $22.12 | 11 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $362.18 – $775.07 | 10 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $435.18 – $931.29 | 10 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $23,210.23 – $49,669.89 | 10 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,982.40 | $12,695.28 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $565.28 – $1,173.35 | 11 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $128.05 – $274.02 | 8 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $57.56 – $136.87 | 10 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $135.30 – $321.71 | 10 |
| Mopath procedure level 5 CPT 81404 | $2,825.35 | $5,137.00 | $247.35 – $588.14 | 10 |
| Mopath procedure level 6 CPT 81405 | $1,927.61 | $3,504.75 | $271.22 – $644.89 | 10 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $254.59 – $605.36 | 10 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $761.64 – $1,811.02 | 10 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,800.00 – $4,280.00 | 10 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $5.28 – $7.67 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $7.57 – $12.20 | 4 |
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.