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 |
|---|---|---|---|---|
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.41 – $11.83 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $11.19 – $18.46 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1,271.72 | $2,312.22 | $163.86 – $355.04 | 10 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $682.55 | $1,241.00 | $31.34 – $737.75 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $487.30 | $886.00 | $31.34 – $350.65 | 10 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $674.50 – $1,315.27 | 11 |
| Motion analysis video/3d CPT 96000 | not published | not published | $128.18 – $822.43 | 10 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $168.16 – $1,767.45 | 10 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $44.53 – $919.44 | 10 |
| Mouth piece HCPCS A4617 | not published | not published | $6.95 – $6.95 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $6,024.70 | $10,954.00 | $427.23 – $6,823.84 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $35.40 – $87.21 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,084.60 | $1,972.00 | $163.86 – $479.56 | 10 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $43.77 – $171.90 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $31.34 – $350.65 | 11 |
| Mpl gene analysis common variants CPT 81338 | $1,137.40 | $2,068.00 | $135.30 – $321.71 | 10 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $14.00 – $42.91 | 11 |
| M.pneumon dna quant CPT 87582 | not published | not published | $47.00 – $647.61 | 10 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $242.52 – $242.52 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $377.92 – $538.87 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $373.13 – $532.76 | 2 |
| MRA chest w IV cont HCPCS C8909 | $1,992.10 | $3,622.00 | $335.54 – $718.05 | 9 |
| MRA chest wo IV cont HCPCS C8910 | $1,731.95 | $3,149.00 | $229.48 – $491.09 | 9 |
| MRA chest wwo IV cont HCPCS C8911 | $2,041.05 | $3,711.00 | $335.54 – $718.05 | 9 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $375.52 – $538.96 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $379.84 – $541.46 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | $1,792.45 | $3,259.00 | $335.54 – $718.05 | 9 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,731.95 | $3,149.00 | $229.48 – $491.09 | 9 |
| MRA spinal canal CPT 72159 | not published | not published | $389.42 – $545.69 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $389.42 – $521.01 | 2 |
| MRA w/cont, abd HCPCS C8900 | $1,992.10 | $3,622.00 | $335.54 – $718.05 | 9 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,792.45 | $3,259.00 | $335.54 – $718.05 | 9 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $335.54 – $718.05 | 9 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $335.54 – $718.05 | 9 |
| MRA without cont, abd HCPCS C8901 | $1,774.85 | $3,227.00 | $229.48 – $491.09 | 9 |
| MRA without cont, lwr ext HCPCS C8913 | $1,574.65 | $2,863.00 | $229.48 – $491.09 | 9 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $229.48 – $491.09 | 9 |
| Mra, without dye, upper extr HCPCS C8935 | $1,792.45 | $3,259.00 | $229.48 – $491.09 | 9 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,211.55 | $4,021.00 | $335.54 – $718.05 | 9 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,910.15 | $3,473.00 | $335.54 – $718.05 | 9 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,870.55 | $3,401.00 | $335.54 – $718.05 | 9 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $335.54 – $718.05 | 9 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $335.54 – $718.05 | 9 |
| Mr elastography CPT 76391 | not published | not published | $222.74 – $491.09 | 10 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $4,386.82 – $22,933.75 | 8 |
| MRI brain w/dye CPT 70558 | not published | not published | $168.70 – $1,914.60 | 10 |
| MRI brain without dye CPT 70557 | not published | not published | $525.53 – $1,737.14 | 10 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $168.70 – $1,799.15 | 10 |
| MRI breast c- unilateral CPT 77046 | $1,373.90 | $2,498.00 | $217.47 – $491.09 | 10 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $354.96 – $538.56 | 2 |
| MRI breast without cont bi CPT 77047 | $2,080.65 | $3,783.00 | $216.04 – $491.09 | 10 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $351.61 – $549.23 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,022.90 | $3,678.00 | $229.48 – $491.09 | 10 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,036.65 | $3,703.00 | $335.54 – $718.05 | 10 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $428.28 – $1,613.46 | 10 |
| MRI chest without contrast CPT 71550 | $1,846.35 | $3,357.00 | $229.48 – $491.09 | 10 |
| MRI chest without & w/contrast CPT 71552 | $2,449.70 | $4,454.00 | $335.54 – $718.05 | 10 |
| MRI chest w IV cont CPT 71551 | not published | not published | $435.95 – $1,613.46 | 10 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,866.53 – $3,994.37 | 10 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $168.64 – $321.34 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $229.48 – $491.09 | 10 |
| MRI guid ndl plc s&i CPT 77021 | $1,977.80 | $3,596.00 | $511.70 – $653.00 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $599.06 – $622.15 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $2,229.70 | $4,054.00 | $280.21 – $718.05 | 10 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,104.85 | $3,827.00 | $229.48 – $491.09 | 10 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,314.40 | $4,208.00 | $335.54 – $718.05 | 10 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,488.30 | $2,706.00 | $229.48 – $491.09 | 10 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,016.75 | $5,485.00 | $335.54 – $718.05 | 10 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,120.25 | $3,855.00 | $287.88 – $718.05 | 10 |
| MRI tmj CPT 70336 | $2,171.40 | $3,948.00 | $229.48 – $491.09 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,262.15 | $4,113.00 | $229.48 – $491.09 | 10 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,346.85 | $4,267.00 | $335.54 – $718.05 | 10 |
| MRI upper extremity w/dye CPT 73219 | $2,325.40 | $4,228.00 | $335.54 – $718.05 | 10 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,288.55 | $4,161.00 | $335.54 – $718.05 | 9 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,422.85 | $2,587.00 | $168.70 – $361.01 | 9 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,461.80 | $4,476.00 | $335.54 – $718.05 | 9 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,562.55 | $2,841.00 | $335.54 – $718.05 | 9 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $83.70 – $179.11 | 8 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $56.74 – $121.42 | 8 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $27.82 – $59.53 | 8 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $229.48 – $491.09 | 8 |
| Mr spectroscopy CPT 76390 | $3,090.45 | $5,619.00 | $83.70 – $455.04 | 10 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $136.54 – $456.46 | 10 |
| Msh2 gene full seq CPT 81295 | not published | not published | $136.54 – $816.84 | 10 |
| Msh2 gene known variants CPT 81296 | not published | not published | $116.58 – $722.74 | 9 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $145.51 – $509.32 | 10 |
| Msh6 gene full seq CPT 81298 | not published | not published | $259.05 – $1,373.56 | 10 |
| Msh6 gene known variants CPT 81299 | not published | not published | $145.12 – $659.12 | 10 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $4,159.01 – $14,934.65 | 9 |
| Mthfr gene analy common variants CPT 81291 | $599.50 | $1,090.00 | $53.60 – $139.83 | 10 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $23.00 – $57.52 | 11 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $91.68 | 10 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.00 – $12.54 | 11 |
| Mucopolysaccharides CPT 83864 | not published | not published | $14.00 – $60.99 | 11 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $32.10 | 11 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $36.04 – $77.12 | 9 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,294.90 – $9,191.09 | 10 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $818.99 – $1,752.64 | 10 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $81.12 – $86.74 | 2 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $54.36 – $58.13 | 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.