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 |
|---|---|---|---|---|
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,670.46 – $12,184.12 | 9 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,154.58 – $12,184.12 | 10 |
| Opn tx orbit fx periorbital CPT 21386 | $8,221.40 | $14,948.00 | $1,047.85 – $12,184.12 | 10 |
| Opn tx orbit fx transantral CPT 21385 | $8,221.40 | $14,948.00 | $1,105.83 – $12,184.12 | 11 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,364.65 – $12,184.12 | 11 |
| Opn tx orbit fx w/implant CPT 21407 | $12,002.65 | $21,823.00 | $973.82 – $12,184.12 | 11 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $9,455.60 | $17,192.00 | $882.58 – $12,184.12 | 11 |
| Opn tx orbit periorbtl implt CPT 21390 | $8,595.95 | $15,629.00 | $1,216.25 – $12,184.12 | 11 |
| Opn tx orbit periorbt w/grft CPT 21395 | $8,221.40 | $14,948.00 | $1,523.44 – $12,184.12 | 10 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $401.31 – $858.80 | 9 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $868.75 – $868.75 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $22.09 – $121.42 | 10 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $34.36 – $121.42 | 10 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $11.44 – $72.22 | 3 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $29.24 – $29.24 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $10,711.80 | $19,476.00 | $992.87 – $14,934.65 | 12 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $8,219.20 | $14,944.00 | $875.32 – $14,934.65 | 12 |
| Optx acute shoulder dislc CPT 23660 | $14,067.35 | $25,577.00 | $895.26 – $14,934.65 | 12 |
| Optx carpl scphd fx int fixj CPT 25628 | $13,637.80 | $24,796.00 | $1,099.03 – $14,934.65 | 12 |
| Optx clavicular fx w/int fix CPT 23515 | $26,146.45 | $47,539.00 | $1,099.59 – $14,934.65 | 12 |
| Optx complicated mndblr fx CPT 21470 | $9,455.60 | $17,192.00 | $1,769.09 – $12,184.12 | 11 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,618.90 – $12,184.12 | 9 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,071.32 – $12,184.12 | 9 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $3,076.73 – $12,184.12 | 9 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,126.27 – $12,184.12 | 9 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $18,665.90 | $33,938.00 | $875.21 – $6,734.39 | 12 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $26,146.45 | $47,539.00 | $1,191.65 – $14,934.65 | 12 |
| Optx lunate dislocation CPT 25695 | $12,829.30 | $23,326.00 | $970.75 – $14,934.65 | 12 |
| Optx medial ankle fx CPT 27766 | $18,002.05 | $32,731.00 | $922.69 – $14,934.65 | 12 |
| Optx mndblr cndylr fx CPT 21465 | $10,905.40 | $19,828.00 | $1,218.36 – $12,184.12 | 12 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,578.77 – $12,184.12 | 12 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $745.07 – $12,184.12 | 12 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $938.57 – $12,184.12 | 12 |
| Optx palatal/max fracture CPT 21422 | $7,473.95 | $13,589.00 | $944.60 – $12,184.12 | 10 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,202.85 – $12,184.12 | 9 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $30,606.40 | $55,648.00 | $1,655.41 – $26,424.41 | 12 |
| Optx post ankle fx CPT 27769 | $9,081.60 | $16,512.00 | $1,107.77 – $14,934.65 | 11 |
| Optx prox humrl fx w/int fix CPT 23615 | $12,734.70 | $23,154.00 | $1,345.52 – $26,424.41 | 12 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $13,527.80 | $24,596.00 | $1,594.00 – $36,087.88 | 12 |
| Optx radial shaft fracture CPT 25515 | $13,058.10 | $23,742.00 | $1,026.17 – $14,934.65 | 12 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $8,762.60 | $15,932.00 | $966.35 – $14,934.65 | 12 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $12,829.30 | $23,326.00 | $930.15 – $14,934.65 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $12,564.20 | $22,844.00 | $1,206.96 – $14,934.65 | 12 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $6,107.20 | $11,104.00 | $1,457.80 – $14,934.65 | 12 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $25,144.90 | $45,718.00 | $1,378.57 – $14,934.65 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $17,857.40 | $32,468.00 | $1,032.31 – $14,934.65 | 12 |
| Optx scapular fx w/int fixj CPT 23585 | $14,804.35 | $26,917.00 | $1,459.00 – $14,934.65 | 12 |
| Optx sho dislc fx CPT 23670 | $28,761.70 | $52,294.00 | $1,329.98 – $14,934.65 | 12 |
| Optx sho dislc neck fx fixj CPT 23680 | $11,971.85 | $21,767.00 | $1,403.32 – $26,424.41 | 12 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $958.17 – $14,934.65 | 12 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $880.79 – $14,934.65 | 12 |
| Optx thigh fx CPT 27269 | not published | not published | $1,411.00 – $14,934.65 | 9 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,201.11 – $6,823.84 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,123.36 – $14,934.65 | 12 |
| Optx ulnar shft fx int fixj CPT 25545 | $18,002.05 | $32,731.00 | $956.23 – $14,934.65 | 12 |
| Optx ulnar styloid fracture CPT 25652 | $16,073.20 | $29,224.00 | $953.93 – $14,934.65 | 11 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.47 – $6.95 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $225.63 | 10 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.30 – $4.52 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $25.64 | 10 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $474.04 – $924.37 | 10 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $898.23 – $7,255.07 | 12 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,088.88 – $7,369.13 | 10 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $660.17 – $7,369.13 | 12 |
| Organic acids total quant ea spec CPT 83918 | $310.75 | $565.00 | $12.00 – $50.50 | 11 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $47.41 – $92.45 | 11 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $29.73 – $57.97 | 11 |
| Oropharyngeal biopsy 42800 CPT 42800 | $4,074.40 | $7,408.00 | $177.67 – $3,193.45 | 10 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $14.06 – $19.72 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.55 – $64.09 | 10 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $223.55 | $406.45 | $324.71 – $694.88 | 10 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $562.31 – $1,203.34 | 10 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,441.77 – $3,085.39 | 10 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $542.00 | $985.46 | $787.21 – $1,684.63 | 10 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $209.68 | $381.23 | $304.55 – $651.74 | 10 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $248.66 | $452.11 | $361.14 – $772.84 | 10 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.75 – $254.12 | 10 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $304.55 – $651.74 | 10 |
| Orthopantogram CPT 70355 | not published | not published | $12.42 – $179.11 | 11 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $77.43 | 9 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $51.56 – $62.95 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $37.81 – $121.42 | 9 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.84 – $134.48 | 9 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.27 – $84.04 | 9 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $77.43 | 9 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.84 – $110.94 | 9 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $160.94 – $344.41 | 10 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $511.39 – $1,094.37 | 10 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $100.33 – $214.58 | 11 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $258.71 | $470.39 | $375.75 – $804.10 | 10 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,115.05 – $2,386.21 | 10 |
| Oscillation chest wall mechanical per session CPT 94669 | $174.90 | $318.00 | $29.63 – $450.70 | 10 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.27 – $84.04 | 9 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $60.48 | 9 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.25 – $225.24 | 9 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $171.50 | 9 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $23.58 | 9 |
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.