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 |
|---|---|---|---|---|
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $141.26 | 9 |
| Osmolality blood CPT 83930 | $91.85 | $167.00 | $5.00 – $14.15 | 11 |
| Osmolality urine CPT 83935 | $91.85 | $167.00 | $5.00 – $14.59 | 11 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $489.96 – $6,734.39 | 12 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $880.25 – $6,734.39 | 12 |
| Osteoart algrft w/surf & b1 CPT 20932 | $7,705.50 | $14,010.00 | $604.50 – $731.00 | 2 |
| Osteochondral knee allograft CPT 27415 | $16,222.80 | $29,496.00 | $2,083.81 – $26,424.41 | 10 |
| Osteochondral knee autograft CPT 27416 | $8,780.20 | $15,964.00 | $1,491.64 – $14,934.65 | 11 |
| Osteochondral talus autogrft CPT 28446 | $11,421.85 | $20,767.00 | $1,860.56 – $14,934.65 | 11 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $49.50 | $90.00 | $20.77 – $71.07 | 10 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $60.59 | $110.16 | $20.77 – $89.70 | 10 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $72.47 | $131.76 | $20.77 – $107.42 | 10 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,459.00 – $14,934.65 | 12 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,457.61 – $14,934.65 | 9 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $541.09 – $604.50 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,404.32 – $14,934.65 | 9 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,673.05 – $14,934.65 | 9 |
| Osteot humerus w/wo int fixj CPT 24400 | $11,438.90 | $20,798.00 | $1,261.00 – $14,934.65 | 12 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,675.97 – $26,424.41 | 9 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,034.50 – $14,934.65 | 12 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $4.22 – $4.52 | 2 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $102.42 – $109.52 | 2 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $5.72 – $6.11 | 2 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $7.50 – $8.02 | 2 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $9.98 – $10.66 | 2 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $3.62 – $3.86 | 2 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $18.95 – $20.25 | 2 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $17.85 – $19.09 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $433.40 | $788.00 | $95.24 – $203.81 | 10 |
| Ot evaluation low complexity patient/family CPT 97165 | $240.90 | $438.00 | $95.24 – $203.81 | 10 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $314.05 | $571.00 | $95.24 – $203.81 | 10 |
| Other bone graft microvasc CPT 20962 | not published | not published | $4,035.72 – $14,934.65 | 9 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $49.50 | 11 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $18.64 – $76.88 | 10 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $14.82 – $59.53 | 10 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $62.70 | $114.00 | $46.42 – $99.34 | 10 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $157.85 | $287.00 | $42.91 – $91.83 | 10 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $105.60 | $192.00 | $26.25 – $56.18 | 10 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $71.50 | $130.00 | $13.94 – $39.04 | 2 |
| Otoplasty 69300 CPT 69300 | $5,377.90 | $9,778.00 | $715.23 – $6,823.84 | 11 |
| Ot re-evaluation patient/family CPT 97168 | $248.60 | $452.00 | $64.54 – $138.12 | 10 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $85.25 | $155.00 | $32.85 – $70.30 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $151.80 | $276.00 | $18.12 – $38.78 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $151.80 | $276.00 | $19.35 – $41.41 | 10 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $66.00 | $120.00 | $27.52 – $58.89 | 10 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $89.10 | $162.00 | $30.98 – $66.30 | 10 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $162.80 | $296.00 | $30.50 – $65.27 | 10 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Out of office emerg med serv CPT 99060 | not published | not published | $36.68 – $36.68 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $65.87 – $140.96 | 10 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $198.91 – $425.67 | 10 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,172.93 – $10,295.98 | 10 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $546.89 – $546.89 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $11.00 – $27.18 | 11 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.73 – $1.72 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.06 – $0.11 | 4 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $6.16 – $6.16 | 1 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.54 – $1.54 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.60 – $2.30 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $425.92 – $425.92 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $580.25 | $1,055.00 | $235.12 – $595.43 | 9 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $123.30 – $293.18 | 9 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $21,541.31 | $39,166.02 | not published | 0 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $3.92 – $4.19 | 2 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.15 – $0.20 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.59 – $23.47 | 11 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $254.59 – $1,447.71 | 9 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $271.22 – $644.89 | 9 |
| Palifermin injection HCPCS J2425 | not published | not published | $38.69 – $75.45 | 11 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $119.69 – $629.49 | 11 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $329.74 – $2,106.26 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $15.43 – $30.09 | 11 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $3,080.15 | 10 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.57 – $1.40 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $14.57 – $22.20 | 4 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pancreatectomy CPT 48146 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pancreatectomy CPT 48152 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pancreatectomy CPT 48154 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $182.19 – $355.27 | 11 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $4.78 – $4.78 | 1 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $39.38 – $61.59 | 2 |
| Parathormone (pth) intact CPT 83970 | $179.85 | $327.00 | $29.00 – $88.34 | 11 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,429.45 | $2,599.00 | $467.46 – $1,117.53 | 10 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $366.67 – $604.50 | 2 |
| Parathyroid planar imaging CPT 78070 | $894.30 | $1,626.00 | $257.00 – $822.80 | 11 |
| Parathyroid planar img w/tomo spect CPT 78071 | $989.45 | $1,799.00 | $381.24 – $822.80 | 10 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,275.70 – $10,295.98 | 10 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $30.83 – $39.55 | 2 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,378.25 – $13,666.71 | 12 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.92 – $1.29 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $412.50 | $750.00 | $23.96 – $412.94 | 10 |
| Parotid duct diversion CPT 42507 | not published | not published | $750.62 – $12,184.12 | 12 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,243.47 – $12,184.12 | 12 |
| Parotid duct diversion CPT 42510 | not published | not published | $924.12 – $6,823.84 | 12 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $1,331.11 – $14,934.65 | 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.