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 |
|---|---|---|---|---|
| Perq transcath closure pda CPT 93582 | not published | not published | $986.11 – $37,729.94 | 10 |
| Perq transcath cls aortic CPT 93591 | $12,623.60 | $22,952.00 | $1,331.26 – $37,729.94 | 10 |
| Perq transcath cls mitral CPT 93590 | $12,623.60 | $22,952.00 | $1,617.81 – $37,729.94 | 10 |
| Perq transcath septal reduxn CPT 93583 | $9,765.80 | $17,756.00 | $1,106.26 – $2,951.70 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $866.62 – $4,386.82 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $12,335.40 | $22,428.00 | $416.41 – $6,734.39 | 12 |
| Perq tx malar fracture CPT 21355 | $7,873.80 | $14,316.00 | $501.16 – $6,823.84 | 12 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $671.49 – $12,184.12 | 12 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,150.06 – $6,823.84 | 12 |
| Pertussis ag if CPT 87265 | not published | not published | $9.00 – $25.64 | 11 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.20 – $33.54 | 11 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.90 – $116.80 | 11 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $107.30 – $114.73 | 2 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $43.13 – $46.12 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,946.80 | $7,176.00 | $1,005.00 – $2,943.10 | 11 |
| Pet CT whole body initial CPT 78816 | $4,299.90 | $7,818.00 | $1,005.00 – $2,943.10 | 11 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,559.05 | $6,471.00 | $710.43 – $2,943.10 | 10 |
| Pet image full body CPT 78813 | not published | not published | $944.67 – $2,943.10 | 11 |
| Pet image ltd area CPT 78811 | $5,229.95 | $9,509.00 | $731.39 – $2,664.63 | 11 |
| Pet image skull-thigh CPT 78812 | not published | not published | $923.66 – $2,943.10 | 11 |
| Pet image w/ct lmtd CPT 78814 | $3,598.65 | $6,543.00 | $1,005.00 – $2,943.10 | 11 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $384.49 – $822.80 | 9 |
| Pet scan brain perf study CPT 78609 | not published | not published | $109.78 – $1,005.00 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,794.86 | $3,263.38 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.61 – $41.97 | 9 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $28.55 – $61.10 | 9 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.10 – $21.61 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $428.92 – $6,734.39 | 12 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $36.23 – $36.23 | 1 |
| Ph body fluid CPT 83986 | $69.85 | $127.00 | $3.58 – $7.66 | 11 |
| Phencyclidine (pcp) CPT 83992 | $185.90 | $338.00 | $17.00 – $52.71 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $44.15 – $51.62 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $199.65 | $363.00 | $8.00 – $32.74 | 11 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $288.62 – $733.87 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.02 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.31 – $206.09 | 10 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.59 – $1.03 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $220.00 | $400.00 | $9.00 – $28.36 | 11 |
| Phlebotomy therapeutic CPT 99195 | $1,052.15 | $1,913.00 | $127.96 – $273.84 | 10 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $405.98 – $6,498.69 | 11 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $498.17 – $6,498.69 | 11 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $100.69 – $100.69 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $149.16 – $149.16 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $53.73 – $53.73 | 1 |
| Phosphorus CPT 84100 | $66.00 | $120.00 | $3.00 – $10.14 | 11 |
| Phosphorus 24 hour urine CPT 84105 | $64.35 | $117.00 | $4.00 – $12.37 | 11 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $56.74 – $170.51 | 10 |
| Photochemotherapy puva CPT 96912 | not published | not published | $56.74 – $145.11 | 10 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $219.83 – $836.68 | 10 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $34.94 – $604.50 | 3 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $75.38 – $604.50 | 3 |
| Photo patch test CPT 95052 | not published | not published | $9.07 – $121.42 | 10 |
| Photopheresis CPT 36522 | not published | not published | $144.88 – $8,964.44 | 10 |
| Photosensitivity tests CPT 95056 | not published | not published | $75.14 – $273.84 | 10 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $22.20 – $107.25 | 11 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $22.20 – $350.65 | 11 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $22.20 – $74.31 | 11 |
| Physician standby services CPT 99360 | not published | not published | $90.12 – $90.12 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $148.92 – $164.74 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.79 – $4.76 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $46.71 – $4,386.82 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $893.16 | $1,623.93 | $346.49 – $1,025.17 | 10 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $247.35 – $588.14 | 9 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $563.61 – $14,934.65 | 9 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $1,007.62 – $2,156.31 | 10 |
| Pin caspar distraction 12mm HCPCS C1821 | $6,653.34 | $12,096.98 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $2,031.15 | $3,693.00 | $604.50 – $2,100.00 | 12 |
| Pin finger dislocation CPT 26776 | $8,003.60 | $14,552.00 | $689.88 – $6,734.39 | 12 |
| Pin finger fracture each CPT 26756 | $11,171.05 | $20,311.00 | $650.91 – $6,734.39 | 12 |
| Pin hand dislocation CPT 26676 | $12,414.60 | $22,572.00 | $781.81 – $6,734.39 | 12 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $687.60 – $6,734.39 | 12 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $76.97 – $209.09 | 9 |
| Pinworm exam CPT 87172 | $99.55 | $181.00 | $3.00 – $9.14 | 11 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $9.14 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.28 – $1.94 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,240.09 | 11 |
| Place breast cath for rad CPT 19297 | $5,239.30 | $9,526.00 | $142.01 – $11,495.55 | 3 |
| Place breast rad tube/caths CPT 19298 | $6,025.80 | $10,956.00 | $484.67 – $28,363.78 | 12 |
| Place cath intracranial art CPT 36228 | $3,669.05 | $6,671.00 | $372.86 – $604.50 | 2 |
| Place cath xtrnl carotid CPT 36227 | $7,338.65 | $13,343.00 | $181.17 – $604.50 | 2 |
| Place cecostomy tube perc CPT 49442 | $3,438.05 | $6,251.00 | $310.99 – $5,316.00 | 11 |
| Place device/marker, non pro HCPCS C9728 | $2,590.50 | $4,710.00 | $1,331.21 – $2,848.80 | 9 |
| Place duod/jej tube perc CPT 49441 | $2,383.70 | $4,334.00 | $362.61 – $3,949.47 | 11 |
| Place endorectal app HCPCS C9725 | not published | not published | $894.41 – $1,914.03 | 10 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Place gastrostomy tube perc CPT 49440 | $2,179.10 | $3,962.00 | $305.49 – $3,949.47 | 11 |
| Placement bile duct support CPT 47801 | $3,029.40 | $5,508.00 | $1,189.00 – $4,386.82 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,223.10 | $4,042.00 | $149.45 – $3,399.30 | 11 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,913.45 | $3,479.00 | $74.96 – $604.50 | 2 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,978.90 | $3,598.00 | $127.62 – $1,579.00 | 11 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,283.50 | $5,970.00 | $307.38 – $6,535.00 | 11 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $73.15 | $133.00 | $72.65 – $731.00 | 3 |
| Placement of drain pancreas CPT 48001 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Placement of seton CPT 46020 | not published | not published | $177.16 – $5,712.83 | 12 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,996.80 | $18,176.00 | $658.58 – $23,760.10 | 10 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $512.41 – $7,185.00 | 11 |
| Place needles h&n for right CPT 41019 | not published | not published | $746.57 – $12,184.12 | 11 |
| Place needles pelvic for right CPT 55920 | not published | not published | $703.24 – $10,295.98 | 11 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,914.35 | $7,117.00 | $299.62 – $6,498.69 | 10 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $43.27 | 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.