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 |
|---|---|---|---|---|
| Postpartum Care Only CPT 59430 | not published | not published | $273.39 – $4,386.82 | 3 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $7,711.00 | $14,020.00 | $604.50 – $731.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $67.10 | $122.00 | $3.00 – $10.12 | 11 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.20 – $0.33 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.36 – $12.48 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $46.75 | $85.00 | $3.00 – $10.19 | 11 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $4.32 – $4.62 | 2 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $7.41 – $7.92 | 2 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $11.55 – $12.35 | 2 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $9.14 – $9.77 | 2 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $4.68 – $5.01 | 2 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $7.52 – $8.03 | 2 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $7.65 – $8.18 | 2 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $123.30 – $293.18 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $915.20 | $1,664.00 | $108.32 – $407.00 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,242.90 | $4,078.00 | $83.34 – $150.12 | 3 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,365.50 | $15,210.00 | $720.06 – $14,934.65 | 10 |
| Pq thr inj ext pse CPT 36002 | $896.50 | $1,630.00 | $156.83 – $1,579.00 | 11 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $314.18 – $7,185.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $7,587.25 | $13,795.00 | $656.31 – $7,185.00 | 11 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,460.30 | $11,746.00 | $617.35 – $7,185.00 | 11 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $386.12 – $752.94 | 11 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $104.04 – $142.40 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $8,603.65 | $15,643.00 | $1,055.86 – $6,734.39 | 12 |
| Pr application of long arm splint CPT 29105 | $563.20 | $1,024.00 | $63.93 – $334.46 | 10 |
| Pr application splint static short arm CPT 29125 | $606.10 | $1,102.00 | $61.02 – $273.84 | 10 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $4.36 | $7.92 | $6.67 – $76.88 | 10 |
| Pr biopsy skin punch single lesion CPT 11104 | $491.70 | $894.00 | $71.05 – $836.68 | 10 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $15,156.90 | $27,558.00 | $921.39 – $26,424.41 | 12 |
| Pr correction hammertoe CPT 28285 | $9,259.80 | $16,836.00 | $592.58 – $6,734.39 | 12 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $38.50 | $70.00 | $18.10 – $77.12 | 10 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $432.34 – $4,386.82 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,743.95 | $4,989.00 | $370.14 – $4,386.82 | 3 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,938.55 | $7,161.00 | $235.50 – $7,255.07 | 12 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $298.10 | $542.00 | $54.58 – $412.94 | 10 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $113.20 – $123.81 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $160.13 – $174.91 | 2 |
| Prealbumin CPT 84134 | $99.00 | $180.00 | $10.00 – $31.22 | 11 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $12.45 – $13.14 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $28.12 – $29.65 | 2 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.95 – $0.95 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.55 – $0.77 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.02 | 4 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $225.71 – $483.02 | 10 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $210.34 – $1,330.59 | 9 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $140.02 – $1,330.59 | 9 |
| Pregabalin - sendout CPT 80366 | $15.95 | $29.00 | $22.23 – $35.46 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,025.65 | $3,683.00 | $302.25 – $3,949.47 | 12 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $32.21 | 10 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $779.90 | $1,418.00 | $100.55 – $215.17 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $794.75 | $1,445.00 | $100.55 – $215.17 | 11 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $150.19 – $150.19 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $660.63 – $4,386.82 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $207.67 – $467.10 | 9 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $358.89 – $795.90 | 9 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $358.89 – $795.90 | 9 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $3,094.56 – $6,622.36 | 10 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,391.89 – $7,258.64 | 10 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $3,134.29 – $6,707.38 | 10 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,455.29 – $7,394.32 | 10 |
| Preparation for bladder xray CPT 51605 | not published | not published | $58.52 – $604.50 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $164.87 – $1,110.04 | 10 |
| Prepare donor heart CPT 33944 | not published | not published | $498.45 – $4,386.82 | 3 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $638.47 – $4,386.82 | 3 |
| Prepare donor intestine CPT 44715 | not published | not published | $547.63 – $4,386.82 | 3 |
| Prepare donor lung double CPT 32856 | not published | not published | $551.11 – $4,386.82 | 3 |
| Prepare donor lung single CPT 32855 | not published | not published | $447.71 – $4,386.82 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $39.36 – $107.25 | 8 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $109.29 – $4,386.82 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Prepare penis study CPT 54230 | not published | not published | $121.23 – $604.50 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $282.79 – $604.50 | 2 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,606.10 – $5,577.05 | 10 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,430.65 – $5,201.59 | 10 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,088.64 – $4,469.69 | 10 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,425.89 – $5,191.40 | 10 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $330.31 – $4,386.82 | 3 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $190.76 – $604.50 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $577.42 – $4,386.82 | 3 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $412.58 – $4,386.82 | 3 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $734.31 – $4,386.82 | 3 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $577.06 – $4,386.82 | 3 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $757.42 – $4,386.82 | 3 |
| Prep donor liver/venous CPT 47146 | not published | not published | $494.10 – $4,386.82 | 3 |
| Prep donor liver whole CPT 47143 | not published | not published | $547.63 – $4,386.82 | 3 |
| Prep donor pancreas CPT 48551 | not published | not published | $377.45 – $4,386.82 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $355.47 – $4,386.82 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $297.65 – $4,386.82 | 3 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,386.82 – $14,606.52 | 9 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $248.77 – $604.50 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $825.91 – $1,767.45 | 8 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $286.75 – $4,386.82 | 3 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $271.69 – $4,386.82 | 3 |
| Prep renal graft/venous CPT 50327 | not published | not published | $327.02 – $4,386.82 | 3 |
| Prep skin to 100cm2 other CPT 15004 | $1,714.90 | $3,118.00 | $390.97 – $2,100.00 | 12 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,714.90 | $3,118.00 | $331.54 – $3,292.61 | 12 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,259.50 | $2,290.00 | $68.15 – $991.00 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $600.60 | $1,092.00 | $123.75 – $273.81 | 9 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $320.35 – $4,386.82 | 3 |
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.