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 |
|---|---|---|---|---|
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $51.85 – $110.96 | 10 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $25.45 – $54.46 | 10 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,091.08 – $2,334.91 | 10 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $9.80 – $20.97 | 10 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.60 – $2.73 | 4 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $69.77 – $149.31 | 10 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.00 – $38.34 | 4 |
| Protein c activity CPT 85303 | $224.40 | $408.00 | $10.00 – $29.62 | 11 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.07 – $29.39 | 11 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $147.40 | $268.00 | $10.74 – $51.00 | 11 |
| Protein s total CPT 85305 | $157.30 | $286.00 | $8.00 – $24.85 | 11 |
| Protein total 24 hour urine CPT 84156 | $106.15 | $193.00 | $3.67 – $7.85 | 11 |
| Protein total body fluid CPT 84157 | $99.00 | $180.00 | $4.00 – $8.56 | 11 |
| Protein total serum plasma whole blood CPT 84155 | $99.00 | $180.00 | $3.67 – $7.85 | 11 |
| Protein western blot tissue CPT 88371 | not published | not published | $25.00 – $32.59 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.01 – $5.04 | 9 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $30.80 | $56.00 | $3.00 – $8.43 | 11 |
| Proton treatment complex CPT 77525 | not published | not published | $1,161.00 – $2,572.20 | 11 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,161.00 – $2,572.20 | 11 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $767.00 – $2,572.20 | 11 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $531.42 – $1,328.60 | 11 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $20.84 | 11 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $94.36 – $274.02 | 10 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $689.74 – $4,386.82 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $895.26 – $7,369.13 | 12 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $97.71 – $209.09 | 10 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $47.93 – $47.93 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $536.34 – $37,729.94 | 9 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $693.30 – $37,729.94 | 9 |
| Prq card angio/athrect addl CPT 92925 | $1,639.00 | $2,980.00 | $11,491.00 – $19,664.12 | 2 |
| Prq cardiac angio addl art CPT 92921 | $5,655.65 | $10,283.00 | $7,001.00 – $11,495.55 | 2 |
| Prq card revasc chronic addl CPT 92944 | $4,938.45 | $8,979.00 | $7,001.00 – $11,495.55 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $9,364.85 | $17,027.00 | $985.35 – $11,495.55 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $10,742.60 | $19,532.00 | $1,189.00 – $4,386.82 | 3 |
| Prq card stent/ath/angio CPT 92934 | $4,938.45 | $8,979.00 | $7,001.00 – $11,495.55 | 2 |
| Prq card stent w/angio addl CPT 92929 | $4,008.40 | $7,288.00 | $7,001.00 – $11,495.55 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $8,361.10 | $15,202.00 | $877.49 – $23,760.10 | 10 |
| Prq revasc byp graft addl CPT 92938 | $4,938.45 | $8,979.00 | $7,001.00 – $11,495.55 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $11,418.55 | $20,761.00 | $898.71 – $14,934.65 | 12 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,100.98 – $3,309.55 | 12 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $12,288.10 | $22,342.00 | $1,201.28 – $14,934.65 | 12 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $4,671.15 | $8,493.00 | $754.71 – $14,934.65 | 12 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $560.62 – $14,934.65 | 12 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $9,364.85 | $17,027.00 | $877.59 – $23,760.10 | 10 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $17,630.81 – $37,729.94 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | $9,364.85 | $17,027.00 | $984.24 – $37,729.94 | 10 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,102.85 – $23,760.10 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $7,789.65 | $14,163.00 | $788.76 – $11,714.30 | 10 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $8,501.35 | $15,457.00 | $940.79 – $23,760.10 | 10 |
| Prq trluml revsc ch occ ant CPT 92943 | $9,364.85 | $17,027.00 | $985.32 – $23,760.10 | 10 |
| Pr removal drug delivery implant CPT 11982 | $1,113.20 | $2,024.00 | $111.31 – $919.44 | 10 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $402.60 | $732.00 | $72.11 – $273.84 | 10 |
| Pr removal intrauterine device CPT 58301 | $564.85 | $1,027.00 | $101.44 – $1,579.00 | 11 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,163.80 | $2,116.00 | $286.70 – $836.68 | 10 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $714.45 | $1,299.00 | $84.93 – $412.94 | 10 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $771.65 | $1,403.00 | $89.04 – $412.94 | 10 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $715.00 | $1,300.00 | $68.46 – $412.94 | 10 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $737.00 | $1,340.00 | $90.11 – $412.94 | 10 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $10,278.40 | $18,688.00 | $1,080.70 – $4,246.62 | 12 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $62.66 – $62.66 | 1 |
| Prtl exc bone olecrn process CPT 24147 | $14,579.95 | $26,509.00 | $959.12 – $6,734.39 | 12 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $909.73 – $14,934.65 | 12 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $148.66 – $1,579.00 | 11 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,008.92 – $14,934.65 | 12 |
| Prtl excision bone scapula CPT 23182 | $11,443.30 | $20,806.00 | $1,025.89 – $14,934.65 | 12 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,500.95 | $2,729.00 | $235.55 – $3,239.91 | 11 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $25.33 – $25.33 | 1 |
| PSA (Prostate) Test CPT 84153 | $199.10 | $362.00 | $18.39 – $39.35 | 11 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $3.32 – $59.53 | 10 |
| Psychoanalysis CPT 90845 | not published | not published | $137.20 – $365.32 | 10 |
| Psychoeducation 45 min + HCPCS G0177 | $108.35 | $197.00 | $352.10 – $352.10 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $90.12 – $90.12 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $142.90 – $142.90 | 1 |
| Psychotherapy group therapy CPT 90853 | $796.95 | $1,449.00 | $38.06 – $209.09 | 10 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $223.85 | $407.00 | $108.45 – $365.32 | 10 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $353.65 | $643.00 | $143.39 – $365.32 | 10 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $321.20 | $584.00 | $170.71 – $365.32 | 10 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $170.25 – $544.95 | 10 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $119.10 – $121.47 | 2 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $227.70 | $414.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $49.31 – $919.44 | 10 |
| Psy evaluation of records CPT 90885 | not published | not published | $73.01 – $73.01 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $36.20 – $273.84 | 10 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $28.05 – $51.26 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $46.42 – $50.75 | 2 |
| Psytx complex interactive CPT 90785 | not published | not published | $20.58 – $20.85 | 2 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $100.92 – $106.36 | 2 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $127.77 – $135.16 | 2 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $169.19 – $179.41 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $136.40 | $248.00 | $13.98 – $29.92 | 10 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $50.05 | $91.00 | $5.30 – $9.41 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $113.85 | $207.00 | $17.89 – $38.28 | 10 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $97.90 | $178.00 | $13.54 – $28.98 | 10 |
| Pt application of modality traction mechanical CPT 97012 | $83.60 | $152.00 | $13.64 – $29.19 | 10 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $100.98 – $106.74 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $78.84 – $642.00 | 10 |
| Pten gene full sequence CPT 81321 | not published | not published | $540.63 – $1,284.00 | 10 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $99.72 | 10 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,217.96 – $12,184.12 | 10 |
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.