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 |
|---|---|---|---|---|
| Pt evaluation high complexity patient/family CPT 97163 | $417.45 | $759.00 | $92.86 – $198.72 | 10 |
| Pt evaluation low complexity patient/family CPT 97161 | $126.72 | $230.40 | $92.86 – $198.72 | 10 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $233.75 | $425.00 | $92.86 – $198.72 | 10 |
| Pt-focused hlth risk assmt CPT 96160 | $4.62 | $8.40 | $4.32 – $77.12 | 10 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.82 – $50.97 | 10 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $2,826.34 | 10 |
| Pt re-evaluation patient/family CPT 97164 | $204.60 | $372.00 | $63.64 – $136.19 | 10 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $127.60 | $232.00 | $29.08 – $67.06 | 10 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $166.10 | $302.00 | $11.94 – $25.55 | 10 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $121.00 | $220.00 | $27.52 – $58.89 | 10 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $157.30 | $286.00 | $27.76 – $59.41 | 10 |
| Pt wheelchair management each 15 minutes CPT 97542 | $84.15 | $153.00 | $29.42 – $62.96 | 10 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $948.41 – $23,760.10 | 10 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $475.32 – $11,495.55 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,950.00 – $11,576.54 | 10 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $215.51 – $822.80 | 10 |
| Pulse ox continuous overnight monitoring CPT 94762 | $458.15 | $833.00 | $36.38 – $273.81 | 10 |
| Pulse ox multiple CPT 94761 | $144.10 | $262.00 | $5.32 – $5.72 | 2 |
| Pulse ox single CPT 94760 | $106.15 | $193.00 | $3.79 – $4.88 | 2 |
| Punc of shunt for asp or inj CPT 61070 | $787.60 | $1,432.00 | $85.05 – $1,579.00 | 12 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $117.70 | $214.00 | $22.88 – $273.84 | 10 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $765.05 | $1,391.00 | $146.10 – $836.68 | 10 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $73.27 – $6,823.84 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,278.75 | $2,325.00 | $97.07 – $1,579.00 | 12 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $119.69 – $279.14 | 10 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $110.30 – $233.39 | 10 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $910.25 | $1,655.00 | $74.60 – $604.50 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $125.95 – $1,452.84 | 10 |
| Pvb thoracic single inj site CPT 64461 | $2,467.30 | $4,486.00 | $120.28 – $1,452.84 | 10 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $849.41 – $1,817.74 | 10 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $20,122.03 – $43,061.14 | 10 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $14.33 – $24.36 | 4 |
| Pyruvate CPT 84210 | $111.10 | $202.00 | $8.00 – $30.99 | 11 |
| Pyruvate kinase CPT 84220 | $171.60 | $312.00 | $7.00 – $20.20 | 11 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $402.57 – $861.50 | 10 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $8.59 – $273.84 | 9 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $340.98 – $1,117.53 | 10 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $216.47 – $822.80 | 10 |
| Quest t3 uptake CPT 84479 | $16.91 | $30.75 | $5.00 – $13.85 | 11 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $631.93 – $1,352.33 | 10 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $765.42 – $765.42 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $787.94 | 10 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $243.20 – $474.24 | 11 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $281.18 – $548.31 | 11 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $506.88 | 9 |
| Radial keratotomy CPT 65771 | not published | not published | $955.71 – $4,386.82 | 3 |
| Radiation handling CPT 77790 | $1,757.80 | $3,196.00 | $10.50 – $29.48 | 2 |
| Radiation physics consult CPT 77336 | $1,029.05 | $1,871.00 | $127.61 – $276.64 | 11 |
| Radiation therapy dose plan CPT 77300 | $741.95 | $1,349.00 | $48.36 – $276.64 | 11 |
| Radiation therapy management CPT 77431 | not published | not published | $134.00 – $177.23 | 3 |
| Radiation treatment aid(s) CPT 77332 | $990.00 | $1,800.00 | $22.49 – $276.64 | 11 |
| Radiation treatment aid(s) CPT 77333 | $1,053.25 | $1,915.00 | $129.27 – $276.64 | 11 |
| Radiation treatment aid(s) CPT 77334 | $1,768.80 | $3,216.00 | $94.36 – $770.65 | 11 |
| Radiation treatment delivery CPT 77401 | $411.40 | $748.00 | $59.85 – $219.00 | 3 |
| Radiation treatment delivery CPT 77402 | $451.00 | $820.00 | $98.13 – $219.00 | 11 |
| Radiation treatment delivery CPT 77412 | $854.70 | $1,554.00 | $170.00 – $1,137.24 | 11 |
| Radiation tx management x5 CPT 77427 | not published | not published | $236.00 – $314.69 | 3 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,281.93 – $14,934.65 | 9 |
| Radical rescj tumor prox hum CPT 23220 | $10,568.80 | $19,216.00 | $2,931.71 – $14,934.65 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,677.14 – $14,934.65 | 9 |
| Radical resection of elbow CPT 24149 | $14,319.80 | $26,036.00 | $1,796.29 – $14,934.65 | 10 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,987.03 – $14,934.65 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,411.00 – $6,535.00 | 11 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,179.45 – $7,185.00 | 11 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,496.09 – $13,901.63 | 10 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $955.74 – $2,045.28 | 10 |
| Radiology port images(s) CPT 77417 | $216.15 | $393.00 | $21.52 – $60.00 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | $3,339.60 | $6,072.00 | $1,111.00 – $2,848.80 | 11 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $289.30 | $526.00 | $181.55 – $354.02 | 11 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,262.25 | $2,295.00 | $352.04 – $2,610.96 | 11 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,262.25 | $2,295.00 | $522.21 – $2,610.96 | 11 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $815.22 – $2,664.63 | 10 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,575.20 | $2,864.00 | $353.00 – $2,610.96 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $469.70 | $854.00 | $290.23 – $822.80 | 11 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $98.19 – $98.19 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,342.16 – $14,934.65 | 11 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,411.00 – $5,978.45 | 12 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,012.77 – $7,185.00 | 11 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,411.00 – $5,978.45 | 12 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $8,306.65 | $15,103.00 | $1,075.31 – $5,978.45 | 12 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,020.16 – $7,185.00 | 11 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,134.75 – $5,978.45 | 12 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $5,851.45 | $10,639.00 | $1,594.00 – $7,185.00 | 11 |
| Rad resection tum radial h/n CPT 24152 | $15,422.00 | $28,040.00 | $2,038.70 – $14,934.65 | 11 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,411.00 – $5,978.45 | 10 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $76.56 – $149.30 | 11 |
| Range of motion measurements CPT 95852 | not published | not published | $4.83 – $28.07 | 10 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $51.09 – $308.05 | 11 |
| Rapid desensitization CPT 95180 | not published | not published | $156.65 – $919.44 | 10 |
| Rapid Strep Test CPT 87880 | $201.85 | $367.00 | $9.00 – $35.37 | 11 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $387.45 – $755.53 | 11 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $226.92 – $442.49 | 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.