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 |
|---|---|---|---|---|
| Rb82 rubidium HCPCS A9555 | not published | not published | $125.00 – $855.33 | 2 |
| Rbc count only automated CPT 85041 | not published | not published | $3.00 – $6.46 | 11 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $313.00 – $817.18 | 9 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $72.17 – $1,579.00 | 11 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $145.22 – $310.77 | 9 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $18.40 | 11 |
| Rbc osmotic fragility CPT 85555 | $143.00 | $260.00 | $5.00 – $15.99 | 11 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $7.00 – $919.44 | 11 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $226.18 – $248.43 | 2 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $160.39 – $173.48 | 2 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $165.70 – $182.53 | 2 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $101.85 – $111.18 | 2 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $60.48 – $65.90 | 2 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $58.54 – $62.32 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $3,333.93 – $12,184.12 | 10 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,563.10 – $12,184.12 | 9 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,295.08 – $12,184.12 | 9 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,342.53 – $12,184.12 | 9 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,445.76 – $12,184.12 | 9 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $3,285.30 – $12,184.12 | 9 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,959.97 – $12,184.12 | 9 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,749.64 – $12,184.12 | 9 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,272.59 – $12,184.12 | 9 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $3,938.40 – $12,184.12 | 9 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,135.61 – $6,823.84 | 10 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,382.82 – $12,184.12 | 10 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,643.42 – $12,184.12 | 10 |
| Realignment of knee CPT 27457 | $2,847.35 | $5,177.00 | $1,437.80 – $14,934.65 | 9 |
| Realignment of knee CPT 27455 | not published | not published | $1,460.30 – $14,934.65 | 9 |
| Realignment of tendons CPT 26437 | $3,765.30 | $6,846.00 | $1,003.11 – $6,734.39 | 12 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,964.17 – $14,934.65 | 9 |
| Rebuild eardrum structures CPT 69632 | $12,585.10 | $22,882.00 | $1,631.36 – $12,184.12 | 12 |
| Rebuild eardrum structures CPT 69633 | $12,585.10 | $22,882.00 | $1,586.74 – $12,184.12 | 12 |
| Rebuild eardrum structures CPT 69636 | $12,585.10 | $22,882.00 | $1,933.00 – $12,184.12 | 12 |
| Rebuild outer ear canal CPT 69310 | $8,774.70 | $15,954.00 | $1,459.00 – $12,184.12 | 12 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,933.00 – $12,184.12 | 12 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $666.15 – $4,386.82 | 3 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,460.13 – $11,452.76 | 9 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $60.26 – $62.40 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,157.41 – $12,184.12 | 10 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,151.33 – $12,184.12 | 10 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $2,017.94 – $12,184.12 | 10 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,861.36 – $12,184.12 | 10 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,550.67 – $14,934.65 | 9 |
| Reconstr lwr jaw segment CPT 21198 | $5,904.25 | $10,735.00 | $1,531.35 – $12,184.12 | 10 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,543.33 – $12,184.12 | 10 |
| Reconstruct ankle joint CPT 27702 | $11,971.85 | $21,767.00 | $1,465.06 – $55,846.90 | 10 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,668.89 – $14,934.65 | 10 |
| Reconstruct cleft palate CPT 42200 | $9,455.60 | $17,192.00 | $1,397.87 – $12,184.12 | 12 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,456.75 – $6,823.84 | 12 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,624.79 – $12,184.12 | 12 |
| Reconstruct cleft palate CPT 42215 | $8,221.40 | $14,948.00 | $1,059.25 – $12,184.12 | 12 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $872.17 – $12,184.12 | 12 |
| Reconstruct cleft palate CPT 42225 | $5,904.25 | $10,735.00 | $1,462.45 – $12,184.12 | 11 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $3,193.76 – $12,184.12 | 9 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $3,474.63 – $12,184.12 | 9 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $3,738.13 – $12,184.12 | 9 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $1,375.33 – $14,934.65 | 12 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,532.67 – $36,087.88 | 11 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,613.79 – $26,424.41 | 12 |
| Reconstruct elbow lat ligmnt CPT 24344 | $37,941.75 | $68,985.00 | $1,680.79 – $14,934.65 | 11 |
| Reconstruct elbow med ligmnt CPT 24346 | $14,142.15 | $25,713.00 | $1,680.79 – $26,424.41 | 11 |
| Reconstruct extra finger CPT 26587 | $4,142.05 | $7,531.00 | $1,411.00 – $6,734.39 | 12 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,107.59 – $6,734.39 | 12 |
| Reconstruct finger joint CPT 26548 | $6,460.30 | $11,746.00 | $1,206.58 – $6,734.39 | 12 |
| Reconstruct head of radius CPT 24365 | $11,971.85 | $21,767.00 | $979.95 – $26,424.41 | 12 |
| Reconstruct head of radius CPT 24366 | $24,961.75 | $45,385.00 | $1,039.23 – $26,424.41 | 11 |
| Reconstruction ankle joint CPT 27703 | $9,510.60 | $17,292.00 | $1,690.15 – $36,087.88 | 9 |
| Reconstruction knee CPT 27427 | $8,780.20 | $15,964.00 | $1,082.06 – $14,934.65 | 12 |
| Reconstruction knee CPT 27428 | $11,971.85 | $21,767.00 | $1,594.00 – $26,424.41 | 12 |
| Reconstruction knee CPT 27429 | $26,302.10 | $47,822.00 | $1,594.00 – $26,424.41 | 12 |
| Reconstruction of anus CPT 46753 | not published | not published | $939.13 – $5,712.83 | 12 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,076.41 – $4,893.31 | 12 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,385.81 – $4,893.31 | 12 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,382.48 – $8,091.55 | 12 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,019.04 – $4,893.31 | 12 |
| Reconstruction of hip socket CPT 27120 | $13,046.00 | $23,720.00 | $1,971.31 – $26,424.41 | 9 |
| Reconstruction of hip socket CPT 27122 | $9,958.85 | $18,107.00 | $1,676.61 – $14,934.65 | 9 |
| Reconstruction of jaw CPT 21245 | not published | not published | $1,426.43 – $12,184.12 | 12 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,285.42 – $12,184.12 | 12 |
| Reconstruction of jaw CPT 21248 | not published | not published | $1,207.06 – $12,184.12 | 12 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,690.40 – $12,184.12 | 12 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,586.75 – $12,184.12 | 12 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,528.77 – $12,184.12 | 12 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,755.00 – $55,846.90 | 12 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,520.40 – $12,184.12 | 12 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,380.41 – $12,184.12 | 9 |
| Reconstruction of mouth CPT 40840 | $8,480.45 | $15,419.00 | $962.08 – $12,184.12 | 12 |
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.