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 |
|---|---|---|---|---|
| Reconstruction of mouth CPT 40842 | not published | not published | $1,025.08 – $12,184.12 | 12 |
| Reconstruction of mouth CPT 40843 | $10,077.10 | $18,322.00 | $1,318.66 – $12,184.12 | 12 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,755.00 – $12,184.12 | 12 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,755.00 – $12,184.12 | 12 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $284.68 – $4,246.62 | 10 |
| Reconstruction of nose CPT 30410 | $13,019.05 | $23,671.00 | $1,755.00 – $12,184.12 | 12 |
| Reconstruction of nose CPT 30420 | $17,014.80 | $30,936.00 | $1,755.00 – $12,184.12 | 12 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,874.36 – $12,184.12 | 10 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,191.54 – $12,184.12 | 12 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,254.00 – $11,035.58 | 12 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,721.32 – $7,567.45 | 3 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,254.00 – $11,035.58 | 12 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,093.97 – $11,035.58 | 12 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,249.32 – $7,255.07 | 12 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,459.00 – $19,483.75 | 12 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,087.66 – $7,255.07 | 12 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,192.32 – $7,255.07 | 12 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,459.00 – $7,255.07 | 12 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,438.09 – $7,255.07 | 12 |
| Reconstruction tongue fold CPT 41520 | $6,391.55 | $11,621.00 | $379.58 – $6,823.84 | 12 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $959.42 – $12,184.12 | 12 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $7,873.80 | $14,316.00 | $839.40 – $6,823.84 | 12 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $2,009.91 – $12,184.12 | 10 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,388.93 – $12,184.12 | 9 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $3,199.69 – $12,184.12 | 10 |
| Reconstruct shoulder joint CPT 23470 | $19,621.25 | $35,675.00 | $1,819.91 – $26,424.41 | 10 |
| Reconstruct shoulder joint CPT 23472 | $16,137.55 | $29,341.00 | $2,192.52 – $36,087.88 | 10 |
| Reconstruct ulna/radioulnar CPT 25337 | $9,607.40 | $17,468.00 | $1,354.34 – $14,934.65 | 12 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,474.62 – $12,184.12 | 12 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,254.00 – $11,035.58 | 12 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,282.56 – $11,035.58 | 12 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,254.00 – $11,035.58 | 12 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rectal sensation test CPT 91120 | not published | not published | $544.95 – $650.71 | 3 |
| Red blood cells each unit HCPCS P9021 | not published | not published | $150.57 – $322.22 | 9 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,023.00 | $1,860.00 | $422.69 – $904.56 | 9 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $855.80 | $1,556.00 | $249.40 – $533.72 | 9 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $656.15 | $1,193.00 | $184.91 – $395.71 | 9 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $831.60 | $1,512.00 | $265.41 – $567.98 | 9 |
| Red blood cells washed each unit HCPCS P9022 | not published | not published | $368.58 – $788.76 | 9 |
| Red cell mass multiple CPT 78121 | not published | not published | $92.32 – $1,117.53 | 11 |
| Red cell mass single CPT 78120 | $527.45 | $959.00 | $88.01 – $822.80 | 11 |
| Red cell sequestration CPT 78140 | not published | not published | $122.46 – $822.80 | 11 |
| Red cell survival kinetics CPT 78135 | not published | not published | $365.00 – $365.00 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $143.51 – $822.80 | 11 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Redo endovas vena cava filtr CPT 37192 | $3,237.85 | $5,887.00 | $515.88 – $6,498.69 | 10 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reduce testis torsion CPT 54600 | not published | not published | $693.51 – $7,255.07 | 12 |
| Reduction of facial bones CPT 21209 | $8,221.40 | $14,948.00 | $914.99 – $12,184.12 | 12 |
| Reduction of procidentia 45900 CPT 45900 | $1,197.90 | $2,178.00 | $321.98 – $1,914.03 | 12 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $573.25 – $4,386.82 | 3 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,982.15 – $12,184.12 | 11 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $60.67 – $631.76 | 10 |
| Refill/maint pump/resvr syst CPT 96522 | $259.05 | $471.00 | $170.10 – $437.78 | 10 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $5.03 – $23.45 | 4 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $219.09 – $4,386.82 | 3 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,311.50 – $14,934.65 | 12 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $237.72 – $508.72 | 10 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,346.08 – $4,893.31 | 12 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,029.19 – $8,507.36 | 12 |
| Reinforce hip bones CPT 27187 | $10,381.25 | $18,875.00 | $1,515.09 – $14,934.65 | 9 |
| Reinforce shoulder bones CPT 23491 | $16,738.70 | $30,434.00 | $1,459.00 – $26,424.41 | 12 |
| Reinforce thigh CPT 27495 | $15,571.60 | $28,312.00 | $1,716.77 – $14,934.65 | 9 |
| Reinforce tibia CPT 27745 | $16,035.25 | $29,155.00 | $1,136.50 – $14,934.65 | 12 |
| Reinnervate larynx CPT 31590 | not published | not published | $1,378.60 – $12,184.12 | 12 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $15,854.30 | $28,826.00 | $1,982.42 – $26,424.41 | 9 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,438.86 – $8,091.55 | 12 |
| Release encircling material CPT 67115 | not published | not published | $745.47 – $8,507.36 | 12 |
| Release eye tissue CPT 67343 | not published | not published | $1,007.03 – $6,535.00 | 12 |
| Release facial nerve CPT 69720 | not published | not published | $1,755.00 – $12,184.12 | 12 |
| Release facial nerve CPT 69725 | not published | not published | $2,836.32 – $12,184.12 | 10 |
| Release facial nerve CPT 69955 | not published | not published | $2,984.64 – $12,184.12 | 10 |
| Release finger contracture CPT 26525 | $8,003.60 | $14,552.00 | $1,026.92 – $3,309.55 | 12 |
| Release forearm/hand tendon CPT 26449 | $2,197.80 | $3,996.00 | $1,069.05 – $6,734.39 | 12 |
| Release inner ear canal CPT 69960 | not published | not published | $2,865.31 – $12,184.12 | 10 |
| Release knuckle contracture CPT 26520 | $12,856.25 | $23,375.00 | $1,021.09 – $6,734.39 | 12 |
| Release middle ear bone CPT 69650 | $4,996.75 | $9,085.00 | $1,214.43 – $6,823.84 | 12 |
| Release muscles of hand CPT 26593 | $11,938.85 | $21,707.00 | $968.55 – $6,734.39 | 12 |
| Release of eye fluid CPT 67015 | not published | not published | $902.11 – $4,749.93 | 12 |
| Release of foot tendon CPT 28220 | not published | not published | $469.23 – $3,309.55 | 10 |
| Release of foot tendon 28225 CPT 28225 | $10,278.40 | $18,688.00 | $405.76 – $6,734.39 | 12 |
| Release of foot tendons CPT 28222 | not published | not published | $568.75 – $6,734.39 | 12 |
| Release of foot tendons CPT 28226 | not published | not published | $608.89 – $6,734.39 | 12 |
| Release of lower leg tendon CPT 27680 | $12,261.70 | $22,294.00 | $644.16 – $6,734.39 | 12 |
| Release of lower leg tendons CPT 27681 | $15,106.85 | $27,467.00 | $776.34 – $6,734.39 | 12 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release of midfoot joint CPT 28260 | not published | not published | $827.56 – $6,734.39 | 12 |
| Release of midfoot joint CPT 28264 | not published | not published | $991.00 – $3,309.55 | 12 |
| Release of shoulder ligament CPT 23415 | $8,780.20 | $15,964.00 | $1,065.05 – $14,934.65 | 12 |
| Release of skull seams CPT 61550 | not published | not published | $1,189.00 – $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.