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 |
|---|---|---|---|---|
| Repair single ventricle CPT 33619 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $1,459.00 – $4,386.82 | 2 |
| Repair spinal fluid leakage 63707 CPT 63707 | $3,573.90 | $6,498.00 | $1,189.00 – $4,386.82 | 3 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,829.56 – $6,734.39 | 11 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $2,406.79 – $6,734.39 | 11 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair stomach opening CPT 43870 | not published | not published | $991.00 – $7,935.28 | 12 |
| Repair tear ducts CPT 68700 | not published | not published | $901.31 – $4,893.31 | 12 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $7,424.45 | $13,499.00 | $491.39 – $6,734.39 | 12 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $8,338.55 | $15,161.00 | $970.32 – $6,734.39 | 12 |
| Repair testis injury CPT 54670 | not published | not published | $625.96 – $7,255.07 | 12 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair throat wound CPT 42900 | not published | not published | $506.97 – $3,193.45 | 12 |
| Repair toe dislocation CPT 28645 | $5,906.45 | $10,739.00 | $747.78 – $6,734.39 | 12 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $419.10 | $762.00 | $227.80 – $2,100.00 | 12 |
| Repair/transpose mp nerve 64856 CPT 64856 | $11,695.20 | $21,264.00 | $1,254.00 – $18,062.34 | 12 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair umbilical lesion CPT 49600 | not published | not published | $1,118.16 – $7,369.13 | 12 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair umbilical lesion CPT 49605 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair umbilical lesion CPT 49610 | not published | not published | $1,056.65 – $4,386.82 | 3 |
| Repair umbilical lesion CPT 49611 | not published | not published | $930.77 – $4,386.82 | 3 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $18,667.00 | $33,940.00 | $1,144.76 – $14,934.65 | 12 |
| Repair upper jaw fistula CPT 30580 | $12,038.95 | $21,889.00 | $700.48 – $12,184.12 | 12 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $850.27 – $5,147.21 | 3 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $753.96 – $15,262.36 | 11 |
| Repair uro sphincter CPT 53449 | not published | not published | $936.36 – $19,483.75 | 12 |
| Repair vagina CPT 57335 | not published | not published | $1,802.87 – $10,295.98 | 10 |
| Repair vagina/perineum CPT 57210 | not published | not published | $600.70 – $6,662.61 | 12 |
| Repair valve femoral vein CPT 34501 | not published | not published | $1,342.94 – $11,452.76 | 9 |
| Repair venous anomaly CPT 33724 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair vessel graft defect CPT 35870 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $557.94 – $3,359.00 | 12 |
| Repair windpipe opening CPT 31614 | $14,263.70 | $25,934.00 | $1,074.38 – $12,184.12 | 12 |
| Repeat thyroid surgery CPT 60260 | $12,641.20 | $22,984.00 | $1,658.99 – $12,184.12 | 10 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $29.10 – $62.27 | 10 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open axillry 33363 CPT 33363 | $24,515.70 | $44,574.00 | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open femoral 33362 CPT 33362 | $22,541.75 | $40,985.00 | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $1,103.55 – $4,386.82 | 3 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $910.65 – $4,386.82 | 3 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace duod/jej tube perc CPT 49451 | $1,496.00 | $2,720.00 | $133.58 – $1,866.75 | 11 |
| Replace elbow joint CPT 24363 | $24,961.75 | $45,385.00 | $1,933.00 – $36,087.88 | 11 |
| Replace eye fluid CPT 67025 | not published | not published | $942.93 – $4,749.93 | 12 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $21.24 – $45.45 | 10 |
| Replace g/c tube perc CPT 49450 | $789.25 | $1,435.00 | $98.88 – $1,866.75 | 11 |
| Replace g-j tube perc CPT 49452 | $789.25 | $1,435.00 | $205.76 – $1,866.75 | 11 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $365.19 – $781.51 | 10 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $752.72 – $4,019.07 | 12 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $816.36 – $11,527.33 | 12 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement of aortic valve CPT 33412 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement of aortic valve CPT 33413 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement of contact lens CPT 92326 | not published | not published | $56.50 – $121.42 | 10 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $481.93 – $1,031.33 | 10 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $474.40 – $1,015.22 | 10 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $493.23 – $1,055.51 | 10 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $312.94 – $669.69 | 10 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $376.94 – $806.65 | 10 |
| Replace picvad cath CPT 36585 | $4,927.45 | $8,959.00 | $419.35 – $6,498.69 | 12 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $664.47 – $1,421.97 | 10 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $407.08 – $871.15 | 10 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $1,157.21 – $2,476.43 | 10 |
| Replace/revise brain shunt CPT 62230 | $18,187.40 | $33,068.00 | $1,254.00 – $18,062.34 | 12 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace socket above knee HCPCS L5701 | not published | not published | $4,212.11 – $9,013.92 | 10 |
| Replace socket below knee HCPCS L5700 | not published | not published | $3,507.38 – $7,505.79 | 10 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $756.75 – $1,619.44 | 10 |
| Replace socket hip HCPCS L5702 | not published | not published | $5,328.96 – $11,403.97 | 10 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $850.32 – $14,934.65 | 12 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $791.32 – $1,693.42 | 10 |
| Replace tunneled cv cath CPT 36578 | $4,379.10 | $7,962.00 | $305.95 – $6,498.69 | 12 |
| Replace ureter by bowel CPT 50840 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace vad intra w/bp CPT 33983 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace vad intra without bp CPT 33982 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace vad pump ext CPT 33981 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacment pt electronic sys HCPCS G0555 | not published | not published | $825.91 – $1,767.45 | 9 |
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.40 – $0.86 | 10 |
| Replantation arm complete CPT 20802 | not published | not published | $4,151.88 – $36,087.88 | 9 |
| Replantation digit complete CPT 20822 | $3,246.10 | $5,902.00 | $1,546.52 – $3,309.55 | 11 |
| Replantation digit complete CPT 20816 | $4,818.00 | $8,760.00 | $1,546.52 – $3,309.55 | 9 |
| Replantation foot complete CPT 20838 | not published | not published | $4,211.65 – $36,087.88 | 9 |
| Replantation hand complete CPT 20808 | $10,385.10 | $18,882.00 | $4,386.82 – $36,087.88 | 9 |
| Replantation of penis CPT 54438 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Replantation thumb complete CPT 20827 | $6,721.00 | $12,220.00 | $1,546.52 – $3,309.55 | 9 |
| Replantation thumb complete CPT 20824 | $6,915.70 | $12,574.00 | $1,546.52 – $3,309.55 | 9 |
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.