SSM Health St. Anthony Hospital - Midwest
Midwest City, OK
Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $974.15 | $1,771.19 | 9.7× |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$1,693.28–$1,927.04 | $3,078.70–$3,503.70 | varies |
| MRI brain with contrast (70552) | $2,123.38 | $3,860.70 | 6.3× |
| MRI brain without and with contrast (70553) | $3,833.97 | $6,970.85 | 11.4× |
| X-ray lower spine, 4+ views (72110) | $1,056.55 | $1,921 | 10.5× |
| MRI lumbar spine without contrast (72148) | $2,060.27 | $3,745.95 | 9.0× |
| CT pelvis with contrast (72193) | $3,715.25 | $6,755 | 22.0× |
| MRI lower-extremity joint without contrast (73721) | $2,110.76 | $3,837.75 | 9.2× |
| CT abdomen and pelvis with contrast (74177) | $7,625.20 | $13,864 | 22.7× |
| Ultrasound, abdomen complete (76700) | $1,716 | $3,120 | 17.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,141.11 | $2,074.75 | 11.3× |
| Ultrasound, transvaginal (76830) | $1,141.11 | $2,074.75 | 11.3× |
| Mammography, one breast (diagnostic) (77065) | $418.69 | $761.25 | 4.9× |
| Mammography, both breasts (diagnostic) (77066) | $837.38 | $1,522.51 | 7.6× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$287.85–$575.70 | $523.36–$1,046.72 | varies |
| Basic metabolic panel (80048) | $690.25 | $1,255 | 81.6× |
| Comprehensive metabolic panel (80053) | $1,004.84 | $1,826.99 | 95.2× |
| Obstetric panel (80055) | $634.42 | $1,153.50 | 13.3× |
| Lipid panel (80061) | $424.88 | $772.50 | 31.7× |
| Renal function panel (80069) | $514.80 | $936 | 59.3× |
| Hepatic function panel (80076) | $138.46 | $251.75 | 16.9× |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$4.62–$95.70 | $8.40–$174 | varies |
| PSA, total (84153) | $311.71 | $566.75 | 16.9× |
| Thyroid stimulating hormone (TSH) (84443) | $445.50 | $810 | 26.5× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$251.90–$251.91 | $458–$458.01 | varies |
| CBC, automated (85027) | $155.10 | $282 | 24.0× |
| Prothrombin time (PT) (85610) range across 5 matching MRF lines |
$31.35–$188.79 | $57–$343.25 | varies |
| Partial thromboplastin time (PTT) (85730) range across 5 matching MRF lines |
$7.15–$210.10 | $13–$382 | varies |
| Left heart catheterization (93452) | $7,386.97 | $13,430.85 | 2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $198.22 | $360.40 | 6.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $568.83 | $1,034.24 | 4.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $729.30 | $1,326 | 5.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $996.36 | $1,811.56 | 7.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 267 codes with posted prices and Medicare benchmarks
- Lab & pathology: 604 codes with posted prices and Medicare benchmarks
- Visits & medical services: 197 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 375 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 63 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 40.1 MB) ↓ — captured 2026-09-11
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.