SSM Health St. Anthony Hospital - Midwest

Midwest City, OK

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $974.15 $1,771.19 9.7×
MRI brain without contrast (70551) $1,810.16 $3,291.20 7.9×
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) $431.78 $785.04 4.7×
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) $50.16 $91.20 14.4×
PSA, total (84153) $311.71 $566.75 16.9×
Thyroid stimulating hormone (TSH) (84443) $445.50 $810 26.5×
CBC with automated differential (85025) $251.90 $458 32.4×
CBC, automated (85027) $155.10 $282 24.0×
Prothrombin time (PT) (85610) $188.79 $343.25 44.0×
Partial thromboplastin time (PTT) (85730) $210.10 $382 35.0×
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×

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