Visits & medical services prices at SSM Health St. Anthony Hospital - Midwest

Midwest City, OK · every code in this section with a posted price and a Medicare benchmark.

197 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $11,161.56 $20,293.75 1.5×
Airway inhalation treatment (94640) $299.20 $544 1.4×
Appl on-body injector for timed subq injection (96377) $202.40 $368 4.5×
Arrhythmia induction (93618) $1,909.74 $3,472.25 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $230.01 $418.20 2.1×
Bundle of his recording (93600) $7,075.14 $12,863.90 0.9×
Cardiac Stress Tst,Tracing Only (93017) $1,325.90 $2,410.73 6.4×
Cardiopulmonary resuscitation (92950) $916.06 $1,665.58 4.4×
Cardioversion (92960) $1,222.28 $2,222.32 1.9×
Cardioversion internal (92961) $654.03 $1,189.15 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,386.97 $13,430.85 2.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $7,386.97 $13,430.85 2.4×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $16,369.51 $29,762.75 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $19,317.57 $35,122.85 6.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,166.32 $11,211.50 2.0×
Cbt 1st hour (94644) $309.21 $562.20 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $72 $130.90 1.0×
Chemo inj subarach/intravent (96542) $243.57 $442.85 0.8×
Chemo IV push addl drug (96411) $115.47 $209.95 1.7×
Chemo Iv Push Sngl Drug (96409) $305.74 $555.90 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $781.66 $1,421.20 2.5×
Chemother, IV infusion, 1 hr (96413) $362.31 $658.75 1.1×
Chemother, IV infusion, ea add hr (96415) $190.27 $345.95 2.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $72 $130.90 1.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $378.68 $688.50 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $208.97 $379.95 3.0×
Color/duplex Doppler, complete (93975) $2,356.61 $4,284.75 10.3×
Color/duplex Doppler, limited (93976) $1,141.11 $2,074.75 11.3×
Coronary artery angio s&i (93454) $7,386.97 $13,430.85 2.4×
Cpap initiation and management (94660) $431.74 $784.98 2.0×
Cpt initial (94667) $232.82 $423.30 1.8×
Critical care (99291) $3,226.16 $5,865.75 4.1×
Debridement Open Wound 20 Sq Cm< (97597) $554.46 $1,008.10 2.9×
Demo &/or eval,pt use,aerosol device (94664) $361.38 $657.05 1.7×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,826.52 $3,320.95 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,356.61 $4,284.75 10.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,141.11 $2,074.75 11.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,141.11 $2,074.75 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,141.11 $2,074.75 11.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,247.95 $2,269 12.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $695.17 $1,263.95 3.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $382.88 $696.15 3.8×
Duplex scan extracranial art compl bi study (93880) $1,454.86 $2,645.20 6.3×
Echo Heart Xthoracic,Limited (93308) $583.44 $1,060.80 2.5×
Echo transesophageal (93312) $1,961.63 $3,566.60 3.7×
Echo Transesophageal - Congenital Tee Complete (93315) $655.44 $1,191.70 1.2×
EEG awake asleep (95819) $725.91 $1,319.84 3.5×
EEG awake drowsy (95816) $725.91 $1,319.84 3.5×
EEG cerebral death evaluation (95824) $1,296.38 $2,357.05 3.6×
EEG coma or sleep only (95822) $725.91 $1,319.84 3.5×
EEG cont rec w/video by tech min 8 channels (95700) $342.21 $622.20 1.6×
Eeg Extended Monitoring 61-119 Minutes (95813) $805.04 $1,463.70 3.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $787.15 $1,431.19 3.8×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $631.12 $1,147.50 1.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $631.12 $1,147.50 1.8×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $631.12 $1,147.50 1.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $342.21 $622.20 1.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $342.21 $622.20 1.6×
EKG (93005) $422.70 $768.54 7.4×
Electroconvulsive Therapy (90870) $1,512.50 $2,750 1.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,070.81 $1,946.92 5.2×
EMG one extremity (95860) $232.82 $423.30 1.8×
EMG three extremities (95863) $976.14 $1,774.80 7.9×
EMG two extremities (95861) $1,052.81 $1,914.20 8.2×
Endomyocardial biopsy (93505) $2,177.62 $3,959.30 0.7×
Ep & ablate supravent arrhyt (93653) $25,508.67 $46,379.40 1.0×
Ep & ablate ventric tachy (93654) $17,877.67 $32,504.85 0.7×
Ep Analyze Pacer Sys (93724) $764.01 $1,389.11 2.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,401.96 $22,549.01 1.7×
Ep Electrophysiologic F/U Study (93624) $11,613.64 $21,115.70 1.5×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,121.98 $3,858.15 1.8×
Ep Right Ventricular Recording (93603) $2,220.16 $4,036.65 1.9×
Er level 1 (99281) $686.40 $1,248 8.5×
Er level ii (99282) $892.38 $1,622.50 6.0×
Er level iii (99283) $1,304.19 $2,371.25 5.0×
Er level IV (99284) $2,173.19 $3,951.25 5.4×
Er level v (99285) $2,402.54 $4,368.25 4.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $329.59 $599.25 2.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $200.09 $363.80 2.8×
Evaluation of speech fluency (92521) $283.30 $515.10 2.1×
Evaluation of speech sound production (92522) $230.01 $418.20 2.1×
Evaluation of swallowing function (92610) $217.39 $395.25 2.6×
Evaluation with prescription of speech-generating alternative (92607) $477.32 $867.85 3.9×
External ECG rec>48hr<7d recording (93242) $46.28 $84.15 1.3×
External ECG rec>7d<15d recording (93246) $72.46 $131.75 2.0×
External Ecg Scanning Analysis Report (93226) $796.62 $1,448.40 14.0×
Fluorescein angiography (92235) $623.64 $1,133.90 3.0×
Group Therapeutic Procedures (97150) $72.93 $132.60 4.0×
Hemodialysis (90935) $1,570.33 $2,855.15 2.4×
Holter Monitor Recording (93225) $796.62 $1,448.40 6.2×
Img retina detcj/mntr ds poc auto a/r uni/bi (92229) $52.80 $96 0.9×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $49.50 $90 1.3×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $95.70 $174 1.4×
Immunization Admin (90471) $123.75 $225 1.8×
Injection intra arterial (96373) $335.78 $610.50 1.6×
Ins swan ganz bedside (93503) $2,362.74 $4,295.90 1.6×
Intra Atrial Recording (93602) $7,075.14 $12,863.90 0.9×
Intra-atrial pacing (93610) $7,075.14 $12,863.90 0.9×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$2,220.16 $4,036.65 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $83.68 $152.15 1.5×
IV infusion hydration each additional hour (96361) $260.15 $473 5.8×
IV infusion hydration initial 31 min-1 hour (96360) $988.62 $1,797.50 4.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $295.62 $537.50 4.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $891 $1,620 4.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $227.70 $414 5.1×
IV push initial (96374) $273.08 $496.50 1.3×
Manual therapy 15 min (97140) $223.46 $406.30 8.1×
Mechanical chest wall oscillation (94669) $230.48 $419.05 1.1×
Mechanical traction (97012) $95.84 $174.25 6.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60.31 $109.65 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $70.59 $128.35 1.9×
Mnt Group Ea 30 Min (97804) $40.20 $73.10 2.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $281.90 $512.55 3.1×
Neg press wnd tx </=50 sq cm (97607) $857.40 $1,558.90 2.2×
Neg press wound tx >50 cm (97608) $520.80 $946.90 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $468.44 $851.70 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $520.80 $946.90 1.3×
Nerve conduction studies 13/> studies (95913) $151.14 $274.80 0.4×
Newborn resuscitation (99465) $1,196.45 $2,175.36 1.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,332.54 $2,422.80 10.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $493.02 $896.40 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $741.18 $1,347.60 6.0×
Ot eval high complex 60 min (97167) $388.96 $707.20 3.9×
Ot eval low complex 30 min (97165) $291.72 $530.40 2.9×
Ot eval mod complex 45 min (97166) $340.34 $618.80 3.4×
Ot re-eval est plan care (97168) $275.82 $501.50 4.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $213.65 $388.45 1.0×
Perq Transcath Cls Mitral (93590) $18,697.66 $33,995.75 1.1×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $18,697.66 $33,995.75 1.1×
Prq balloon valvuloplasty aortic valve (92986) $5,920.89 $10,765.25 1.1×
Prq card revasc chronic 1vsl (92943) $21,004.78 $38,190.50 1.9×
Prq Card Stent W/Angio 1 Vsl (92928) $22,075.35 $40,137 2.0×
Prq Card Stent/Ath/Angio (92933) $20,358.69 $37,015.80 1.2×
Prq revasc byp graft 1 vsl (92937) $16,888.90 $30,707.10 1.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $16,369.51 $29,762.75 0.9×
Prq trluml coronary angio/atherect one art/brnch (92924) $21,004.78 $38,190.50 1.9×
Prq trluml coronary angioplasty one art/branch (92920) $5,892.37 $10,713.40 1.1×
Psych diag eval w/med srvcs (90792) $191.21 $347.65 1.1×
Pt Electric Current Therapy (97033) $82.75 $150.45 4.3×
Pt Electrical Stimulation (97032) $61.71 $112.20 4.2×
Pt eval high complex 45 min (97163) $316.03 $574.60 3.2×
Pt eval low complex 20 min (97161) $291.72 $530.40 3.0×
Pt Gait Training Therapy (97116) $174.84 $317.90 6.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $147.50 $268.18 4.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $303.88 $552.50 3.1×
Pt re-evaluation (97164) $225.34 $409.70 3.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $215.75 $392.28 6.7×
Pt Ultrasound Therapy (97035) $86.49 $157.25 6.0×
Pulm function test by gas (94727) $741.18 $1,347.60 3.6×
Pulmonary stress testing (94618) $231 $420 1.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $16,037.12 $29,158.40 5.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $18,878.12 $34,323.85 6.1×
R hrt art/grft angio (93457) $11,034.87 $20,063.40 3.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $20,039.86 $36,436.10 6.4×
Refill/Maint Pump/Resvr Syst (96522) $243.57 $442.85 1.2×
Refill/maint, portable pump (96521) $243.57 $442.85 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $108.93 $198.05 3.0×
Right heart cath (93451) $7,386.97 $13,430.85 2.4×
Rt Chest Wall Manipulation,Subsequent (94668) $232.82 $423.30 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $217.86 $396.10 4.6×
Short-latency somatosens ep std lwr limbs (95926) $749.76 $1,363.20 3.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $494.34 $898.80 2.4×
Smoking cessation > 10 min (99407) $70.94 $128.99 2.0×
Speech group therapy (92508) $64.98 $118.15 2.7×
Speech sound lang comprehen (92523) $281.44 $511.70 1.2×
Standardized Cognitive Performance Testing (96125) $90.29 $164.16 0.9×
Stress echo (93350) $1,367.44 $2,486.25 2.6×
Temp transcutaneous pacing (92953) $2,444.56 $4,444.65 3.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $96.30 $175.10 4.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $96.30 $175.10 4.6×
Ther/prop/diag inj/inf proc (96379) $145.75 $265 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $305.80 $556 4.4×
Therapeutic Activities (97530) $181.16 $329.38 5.2×
Therapeutic phlebotomy (99195) $137.44 $249.90 1.1×
Tilt Table Eval (93660) $3,370.44 $6,128.08 9.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $68.84 $125.16 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,974.25 $3,589.55 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,704.97 $3,099.95 7.4×
Tx atrial fib pulm vein isol (93656) $13,763.67 $25,024.85 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $184.20 $334.90 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $153.81 $279.65 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $216.42 $393.50 4.8×
Unlisted Cardiovascular Service/Procedure (93799) $1,423.07 $2,587.40 11.5×
Unlisted pulmonary service/procedure (94799) $304.92 $554.40 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $2,495.90 $4,538 10.9×
Vasc Duplex Scan Extracranial,Limited (93882) $298.26 $542.30 3.0×
Vasopneumatic device (97016) $120.62 $219.30 10.0×
Veeg by tech 2-12 hours unmonitored (95711) $342.21 $622.20 1.6×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $631.12 $1,147.50 1.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $342.21 $622.20 1.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,189.32 $2,162.40 1.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $631.12 $1,147.50 1.8×
Veeg Ea 12-26 Hr Unmntr (95714) $631.12 $1,147.50 1.8×
Ventilation assist & mgmt inpatient 1st day (94002) $3,413.22 $6,205.85 5.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,334.68 $6,063.05 5.6×
Vital capacity total (94150) $291.72 $530.40 2.4×
Wheelchair Mgmt Ea 15 Min (97542) $133.24 $242.25 4.3×