SSM Health St. Anthony Hospital - Oklahoma City — price list
← Hospital overviewVerified from SSM Health St. Anthony Hospital - Oklahoma City’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abacavir Sulfate Tab 300 MG (Base Equiv) Inpatient & outpatient | 24438 CDM | $112 | $61.32 | — | — | |
| Acamprosate Calcium Tab Delayed Release 333 MG Inpatient & outpatient | 39720 CDM | $50.04 | $27.52 | — | — | |
| Acarbose Tab 25 MG Inpatient & outpatient | 22148 CDM | $39.20 | $21.56 | — | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient & outpatient | 123869 CDM | $873 | $480 | — | — | |
| Acetaminophen Soln 160 MG/5ML Inpatient & outpatient | 100 CDM | $71.38 | $39.26 | — | — | |
| Acetaminophen Suppos 120 MG Inpatient & outpatient | 103 CDM | $29.97 | $16.48 | — | — | |
| Acetaminophen Suppos 325 MG Inpatient & outpatient | 104 CDM | $40.86 | $22.47 | — | — | |
| Acetaminophen Suppos 650 MG Inpatient & outpatient | 105 CDM | $30.16 | $16.59 | — | — | |
| Acetaminophen Tab 325 MG Inpatient & outpatient | 101 CDM | $20.51 | $11.28 | — | — | |
| Acetaminophen Tab 500 MG Inpatient & outpatient | 102 CDM | $20.92 | $11.51 | — | — | |
| Acetazolamide Sodium For Inj 500 MG Inpatient & outpatient | 114 CDM | $390 | $214 | — | — | |
| Acetazolamide Tab 125 MG Inpatient & outpatient | 112 CDM | $55.70 | $30.64 | — | — | |
| Acetazolamide Tab 250 MG Inpatient & outpatient | 113 CDM | $94.09 | $51.75 | — | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient & outpatient | 150533 CDM | $815 | $448 | — | — | |
| Acetylcysteine Inhal Soln 20% Inpatient & outpatient | 123 CDM | $136 | $74.82 | — | — | |
| Acetylcysteine Inj 200 MG/ML Inpatient & outpatient | 38303 CDM | $5,056 | $2,781 | — | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Inpatient & outpatient | 23128 CDM | $2,613 | $1,437 | — | — | |
| Adenosine IV Soln 3 MG/ML (Diagnostic) Inpatient & outpatient | 15330 CDM | $16,291 | $8,960 | — | — | |
| Ado-Trastuzumab Emtansine For IV Soln 100 MG Inpatient & outpatient | 137242 CDM | $39,162 | $21,539 | — | — | |
| Ado-Trastuzumab Emtansine For IV Soln 160 MG Inpatient & outpatient | 137243 CDM | $62,659 | $34,463 | — | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient & outpatient | 17837 CDM | $303 | $166 | — | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient & outpatient | 250 CDM | $33.70 | $18.54 | — | — | |
| Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) Inpatient & outpatient | 251 CDM | $27.70 | $15.24 | — | — | |
| Alcohol Nasal Swab Kit Inpatient & outpatient | 178590 CDM | $230 | $127 | — | — | |
| Allopurinol Tab 100 MG Inpatient & outpatient | 310 CDM | $26.79 | $14.73 | — | — | |
| Allopurinol Tab 300 MG Inpatient & outpatient | 311 CDM | $33.83 | $18.61 | — | — | |
| Alprazolam Tab 0.25 MG Inpatient & outpatient | 324 CDM | $31.88 | $17.53 | — | — | |
| Alprazolam Tab 0.5 MG Inpatient & outpatient | 325 CDM | $34.07 | $18.74 | — | — | |
| Alprazolam Tab 1 MG Inpatient & outpatient | 326 CDM | $39.75 | $21.86 | — | — | |
| Alteplase For Inj 2 MG Inpatient & outpatient | 31310 CDM | $1,818 | $1,000 | — | — |