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.
86 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Soln 160 MG/5ML Inpatient & outpatient | 100 CDM | $71.38 | $39.26 | — | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient & outpatient | 150533 CDM | $815 | $448 | — | — | |
| Ado-Trastuzumab Emtansine For IV Soln 100 MG Inpatient & outpatient | 137242 CDM | $39,162 | $21,539 | — | — | |
| Allopurinol Tab 100 MG Inpatient & outpatient | 310 CDM | $26.79 | $14.73 | — | — | |
| Amantadine HCl Cap 100 MG Inpatient & outpatient | 364 CDM | $48.78 | $26.83 | — | — | |
| Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML Inpatient & outpatient | 126312 CDM | $3,160 | $1,738 | — | — | |
| Amiodarone HCl Tab 100 MG Inpatient & outpatient | 36959 CDM | $147 | $80.88 | — | — | |
| Amitriptyline HCl Tab 100 MG Inpatient & outpatient | 433 CDM | $63.43 | $34.89 | — | — | |
| Benztropine Mesylate Tab 2 MG Inpatient & outpatient | 1000 CDM | $28.87 | $15.88 | — | — | |
| Bupropion HCl Tab ER 12HR 100 MG Inpatient & outpatient | 18385 CDM | $48.45 | $26.65 | — | — | |
| Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML) Inpatient & outpatient | 166109 CDM | $3,600 | $1,980 | — | — | |
| Carbamazepine Cap ER 12HR 100 MG Inpatient & outpatient | 37567 CDM | $83.61 | $45.99 | — | — | |
| Carbamazepine Chew Tab 100 MG Inpatient & outpatient | 1355 CDM | $30.93 | $17.01 | — | — | |
| Carbamazepine Susp 100 MG/5ML Inpatient & outpatient | 1356 CDM | $36.84 | $20.26 | — | — | |
| Carbidopa & Levodopa Tab ER 25-100 MG Inpatient & outpatient | 28264 CDM | $35.92 | $19.76 | — | — | |
| Celecoxib Cap 100 MG Inpatient & outpatient | 24500 CDM | $94.66 | $52.06 | — | — | |
| Chlorpromazine HCl Tab 100 MG Inpatient & outpatient | 1654 CDM | $165 | $90.89 | — | — | |
| Cilostazol Tab 100 MG Inpatient & outpatient | 24474 CDM | $58.48 | $32.16 | — | — | |
| Cinacalcet HCl Tab 30 MG (Base Equiv) Inpatient & outpatient | 38100 CDM | $340 | $187 | — | — | |
| Ciprofloxacin 200 MG/100ML in D5W Inpatient & outpatient | 175759 CDM | $296 | $163 | — | — | |
| Cyanocobalamin Inj 1000 MCG/ML Inpatient & outpatient | 2007 CDM | $87.50 | $48.12 | — | — | |
| Cyclosporine Modified Cap 100 MG Inpatient & outpatient | 28843 CDM | $114 | $62.69 | — | — | |
| Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML Inpatient & outpatient | 138058 CDM | $467 | $257 | — | — | |
| Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML Inpatient & outpatient | 15134 CDM | $21.45 | $11.80 | — | — | |
| Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML Inpatient & outpatient | 15816 CDM | $62.75 | $34.51 | — | — | |
| Docusate Sodium Cap 100 MG Inpatient & outpatient | 2566 CDM | $21.01 | $11.56 | — | — | |
| Doxycycline Hyclate For Inj 100 MG Inpatient & outpatient | 2622 CDM | $247 | $136 | — | — | |
| Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML Inpatient & outpatient | 121513 CDM | $997 | $548 | — | — | |
| Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000) Inpatient & outpatient | 141921 CDM | $1,534 | $844 | — | — | |
| Epoetin Alfa-epbx Inj 10000 Unit/ML Inpatient & outpatient | 160705 CDM | $1,083 | $595 | — | — |