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.
13 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Tab 325 MG Inpatient & outpatient | 101 CDM | $20.51 | $11.28 | — | — | |
| Glipizide Tab 10 MG Inpatient & outpatient | 10116 CDM | $30.94 | $17.02 | — | — | |
| Glipizide Tab 5 MG Inpatient & outpatient | 10117 CDM | $26.86 | $14.77 | — | — | |
| Glycopyrrolate Tab 1 MG Inpatient & outpatient | 10130 CDM | $42.21 | $23.22 | — | — | |
| Goserelin Acetate Implant 3.6 MG Inpatient & outpatient | 10137 CDM | $11,033 | $6,068 | — | — | |
| Guanfacine HCl Tab 1 MG Inpatient & outpatient | 10149 CDM | $41.72 | $22.95 | — | — | |
| Guanfacine HCl Tab 2 MG Inpatient & outpatient | 10150 CDM | $64.12 | $35.27 | — | — | |
| Haloperidol Decanoate IM Soln 100 MG/ML Inpatient & outpatient | 10162 CDM | $294 | $162 | — | — | |
| Haloperidol Decanoate IM Soln 50 MG/ML Inpatient & outpatient | 10163 CDM | $1,003 | $552 | — | — | |
| Heparin Sodium (Porcine) Inj 1000 Unit/ML Inpatient & outpatient | 10176 CDM | $87.50 | $48.12 | — | — | |
| Heparin Sodium (Porcine) Inj 5000 Unit/ML Inpatient & outpatient | 10181 CDM | $379 | $209 | — | — | |
| Ixabepilone For IV Infusion 15 MG Inpatient & outpatient | 105101 CDM | $19,775 | $10,876 | — | — | |
| Lchg Culture Fungus Skin Hair Nails Inpatient & outpatient | 87101 HCPCS | $504 | $277 | — | — |