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.
10 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetazolamide Tab 125 MG Inpatient & outpatient | 112 CDM | $55.70 | $30.64 | — | — | |
| Artemether-Lumefantrine Tab 20-120 MG Inpatient & outpatient | 112835 CDM | $135 | $74.37 | — | — | |
| Barium Sulfate Oral/Rectal Susp 105% Inpatient & outpatient | 112073 CDM | $233 | $128 | — | — | |
| Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML) Inpatient & outpatient | 112839 CDM | $87.50 | $48.12 | — | — | |
| Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML) Inpatient & outpatient | 112603 CDM | $87.50 | $48.12 | — | — | |
| Lacosamide IV Inj 200 MG/20ML (10 MG/ML) Inpatient & outpatient | 112243 CDM | $2,258 | $1,242 | — | — | |
| Lacosamide Tab 50 MG Inpatient & outpatient | 112239 CDM | $177 | $97.30 | — | — | |
| Lchg Cytology Urine Inpatient & outpatient | 88112 HCPCS | $922 | $507 | — | — | |
| Lchg Cytopath Cell Enhance Tech W Interp Inpatient & outpatient | 88112 HCPCS | $1,216 | $669 | — | — | |
| Levothyroxine Sodium Tab 112 MCG Inpatient & outpatient | 10404 CDM | $33.92 | $18.66 | — | — |