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) | |
|---|---|---|---|---|---|---|
| Aminocaproic Acid Inj 250 MG/ML Inpatient & outpatient | 403 CDM | $749 | $412 | — | — | |
| Bortezomib For Inj 3.5 MG Inpatient & outpatient | 140395 CDM | $344 | $189 | — | — | |
| Deferasirox Tab 360 MG Inpatient & outpatient | 146403 CDM | $948 | $521 | — | — | |
| Dexmedetomidine HCl IV Soln 200 MCG/2ML Inpatient & outpatient | 140374 CDM | $478 | $263 | — | — | |
| Diazepam Tab 10 MG Inpatient & outpatient | 2403 CDM | $25.64 | $14.10 | — | — | |
| Heparin Sodium (Porcine) Inj 10000 Unit/ML Inpatient & outpatient | 140312 CDM | $150 | $82.50 | — | — | |
| Isopropyl Alcohol 70% Inpatient & outpatient | 4030 CDM | $422 | $232 | — | — | |
| Isoproterenol HCl Inj 0.2 MG/ML Inpatient & outpatient | 4034 CDM | $123 | $67.48 | — | — | |
| Lchg Cryptococcus Antigen Blood Inpatient & outpatient | 86403 HCPCS | $172 | $94.60 | — | — | |
| Levothyroxine Sodium Tab 88 MCG Inpatient & outpatient | 10403 CDM | $53.98 | $29.69 | — | — |