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Ssm Health St Anthony Hospital - Midwest

2825 Parklawn Drive, Midwest City, OK 73110 · (405) 610-4411

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Oklahoma City, OK metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

1,025 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $15

$690
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,007

$7,625
cash
CT scan of the head, no contrast

CPT 70450 · metro median $302

$974
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $405

$3,715
cash
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cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $105

$297
cash
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cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $15

$252
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $32

$1,005
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $410

$837
cash
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cash
$700
cash
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cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $105

$398
cash
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cash
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cash
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cash
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cash
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Left heart catheterization

CPT 93452 · metro median $7,387

$7,387
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $25

$425
cash
Liver function panel

CPT 80076 · metro median $25

$138
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $1,007

$3,834
cash
$2,111
cash
$2,060
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $688

$1,426
cash
—
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $118

$569
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $181

$729
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $230

$996
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $55

$312
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 5 lines · metro median $8

$7
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $66

$198
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $302

$1,141
cash
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cash
—
cash
Prostate biopsy

CPT 55700 · metro median $3,032

$3,032
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $9

$31
cash
—
cash
—
cash
—
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $185

$288
cash
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cash
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cash
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TSH test (thyroid)

CPT 84443 · metro median $30

$446
cash
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cash
Transvaginal ultrasound

CPT 76830 · metro median $302

$1,141
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $302

$1,716
cash
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cash
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cash
Urinalysis with microscope

CPT 81001 · metro median $8

$218
cash
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cash
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cash
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cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $186

$1,057
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.