How many shoppable procedure prices are published for SSM Health St Anthony Hospital - Oklahoma City?

SSM Health St Anthony Hospital - Oklahoma City in Oklahoma City, OK currently has 135 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do SSM Health St Anthony Hospital - Oklahoma City's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, SSM Health St Anthony Hospital - Oklahoma City's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is SSM Health St Anthony Hospital - Oklahoma City's CMS Care Compare overall star rating?

CMS Care Compare assigns SSM Health St Anthony Hospital - Oklahoma City an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 501 Beds · urban Updated: 2026-04-01

SSM Health St Anthony Hospital - Oklahoma City

1000 North Lee Avenue, Oklahoma City, OK 73101 · 135 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.13×vs. Fair Market Price

Typical commercial prices here are +13% above the fair benchmark (1.13×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 9% of the Time

File Completeness51

Price Logic97

Peer Alignment69

Clean Billing86

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.13× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

SSM Health St Anthony Hospital - Oklahoma City prices shoppable and inpatient services (1.3× to 1.3× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.13× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#39 of 81 in OK · 46th State Percentile#1,794 of 3,385 in U.S. · 52nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.06× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 9% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (69/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.13× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.21× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.13× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 13.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+7% Upper Tail

Q25 1.06× · Q50 1.21× · Q75 1.29×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

9% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at SSM Health St Anthony Hospital - Oklahoma City

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 135 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$15	$33,974	$30,775	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,996	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,558	$19,087	unverified
Total hip replacement CPT Code: `27130`	$9,370	$16,457	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$15,465	$15,465	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,988	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,849	$6,109	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$4,458	$3,629	1.2×
Breast lump removal CPT Code: `19120`	$6,175	$4,310	$3,875	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$4,198	$2,975	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,482	$4,194	$3,372	1.2×
Bunion correction surgery CPT Code: `28296`	$13,533	$4,194	$3,446	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,782	$2,680	1.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,586	$2,540	1.4×
Trauma team activation HCPCS Code: `G0390`	—	$1,858	$1,453	1.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,725	$1,256	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,641	$981	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,199	$1,614	$987	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	$1,496	$1,093	$855	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,859	$1,115	$1,021	1.1×
Blood transfusion CPT Code: `36430`	$1,255	$731	$498	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,547	$709	$583	1.2×
Psychological testing by technician CPT Code: `96138`	—	$580	$395	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,708	$453	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,803	$453	$511	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$477	$477	$17,936	0.0×
Rabies immune globulin HCPCS Code: `90375`	—	$407	$322	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,291	$310	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,064	$310	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,132	$310	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,390	$310	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,093	$310	$369	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$273	$284	$201	1.4×
Neurobehavioral status check CPT Code: `96116`	$77	$280	$231	1.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$213	$140	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$354	$230	$166	1.4×
Behavioral health assessment HCPCS Code: `H0001`	—	$209	$157	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$321	$230	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$128	$234	$185	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$2,139	$228	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,446	$228	$258	0.9×
Family therapy session CPT Code: `90847`	—	$230	$173	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$200	$151	1.3×
Psychological testing evaluation CPT Code: `96136`	—	$173	$128	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$481	$164	$123	1.3×
Group therapy session CPT Code: `90853`	$437	$132	$100	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$481	$141	$110	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$440	$161	$148	1.1×
Mental health services (therapy) HCPCS Code: `H0032`	—	$92	$65	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$481	$114	$87	1.3×
X-ray, chest (single view) CPT Code: `71045`	$333	$113	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$331	$134	$110	1.2×
X-ray, shoulder CPT Code: `73030`	$488	$112	$92	1.2×
X-ray, foot CPT Code: `73630`	$370	$112	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$356	$113	$93	1.2×
X-ray, hip CPT Code: `73502`	$495	$113	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$494	$112	$93	1.2×
X-ray, hand CPT Code: `73130`	$395	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	$377	$112	$93	1.2×
X-ray, lower back CPT Code: `72110`	$576	$134	$112	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$260	$133	$123	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$821	$134	$126	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$240	$108	$86	1.3×
Care planning with family CPT Code: `90887`	—	$111	$107	1.0×
Ultrasound, pelvis CPT Code: `76856`	$953	$134	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$736	$134	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,131	$134	$134	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,925	$136	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$2,293	$136	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$2,123	$136	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$2,683	$136	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,710	$136	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,727	$136	$169	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$92	$100	0.9×
Review of medical records for care CPT Code: `90889`	—	$102	$114	0.9×
Typhoid vaccine HCPCS Code: `90675`	—	$462	$347	unverified
Culture, blood CPT Code: `87040`	$223	$223	$11	20.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$239	$203	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	—	$207	$140	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$125	$111	1.1×
Drug screening test HCPCS Code: `G0480`	—	$147	$116	unverified
Blood antibody screen CPT Code: `86850`	$105	$66	$46	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$293	$77	$64	1.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$48	$33	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	—	$49	$37	1.3×
Prosthetic fitting and training CPT Code: `97761`	—	$58	$45	1.3×
Orthotic fitting and training CPT Code: `97760`	$158	$65	$51	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$66	$61	$48	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$48	$38	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$66	$61	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$61	$49	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$61	$56	1.1×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$34	$16	2.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$8	$6	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$33	$25	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$154	$24	$19	1.3×
Speech therapy (group session) CPT Code: `92508`	$56	$34	$27	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$34	$27	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$197	$25	$20	1.3×
Physical therapy (gait training) CPT Code: `97116`	$121	$41	$33	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$49	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$89	$46	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$133	$46	$38	1.2×
Blood test, vitamin D CPT Code: `82306`	$168	$37	$31	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$98	$4	$3	1.3×
Blood test, lipase CPT Code: `83690`	$88	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$167	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$160	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$146	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$93	$17	$14	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$166	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$47	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$45	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$30	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$79	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$110	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$94	$19	$16	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$66	$41	$35	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$325	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$146	$21	$18	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$106	$39	$34	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$39	$39	1.0×
Blood test, amylase CPT Code: `82150`	$51	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$61	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$264	$10	$9	1.1×
Blood test, hemoglobin CPT Code: `85018`	$29	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$5	$5	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$22	$25	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$21	$35	0.6×
Behavioral health living support HCPCS Code: `H2019`	—	$14	$34	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$1	$1	$86	0.0×

Showing top 25 high-impact procedures of 135 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 12.6%

Audit a Bill or Quote at SSM Health St Anthony Hospital - Oklahoma City (Zero PHI Required)

CMS CCN: 370037

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $15

Insurer Median $33,974

1. Amount on Your Bill or Quote ($) Pre-filled with SSM Health St Anthony Hospital - Oklahoma City’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $3 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.6% of gross = $3).

Step 2 · Cash vs. Insurance Arbitrage Save $12 Paying Cash

Self-Pay Cash Rate ($15) Beats Your Bill

SSM Health St Anthony Hospital - Oklahoma City's published 45 CFR § 180 self-pay cash rate is $15 (vs. $33,974 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $30,775 Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (12.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait134 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at SSM Health St Anthony Hospital - Oklahoma City. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-01·administrative_or_closure
Met Requirements
Recorded
2022-02-14·administrative_or_closure
Closure Notice
Recorded
2021-08-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,332 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for SSM Health St Anthony Hospital - Oklahoma City.

Price Index: 0.90× regional baseline

Quality: 61/100 CMS composite

Median Household Income$65,374U.S. Census ACS

Local Uninsured Share13.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 370037

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 370037) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,740 (CMS v3.0.0)

File Integrity DigestVerified · CCN 370037

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy