SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST (Midwest City, OK) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
A4340	Indwelling catheter special	—	—	$60.69	$64.9	2
A4341	Iduc valve pat inst repl	—	—	$511	$547	2
A4342	Iduc valve sply repl	—	—	$1,291	$1,381	2
A4344	Cath indw foley 2 way silicn	—	—	$33.54	$35.87	2
A4346	Cath indw foley 3 way	—	—	$41.04	$43.89	2
A4349	Disposable male external cat	—	—	$4.22	$4.5	2
A4351	Straight tip urine catheter	—	—	$3.8	$4.06	2
A4352	Coude tip urinary catheter	—	—	$11.49	$12.29	2
A4353	Intermittent urinary cath	—	—	$14.69	$15.7	2
A4354	Cath insertion tray w/bag	—	—	$23.76	$25.41	2
A4355	Bladder irrigation tubing	—	—	$15.89	$16.98	2
A4356	Ext ureth clmp or compr dvc	—	—	$81.29	$86.92	2
A4357	Bedside drainage bag	—	—	$17.3	$18.49	2
A4358	Urinary leg or abdomen bag	—	—	$13.91	$14.86	2
A4360	Disposable ext urethral dev	—	—	$0.89	$0.94	2
A4361	Ostomy face plate	—	—	$32.7	$34.97	2
A4362	Solid skin barrier	—	—	$6.18	$6.62	2
A4363	Ostomy clamp, replacement	—	—	$4.22	$4.52	2
A4364	Adhesive, liquid or equal	—	—	$6.17	$6.59	2
A4366	Ostomy vent	—	—	$2.7	$2.89	2
A4367	Ostomy belt	—	—	$15.42	$16.49	2
A4368	Ostomy filter	—	—	$0.53	$0.56	2
A4369	Skin barrier liquid per oz	—	—	$5.09	$5.44	2
A4371	Skin barrier powder per oz	—	—	$7.65	$8.18	2
A4372	Skin barrier solid 4x4 equiv	—	—	$8.81	$9.41	2
A4373	Skin barrier with flange	—	—	$13.14	$14.04	2
A4375	Drainable plastic pch w fcpl	—	—	$35.99	$38.48	2
A4376	Drainable rubber pch w fcplt	—	—	$99.72	$107	2
A4377	Drainable plstic pch w/o fp	—	—	$8.99	$9.61	2
A4378	Drainable rubber pch w/o fp	—	—	$64.44	$68.9	2
A4379	Urinary plastic pouch w fcpl	—	—	$31.47	$33.65	2
A4380	Urinary rubber pouch w fcplt	—	—	$78.24	$83.67	2
53460	Revision of urethra	—	—	$701	$7,425	15
53500	Urethrlys transvag w/ scope	—	—	$1,143	$7,425	13
53502	Repair of urethra injury	—	—	$744	$7,425	15
53505	Repair of urethra injury	—	—	$744	$11,293	15
53510	Repair of urethra injury	—	—	$967	$11,293	15
53515	Repair of urethra injury	—	—	$1,214	$11,293	15
53520	Repair of urethra defect	—	—	$855	$11,293	15
53600	Dilate urethra stricture	—	—	$96.55	$4,387	14
53601	Dilate urethra stricture	—	—	$80.96	$4,387	14
53605	Dilate urethra stricture	—	—	$97.4	$7,425	15
53620	Dilate urethra stricture	—	—	$132	$4,387	13
53621	Dilate urethra stricture	—	—	$109	$4,387	14
53660	Dilation of urethra	—	—	$63.2	$4,387	13
53661	Dilation of urethra	—	—	$61.35	$4,387	13
53665	Dilation of urethra	—	—	$57.75	$4,403	15
53850	Prostatic microwave thermotx	—	—	$543	$7,425	14
53852	Prostatic rf thermotx	—	—	$582	$7,425	13
53854	Trurl dstrj prst8 tiss rf wv	—	—	$582	$8,185	14

Showing top 50 of 17,539 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.