Oklahoma / SSM Health St Anthony Hospital - Midwest
CMS certification 370094 · Midwest City, OK · 2 entries in CMS's price-transparency list
SSM Health St Anthony Hospital - Midwest: charges and Medicare payments
SSM Health St Anthony Hospital - Midwest reported 1,279 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 9.02 times what it was paid — among the higher ratios in Oklahoma, number 2 of 49 hospitals with at least 100 stays (state median 4.03×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 208 stays at an average charge of $146,713, 62% above the national average. It also billed 876 outpatient services, charging 16.39 times what Medicare paid.
- 1Medicare inpatient stays 1,279
- 2Charge ÷ paid, inpatient 9.02×
- 3Rank in OK (highest ratio = 1) 2 of 49
- 4CMS price-transparency actions 2
Inpatient stays
For the 42 DRGs that can be compared with the national average, SSM Health St Anthony Hospital - Midwest charged more than the national average in 41 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 208 | $146,713 | +62% | $14,578 |
| 885 Psychoses | 86 | $36,738 | -17% | $10,259 |
| 193 Simple Pneumonia and Pleurisy with MCC | 68 | $78,564 | +31% | $9,708 |
| 291 Heart Failure and Shock with MCC | 67 | $97,426 | +73% | $10,948 |
| 682 Renal Failure with MCC | 64 | $88,385 | +34% | $11,134 |
| 683 Renal Failure with CC | 50 | $67,345 | +65% | $7,345 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $79,003 | +37% | $9,455 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $95,311 | +35% | $11,054 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 36 | $111,171 | +47% | $11,357 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $67,782 | +38% | $7,789 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $76,860 | +27% | $9,908 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $64,958 | +34% | $7,354 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $51,663 | +37% | $6,639 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $100,496 | +37% | $11,896 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $65,706 | +71% | $6,529 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $75,390 | +47% | $9,088 |
| 069 Transient Ischemia without Thrombolytic | 23 | $55,173 | +9% | $6,379 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $120,967 | +21% | $13,632 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $148,819 | +48% | $14,429 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 21 | $144,040 | +55% | $14,272 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 21 | $193,520 | +39% | $22,785 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 20 | $191,906 | +41% | $19,783 |
| 312 Syncope and Collapse | 20 | $59,597 | +31% | $7,145 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $227,696 | +39% | $20,051 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $153,457 | +50% | $14,894 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $334,169 | +46% | $35,925 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $53,372 | +44% | $6,254 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $73,593 | +30% | $9,480 |
| 603 Cellulitis without MCC | 16 | $58,153 | +56% | $6,783 |
| 638 Diabetes with CC | 16 | $61,739 | +48% | $7,127 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $80,886 | +45% | $7,768 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $138,424 | +23% | $17,209 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $48,131 | +20% | $6,712 |
| 101 Seizures without MCC | 14 | $57,932 | +19% | $7,125 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $140,716 | +65% | $12,228 |
| 389 Gastrointestinal Obstruction with CC | 14 | $85,852 | +121% | $6,911 |
| 637 Diabetes with MCC | 14 | $80,120 | +20% | $9,646 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $500,348 | +55% | $43,434 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $168,203 | +41% | $16,775 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $166,796 | +46% | $14,736 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 12 | $296,541 | +46% | $33,786 |
| 812 Red Blood Cell Disorders without MCC | 11 | $59,948 | +35% | $7,074 |
Outpatient services
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St Anthony Hospital - Midwest charged $146,713 on average, 108% more than the Oklahoma average of $70,534, and was paid $14,578 against a state average of $14,967. For Psychoses (DRG 885), SSM Health St Anthony Hospital - Midwest charged $36,738 on average, 44% more than the Oklahoma average of $25,481, and was paid $10,259 against a state average of $10,755. For Simple Pneumonia and Pleurisy with MCC (DRG 193), SSM Health St Anthony Hospital - Midwest charged $78,564 on average, 49% more than the Oklahoma average of $52,579, and was paid $9,708 against a state average of $10,397. For Heart Failure and Shock with MCC (DRG 291), SSM Health St Anthony Hospital - Midwest charged $97,426 on average, 119% more than the Oklahoma average of $44,578, and was paid $10,948 against a state average of $10,006. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,677 was 94% above the state average of $18,889. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $49,369 was 114% above the state average of $23,073. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,259 was 45% above the state average of $11,193. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $45,604 was 27% above the state average of $36,047.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health St Anthony Hospital - Midwest in Midwest City, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-30 (CMS case 1301)
- Met Requirements — 2025-08-01 (CMS case 6078)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.