Oklahoma / SSM Health St Anthony Hospital - Oklahoma City
CMS certification 370037 · Oklahoma City, OK · 3 entries in CMS's price-transparency list
SSM Health St Anthony Hospital - Oklahoma City: charges and Medicare payments
SSM Health St Anthony Hospital - Oklahoma City reported 3,361 Medicare inpatient stays across 109 DRGs in 2024. Across them it charged 4.87 times what it was paid — among the higher ratios in Oklahoma, number 16 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: 300 stays at an average charge of $91,988, 2% above the national average. It also billed 4,757 outpatient services, charging 6.83 times what Medicare paid.
- 1Medicare inpatient stays 3,361
- 2Charge ÷ paid, inpatient 4.87×
- 3Rank in OK (highest ratio = 1) 16 of 49
- 4CMS price-transparency actions 3
Inpatient stays
For the 109 DRGs that can be compared with the national average, SSM Health St Anthony Hospital - Oklahoma City charged more than the national average in 12 (11%). 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 | 300 | $91,988 | +2% | $15,287 |
| 291 Heart Failure and Shock with MCC | 148 | $59,349 | +5% | $10,457 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 130 | $62,646 | -33% | $15,217 |
| 177 Respiratory Infections and Inflammations with MCC | 84 | $82,298 | +17% | $13,755 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 83 | $76,355 | -24% | $14,919 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 76 | $186,088 | -19% | $36,134 |
| 682 Renal Failure with MCC | 73 | $71,043 | +8% | $12,539 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 71 | $104,734 | -33% | $24,217 |
| 683 Renal Failure with CC | 68 | $40,186 | -1% | $7,945 |
| 885 Psychoses | 63 | $25,568 | -42% | $11,007 |
| 193 Simple Pneumonia and Pleurisy with MCC | 56 | $59,426 | -1% | $10,367 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $61,167 | +1% | $10,798 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 52 | $43,064 | -23% | $8,740 |
| 481 Hip and Femur Procedures except Major Joint with CC | 52 | $67,876 | -33% | $15,862 |
| 189 Pulmonary Edema and Respiratory Failure | 51 | $56,263 | -2% | $10,258 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $51,009 | +4% | $8,435 |
| 252 Other Vascular Procedures with MCC | 43 | $117,693 | -31% | $24,234 |
| 467 Revision of Hip or Knee Replacement with CC | 43 | $77,596 | -51% | $23,161 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 43 | $64,115 | -13% | $13,329 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $33,728 | -16% | $7,228 |
| 314 Other Circulatory System Diagnoses with MCC | 38 | $90,062 | -5% | $17,090 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 37 | $161,075 | -27% | $35,317 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $41,305 | -15% | $8,396 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $36,878 | -2% | $7,212 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 36 | $122,556 | -56% | $46,002 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 35 | $154,827 | -33% | $34,288 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $70,616 | -7% | $12,030 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 34 | $103,090 | -8% | $17,331 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $45,941 | -10% | $9,848 |
| 270 Other Major Cardiovascular Procedures with MCC | 32 | $208,735 | -19% | $37,906 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $79,579 | -7% | $14,117 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 31 | $105,619 | -22% | $19,884 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $82,344 | -28% | $14,290 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 30 | $115,026 | -43% | $35,992 |
| 460 Spinal Fusion except Cervical without MCC | 28 | $109,827 | -36% | $27,312 |
| 552 Medical Back Problems without MCC | 28 | $34,784 | -29% | $8,456 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $37,027 | 0% | $6,994 |
| 389 Gastrointestinal Obstruction with CC | 27 | $31,242 | -20% | $7,556 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $60,401 | -41% | $15,774 |
| 271 Other Major Cardiovascular Procedures with CC | 25 | $117,736 | -32% | $25,396 |
| 312 Syncope and Collapse | 25 | $36,624 | -20% | $7,386 |
| 813 Coagulation Disorders | 25 | $74,665 | -7% | $13,257 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 25 | $25,266 | -32% | $8,052 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 25 | $152,562 | -29% | $34,334 |
| 101 Seizures without MCC | 24 | $36,960 | -24% | $7,964 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $30,801 | -15% | $6,742 |
| 039 Extracranial Procedures without CC/MCC | 23 | $56,907 | -11% | $9,835 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $129,823 | -21% | $24,446 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $61,558 | +1% | $11,894 |
| 100 Seizures with MCC | 22 | $55,521 | -41% | $13,901 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $53,110 | -6% | $10,072 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $113,799 | -18% | $19,342 |
| 517 Other Musculoskeletal System and Connective Tissue O.R.... | 22 | $53,300 | -32% | $12,695 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 22 | $284,662 | -12% | $52,414 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $46,643 | -8% | $8,579 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 21 | $67,527 | -34% | $15,605 |
| 070 Other Cerebrovascular Disorders with MCC | 20 | $60,498 | -20% | $12,839 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $36,272 | -5% | $7,252 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 20 | $58,303 | -9% | $9,155 |
| 329 Major Small and Large Bowel Procedures with MCC | 20 | $188,886 | -12% | $33,712 |
Showing the 60 most frequent of 109 DRGs.
Outpatient services
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St Anthony Hospital - Oklahoma City charged $91,988 on average, 30% more than the Oklahoma average of $70,534, and was paid $15,287 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), SSM Health St Anthony Hospital - Oklahoma City charged $59,349 on average, 33% more than the Oklahoma average of $44,578, and was paid $10,457 against a state average of $10,006. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), SSM Health St Anthony Hospital - Oklahoma City charged $62,646 on average, 16% less than the Oklahoma average of $74,633, and was paid $15,217 against a state average of $14,220. For Respiratory Infections and Inflammations with MCC (DRG 177), SSM Health St Anthony Hospital - Oklahoma City charged $82,298 on average, 39% more than the Oklahoma average of $59,296, and was paid $13,755 against a state average of $12,691. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,600 was 16% below the state average of $63,625. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,238 was 9% below the state average of $12,332. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,913 was 0% below the state average of $18,889. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,309 was 17% below the state average of $11,193.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health St Anthony Hospital - Oklahoma City in Oklahoma City, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 383)
- Closure Notice — 2022-02-14 (CMS case 383)
- Met Requirements — 2025-08-01 (CMS case 6084)
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.