SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Bowel imaging CPT 78290 | $873.95 | $1,589.00 | $384.49 – $904.12 | 8 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $173.00 – $337.35 | 8 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $512.22 – $998.83 | 8 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $362.45 – $706.78 | 8 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $636.95 – $1,242.05 | 8 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,037.61 – $2,023.34 | 8 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $138.20 – $269.49 | 8 |
| Brace ank air stirrup univ HCPCS L4350 | $14.30 | $26.00 | $105.64 – $206.00 | 8 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $77.24 – $150.62 | 8 |
| Brace ankle stablizing lg HCPCS L1902 | $132.00 | $240.00 | $122.31 – $238.50 | 8 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $301.13 – $587.20 | 8 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $870.15 – $1,696.79 | 8 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $728.43 – $1,420.44 | 8 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $507.88 – $990.37 | 8 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,836.48 – $3,581.14 | 8 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,203.61 – $4,297.04 | 8 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $752.04 – $1,466.48 | 8 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,268.37 – $2,473.32 | 8 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,131.82 – $2,207.05 | 8 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $14.30 | $26.00 | $413.94 – $807.18 | 8 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $107.96 – $210.52 | 8 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,240.26 – $4,368.51 | 8 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $573.13 – $1,117.60 | 8 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $698.63 – $1,362.33 | 8 |
| Brace knee hing pat open med HCPCS L1820 | $178.86 | $325.20 | $165.33 – $322.39 | 8 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $67.34 | $122.43 | $455.16 – $887.56 | 8 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,076.32 – $2,098.82 | 8 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $122.90 – $239.66 | 8 |
| Brace m arm board HCPCS L3809 | $326.37 | $593.40 | $281.17 – $548.28 | 8 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,501.02 – $2,926.99 | 8 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,228.79 – $2,396.14 | 8 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $281.17 – $548.28 | 8 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $136.83 – $266.82 | 8 |
| Brace wrist classic lft sm HCPCS L3908 | $73.26 | $133.20 | $67.37 – $131.37 | 8 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,204.05 – $5,447.65 | 8 |
| Brach/thor cath 1st CPT 36215 | $2,926.00 | $5,320.00 | $319.52 – $319.52 | 1 |
| Brach/thor cath 2nd CPT 36216 | $2,926.00 | $5,320.00 | $408.24 – $408.24 | 1 |
| Brach/thor cath 3rd CPT 36217 | $952.60 | $1,732.00 | $499.40 – $499.40 | 1 |
| Brach/thor cath addl CPT 36218 | $228.80 | $416.00 | $78.84 – $78.84 | 1 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.26 – $70.38 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $36.64 – $71.45 | 7 |
| Brachy source palladium HCPCS C2640 | not published | not published | $88.26 – $172.11 | 7 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $64.48 – $151.56 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $17,771.01 – $34,653.47 | 7 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $99.80 – $194.61 | 7 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $357.49 – $697.11 | 7 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $119.11 – $232.26 | 7 |
| Brachytx isodose complex CPT 77318 | not published | not published | $360.12 – $823.66 | 8 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $328.01 – $823.66 | 8 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $248.97 – $823.66 | 8 |
| Braf gene CPT 81210 | $198.55 | $361.00 | $175.40 – $256.85 | 8 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Brain flow imaging only CPT 78610 | not published | not published | $213.08 – $1,211.11 | 8 |
| Brain image < 4 views CPT 78600 | not published | not published | $212.61 – $904.12 | 8 |
| Brain image 4+ views CPT 78605 | not published | not published | $231.28 – $1,211.11 | 8 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $254.29 – $904.12 | 8 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $390.78 – $1,211.11 | 8 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,317.60 | $6,032.00 | $335.54 – $803.54 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $255.29 – $803.54 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,353.00 | $2,460.00 | $229.48 – $543.87 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $1,945.90 | $3,538.00 | $316.62 – $982.11 | 8 |
| Brain MRI (with contrast) CPT 70552 | $1,927.75 | $3,505.00 | $279.73 – $982.11 | 8 |
| Brain MRI (without contrast) CPT 70551 | $1,800.70 | $3,274.00 | $190.15 – $664.73 | 8 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $45.92 – $89.54 | 8 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $684.77 | 8 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $854.89 | 8 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $111.89 – $549.17 | 8 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $440.86 | 8 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $414.02 | 8 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $270.75 | 8 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $111.89 – $549.17 | 8 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $414.02 | 8 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $212.04 – $644.04 | 8 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,581.25 | $2,875.00 | $1,824.88 – $2,670.59 | 8 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $930.66 – $18,181.20 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $934.45 | $1,699.00 | $233.86 – $3,097.49 | 8 |
| Breast punct aspir cyst, bil CPT 19000 | $809.60 | $1,472.00 | $64.37 – $1,336.82 | 8 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,748.18 – $33,056.87 | 9 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,675.63 – $4,103.56 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Breast reduction CPT 19318 | not published | not published | $1,594.00 – $12,453.31 | 9 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $92.44 – $404.95 | 8 |
| Breathing response hypoxia CPT 94450 | not published | not published | $87.13 – $312.92 | 8 |
| Breath recording infant CPT 94772 | not published | not published | $281.25 – $1,061.20 | 8 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $138.00 | 8 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $16.29 | 8 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $279.21 – $544.45 | 9 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $510,103.92 – $994,702.64 | 9 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $214.99 – $991.00 | 9 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $101.59 – $101.59 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $333.46 – $7,005.21 | 8 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $369.69 – $7,005.21 | 8 |
| Bronchial allergy tests CPT 95070 | not published | not published | $50.23 – $1,061.20 | 8 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $161.23 – $991.00 | 9 |
| Bronchial challenge CPT 94070 | not published | not published | $51.67 – $699.84 | 8 |
| Bronchial valve init insert CPT 31647 | not published | not published | $310.73 – $13,235.92 | 8 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $101.42 – $3,338.11 | 8 |
| Bronchial valve remov init CPT 31648 | not published | not published | $299.49 – $7,005.21 | 8 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $327.09 – $13,235.92 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.