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 |
|---|---|---|---|---|
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,130.38 – $10,435.92 | 9 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,275.57 – $11,239.75 | 9 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,142.80 – $13,608.67 | 9 |
| Revision tips CPT 37183 | not published | not published | $561.95 – $10,832.89 | 8 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $2,439.98 – $24,446.96 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,634.54 – $24,078.32 | 7 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $119.69 – $333.26 | 8 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $119.69 – $1,648.23 | 9 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,857.77 – $10,435.92 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,788.83 – $10,435.92 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,541.77 – $11,239.75 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,682.28 – $11,239.75 | 9 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,459.00 – $10,055.79 | 9 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,362.45 – $6,556.78 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,646.41 – $11,239.75 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $456.86 – $6,556.78 | 9 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $218.60 – $6,556.78 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $350.03 – $6,556.78 | 9 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $3,515.15 – $32,883.82 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $3,514.52 – $32,883.82 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $922.33 – $57,872.10 | 8 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,189.00 – $32,883.82 | 7 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $1,319.16 – $23,693.59 | 8 |
| Revsc opn/prq tib/pero stent CPT 37234 | $7,269.35 | $13,217.00 | $419.28 – $419.28 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $11.00 – $21.45 | 9 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $298.38 – $3,710.26 | 8 |
| Rheumatoid factor qualitative CPT 86430 | $35.20 | $64.00 | $6.14 – $9.10 | 8 |
| Rheumatoid factor quantitative CPT 86431 | $35.75 | $65.00 | $5.67 – $8.15 | 8 |
| Rh ig IV CPT 90386 | not published | not published | $10.51 – $15.97 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $31.33 – $156.00 | 8 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,594.00 – $11,239.75 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $6.05 – $7.93 | 3 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $29.29 – $39.09 | 3 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $35.79 – $69.79 | 9 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $95.68 – $133.31 | 3 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $86.97 – $125.77 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $435.94 – $6,111.18 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $286.85 – $6,111.18 | 8 |
| Rhythm ecg with report CPT 93040 | not published | not published | $19.48 – $22.50 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,135.61 – $11,239.75 | 9 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $99.14 – $193.32 | 8 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,394.00 – $3,189.00 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.17 – $0.23 | 2 |
| Right heart cath congenital CPT 93530 | not published | not published | $4,103.56 – $4,103.56 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $93.03 – $2,306.58 | 8 |
| Rilonacept injection HCPCS J2793 | not published | not published | $28.46 – $41.19 | 2 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $11.42 – $12.46 | 2 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $296.08 – $577.36 | 8 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $203.03 – $395.91 | 8 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $165.38 | $300.69 | $1,277.14 – $1,277.14 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $11.42 – $12.46 | 2 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.53 – $28.34 | 9 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $36.04 – $70.27 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $11.10 – $21.65 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $73.28 – $142.89 | 9 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.39 – $70.96 | 9 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $34.56 – $67.40 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $18.53 – $68.03 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $16.16 – $39.91 | 9 |
| R & l heart cath congenital CPT 93531 | not published | not published | $4,103.56 – $4,103.56 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $4,103.56 – $4,103.56 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $4,103.56 – $4,103.56 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,358.38 – $6,111.18 | 8 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,354.45 – $6,111.18 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,683.23 – $13,608.67 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $141.91 – $1,336.82 | 8 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,019.47 – $11,338.09 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $521.15 – $3,040.78 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $611.47 – $5,447.65 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,376.00 | $4,320.00 | $346.35 – $2,244.24 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $215.28 – $3,097.49 | 8 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,112.02 – $12,167.73 | 8 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $187.62 – $187.62 | 1 |
| Rmvl icd by tv extr CPT 33244 | $3,067.90 | $5,578.00 | $1,286.37 – $7,008.48 | 8 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $16,278.90 | $29,598.00 | $577.06 – $42,647.76 | 8 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $23,188.00 | $42,160.00 | $601.83 – $60,917.00 | 8 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $35,953.50 | $65,370.00 | $555.17 – $42,647.76 | 8 |
| Rmvl icd pulse gen only CPT 33241 | $2,431.00 | $4,420.00 | $320.14 – $7,008.48 | 8 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $157.55 – $157.55 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $734.12 – $4,103.56 | 2 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $236.59 – $1,176.48 | 8 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $300.45 – $300.45 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $5,788.75 | $10,525.00 | $346.99 – $15,724.36 | 9 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $240.84 – $240.84 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $312.19 – $6,556.78 | 8 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $859.91 – $6,556.78 | 8 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $518.19 – $6,556.78 | 8 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $13,146.65 | $23,903.00 | $556.00 – $36,235.20 | 8 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $12,503.15 | $22,733.00 | $506.33 – $15,724.36 | 8 |
| Rmvl pq iabp CPT 33968 | not published | not published | $50.61 – $4,103.56 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $280.97 – $4,103.56 | 2 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,254.00 – $6,164.76 | 9 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $518.23 – $7,008.48 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | $926.20 | $1,684.00 | $128.13 – $1,336.82 | 8 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $835.97 – $5,447.65 | 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.