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 |
|---|---|---|---|---|
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $3,181.00 – $4,103.56 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $553.65 – $13,608.67 | 9 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $224.42 – $504.29 | 7 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,440.72 – $17,753.89 | 9 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $3,108.92 – $13,608.67 | 7 |
| Rsv assay w/optic CPT 87807 | $67.65 | $123.00 | $13.10 – $19.17 | 8 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $28.66 – $249.69 | 7 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $35.89 – $70.41 | 7 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $35.89 – $69.99 | 7 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $35.89 – $69.99 | 7 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.07 – $48.89 | 7 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $24.73 – $48.22 | 7 |
| Rubella antibody igg CPT 86762 | $92.95 | $169.00 | $14.39 – $21.09 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $20.11 – $89.14 | 8 |
| Rubeola antibody igg CPT 86765 | $89.10 | $162.00 | $12.88 – $18.69 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $482.07 | 7 |
| Russell viper venom diluted CPT 85613 | $97.90 | $178.00 | $9.58 – $13.90 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,506.30 | 7 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $278.64 – $543.35 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.64 – $73.40 | 9 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.05 – $76.15 | 6 |
| Salivary gland function exam CPT 78232 | not published | not published | $119.59 – $904.12 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $204.93 – $904.12 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $119.59 – $904.12 | 8 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $19.17 | 8 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,321.10 – $6,071.07 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $128.05 – $257.74 | 8 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $8.59 – $8.59 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $62.47 – $121.82 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $50.56 – $69.43 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $200.31 – $258.46 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $99.00 | $180.00 | $35.33 – $51.76 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $85.25 | $155.00 | $70.29 – $115.45 | 8 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $617.37 – $11,385.67 | 9 |
| Sbrt management CPT 77435 | not published | not published | $983.74 – $1,173.88 | 2 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,059.96 – $6,563.38 | 7 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $204.61 – $204.61 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $235.04 – $235.42 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $113.63 – $113.71 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $164.53 – $165.02 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $60.98 – $61.40 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $97.71 – $190.53 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $847.00 | $1,540.00 | $229.48 – $459.27 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $894.30 | $1,626.00 | $100.55 – $202.05 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $487.85 | $887.00 | $205.44 – $459.27 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $100.55 – $202.05 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $888.25 | $1,615.00 | $100.55 – $196.07 | 7 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $600.60 | $1,092.00 | $100.55 – $202.05 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $768.35 | $1,397.00 | $229.48 – $459.27 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $499.95 | $909.00 | $100.55 – $202.05 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $385.00 | $700.00 | $100.55 – $202.05 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $262.50 – $262.50 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $354.80 – $354.80 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $348.41 – $348.41 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.37 – $10,448.82 | 8 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $179.89 – $3,097.49 | 8 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $671.63 – $6,164.76 | 9 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | $11,025.61 – $11,025.61 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $25.39 | 8 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $35.99 – $38.87 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $25.48 – $46.96 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $35.82 – $64.21 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $38.81 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $210.65 | $383.00 | $27.05 – $39.78 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | $332.75 | $605.00 | $20.26 – $29.71 | 8 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $35.99 – $38.87 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $278.95 – $1,744.09 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $278.52 – $1,744.09 | 9 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $18.70 | $34.00 | $18.05 – $26.36 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $41.21 | 7 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $23.33 – $68.05 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $35.46 | 8 |
| Screening Mammogram CPT 77067 | $283.25 | $515.00 | $81.39 – $225.30 | 8 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $35.99 – $38.87 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $89.10 | $162.00 | $19.31 – $28.27 | 8 |
| Screen pap by tech w md supv HCPCS P3000 | $185.35 | $337.00 | $17.71 – $25.39 | 8 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $6.60 | $12.00 | $4.75 – $4.75 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $751.39 | $1,366.16 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $69.25 – $135.03 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $364.83 – $364.83 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $8.61 – $86.03 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $45.65 | $83.00 | $2.70 – $3.83 | 8 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,541.57 – $3,900.02 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $56.74 – $118.80 | 8 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $1.32 | $2.40 | $1.76 – $1.93 | 2 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $13.47 – $13.47 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $20.56 – $54.24 | 7 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $21.04 – $24.75 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $15.77 – $18.14 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $11.38 | 8 |
| Semen analysis presence/motility CPT 89321 | $138.60 | $252.00 | $12.05 – $17.72 | 8 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $12.47 | 8 |
| Sensorimotor examination CPT 92060 | not published | not published | $39.26 – $118.80 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $35.92 – $106.30 | 8 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $594.59 – $4,458.86 | 9 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $100.40 – $280.82 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,049.80 – $13,608.67 | 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.