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 |
|---|---|---|---|---|
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $868.00 | 8 |
| Socket insert below knee HCPCS L5655 | not published | not published | $375.45 – $732.13 | 8 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $465.36 – $907.45 | 8 |
| Socket insert symes HCPCS L5654 | not published | not published | $482.61 – $941.09 | 8 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $747.37 – $1,457.37 | 8 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $896.90 – $1,748.96 | 8 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $47.94 – $93.48 | 8 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.95 – $54.50 | 8 |
| Sodium 24 hour urine CPT 84300 | $55.55 | $101.00 | $5.06 – $7.19 | 8 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.06 – $4.42 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.54 – $2.22 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.77 – $1.10 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.18 – $0.20 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.41 – $3.89 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $91.71 – $120.07 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $53.35 | $97.00 | $4.81 – $7.19 | 8 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.84 – $1.64 | 7 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $194.59 | 8 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $83.70 – $163.21 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,816.17 | 7 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,614.37 | 7 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $4,439.49 | 7 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,412.57 | 7 |
| Solid skin barrier HCPCS A4362 | not published | not published | $6.62 – $7.21 | 2 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $16.70 – $18.22 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $207.67 – $622.80 | 8 |
| Somatropin injection HCPCS J2941 | not published | not published | $60.66 – $249.35 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $4,035.89 | 7 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,210.77 | 7 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $28.25 – $28.25 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $197.33 – $384.79 | 8 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $16.29 – $18.81 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $251.65 – $251.65 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $276.68 – $276.68 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $175.70 – $175.70 | 1 |
| Special casting material HCPCS A4590 | not published | not published | $37.38 – $37.38 | 1 |
| Special physics consult CPT 77370 | $397.65 | $723.00 | $129.27 – $298.73 | 8 |
| Special pump services CPT 99190 | not published | not published | $642.22 – $642.22 | 1 |
| Special pump services CPT 99191 | not published | not published | $449.78 – $449.78 | 1 |
| Special pump services CPT 99192 | not published | not published | $321.40 – $321.40 | 1 |
| Special radiation dosimetry CPT 77331 | $209.00 | $380.00 | $27.76 – $298.73 | 8 |
| Special radiation treatment CPT 77470 | $1,084.60 | $1,972.00 | $51.67 – $1,301.56 | 8 |
| Special teletx port plan CPT 77321 | $471.35 | $857.00 | $64.17 – $823.66 | 8 |
| Specific gravity body fluid CPT 84315 | $20.90 | $38.00 | $3.28 – $4.80 | 8 |
| Specimen fat stain CPT 89125 | $25.85 | $47.00 | $5.88 – $8.62 | 8 |
| Speech audiometry complete CPT 92556 | not published | not published | $56.74 – $118.80 | 8 |
| Speech evaluation complex CPT 70371 | not published | not published | $98.19 – $543.87 | 8 |
| Speech recep thresh CPT 92555 | not published | not published | $41.65 – $118.80 | 8 |
| Sperm antibody test CPT 89325 | $152.35 | $277.00 | $10.67 – $15.82 | 8 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $28.76 | 8 |
| Sperm identification CPT 89257 | not published | not published | $50.12 – $97.73 | 6 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.12 – $97.73 | 7 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.12 – $97.73 | 7 |
| Sperm washing 58323 CPT 58323 | not published | not published | $18.43 – $379.16 | 7 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,043.38 – $11,239.75 | 9 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,140.55 – $5,210.54 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $166.27 – $166.27 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $187.18 – $187.18 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,164.90 | $2,118.00 | $130.18 – $1,323.85 | 8 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $4,103.56 – $24,446.96 | 8 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $207.67 – $622.80 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $499.95 | $909.00 | $41.65 – $699.84 | 8 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $123.75 – $312.92 | 8 |
| Spleen imaging CPT 78185 | not published | not published | $199.66 – $904.12 | 8 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $444.32 – $866.42 | 8 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $60.42 – $117.82 | 8 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $16.77 – $16.77 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $190.73 | 8 |
| Splint finger frog med HCPCS L3927 | not published | not published | $39.34 – $76.71 | 8 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $4.22 – $4.60 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $97.81 – $190.73 | 8 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,045.88 – $6,955.84 | 9 |
| Split blood or products CPT 86985 | not published | not published | $16.36 – $319.52 | 8 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $92.77 – $180.90 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $197.89 – $1,459.00 | 2 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $22.78 – $22.78 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $146.00 – $630.21 | 8 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $824.65 – $1,608.07 | 8 |
| Sputum specimen collection CPT 89220 | not published | not published | $27.76 – $319.52 | 8 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $8,085.35 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,099.99 – $4,103.56 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,550.29 – $4,103.56 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $456.84 – $4,103.56 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $330.59 – $4,103.56 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $256.85 | 8 |
| Srs linear based CPT 77372 | not published | not published | $1,369.19 – $14,524.53 | 8 |
| Srs multisource CPT 77371 | not published | not published | $1,602.51 – $14,524.53 | 8 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,713.64 – $4,103.56 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $379.71 – $4,103.56 | 3 |
| Staggered spondaic word test CPT 92572 | not published | not published | $76.62 – $312.92 | 8 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $4,103.56 – $4,103.56 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $351.80 – $686.01 | 8 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $140.58 | $255.60 | $104.58 – $203.93 | 8 |
| Stance phase only HCPCS L5858 | not published | not published | $23,006.91 – $44,863.47 | 8 |
| Standard control cable extra HCPCS L6655 | not published | not published | $113.34 – $221.01 | 8 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $51.28 | 8 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $207.40 – $404.43 | 8 |
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.