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 |
|---|---|---|---|---|
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,026.12 – $13,608.67 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,334.09 – $10,055.79 | 8 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $872.31 – $1,781.36 | 8 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,135.54 – $2,909.92 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $69.30 | $126.00 | $17.21 – $54.24 | 8 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $143.55 | $261.00 | $18.32 – $70.05 | 8 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $184.25 | $335.00 | $39.30 – $97.73 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $224.40 | $408.00 | $39.30 – $97.73 | 8 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $351.45 | $639.00 | $62.42 – $672.25 | 8 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $402.05 | $731.00 | $62.42 – $1,511.01 | 8 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Surgical trays HCPCS A4550 | not published | not published | $28.27 – $28.27 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $119.69 – $264.31 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $642.48 – $5,210.54 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $14.85 | $27.00 | $4.75 – $7.19 | 8 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $35.20 | $64.00 | $4.75 – $7.19 | 8 |
| Susceptibility mic per plate CPT 87186 | $271.01 | $492.75 | $8.65 – $12.47 | 8 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $9.59 | 8 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $455.83 – $6,610.93 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $709.48 – $4,103.56 | 2 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $134.68 – $262.63 | 8 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Svc venogram s&i CPT 75827 | $1,532.85 | $2,787.00 | $94.84 – $3,495.24 | 8 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $4.27 – $97.73 | 8 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $3,262.87 – $6,362.60 | 8 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,001.69 – $7,803.30 | 8 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $311.94 – $608.28 | 8 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $372.40 – $726.18 | 8 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $271.83 – $530.07 | 8 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $633.26 – $1,234.86 | 8 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,254.00 – $3,710.26 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,167.75 – $3,710.26 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,183.78 – $4,103.56 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,205.74 – $6,164.76 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $10.45 – $18.63 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $35.92 – $78.50 | 8 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.02 – $14.98 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $31.35 | $57.00 | $4.40 – $6.23 | 8 |
| System cardiomems hosp electronics HCPCS C2624 | $33,266.75 | $60,485.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $15,908.75 | $28,925.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,541.20 | $20,984.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $87.45 | $159.00 | $16.94 – $24.92 | 8 |
| T3 (triiodothyronine) total CPT 84480 | $84.70 | $154.00 | $14.18 – $20.61 | 8 |
| T4 (thyroxine) free CPT 84439 | $41.25 | $75.00 | $9.02 – $13.42 | 8 |
| T4 (thyroxine) total CPT 84436 | $50.05 | $91.00 | $6.87 – $10.07 | 8 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.71 – $0.91 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.24 – $2.89 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.24 – $0.39 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.18 – $522.94 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $197.45 | $359.00 | $13.73 – $20.12 | 8 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.43 – $28.14 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $77.34 – $150.81 | 9 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $76.72 – $149.61 | 8 |
| Talymed HCPCS Q4127 | not published | not published | $84.93 – $233.39 | 9 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.48 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $119.18 – $119.18 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $97.78 – $97.78 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.79 – $0.84 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $107.80 – $1,111.74 | 8 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $4,272.55 | 8 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $107.80 – $875.03 | 8 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,612.42 – $3,144.22 | 8 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,122.29 – $1,122.29 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $197.21 – $1,386.09 | 8 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $0.72 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $200.30 | 7 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $59.03 – $66.45 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $15.03 – $16.61 | 2 |
| Tbs techl calculation only CPT 77091 | $128.70 | $234.00 | $40.21 – $163.21 | 7 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $3.79 – $163.21 | 7 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $65.45 | $119.00 | $100.00 – $146.15 | 8 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $254.10 | $462.00 | $61.98 – $90.57 | 8 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $821.25 – $821.25 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,028.49 – $2,028.49 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $775.52 – $6,114.73 | 8 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $2,299.50 – $2,299.50 | 1 |
| Tc-99m diag per dose HCPCS A4641 | $190.30 | $346.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $131.07 – $131.07 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $2,971.59 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | $971.85 | $1,767.00 | $994.90 – $2,971.59 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $640.77 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $264.55 | $481.00 | $174.89 – $174.89 | 1 |
| Tc-99m maa HCPCS A9540 | $78.10 | $142.00 | $31.50 – $56.17 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $84.15 | $153.00 | $59.33 – $103.58 | 2 |
| Tc-99m medronate HCPCS A9503 | $87.45 | $159.00 | $13.65 – $24.34 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $143.55 | $261.00 | $1,450.72 – $1,450.72 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $7.44 – $7.44 | 1 |
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.