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 |
|---|---|---|---|---|
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $82.39 – $82.39 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $90.20 | $164.00 | $61.76 – $61.76 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $88.00 | $160.00 | $35.07 – $35.07 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $42.90 | $78.00 | $1.77 – $2.92 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $67.25 – $119.94 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $144.10 | $262.00 | $119.65 – $740.08 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $629.39 – $1,286.86 | 8 |
| Tc-99m sulfur colloid HCPCS A9541 | $163.90 | $298.00 | $280.74 – $500.63 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $119.90 | $218.00 | $89.53 – $159.67 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $751.85 | $1,367.00 | $694.65 – $1,238.77 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $618.68 – $1,386.09 | 7 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $100.55 – $494.85 | 8 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $100.55 – $387.02 | 8 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $336.27 – $336.27 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $120.66 – $830.64 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $80.85 | $147.00 | $46.98 – $68.53 | 8 |
| T cells absolute cd 4 count CPT 86361 | $386.10 | $702.00 | $26.78 – $39.29 | 8 |
| T cells total count CPT 86359 | $77.00 | $140.00 | $37.73 – $55.11 | 8 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $207.67 – $529.38 | 8 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $207.67 – $529.38 | 8 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $207.67 – $529.38 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $707.29 – $4,103.56 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $53.89 – $53.89 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $82.83 – $82.83 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $61.63 – $61.63 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $228.01 – $444.61 | 9 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $753.95 – $1,501.11 | 7 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $753.95 – $1,501.11 | 7 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $75.17 – $146.58 | 8 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.48 – $14.59 | 9 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $43.61 – $43.61 | 1 |
| Telethx isodose plan cplx CPT 77307 | $636.35 | $1,157.00 | $195.82 – $823.66 | 8 |
| Telethx isodose plan simple CPT 77306 | $334.40 | $608.00 | $108.21 – $823.66 | 8 |
| Temozolomide HCPCS J8700 | not published | not published | $0.46 – $0.61 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.41 – $20.30 | 9 |
| Temperature gradient studies CPT 93740 | not published | not published | $2.09 – $297.27 | 8 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $3,181.00 – $4,103.56 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $32.68 – $63.73 | 9 |
| Tendon lengthening CPT 26476 | not published | not published | $967.33 – $6,164.76 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $887.74 – $6,164.76 | 9 |
| Tendon shortening CPT 26477 | not published | not published | $945.57 – $6,164.76 | 9 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,400.03 – $6,164.76 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $201.45 – $423.97 | 9 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,620.75 – $4,099.60 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $914.79 – $13,608.67 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $903.38 – $6,164.76 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $941.88 – $6,164.76 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,190.50 – $13,608.67 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $790.98 – $3,040.78 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,099.13 – $6,136.48 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $450.90 – $6,164.76 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $370.01 – $3,040.78 | 8 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,954.38 – $7,711.04 | 8 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $19.94 – $21.89 | 2 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.75 – $12.80 | 3 |
| Teriparatide injection HCPCS J3110 | not published | not published | $52.85 – $86.05 | 2 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $5,060.90 – $9,868.76 | 8 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,908.27 – $7,621.13 | 8 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,728.38 – $3,370.34 | 8 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,178.02 – $2,297.14 | 8 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,752.80 – $3,417.96 | 8 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $492.59 – $960.55 | 8 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $520.97 – $1,015.89 | 8 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $404.88 – $789.52 | 8 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $304.48 – $593.74 | 8 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $949.50 – $1,851.52 | 8 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $271.23 | 8 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $8.62 | 8 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $8.62 | 8 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $13.90 | 8 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $235.12 – $904.12 | 8 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $172.68 – $172.68 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $75.72 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.15 – $4.19 | 9 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $30.60 – $110.64 | 7 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $370.84 – $723.14 | 8 |
| Test socket above knee HCPCS L5624 | not published | not published | $593.44 – $1,157.21 | 8 |
| Test socket below knee HCPCS L5620 | not published | not published | $453.81 – $884.93 | 8 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $703.32 – $1,371.47 | 8 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $651.69 – $1,270.80 | 8 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $591.76 – $1,153.93 | 8 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $426.74 – $832.14 | 8 |
| Test socket symes HCPCS L5618 | not published | not published | $369.85 – $721.21 | 8 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $378.71 – $738.48 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $413.60 | $752.00 | $54.07 – $591.66 | 8 |
| Test urine for lactose CPT 83633 | not published | not published | $9.23 – $16.29 | 8 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $19.64 | 8 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $6.70 | 8 |
| Tetanus ig im CPT 90389 | not published | not published | $661.77 – $1,066.26 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $595.02 – $1,160.28 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.92 – $34.94 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $200.30 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,111.74 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $4,272.55 | 8 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $875.03 | 8 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $62.42 – $319.52 | 6 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $62.42 – $319.52 | 6 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $62.42 – $319.52 | 6 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $50.12 – $97.73 | 6 |
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.