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 |
|---|---|---|---|---|
| Thyroid imaging CPT 78013 | not published | not published | $221.70 – $904.12 | 8 |
| Thyroid met imaging CPT 78015 | not published | not published | $259.56 – $904.12 | 8 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $316.99 – $904.12 | 8 |
| Thyroid mets imag whole body CPT 78018 | $902.00 | $1,640.00 | $353.43 – $1,211.11 | 8 |
| Thyroid met uptake CPT 78020 | not published | not published | $75.14 – $139.28 | 2 |
| Thyroid (TSH) Test CPT 84443 | $69.85 | $127.00 | $16.80 – $24.44 | 8 |
| Thyroid Ultrasound CPT 76536 | $457.05 | $831.00 | $100.55 – $239.27 | 8 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $103.86 – $904.12 | 8 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,158.66 – $4,209.39 | 9 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $73.80 | 8 |
| Thyroxine binding globulin (tbg) CPT 84442 | $108.35 | $197.00 | $14.78 – $21.57 | 8 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $1,187.84 – $13,608.67 | 9 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,509.51 – $24,446.96 | 9 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $66.94 – $130.53 | 8 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,813.27 – $5,485.88 | 8 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $16,251.40 | $29,548.00 | $1,098.32 – $34,117.77 | 3 |
| Tib/per revasc stnt & ather CPT 37235 | $7,553.15 | $13,733.00 | $553.37 – $553.37 | 1 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $7,269.35 | $13,217.00 | $481.40 – $481.40 | 1 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $475.39 – $475.39 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $475.39 – $475.39 | 1 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.37 – $1.22 | 3 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $6,563.13 – $12,798.10 | 8 |
| Tilt table study CPT 93660 | not published | not published | $104.82 – $1,008.14 | 8 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $8.62 – $8.62 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $4.40 – $7.10 | 3 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $611,693.17 – $1,192,801.68 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,189.00 – $1,189.00 | 1 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $641.05 – $641.05 | 1 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $227.34 – $991.00 | 2 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $247.72 – $991.00 | 2 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $164.84 – $991.00 | 2 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $210.39 – $991.00 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $196.12 – $382.44 | 9 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $19.12 – $19.12 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $23.89 – $35.31 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $263.03 | 8 |
| Tissue culture skin/biopsy CPT 88233 | $228.25 | $415.00 | $140.73 – $206.05 | 7 |
| Tissue culture tumor CPT 88239 | not published | not published | $147.52 – $216.12 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | $134.75 | $245.00 | $4.27 – $6.23 | 8 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $115.50 – $233.39 | 8 |
| Tissue transglutaminase iga CPT 86364 | $85.25 | $155.00 | $11.53 – $16.77 | 8 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $220.44 – $220.44 | 1 |
| Tl-201 thallium diag per mci HCPCS A9505 | $52.25 | $95.00 | $34.29 – $61.15 | 2 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,236.26 – $19,935.73 | 8 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,555.76 – $19,935.73 | 8 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,391.72 – $19,935.73 | 8 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,866.70 – $19,935.73 | 8 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,101.88 – $2,148.67 | 8 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $948.87 – $1,850.30 | 8 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,240.27 – $2,418.53 | 8 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,542.64 – $3,008.15 | 8 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $614.96 – $1,199.17 | 8 |
| Tlso corset front HCPCS L0970 | not published | not published | $167.07 – $325.79 | 8 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $254.02 – $495.34 | 8 |
| Tlso full corset HCPCS L0974 | not published | not published | $230.94 – $450.33 | 8 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $491.93 – $959.26 | 8 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $284.88 – $555.52 | 8 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $569.51 – $1,110.54 | 8 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $362.99 – $707.83 | 8 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $732.62 – $1,428.61 | 8 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,781.97 – $3,474.84 | 8 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,240.27 – $2,418.53 | 8 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,042.14 – $3,982.17 | 8 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,762.06 – $3,436.02 | 8 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $349.48 – $681.49 | 8 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $428.50 – $835.58 | 8 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $727.17 – $6,164.76 | 9 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $39.55 – $39.55 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.98 – $4.37 | 3 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $18.35 – $35.79 | 3 |
| Tobramycin peak therapeutic drug level CPT 80200 | $63.80 | $116.00 | $16.13 – $23.49 | 8 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.41 – $10.55 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $9.39 – $12.11 | 3 |
| Toe joint transfer CPT 26556 | not published | not published | $4,103.56 – $13,608.67 | 7 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $11.33 – $68.95 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $94.60 | $172.00 | $20.88 – $93.22 | 8 |
| Tone decay hearing test CPT 92563 | not published | not published | $35.92 – $78.50 | 8 |
| Tongue and neck surgery CPT 41135 | not published | not published | $3,066.00 – $4,103.56 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $561.92 – $6,217.98 | 8 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $167.39 – $6,217.98 | 8 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tongue suspension CPT 41512 | not published | not published | $995.29 – $11,239.75 | 8 |
| Tongue to lip surgery CPT 41510 | not published | not published | $674.03 – $6,217.98 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $390.95 – $6,217.98 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $409.98 – $11,239.75 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.28 – $2.04 | 3 |
| Topotecan oral HCPCS J8705 | not published | not published | $125.33 – $244.40 | 9 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $40.89 – $79.74 | 8 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $173.12 – $337.58 | 8 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $188.63 – $367.83 | 8 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,532.13 – $24,078.32 | 7 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,949.15 – $24,446.96 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $1,556.58 – $4,103.56 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,946.36 – $24,446.96 | 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.