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 |
|---|---|---|---|---|
| Treprostinil injection HCPCS J3285 | not published | not published | $54.74 – $106.74 | 9 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $942.90 – $1,216.63 | 3 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $294.71 | 8 |
| Trh stimulation panel CPT 80439 | not published | not published | $67.21 – $98.24 | 8 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | not published | not published | $1.08 – $1.56 | 3 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $6.82 – $43.79 | 9 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.57 – $0.57 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $13.75 – $13.75 | 1 |
| Trichinella antibody CPT 86784 | $82.50 | $150.00 | $12.56 – $18.22 | 8 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $22.52 | 8 |
| #tricyclicantidprssnt CPT 80337 | $109.45 | $199.00 | $29.23 – $29.23 | 1 |
| Triglycerides CPT 84478 | $53.35 | $97.00 | $5.74 – $8.62 | 8 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.46 – $10.65 | 9 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.38 – $1.38 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $62.05 – $80.06 | 3 |
| Trim nail(s) HCPCS G0127 | not published | not published | $11.50 – $110.64 | 8 |
| Trim nondyst nails CPT 11719 | not published | not published | $11.50 – $112.86 | 8 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $466.36 – $909.41 | 9 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $932.07 – $7,752.03 | 8 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,084.81 – $9,979.84 | 8 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $630.92 – $24,078.32 | 7 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $300.33 – $300.33 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $237.24 – $991.00 | 9 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $9,773.50 | $17,770.00 | $315.59 – $315.59 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $224.83 – $224.83 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $458.78 – $21,650.56 | 8 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $450.95 – $5,980.25 | 8 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $579.80 – $10,435.92 | 8 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $346.47 – $5,980.25 | 8 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $182.83 – $5,980.25 | 8 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $506.02 – $5,980.25 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,313.87 – $6,955.84 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $325.71 – $325.71 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,005.32 – $3,869.58 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,236.74 – $3,869.58 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,070.53 – $3,869.58 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $986.65 – $3,869.58 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $760.94 – $3,869.58 | 9 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $937.80 | 8 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $4,374.00 | 7 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Troponin quantitative CPT 84484 | $147.95 | $269.00 | $12.47 – $18.22 | 8 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $528.97 – $1,093.00 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $581.82 – $6,610.93 | 8 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $105.82 – $233.39 | 8 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $75.29 – $146.82 | 8 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $80.58 – $157.13 | 8 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $163.05 – $317.95 | 8 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $103.28 – $201.40 | 8 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $753.95 – $1,501.11 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $924.00 | $1,680.00 | $753.95 – $1,501.11 | 7 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $753.95 – $1,501.11 | 7 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $753.95 – $1,501.11 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $569.50 – $11,338.09 | 9 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $25.34 – $27.65 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $105.43 – $115.03 | 2 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $12.50 – $13.63 | 2 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $106.40 – $116.08 | 2 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.13 – $0.13 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $2.55 – $2.78 | 2 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $109.29 – $830.64 | 8 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,764.34 – $14,050.14 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,639.05 – $4,103.56 | 2 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $645.85 – $1,259.41 | 8 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $1,410.33 – $49,020.27 | 8 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $237.24 – $731.00 | 8 |
| Tx closed hip disl traumatic without anes CPT 27250 | $487.30 | $886.00 | $237.24 – $991.00 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $889.78 – $6,164.76 | 9 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $237.24 – $991.00 | 9 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $169.00 – $1,386.09 | 7 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $110.05 – $1,386.09 | 7 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $456.37 – $456.37 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,132.24 – $6,164.76 | 9 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $771.42 – $6,164.76 | 9 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $837.99 – $6,164.76 | 9 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $666.51 – $6,217.98 | 9 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $957.04 – $6,164.76 | 9 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $910.60 – $6,164.76 | 9 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $706.31 – $4,103.56 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $237.24 – $462.61 | 8 |
| Tympanic membrane repair CPT 69610 | not published | not published | $438.91 – $2,909.92 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $824.78 – $6,217.98 | 9 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $33.16 – $404.95 | 8 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $200.88 – $1,011.48 | 8 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,933.00 – $11,239.75 | 9 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,917.19 – $11,239.75 | 9 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $255.89 | 7 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $112.00 – $175.21 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $282.72 | 8 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $5.75 | 8 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $72.24 – $140.87 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $367.25 – $716.14 | 8 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $342.63 | 7 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $485.65 | $883.00 | $100.55 – $239.27 | 8 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $6.67 – $239.27 | 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.