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 |
|---|---|---|---|---|
| Ultrasound breast complete CPT 76641 | $395.45 | $719.00 | $98.19 – $239.27 | 8 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $365.75 | $665.00 | $76.15 – $198.11 | 8 |
| Ultrasound chest CPT 76604 | $506.00 | $920.00 | $43.56 – $239.27 | 8 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $168.85 | $307.00 | $30.63 – $239.27 | 8 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $25.84 – $239.27 | 8 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $53.15 – $53.15 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $100.55 – $239.27 | 8 |
| Ultrasound encephalogram CPT 76506 | $519.75 | $945.00 | $97.54 – $239.27 | 8 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $702.35 | $1,277.00 | $100.55 – $239.27 | 8 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $214.50 | $390.00 | $71.32 – $239.27 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $1,051.60 | $1,912.00 | $35.41 – $67.58 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $838.20 | $1,524.00 | $40.68 – $105.04 | 2 |
| Ultrasound guide intraoperative CPT 76998 | $616.00 | $1,120.00 | $70.79 – $286.84 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $86.36 – $237.21 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $83.70 – $198.11 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $83.70 – $198.11 | 8 |
| Ultrasound joint complete left CPT 76881 | $418.55 | $761.00 | $15.77 – $239.27 | 8 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $319.00 | $580.00 | $44.53 – $239.27 | 8 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $20.56 – $239.27 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $572.00 | $1,040.00 | $59.38 – $153.84 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $350.90 | $638.00 | $30.19 – $107.00 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $126.87 – $543.87 | 8 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $323.95 | $589.00 | $97.54 – $239.27 | 8 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $452.10 | $822.00 | $72.80 – $239.27 | 8 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $526.35 | $957.00 | $82.39 – $239.27 | 8 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $100.55 – $243.35 | 8 |
| Ultrasound retroperitoneal limited CPT 76775 | $436.15 | $793.00 | $46.93 – $239.27 | 8 |
| Ultrasound scrotum and contents CPT 76870 | $506.00 | $920.00 | $100.55 – $239.27 | 8 |
| Ultrasound spinal canal and contents CPT 76800 | $372.35 | $677.00 | $100.55 – $239.27 | 8 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $97.54 – $335.04 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $533.50 | $970.00 | $100.55 – $239.27 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $209.32 – $654.30 | 8 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $148.04 – $148.04 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.70 – $15.02 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | $294.25 | $535.00 | $104.10 – $4,103.56 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $293.08 – $731.00 | 8 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $731.00 – $1,459.00 | 2 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,823.51 – $28,905.84 | 8 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $27.82 – $54.24 | 7 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $27.82 – $54.24 | 7 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.48 – $92.28 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted CT procedure CPT 76497 | not published | not published | $83.70 – $198.11 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $384.49 – $904.12 | 7 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $7.40 – $97.73 | 6 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $7.40 – $97.73 | 7 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $542.23 – $542.23 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $123.75 – $731.00 | 8 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $208.62 – $904.12 | 7 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $194.44 – $731.00 | 8 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $64.75 – $198.11 | 8 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $384.49 – $904.12 | 7 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $384.49 – $904.12 | 7 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $194.44 – $731.00 | 8 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px renal CPT 50549 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px testis CPT 54699 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted misc path test CPT 89240 | not published | not published | $7.40 – $97.73 | 7 |
| Unlisted mr procedure CPT 76498 | not published | not published | $83.70 – $198.11 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $384.49 – $904.12 | 7 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $123.75 – $241.32 | 6 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $329.12 – $904.12 | 7 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $27.82 – $54.24 | 7 |
| Unlisted orl service/px CPT 92700 | not published | not published | $27.82 – $54.24 | 7 |
| Unlisted procedure colon CPT 45399 | not published | not published | $894.41 – $1,744.09 | 8 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $872.31 – $1,781.36 | 8 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $305.27 – $731.00 | 8 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted procedure liver CPT 47399 | not published | not published | $681.06 – $1,336.82 | 8 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $305.27 – $731.00 | 8 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $681.06 – $1,336.82 | 8 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $894.41 – $1,744.09 | 8 |
| Unlisted procedure spine CPT 22899 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,394.53 – $4,103.56 | 2 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $36.04 – $70.27 | 7 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,411.00 – $4,333.39 | 8 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $872.31 – $1,781.36 | 8 |
| Unlisted px casting/strpg CPT 29799 | $248.05 | $451.00 | $156.29 – $731.00 | 8 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $305.27 – $731.00 | 8 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $681.06 – $1,336.82 | 8 |
| Unlisted px external ear CPT 69399 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $305.27 – $731.00 | 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.