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 |
|---|---|---|---|---|
| Unlisted px foot/toes CPT 28899 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px inner ear CPT 69949 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $305.27 – $731.00 | 8 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $240.30 – $731.00 | 8 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $129.27 – $298.73 | 7 |
| Unlisted px middle ear CPT 69799 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px palate uvula CPT 42299 | $1,480.44 | $2,691.70 | $227.80 – $731.00 | 8 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $237.24 – $731.00 | 8 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,411.00 – $4,333.39 | 8 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px small intestine CPT 44799 | not published | not published | $872.31 – $1,781.36 | 8 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $129.27 – $298.73 | 7 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $227.80 – $731.00 | 8 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $12.50 – $97.73 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $346.03 – $904.12 | 7 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $192.96 – $397.40 | 7 |
| Unlisted surgical path px CPT 88399 | $30.25 | $55.00 | $7.40 – $97.73 | 7 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $16.36 – $54.24 | 7 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $83.70 – $198.11 | 7 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $603.32 – $1,176.48 | 8 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $384.49 – $904.12 | 7 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,103.56 – $11,338.09 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,478.40 | $2,688.00 | $660.08 – $1,287.15 | 7 |
| Upgrade pm system CPT 33214 | $14,177.90 | $25,778.00 | $714.47 – $19,884.13 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,241.25 | $4,075.00 | $319.50 – $803.54 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,934.35 | $3,517.00 | $283.56 – $803.54 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,895.30 | $3,446.00 | $181.53 – $543.87 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $185.11 – $1,781.36 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $209.22 – $1,781.36 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $467.12 – $910.88 | 8 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $278.12 – $4,103.56 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $209.22 – $1,781.36 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $973.95 – $11,338.09 | 9 |
| Urea nitrogen CPT 84520 | $53.35 | $97.00 | $3.95 – $5.75 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | $52.80 | $96.00 | $5.56 – $8.15 | 8 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $10.54 | 8 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $7.67 | 8 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $269.32 – $269.32 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $264.84 – $904.12 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $560.96 – $6,610.93 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $533.48 – $10,055.79 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $716.00 – $10,055.79 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $541.45 – $6,610.93 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $536.11 – $10,055.79 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $480.35 – $10,055.79 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $706.18 – $10,055.79 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $538.82 – $10,055.79 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,694.60 – $4,103.56 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $374.00 | $680.00 | $73.47 – $543.87 | 8 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,142.65 – $6,610.93 | 8 |
| Urethrocystography void s&i CPT 74455 | $433.95 | $789.00 | $127.43 – $543.87 | 8 |
| Uric acid blood CPT 84550 | $47.85 | $87.00 | $4.52 – $6.70 | 8 |
| Uric acid urine CPT 84560 | $52.80 | $96.00 | $5.08 – $7.67 | 8 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $6.70 | 8 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $4.32 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $30.25 | $55.00 | $2.17 – $3.35 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $55.00 | $100.00 | $3.17 – $4.80 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $56.10 | $102.00 | $2.25 – $3.35 | 8 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $87.64 – $185.38 | 3 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $7.10 – $7.74 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $13.47 – $14.70 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $56.74 – $315.20 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $85.71 – $93.50 | 2 |
| Urine Culture Test CPT 87086 | $79.20 | $144.00 | $8.07 – $11.97 | 8 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $8.10 – $249.53 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $14.62 – $15.94 | 2 |
| Urine pregnancy test CPT 81025 | $32.45 | $59.00 | $8.61 – $12.47 | 8 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.31 – $44.08 | 8 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.60 – $12.47 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $77.79 – $205.56 | 2 |
| Urography, antegrade CPT 74425 | $433.95 | $789.00 | $161.44 – $803.54 | 8 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $168.70 – $400.55 | 8 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $851.11 – $851.11 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $17.02 – $17.02 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $93.89 – $239.27 | 8 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,245.81 – $4,379.33 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.36 – $22.14 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $252.88 – $252.88 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $3,066.00 – $24,078.32 | 7 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $200.45 – $258.64 | 3 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $182.35 – $239.67 | 3 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $193.32 – $249.43 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $108.85 – $144.18 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $81.28 – $107.67 | 3 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $31.07 – $46.02 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $102.87 – $152.16 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $65.96 – $100.47 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $163.40 – $248.00 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $126.06 – $188.30 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $32.11 – $48.80 | 2 |
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.