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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $744.25 – $6,164.76 | 9 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $762.78 – $6,164.76 | 9 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $895.61 – $6,164.76 | 9 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $798.78 – $6,164.76 | 9 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $831.99 – $13,608.67 | 9 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,011.74 – $3,922.89 | 8 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,865.69 – $3,638.10 | 8 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $783.69 – $3,181.00 | 9 |
| Wrist X-ray CPT 73110 | $303.05 | $551.00 | $47.40 – $198.11 | 8 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,817.16 – $5,493.46 | 8 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,344.73 – $7,752.03 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,116.29 – $4,333.39 | 9 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $1,023.00 – $9,979.84 | 8 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,083.66 – $7,752.03 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $21.99 – $21.99 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $1,282.86 – $9,979.84 | 8 |
| Xe133 xenon 10mci HCPCS A9558 | $64.90 | $118.00 | $267.86 – $433.26 | 2 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $943.25 – $3,869.58 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $855.43 – $3,869.58 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,337.45 | 8 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,337.45 | 7 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $13.25 – $54.24 | 8 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $555.82 – $555.82 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $307.89 – $4,103.56 | 2 |
| X-ray abdomen 1 view CPT 74018 | $232.65 | $423.00 | $31.11 – $198.11 | 8 |
| X-ray abdomen 2 views CPT 74019 | $292.05 | $531.00 | $37.33 – $239.27 | 8 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $43.56 – $239.27 | 8 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $518.65 | $943.00 | $50.28 – $239.27 | 8 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $386.10 | $702.00 | $28.71 – $198.11 | 8 |
| X-ray ankle 2 views (both sides) CPT 73600 | $287.65 | $523.00 | $35.41 – $198.11 | 8 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $388.85 | $707.00 | $151.39 – $803.54 | 8 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $18.22 | 8 |
| X-ray bone age studies CPT 77072 | $207.35 | $377.00 | $24.39 – $239.27 | 8 |
| X-ray bone length studies CPT 77073 | not published | not published | $46.43 – $239.27 | 8 |
| X-ray bone survey complete CPT 77075 | $794.75 | $1,445.00 | $100.55 – $239.27 | 8 |
| X-ray bone survey infant CPT 77076 | $993.85 | $1,807.00 | $70.86 – $239.27 | 8 |
| X-ray cervical spine 2-3 views CPT 72040 | $397.10 | $722.00 | $41.65 – $198.11 | 8 |
| X-ray cervical spine 4-5 views CPT 72050 | $457.05 | $831.00 | $58.90 – $239.27 | 8 |
| X-ray cervical spine >= 6 views CPT 72052 | $515.35 | $937.00 | $69.44 – $239.27 | 8 |
| X-ray clavicle complete (both sides) CPT 73000 | $308.00 | $560.00 | $35.41 – $198.11 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $492.25 | $895.00 | $140.98 – $400.55 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $560.45 | $1,019.00 | $168.70 – $400.55 | 8 |
| X-ray elbow 2 views (both sides) CPT 73070 | $323.95 | $589.00 | $30.63 – $198.11 | 8 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $372.35 | $677.00 | $35.41 – $198.11 | 8 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $503.95 – $503.95 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $432.75 – $432.75 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $369.60 | $672.00 | $99.63 – $400.55 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $328.90 | $598.00 | $90.04 – $239.27 | 8 |
| X-ray exam entire spi 6/> vw CPT 72084 | $372.35 | $677.00 | $100.55 – $239.27 | 8 |
| X-ray exam of arm infant CPT 73092 | $223.30 | $406.00 | $34.46 – $239.27 | 8 |
| X-ray exam of eye sockets CPT 70200 | $365.20 | $664.00 | $49.80 – $239.27 | 8 |
| X-ray exam of femur 1 CPT 73551 | $383.35 | $697.00 | $30.63 – $198.11 | 8 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $37.33 – $198.11 | 8 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $82.39 – $543.87 | 8 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $42.61 – $239.27 | 8 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $64.65 – $1,233.68 | 8 |
| X-ray exam of penis CPT 74445 | not published | not published | $56.78 – $239.27 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $73.95 – $543.87 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $42.61 – $198.11 | 8 |
| X-ray exam of sinuses CPT 70210 | $235.30 | $427.82 | $34.46 – $198.11 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $50.11 – $543.87 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $11.46 – $198.11 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $46.93 – $543.87 | 8 |
| X-ray exam si joints CPT 72200 | $323.40 | $588.00 | $36.38 – $239.27 | 8 |
| X-ray exam thorac spine4/>vw CPT 72074 | $534.05 | $971.00 | $47.40 – $239.27 | 8 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $34.94 – $198.11 | 8 |
| X-ray facial bones complete > 3 views CPT 70150 | $411.95 | $749.00 | $50.28 – $239.27 | 8 |
| X-ray fallopian tube CPT 74742 | not published | not published | $76.34 – $76.34 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $441.10 | $802.00 | $38.78 – $198.11 | 8 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $223.30 | $406.00 | $45.48 – $198.11 | 8 |
| X-ray foot 2 views (both sides) CPT 73620 | $238.70 | $434.00 | $30.63 – $198.11 | 8 |
| X-ray forearm 2 views (both sides) CPT 73090 | $319.00 | $580.00 | $31.11 – $198.11 | 8 |
| X-ray hand 2 views (both sides) CPT 73120 | $234.30 | $426.00 | $33.98 – $239.27 | 8 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $11.94 – $198.11 | 8 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $228.80 | $416.00 | $30.14 – $198.11 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $494.45 | $899.00 | $67.52 – $239.27 | 8 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $482.35 | $877.00 | $44.05 – $239.27 | 8 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $493.35 | $897.00 | $57.45 – $239.27 | 8 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $674.30 | $1,226.00 | $67.52 – $239.27 | 8 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $291.50 | $530.00 | $34.46 – $198.11 | 8 |
| X-ray humerus >= 2 views left CPT 73060 | $346.50 | $630.00 | $34.94 – $198.11 | 8 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $44.05 – $239.27 | 8 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $298.65 | $543.00 | $37.81 – $198.11 | 8 |
| X-ray knee 3 views (both sides) CPT 73562 | $388.30 | $706.00 | $45.96 – $198.11 | 8 |
| X-ray knee ap standing bilateral CPT 73565 | $410.30 | $746.00 | $45.96 – $198.11 | 8 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $329.45 | $599.00 | $34.46 – $198.11 | 8 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $370.15 | $673.00 | $43.08 – $239.27 | 8 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $452.32 | $822.40 | $56.98 – $239.27 | 8 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $530.20 | $964.00 | $67.52 – $239.27 | 8 |
| X-ray male genital tract CPT 74440 | not published | not published | $114.96 – $543.87 | 8 |
| X-ray mandible complete > 4 views CPT 70110 | $302.50 | $550.00 | $45.96 – $239.27 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $64.35 | $117.00 | $43.56 – $198.11 | 8 |
| X-ray nasal bones complete > 3 views CPT 70160 | $309.10 | $562.00 | $42.61 – $198.11 | 8 |
| X-ray neck soft tissue CPT 70360 | $301.95 | $549.00 | $32.54 – $198.11 | 8 |
| X-ray nose to rectum for foreign body child CPT 76010 | $214.50 | $390.00 | $30.14 – $198.11 | 8 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $69.44 – $543.87 | 8 |
| X-ray optic foramina CPT 70190 | not published | not published | $38.78 – $198.11 | 8 |
| X-ray pelvis 1-2 views CPT 72170 | $311.30 | $566.00 | $28.23 – $239.27 | 8 |
| X-ray pelvis complete > 3 views CPT 72190 | $358.05 | $651.00 | $43.56 – $239.27 | 8 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $251.96 – $251.96 | 1 |
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.