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 |
|---|---|---|---|---|
| Xray place prox ext thor ao CPT 75958 | not published | not published | $284.35 – $284.35 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $602.25 | $1,095.00 | $77.59 – $803.54 | 8 |
| X-ray ribs 2 views left CPT 71100 | $325.60 | $592.00 | $37.81 – $198.11 | 8 |
| X-ray ribs 3 views bilateral CPT 71110 | $334.40 | $608.00 | $43.56 – $239.27 | 8 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $353.10 | $642.00 | $42.61 – $239.27 | 8 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $386.65 | $703.00 | $53.63 – $239.27 | 8 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $341.00 | $620.00 | $41.18 – $239.27 | 8 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $312.95 | $569.00 | $34.94 – $198.11 | 8 |
| X-ray scapula complete (both sides) CPT 73010 | $312.95 | $569.00 | $21.99 – $239.27 | 8 |
| X-ray sella turcica CPT 70240 | not published | not published | $34.46 – $198.11 | 8 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $259.05 | $471.00 | $20.56 – $198.11 | 8 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $425.70 | $774.00 | $39.26 – $198.11 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $374.00 | $680.00 | $50.75 – $1,233.68 | 8 |
| X-ray skull < 4 views CPT 70250 | $292.60 | $532.00 | $39.73 – $239.27 | 8 |
| X-ray skull > 4 views complete CPT 70260 | $469.15 | $853.00 | $45.00 – $239.27 | 8 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $89.09 – $239.27 | 8 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $359.15 | $653.00 | $120.72 – $400.55 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $204.05 | $371.00 | $71.37 – $71.37 | 1 |
| X-ray spine single view CPT 72020 | $336.05 | $611.00 | $23.91 – $198.11 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $323.40 | $588.00 | $44.53 – $198.11 | 8 |
| X-ray sternum > 2 views CPT 71120 | $323.40 | $588.00 | $34.94 – $198.11 | 8 |
| X-ray surgical specimen CPT 76098 | $364.65 | $663.00 | $39.73 – $1,233.68 | 8 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $668.80 | $1,216.00 | $140.98 – $400.55 | 8 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $323.40 | $588.00 | $59.85 – $198.11 | 8 |
| X-ray thoracic spine 2 views CPT 72070 | $282.15 | $513.00 | $33.51 – $239.27 | 8 |
| X-ray thoracic spine 3 views CPT 72072 | $437.25 | $795.00 | $41.65 – $239.27 | 8 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $292.60 | $532.00 | $35.41 – $198.11 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $103.95 | $189.00 | $43.56 – $198.11 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $156.20 | $284.00 | $79.51 – $239.27 | 8 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $339.90 | $618.00 | $34.46 – $198.11 | 8 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $241.45 | $439.00 | $33.03 – $198.11 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $398.20 | $724.00 | $139.40 – $400.55 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $367.95 | $669.00 | $122.15 – $400.55 | 8 |
| X-ray wrist 2 views (both sides) CPT 73100 | $268.40 | $488.00 | $37.33 – $198.11 | 8 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $96.76 – $400.55 | 8 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $374.15 – $441.81 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $105.66 – $117.17 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $119.69 – $4,686.43 | 8 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $18.69 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.37 – $2.67 | 9 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $19.17 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $115,661.91 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $114.40 – $773.21 | 8 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.79 – $21.05 | 9 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.95 | 9 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.59 – $2.48 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $75.23 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $24.44 | 7 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $6.60 | $12.00 | $2.81 – $3.06 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $6.42 – $16.03 | 3 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.67 – $16.91 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $11.80 – $15.24 | 3 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $359.79 – $359.79 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $282.72 | 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.