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 |
|---|---|---|---|---|
| Chest 2 vws w oblique CPT 71048 | not published | not published | $45.00 – $239.27 | 8 |
| Chest apical lordotic proj CPT 71047 | $281.60 | $512.00 | $42.13 – $198.11 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,619.75 | $2,945.00 | $168.70 – $489.56 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,474.55 | $2,681.00 | $167.63 – $489.56 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,472.90 | $2,678.00 | $100.55 – $292.44 | 8 |
| Chest X-ray CPT 71046 | $250.25 | $455.00 | $33.51 – $198.11 | 8 |
| Chest X-ray (single view) CPT 71045 | $222.75 | $405.00 | $24.88 – $198.11 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $41.88 – $118.80 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $395.45 | $719.00 | $110.66 – $400.55 | 8 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $303.81 | 7 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $381.44 | 8 |
| Chlamydia culture CPT 87110 | $85.80 | $156.00 | $19.60 – $28.76 | 8 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $17.72 | 8 |
| Chlamydia type CPT 87140 | $44.55 | $81.00 | $5.57 – $8.15 | 8 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $25.75 – $38.01 | 2 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $61.65 – $79.91 | 2 |
| Chloride CPT 82435 | $51.70 | $94.00 | $4.60 – $6.70 | 8 |
| Chloride 24 hour urine CPT 82436 | $55.55 | $101.00 | $5.75 – $8.62 | 8 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.05 – $0.07 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.74 – $1.15 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $40.28 – $199.32 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $36.01 – $48.93 | 3 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.37 – $0.57 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $204.00 – $663.38 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $317.17 – $6,714.87 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $398.75 | $725.00 | $34.33 – $123.64 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $495.07 – $6,714.87 | 8 |
| Cholesterol CPT 82465 | $53.35 | $97.00 | $4.35 – $6.23 | 8 |
| Cholesterol body fluid CPT 84999 | $77.55 | $141.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $77.00 | $140.00 | $13.39 – $19.64 | 8 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $9,362.25 | 8 |
| Cholinesterase CPT 82480 | $61.05 | $111.00 | $7.87 – $11.50 | 8 |
| Cholinesterase challenge CPT 95857 | not published | not published | $43.20 – $622.80 | 8 |
| Chorion biopsy CPT 59015 | not published | not published | $199.33 – $1,727.39 | 8 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $22.63 – $38.06 | 3 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $60.92 | 8 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $32.87 – $57.03 | 8 |
| Chromatography CPT 83021 | $110.00 | $200.00 | $18.06 – $26.36 | 8 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $17.25 | 8 |
| Chromo high res and frag x - sendout CPT 81243 | $138.60 | $252.00 | $57.04 – $83.37 | 8 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $303.91 | 8 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $253.50 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $228.25 | $415.00 | $125.49 – $219.61 | 8 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $253.50 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $263.01 | 8 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $462.60 | 8 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $303.05 | 8 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $276.02 | 7 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $120.05 | 8 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $47.09 | 8 |
| Chromosome karyotype study CPT 88280 | $158.40 | $288.00 | $33.47 – $58.57 | 8 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $50.31 | 7 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $18.22 | 8 |
| Chylomicron screen, bf - sendout CPT 82664 | $64.90 | $118.00 | $57.60 – $90.09 | 8 |
| Cidofovir injection HCPCS J0740 | not published | not published | $535.74 – $1,044.68 | 9 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $9.10 – $13.30 | 3 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $586.24 – $4,458.86 | 9 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $587,977.76 – $1,146,556.62 | 8 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.05 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $100.55 – $239.27 | 8 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $41.52 – $58.70 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.60 – $3.36 | 3 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $47.91 – $52.54 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $301.46 – $3,920.41 | 9 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $222.46 – $1,307.75 | 9 |
| Circumcision (newborn) CPT 54150 | $1,956.35 | $3,557.00 | $146.71 – $3,920.41 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $3.55 – $6.64 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $482.07 | 8 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.19 – $25.90 | 9 |
| Claviculectomy partial CPT 23120 | not published | not published | $899.55 – $6,164.76 | 9 |
| Claviculectomy total CPT 23125 | not published | not published | $1,084.64 – $6,164.76 | 9 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $206.00 – $1,011.48 | 8 |
| Clearance of airways CPT 31720 | $209.00 | $380.00 | $74.41 – $991.00 | 9 |
| Clearance of tear duct CPT 68530 | not published | not published | $305.27 – $595.28 | 8 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $65.73 – $257.80 | 8 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $31.83 – $257.80 | 8 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $48.03 – $257.80 | 8 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $31.83 – $78.50 | 8 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $2.00 – $3.12 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $297.00 | $540.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,784.87 – $6,071.07 | 8 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $315.67 – $615.56 | 8 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $16.24 – $35.13 | 9 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $20.09 – $31.65 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $422.95 | $769.00 | $237.24 – $591.81 | 8 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $611.80 – $3,040.78 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,111.00 – $3,015.71 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $237.24 – $632.69 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $4,104.10 | $7,462.00 | $660.68 – $3,040.78 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $237.24 – $490.01 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,915.00 | $5,300.00 | $699.18 – $3,040.78 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $428.45 | $779.00 | $170.62 – $462.61 | 8 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $977.22 – $2,909.92 | 9 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $255.89 – $1,254.00 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $498.88 – $2,909.92 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,965.60 | $5,392.00 | $891.43 – $3,040.78 | 9 |
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.