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 |
|---|---|---|---|---|
| Closed tx septal&nose fx CPT 21337 | not published | not published | $455.68 – $6,217.98 | 9 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $157.43 – $462.61 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $237.24 – $462.61 | 8 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,184.70 – $6,164.76 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $609.40 | $1,108.00 | $219.19 – $444.20 | 8 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,008.05 – $2,909.92 | 9 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,022.97 – $13,608.67 | 7 |
| Close tear duct opening CPT 68760 | not published | not published | $218.30 – $595.28 | 8 |
| Close tear duct opening CPT 68761 | not published | not published | $175.17 – $595.28 | 8 |
| Close tear system fistula CPT 68770 | not published | not published | $937.70 – $4,458.86 | 9 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $23.49 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,640.55 | $4,801.00 | $90.73 – $2,909.92 | 9 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,804.55 | $3,281.00 | $302.81 – $1,011.48 | 9 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $143.51 – $1,869.60 | 8 |
| Closure of salivary fistula CPT 42600 | not published | not published | $544.44 – $6,217.98 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $506.25 – $6,217.98 | 9 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $603.32 – $1,176.48 | 8 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $27.79 | 8 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $29.71 | 8 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $27.79 | 8 |
| Clot factor xii hageman CPT 85280 | $246.40 | $448.00 | $19.35 – $28.27 | 8 |
| Clot factor xiii fibrin scrn CPT 85291 | $246.40 | $448.00 | $9.11 – $13.42 | 8 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $23.96 | 8 |
| Clotting assay whole blood CPT 85396 | not published | not published | $23.30 – $29.40 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.68 – $1.07 | 2 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $383.35 | $697.00 | $237.24 – $991.00 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $421.30 | $766.00 | $237.24 – $488.84 | 8 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $370.86 – $3,040.78 | 9 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $519.03 – $3,040.78 | 9 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $348.70 | $634.00 | $237.24 – $991.00 | 9 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $383.35 | $697.00 | $122.92 – $462.61 | 8 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,237.40 | $4,068.00 | $1,151.75 – $3,040.78 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $815.16 – $3,040.78 | 9 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $191.63 – $462.61 | 8 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $464.20 | $844.00 | $221.67 – $462.61 | 8 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $237.24 – $501.87 | 8 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,061.40 | $3,748.00 | $789.37 – $3,040.78 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,244.65 | $2,263.00 | $719.74 – $3,040.78 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $421.30 | $766.00 | $237.24 – $991.00 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $871.75 | $1,585.00 | $269.00 – $551.19 | 8 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $518.71 – $1,459.00 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $487.30 | $886.00 | $237.24 – $1,254.00 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $773.90 – $6,164.76 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $144.88 – $6,217.98 | 9 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $1,254.00 – $4,103.56 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,189.10 | $2,162.00 | $506.48 – $3,040.78 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $431.75 | $785.00 | $237.24 – $991.00 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $201.27 – $462.61 | 8 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $237.24 – $479.40 | 8 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $623.97 – $3,040.78 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,260.40 | $5,928.00 | $629.77 – $3,040.78 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $620.34 – $3,040.78 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,369.50 | $2,490.00 | $731.00 – $3,040.78 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,218.60 | $5,852.00 | $627.63 – $3,040.78 | 9 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $522.51 – $6,164.76 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $273.35 | $497.00 | $47.63 – $991.00 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $464.20 | $844.00 | $144.51 – $462.61 | 8 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,965.60 | $5,392.00 | $681.60 – $3,040.78 | 9 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $237.24 – $991.00 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $237.24 – $462.61 | 8 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $237.24 – $1,254.00 | 9 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $237.24 – $475.37 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $237.24 – $991.00 | 9 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $237.24 – $1,254.00 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $687.98 – $3,040.78 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $548.07 – $3,040.78 | 9 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $237.24 – $991.00 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $731.00 – $3,040.78 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $237.24 – $991.00 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $757.85 – $3,040.78 | 9 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,373.51 – $11,239.75 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $951.88 – $2,909.92 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $892.72 – $6,217.98 | 8 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $816.39 – $6,217.98 | 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.