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 |
|---|---|---|---|---|
| D&c of cervical stump CPT 57558 | not published | not published | $196.23 – $6,071.07 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $54.45 | $99.00 | $12.05 – $17.72 | 7 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,059.79 – $4,103.56 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $42.61 – $1,163.05 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $218.35 | $397.00 | $37.66 – $67.47 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,677.50 | $3,050.00 | $343.28 – $3,097.49 | 9 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $517.55 | $941.00 | $83.36 – $83.36 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,257.85 | $2,287.00 | $147.09 – $147.09 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,705.00 | $3,100.00 | $92.11 – $1,254.00 | 9 |
| Debride nail1-5 11720 CPT 11720 | $161.70 | $294.00 | $21.88 – $112.86 | 8 |
| Debride nail6 or more 11721 CPT 11721 | $222.20 | $404.00 | $36.55 – $112.86 | 8 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $450.42 – $1,336.82 | 9 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $628.86 – $5,447.65 | 9 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $861.56 – $4,103.56 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,168.90 – $4,103.56 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $470.80 | $856.00 | $38.53 – $38.53 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $78.17 – $377.53 | 8 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $417.28 – $1,336.82 | 9 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $22.72 – $22.72 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $699.60 | $1,272.00 | $233.63 – $1,386.09 | 9 |
| Decalcification CPT 88311 | $52.80 | $96.00 | $12.42 – $31.68 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.19 – $2.82 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,303.50 | $2,370.00 | $49.75 – $630.21 | 8 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $722.34 – $6,164.76 | 9 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,104.94 – $3,040.78 | 9 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,459.00 – $3,040.78 | 9 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $859.08 – $6,164.76 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,312.34 – $6,164.76 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,459.00 – $6,164.76 | 9 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,189.38 – $6,164.76 | 9 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,254.00 – $13,608.67 | 9 |
| Decompression of leg CPT 27892 | not published | not published | $816.62 – $6,164.76 | 9 |
| Decompression of leg CPT 27893 | not published | not published | $937.98 – $13,608.67 | 9 |
| Decompression of leg CPT 27894 | not published | not published | $1,237.34 – $6,164.76 | 9 |
| Decompression of lower leg CPT 27600 | not published | not published | $608.07 – $6,164.76 | 9 |
| Decompression of lower leg CPT 27601 | not published | not published | $673.05 – $6,164.76 | 9 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $839.89 – $6,164.76 | 9 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $888.54 – $6,164.76 | 9 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,004.09 – $3,040.78 | 9 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,072.11 – $13,608.67 | 9 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $548.87 – $3,710.26 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $565.30 – $3,710.26 | 9 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,594.00 – $7,373.14 | 9 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,467.89 – $13,608.67 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,262.68 – $13,608.67 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,697.72 – $13,608.67 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $484.26 – $484.26 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $234.32 – $5,447.65 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $10.18 – $14.13 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.48 – $8.74 | 9 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,152.07 – $18,181.20 | 9 |
| Delay flap arms/legs CPT 15610 | not published | not published | $367.49 – $3,869.58 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $518.98 – $3,869.58 | 9 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $492.49 – $3,869.58 | 9 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $318.35 – $6,955.84 | 9 |
| Delivery of placenta 59414 CPT 59414 | $3,124.00 | $5,680.00 | $137.72 – $6,071.07 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,189.00 – $4,103.56 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $978.42 – $4,103.56 | 2 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $128.05 – $249.69 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $165.55 | $301.00 | $25.79 – $410.68 | 8 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,594.00 – $6,164.76 | 9 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $30.10 – $58.70 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $408.10 | $742.00 | $127.96 – $991.00 | 9 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $5.81 – $6.34 | 2 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $52.48 – $67.72 | 3 |
| Dermabrasion other than face CPT 15782 | not published | not published | $557.92 – $5,447.65 | 7 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $641.97 – $1,328.07 | 7 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $390.97 – $762.40 | 7 |
| Dermabrasion total face CPT 15780 | not published | not published | $1,002.37 – $5,447.65 | 7 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,019.70 – $6,955.84 | 9 |
| Dermagraft HCPCS Q4106 | not published | not published | $73.81 – $73.81 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $104.15 – $3,869.58 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,147.30 – $6,955.84 | 9 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $899.43 – $3,869.58 | 9 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $215.66 – $7,343.20 | 8 |
| Design mlc device for imrt CPT 77338 | $627.55 | $1,141.00 | $351.84 – $823.66 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.57 – $10.40 | 3 |
| Desoxycorticosterone CPT 82633 | $39.60 | $72.00 | $30.98 – $45.53 | 8 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $591.55 – $4,103.56 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $116.03 | $210.96 | $131.68 – $377.53 | 8 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $146.92 | $267.12 | $179.21 – $377.53 | 8 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $168.30 | $306.00 | $192.96 – $377.53 | 8 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $124.34 | $226.08 | $144.93 – $377.53 | 8 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $135.04 | $245.52 | $159.31 – $377.53 | 8 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $153.65 | $279.36 | $183.83 – $377.53 | 8 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $78.01 | $141.84 | $106.80 – $377.53 | 8 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $118.40 | $215.28 | $132.16 – $377.53 | 8 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $144.14 | $262.08 | $167.45 – $377.53 | 8 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $157.61 | $286.56 | $185.37 – $377.53 | 8 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $293.19 – $3,710.26 | 8 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $102.56 – $102.56 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $227.95 – $2,244.24 | 8 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $222.20 | $404.00 | $82.86 – $377.53 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $324.08 – $3,869.58 | 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.