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 |
|---|---|---|---|---|
| Drain penis lesion CPT 54015 | not published | not published | $465.68 – $3,097.49 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,033.53 – $3,040.78 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $338.39 – $5,447.65 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $387.83 – $5,447.65 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $775.95 – $5,447.65 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $239.54 – $2,909.92 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,169.21 – $4,103.56 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $299.20 | $544.00 | $169.03 – $1,254.00 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $281.60 | $512.00 | $84.16 – $377.53 | 8 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $378.95 | $689.00 | $199.71 – $1,254.00 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $39.20 | $71.28 | $68.18 – $1,386.09 | 8 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $62.60 – $233.39 | 9 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $471.63 – $4,103.56 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $849.73 – $6,164.76 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | $719.95 | $1,309.00 | $174.02 – $595.28 | 8 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,916.20 | $3,484.00 | $281.20 – $3,097.49 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $128.87 – $1,336.82 | 8 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $300.84 – $1,254.00 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $482.40 – $6,071.07 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $752.28 – $6,164.76 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $640.84 – $6,164.76 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $652.58 – $2,244.24 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $353.61 – $6,217.98 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,558.60 | $4,652.00 | $255.80 – $3,097.49 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,094.96 – $4,103.56 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $237.54 – $2,909.92 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $203.75 – $1,011.48 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.33 – $2.36 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $10.63 – $14.70 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $503.42 | $915.30 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $20.05 – $233.39 | 8 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $14.89 – $233.39 | 9 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $11.27 – $233.39 | 9 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $23.49 – $35.27 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $24.51 – $26.74 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $20.75 – $233.39 | 8 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $61.74 – $233.39 | 9 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $119.69 – $233.39 | 7 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $148.10 – $148.10 | 1 |
| Drug assay caffeine CPT 80155 | $171.60 | $312.00 | $23.16 – $56.55 | 8 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $39.78 | 7 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $39.78 | 8 |
| Drug assay vedolizumab CPT 80280 | $312.95 | $569.00 | $38.57 – $56.55 | 7 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $39.78 | 7 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $27.31 | 8 |
| Drug of abuse screen urine CPT 80305 | $139.70 | $254.00 | $12.60 – $18.22 | 8 |
| Drug screen quant tiagabine CPT 80199 | $95.70 | $174.00 | $27.11 – $39.78 | 8 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $290.87 | 8 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $95.93 – $167.24 | 8 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $361.32 | 8 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $147.59 – $229.06 | 8 |
| Drug test prsmv instrmnt CPT 80306 | $139.70 | $254.00 | $17.14 – $24.92 | 8 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $429.00 | $780.00 | $62.14 – $91.04 | 8 |
| Drvvt confirm - quest CPT 85597 | $113.85 | $207.00 | $17.98 – $26.36 | 8 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $381.17 – $7,373.14 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $222.62 – $3,710.26 | 8 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $306.54 – $762.40 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $258.94 – $762.40 | 8 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $301.50 – $1,386.09 | 8 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $410.05 – $1,386.09 | 8 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $528.97 – $1,031.49 | 8 |
| Ductogram sgl duct CPT 77053 | $437.25 | $795.00 | $53.15 – $543.87 | 8 |
| Duodenal motility study CPT 91022 | not published | not published | $147.51 – $1,061.20 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $229.48 – $459.27 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $100.55 – $202.05 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $100.55 – $202.05 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $626.45 | $1,139.00 | $196.34 – $404.95 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $999.35 | $1,817.00 | $229.48 – $459.27 | 8 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $87.95 – $171.50 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $56.47 – $239.27 | 8 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $101.13 – $265.98 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $199.91 – $3,338.11 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $202.26 – $3,338.11 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $200.42 – $3,338.11 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $53.63 – $837.81 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $76.97 – $1,781.36 | 8 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $116.49 – $1,781.36 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $56.85 – $591.66 | 8 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $90.35 – $297.27 | 8 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $237.69 – $737.79 | 8 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $238.21 – $3,338.11 | 9 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $176.27 – $468.58 | 8 |
| Dynamic surface emg CPT 96002 | not published | not published | $32.47 – $529.38 | 8 |
| Ear and throat examination CPT 92502 | not published | not published | $145.00 – $1,018.50 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $96.48 – $2,909.92 | 8 |
| Ear cartilage graft CPT 21235 | not published | not published | $865.66 – $11,239.75 | 9 |
| Ear irrigation 69209 CPT 69209 | $220.55 | $401.00 | $22.96 – $112.86 | 8 |
| Ear protector evaluation CPT 92596 | not published | not published | $35.92 – $110.66 | 7 |
| Ecallantide injection HCPCS J1290 | not published | not published | $595.94 – $1,162.09 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $196.35 | $357.00 | $9.07 – $112.86 | 8 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $10.41 – $11.59 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $9.07 – $112.86 | 8 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $91.44 – $205.54 | 8 |
| Ecg external < 48 hours recording CPT 93225 | $480.70 | $874.00 | $26.31 – $249.53 | 8 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $51.23 – $112.86 | 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.