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 |
|---|---|---|---|---|
| G6pc gene CPT 81250 | not published | not published | $58.49 – $85.77 | 8 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $600.00 – $877.90 | 7 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $255.89 | 7 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $549.17 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $46.75 | $85.00 | $252.81 – $252.81 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $82.50 | $150.00 | $49.63 – $104.04 | 8 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.32 – $0.56 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.85 – $2.50 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.15 – $0.21 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $18.24 – $24.21 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $139.70 | $254.00 | $21.07 – $30.67 | 8 |
| Galactokinase - sendout CPT 82759 | $155.10 | $282.00 | $21.48 – $31.63 | 8 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $17.25 | 8 |
| Galectin-3 CPT 82777 | not published | not published | $21.36 – $64.70 | 8 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,004.87 – $11,338.09 | 8 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $1,296.43 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $1,324.08 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $1,760.10 | 8 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $1,542.90 | 8 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $162.52 – $833.17 | 9 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.87 – $95.30 | 9 |
| Gammaglobulin iga CPT 82784 | $55.55 | $101.00 | $9.30 – $13.42 | 8 |
| Gammaglobulin ige CPT 82785 | $75.35 | $137.00 | $16.46 – $23.96 | 8 |
| Gamma glutamyltransferase CPT 82977 | $53.35 | $97.00 | $7.20 – $10.54 | 8 |
| Gammaplex injection HCPCS J1557 | not published | not published | $66.27 – $129.23 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.01 – $95.58 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $39.79 – $73.78 | 3 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $61.33 | 7 |
| Gastric analy w/ph ea spec CPT 82930 | $88.55 | $161.00 | $6.71 – $9.59 | 8 |
| Gastric emptying imag study CPT 78265 | not published | not published | $384.49 – $904.12 | 8 |
| Gastric emptying imag study CPT 78266 | not published | not published | $517.72 – $1,211.11 | 8 |
| Gastric motility studies CPT 91020 | not published | not published | $295.06 – $1,061.20 | 8 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $226.93 – $904.12 | 8 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $25.87 | 8 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $279.64 – $904.12 | 8 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $205.02 – $1,061.20 | 8 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $872.31 – $1,781.36 | 8 |
| Gated heart multiple CPT 78473 | not published | not published | $288.75 – $904.12 | 8 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $69.00 | 8 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $1,040.50 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.14 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.70 – $6.00 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $247.37 – $482.37 | 9 |
| General health panel CPT 80050 | $89.76 | $163.20 | $50.48 – $57.98 | 3 |
| Generator emblem MRI sicd subq HCPCS C1722 | $19,263.75 | $35,025.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $3,583.46 | 8 |
| Genioplasty augmentation CPT 21120 | not published | not published | $759.57 – $11,102.35 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,272.95 – $6,217.98 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $804.56 – $6,217.98 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,122.99 – $11,102.35 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $7,362.92 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.06 – $4.42 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $162.25 | $295.00 | $16.38 – $23.96 | 8 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $10.10 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $539.02 – $1,610.53 | 8 |
| Ghs abscess perianal iandd CPT 46050 | $1,521.30 | $2,766.00 | $153.38 – $1,744.09 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,562.80 | $8,296.00 | $269.63 – $5,447.65 | 9 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $65.45 | $119.00 | $9.81 – $14.37 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $17.11 – $24.92 | 8 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $330.00 | $600.00 | $102.26 – $149.52 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $27.81 – $249.53 | 8 |
| Ghs antibodies (torch) igm CPT 86694 | $73.70 | $134.00 | $14.39 – $21.09 | 8 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.74 – $468.58 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $116.16 – $297.27 | 8 |
| Ghs bleeding time (ivy) CPT 85002 | $60.50 | $110.00 | $4.82 – $7.19 | 8 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $83.08 – $1,323.85 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | $5,394.40 | $9,808.00 | $129.48 – $5,980.25 | 9 |
| Ghs change cysto/gastrost CPT 43762 | $576.95 | $1,049.00 | $56.99 – $468.58 | 8 |
| Ghs chemo >8 hrs CPT 96416 | $1,403.05 | $2,551.00 | $183.99 – $663.38 | 8 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $242.53 – $663.38 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $92.95 | $169.00 | $69.25 – $142.34 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $74.80 | $136.00 | $35.09 – $51.28 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $431.75 | $785.00 | $237.24 – $462.61 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $348.70 | $634.00 | $237.24 – $991.00 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,244.65 | $2,263.00 | $662.47 – $3,040.78 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $237.24 – $991.00 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,457.85 | $6,287.00 | $754.94 – $3,040.78 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,206.71 – $6,646.08 | 9 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $237.24 – $991.00 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,260.50 | $4,110.00 | $681.92 – $3,040.78 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $758.72 – $3,040.78 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $196.90 | $358.00 | $237.24 – $991.00 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $383.35 | $697.00 | $237.24 – $488.87 | 8 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $30.31 – $59.10 | 7 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $343.75 | $625.00 | $54.25 – $837.81 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $228.25 | $415.00 | $43.95 – $249.53 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $220.55 | $401.00 | $62.73 – $837.81 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $220.55 | $401.00 | $76.11 – $249.53 | 8 |
| Ghs cricothyroidotomy CPT 31605 | $785.95 | $1,429.00 | $227.80 – $501.67 | 8 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $60.07 – $837.81 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $72.57 – $249.53 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $22.04 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $383.35 | $697.00 | $237.24 – $991.00 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $161.74 – $1,781.36 | 8 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $50.36 – $524.55 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $158.71 – $1,323.85 | 8 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $207.67 – $404.95 | 8 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $13.37 – $312.92 | 8 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $123.75 – $312.92 | 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.