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 |
|---|---|---|---|---|
| Ghs elect vertical elct CPT 92547 | not published | not published | $12.47 – $12.47 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $107.85 – $762.40 | 8 |
| Ghs excision ingrown nail CPT 11765 | $677.05 | $1,231.00 | $140.91 – $762.40 | 8 |
| Ghs eye exam CPT 92002 | not published | not published | $69.28 – $257.74 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $492.80 | $896.00 | $175.91 – $595.28 | 8 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $7.19 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $475.62 – $3,097.49 | 9 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $374.98 – $5,447.65 | 9 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $278.90 – $3,097.49 | 9 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $224.12 – $3,097.49 | 8 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $49.50 | $90.00 | $6.98 – $10.07 | 8 |
| Ghs fish cytogen CPT 88271 | $79.20 | $144.00 | $21.42 – $37.49 | 8 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $79.20 | $144.00 | $51.19 – $89.58 | 8 |
| Ghs flow volume loop CPT 94375 | not published | not published | $35.91 – $622.80 | 8 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $32.96 – $591.66 | 8 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $51.28 | 8 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $33.54 | 8 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $22.52 | 8 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $13.90 | 8 |
| Ghs histoplasma antigen CPT 87385 | $94.05 | $171.00 | $13.25 – $19.17 | 8 |
| Ghs HIV antibody CPT 86703 | $46.75 | $85.00 | $13.71 – $20.12 | 8 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $155.27 | 8 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,405.50 | $8,010.00 | $325.54 – $3,920.41 | 9 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,857.90 | $3,378.00 | $644.75 – $2,244.24 | 9 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $259.47 – $1,336.82 | 8 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $606.65 | $1,103.00 | $158.70 – $1,336.82 | 8 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $43.61 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $421.30 | $766.00 | $166.94 – $468.58 | 8 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $191.98 – $1,254.00 | 9 |
| Ghs inf midline insertion CPT 36140 | $693.00 | $1,260.00 | $133.40 – $133.40 | 1 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $12.87 – $18.69 | 8 |
| Ghs init tx 1st degree burn CPT 16000 | $191.40 | $348.00 | $69.81 – $377.53 | 8 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $270.45 – $1,691.55 | 9 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $181.32 – $1,691.55 | 8 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $59.13 – $575.67 | 8 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $93.31 – $991.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $198.96 – $1,691.55 | 9 |
| Ghs insertion of needle - bone CPT 36680 | $603.90 | $1,098.00 | $90.93 – $837.81 | 8 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $452.10 | $822.00 | $364.82 – $1,254.00 | 9 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $684.20 | $1,244.00 | $426.98 – $1,386.09 | 9 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,240.70 | $4,074.00 | $496.40 – $3,869.58 | 9 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $13.91 – $13.91 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $463.10 | $842.00 | $205.15 – $991.00 | 9 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $121.55 | $221.00 | $27.31 – $92.28 | 8 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $662.75 | $1,205.00 | $658.43 – $658.43 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $492.80 | $896.00 | $658.43 – $658.43 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $529.65 | $963.00 | $658.43 – $658.43 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $488.40 | $888.00 | $317.68 – $731.00 | 8 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $207.35 | $377.00 | $232.25 – $1,254.00 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $452.10 | $822.00 | $228.23 – $762.40 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $452.10 | $822.00 | $219.67 – $762.40 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $452.10 | $822.00 | $255.79 – $762.40 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $452.10 | $822.00 | $301.43 – $762.40 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $452.10 | $822.00 | $295.78 – $762.40 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $452.10 | $822.00 | $325.51 – $762.40 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $452.10 | $822.00 | $310.45 – $1,254.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $684.20 | $1,244.00 | $324.46 – $1,386.09 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,249.60 | $2,272.00 | $334.13 – $1,254.00 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $986.70 | $1,794.00 | $412.99 – $1,386.09 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $390.97 – $1,254.00 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $479.58 – $1,386.09 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,249.60 | $2,272.00 | $390.97 – $1,254.00 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $532.60 – $3,869.58 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $390.97 – $1,254.00 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $51.70 | $94.00 | $8.60 – $12.47 | 8 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $15.45 – $20.37 | 2 |
| Ghs mbp CPT 83873 | $149.05 | $271.00 | $17.20 – $25.39 | 8 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $246.40 | $448.00 | $36.82 – $89.61 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $246.40 | $448.00 | $127.36 – $127.66 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $223.85 | $407.00 | $113.82 – $115.34 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $246.40 | $448.00 | $16.69 – $17.56 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $246.40 | $448.00 | $88.32 – $91.21 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $74.75 – $140.56 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $62.78 – $89.08 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $67.10 – $122.32 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $397.10 | $722.00 | $17.62 – $17.62 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $510.40 | $928.00 | $166.42 – $1,386.09 | 8 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $38.19 – $1,691.55 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $88.81 – $1,323.85 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $98.19 – $1,691.55 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $106.96 – $1,691.55 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $143.77 – $1,691.55 | 9 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $116.86 – $1,691.55 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $129.08 – $1,691.55 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $110.11 – $1,323.85 | 8 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $85.02 – $1,323.85 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $60.87 – $837.81 | 8 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $14.37 | 8 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $59.82 – $312.92 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $56.74 – $118.80 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $45.04 – $92.28 | 7 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $50.59 – $1,254.00 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $275.35 – $2,952.25 | 9 |
| Ghs optokenetic CPT 92544 | not published | not published | $5.22 – $312.92 | 8 |
| Ghs oscillating trac CPT 92545 | not published | not published | $5.22 – $622.80 | 8 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $20.77 – $50.60 | 8 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $37.62 | $68.40 | $20.77 – $53.35 | 8 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.50 – $36.38 | 8 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.13 – $33.41 | 7 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $37.84 – $73.79 | 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.