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 ot sensory integrative tech/15min CPT 97533 | not published | not published | $55.96 – $109.12 | 8 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $98.70 – $98.70 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $1,286.45 | $2,339.00 | $1.46 – $1,243.32 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $92.08 – $92.08 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $79.23 – $79.23 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $56.10 | $102.00 | $35.99 – $38.87 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $475.75 | $865.00 | $206.17 – $991.00 | 9 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.50 – $8.15 | 8 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $140.71 – $2,952.25 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $383.35 | $697.00 | $237.24 – $474.19 | 8 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $6.23 | 8 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $825.91 – $2,034.78 | 8 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $6.19 – $257.80 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $99.55 | $181.00 | $6.46 – $54.24 | 8 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $52.80 | $96.00 | $9.66 – $14.37 | 8 |
| Ghs protein, misc fluid CPT 84160 | $53.35 | $97.00 | $5.61 – $8.15 | 8 |
| Ghs protoporphyrins fract CPT 84202 | $94.60 | $172.00 | $14.35 – $21.09 | 8 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $28.30 – $118.80 | 8 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $17.72 | 8 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $247.46 – $247.46 | 1 |
| Ghs quinidine CPT 80194 | $116.05 | $211.00 | $14.60 – $21.57 | 8 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $129.66 – $619.47 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $253.55 | $461.00 | $127.96 – $249.53 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | $713.35 | $1,297.00 | $193.65 – $837.81 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $901.52 – $3,040.78 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $757.60 – $6,164.76 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $23.49 | 8 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $6.23 | 8 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $20.12 | 8 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $6.23 | 8 |
| Ghs semen analysis fert CPT 89320 | $138.60 | $252.00 | $12.31 – $18.22 | 8 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $14.37 | 8 |
| Ghs sensitivity (per antimicro) CPT 87184 | $63.80 | $116.00 | $7.48 – $11.02 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $452.10 | $822.00 | $145.49 – $1,254.00 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $452.10 | $822.00 | $196.02 – $1,254.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $452.10 | $822.00 | $177.85 – $1,254.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $236.18 – $1,254.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $391.60 | $712.00 | $115.20 – $377.53 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $391.60 | $712.00 | $112.64 – $377.53 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $391.60 | $712.00 | $144.59 – $377.53 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $552.20 | $1,004.00 | $192.96 – $1,254.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $192.96 – $1,254.00 | 9 |
| Ghs sleep study unattended CPT 95800 | $187.00 | $340.00 | $139.84 – $404.95 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $188.20 – $622.80 | 8 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $475.16 – $1,610.53 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $45.15 – $88.04 | 7 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $158.32 – $575.67 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $6.19 – $257.80 | 8 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $96.89 – $188.94 | 7 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $16.46 – $78.50 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | $298.10 | $542.00 | $27.59 – $249.53 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $67.85 – $132.31 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $81.95 | $149.00 | $24.01 – $92.28 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $204.29 – $421.38 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $996.60 | $1,812.00 | $285.12 – $1,386.09 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $596.20 | $1,084.00 | $213.44 – $991.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,322.10 | $4,222.00 | $486.20 – $2,909.92 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $10.54 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $522.50 | $950.00 | $237.24 – $462.61 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $237.24 – $462.61 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $35.46 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $88.55 | $161.00 | $14.71 – $21.57 | 8 |
| Ghs vaginal delivery only CPT 59409 | $2,263.25 | $4,115.00 | $1,218.41 – $6,071.07 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $358.89 – $1,323.67 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $68.07 – $304.76 | 8 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $21.57 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $82.52 – $543.87 | 8 |
| Gi inhouse confirmation CPT 87045 | $109.45 | $199.00 | $9.44 – $13.90 | 8 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $457.16 – $6,217.98 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $64.40 – $904.12 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $982.44 | $1,786.25 | $872.31 – $1,875.12 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $894.41 – $1,823.42 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $872.31 – $1,875.12 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $872.31 – $1,875.12 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $148.07 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $90.09 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $51.28 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.58 – $10.89 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $27.82 – $94.08 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.92 – $70.05 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,310.93 – $7,752.03 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,309.91 – $7,752.03 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,254.00 – $4,333.39 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,594.00 – $4,333.39 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $140.19 – $273.37 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $117.33 – $309.40 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $129.28 – $252.10 | 9 |
| Glucagon plasma - sendout CPT 82943 | $128.70 | $234.00 | $14.29 – $21.09 | 8 |
| Glucose 1 hr post dose CPT 82950 | $106.70 | $194.00 | $4.75 – $7.19 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $8.62 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $6.60 | $12.00 | $3.28 – $4.80 | 8 |
| Glucose blood quantitative CPT 82947 | $53.35 | $97.00 | $3.93 – $5.75 | 8 |
| Glucose body fluid CPT 82945 | $53.35 | $97.00 | $3.93 – $5.75 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $68.64 | $124.80 | $56.74 – $118.80 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $172.15 | $313.00 | $12.87 – $18.69 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $52.80 | $96.00 | $3.92 – $5.75 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.81 – $1.02 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $21.52 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $81.95 | $149.00 | $18.58 – $27.31 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $110.00 | $200.00 | $18.52 – $27.31 | 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.