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 |
|---|---|---|---|---|
| Gonioscopy CPT 92020 | not published | not published | $30.88 – $257.80 | 8 |
| Goniotomy CPT 65820 | not published | not published | $991.00 – $7,752.03 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $874.37 – $1,128.23 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $37.65 – $233.39 | 9 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $119.69 – $2,403.42 | 9 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $78.89 – $326.02 | 9 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,387.11 – $6,164.76 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $38.16 – $233.39 | 8 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,127.75 – $3,280.89 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $64.16 – $233.39 | 9 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $119.69 – $233.39 | 8 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $119.69 – $233.39 | 9 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $64.22 – $233.39 | 9 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $119.69 – $266.22 | 8 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $46.50 – $259.91 | 9 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $602.17 | $1,094.85 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.79 – $5.08 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.32 – $0.62 | 3 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,469.06 – $1,469.06 | 1 |
| Great toe with reduction 28495 CPT 28495 | $422.95 | $769.00 | $230.44 – $462.61 | 8 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $759.20 – $3,869.58 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $774.09 – $6,955.84 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $224.05 – $224.05 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $727.76 – $6,955.84 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $11.89 – $26.72 | 8 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $23.00 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $35.92 – $110.69 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,067.84 – $3,604.28 | 8 |
| G-tube reposition CPT 43761 | $463.10 | $842.00 | $158.35 – $991.00 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $116.40 – $4,609.15 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $205.07 – $1,336.82 | 8 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $1,071.68 – $1,071.68 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $760.65 | $1,383.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $71.50 | $130.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $421.30 | $766.00 | $146.59 – $146.59 | 1 |
| Gum graft CPT 41870 | not published | not published | $464.33 – $2,909.92 | 8 |
| Gw stiffened micro access kit HCPCS C1894 | $86.90 | $158.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $652.24 – $7,343.20 | 9 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $118.95 – $1,386.09 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $384.77 – $1,459.00 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $390.97 – $1,459.00 | 8 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $5.72 – $14.42 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.97 – $2.33 | 3 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $53.30 – $53.30 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $6.82 – $7.92 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $118.75 – $231.56 | 8 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,270.05 – $6,164.76 | 9 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,034.58 – $13,608.67 | 9 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,138.63 – $6,164.76 | 9 |
| Hand X-ray CPT 73130 | $297.55 | $541.00 | $41.65 – $198.11 | 8 |
| Haptoglobin quantitative CPT 83010 | $80.30 | $146.00 | $12.58 – $18.22 | 8 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $127.69 – $4,103.56 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $125.31 – $3,114.63 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $189.31 – $3,869.58 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $616.13 – $4,458.86 | 9 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $512.59 – $512.59 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $72.17 – $830.64 | 8 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $475.82 – $475.82 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $52.67 – $257.80 | 8 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $70.36 – $257.80 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $877.90 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $296.14 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $549.17 | 7 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $474.90 | 8 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $255.89 | 8 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $296.14 | 8 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $549.17 | 8 |
| Hbot, full body chamber, 30m HCPCS G0277 | $393.80 | $716.00 | $132.35 – $261.96 | 8 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $31.75 – $39.00 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $168.70 – $442.26 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $22.52 | 8 |
| Hcg qualitative CPT 84703 | $26.95 | $49.00 | $7.52 – $11.02 | 8 |
| Hcg quantitative CPT 84702 | $101.75 | $185.00 | $15.05 – $22.04 | 8 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $55.07 – $73.75 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $33.26 – $73.75 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $81.71 – $107.11 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $81.71 – $84.33 | 2 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $37.40 | $68.00 | $139.92 – $139.92 | 1 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $200.84 – $3,040.78 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $537.79 – $1,386.09 | 8 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $286.22 – $286.22 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $482.53 – $1,386.09 | 8 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $75.64 – $75.64 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $265.30 – $265.30 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $172.87 – $1,211.11 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $185.38 – $904.12 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $266.27 – $904.12 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $234.65 – $1,211.11 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $501.42 – $2,937.33 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $199.15 – $199.15 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $354.35 – $1,561.07 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $585.60 – $1,561.07 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $669.85 – $1,561.07 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $280.60 – $723.35 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $370.95 – $723.35 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $1,630.75 | $2,965.00 | $168.70 – $489.56 | 8 |
| Head CT scan (with contrast) CPT 70460 | $1,288.65 | $2,343.00 | $142.27 – $489.56 | 8 |
| Head CT scan (without contrast) CPT 70450 | $1,279.30 | $2,326.00 | $99.16 – $292.44 | 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.