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 |
|---|---|---|---|---|
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $143.97 – $143.97 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $174.56 – $174.56 | 1 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.14 – $11.97 | 8 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $130.04 – $379.16 | 8 |
| Anora (draw only) CPT 99001 | not published | not published | $7.73 – $9.41 | 3 |
| Anorectal myomectomy CPT 45108 | not published | not published | $568.90 – $5,210.54 | 9 |
| Anoscopy CPT 46611 | not published | not published | $122.27 – $1,744.09 | 9 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $137.77 – $5,210.54 | 9 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $114.45 – $2,244.24 | 8 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $100.16 – $2,244.24 | 8 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $97.68 – $2,244.24 | 8 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $127.92 – $1,744.09 | 9 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $121.51 – $5,210.54 | 9 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $144.21 – $5,210.54 | 9 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $94.81 – $404.95 | 7 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $939.51 – $9,381.85 | 9 |
| Antibody CPT 86744 | not published | not published | $15.99 – $23.49 | 8 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $12.88 – $18.69 | 8 |
| Antibody elution rbc reference CPT 86860 | $95.15 | $173.00 | $25.57 – $319.52 | 8 |
| Antibody htlv/hiv confirm test CPT 86689 | $85.25 | $155.00 | $19.35 – $28.27 | 8 |
| Antibody htlv-i CPT 86687 | not published | not published | $9.09 – $13.42 | 8 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $20.61 | 8 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $287.65 | $523.00 | $18.37 – $26.84 | 8 |
| Antibody id rbc panel CPT 86870 | $176.55 | $321.00 | $25.57 – $672.25 | 8 |
| Antibody influenza virus CPT 86710 | $53.90 | $98.00 | $13.55 – $19.64 | 8 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $14.85 | $27.00 | $12.87 – $18.69 | 8 |
| Antibody screen rbc CPT 86850 | $110.00 | $200.00 | $14.37 – $97.73 | 8 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $21.57 | 8 |
| Antidepressant not specified CPT 80338 | $166.10 | $302.00 | $15.12 – $15.12 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $4.62 – $92.28 | 8 |
| Antigen therapy services CPT 95146 | not published | not published | $4.62 – $92.28 | 8 |
| Antigen therapy services CPT 95147 | not published | not published | $4.62 – $142.34 | 8 |
| Antigen therapy services CPT 95148 | not published | not published | $4.62 – $142.34 | 8 |
| Antigen therapy services CPT 95149 | not published | not published | $4.62 – $142.34 | 8 |
| Antigen therapy services CPT 95165 | $19.93 | $36.23 | $5.11 – $92.28 | 8 |
| Antigen therapy services CPT 95170 | not published | not published | $4.62 – $92.28 | 8 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.54 – $2.99 | 9 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.27 – $2.47 | 9 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.45 – $4.77 | 9 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $17.72 | 7 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $100.65 | $183.00 | $12.05 – $17.72 | 8 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $17.72 | 8 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,094.55 – $1,094.55 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,139.09 – $1,139.09 | 1 |
| Antinuclear antibodies CPT 86038 | $31.90 | $58.00 | $12.09 – $17.72 | 8 |
| Antinuclear antibodies titer CPT 86039 | $31.90 | $58.00 | $11.16 – $16.29 | 8 |
| Antiphosphatidylserine antibody CPT 86148 | $14.85 | $27.00 | $16.07 – $23.49 | 8 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $8.62 | 8 |
| Antistreptolysin o titer CPT 86060 | $42.35 | $77.00 | $7.30 – $10.54 | 8 |
| Antithrombin iii activity CPT 85300 | $162.25 | $295.00 | $11.85 – $17.25 | 8 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $4.17 – $8.14 | 9 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $5,426.60 – $10,820.48 | 9 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,057.79 – $2,062.69 | 9 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,335.07 – $9,381.85 | 9 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $127.96 – $257.80 | 8 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $25.84 – $257.80 | 8 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $1,062.02 – $4,103.56 | 2 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $737.48 | 8 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $1,975.75 | 8 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $731.00 – $731.00 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $292.79 | 8 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $1,141.46 | 8 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $409.72 | 8 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $16.74 – $118.80 | 8 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $129.56 – $8,901.82 | 8 |
| Apheresis plasma CPT 36514 | $4,659.60 | $8,472.00 | $141.76 – $3,114.63 | 8 |
| Apheresis platelets CPT 36513 | not published | not published | $160.92 – $830.64 | 8 |
| Apheresis rbc CPT 36512 | not published | not published | $160.74 – $3,114.63 | 8 |
| Apheresis wbc CPT 36511 | not published | not published | $168.36 – $3,114.63 | 8 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $207.31 – $303.34 | 8 |
| Appendectomy CPT 44950 | not published | not published | $977.01 – $12,141.33 | 8 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $126.39 – $126.39 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $916.76 – $11,338.09 | 8 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,220.90 | $4,038.00 | $337.17 – $3,869.58 | 8 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $222.20 | $404.00 | $84.10 – $84.10 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $222.20 | $404.00 | $38.11 – $38.11 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,661.35 | $6,657.00 | $295.76 – $6,955.84 | 8 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $366.30 | $666.00 | $67.23 – $67.23 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $292.60 | $532.00 | $25.69 – $25.69 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $156.29 – $304.76 | 8 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $269.00 – $524.55 | 8 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $261.75 – $524.55 | 8 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $217.27 – $524.55 | 8 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $105.58 – $524.55 | 8 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $141.73 – $524.55 | 8 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $208.24 – $524.55 | 8 |
| Appl halo type body cast CPT 29000 | not published | not published | $269.00 – $524.55 | 8 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $268.01 – $524.55 | 8 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $239.25 – $524.55 | 8 |
| Application clubfoot cast CPT 29450 | not published | not published | $156.29 – $304.76 | 8 |
| Application finger splntstatic 29130 CPT 29130 | $273.35 | $497.00 | $44.25 – $249.53 | 8 |
| Application halo femoral CPT 20663 | not published | not published | $733.52 – $6,164.76 | 8 |
| Application halo pelvic CPT 20662 | not published | not published | $794.79 – $3,040.78 | 8 |
| Application long leg splint 29505 CPT 29505 | $228.25 | $415.00 | $79.25 – $304.76 | 8 |
| Application lower leg splint 29515 CPT 29515 | $303.05 | $551.00 | $75.70 – $304.76 | 8 |
| Application multi layer compression below knee (both sides) CPT 29581 | $413.05 | $751.00 | $41.33 – $304.76 | 8 |
| Application of body cast CPT 29010 | not published | not published | $242.25 – $524.55 | 8 |
| Application of body cast CPT 29015 | not published | not published | $269.00 – $524.55 | 8 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $132.89 – $524.55 | 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.