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 |
|---|---|---|---|---|
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.37 – $0.72 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.37 – $0.72 | 9 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,163.50 | 8 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $99.55 – $239.27 | 8 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,110.79 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,110.79 | 8 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $269.50 | $490.00 | $50.28 – $382.22 | 8 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $293.08 – $577.96 | 8 |
| Fetal fibronectin CPT 82731 | $114.40 | $208.00 | $64.41 – $94.39 | 8 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $293.08 – $577.96 | 8 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $220.55 | $401.00 | $7.73 – $11.50 | 8 |
| Fetal hemoglobin rosette CPT 85461 | $69.30 | $126.00 | $9.36 – $13.90 | 8 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $28.27 | 8 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $63.75 – $4,103.56 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $75.52 – $4,103.56 | 2 |
| Fetal non stress test CPT 59025 | $227.15 | $413.00 | $29.19 – $382.22 | 8 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $170.16 – $577.96 | 8 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $293.08 – $731.00 | 8 |
| #_fet/norfentcnfrmur CPT 80354 | $50.05 | $91.00 | $29.32 – $35.46 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $10.67 – $11.17 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $90.75 | $165.00 | $10.18 – $14.85 | 8 |
| Fibrin degradation products CPT 85362 | $100.65 | $183.00 | $6.89 – $10.07 | 8 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $14.37 | 8 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $14.85 | 8 |
| Fibrinogen activity CPT 85384 | $57.75 | $105.00 | $9.72 – $14.37 | 8 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $18.22 | 8 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $8.66 – $22.52 | 8 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $11.50 | 8 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $11.50 | 8 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $24.92 | 8 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $14.85 | 8 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $261.80 | $476.00 | $6.53 – $9.59 | 8 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,707.42 – $13,608.67 | 7 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.32 – $0.63 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.01 – $1.96 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $0.69 | 9 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,032.29 – $3,869.58 | 9 |
| Filtered speech hearing test CPT 92571 | not published | not published | $35.92 – $78.50 | 8 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $37.80 – $73.71 | 8 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,555.30 | $4,646.00 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,257.83 – $4,103.56 | 2 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $0.26 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,046.65 | $1,903.00 | $136.67 – $1,336.82 | 8 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,175.90 | $2,138.00 | $79.12 – $79.12 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $65.96 – $65.96 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,175.90 | $2,138.00 | $76.36 – $76.36 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $83.55 – $762.40 | 8 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $648.61 – $648.61 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,366.59 – $6,164.76 | 9 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,594.00 – $6,164.76 | 9 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,014.88 – $4,103.56 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $27.48 – $118.80 | 8 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $37.30 – $118.80 | 8 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $143.24 – $189.21 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $20.09 – $78.50 | 8 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $31.11 – $78.50 | 8 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $35.22 – $35.22 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $27.48 – $27.48 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $39.88 – $39.88 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $72.27 – $382.22 | 8 |
| Fixation of ankle joint CPT 27860 | not published | not published | $249.82 – $6,164.76 | 9 |
| Fixation of knee joint CPT 27570 | not published | not published | $234.17 – $3,040.78 | 9 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,480.12 – $13,608.67 | 9 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $76.49 – $1,781.36 | 8 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,023.06 – $6,164.76 | 9 |
| Flebogamma injection HCPCS J1572 | not published | not published | $69.14 – $176.94 | 8 |
| Flecainide (tambocor)-sendout CPT 80181 | $23.10 | $42.00 | $18.64 – $27.31 | 8 |
| Fl exam g/colon tube w contrast CPT 49465 | $484.55 | $881.00 | $46.04 – $459.27 | 8 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,831.48 – $5,521.39 | 8 |
| Flex foot system HCPCS L5980 | not published | not published | $4,801.22 – $9,362.38 | 8 |
| Flexible keel foot HCPCS L5972 | not published | not published | $524.57 – $1,022.91 | 8 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $247.59 – $482.80 | 8 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $85.41 – $1,744.09 | 8 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $410.70 – $800.86 | 8 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,096.93 – $13,608.67 | 9 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,198.12 – $13,608.67 | 9 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $187.48 – $365.59 | 7 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,666.67 – $7,150.01 | 8 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $138.08 – $3,097.49 | 8 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,579.46 – $5,242.86 | 8 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $723.45 | 7 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $727.56 – $1,418.74 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | $123.75 | $225.00 | $39.30 – $130.38 | 3 |
| Flow cytometry marker each additional CPT 88185 | $245.30 | $446.00 | $18.32 – $34.30 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $403.15 | $733.00 | $18.32 – $672.25 | 8 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $189.00 – $304.52 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $114.12 – $233.39 | 9 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $18.32 – $95.59 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,396.49 – $8,573.16 | 9 |
| Flt3 gene CPT 81245 | not published | not published | $165.51 – $241.99 | 8 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $121.23 | 8 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $4.44 – $5.72 | 3 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $73.82 – $285.75 | 3 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $14.59 – $28.45 | 8 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $133.93 – $1,336.82 | 8 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $30.83 – $30.83 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $516.41 – $1,006.99 | 9 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.80 – $660.67 | 9 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $52.26 – $1,061.20 | 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.