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 |
|---|---|---|---|---|
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $173.91 – $622.80 | 8 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $207.67 – $622.80 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $209.55 | $381.00 | $12.05 – $17.72 | 8 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $618.29 – $1,668.32 | 8 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $1,309.88 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $41.25 | $75.00 | $110.66 – $180.20 | 2 |
| Fluoroguide needle placement CPT 77002 | $203.50 | $370.00 | $128.87 – $198.94 | 2 |
| Fluoro polarize fetal lung CPT 83663 | $108.35 | $197.00 | $18.91 – $27.79 | 8 |
| Fluoroscopy up to 1 hour CPT 76000 | $204.60 | $372.00 | $40.21 – $543.87 | 8 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.74 – $5.29 | 3 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $10.95 – $15.03 | 3 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $35.94 – $59.03 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $6,179.09 | 8 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $30.58 – $30.58 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $126.90 – $126.90 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $229.48 – $815.39 | 8 |
| Fmri brain by tech CPT 70554 | not published | not published | $229.48 – $543.87 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,046.65 | $1,903.00 | $165.66 – $1,336.82 | 8 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,175.90 | $2,138.00 | $110.87 – $110.87 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,046.65 | $1,903.00 | $489.91 – $1,336.82 | 8 |
| Fna bx w/mr gdn ea addl CPT 10012 | $1,175.90 | $2,138.00 | $278.08 – $278.08 | 1 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $7.15 | $13.00 | $20.61 – $20.61 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $4.95 | $9.00 | $44.66 – $48.72 | 2 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $21.76 – $23.75 | 2 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $23.08 – $25.18 | 2 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $65.83 – $71.82 | 2 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $16.75 – $18.27 | 2 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $20.05 – $21.88 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $27.79 | 8 |
| Folic acid CPT 82746 | $73.70 | $134.00 | $14.70 – $21.57 | 8 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.07 – $0.10 | 2 |
| Follow-up angiography CPT 75898 | $1,751.20 | $3,184.00 | $62.96 – $5,980.25 | 8 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $30.83 – $249.69 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $832.35 – $4,458.86 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.18 – $24.64 | 8 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $1.07 – $1.79 | 3 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $248.46 – $484.50 | 8 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $94.30 – $183.88 | 8 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $58.14 – $113.37 | 7 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $95.45 – $186.13 | 8 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $278.64 – $543.35 | 8 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $199.51 – $389.04 | 8 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $163.39 – $318.61 | 7 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $215.28 – $419.80 | 8 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $151.31 – $295.05 | 7 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $215.28 – $419.80 | 7 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $245.12 – $477.98 | 7 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $62.84 – $122.54 | 7 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $408.31 – $796.20 | 8 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $324.52 – $632.81 | 8 |
| Foot X-ray CPT 73630 | $311.30 | $566.00 | $37.81 – $198.11 | 8 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,247.88 – $2,433.37 | 8 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $853.15 – $1,663.64 | 8 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,459.00 – $6,955.84 | 9 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $593.47 – $843.39 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $18.32 – $97.73 | 7 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $86.97 – $991.00 | 9 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.71 – $2.50 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $2.11 – $6.73 | 3 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.15 – $0.23 | 3 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $26.82 – $129.43 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $0.66 – $4.11 | 8 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $41.69 | 8 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $36.86 – $198.11 | 8 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $65.65 | 8 |
| Fragmenting of kidney stone CPT 50590 | $8,117.45 | $14,759.00 | $874.02 – $6,610.93 | 8 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $834.62 – $1,627.51 | 8 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $706.16 – $1,377.01 | 8 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $873.35 – $1,703.03 | 8 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $947.61 – $1,847.84 | 8 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $3,066.00 – $4,103.56 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $3,066.00 – $4,103.56 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $3,066.00 – $4,103.56 | 2 |
| Frenectomy 41115 CPT 41115 | $3,142.15 | $5,713.00 | $221.24 – $2,909.92 | 8 |
| Frenotomy 40806 CPT 40806 | not published | not published | $44.25 – $1,011.48 | 8 |
| Frenulotomy of penis CPT 54164 | not published | not published | $296.36 – $3,920.41 | 9 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $255.20 | $464.00 | $73.77 – $143.85 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $123.20 | $224.00 | $85.98 – $167.66 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $16.36 – $319.52 | 8 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $53.25 – $103.84 | 7 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $35.92 – $137.05 | 8 |
| Frozen blood prep CPT 86930 | not published | not published | $59.15 – $319.52 | 8 |
| Frozen blood thaw CPT 86931 | not published | not published | $59.15 – $319.52 | 8 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $17.72 | 7 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $55.96 – $109.12 | 7 |
| Fructosamine glycated protein CPT 82985 | $110.55 | $201.00 | $16.76 – $24.44 | 8 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $58.14 – $113.37 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $204.33 – $1,254.00 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $115.47 – $1,254.00 | 2 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $388.12 – $756.83 | 8 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $2,176.53 | 8 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $101.59 | 8 |
| Ftl cgen abnor four anal CPT 81511 | $267.85 | $487.00 | $153.50 – $224.74 | 8 |
| Ftl cgen abnor three anal CPT 81510 | $168.30 | $306.00 | $55.54 – $81.47 | 8 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $79.55 | 8 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $416.66 – $812.49 | 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.