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 |
|---|---|---|---|---|
| Gastrin test CPT 82938 | not published | not published | $17.69 – $25.87 | 8 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $279.64 – $904.12 | 8 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $205.02 – $1,061.20 | 8 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | $113.44 | $206.25 | $43.27 – $52.64 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $872.31 – $1,781.36 | 8 |
| Gated heart multiple CPT 78473 | not published | not published | $288.75 – $904.12 | 8 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $6.05 | $11.00 | $5.44 – $5.93 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $5.81 – $6.34 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $4.78 – $5.22 | 2 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $2.14 – $2.33 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $8.06 – $8.80 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $69.00 | 8 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $144.20 | 7 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $170.96 | 7 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $200.17 | 7 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $106.98 | 7 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $122.17 | 7 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $140.65 | 7 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $190.83 | 7 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $227.53 | 7 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $269.51 | 7 |
| Gefitinib oral HCPCS J8565 | not published | not published | $147.22 – $230.90 | 2 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $78.14 – $152.37 | 8 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.70 – $5.26 | 8 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $1,040.50 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.14 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.70 – $6.00 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $247.37 – $482.37 | 9 |
| General health panel CPT 80050 | $89.76 | $163.20 | $50.48 – $57.98 | 3 |
| Generator emblem MRI sicd subq HCPCS C1722 | $19,263.75 | $35,025.00 | not published | 0 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $74.11 – $74.11 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $3,583.46 | 8 |
| Genioplasty augmentation CPT 21120 | not published | not published | $759.57 – $11,102.35 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,272.95 – $6,217.98 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $804.56 – $6,217.98 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,122.99 – $11,102.35 | 8 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $3,421.02 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $7,362.92 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $3,965.87 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.06 – $4.42 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $162.25 | $295.00 | $16.38 – $23.96 | 8 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $10.10 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $539.02 – $1,610.53 | 8 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $216.42 – $216.42 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $1,521.30 | $2,766.00 | $153.38 – $1,744.09 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,562.80 | $8,296.00 | $269.63 – $5,447.65 | 9 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $65.45 | $119.00 | $9.81 – $14.37 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $17.11 – $24.92 | 8 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $330.00 | $600.00 | $102.26 – $149.52 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $27.81 – $249.53 | 8 |
| Ghs antibodies (torch) igm CPT 86694 | $73.70 | $134.00 | $14.39 – $21.09 | 8 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.74 – $468.58 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $116.16 – $297.27 | 8 |
| Ghs bleeding time (ivy) CPT 85002 | $60.50 | $110.00 | $4.82 – $7.19 | 8 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $83.08 – $1,323.85 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | $5,394.40 | $9,808.00 | $129.48 – $5,980.25 | 9 |
| Ghs change cysto/gastrost CPT 43762 | $576.95 | $1,049.00 | $56.99 – $468.58 | 8 |
| Ghs chemo >8 hrs CPT 96416 | $1,403.05 | $2,551.00 | $183.99 – $663.38 | 8 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $242.53 – $663.38 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $92.95 | $169.00 | $69.25 – $142.34 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $74.80 | $136.00 | $35.09 – $51.28 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $431.75 | $785.00 | $237.24 – $462.61 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $348.70 | $634.00 | $237.24 – $991.00 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,244.65 | $2,263.00 | $662.47 – $3,040.78 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $237.24 – $991.00 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,457.85 | $6,287.00 | $754.94 – $3,040.78 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,206.71 – $6,646.08 | 9 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $237.24 – $991.00 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,260.50 | $4,110.00 | $681.92 – $3,040.78 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $758.72 – $3,040.78 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $196.90 | $358.00 | $237.24 – $991.00 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $383.35 | $697.00 | $237.24 – $488.87 | 8 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $30.31 – $59.10 | 7 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $343.75 | $625.00 | $54.25 – $837.81 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $228.25 | $415.00 | $43.95 – $249.53 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $220.55 | $401.00 | $62.73 – $837.81 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $220.55 | $401.00 | $76.11 – $249.53 | 8 |
| Ghs cricothyroidotomy CPT 31605 | $785.95 | $1,429.00 | $227.80 – $501.67 | 8 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $60.07 – $837.81 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $72.57 – $249.53 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $22.04 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $383.35 | $697.00 | $237.24 – $991.00 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $161.74 – $1,781.36 | 8 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $50.36 – $524.55 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $158.71 – $1,323.85 | 8 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $207.67 – $404.95 | 8 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $13.37 – $312.92 | 8 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $123.75 – $312.92 | 8 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $12.47 – $12.47 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $107.85 – $762.40 | 8 |
| Ghs excision ingrown nail CPT 11765 | $677.05 | $1,231.00 | $140.91 – $762.40 | 8 |
| Ghs eye exam CPT 92002 | not published | not published | $69.28 – $257.74 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $492.80 | $896.00 | $175.91 – $595.28 | 8 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $7.19 | 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.