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 |
|---|---|---|---|---|
| Incision of wrist capsule CPT 25085 | not published | not published | $688.91 – $6,164.76 | 9 |
| Incision secondary cataract CPT 66820 | not published | not published | $693.56 – $4,333.39 | 8 |
| Incision tendon sheath CPT 26055 | not published | not published | $446.09 – $3,040.78 | 9 |
| Incisn of toe tndn CPT 28010 | $4,481.40 | $8,148.00 | $319.22 – $3,040.78 | 8 |
| Incisn windpipe CPT 31600 | not published | not published | $462.69 – $6,217.98 | 8 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $731.00 – $731.00 | 1 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $3,641.03 – $13,608.67 | 7 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,717.37 – $13,608.67 | 7 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.28 – $10.31 | 9 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $131.79 – $131.79 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $759.28 – $4,103.56 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $884.73 – $4,103.56 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $648.51 – $4,103.56 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $651.55 – $4,103.56 | 2 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $895.49 – $4,103.56 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $337.68 – $6,071.07 | 8 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $567.88 – $6,071.07 | 8 |
| Induction of vomiting CPT 99175 | not published | not published | $43.08 – $44.05 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $94.77 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $130.35 | $237.00 | $130.35 – $190.73 | 8 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $22.04 | 8 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $20.61 | 8 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $376.66 | 7 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $376.66 | 7 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $146.30 | $266.00 | $128.73 – $188.33 | 7 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $226.60 | $412.00 | $257.45 – $376.66 | 8 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $47.93 | 8 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $20.11 – $51.76 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | $54.45 | $99.00 | $16.55 – $24.44 | 8 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $17.72 | 8 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $26.84 | 8 |
| Infect ag if influenza a CPT 87276 | $9.90 | $18.00 | $16.07 – $23.49 | 8 |
| Infect ag if influenza b CPT 87275 | $7.70 | $14.00 | $12.25 – $17.72 | 8 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $15.60 – $23.00 | 8 |
| Infect ag if nos ea CPT 87299 | $9.90 | $18.00 | $16.10 – $23.49 | 8 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $17.72 | 8 |
| Infect ag if varicella zoster CPT 87290 | $30.80 | $56.00 | $13.42 – $19.64 | 8 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $78.12 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $51.28 | 8 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $62.78 | 7 |
| Infect ag na hpv high-risk types CPT 87624 | $39.60 | $72.00 | $35.09 – $51.28 | 8 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $95.80 – $140.40 | 8 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $75.23 | 8 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $242.00 | $440.00 | $51.31 – $75.23 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $886.60 | $1,612.00 | $416.78 – $610.02 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $297.55 | $541.00 | $488.66 – $714.96 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $77.55 | $141.00 | $26.07 – $38.34 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $60.38 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $41.80 | $76.00 | $11.98 – $17.72 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $19.64 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $105.05 | $191.00 | $13.82 – $20.12 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $95.70 | $174.00 | $11.98 – $17.72 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $40.70 | $74.00 | $14.38 – $21.09 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $73.70 | $134.00 | $10.33 – $15.34 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $39.05 | $71.00 | $10.33 – $15.34 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $160.05 | $291.00 | $24.08 – $35.46 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $130.90 | $238.00 | $11.98 – $17.72 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $108.90 | $198.00 | $11.98 – $17.72 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $17.72 | 8 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $508.75 | $925.00 | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $238.70 | $434.00 | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $57.75 | $105.00 | $37.27 – $54.63 | 8 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $763.95 | $1,389.00 | $416.78 – $610.02 | 8 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $505.45 | $919.00 | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $73.15 | $133.00 | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $201.85 | $367.00 | $41.68 – $60.85 | 8 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $216.70 | $394.00 | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $103.95 | $189.00 | $51.31 – $75.23 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $482.35 | $877.00 | $142.63 – $208.93 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $482.35 | $877.00 | $142.63 – $208.93 | 8 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $83.60 | $152.00 | $35.09 – $51.28 | 8 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $94.74 | 6 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $200.20 | $364.00 | $76.77 – $103.64 | 7 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $917.69 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,430.00 | $2,600.00 | $416.78 – $610.02 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $187.85 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $384.80 | 8 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $96.25 | $175.00 | $42.84 – $62.78 | 8 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $458.15 | $833.00 | $42.84 – $62.78 | 8 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $382.80 | $696.00 | $42.84 – $62.78 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $129.25 | $235.00 | $85.10 – $124.60 | 8 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $142.63 – $208.93 | 8 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.48 – $61.38 | 9 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $24.49 – $60.12 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $19.73 – $54.03 | 9 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $42.66 | 8 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $70.22 – $133.59 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $35.80 – $46.19 | 3 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $378.10 – $378.10 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $580.89 – $580.89 | 1 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $382.79 – $382.79 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $190.51 – $723.35 | 8 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $104.15 – $131.80 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $113.00 – $1,061.20 | 8 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $63.96 – $410.68 | 8 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,839.14 – $5,536.32 | 8 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,756.84 – $3,425.84 | 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.