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 |
|---|---|---|---|---|
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.03 – $76.11 | 6 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,628.34 – $3,175.26 | 8 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $61.54 – $249.69 | 8 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $519.70 – $519.70 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $204.00 – $204.18 | 2 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $278.85 – $279.27 | 2 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $122.86 – $123.18 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $174.90 | $318.00 | $56.91 – $410.68 | 8 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $93.74 – $139.03 | 2 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $187.49 – $187.49 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $58.93 – $190.53 | 8 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.18 – $12.06 | 8 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.46 – $14.55 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.39 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.06 – $0.10 | 3 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.06 – $0.08 | 3 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.04 – $0.08 | 3 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,133.45 – $8,060.23 | 9 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,331.61 – $125,446.65 | 9 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $9.56 – $9.82 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $36.21 – $70.62 | 8 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $803.26 – $1,566.35 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $298.68 – $582.43 | 8 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.62 – $3.16 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $3.15 – $7.42 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.07 – $9.12 | 9 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $121.54 – $237.01 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $57.10 – $155.89 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $255.77 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.51 – $36.09 | 9 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,674.68 – $7,165.62 | 9 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $2.31 – $2.31 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.46 – $6.75 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $101.07 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $509.14 – $992.82 | 9 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $58.70 – $114.46 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $32.55 – $63.48 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.20 – $201.25 | 8 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $83.94 – $163.69 | 9 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $74.65 – $74.65 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $165.56 – $322.85 | 9 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $43.70 – $61.73 | 2 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,930,260.34 – $5,714,007.67 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.82 – $77.66 | 9 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $213.76 – $416.82 | 9 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.22 – $0.30 | 3 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.75 – $48.26 | 7 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $77.48 | 8 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $77.48 | 8 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.77 – $2.50 | 3 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $78.23 – $126.05 | 2 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $430.58 – $839.62 | 8 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,722.30 – $3,358.49 | 8 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $359.71 – $701.44 | 9 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $1,394.25 – $1,394.25 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.45 – $2.84 | 7 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $136.91 – $469.90 | 8 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $1.04 – $1.76 | 2 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $30.22 – $322.03 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.55 – $2.02 | 3 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.57 – $1.71 | 2 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.20 – $1.56 | 2 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $7.19 – $9.29 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $6.25 – $8.66 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.55 – $4.97 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $9.97 – $19.57 | 9 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $123.38 – $240.59 | 7 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $17.16 – $33.45 | 8 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $82.53 – $430.47 | 9 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $96.30 – $187.79 | 8 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $2.87 – $4.04 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $238.70 | $434.00 | $61.17 – $61.17 | 1 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $110.56 – $145.23 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,294.00 – $1,669.68 | 3 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $1,075.45 | 7 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.03 – $27.36 | 9 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $18.15 – $35.39 | 9 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.92 – $17.40 | 8 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.49 – $2.94 | 9 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $2.82 | 8 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.44 – $6.95 | 8 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.09 – $0.13 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.11 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.08 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.07 – $5.98 | 8 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.97 – $1.28 | 3 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,316,897.12 – $6,467,949.39 | 7 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.41 – $0.41 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $218.27 – $218.27 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $8.12 | 8 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $99.47 – $575.67 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.24 – $12.17 | 9 |
| Inj dx for sinogram CPT 20501 | not published | not published | $55.43 – $55.43 | 1 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $731.00 – $731.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $164.34 | $298.80 | $125.73 – $1,323.85 | 8 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $170.50 | $310.00 | $103.31 – $103.31 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $54.45 – $106.17 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $513.37 – $1,001.07 | 9 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $786.73 – $1,636.38 | 7 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $86.26 – $575.67 | 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.