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 |
|---|---|---|---|---|
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $166.17 – $324.03 | 8 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $4.71 – $4.71 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $73.77 – $143.85 | 9 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.49 – $0.49 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.47 – $0.62 | 3 |
| Injection during cath supravalvular aortography CPT 93567 | $1,350.80 | $2,456.00 | $56.14 – $56.14 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $6.46 – $35.84 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $1,395.35 | $2,537.00 | $173.17 – $1,323.85 | 9 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.08 – $0.08 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $137.84 – $630.21 | 8 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.93 – $1.46 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $191.95 | $349.00 | $111.38 – $111.38 | 1 |
| Injection for bladder x-ray CPT 51600 | $65.45 | $119.00 | $66.13 – $66.13 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $124.32 – $124.32 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $155.10 | $282.00 | $75.88 – $75.88 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $197.53 – $197.53 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $77.71 – $77.71 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $76.92 – $76.92 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $105.50 – $105.50 | 1 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $41.74 – $61.59 | 2 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $8.56 – $13.88 | 3 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $94.44 – $201.10 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $432.33 – $875.75 | 7 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.90 – $25.16 | 9 |
| Injection into brain canal CPT 61026 | not published | not published | $166.60 – $1,323.85 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $178.08 – $991.00 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $274.59 – $1,744.09 | 8 |
| Injection into spinal artery CPT 62294 | not published | not published | $850.66 – $1,691.55 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $199.33 – $1,254.00 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $160.80 – $4,103.56 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.03 – $2.00 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $67.67 – $67.67 | 1 |
| Injection jugular CPT 36299 | not published | not published | $731.00 – $731.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.46 – $2.51 | 3 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $11.18 | 9 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $21.57 – $135.03 | 8 |
| Injection of sinus tract CPT 20500 | not published | not published | $135.79 – $2,909.92 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.51 – $12.69 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $102.59 – $160.47 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $3.27 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $3.43 – $3.43 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $132.43 – $468.58 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $295.90 | $538.00 | $49.00 – $763.48 | 8 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.62 – $51.90 | 9 |
| Injection, ruconest HCPCS J0596 | not published | not published | $37.83 – $73.77 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $678.90 – $1,323.85 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,791.15 | $6,893.00 | $97.01 – $1,323.85 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $920.70 | $1,674.00 | $63.93 – $1,323.85 | 8 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $169.47 – $1,691.55 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $90.63 – $90.63 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $160.39 – $1,691.55 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $77.81 – $77.81 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $137.66 – $1,691.55 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $163.97 – $1,323.85 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $151.64 – $1,323.85 | 8 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.07 – $339.43 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $48.31 | $87.84 | $59.56 – $575.67 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $494.45 | $899.00 | $56.24 – $575.67 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $541.75 | $985.00 | $63.93 – $575.67 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $104.50 | $190.00 | $22.58 – $92.28 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $144.65 | $263.00 | $14.39 – $38.12 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $184.25 | $335.00 | $53.68 – $421.38 | 8 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $123.75 | $225.00 | $21.57 – $142.34 | 8 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $26.28 – $26.28 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $5.86 – $5.86 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $196.44 – $4,333.39 | 9 |
| Injection treatment of eye CPT 66030 | not published | not published | $166.30 – $4,333.39 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $642.43 – $3,710.26 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $729.19 – $3,710.26 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $333.13 – $1,691.55 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $90.37 – $1,011.48 | 8 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $126.46 – $275.42 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $98.02 – $595.28 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $108.60 – $595.28 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $70.76 – $595.28 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.26 – $66.80 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $28.04 – $75.20 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $392.78 – $765.92 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $58.03 – $113.16 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $152.31 – $1,323.85 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $121.46 – $1,691.55 | 8 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.79 – $3.60 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.38 – $2.69 | 8 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.87 – $30.95 | 7 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.47 – $6.34 | 8 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.42 – $326.48 | 8 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $385.38 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.04 – $35.19 | 9 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,300,906.67 – $4,486,768.00 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $19.41 | 9 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.38 – $63.14 | 9 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $101.92 – $101.92 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.08 – $41.10 | 9 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $145.31 – $283.36 | 8 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.05 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $2.40 | 9 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $11.44 – $12.40 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.46 – $4.83 | 8 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $253.59 – $396.68 | 2 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $228.38 – $357.24 | 2 |
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.