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 |
|---|---|---|---|---|
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $139.45 – $224.68 | 2 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $55.23 – $107.70 | 8 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.83 – $6.83 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $71.35 – $139.12 | 9 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $616.71 – $1,202.58 | 9 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $101.03 – $197.00 | 9 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $96.78 – $188.72 | 8 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $148.94 – $290.44 | 9 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $30.64 – $553.42 | 9 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $73.14 | 7 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.99 – $102.36 | 9 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.74 – $18.99 | 9 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $10.09 – $20.67 | 8 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $9.87 – $16.55 | 3 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.94 – $17.33 | 9 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $2.14 – $2.78 | 3 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $10.38 – $33.52 | 9 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $10,533.60 – $11,521.13 | 2 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $67.94 – $132.47 | 7 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $21.76 – $21.76 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $59.39 – $59.39 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.20 – $23.80 | 9 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $38.42 – $74.92 | 8 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.52 – $6.86 | 9 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $90.87 – $178.87 | 7 |
| Inj proc ankle arthr CPT 27648 | $155.10 | $282.00 | $78.36 – $78.36 | 1 |
| Inj proc elbow arthro CPT 24220 | $739.75 | $1,345.00 | $101.06 – $101.06 | 1 |
| Inj proc for lymphang CPT 38790 | not published | not published | $123.65 – $123.65 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $238.33 – $238.33 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $568.70 | $1,034.00 | $126.19 – $126.19 | 1 |
| Inj proc sialogram CPT 42550 | not published | not published | $93.13 – $93.13 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.82 – $1.49 | 3 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.77 – $2.51 | 3 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $33.75 – $33.75 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.30 – $4.48 | 8 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.31 – $0.89 | 9 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.88 – $1.28 | 3 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $97.19 – $97.19 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.29 – $25.91 | 9 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,553.71 – $24,479.74 | 7 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $1.51 – $1.51 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $33.59 – $65.50 | 8 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $25.41 | 7 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $114.40 – $762.40 | 8 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $57.44 – $762.40 | 8 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.10 – $4.21 | 7 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $539.60 – $1,052.22 | 8 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $43.00 – $83.85 | 8 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $18.23 – $35.55 | 8 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.12 – $2.25 | 7 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $65.73 – $128.17 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $390.97 – $762.40 | 8 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $23.21 – $31.06 | 3 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.80 – $145.85 | 9 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $19.64 – $38.30 | 9 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $357.52 – $697.17 | 9 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $42.68 – $83.22 | 9 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $35.32 – $68.88 | 9 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $2.08 – $4.06 | 9 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $39.22 – $76.47 | 9 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $379.90 – $740.80 | 9 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.06 – $0.08 | 3 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.04 – $0.05 | 3 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $1.72 – $1.72 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $241.21 – $241.21 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $209.27 – $209.27 | 1 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $0.73 – $4.24 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $124.27 – $242.33 | 9 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $164.82 – $321.39 | 9 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.01 – $9.78 | 7 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $196.75 – $383.65 | 8 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $19.28 – $37.60 | 8 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.31 – $0.31 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.43 – $20.34 | 9 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,819.93 – $7,448.87 | 9 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $3.04 – $12.99 | 9 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.06 – $7.91 | 8 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $26.18 – $51.05 | 8 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $7.82 – $10.09 | 3 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $8.11 – $10.81 | 3 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.76 – $2.13 | 3 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.75 – $5.60 | 8 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $23.65 – $118.93 | 9 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $479.19 – $934.42 | 8 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $276.89 – $568.50 | 8 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $59.22 – $95.41 | 2 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $83.52 – $83.52 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $325.60 | $592.00 | $53.87 – $400.31 | 8 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $15.24 – $29.72 | 9 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $47.77 – $93.15 | 9 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $529.89 – $1,033.28 | 9 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,873.10 – $5,602.55 | 9 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $65.73 – $65.73 | 1 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $142.27 – $142.27 | 1 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $200.75 – $200.75 | 1 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $285.11 – $285.11 | 1 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $63.02 – $63.02 | 1 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $110.20 – $110.20 | 1 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $160.47 – $160.47 | 1 |
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.