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 |
|---|---|---|---|---|
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $103.67 – $2,909.92 | 8 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,010.86 – $11,239.75 | 9 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $255.90 – $255.90 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $182.74 – $182.74 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $551.91 – $731.00 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,184.70 | $2,154.00 | $157.75 – $1,011.48 | 8 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $11.46 – $163.21 | 7 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $86.49 – $410.68 | 8 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $424.31 – $830.64 | 8 |
| Intraventricular pacing CPT 93612 | not published | not published | $85.89 – $14,627.89 | 8 |
| Intrinsic factor antibody CPT 86340 | $124.85 | $227.00 | $15.08 – $22.04 | 8 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $76.20 – $257.74 | 8 |
| Intro cath dialysis circuit CPT 36901 | $4,202.00 | $7,640.00 | $252.37 – $2,952.25 | 8 |
| Intro cath dialysis circuit w/pta CPT 36902 | $12,025.75 | $21,865.00 | $360.25 – $10,832.89 | 8 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $473.52 – $21,650.56 | 8 |
| Intro catheter aorta CPT 36200 | $938.85 | $1,707.00 | $208.71 – $208.71 | 1 |
| Intro cath svc/ivc CPT 36010 | $645.15 | $1,173.00 | $163.00 – $163.00 | 1 |
| Intro long gi tube CPT 44500 | $1,518.00 | $2,760.00 | $28.96 – $1,781.36 | 8 |
| Intro long gi tube w/mult fluo CPT 74340 | $533.50 | $970.00 | $107.35 – $141.86 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $224.64 – $3,338.11 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $6,210.60 | $11,292.00 | $133.19 – $133.19 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,424.85 | $6,227.00 | $106.02 – $106.02 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $578.60 | $1,052.00 | $215.61 – $444.20 | 8 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $68.10 – $80.16 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $26.90 – $110.64 | 8 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $3,564.55 – $3,564.55 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $258.64 – $772.82 | 8 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $336.41 – $599.92 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.89 – $69.99 | 8 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $48.88 – $49.30 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $278.99 – $278.99 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.51 – $0.65 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.17 – $0.23 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $488.50 – $585.96 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,083.72 – $14,524.53 | 7 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,083.72 – $14,524.53 | 7 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.64 – $0.64 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $190.43 – $371.34 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $144.11 – $153.06 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $199.41 – $212.23 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $267.83 – $286.67 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $101.90 – $109.52 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.03 – $0.03 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.45 – $0.58 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.03 – $3.20 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.86 – $128.43 | 9 |
| Iron CPT 83540 | $64.90 | $118.00 | $6.47 – $9.59 | 8 |
| Iron binding capacity CPT 83550 | $68.75 | $125.00 | $8.74 – $12.94 | 8 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.99 – $37.04 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $10.07 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.30 – $0.38 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $16.36 – $70.05 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $94.05 | $171.00 | $36.14 – $118.80 | 8 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $284.23 – $2,909.92 | 8 |
| Irrigation syringe HCPCS A4322 | not published | not published | $6.73 – $7.35 | 2 |
| Irrigation tray HCPCS A4320 | not published | not published | $11.97 – $13.06 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $39.50 – $112.86 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $88.16 – $171.91 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,254.00 – $3,869.58 | 9 |
| Ivc venogram s&i CPT 75825 | $1,751.20 | $3,184.00 | $88.61 – $7,081.88 | 8 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $171.60 | $312.00 | $41.80 – $142.34 | 8 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $171.60 | $312.00 | $28.58 – $29.22 | 2 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $206.80 | $376.00 | $30.24 – $92.28 | 8 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $306.35 | $557.00 | $91.16 – $421.38 | 8 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $58.00 – $904.12 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $161.31 – $837.81 | 8 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $168.70 – $400.55 | 8 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $164.45 | $299.00 | $160.93 – $400.55 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $272.52 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $401.50 | $730.00 | $185.20 – $271.23 | 8 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $810.92 – $6,164.76 | 9 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $904.48 – $6,164.76 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $361.17 – $3,604.28 | 9 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $24.92 | 8 |
| J-tube placement CPT 44015 | not published | not published | $213.46 – $4,103.56 | 2 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,341.77 – $2,616.45 | 8 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,176.93 – $2,295.01 | 8 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,970.44 – $3,842.36 | 8 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,307.92 – $2,550.44 | 8 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,376.03 – $2,683.26 | 8 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,480.79 – $2,887.54 | 8 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,045.73 – $2,039.17 | 8 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,594.53 – $5,059.33 | 8 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,913.97 – $3,732.24 | 8 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $214.05 – $417.40 | 8 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,165.54 – $2,272.80 | 8 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $5,062.71 – $9,872.28 | 8 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,138.18 – $2,219.45 | 8 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,642.94 – $3,203.73 | 8 |
| Keratomileusis CPT 65760 | not published | not published | $1,738.22 – $4,103.56 | 2 |
| Keratophakia CPT 65765 | not published | not published | $2,520.70 – $4,103.56 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,933.00 – $27,205.49 | 9 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $119.69 – $954.16 | 7 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $25.87 – $35.46 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $22.52 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $92.95 | $169.00 | $8.17 – $11.97 | 8 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.29 – $0.80 | 9 |
| Kidney endoscopy CPT 50551 | not published | not published | $444.90 – $10,055.79 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $475.73 – $10,055.79 | 9 |
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.