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 |
|---|---|---|---|---|
| Kidney endoscopy CPT 50570 | not published | not published | $744.32 – $6,610.93 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,079.58 – $10,055.79 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $516.50 – $17,753.89 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $854.82 – $6,610.93 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $523.22 – $17,753.89 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $597.80 – $10,055.79 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $852.29 – $17,753.89 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $918.70 – $10,055.79 | 8 |
| Kidney function study CPT 78725 | not published | not published | $114.84 – $904.12 | 8 |
| Kidney imaging morphology CPT 78700 | not published | not published | $198.22 – $904.12 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $393.17 – $1,211.11 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,518.00 | $2,760.00 | $246.62 – $1,211.11 | 8 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $547.80 | $996.00 | $100.55 – $239.27 | 8 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $95.15 | $173.00 | $82.52 – $90.04 | 2 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $15.70 – $17.13 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $9,391.25 | $17,075.00 | $1,189.00 – $1,189.00 | 1 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $182.58 | 8 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $30.98 – $33.79 | 2 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $28.83 – $233.39 | 9 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $2,131.89 – $4,157.19 | 8 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $1.92 – $40.11 | 2 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $946.90 – $6,164.76 | 9 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $786.86 – $6,164.76 | 9 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $627.02 – $6,164.76 | 9 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $826.01 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $953.22 – $3,040.78 | 9 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,414.75 – $3,040.78 | 9 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $819.10 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $821.96 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $758.34 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $995.78 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,009.27 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $857.50 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,050.00 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,283.73 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $945.34 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $972.11 – $6,164.76 | 9 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,149.08 – $13,608.67 | 9 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,459.00 – $13,608.67 | 9 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,459.00 – $24,446.96 | 9 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $122.57 – $239.01 | 8 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $99.90 – $194.80 | 8 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $112.56 – $219.49 | 8 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $729.34 – $1,422.21 | 8 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $782.83 – $1,526.52 | 8 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $177.11 – $345.36 | 8 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $177.11 – $345.36 | 8 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $150.07 – $292.64 | 8 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $107.73 – $210.07 | 8 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $130.79 – $255.04 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $2,861.10 | $5,202.00 | $335.54 – $803.54 | 8 |
| Knee MRI (with contrast) CPT 73722 | $1,758.35 | $3,197.00 | $354.48 – $1,777.64 | 8 |
| Knee MRI (without contrast) CPT 73721 | $1,416.80 | $2,576.00 | $207.89 – $543.87 | 8 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $363.62 – $709.06 | 8 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,463.86 – $4,804.53 | 8 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,145.99 – $2,234.68 | 8 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $695.57 – $1,356.36 | 8 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,038.73 – $2,025.52 | 8 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $663.71 – $1,294.23 | 8 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $587.64 – $1,145.90 | 8 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,839.54 – $5,537.10 | 8 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,033.70 – $5,915.72 | 8 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,614.94 – $3,149.13 | 8 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,114.06 – $2,172.42 | 8 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,961.29 – $35,024.52 | 8 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,331.15 – $2,595.74 | 8 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,218.82 – $4,326.70 | 8 |
| Knee X-ray CPT 73564 | $414.70 | $754.00 | $52.20 – $239.27 | 8 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $523.99 – $1,021.78 | 8 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,635.37 – $9,038.97 | 8 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $710.64 – $1,385.75 | 8 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $710.64 – $1,385.75 | 8 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,298.28 – $2,531.65 | 8 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $70.12 – $136.73 | 8 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $89.34 – $174.21 | 8 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $1,108.58 – $2,161.73 | 8 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $600.78 – $1,171.52 | 8 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,256.72 – $2,450.60 | 8 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $205.78 – $401.27 | 8 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $892.02 – $1,739.44 | 8 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,348.79 – $2,630.14 | 8 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,917.72 – $3,739.55 | 8 |
| Kras gene addl variants CPT 81276 | $194.70 | $354.00 | $193.25 – $282.72 | 8 |
| Kras gene variants exon 2 CPT 81275 | $204.05 | $371.00 | $193.25 – $282.72 | 8 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,275.36 – $1,863.83 | 2 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $3,258.00 – $32,883.82 | 7 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $3,749.50 – $32,883.82 | 7 |
| Kyphosis pad HCPCS L1020 | not published | not published | $125.95 – $245.60 | 8 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $143.30 – $279.44 | 8 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $28.46 – $28.46 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $22.81 – $22.81 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.31 – $0.67 | 3 |
| Labioplasty 56800 CPT 56800 | not published | not published | $387.42 – $6,071.07 | 9 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $478.23 – $932.55 | 8 |
| Lactate dehydrogenase (ldh) CPT 83615 | $49.50 | $90.00 | $6.04 – $8.62 | 8 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.85 – $4.25 | 3 |
| Lactation class HCPCS S9443 | $195.25 | $355.00 | not published | 0 |
| Lactic acid CPT 83605 | $100.65 | $183.00 | $11.57 – $16.77 | 8 |
| Lactoferrin fecal qualitative CPT 83630 | $121.00 | $220.00 | $19.70 – $28.76 | 8 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $28.76 | 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.