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 |
|---|---|---|---|---|
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $660.79 – $3,040.78 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $85.25 | $155.00 | $56.42 – $257.80 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $150.70 | $274.00 | $35.86 – $257.80 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $280.59 – $3,040.78 | 9 |
| Manipulation of spine CPT 22505 | not published | not published | $197.44 – $3,040.78 | 9 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $118.67 – $462.61 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.80 – $4.27 | 3 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.91 – $11.14 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $79.22 – $154.48 | 7 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $7.19 | 8 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $157.09 – $500.40 | 2 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $208.17 – $208.17 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $146.97 – $146.97 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $56.44 – $110.06 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $123.75 | $225.00 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $170.26 – $186.85 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.14 – $542.37 | 8 |
| Mastectomy partial CPT 19301 | not published | not published | $1,003.70 – $7,343.20 | 9 |
| Mast mod rad CPT 19307 | not published | not published | $1,789.93 – $12,453.31 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $1,076.74 – $11,239.75 | 9 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,431.19 – $11,239.75 | 9 |
| Mastoids complete CPT 70130 | not published | not published | $66.09 – $239.27 | 8 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,927.15 – $11,239.75 | 9 |
| Mastopexy CPT 19316 | not published | not published | $1,199.24 – $12,453.31 | 9 |
| Mast radical CPT 19305 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $1,456.04 – $12,453.31 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $119.69 – $233.39 | 8 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,310.00 – $3,721.91 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $26.66 – $233.39 | 9 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $51.28 | 7 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $39.78 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $62.78 | 7 |
| Maxillofacial fixation CPT 21100 | not published | not published | $539.54 – $11,239.75 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $176.00 | $320.00 | $14.46 – $21.09 | 8 |
| Mayo aathr protein s free CPT 85306 | $61.60 | $112.00 | $15.32 – $22.52 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $70.95 | $129.00 | $15.32 – $22.52 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $270.60 | $492.00 | $38.57 – $56.55 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $96.25 | $175.00 | $17.64 – $17.64 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $103.40 | $188.00 | $28.22 – $35.46 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $105.05 | $191.00 | $14.78 – $21.57 | 8 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $244.20 | $444.00 | $35.46 – $49.02 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $78.10 | $142.00 | $13.44 – $19.64 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $158.40 | $288.00 | $15.08 – $22.04 | 8 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $52.25 | $95.00 | $25.38 – $25.38 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $144.65 | $263.00 | $25.44 – $35.46 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $234.30 | $426.00 | $121.63 – $177.78 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $133.10 | $242.00 | $91.66 – $134.18 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $200.30 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,430.55 | $2,601.00 | $1,160.00 – $1,697.80 | 8 |
| Mayo androstenedione CPT 82157 | $173.80 | $316.00 | $29.28 – $42.66 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $107.80 | $196.00 | $14.60 – $21.57 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $146.30 | $266.00 | $10.81 – $15.82 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $80.30 | $146.00 | $15.05 – $22.04 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $122.65 | $223.00 | $30.86 – $45.04 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $51.28 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $157.30 | $286.00 | $18.70 – $35.46 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $12.65 | $23.00 | $10.18 – $14.85 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $239.80 | $436.00 | $144.84 – $211.80 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $271.15 | $493.00 | $214.62 – $313.88 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $156.75 | $285.00 | $12.90 – $18.69 | 8 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $160.60 | $292.00 | $28.03 – $35.46 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $380.05 | $691.00 | $13.19 – $19.17 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | $50.05 | $91.00 | $8.93 – $12.94 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $127.60 | $232.00 | $13.60 – $20.12 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $96.80 | $176.00 | $29.32 – $35.46 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $61.05 | $111.00 | $16.87 – $24.92 | 8 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $124.85 | $227.00 | $26.78 – $39.29 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $178.74 | 8 |
| Mayo ceruloplasmin CPT 82390 | $112.75 | $205.00 | $10.74 – $15.82 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $262.35 | $477.00 | $14.12 – $20.61 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $410.30 | $746.00 | $12.88 – $18.69 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $53.35 | $97.00 | $11.82 – $17.25 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $53.35 | $97.00 | $12.68 – $18.69 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $653.95 | $1,189.00 | $116.49 – $170.59 | 7 |
| Mayo chromium CPT 82495 | $42.90 | $78.00 | $20.28 – $29.71 | 8 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $135.30 | $246.00 | $24.74 – $35.46 | 2 |
| Mayo coccidioides antibody CPT 86635 | $51.15 | $93.00 | $11.47 – $16.77 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $319.00 | $580.00 | $24.09 – $35.46 | 8 |
| Mayo cortisol free CPT 82530 | $69.85 | $127.00 | $16.71 – $24.44 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $60.50 | $110.00 | $42.13 – $61.82 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $124.85 | $227.00 | $12.12 – $17.72 | 8 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $365.20 | $664.00 | $32.33 – $32.33 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $88.00 | $160.00 | $19.01 – $19.01 | 1 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $19.40 – $28.27 | 8 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $67.70 – $752.69 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $37.40 | $68.00 | $13.25 – $19.17 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $148.50 | $270.00 | $25.27 – $36.89 | 8 |
| Mayo dihydrotestosterone CPT 82642 | $70.40 | $128.00 | $29.28 – $42.66 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $13.90 | 8 |
| Mayo efpo chloride stool CPT 82438 | $70.95 | $129.00 | $5.00 – $7.19 | 8 |
| Mayo estriol CPT 82677 | $70.40 | $128.00 | $24.18 – $35.46 | 8 |
| Mayo estrone CPT 82679 | $149.05 | $271.00 | $24.95 – $36.41 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $105.05 | $191.00 | $16.34 – $23.96 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $96.25 | $175.00 | $13.73 – $20.12 | 8 |
| Mayo factor ii CPT 85210 | $246.40 | $448.00 | $12.98 – $19.17 | 8 |
| Mayo factor v CPT 85220 | $246.40 | $448.00 | $17.65 – $25.87 | 8 |
| Mayo factor vii CPT 85230 | $246.40 | $448.00 | $17.90 – $26.36 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $23.65 | $43.00 | $22.94 – $33.54 | 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.