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 |
|---|---|---|---|---|
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $23.65 | $43.00 | $22.94 – $33.54 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $23.65 | $43.00 | $22.94 – $33.54 | 8 |
| Mayo factor x CPT 85260 | $246.40 | $448.00 | $17.90 – $26.36 | 8 |
| Mayo factor xi CPT 85270 | $222.20 | $404.00 | $17.90 – $26.36 | 8 |
| Mayo fat/lipids feces quantitative CPT 82710 | $31.90 | $58.00 | $16.80 – $24.44 | 8 |
| Mayo fbl culture fungi blood CPT 87103 | $121.00 | $220.00 | $15.12 – $29.71 | 8 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $14.44 – $117.88 | 8 |
| Mayo ffspg allergen clam igg CPT 86001 | $13.75 | $25.00 | $7.82 – $11.50 | 8 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.24 – $21.09 | 8 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $172.15 | $313.00 | $21.67 – $31.63 | 8 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $990.00 | $1,800.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $84.15 | $153.00 | $4.75 – $7.19 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $113.85 | $207.00 | $35.09 – $51.28 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $51.28 | 8 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $48.95 | $89.00 | $13.79 – $20.12 | 8 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $123.75 | $225.00 | $25.81 – $37.86 | 8 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $47.85 | $87.00 | $8.89 – $12.94 | 8 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $56.10 | $102.00 | $13.52 – $19.64 | 8 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $156.75 | $285.00 | $27.17 – $39.78 | 8 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $778.25 | $1,415.00 | $17.27 – $25.39 | 8 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $14.99 – $22.04 | 8 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $92.40 | $168.00 | $20.81 – $30.67 | 8 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $178.75 | $325.00 | $20.81 – $30.67 | 8 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $47.37 | 7 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $88.55 | $161.00 | $16.07 – $23.49 | 8 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $297.00 | $540.00 | $11.98 – $17.72 | 8 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $55.55 | $101.00 | $35.09 – $51.28 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $35.09 – $51.28 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $74.80 | $136.00 | $35.09 – $51.28 | 8 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $44.00 | $80.00 | $35.09 – $47.37 | 7 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $245.30 | $446.00 | $42.84 – $62.78 | 8 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $105.43 | 8 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $38.57 – $56.55 | 7 |
| Mayo inhab inhibin a CPT 86336 | $27.50 | $50.00 | $15.59 – $23.00 | 8 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $19.17 | 8 |
| Mayo insulin antibodies CPT 86337 | $68.75 | $125.00 | $21.41 – $31.14 | 8 |
| Mayo iodine CPT 83789 | $90.75 | $165.00 | $24.11 – $35.46 | 8 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.11 – $39.78 | 8 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $123.20 | $224.00 | $27.11 – $39.78 | 7 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $34.10 | $62.00 | $13.25 – $19.17 | 8 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $105.05 | $191.00 | $12.79 – $18.69 | 8 |
| Mayo legionella antibody CPT 86713 | $62.70 | $114.00 | $15.30 – $22.52 | 8 |
| Mayo leptospira antibody igm CPT 86720 | $161.15 | $293.00 | $16.20 – $23.49 | 8 |
| Mayo lipoprotein electrophoresis CPT 83700 | $47.85 | $87.00 | $11.26 – $16.29 | 8 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $17.60 | $32.00 | $15.49 – $22.52 | 8 |
| Mayo manganese CPT 83785 | $48.95 | $89.00 | $26.65 – $38.81 | 8 |
| Mayo metanephrines plasma CPT 83835 | $216.70 | $394.00 | $16.94 – $24.92 | 8 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $121.55 | $221.00 | $26.66 – $35.46 | 2 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $509.85 | $927.00 | $12.05 – $17.72 | 8 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $50.60 | $92.00 | $18.40 – $30.22 | 8 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $94.05 | $171.00 | $14.55 – $21.09 | 8 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $190.30 | $346.00 | $18.64 – $27.31 | 8 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $202.40 | $368.00 | $137.00 – $200.30 | 8 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $271.23 | 8 |
| Mayo muramidase CPT 85549 | $116.05 | $211.00 | $18.75 – $27.31 | 8 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $19.25 | $35.00 | $18.40 – $30.22 | 8 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $62.15 | $113.00 | $18.05 – $26.36 | 8 |
| Mayo myoglobin CPT 83874 | $156.20 | $284.00 | $12.92 – $18.69 | 8 |
| Mayo nickel CPT 83885 | not published | not published | $24.51 – $35.94 | 8 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $116.60 | $212.00 | $35.46 – $41.98 | 2 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $201.30 | $366.00 | $35.46 – $35.78 | 2 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $116.60 | $212.00 | $31.91 – $35.46 | 2 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $249.15 | $453.00 | $21.21 – $31.14 | 8 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $23.96 | 8 |
| Mayo oxalate 24 hour urine CPT 83945 | $87.45 | $159.00 | $14.45 – $21.09 | 8 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $16.77 | 8 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $133.65 | $243.00 | $15.03 – $22.04 | 8 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $180.40 | $328.00 | $12.05 – $17.72 | 8 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $54.45 | $99.00 | $35.09 – $51.28 | 7 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $69.30 | $126.00 | $17.98 – $26.36 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $63.80 | $116.00 | $13.76 – $20.12 | 8 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $55.00 | $100.00 | $8.44 – $12.47 | 8 |
| Mayo pregnenolone CPT 84140 | $32.45 | $59.00 | $20.67 – $30.19 | 8 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $69.85 | $127.00 | $16.59 – $24.44 | 8 |
| Mayo proinsulin CPT 84206 | $100.65 | $183.00 | $26.69 – $39.29 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | $30.80 | $56.00 | $18.39 – $26.84 | 8 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $191.95 | $349.00 | $18.40 – $26.84 | 8 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $19.64 | 8 |
| Mayo receptor assay transferrin soluble CPT 84238 | $48.40 | $88.00 | $36.57 – $53.68 | 8 |
| Mayo renin CPT 84244 | $113.30 | $206.00 | $21.99 – $32.11 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | $97.90 | $178.00 | $17.83 – $25.87 | 8 |
| Mayo selenium CPT 84255 | $156.20 | $284.00 | $25.53 – $37.38 | 8 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $22.52 | 8 |
| Mayo serotonin CPT 84260 | $238.70 | $434.00 | $30.98 – $45.53 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $77.00 | $140.00 | $19.35 – $28.27 | 8 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $167.75 | $305.00 | $13.73 – $20.12 | 8 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | $92.03 – $124.24 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $31.35 | $57.00 | $4.27 – $6.23 | 8 |
| Mayo tau phosphorylated 217 each CPT 84393 | $137.50 | $250.00 | $128.92 – $174.04 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $305.73 | 8 |
| Mayo tgrp testosterone free CPT 84402 | $132.00 | $240.00 | $25.47 – $37.38 | 8 |
| Mayo tgrp testosterone total CPT 84403 | $132.00 | $240.00 | $25.81 – $37.86 | 8 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $24.75 | $45.00 | $22.17 – $32.59 | 8 |
| Mayo thyroglobulin CPT 84432 | $90.75 | $165.00 | $16.06 – $23.49 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $136.95 | $249.00 | $10.18 – $14.85 | 8 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $184.25 | $335.00 | $12.39 – $18.22 | 8 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $100.10 | $182.00 | $25.87 – $35.46 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $75.23 | 7 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $46.20 | $84.00 | $14.16 – $20.61 | 8 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $19.64 | 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.