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 vasoactive intestinal peptide CPT 84586 | $42.35 | $77.00 | $35.33 – $51.76 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $182.60 | $332.00 | $20.24 – $29.71 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | $104.50 | $190.00 | $17.06 – $24.92 | 8 |
| Mayo vitamin k CPT 84597 | $156.20 | $284.00 | $13.72 – $20.12 | 8 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $323.95 | $589.00 | $13.25 – $19.17 | 8 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $57.50 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $770.68 – $6,164.76 | 9 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $826.49 – $6,164.76 | 9 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $876.72 – $3,040.78 | 9 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $30.60 – $30.60 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,385.12 – $6,955.84 | 8 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $13.47 – $13.47 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $13.42 – $13.79 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $28.63 – $1,061.20 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $174.86 – $1,307.75 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $238.15 | $433.00 | $16.24 – $112.86 | 8 |
| Measure ureter pressure CPT 50686 | not published | not published | $123.75 – $297.27 | 8 |
| Mecasermin injection HCPCS J2170 | not published | not published | $248.77 – $386.01 | 2 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $420.79 – $820.54 | 8 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $508.70 – $508.70 | 1 |
| #mec-opiates CPT 80356 | $273.90 | $498.00 | $31.91 – $35.46 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $219.47 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $772.47 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $175.39 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $85.24 – $85.24 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $886.88 – $6,217.98 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $604.88 – $11,338.09 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $463.04 – $11,338.09 | 8 |
| Medical services after hrs CPT 99050 | not published | not published | $26.79 – $26.79 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $202.99 – $1,300.33 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.70 – $0.85 | 2 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $26.79 – $26.79 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $26.79 – $26.79 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.29 – $0.31 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $728.35 – $963.75 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $825.91 – $1,729.56 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $825.91 – $2,303.47 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.62 – $15.05 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $715.55 | $1,301.00 | $119.69 – $590.74 | 9 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $119.69 – $233.39 | 9 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $32.62 – $54.14 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $119.69 – $291.49 | 9 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $69,113.10 – $95,028.69 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $119.69 – $604.29 | 9 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $114.90 – $233.39 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $78.49 – $233.39 | 9 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $242.29 – $242.29 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,530.96 – $13,608.67 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $11.99 – $16.22 | 3 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $6.23 – $6.23 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $32.28 – $62.95 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.99 – $4.94 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.53 – $0.74 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $382.95 – $1,933.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.69 – $2.25 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $85.25 | $155.00 | $8.46 – $12.47 | 8 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $109.45 | $199.00 | $10.56 – $15.34 | 8 |
| Metabolic panel ionized ca CPT 80047 | $85.25 | $155.00 | $13.73 – $20.12 | 8 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $3,754.20 | 8 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $673.92 – $673.92 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.41 – $2.61 | 3 |
| Methadone injection HCPCS J1230 | not published | not published | $25.93 – $33.46 | 3 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.33 – $0.51 | 2 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $7.89 – $10.17 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.25 – $0.44 | 3 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $3.20 – $4.98 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $290.40 | $528.00 | $38.57 – $56.55 | 8 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $155.61 – $155.61 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $82.13 – $82.13 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $9.40 – $28.92 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $26.40 – $34.06 | 3 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.41 – $2.17 | 2 |
| Methylphenidate CPT 80360 | $110.00 | $200.00 | $25.87 – $35.46 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.30 – $0.39 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.14 – $0.18 | 2 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.31 – $0.40 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.40 – $1.80 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.04 | 3 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $133.22 | 8 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $99.61 – $182.58 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.35 – $1.25 | 3 |
| Microalbumin urine screen CPT 82044 | $8.58 | $15.60 | $6.23 – $9.10 | 8 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $17.38 – $58.95 | 8 |
| Microdissection laser CPT 88380 | not published | not published | $105.78 – $195.20 | 3 |
| Microdissection manual CPT 88381 | $117.15 | $213.00 | $126.82 – $296.05 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $33.06 | 8 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,634.16 – $10,986.61 | 8 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $509.86 | 8 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $326.86 – $326.86 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $123.75 – $297.27 | 8 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $4,103.56 – $7,125.95 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.16 – $0.23 | 3 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.21 – $0.46 | 3 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $80.47 – $239.27 | 8 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $45.15 – $70.63 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.95 – $2.56 | 3 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $653.22 – $1,273.78 | 8 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.74 – $5.33 | 8 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.48 – $0.76 | 2 |
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.