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 |
|---|---|---|---|---|
| Assay of glutathione CPT 82978 | $16.50 | $30.00 | $15.45 – $22.52 | 8 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $39.29 | 8 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $12.94 | 8 |
| Assay of interleukin-6 (il-6) CPT 83529 | $124.30 | $226.00 | $17.27 – $25.39 | 8 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $29.24 | 8 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $14.37 | 8 |
| Assay of leflunomide CPT 80193 | not published | not published | $38.57 – $56.55 | 8 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $24.92 | 8 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $15.82 | 8 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $9.59 | 8 |
| Assay of osteocalcin CPT 83937 | $63.25 | $115.00 | $29.85 – $43.61 | 8 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $5.75 | 8 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $31.14 | 8 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $30.67 | 8 |
| Assay of procainamide w/metab CPT 80192 | $109.45 | $199.00 | $16.75 – $24.44 | 8 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $94.89 | 8 |
| Assay of prostaglandin CPT 84150 | $220.00 | $400.00 | $41.77 – $61.33 | 8 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $26.84 | 8 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $17.25 | 8 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $13.90 | 8 |
| Assay of salicylate CPT 80179 | not published | not published | $18.64 – $27.31 | 8 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $25.39 | 8 |
| Assay of sialic acid CPT 84275 | $111.65 | $203.00 | $13.44 – $19.64 | 8 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $36.89 | 8 |
| Assay of somatostatin CPT 84307 | $187.55 | $341.00 | $18.28 – $26.84 | 8 |
| Assay of thiocyanate CPT 84430 | $48.95 | $89.00 | $11.63 – $17.25 | 8 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $14.85 | 8 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.63 – $15.34 | 8 |
| Assay of urine sulfate CPT 84392 | $137.50 | $250.00 | $5.49 – $8.15 | 8 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $13.90 | 8 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $8.62 | 8 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $23.96 | 8 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $15.82 | 8 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $13.90 | 8 |
| Assay toxin or antitoxin CPT 87230 | $146.30 | $266.00 | $19.74 – $28.76 | 8 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $92.86 – $181.08 | 8 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $97.71 – $296.49 | 8 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $56.35 – $56.35 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $45.65 | $83.00 | $4.27 – $6.23 | 8 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $92.83 – $312.92 | 8 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $352.04 – $352.04 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $35.88 – $69.97 | 8 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $62.42 – $1,511.01 | 7 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $62.42 – $319.52 | 7 |
| Ast/sgot CPT 84450 | $53.35 | $97.00 | $5.18 – $7.67 | 8 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $96.55 – $188.26 | 9 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $12,281.50 | $22,330.00 | $892.52 – $34,117.77 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $12,264.45 | $22,299.00 | $1,034.79 – $34,117.77 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $23.49 | 8 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.13 – $0.18 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,227.59 – $4,103.56 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,060.23 – $9,381.85 | 7 |
| Attach ocular implant CPT 65140 | not published | not published | $1,382.61 – $7,373.14 | 9 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $110.52 – $111.39 | 2 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $123.75 – $312.92 | 8 |
| Audiometry air + bone CPT 92553 | not published | not published | $66.09 – $312.92 | 8 |
| Auditory function 60 min CPT 92620 | not published | not published | $120.72 – $312.92 | 8 |
| Augmentation cheek bone CPT 21270 | not published | not published | $1,131.81 – $11,239.75 | 9 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,017.74 – $11,239.75 | 9 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,178.38 – $11,239.75 | 9 |
| Augmentation of facial bones CPT 21208 | not published | not published | $1,120.76 – $11,239.75 | 9 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $329.17 – $329.17 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $772.73 – $13,608.67 | 8 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,600.55 – $13,608.67 | 8 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $2,499.00 – $13,608.67 | 8 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,109.90 | $2,018.00 | $708.73 – $1,230.10 | 7 |
| Autologous blood op salvage CPT 86891 | not published | not published | $25.57 – $1,511.01 | 8 |
| Autologous blood process CPT 86890 | not published | not published | $59.15 – $319.52 | 8 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $741.80 – $741.80 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,099.29 – $3,869.58 | 7 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $9.59 | 8 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $71.32 – $249.53 | 7 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $63.70 – $241.32 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $112.58 – $249.53 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $108.64 – $211.84 | 9 |
| Av fistula revision CPT 36833 | not published | not published | $1,206.09 – $10,435.92 | 9 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,091.92 – $10,435.92 | 9 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,030.70 – $10,435.92 | 9 |
| Av fusion direct any site CPT 36821 | not published | not published | $986.63 – $5,980.25 | 9 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,085.69 – $10,435.92 | 9 |
| Avul nail plate addl CPT 11732 | not published | not published | $26.07 – $26.07 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $1,785.85 | $3,247.00 | $82.45 – $377.53 | 8 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $55.13 – $110.10 | 7 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $562,500.89 – $1,096,876.74 | 9 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,067.40 – $11,338.09 | 9 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.50 – $0.57 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.25 – $7.49 | 3 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $496.78 | 8 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.75 – $4.27 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $3.08 – $4.17 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $186.11 – $362.91 | 9 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $61.50 – $86.11 | 3 |
| Baclofen eval charges CPT 97750 | not published | not published | $31.69 – $61.80 | 8 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $11.54 – $16.77 | 8 |
| Bacterial vaginosis pcr CPT 87801 | $149.60 | $272.00 | $70.20 – $102.54 | 8 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $22.04 | 8 |
| #bac vag cand-c. albicans naa CPT 87481 | $72.60 | $132.00 | $35.09 – $51.28 | 7 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $14.86 – $16.22 | 2 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $272.18 – $272.18 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.25 – $0.51 | 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.