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 |
|---|---|---|---|---|
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $354.96 – $598.40 | 3 |
| MRI breast without cont bi CPT 77047 | $1,408.55 | $2,561.00 | $216.04 – $543.87 | 8 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $351.61 – $610.26 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $229.48 – $543.87 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $335.54 – $803.54 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $428.28 – $1,777.64 | 8 |
| MRI chest without contrast CPT 71550 | not published | not published | $229.48 – $543.87 | 8 |
| MRI chest without & w/contrast CPT 71552 | $2,417.80 | $4,396.00 | $335.54 – $803.54 | 8 |
| MRI chest w IV cont CPT 71551 | not published | not published | $435.95 – $1,777.64 | 8 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,866.53 – $3,639.73 | 8 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $168.64 – $357.04 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $229.48 – $543.87 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $511.70 – $725.56 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $622.15 – $698.90 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,177.20 – $2,295.53 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $1,649.45 | $2,999.00 | $280.21 – $803.54 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,529.00 | $2,780.00 | $229.48 – $543.87 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,714.90 | $3,118.00 | $335.54 – $803.54 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,883.20 | $3,424.00 | $229.48 – $543.87 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,419.90 | $6,218.00 | $335.54 – $803.54 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $287.88 – $803.54 | 8 |
| MRI tmj CPT 70336 | not published | not published | $229.48 – $543.87 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,576.85 | $2,867.00 | $229.48 – $543.87 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,868.25 | $5,215.00 | $335.54 – $803.54 | 8 |
| MRI upper extremity w/dye CPT 73219 | $1,767.70 | $3,214.00 | $335.54 – $803.54 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $335.54 – $678.55 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $168.70 – $338.24 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | $1,656.60 | $3,012.00 | $335.54 – $678.55 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $335.54 – $678.55 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $83.70 – $163.21 | 6 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $91.44 – $178.30 | 6 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $56.74 – $110.64 | 6 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $27.82 – $54.24 | 6 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $229.48 – $447.49 | 6 |
| Mr spectroscopy CPT 76390 | not published | not published | $83.70 – $455.04 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $182.05 – $311.96 | 8 |
| Msh2 gene full seq CPT 81295 | not published | not published | $182.05 – $558.75 | 8 |
| Msh2 gene known variants CPT 81296 | not published | not published | $155.44 – $494.06 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $194.02 – $348.37 | 8 |
| Msh6 gene full seq CPT 81298 | not published | not published | $345.40 – $939.23 | 8 |
| Msh6 gene known variants CPT 81299 | not published | not published | $193.49 – $450.93 | 8 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $4,103.56 – $13,608.67 | 7 |
| Mthfr gene analy common variants CPT 81291 | $291.50 | $530.00 | $65.34 – $95.84 | 8 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $39.29 | 8 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $62.78 | 7 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $8.62 | 8 |
| Mucopolysaccharides CPT 83864 | $64.90 | $118.00 | $28.50 – $41.69 | 8 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $22.04 | 8 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $36.04 – $70.27 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,294.90 – $8,375.06 | 8 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $818.99 – $1,597.03 | 8 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $86.74 – $94.64 | 2 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $58.13 – $63.42 | 2 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $669.92 – $1,306.34 | 8 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $745.01 – $1,452.77 | 8 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $45.73 – $332.88 | 8 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $81.90 – $297.27 | 8 |
| Multiple sleep latency test CPT 95805 | $1,396.45 | $2,539.00 | $540.04 – $1,610.53 | 8 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,904.35 – $7,613.48 | 8 |
| Mumps antibody igg CPT 86735 | $76.45 | $139.00 | $13.05 – $19.17 | 8 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,411.00 – $3,869.58 | 9 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,459.00 – $6,955.84 | 9 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,459.00 – $6,955.84 | 9 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $94.36 – $622.80 | 8 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $86.69 – $312.92 | 8 |
| Muscle test larynx CPT 95865 | not published | not published | $97.71 – $257.80 | 8 |
| Muscle test one fiber CPT 95872 | not published | not published | $60.82 – $404.95 | 8 |
| Muscle transfers CPT 23397 | not published | not published | $1,734.55 – $13,608.67 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,755.00 – $13,608.67 | 9 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,559.52 – $6,955.84 | 8 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,145.58 – $13,608.67 | 9 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $70.45 | 7 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $29.24 | 8 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $62.78 | 7 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.19 – $0.31 | 3 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.47 – $1.03 | 3 |
| Mycoplasma antibody igm CPT 86738 | $62.70 | $114.00 | $13.24 – $19.17 | 8 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $256.85 | 7 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $126.95 – $1,777.64 | 8 |
| Myelography l-s spine CPT 72265 | $1,024.10 | $1,862.00 | $100.11 – $1,777.64 | 8 |
| Myelography neck spine CPT 72240 | $876.70 | $1,594.00 | $99.16 – $1,777.64 | 8 |
| Myelography thoracic spine CPT 72255 | not published | not published | $93.41 – $1,777.64 | 8 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,931.60 | $3,512.00 | $185.37 – $1,501.11 | 8 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,931.60 | $3,512.00 | $180.71 – $1,501.11 | 8 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,931.60 | $3,512.00 | $178.56 – $1,501.11 | 8 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,931.60 | $3,512.00 | $180.74 – $1,501.11 | 8 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $359.70 | $654.00 | $11.53 – $16.77 | 8 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $528.66 – $3,281.83 | 8 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $541.71 – $3,281.83 | 8 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $810.44 – $4,163.63 | 8 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $886.87 – $4,388.63 | 8 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $621.19 – $3,281.83 | 8 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $757.98 – $5,063.63 | 8 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $649.46 – $3,281.83 | 8 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,769.99 – $4,103.56 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,412.55 – $4,103.56 | 2 |
| Myomectomy vag method CPT 58145 | not published | not published | $871.03 – $6,071.07 | 9 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $634.81 – $634.81 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $748.98 – $6,217.98 | 9 |
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.