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 |
|---|---|---|---|---|
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $680.60 – $7,343.20 | 8 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $1,139.48 – $4,103.56 | 2 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $344.96 – $4,103.56 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,139.60 – $11,239.75 | 9 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $1,005.90 – $11,239.75 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,016.97 – $7,343.20 | 9 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $361.15 | $656.64 | $437.35 – $3,040.78 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $922.30 – $10,435.92 | 9 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,118.22 – $11,102.35 | 7 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $1,103.09 – $13,608.67 | 8 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $804.76 – $11,239.75 | 9 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $1,084.16 – $6,217.98 | 9 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,077.47 – $6,136.48 | 8 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $898.69 – $13,608.67 | 8 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $1,084.43 – $13,608.67 | 8 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,483.54 – $3,040.78 | 8 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $837.17 – $13,608.67 | 7 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Ophthalmic biometry CPT 92136 | not published | not published | $24.88 – $257.80 | 8 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $132.94 – $132.94 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $451.50 – $727.46 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $16.46 – $78.50 | 8 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $43.56 – $290.03 | 8 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $62.25 – $239.27 | 8 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $31.59 – $239.27 | 8 |
| Opioids & opiate analogs 3/4 CPT 80363 | $17.05 | $31.00 | $25.49 – $25.49 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $446.30 – $446.30 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $3,982.19 – $4,103.56 | 2 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $3,421.96 – $4,103.56 | 2 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $4,103.56 – $4,912.51 | 2 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $2,864.44 – $4,103.56 | 2 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $2,241.96 – $4,103.56 | 2 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $402.58 – $402.58 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $588.49 – $4,103.56 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $918.29 – $82,607.01 | 8 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $477.15 – $40,744.34 | 9 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $477.00 – $23,693.59 | 9 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,004.67 – $12,469.51 | 9 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $1,277.75 – $57,899.82 | 8 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,640.51 – $11,239.75 | 8 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,928.98 – $11,239.75 | 8 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,645.05 – $11,102.35 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $609.17 – $11,239.75 | 9 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,566.12 – $11,239.75 | 8 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,532.70 – $11,239.75 | 8 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,670.46 – $11,102.35 | 7 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,154.58 – $11,239.75 | 8 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,047.85 – $11,239.75 | 8 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,105.83 – $11,239.75 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,364.65 – $11,239.75 | 8 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $973.82 – $11,239.75 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $882.58 – $11,239.75 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,216.25 – $11,239.75 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,523.44 – $11,239.75 | 8 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $401.31 – $782.56 | 7 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $868.75 – $868.75 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $22.09 – $118.80 | 8 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $34.36 – $118.80 | 8 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $15.25 – $73.75 | 3 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $29.24 – $29.24 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $992.87 – $13,608.67 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $875.32 – $13,608.67 | 9 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $895.26 – $13,608.67 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,099.03 – $13,608.67 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,099.59 – $13,608.67 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,769.09 – $11,239.75 | 8 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,618.90 – $11,102.35 | 7 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,071.32 – $11,102.35 | 7 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $3,076.73 – $11,102.35 | 7 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,126.27 – $11,102.35 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $875.21 – $6,164.76 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $1,191.65 – $13,608.67 | 9 |
| Optx lunate dislocation CPT 25695 | not published | not published | $970.75 – $13,608.67 | 9 |
| Optx medial ankle fx CPT 27766 | not published | not published | $922.69 – $13,608.67 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,218.36 – $11,239.75 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,578.77 – $11,239.75 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $745.07 – $11,239.75 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $938.57 – $11,239.75 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $944.60 – $11,239.75 | 8 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,202.85 – $11,102.35 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,655.41 – $24,446.96 | 9 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,107.77 – $13,608.67 | 8 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,345.52 – $24,446.96 | 9 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,594.00 – $34,941.10 | 9 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,026.17 – $13,608.67 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $966.35 – $13,608.67 | 9 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $930.15 – $13,608.67 | 9 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,206.96 – $13,608.67 | 9 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,457.80 – $13,608.67 | 9 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,378.57 – $13,608.67 | 9 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,032.31 – $13,608.67 | 9 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,459.00 – $13,608.67 | 9 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,329.98 – $13,608.67 | 9 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,403.32 – $24,446.96 | 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.