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 |
|---|---|---|---|---|
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $958.17 – $13,608.67 | 9 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $880.79 – $13,608.67 | 9 |
| Optx thigh fx CPT 27269 | not published | not published | $1,411.00 – $13,608.67 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,201.11 – $6,217.98 | 9 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,123.36 – $13,608.67 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $956.23 – $13,608.67 | 9 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $953.93 – $13,608.67 | 8 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.77 – $6.95 | 3 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $225.63 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.50 – $4.52 | 3 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $17.72 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $474.04 – $924.37 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $898.23 – $6,610.93 | 9 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,088.88 – $6,714.87 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $660.17 – $6,714.87 | 9 |
| Organic acids total quant ea spec CPT 83918 | $256.85 | $467.00 | $23.60 – $34.51 | 8 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $47.41 – $92.45 | 9 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $29.73 – $57.97 | 9 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $177.67 – $2,909.92 | 8 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $15.29 – $19.72 | 3 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.95 – $58.40 | 8 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $324.71 – $633.18 | 8 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $562.31 – $1,096.50 | 8 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,441.77 – $2,811.45 | 8 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $787.21 – $1,535.06 | 8 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $304.55 – $593.87 | 8 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $361.14 – $704.22 | 8 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.75 – $231.56 | 8 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $304.55 – $593.87 | 8 |
| Orthopantogram CPT 70355 | not published | not published | $12.42 – $198.11 | 8 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $70.55 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $51.56 – $71.94 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $37.81 – $110.64 | 7 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.84 – $122.54 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.27 – $76.58 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $70.55 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.84 – $101.09 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $160.94 – $313.83 | 8 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $511.39 – $997.21 | 8 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $100.33 – $214.58 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $375.75 – $732.71 | 8 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,115.05 – $2,174.35 | 8 |
| Oscillation chest wall mechanical per session CPT 94669 | $360.80 | $656.00 | $29.63 – $410.68 | 8 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.27 – $76.58 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $55.11 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.25 – $205.24 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $156.27 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $21.49 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $128.72 | 7 |
| Osmolality blood CPT 83930 | $53.35 | $97.00 | $6.61 – $9.59 | 8 |
| Osmolality urine CPT 83935 | $53.35 | $97.00 | $6.82 – $10.07 | 8 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $489.96 – $6,164.76 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $880.25 – $6,164.76 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $731.00 – $731.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,083.81 – $24,446.96 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,491.64 – $13,608.67 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,860.56 – $13,608.67 | 8 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $49.50 | $90.00 | $20.77 – $71.07 | 8 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $20.77 – $89.70 | 8 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $20.77 – $107.42 | 8 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,459.00 – $13,608.67 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,457.61 – $13,608.67 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $541.09 – $541.09 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,404.32 – $13,608.67 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,673.05 – $13,608.67 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,261.00 – $13,608.67 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,675.97 – $24,078.32 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,034.50 – $13,608.67 | 9 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $4.52 – $4.92 | 2 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $109.52 – $119.49 | 2 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $6.11 – $6.67 | 2 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $8.02 – $8.75 | 2 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $10.66 – $11.64 | 2 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $3.86 – $4.22 | 2 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $20.25 – $22.10 | 2 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $19.09 – $20.83 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $293.70 | $534.00 | $95.24 – $185.72 | 8 |
| Ot evaluation low complexity patient/family CPT 97165 | $147.40 | $268.00 | $95.24 – $185.72 | 8 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $221.10 | $402.00 | $95.24 – $185.72 | 8 |
| Other bone graft microvasc CPT 20962 | not published | not published | $4,035.72 – $13,608.67 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $34.02 | 8 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $18.64 – $70.05 | 8 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $14.82 – $54.24 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $82.50 | $150.00 | $46.42 – $90.52 | 8 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $96.80 | $176.00 | $42.91 – $83.67 | 8 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $41.58 | $75.60 | $26.25 – $51.19 | 8 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $13.94 – $42.82 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $715.23 – $6,217.98 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $191.95 | $349.00 | $64.54 – $125.85 | 8 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $92.40 | $168.00 | $32.85 – $64.06 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $18.12 – $35.33 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $19.35 – $37.73 | 8 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $81.40 | $148.00 | $27.52 – $53.66 | 8 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $85.80 | $156.00 | $30.98 – $60.41 | 8 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $92.40 | $168.00 | $30.50 – $59.48 | 8 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Out of office emerg med serv CPT 99060 | not published | not published | $36.68 – $36.68 | 1 |
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.