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 |
|---|---|---|---|---|
| Partial removal of sternum CPT 21620 | not published | not published | $761.92 – $6,136.48 | 7 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,077.79 – $11,338.09 | 8 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,429.01 – $11,338.09 | 8 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,254.00 – $6,164.76 | 9 |
| Partial removal of toe CPT 28160 | not published | not published | $409.34 – $6,164.76 | 9 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,577.54 – $11,239.75 | 9 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $769.48 – $6,164.76 | 9 |
| Partial removal of ulna CPT 25150 | not published | not published | $867.63 – $6,164.76 | 9 |
| Partial removal of ulna CPT 25240 | not published | not published | $660.83 – $6,164.76 | 9 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $818.95 – $6,071.07 | 8 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,459.00 – $7,373.14 | 9 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,078.40 – $11,338.09 | 8 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,557.86 – $11,338.09 | 8 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $3.16 – $4.19 | 3 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,471.70 – $6,136.48 | 7 |
| Part removal of metatarsal CPT 28110 | not published | not published | $449.86 – $6,164.76 | 9 |
| Part removal of metatarsal CPT 28113 | not published | not published | $652.94 – $6,164.76 | 9 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $479.81 – $6,164.76 | 9 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,341.07 – $6,136.48 | 7 |
| Passy muir valve metal trach HCPCS L8501 | not published | not published | $147.88 – $288.37 | 8 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $12.83 – $14.00 | 2 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $135.64 – $319.52 | 8 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $72.22 – $319.52 | 8 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $51.48 – $64.90 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $33.59 – $97.73 | 8 |
| Patient recorded spirometry CPT 94014 | not published | not published | $50.13 – $837.81 | 8 |
| Patient recorded spirometry CPT 94015 | not published | not published | $45.96 – $622.80 | 8 |
| Patten bottom HCPCS L2370 | not published | not published | $337.23 – $657.60 | 8 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $240.18 – $373.29 | 7 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $406.58 – $524.63 | 2 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $482.07 | 7 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $28.26 – $55.11 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $192.96 – $376.28 | 8 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,120.99 – $3,869.58 | 9 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $854.13 – $854.13 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $514.02 – $514.02 | 1 |
| Ped crit care transport CPT 99466 | not published | not published | $353.21 – $355.91 | 2 |
| Ped crit care transport addl CPT 99467 | not published | not published | $177.14 – $178.69 | 2 |
| Ped critical care initial CPT 99471 | not published | not published | $1,188.32 – $1,188.32 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $607.22 – $607.22 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $73.40 – $312.92 | 8 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $123.75 – $350.61 | 8 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $8,840.49 – $17,238.96 | 8 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $2,638.38 – $5,144.84 | 8 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $980.72 – $3,869.58 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,638.09 – $3,194.28 | 8 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,933.98 – $3,771.26 | 8 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,532.40 – $2,988.18 | 8 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $832.27 – $1,622.93 | 8 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $587.26 – $587.26 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $1,460.59 – $1,460.59 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $29,663.96 – $57,844.73 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $24.78 – $279.30 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $102.46 – $266.98 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $149.13 – $290.81 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $143.67 – $539.79 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $67.02 – $201.27 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $105.11 – $331.74 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $21.30 – $21.30 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,169.09 – $1,677.80 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,929.34 – $7,662.21 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $225.66 – $440.05 | 8 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $610.60 – $1,190.67 | 8 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $453.23 – $883.80 | 8 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $442.33 – $862.54 | 8 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $336.48 – $656.14 | 8 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $359.52 – $701.06 | 8 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $533.32 – $1,039.97 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,348.05 | $2,451.00 | $168.70 – $400.55 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,230.90 | $2,238.00 | $168.70 – $489.56 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,100.55 | $2,001.00 | $100.55 – $292.44 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,655.15 – $3,227.54 | 8 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,076.70 | $5,594.00 | $335.54 – $803.54 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $280.69 – $803.54 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $1,695.10 | $3,082.00 | $229.48 – $543.87 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,617.90 – $13,608.67 | 8 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,525.75 – $13,608.67 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $454.30 | $826.00 | $100.55 – $239.27 | 8 |
| Pelvic Ultrasound (limited) CPT 76857 | $317.90 | $578.00 | $37.81 – $239.27 | 8 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $166.13 – $323.95 | 8 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $60.64 – $118.26 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.67 – $13.56 | 9 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $424.09 – $826.98 | 7 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $38.07 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $32.59 – $63.55 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.97 – $1.26 | 3 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $90.57 – $90.57 | 1 |
| Penile injection CPT 54235 | $464.20 | $844.00 | $112.25 – $468.58 | 8 |
| Penile vascular study CPT 93980 | not published | not published | $83.82 – $202.05 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $71.84 – $202.05 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $741.82 – $6,610.93 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,101.53 – $6,610.93 | 9 |
| Penis study CPT 54240 | not published | not published | $63.17 – $591.66 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $85.77 – $127.20 | 3 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $25.08 – $25.08 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $201.53 – $201.53 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $19.30 – $86.77 | 7 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,697.99 – $5,261.07 | 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.