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 |
|---|---|---|---|---|
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $5.44 – $5.93 | 2 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $22.12 – $24.13 | 2 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $13.91 – $15.17 | 2 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $11.02 – $12.02 | 2 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $19.63 – $21.42 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $278.01 – $6,071.07 | 9 |
| Bartonella dna pcr-sendout CPT 87471 | $202.95 | $369.00 | $35.09 – $51.28 | 8 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $44.53 – $404.95 | 8 |
| Basiliximab HCPCS J0480 | not published | not published | $4,905.05 – $9,564.85 | 9 |
| B cells total count CPT 86355 | $77.00 | $140.00 | $37.73 – $55.11 | 8 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.38 – $6.58 | 9 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $138.97 | 8 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $47.59 – $74.44 | 2 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $21.78 | $39.60 | $34.62 – $190.53 | 8 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.88 – $7.58 | 9 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $58.30 – $113.68 | 9 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $16.49 – $17.99 | 2 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.54 – $15.09 | 9 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $11.60 – $22.71 | 9 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.53 – $24.44 | 9 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $29.91 – $58.33 | 9 |
| Benign lesion paring 2-4 CPT 11056 | $267.30 | $486.00 | $33.92 – $377.53 | 8 |
| Benign lesion paring 4+ CPT 11057 | $303.60 | $552.00 | $44.33 – $377.53 | 8 |
| #_benzodiazconfur CPT 80346 | $182.60 | $332.00 | $32.33 – $35.46 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $20.79 – $27.00 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $39.60 | $72.00 | $25.45 – $37.38 | 8 |
| Beta-2 microglobulin CPT 82232 | $149.05 | $271.00 | $16.18 – $23.49 | 8 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $174.04 | 6 |
| Beta-amyloid 1-42 CPT 82234 | $137.50 | $250.00 | $128.92 – $174.04 | 6 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $8.49 – $11.20 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.82 – $145.90 | 9 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $24.53 – $47.84 | 9 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.89 – $50.48 | 9 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.87 – $3.65 | 7 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $36.43 – $71.04 | 7 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $20.46 – $39.90 | 7 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $24.92 | 8 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $869.84 – $869.84 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $83.47 – $1,691.55 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,710.50 | $3,110.00 | $80.30 – $575.67 | 8 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $522.50 | $950.00 | $77.79 – $575.67 | 8 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $38.81 | 8 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $247.10 – $247.10 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $422.32 – $12,141.33 | 9 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $424.44 – $12,141.33 | 9 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $677.40 – $19,935.73 | 9 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $505.63 – $12,141.33 | 9 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $572.76 – $19,935.73 | 9 |
| Bilicheck CPT 88720 | $53.90 | $98.00 | $5.02 – $7.19 | 8 |
| Bilirubin direct CPT 82248 | $53.35 | $97.00 | $5.02 – $7.19 | 8 |
| Bilirubin total CPT 82247 | $53.35 | $97.00 | $5.02 – $7.19 | 8 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $40.36 – $78.70 | 8 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.04 – $31.28 | 7 |
| Biopsy abdominal mass CPT 49180 | $1,590.60 | $2,892.00 | $125.39 – $3,097.49 | 9 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $645.19 – $5,447.65 | 9 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $521.95 – $5,447.65 | 9 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,391.50 | $2,530.00 | $132.16 – $3,097.49 | 9 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $114.50 – $1,727.39 | 8 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $143.06 – $4,458.86 | 8 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $859.59 – $7,343.20 | 9 |
| Biopsy external ear 69100 CPT 69100 | $83.16 | $151.20 | $70.50 – $444.20 | 8 |
| Biopsy eyelid & lid margin CPT 67810 | $142.16 | $258.48 | $102.77 – $595.28 | 8 |
| Biopsy eye muscle CPT 67346 | not published | not published | $289.00 – $7,373.14 | 9 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $524.73 – $6,164.76 | 9 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $499.58 – $3,040.78 | 9 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $562.13 – $5,447.65 | 9 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $521.63 – $6,164.76 | 9 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | not published | not published | $114.32 – $5,447.65 | 8 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $648.43 – $6,164.76 | 9 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $246.00 – $3,097.49 | 8 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $984.96 – $6,164.76 | 9 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,413.50 | $2,570.00 | $86.36 – $3,097.49 | 9 |
| Biopsy needle liver percutaneous CPT 47000 | $1,691.80 | $3,076.00 | $132.60 – $3,097.49 | 9 |
| Biopsy needle lymph node superficial CPT 38505 | $2,559.70 | $4,654.00 | $129.89 – $3,097.49 | 9 |
| Biopsy of cornea CPT 65410 | not published | not published | $153.79 – $4,458.86 | 9 |
| Biopsy of epididymis CPT 54800 | not published | not published | $191.19 – $3,097.49 | 9 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $429.19 – $6,164.76 | 9 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $393.84 – $6,164.76 | 9 |
| Biopsy of heart lining CPT 93505 | not published | not published | $598.92 – $5,980.25 | 8 |
| Biopsy of hip joint CPT 27052 | not published | not published | $885.75 – $3,040.78 | 9 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $161.72 – $1,781.36 | 9 |
| Biopsy of lip 40490 CPT 40490 | $107.71 | $195.84 | $105.32 – $444.20 | 8 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $93.16 – $1,336.82 | 8 |
| Biopsy of nerve CPT 64795 | not published | not published | $294.81 – $3,710.26 | 9 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $668.83 – $6,071.07 | 9 |
| Biopsy of penis CPT 54105 | not published | not published | $325.17 – $5,447.65 | 9 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $184.21 – $3,097.49 | 9 |
| Biopsy of prostate CPT 55700 | not published | not published | $198.33 – $4,103.56 | 4 |
| Biopsy of prostate CPT 55705 | not published | not published | $404.20 – $6,610.93 | 9 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $460.44 – $5,210.54 | 9 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $621.72 – $3,040.78 | 9 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $79.96 – $1,336.82 | 8 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $346.34 – $2,909.92 | 9 |
| Biopsy of tear gland CPT 68510 | not published | not published | $431.81 – $4,458.86 | 9 |
| Biopsy of tear sac CPT 68525 | not published | not published | $388.42 – $4,458.86 | 9 |
| Biopsy of testis CPT 54500 | not published | not published | $113.40 – $5,447.65 | 9 |
| Biopsy of testis CPT 54505 | not published | not published | $319.70 – $6,610.93 | 9 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $359.54 – $6,164.76 | 9 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $185.98 – $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.