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 |
|---|---|---|---|---|
| Plmt ureteral stent prq CPT 50694 | not published | not published | $399.49 – $6,610.93 | 8 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $90.03 – $175.56 | 8 |
| Pm device progr eval dual CPT 93280 | $48.18 | $87.60 | $35.89 – $70.85 | 8 |
| Pm device progr eval multi CPT 93281 | $48.84 | $88.80 | $35.89 – $70.85 | 8 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $303.34 | 7 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $1,109.82 | 8 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $1,126.11 | 8 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $68.05 | 8 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $35.89 – $69.99 | 7 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $297.59 | 8 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $990.03 | 8 |
| Pms2 known familial variants CPT 81318 | not published | not published | $221.53 – $484.47 | 8 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $34.69 – $67.65 | 8 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $216.94 – $423.03 | 8 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $138.10 – $1,176.48 | 8 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $18.32 – $56.44 | 3 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $21.99 – $26.13 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $143.55 | $261.00 | $26.07 – $38.34 | 8 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $143.61 – $280.04 | 9 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $306.19 – $597.07 | 8 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $825.91 – $2,034.78 | 8 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $619.06 – $2,034.78 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,785.10 | $6,882.00 | $764.14 – $2,034.78 | 8 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $15.34 | 8 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $30,043.24 – $36,093.94 | 2 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $95.45 – $104.74 | 2 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $95.45 – $104.74 | 2 |
| Positional change of finger CPT 26555 | not published | not published | $1,459.00 – $13,608.67 | 9 |
| Positional nystagmus test CPT 92532 | not published | not published | $26.79 – $26.79 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $69.77 – $1,212.46 | 7 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $140.02 – $1,212.46 | 7 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $199.78 – $1,212.46 | 7 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $16.60 – $36.41 | 7 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $97.71 – $190.53 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $731.00 – $731.00 | 1 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $611.64 – $1,192.70 | 8 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $665.02 – $1,296.79 | 8 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $890.08 – $1,735.66 | 8 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,745.96 – $3,404.62 | 8 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $2,235.96 – $4,360.12 | 8 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $821.42 – $1,601.77 | 8 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $682.01 – $1,329.92 | 8 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,906.55 – $3,717.77 | 8 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,607.09 – $3,133.83 | 8 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $547.30 – $1,067.24 | 8 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,131.40 – $4,156.23 | 8 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,366.86 – $2,665.38 | 8 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $358.89 – $928.55 | 7 |
| Postpartum Care Only CPT 59430 | not published | not published | $273.39 – $4,103.56 | 3 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $731.00 – $731.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $55.55 | $101.00 | $4.73 – $6.70 | 8 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.20 – $0.33 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $8.62 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $53.35 | $97.00 | $4.76 – $7.19 | 8 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $4.62 – $5.04 | 2 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $7.92 – $8.65 | 2 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $12.35 – $13.48 | 2 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $9.77 – $10.66 | 2 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $5.01 – $5.46 | 2 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $8.03 – $8.77 | 2 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $8.18 – $8.93 | 2 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $200.30 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $739.75 | $1,345.00 | $108.32 – $286.84 | 2 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $83.34 – $166.80 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $720.06 – $13,608.67 | 8 |
| Pq thr inj ext pse CPT 36002 | $929.50 | $1,690.00 | $156.83 – $1,176.48 | 8 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $314.18 – $314.18 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $656.31 – $6,164.76 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $617.35 – $6,164.76 | 8 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $386.12 – $752.94 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $112.71 – $142.40 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $7,140.65 | $12,983.00 | $1,055.86 – $6,164.76 | 9 |
| Pr application of long arm splint CPT 29105 | $301.40 | $548.00 | $63.93 – $304.76 | 8 |
| Pr application splint static short arm CPT 29125 | $297.00 | $540.00 | $61.02 – $249.53 | 8 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $4.36 | $7.92 | $6.67 – $78.50 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $382.80 | $696.00 | $71.05 – $762.40 | 8 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $921.39 – $24,446.96 | 9 |
| Pr correction hammertoe CPT 28285 | not published | not published | $592.58 – $6,164.76 | 9 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $57.20 | $104.00 | $18.10 – $70.27 | 8 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $432.34 – $4,103.56 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $370.14 – $4,103.56 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $235.50 – $6,610.93 | 9 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $218.90 | $398.00 | $54.58 – $376.28 | 8 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $123.81 – $124.15 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $174.91 – $175.63 | 2 |
| Prealbumin CPT 84134 | $133.65 | $243.00 | $14.59 – $21.57 | 8 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $12.45 – $13.87 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $28.12 – $31.29 | 2 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.95 – $0.95 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.60 – $0.77 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.02 | 3 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $225.71 – $440.13 | 8 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $210.34 – $1,212.46 | 7 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $140.02 – $1,212.46 | 7 |
| Pregabalin - sendout CPT 80366 | $15.95 | $29.00 | $25.87 – $35.46 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,005.85 | $3,647.00 | $302.25 – $3,604.28 | 9 |
| Pregnancy associated plasma protein-a CPT 84163 | $68.75 | $125.00 | $15.05 – $22.04 | 8 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $601.70 | $1,094.00 | $100.55 – $239.27 | 8 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $440.55 | $801.00 | $100.55 – $239.27 | 8 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $150.19 – $150.19 | 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.