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 |
|---|---|---|---|---|
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $660.63 – $4,103.56 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,189.00 – $4,103.56 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $207.67 – $544.95 | 7 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $358.89 – $928.55 | 7 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $358.89 – $928.55 | 7 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $3,094.56 – $6,034.39 | 8 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,391.89 – $6,614.19 | 8 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $3,134.29 – $6,111.87 | 8 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,455.29 – $6,737.82 | 8 |
| Preparation for bladder xray CPT 51605 | not published | not published | $58.52 – $58.52 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $164.87 – $1,011.48 | 8 |
| Prepare donor heart CPT 33944 | not published | not published | $498.45 – $4,103.56 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $638.47 – $4,103.56 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $547.63 – $4,103.56 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $551.11 – $4,103.56 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $447.71 – $4,103.56 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $50.12 – $97.73 | 6 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $109.29 – $4,103.56 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $121.23 – $121.23 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $282.79 – $282.79 | 1 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,606.10 – $5,081.90 | 8 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,430.65 – $4,739.77 | 8 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,088.64 – $4,072.85 | 8 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,425.89 – $4,730.49 | 8 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $330.31 – $4,103.56 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $190.76 – $190.76 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $577.42 – $4,103.56 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $412.58 – $4,103.56 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $734.31 – $4,103.56 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $577.06 – $4,103.56 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $757.42 – $4,103.56 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $494.10 – $4,103.56 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $547.63 – $4,103.56 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $377.45 – $4,103.56 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $355.47 – $4,103.56 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $297.65 – $4,103.56 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,103.56 – $13,775.95 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $248.77 – $248.77 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $825.91 – $1,610.53 | 6 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $286.75 – $4,103.56 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $271.69 – $4,103.56 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $327.02 – $4,103.56 | 2 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $390.97 – $1,254.00 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $331.54 – $3,475.54 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $68.15 – $991.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $314.05 | $571.00 | $123.75 – $312.92 | 7 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $320.35 – $4,103.56 | 2 |
| Pressure velocity wire add ves CPT 93572 | $1,997.60 | $3,632.00 | $82.52 – $82.52 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $636.87 – $1,241.90 | 8 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $245.30 | $446.00 | $25.57 – $319.52 | 8 |
| Pretreat rbc absorption reference CPT 86978 | $156.20 | $284.00 | $25.57 – $110.64 | 8 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $25.57 – $319.52 | 8 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $123.75 | $225.00 | $16.36 – $110.64 | 8 |
| Pretreat rbc w enzyme reference CPT 86971 | $176.55 | $321.00 | $16.36 – $319.52 | 8 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $170.71 – $332.88 | 8 |
| Preventive counseling group CPT 99411 | not published | not published | $11.38 – $11.38 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $19.12 – $19.12 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $48.40 | $88.00 | $36.23 – $36.23 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $97.35 | $177.00 | $73.53 – $73.53 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $145.20 | $264.00 | $109.77 – $109.77 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $194.15 | $353.00 | $146.54 – $146.54 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $136.22 | $247.68 | $128.05 – $249.69 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $100.98 | $183.60 | $124.45 – $3,097.49 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $178.99 | $325.44 | $249.07 – $3,097.49 | 9 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $897.60 | $1,632.00 | $155.35 – $762.40 | 8 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,065.18 – $7,230.75 | 7 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $35.89 – $70.85 | 8 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $41.58 | $75.60 | $35.89 – $70.85 | 8 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $35.89 – $70.85 | 8 |
| Prgrmg eval implantable dfb CPT 93282 | $44.22 | $80.40 | $35.89 – $70.85 | 8 |
| Prgrmg eval implantable dfb CPT 93283 | $48.84 | $88.80 | $35.89 – $70.85 | 8 |
| Prgrmg eval implantable dfb CPT 93284 | $52.14 | $94.80 | $35.89 – $70.85 | 8 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $31.50 – $31.50 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $265.74 – $266.34 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $199.73 – $200.20 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $126.43 – $126.69 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $181.49 – $181.99 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $120.95 – $121.53 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $75.26 – $75.93 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $644.11 – $34,380.09 | 8 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $243.73 – $243.73 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $75.97 – $190.53 | 8 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $380.05 | $691.00 | $279.45 – $762.40 | 8 |
| Pr incision & drainage abscess simple/single CPT 10060 | $353.10 | $642.00 | $160.92 – $377.53 | 8 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $717.20 | $1,304.00 | $192.17 – $577.96 | 8 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $772.20 | $1,404.00 | $159.39 – $762.40 | 8 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $128.05 – $291.95 | 8 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $128.05 – $257.74 | 8 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $246.40 | $448.00 | $18.59 – $74.38 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $918.57 – $3,710.26 | 9 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $191.10 – $991.00 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $202.21 – $4,458.86 | 9 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $332.13 – $4,458.86 | 9 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $235.39 – $4,458.86 | 8 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $240.33 – $575.95 | 9 |
| Procalcitonin CPT 84145 | $220.00 | $400.00 | $27.22 – $39.78 | 8 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $135.73 – $212.33 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $3.62 – $5.63 | 3 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.55 – $0.57 | 2 |
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.