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 |
|---|---|---|---|---|
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $452.10 | $822.00 | $286.70 – $762.40 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $391.60 | $712.00 | $84.93 – $377.53 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $391.60 | $712.00 | $89.04 – $377.53 | 8 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $391.60 | $712.00 | $68.46 – $377.53 | 8 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $391.60 | $712.00 | $90.11 – $377.53 | 8 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $4,103.56 – $4,103.56 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,080.70 – $3,869.58 | 9 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $62.66 – $62.66 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $959.12 – $6,164.76 | 9 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $909.73 – $13,608.67 | 9 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $148.66 – $830.64 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,008.92 – $13,608.67 | 9 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,025.89 – $13,608.67 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,646.15 | $2,993.00 | $235.55 – $2,952.25 | 8 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $25.33 – $25.33 | 1 |
| PSA (Prostate) Test CPT 84153 | $95.15 | $173.00 | $18.39 – $26.84 | 8 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $3.32 – $54.24 | 8 |
| Psychoanalysis CPT 90845 | not published | not published | $137.20 – $332.88 | 8 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $410.78 – $410.78 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $90.12 – $90.12 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $142.90 – $142.90 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $38.06 – $190.53 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $108.45 – $332.88 | 8 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $143.39 – $332.88 | 8 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $170.71 – $332.88 | 8 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $170.25 – $622.80 | 8 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $119.10 – $133.23 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $49.31 – $837.81 | 8 |
| Psy evaluation of records CPT 90885 | not published | not published | $73.01 – $73.01 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $36.20 – $257.80 | 8 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $28.05 – $56.22 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $50.75 – $50.92 | 2 |
| Psytx complex interactive CPT 90785 | not published | not published | $20.58 – $22.87 | 2 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $100.92 – $116.65 | 2 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $127.77 – $148.24 | 2 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $169.19 – $196.78 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $71.50 | $130.00 | $13.98 – $27.26 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $36.85 | $67.00 | $5.81 – $9.41 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $74.80 | $136.00 | $17.89 – $34.89 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $68.75 | $125.00 | $13.54 – $26.40 | 8 |
| Pt application of modality traction mechanical CPT 97012 | $74.80 | $136.00 | $13.64 – $26.60 | 8 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $100.98 – $112.67 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $105.12 – $438.94 | 8 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $877.90 | 8 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $68.05 | 8 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,217.96 – $11,239.75 | 8 |
| Pt evaluation high complexity patient/family CPT 97163 | $265.10 | $482.00 | $92.86 – $181.08 | 8 |
| Pt evaluation low complexity patient/family CPT 97161 | $73.70 | $134.00 | $92.86 – $181.08 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $147.40 | $268.00 | $92.86 – $181.08 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | $4.62 | $8.40 | $4.32 – $70.27 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.82 – $46.45 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $2,575.40 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $157.30 | $286.00 | $63.64 – $124.10 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $154.00 | $280.00 | $29.08 – $76.64 | 8 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $91.30 | $166.00 | $11.94 – $23.28 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $78.10 | $142.00 | $27.52 – $53.66 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $62.70 | $114.00 | $27.76 – $54.13 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $29.42 – $57.37 | 8 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $948.41 – $21,650.56 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $475.32 – $475.32 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $8,078.37 | 8 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $215.51 – $904.12 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $36.38 – $312.92 | 8 |
| Pulse ox multiple CPT 94761 | $202.95 | $369.00 | $5.72 – $5.83 | 2 |
| Pulse ox single CPT 94760 | $129.80 | $236.00 | $3.79 – $5.36 | 2 |
| Punc of shunt for asp or inj CPT 61070 | $1,483.90 | $2,698.00 | $85.05 – $1,323.85 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $227.15 | $413.00 | $22.88 – $249.53 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $343.75 | $625.00 | $146.10 – $762.40 | 8 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $73.27 – $6,217.98 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,131.35 | $2,057.00 | $97.07 – $1,323.85 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $119.69 – $279.14 | 8 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $117.66 – $233.39 | 8 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $74.60 – $74.60 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $125.95 – $1,323.85 | 8 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $120.28 – $1,323.85 | 8 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $849.41 – $1,656.35 | 8 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $20,122.03 – $39,237.96 | 8 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $15.59 – $24.36 | 3 |
| Pyruvate CPT 84210 | $105.60 | $192.00 | $14.48 – $21.09 | 8 |
| Pyruvate kinase CPT 84220 | $100.10 | $182.00 | $9.44 – $13.90 | 8 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $402.57 – $785.01 | 8 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $8.59 – $249.53 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $340.98 – $1,211.11 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $216.47 – $904.12 | 8 |
| Quest t3 uptake CPT 84479 | $43.45 | $79.00 | $6.47 – $9.59 | 8 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $631.93 – $1,232.26 | 8 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $765.42 – $765.42 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $787.94 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $243.20 – $474.24 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $281.18 – $548.31 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $461.88 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $955.71 – $4,103.56 | 2 |
| Radiation handling CPT 77790 | not published | not published | $10.50 – $32.76 | 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.