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 |
|---|---|---|---|---|
| Biopsy of urethra CPT 53200 | not published | not published | $216.42 – $3,920.41 | 9 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $537.18 – $6,164.76 | 9 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $62.42 – $319.52 | 7 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $62.42 – $319.52 | 7 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $670.19 – $7,343.20 | 9 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $711.15 – $7,343.20 | 9 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,705.55 | $3,101.00 | $191.20 – $3,097.49 | 9 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $166.80 – $2,909.92 | 8 |
| Biopsy skin incisional single lesion CPT 11106 | $680.90 | $1,238.00 | $85.89 – $1,386.09 | 8 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $236.29 – $3,097.49 | 8 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $626.07 – $5,447.65 | 9 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $162.79 – $1,011.48 | 8 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $222.23 – $6,071.07 | 9 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $134.52 – $1,011.48 | 8 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $633.82 – $13,608.67 | 9 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $591.63 – $6,164.76 | 9 |
| Biospy of bladder CPT 53899 | $1,513.05 | $2,751.00 | $240.30 – $731.00 | 8 |
| Biotinidase - quest CPT 82261 | not published | not published | $16.87 – $24.92 | 8 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $123.75 – $297.27 | 8 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.19 – $0.34 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $45.83 – $468.58 | 8 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $188.59 – $830.64 | 8 |
| Bld prd mix CPT 86965 | not published | not published | $25.57 – $319.52 | 8 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $76.67 – $830.64 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $26.73 – $34.53 | 3 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $776.51 – $3,869.58 | 9 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $599.46 – $3,869.58 | 9 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $829.08 – $3,869.58 | 9 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $828.58 – $3,869.58 | 9 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $172.90 – $337.16 | 9 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $4,103.56 – $21,650.56 | 7 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $358.89 – $699.84 | 6 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $16,474.62 – $33,250.95 | 8 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $4,103.56 – $32,125.51 | 7 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $4,103.56 – $17,898.91 | 7 |
| Blink reflex test CPT 95933 | not published | not published | $56.74 – $118.80 | 8 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $57.50 | 8 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $1,346.95 | $2,449.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $196.84 | $357.90 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $1,798.96 | $3,270.84 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $3,854.95 | $7,009.00 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $23.37 – $25.50 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $119.18 – $1,691.55 | 8 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $111.33 – $1,691.55 | 8 |
| Block paracervical nrv CPT 64435 | not published | not published | $66.62 – $1,323.85 | 8 |
| Block plantar digital nerve CPT 64455 | not published | not published | $51.59 – $575.67 | 8 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $106.11 – $106.11 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $85.10 – $85.10 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $47.85 | $87.00 | $4.29 – $6.23 | 8 |
| Blood Clotting (PTT) Test CPT 85730 | $52.25 | $95.00 | $6.01 – $8.62 | 8 |
| Blood Count (CBC) Test CPT 85025 | $167.20 | $304.00 | $7.77 – $11.50 | 8 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $62.15 | $113.00 | $6.47 – $9.59 | 8 |
| Blood count spun microhematocrit CPT 85013 | $27.50 | $50.00 | $3.97 – $10.07 | 8 |
| Blood Culture Test CPT 87040 | $242.00 | $440.00 | $10.32 – $15.34 | 8 |
| Blood draw capillary 36416 CPT 36416 | $19.80 | $36.00 | $3.44 – $12.47 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $176.55 | $321.00 | $47.58 – $115.48 | 8 |
| Blood gases ph venous CPT 82800 | not published | not published | $11.00 – $16.29 | 8 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.55 – $164.87 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $26.40 | $48.00 | $15.92 – $23.49 | 8 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $26.40 | $48.00 | $4.23 – $6.23 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $26.40 | $48.00 | $4.38 – $6.23 | 8 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $29.70 | $54.00 | $5.32 – $7.67 | 8 |
| Blood smear interpretation CPT 85060 | $57.20 | $104.00 | $27.88 – $36.05 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $116.05 | $211.00 | $3.80 – $5.75 | 8 |
| Blood split unit HCPCS P9011 | not published | not published | $87.69 – $303.89 | 8 |
| Blood typing abo CPT 86900 | $68.75 | $125.00 | $4.32 – $249.53 | 8 |
| Blood typing ag donor ea ag CPT 86902 | $393.80 | $716.00 | $6.46 – $672.25 | 8 |
| Blood typing patient serum CPT 86904 | not published | not published | $15.94 – $110.64 | 8 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $393.80 | $716.00 | $5.75 – $672.25 | 8 |
| Blood typing rh (d) CPT 86901 | $41.80 | $76.00 | $4.32 – $70.05 | 8 |
| Blood typing rh phenotype complete reference CPT 86906 | $153.45 | $279.00 | $11.50 – $70.05 | 8 |
| Blood volume CPT 78122 | not published | not published | $111.97 – $1,211.11 | 8 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $731.00 – $731.00 | 1 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $214.35 – $5,447.65 | 9 |
| Bone Density Scan (DEXA) CPT 77080 | $51.68 | $93.97 | $42.61 – $239.27 | 8 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $303.65 – $904.12 | 8 |
| Bone/joint imaging ltd area CPT 78300 | $389.40 | $708.00 | $255.77 – $904.12 | 8 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $101.98 – $3,097.49 | 8 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,372.15 | $4,313.00 | $106.76 – $3,097.49 | 8 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $306.88 – $3,114.63 | 8 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $287.21 – $8,901.82 | 8 |
| Bone marrow imaging body CPT 78104 | not published | not published | $278.21 – $904.12 | 8 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $195.34 – $904.12 | 8 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $203.49 – $904.12 | 8 |
| Bone marrow interpretation CPT 85097 | not published | not published | $39.30 – $1,511.01 | 8 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $4,103.56 – $13,608.67 | 8 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $4,103.56 – $13,608.67 | 8 |
| Bone survey-lead poisoning CPT 77074 | $500.50 | $910.00 | $64.17 – $239.27 | 8 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $19.17 – $19.17 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $2.32 – $2.32 | 1 |
| Boot j walker l HCPCS L4386 | not published | not published | $195.88 – $381.97 | 8 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $207.40 – $404.43 | 8 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $195.88 – $381.97 | 8 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $318.18 – $620.45 | 8 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $343.20 | $624.00 | $318.18 – $620.45 | 8 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $19.64 | 8 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $69.85 | $127.00 | $17.03 – $24.92 | 8 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $51.28 | 8 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $3.10 – $4.00 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $4.80 | 8 |
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.