Visits & medical services prices at SSM Health St. Anthony Hospital - Shawnee

Shawnee, OK · every code in this section with a posted price and a Medicare benchmark.

165 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $182.05 $331 0.9×
Appl on-body injector for timed subq injection (96377) $121.55 $221 2.7×
Behav assmt w/score & docd/stand instrument (96127) $4.36 $7.92 0.1×
Behavioral and qualitative analysis of voice and resonance (92524) $140.58 $255.60 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $499.95 $909 1.4×
Canalith Repositioning (95992) $107.36 $195.20 2.6×
Capsule endoscopy (91110) $982.44 $1,786.25 1.1×
Car seat/bed test 60 min (94780) $127.05 $231 3.5×
Cardiac Stress Tst,Tracing Only (93017) $413.60 $752 2.0×
Cardiopulmonary resuscitation (92950) $1,026.30 $1,866 4.9×
Cardioversion (92960) $649 $1,180 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,814.40 $14,208 2.5×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $6,448.75 $11,725 2.1×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $10,005.05 $18,191 3.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,844 $16,080 2.8×
Cbt 1st hour (94644) $296.18 $538.50 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $83.05 $151 1.2×
Chemo IV push addl drug (96411) $92.95 $169 1.3×
Chemo Iv Push Sngl Drug (96409) $398.75 $725 1.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,403.05 $2,551 4.4×
Chemother, IV infusion, 1 hr (96413) $344.85 $627 1.1×
Chemother, IV infusion, ea add hr (96415) $214.50 $390 3.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $84.15 $153 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $178.75 $325 2.6×
Color/duplex Doppler, complete (93975) $847 $1,540 3.7×
Color/duplex Doppler, limited (93976) $894.30 $1,626 8.9×
Cont Gluc Monitoring Patient Provided Equipment (95249) $68.64 $124.80 1.2×
Coronary artery angio s&i (93454) $6,653.35 $12,097 2.1×
Cpap initiation and management (94660) $174.90 $318 0.8×
Cpt initial (94667) $150.70 $274 1.2×
Critical care (99291) $1,411.30 $2,566 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $218.90 $398 1.1×
Demo &/or eval,pt use,aerosol device (94664) $165.55 $301 0.8×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $720.50 $1,310 1.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $487.85 $887 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $768.35 $1,397 3.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $499.95 $909 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $999.35 $1,817 4.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $385 $700 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $600.60 $1,092 6.0×
Duplex scan extracranial art compl bi study (93880) $887.64 $1,613.89 3.9×
Echo Heart Xthoracic,Limited (93308) $283.80 $516 1.2×
Echo transesophageal (93312) $1,541.10 $2,802 2.9×
Echo Transthoracic - Congenital Tte Complete (93303) $865.15 $1,573 1.6×
EEG awake drowsy (95816) $481.25 $875 2.3×
EEG cerebral death evaluation (95824) $872.30 $1,586 2.4×
EEG coma or sleep only (95822) $872.30 $1,586 4.2×
Eeg Extended Monitoring 61-119 Minutes (95813) $364.65 $663 1.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $730.95 $1,329 3.5×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,153.90 $2,098 3.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,284.80 $2,336 3.6×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $1,224.30 $2,226 3.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $579.15 $1,053 2.8×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $684.75 $1,245 3.3×
EKG (93005) $196.35 $357 3.5×
Er level 1 (99281) $154.55 $281 1.9×
Er level ii (99282) $343.75 $625 2.3×
Er level iii (99283) $550.55 $1,001 2.1×
Er level IV (99284) $860.20 $1,564 2.1×
Er level v (99285) $1,167.10 $2,122 2.0×
Evaluation of speech fluency (92521) $130.90 $238 1.0×
Evaluation of speech sound production (92522) $143.22 $260.40 1.3×
Evaluation of swallowing function (92610) $180.40 $328 2.1×
External ECG rec>48hr<7d recording (93242) $52.80 $96 1.5×
Hemodialysis (90935) $746.90 $1,358 1.1×
Holter Monitor Recording (93225) $480.70 $874 3.8×
Img retina detcj/mntr ds poc auto a/r uni/bi (92229) $52.80 $96 0.9×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $56.10 $102 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $34.32 $62.40 0.5×
Immunization Admin (90471) $117.15 $213 1.7×
Immunotherapy, 2+ Injections (95117) $13.86 $25.20 0.3×
Interrog dev eval icpms phys/qhp in person (93290) $36.96 $67.20 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $94.05 $171 1.7×
IV infusion hydration each additional hour (96361) $163.90 $298 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $248.88 $452.50 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $160.32 $291.50 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $286.28 $520.50 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $193.32 $351.50 4.3×
IV push initial (96374) $172.15 $313 0.8×
Manual therapy 15 min (97140) $37.29 $67.80 1.3×
Massage 15 min (97124) $62.70 $114 2.1×
Mechanical chest wall oscillation (94669) $360.80 $656 1.7×
Mechanical traction (97012) $74.80 $136 5.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $200.75 $365 2.2×
Multiple sleep latency test (95805) $1,396.45 $2,539 1.7×
Neg press wound tx >50 cm (97608) $597.30 $1,086 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $190.85 $347 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $329.45 $599 0.8×
Newborn resuscitation (99465) $840.40 $1,528 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $429.55 $781 3.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $859.65 $1,563 4.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $79.09 $143.80 1.7×
Osteopathic manipulative tx 3-4 body regions (98926) $37.62 $68.40 1.8×
Osteopathic manipulative tx 5-6 body regions (98927) $49.50 $90 2.4×
Ot eval high complex 60 min (97167) $293.70 $534 2.9×
Ot eval low complex 30 min (97165) $147.40 $268 1.5×
Ot eval mod complex 45 min (97166) $221.10 $402 2.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $82.50 $150 1.6×
Ot re-eval est plan care (97168) $128.15 $233 1.9×
Plethysmography (94726) $379.50 $690 1.1×
Pm device progr eval dual (93280) $48.18 $87.60 1.3×
Pm device progr eval multi (93281) $48.84 $88.80 1.4×
Pm device progr eval sngl (93279) $41.58 $75.60 1.2×
Pm/Icd Remote Tech Serv (93296) $33.66 $61.20 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,785.10 $6,882 4.6×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $19.93 $36.23 0.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $52.14 $94.80 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $12.54 $22.80 0.3×
Programming of dual lead implantable defibrillator system (93283) $48.84 $88.80 1.4×
Programming of single lead implantable defibrillator system (93282) $44.22 $80.40 1.2×
Prq card revasc chronic 1vsl (92943) $8,793.95 $15,989 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $8,793.95 $15,989 0.8×
Prq Card Stent/Ath/Angio (92933) $12,264.45 $22,299 0.7×
Prq revasc byp graft 1 vsl (92937) $11,628.10 $21,142 1.0×
Prq trluml coronary angio/atherect one art/brnch (92924) $8,941.90 $16,258 0.8×
Prq trluml coronary angioplasty one art/branch (92920) $7,816.05 $14,211 1.4×
Pt Electric Current Therapy (97033) $74.80 $136 3.9×
Pt Electrical Stimulation (97032) $48.95 $89 3.3×
Pt eval high complex 45 min (97163) $265.10 $482 2.7×
Pt eval low complex 20 min (97161) $73.70 $134 0.8×
Pt Gait Training Therapy (97116) $78.10 $142 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $85.80 $156 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $147.40 $268 1.5×
Pt re-evaluation (97164) $96.25 $175 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $92.40 $168 2.9×
Pt Ultrasound Therapy (97035) $43.62 $79.30 3.0×
Pt-focused hlth risk assmt (96160) $4.62 $8.40 0.1×
Pulm function test by gas (94727) $171.05 $311 0.8×
Pulmonary stress testing (94618) $252.45 $459 2.0×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,638.95 $13,889 2.4×
R hrt art/grft angio (93457) $13,765.40 $25,028 4.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $10,833.35 $19,697 3.5×
Refill/Maint Pump/Resvr Syst (96522) $181.50 $330 0.9×
Rem interrog icpms <30 d phys/qhp (93297) $36.82 $66.95 1.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $60.44 $109.90 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $12.54 $22.80 0.3×
Right heart cath (93451) $5,701.30 $10,366 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $172.70 $314 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $85.25 $155 0.7×
Sleep study unattended (95806) $187 $340 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $187 $340 0.9×
Smoking cessation > 10 min (99407) $62.15 $113 1.7×
Speech group therapy (92508) $143.55 $261 6.0×
Speech sound lang comprehen (92523) $291.58 $530.14 1.3×
Spirometry (94010) $309.10 $562 1.5×
Stress echo (93350) $633.05 $1,151 1.2×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $81.95 $149 1.8×
Temp transcutaneous pacing (92953) $1,286.45 $2,339 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $115.78 $210.50 1.7×
Therapeutic Activities (97530) $92.40 $168 2.6×
Therapeutic phlebotomy (99195) $169.68 $308.50 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57.20 $104 1.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,895.30 $3,446 3.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,921.70 $3,494 8.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $143.55 $261 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $145.75 $265 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $97.90 $178 2.2×
Unlisted Cardiovascular Service/Procedure (93799) $1,735.25 $3,155 14.0×
Unlisted pulmonary service/procedure (94799) $314.05 $571 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,200.65 $2,183 5.2×
Vasc Duplex Scan Extracranial,Limited (93882) $888.25 $1,615 8.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $626.45 $1,139 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,857.90 $3,378 3.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,452 $2,640 2.4×
Vital capacity total (94150) $200.20 $364 1.6×