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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $56.10 | $102 | 1.4× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$182.05–$341 | $331–$620 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$18.48–$68.75 | $33.60–$125 | varies |
| Application on-body injector (96377) | $121.55 | $221 | 2.7× |
| Behavral qualit analys voice (92524) | $140.58 | $255.60 | 1.3× |
| Brief Emotional/Behav Assmt (96127) | $4.36 | $7.92 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $499.95 | $909 | 1.4× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$60.72–$154 | $110.40–$280 | varies |
| 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) range across 2 matching MRF lines |
$954.80–$1,097.80 | $1,736–$1,996 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$603.90–$694.10 | $1,098–$1,262 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,638.95 | $13,889 | 2.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,844 | $16,080 | 2.8× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$249.15–$343.20 | $453–$624 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $84.15 | $153 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $83.05 | $151 | 1.2× |
| Chemo IV infusion addl hr (96415) | $214.50 | $390 | 3.1× |
| Chemo IV push addl drug (96411) | $92.95 | $169 | 1.3× |
| Chemother Prolong Infuse W/Pump (96416) | $1,403.05 | $2,551 | 4.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $178.75 | $325 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $344.85 | $627 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $398.75 | $725 | 1.3× |
| Chest Wall Manipulation (94668) | $85.25 | $155 | 0.7× |
| Color/duplex Doppler, complete (93975) | $847 | $1,540 | 3.7× |
| Color/duplex Doppler, limited (93976) | $894.30 | $1,626 | 8.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $68.64 | $124.80 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) | $7,814.40 | $14,208 | 2.5× |
| Coronary Artery Angio S&I (93454) | $6,653.35 | $12,097 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $174.90 | $318 | 0.8× |
| Cpt initial (94667) | $150.70 | $274 | 1.2× |
| Critical care first hour (99291) | $1,411.30 | $2,566 | 1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $218.90 | $398 | 1.1× |
| Dialysis One Evaluation (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 Xtr Veins Complete Bilateral Study (93970) | $1,200.65 | $2,183 | 5.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $600.60 | $1,092 | 6.0× |
| Duplex up extrem art bilat (93930) | $999.35 | $1,817 | 4.4× |
| Duplex up extrem art unilat/ltd (93931) | $385 | $700 | 3.8× |
| Echo Congenital Complete (93303) | $865.15 | $1,573 | 1.6× |
| Echo Heart Xthoracic,Limited (93308) | $283.80 | $516 | 1.2× |
| Echo transesophageal (93312) | $1,541.10 | $2,802 | 2.9× |
| EEG awake drowsy (95816) | $481.25 | $875 | 2.3× |
| EEG cerebral death evaluation (95824) | $872.30 | $1,586 | 2.4× |
| EEG extended monitoring 61-119 minutes (95813) | $364.65 | $663 | 1.8× |
| Eeg Sleep Only (95822) | $872.30 | $1,586 | 4.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $730.95 | $1,329 | 3.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $684.75 | $1,245 | 3.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,153.90 | $2,098 | 3.2× |
| 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 wo vid ea 12-26hr unmntr (95708) | $1,284.80 | $2,336 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$26.40–$71.50 | $48–$130 | varies |
| Electrocardiogram Tracing (93005) | $196.35 | $357 | 3.5× |
| Emergency Dept Visit Level 2 (99282) | $343.75 | $625 | 2.3× |
| Emergency Dept Visit Level 3 (99283) | $550.55 | $1,001 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $860.20 | $1,564 | 2.1× |
| Er level 1 (99281) | $154.55 | $281 | 1.9× |
| Er level v (99285) | $1,167.10 | $2,122 | 2.0× |
| Evaluate pt use of inhaler (94664) | $165.55 | $301 | 0.8× |
| Evaluate Speech Production (92522) | $143.22 | $260.40 | 1.3× |
| Evaluate Swallowing Function (92610) range across 5 matching MRF lines |
$109.56–$180.40 | $199.20–$328 | varies |
| Evaluation of speech fluency (92521) | $130.90 | $238 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $52.80 | $96 | 1.5× |
| Extracranial Bilat Study (93880) | $887.64 | $1,613.89 | 3.9× |
| Extracranial Uni/Ltd Study (93882) | $888.25 | $1,615 | 8.8× |
| Gi tract capsule endoscopy (91110) | $982.44 | $1,786.25 | 1.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,833.35 | $19,697 | 3.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $746.90 | $1,358 | 1.1× |
| Holter monitor recording (93225) | $480.70 | $874 | 3.8× |
| Icd device progr eval dual (93283) | $48.84 | $88.80 | 1.4× |
| Icd Device Progr Eval Mult (93284) | $52.14 | $94.80 | 1.5× |
| Icm Device Eval (93290) | $36.96 | $67.20 | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $34.32 | $62.40 | 0.5× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $52.80 | $96 | 0.9× |
| Immunization administration (90471) | $117.15 | $213 | 1.7× |
| Iontophoresis 15 min (97033) | $74.80 | $136 | 3.9× |
| Irrig Drug Delivery Device (96523) | $94.05 | $171 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$152.35–$175.45 | $277–$319 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$231.55–$266.20 | $421–$484 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$149.05–$171.60 | $271–$312 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$179.85–$206.80 | $327–$376 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$160.05–$184.25 | $291–$335 | varies |
| L Hrt Art/Grft Angio (93459) | $10,005.05 | $18,191 | 3.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $626.45 | $1,139 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $360.80 | $656 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $200.75 | $365 | 2.2× |
| Multiple Sleep Latency Test (95805) | $1,396.45 | $2,539 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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× |
| Neuromuscular Reeducation (97112) | $85.80 | $156 | 2.6× |
| Newborn resuscitation (99465) | $840.40 | $1,528 | 1.3× |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$108.90–$145.75 | $198–$265 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $82.50 | $150 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$61.38–$96.80 | $111.60–$176 | varies |
| 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 complexity (97167) | $293.70 | $534 | 2.9× |
| Ot Eval Low Complex (97165) | $147.40 | $268 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $221.10 | $402 | 2.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$33–$41.58 | $60–$75.60 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 4 matching MRF lines |
$96.25–$191.95 | $175–$349 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,816.05 | $14,211 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $8,793.95 | $15,989 | 0.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$135.30–$204.05 | $246–$371 | varies |
| 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× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $44.22 | $80.40 | 1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $12.54 | $22.80 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $13.86 | $25.20 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,941.90 | $16,258 | 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× |
| Pt Eval High Complex (97163) | $265.10 | $482 | 2.7× |
| Pt eval low complex 20 min (97161) | $73.70 | $134 | 0.8× |
| Pt Eval Mod Complex (97162) | $147.40 | $268 | 1.5× |
| Pt gait training 15 min (97116) | $78.10 | $142 | 2.7× |
| Pt mechanical traction (97012) | $74.80 | $136 | 5.2× |
| Pt Re-Eval Est Plan Care (97164) range across 7 matching MRF lines |
$73.70–$157.30 | $134–$286 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $4.62 | $8.40 | 0.1× |
| Pulm function test by gas (94727) | $171.05 | $311 | 0.8× |
| Pulmonary service/procedure (94799) | $314.05 | $571 | 2.5× |
| Pulmonary Stress Testing (94618) | $252.45 | $459 | 2.0× |
| R Hrt Art/Grft Angio (93457) | $13,765.40 | $25,028 | 4.4× |
| R hrt coronary artery angio (93456) | $6,448.75 | $11,725 | 2.1× |
| 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 (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× |
| Self Care Mngment Training (97535) | $92.40 | $168 | 2.9× |
| Sleep study unattended (95806) | $187 | $340 | 0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $187 | $340 | 0.9× |
| Speech sound lang comprehen (92523) | $291.58 | $530.14 | 1.3× |
| Spirometry (94010) | $309.10 | $562 | 1.5× |
| Stress Tte Only (93350) | $633.05 | $1,151 | 1.2× |
| Subcutaneous Infusion Each Additional Hour (96370) | $81.95 | $149 | 1.8× |
| Temp transcutaneous pacing (92953) | $1,286.45 | $2,339 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $62.70 | $114 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$107.80–$123.75 | $196–$225 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$266.20–$306.35 | $484–$557 | varies |
| Therapeutic Activities (97530) | $92.40 | $168 | 2.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $62.15 | $113 | 1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $57.20 | $104 | 1.6× |
| Tte w/doppler, complete (93306) | $1,895.30 | $3,446 | 3.6× |
| Tte W/O Doppler Complete (93307) | $1,921.70 | $3,494 | 8.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$100.98–$143.55 | $183.60–$261 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $143.55 | $261 | 6.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$91.30–$104.50 | $166–$190 | varies |
| Unlisted cardiovascular service/procedure (93799) | $1,735.25 | $3,155 | 14.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $429.55 | $781 | 3.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $859.65 | $1,563 | 4.1× |
| Vent Mgmt Inpat Init 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× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.