SSM Health St Anthony Hospital - Shawnee
SSM Health St Anthony Hospital - Shawnee charges 3.2x the Medicare reimbursement rate across 24 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in Oklahoma.
Shawnee, OK 74801 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.2x
Charge / Medicare rate
Max markup
4.2x
Worst procedure
Procedures analyzed
24
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,371 | $9,186 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $130,383 | $65,191 | — | 4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $34,257 | $17,128 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,084 | $11,542 | — | 3.9x |
| RENAL FAILURE WITH CC | 683 | $20,391 | $10,195 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $22,482 | $11,241 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $16,884 | $8,442 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $21,663 | $10,831 | — | 3.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $23,920 | $11,960 | — | 3.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $24,278 | $12,139 | — | 3.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $36,820 | $18,410 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $20,166 | $10,083 | — | 3.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $79,080 | $39,540 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $37,863 | $18,932 | — | 3x |
| RENAL FAILURE WITH MCC | 682 | $26,528 | $13,264 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $33,228 | $16,614 | — | 3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $22,687 | $11,343 | — | 2.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $38,947 | $19,473 | — | 2.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $42,601 | $21,301 | — | 2.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $29,751 | $14,875 | — | 2.8x |
| DIABETES WITH CC | 638 | $15,416 | $7,708 | — | 2.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $28,203 | $14,102 | — | 2.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $24,764 | $12,382 | — | 2.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $20,624 | $10,312 | — | 2.5x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use