CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,845

about 1.4× the $5,676 Medicare rate · typically $7,035–$8,060

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,850

About the fair price

about $5 over the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $7,845 This hospital $7,850

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $3,373 Priciest $7,850

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,845 (about 1.4× the $5,676 Medicare rate). SSM Health St Anthony Hospital - Shawnee charges insurers about $7,850 — about the fair price. Located in Shawnee, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,031 - $7,135	124%
Blue Cross Blue Shieldmajor	$7,031 - $14,484	124%
Humanamajor	$7,150	126%
Ambetter (Centene)	$9,492	167%
Healthcare Highways	$7,647 - $9,492	135%
Medica	$8,796	155%
Oscar Health	$7,648	135%
+ 4 smaller / regional plans	$7,031 - $13,710

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm SSM Health St Anthony Hospital - Shawnee is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM Health St Anthony Hospital - Shawnee

Compare: Digestive disorders treatment (inpatient stay) at other OK hospitals

Mercy Hospital Tishomingo Inc · Tishomingo $3,373
Alliancehealth Madill · Madill $3,430
Mercy Hospital Watonga, Inc · Watonga $4,137
Mercy Hospital Kingfisher, Inc · Kingfisher $4,137
Mercy Hospital Logan County · Guthrie $4,328
Oklahoma Spine Hospital · Oklahoma City $5,165
Weatherford Regional Hospital, Inc of Weatherford · Weatherford $5,245
Oklahoma Surgical Hospital, LLC · Tulsa $5,362

Insurance negotiated median for the same procedure, sorted lowest first.