CMS Price Transparency Data

Hospital observation (per hour)

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: G0378 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$78

modeled fair price · typically $44–$276

modeled estimate · not a bill or quote

Fair price $78 Hospital's list price $1

How we calculate the fair BaseRate →

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan	$45

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 HCPCS code on your bill matches exactly: G0378.

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 HCPCS code G0378.
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.

Other Procedures at SSM Health St Anthony Hospital - Shawnee

Compare: Hospital observation (per hour) at other OK hospitals

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