Oklahoma / SSM Health St Anthony Hospital - Shawnee
CMS certification 370149 · Shawnee, OK
SSM Health St Anthony Hospital - Shawnee: charges and Medicare payments
SSM Health St Anthony Hospital - Shawnee reported 728 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 2.66 times what it was paid — among the lower ratios in Oklahoma, number 39 of 49 hospitals with at least 100 stays (state median 4.03×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 233 stays at an average charge of $33,758, 63% below the national average. It also billed 1,311 outpatient services, charging 5.59 times what Medicare paid.
- 1Medicare inpatient stays 728
- 2Charge ÷ paid, inpatient 2.66×
- 3Rank in OK (highest ratio = 1) 39 of 49
- 4CMS price-transparency actions 0
Inpatient stays
For the 24 DRGs that can be compared with the national average, SSM Health St Anthony Hospital - Shawnee charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 233 | $33,758 | -63% | $13,624 |
| 291 Heart Failure and Shock with MCC | 44 | $21,706 | -62% | $9,685 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $28,091 | -53% | $9,753 |
| 682 Renal Failure with MCC | 36 | $25,778 | -61% | $10,703 |
| 683 Renal Failure with CC | 35 | $18,462 | -55% | $7,168 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $37,014 | -63% | $15,052 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $37,363 | -51% | $11,437 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $27,000 | -53% | $9,468 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $21,990 | -64% | $9,398 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $34,918 | -51% | $12,079 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $20,952 | -57% | $7,958 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $47,782 | -57% | $15,184 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $79,416 | -51% | $20,407 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $39,519 | -67% | $17,185 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $27,446 | -63% | $11,382 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $19,799 | -47% | $6,519 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $81,677 | -62% | $29,792 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $39,134 | -54% | $12,019 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $42,392 | -59% | $15,549 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 14 | $43,066 | -69% | $19,571 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $68,464 | -50% | $19,579 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $18,085 | -65% | $9,038 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $67,542 | -70% | $26,324 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $25,051 | -48% | $8,109 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 365 | $7,674 | $1,989 |
| Comprehensive Observation Services | 253 | $12,524 | $2,336 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 125 | $3,605 | $1,368 |
| Level 1 Endovascular Procedures | 107 | $18,804 | $2,812 |
| Level 1 Laparoscopy and Related Services | 79 | $15,349 | $4,923 |
| Level 3 Vascular Procedures | 60 | $13,009 | $2,746 |
| Level 3 Musculoskeletal Procedures | 56 | $14,374 | $2,749 |
| Level 2 Upper GI Procedures | 56 | $6,146 | $1,639 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 36 | $12,391 | $2,849 |
| Level 3 Endovascular Procedures | 35 | $41,386 | $9,202 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 34 | $8,798 | $2,319 |
| Level 2 Musculoskeletal Procedures | 29 | $7,058 | $1,385 |
| Level 3 Pacemaker and Similar Procedures | 28 | $38,475 | $8,925 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 23 | $18,853 | $5,618 |
| Level 3 Lower GI Procedures | 13 | $10,580 | $2,419 |
| Level 2 Endovascular Procedures | 12 | $26,409 | $4,924 |
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St Anthony Hospital - Shawnee charged $33,758 on average, 52% less than the Oklahoma average of $70,534, and was paid $13,624 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), SSM Health St Anthony Hospital - Shawnee charged $21,706 on average, 51% less than the Oklahoma average of $44,578, and was paid $9,685 against a state average of $10,006. For Simple Pneumonia and Pleurisy with MCC (DRG 193), SSM Health St Anthony Hospital - Shawnee charged $28,091 on average, 47% less than the Oklahoma average of $52,579, and was paid $9,753 against a state average of $10,397. For Renal Failure with MCC (DRG 682), SSM Health St Anthony Hospital - Shawnee charged $25,778 on average, 53% less than the Oklahoma average of $54,588, and was paid $10,703 against a state average of $11,670. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,674 was 43% below the state average of $13,375. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,524 was 34% below the state average of $18,889. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $3,605 was 68% below the state average of $11,193. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,804 was 19% below the state average of $23,073.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.