Elkview General Hospital
Listed in its price file as “Kiowa County Hospital Authority”.
Elkview General Hospital in Hobart, OK publishes cash prices for 208 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 142 of 205 procedures and above it for 59. By typical cash price it ranks #12 of 43 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
429 WEST ELM STREET, HOBART, OK, 73651 Collected Sep 27, 2026 Source price file (580) 726-3324
Rural emergency hospital Emergency department CCN 370783 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Bone scan, whole body (nuclear medicine) CPT 78306 NM WHOLE BODY BONE SCAN | $954.00 | $1,590.00 | $181.51–$1,431.00 | 4% above | 40% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL OR UNI | $268.80 | $448.00 | $54.49–$403.20 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORACIC AORTA | $1,469.40 | $2,449.00 | $143.26–$2,204.10 | 2% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORAX (PE) | $1,469.40 | $2,449.00 | $143.26–$2,204.10 | 2% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CACS SPEC | $17.40 | $29.00 | $20.62–$87.02 | 83% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CACS | $66.00 | $110.00 | $60.40–$99.00 | 34% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT COMP TOMO HEART W/O CONT | $199.80 | $333.00 | $60.40–$299.70 | 101% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O | $2,067.00 | $3,445.00 | $84.69–$3,100.50 | 54% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W IV/ ORAL | $2,305.80 | $3,843.00 | $178.32–$3,458.70 | 43% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $2,305.80 | $3,843.00 | $178.32–$3,458.70 | 43% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/ W/O CONTRAST | $2,650.80 | $4,418.00 | $201.24–$3,976.20 | 40% above | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST | $1,192.20 | $1,987.00 | $157.95–$1,788.30 | 6% above | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN | $1,113.00 | $1,855.00 | $66.90–$1,669.50 | 11% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO | $954.00 | $1,590.00 | $72.57–$1,431.00 | 9% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O | $954.00 | $1,590.00 | $72.57–$1,431.00 | 9% above | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $954.00 | $1,590.00 | $55.30–$1,431.00 | 2% above | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $954.00 | $1,590.00 | $79.02–$1,431.00 | 21% below | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/ W/O CONTRAST | $1,192.20 | $1,987.00 | $94.13–$1,788.30 | 7% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE | $1,192.20 | $1,987.00 | $94.14–$1,788.30 | 18% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE | $1,113.00 | $1,855.00 | $69.06–$1,669.50 | 13% above | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $1,113.00 | $1,855.00 | $157.95–$1,669.50 | 3% above | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTIDS | $556.80 | $928.00 | $167.80–$835.20 | 13% above | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2V (HEALTH DEPT) | $63.60 | $106.00 | $18.87–$95.40 | 46% below | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $179.40 | $299.00 | $18.87–$269.10 | 52% above | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE 1V | $144.00 | $240.00 | $14.01–$216.00 | 18% below | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST DECUBITUS | $144.00 | $240.00 | $14.01–$216.00 | 18% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $378.00 | $630.00 | $59.05–$567.00 | 6% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENALS / BLADDER | $397.80 | $663.00 | $59.05–$596.70 | 1% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA TOTAL BODY COMP SCREENING | $77.40 | $129.00 | $35.11–$116.10 | 29% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA CENTRAL | $103.80 | $173.00 | $35.11–$155.70 | 5% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL | $103.80 | $173.00 | $18.33–$155.70 | at median | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O | $954.00 | $1,590.00 | $68.25–$1,431.00 | at median | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO | $954.00 | $1,590.00 | $68.25–$1,431.00 | at median | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST | $1,113.00 | $1,855.00 | $149.48–$1,669.50 | 1% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W | $1,113.00 | $1,855.00 | $149.48–$1,669.50 | 1% below | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT DIGITAL | $420.60 | $701.00 | $90.35–$630.90 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO/SPOT MAG DIG DIAG | $276.60 | $461.00 | $70.92–$414.90 | 52% above | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO UNI DIGITAL DIAG | $302.40 | $504.00 | $70.92–$453.60 | 66% above | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US ABLE | $556.80 | $928.00 | $161.27–$835.20 | 41% above | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VBLE | $597.00 | $995.00 | $123.25–$895.50 | 1% below | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VBUE | $597.00 | $995.00 | $123.25–$895.50 | 1% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE W COLOR FLOW DOPPLER | $1,113.00 | $1,855.00 | $102.20–$1,669.50 | 2% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP 6 Y/O PLUS | $1,962.60 | $3,271.00 | $627.23–$2,943.90 | 37% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED | $318.60 | $531.00 | $47.74–$477.90 | 17% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCAN | $75.00 | $125.00 | $72.00–$122.50 | 77% below | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/WO | $2,461.20 | $4,102.00 | $192.87–$3,691.80 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW JT WO | $1,363.20 | $2,272.00 | $115.42–$2,044.80 | 7% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW JT W/WO | $1,514.40 | $2,524.00 | $232.54–$2,271.60 | 17% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRCP | $1,192.20 | $1,987.00 | $105.19–$1,788.30 | 14% above | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD WO | $1,192.20 | $1,987.00 | $105.19–$1,788.30 | 14% above | 40% |
| MRI of the abdomen without contrast CPT 74181 MRA RENALS | $1,192.20 | $1,987.00 | $105.19–$1,788.30 | 14% above | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO | $1,514.40 | $2,524.00 | $193.41–$2,271.60 | 22% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO | $1,544.40 | $2,574.00 | $105.19–$2,316.60 | 58% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,590.00 | $2,650.00 | $105.19–$2,385.00 | 63% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W/WO | $1,852.80 | $3,088.00 | $174.52–$2,779.20 | 31% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ W/O CONTRAST | $1,909.20 | $3,182.00 | $174.52–$2,863.80 | 35% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR IACS W/WO | $1,909.20 | $3,182.00 | $174.52–$2,863.80 | 35% above | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST | $1,363.20 | $2,272.00 | $100.61–$2,044.80 | 17% above | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/ W/O CONTRAST | $1,666.20 | $2,777.00 | $174.52–$2,499.30 | 8% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONTRAST | $1,430.40 | $2,384.00 | $100.34–$2,145.60 | 34% above | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/ W/O CONTRAST | $1,893.00 | $3,155.00 | $175.06–$2,839.50 | 25% above | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST | $1,363.20 | $2,272.00 | $100.07–$2,044.80 | 33% above | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO | $1,430.40 | $2,384.00 | $192.33–$2,145.60 | at median | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO | $1,192.20 | $1,987.00 | $131.64–$1,788.30 | 5% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER JT WO | $1,363.20 | $2,272.00 | $115.69–$2,044.80 | 19% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF | $2,106.60 | $3,511.00 | $280.75–$3,159.90 | 18% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $378.00 | $630.00 | $21.56–$567.00 | 25% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE | $378.00 | $630.00 | $58.51–$567.00 | 22% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE | $357.60 | $596.00 | $94.14–$536.40 | 16% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US ULTRA PREGNANT 1ST TRIMESTER | $210.00 | $350.00 | $56.37–$315.00 | 50% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY 1ST TRIMESTER TRANSABDOMINA | $238.20 | $397.00 | $56.37–$357.30 | 44% below | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO SCHC SPECIAL | $27.60 | $46.00 | $32.71–$46.00 | 83% below | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO SCREENING DIGITAL | $343.20 | $572.00 | $74.72–$514.80 | 116% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 6 Y/O PLUS | $1,833.00 | $3,055.00 | $597.13–$2,749.50 | 34% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $357.60 | $596.00 | $68.76–$536.40 | 6% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $418.20 | $697.00 | $62.56–$627.30 | 21% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM/CONTENTS | $357.60 | $596.00 | $56.35–$536.40 | 4% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD / NECK | $279.00 | $465.00 | $66.88–$418.50 | 32% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VRLE | $418.20 | $697.00 | $94.14–$627.30 | 16% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VLLE | $418.20 | $697.00 | $94.14–$627.30 | 16% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VRUE | $418.20 | $697.00 | $94.14–$627.30 | 16% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VLUE | $418.20 | $697.00 | $94.14–$627.30 | 16% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN (KUB) 1V | $140.40 | $234.00 | $17.25–$210.60 | 18% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 3V | $179.40 | $299.00 | $23.45–$269.10 | 15% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR 5V | $294.60 | $491.00 | $31.82–$441.90 | 2% above | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES-COMPLETE | $140.40 | $234.00 | $23.72–$210.60 | 14% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3V | $159.60 | $266.00 | $23.45–$239.40 | 20% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 V | $159.60 | $266.00 | $23.45–$239.40 | 20% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP VIEW | $140.40 | $234.00 | $15.90–$210.60 | 26% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRAL SPINE / COCCYX AP/LATERAL VIEW | $159.60 | $266.00 | $19.68–$239.40 | 10% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $24.60 | $41.00 | $4.71–$36.90 | 24% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $27.60 | $46.00 | $4.61–$41.40 | 27% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 SKILLED HEPATITIS PANEL | $43.80 | $73.00 | $42.37–$65.70 | 76% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $120.00 | $200.00 | $42.37–$180.00 | 35% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS BLACK PEPPER | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS DOG HAIR/DANDER | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS GREEN BEAN | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS CHICKEN | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS MILK | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS EGG | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS CORN | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS PEANUT | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS WHEAT | $22.20 | $37.00 | $4.64–$33.30 | 10% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX RIA/ALLERGY PANEL | $39.00 | $65.00 | $4.64–$58.50 | 57% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOOD ALLERGENS | $109.20 | $182.00 | $4.64–$163.80 | 341% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FOOD ALLERGENS | $109.20 | $182.00 | $4.64–$163.80 | 341% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MILK | $125.40 | $209.00 | $4.64–$188.10 | 406% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST AREA ZONE 10 | $655.20 | $1,092.00 | $4.64–$982.80 | 2543% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CYCLIC CITRULLINATED PEPTIDE AB IGA | $28.80 | $48.00 | $11.52–$43.20 | 59% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP AB IGG/IGA | $40.80 | $68.00 | $11.52–$61.20 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CYCLIC CITRULL PEPTID | $126.60 | $211.00 | $11.52–$189.90 | 80% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT | $15.00 | $25.00 | $10.75–$22.50 | 65% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA TITERS/AB | $22.20 | $37.00 | $10.75–$33.30 | 48% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASCADE W REFLEX | $28.80 | $48.00 | $10.75–$43.20 | 33% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $40.80 | $68.00 | $10.75–$61.20 | 5% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP DR OFFICE & SKILL | $27.60 | $46.00 | $32.71–$41.40 | 75% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP SKILLED | $47.40 | $79.00 | $34.92–$71.10 | 58% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $47.40 | $79.00 | $34.92–$71.10 | 58% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $73.20 | $122.00 | $34.92–$109.80 | 35% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE (NT PROBNP) P | $121.80 | $203.00 | $34.92–$182.70 | 9% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP | $123.00 | $205.00 | $34.92–$184.50 | 10% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $60.00 | $100.00 | $7.53–$90.00 | 88% above | 40% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $40.80 | $68.00 | $9.18–$61.20 | 34% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE FOR | $16.20 | $27.00 | $8.31–$24.30 | 72% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR PP | $16.20 | $27.00 | $3.50–$24.30 | 36% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 1HR PP | $16.20 | $27.00 | $3.50–$24.30 | 36% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $16.20 | $27.00 | $3.50–$24.30 | 36% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $24.60 | $41.00 | $3.50–$36.90 | 3% below | 40% |
| Blood lead test CPT 83655 LEAD (ADULT) | $13.80 | $23.00 | $10.77–$20.70 | 67% below | 40% |
| Blood lead test CPT 83655 LEAD (PEDIATRIC) | $13.80 | $23.00 | $10.77–$20.70 | 67% below | 40% |
| Blood lead test CPT 83655 HEAVY METALS PROFILE I | $144.00 | $240.00 | $10.77–$216.00 | 241% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM | $24.60 | $41.00 | $6.69–$36.90 | 39% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST URINE/ UCG | $24.60 | $41.00 | $6.69–$36.90 | 39% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST URINE | $24.60 | $41.00 | $6.69–$36.90 | 39% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE | $87.60 | $146.00 | $2.66–$131.40 | 53% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP SKILLED | $7.80 | $13.00 | $4.61–$11.70 | 71% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) | $24.60 | $41.00 | $4.61–$36.90 | 9% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP IN HOUSE | $32.40 | $54.00 | $4.61–$48.60 | 19% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF DNA BY PCR | $111.60 | $186.00 | $33.15–$167.40 | 24% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 L/C C DIFF PCR | $114.60 | $191.00 | $33.15–$171.90 | 27% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 | $25.20 | $42.00 | $18.51–$37.80 | 72% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $60.00 | $100.00 | $18.51–$90.00 | 2% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 TO OK STATE HEALTH DEPART | $66.00 | $110.00 | $45.64–$99.00 | 10% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 LABCORP | $66.00 | $110.00 | $45.64–$99.00 | 10% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 TO OSU DIAGNOSTIC LAB | $66.00 | $110.00 | $45.64–$99.00 | 10% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 TO ST ANTHONY'S | $66.00 | $110.00 | $45.64–$99.00 | 10% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LABCORP | $66.00 | $110.00 | $45.64–$99.00 | 10% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 (NOVEL CORONAVIRUS) | $69.60 | $116.00 | $45.64–$104.40 | 5% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LC COVID | $69.60 | $116.00 | $45.64–$104.40 | 5% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 RAPID PCR | $116.40 | $194.00 | $45.64–$174.60 | 59% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR RAPID IN HOUSE | $116.40 | $194.00 | $45.64–$174.60 | 59% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GONOCOCCUS/CHLAMYDIA SWAB NAA | $93.00 | $155.00 | $31.21–$139.50 | 19% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLA/TRIC URINE | $99.00 | $165.00 | $31.21–$148.50 | 27% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PAP SMEAR UNDER 26 RFLX | $243.00 | $405.00 | $31.21–$364.50 | 211% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL SERUM | $40.80 | $68.00 | $11.91–$61.20 | 38% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $40.80 | $68.00 | $11.91–$61.20 | 38% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPO PROFILE W LIPIDS & INSULIN | $59.40 | $99.00 | $11.91–$89.10 | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFFERENTIAL | $40.80 | $68.00 | $6.91–$61.20 | 10% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL | $40.80 | $68.00 | $5.75–$61.20 | 37% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $100.20 | $167.00 | $9.39–$150.30 | 121% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 L/C CMP | $100.20 | $167.00 | $9.39–$150.30 | 121% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $120.00 | $200.00 | $9.05–$180.00 | 32% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $42.60 | $71.00 | $19.77–$63.90 | 44% below | 40% |
| Estradiol blood test CPT 82670 E2 ESTRADIOL SENSITIVE TOTAL | $123.00 | $205.00 | $24.85–$184.50 | 65% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE TOTAL | $123.60 | $206.00 | $24.85–$185.40 | 65% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM TOTAL | $124.20 | $207.00 | $24.85–$186.30 | 66% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH + LH | $42.00 | $70.00 | $16.53–$63.00 | 39% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH (FOLICAL STIMULATING HORMON) SERUM | $79.20 | $132.00 | $16.53–$118.80 | 16% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN | $189.60 | $316.00 | $17.46–$284.40 | 58% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN SERUM | $40.80 | $68.00 | $12.12–$61.20 | 16% below | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SERUM | $40.80 | $68.00 | $13.08–$61.20 | 30% below | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE SERUM | $87.60 | $146.00 | $15.07–$131.40 | 2% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 TSH FREE T4 | $28.20 | $47.00 | $8.02–$42.30 | 54% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROID PANEL-SERUM | $32.40 | $54.00 | $8.02–$48.60 | 47% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE-SERUM | $32.40 | $54.00 | $8.02–$48.60 | 47% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $32.40 | $54.00 | $8.02–$48.60 | 47% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $46.80 | $78.00 | $22.66–$70.20 | 46% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 1'GH 2 SUGARS | $22.80 | $38.00 | $11.45–$34.20 | 65% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GH 1 HR (2 SUGARS) | $32.40 | $54.00 | $11.45–$48.60 | 50% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 HOUR 3 SUGARS | $32.40 | $54.00 | $11.45–$48.60 | 50% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 1 HR GH | $48.00 | $80.00 | $11.45–$72.00 | 26% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA BY NAA | $39.00 | $65.00 | $31.21–$58.50 | 49% below | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG | $33.00 | $55.00 | $14.99–$49.50 | 52% below | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORI BREATH TEST | $79.20 | $132.00 | $14.99–$118.80 | 16% above | 40% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL | $115.80 | $193.00 | $12.79–$173.70 | 3% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV PRELIM W CONFIRM | $40.80 | $68.00 | $12.19–$61.20 | 10% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $9.00 | $15.00 | $8.64–$13.50 | 79% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C W MPG | $19.20 | $32.00 | $8.64–$28.80 | 55% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $40.80 | $68.00 | $9.55–$61.20 | 6% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIGEN | $40.80 | $68.00 | $9.55–$61.20 | 6% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $40.80 | $68.00 | $12.69–$61.20 | 17% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C | $40.80 | $68.00 | $12.69–$61.20 | 17% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL QUANT W/O GENOTYPE | $196.80 | $328.00 | $38.11–$295.20 | 11% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS CT W GENOTYPE REFLEX | $267.60 | $446.00 | $38.11–$401.40 | 20% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 & 2 IGG | $64.20 | $107.00 | $11.73–$96.30 | 5% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1&2 | $64.80 | $108.00 | $11.73–$97.20 | 6% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC | $21.00 | $35.00 | $11.52–$31.50 | 59% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA | $114.60 | $191.00 | $15.94–$171.90 | 8% below | 40% |
| Insulin blood test CPT 83525 INSULIN LEVEL TOTAL | $47.40 | $79.00 | $10.17–$71.10 | 6% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $32.40 | $54.00 | $5.75–$48.60 | 1% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON AND TIBC SERUM | $32.40 | $54.00 | $5.75–$48.60 | 1% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $69.60 | $116.00 | $5.75–$104.40 | 118% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL PANEL IN HOUSE | $79.20 | $132.00 | $7.72–$118.80 | 50% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE (LH) | $79.20 | $132.00 | $16.47–$118.80 | 9% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SKILLED | $7.20 | $12.00 | $6.13–$10.80 | 83% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $24.60 | $41.00 | $6.13–$36.90 | 43% below | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $79.20 | $132.00 | $7.27–$118.80 | 79% above | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE W REFLEX | $60.60 | $101.00 | $15.15–$90.90 | 15% below | 40% |
| Magnesium blood test CPT 83735 MG RBC | $15.60 | $26.00 | $5.96–$23.40 | 44% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $24.60 | $41.00 | $5.96–$36.90 | 12% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG | $25.20 | $42.00 | $11.46–$37.80 | 45% below | 40% |
| Measles (rubeola) antibody test CPT 86765 MMR MEASLES MUMPS RUBELLA IMMUNITY | $45.60 | $76.00 | $11.46–$68.40 | at median | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHIL ANTIBODIES | $20.40 | $34.00 | $4.61–$30.60 | 38% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT | $20.40 | $34.00 | $4.61–$30.60 | 38% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO W REFLEX L/C | $21.00 | $35.00 | $4.61–$31.50 | 36% below | 40% |
| Obstetric blood test panel CPT 80055 OB PANEL | $29.40 | $49.00 | $34.84–$46.85 | 78% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE/TOTAL PSA | $39.00 | $65.00 | $16.36–$58.50 | 61% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $39.00 | $65.00 | $16.36–$58.50 | 61% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SERIAL REFLEX TO FREE | $24.60 | $41.00 | $16.36–$36.90 | 68% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $40.80 | $68.00 | $16.36–$61.20 | 47% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP W HPV | $400.80 | $668.00 | $23.67–$601.20 | 461% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP W/O HPV | $90.60 | $151.00 | $18.02–$135.90 | 29% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP W REFLEX TO HPV | $108.60 | $181.00 | $18.02–$162.90 | 55% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W CALCIUM | $58.80 | $98.00 | $36.72–$88.20 | 58% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $120.00 | $200.00 | $36.72–$180.00 | 14% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $32.40 | $54.00 | $5.35–$48.60 | 4% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT SKILLED | $32.40 | $54.00 | $5.35–$48.60 | 4% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $79.20 | $132.00 | $18.55–$118.80 | 4% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $22.80 | $38.00 | $17.24–$34.20 | 73% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 SKILLED PT | $4.20 | $7.00 | $3.82–$6.30 | 81% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR SKILLED | $4.80 | $8.00 | $3.82–$7.20 | 78% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR | $24.60 | $41.00 | $3.82–$36.90 | 12% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $24.60 | $41.00 | $3.82–$36.90 | 12% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG ABUSE PFL W/ALCOHOL | $39.00 | $65.00 | $11.21–$58.50 | at median | 40% |
| Rapid flu test (influenza antigen) CPT 87804 FLU A | $24.60 | $41.00 | $14.72–$36.90 | 56% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RA (RHEUMATOID ARTHRITIS) | $40.80 | $68.00 | $5.04–$61.20 | 55% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG | $16.20 | $27.00 | $12.80–$24.30 | 68% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 OB PANEL W HIV | $236.40 | $394.00 | $12.80–$354.60 | 360% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE WESTERGREN LABCORP | $7.20 | $12.00 | $2.40–$10.80 | 65% below | 40% |
| Stool ova and parasites exam CPT 87177 O & P | $24.60 | $41.00 | $7.92–$36.90 | 57% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $40.80 | $68.00 | $3.80–$61.20 | 59% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD QUANTIFERON (CLIENT INCUBATED) | $90.60 | $151.00 | $55.13–$135.90 | 46% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $18.00 | $30.00 | $21.33–$27.00 | 78% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO (THYROID PEROXIDASE ANTIBODIES) | $22.80 | $38.00 | $12.94–$34.20 | 59% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES | $56.40 | $94.00 | $12.94–$84.60 | 2% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE | $19.20 | $32.00 | $14.94–$28.80 | 57% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 SKILLED TSH | $20.40 | $34.00 | $14.94–$30.60 | 54% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $40.80 | $68.00 | $14.94–$61.20 | 8% below | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $24.60 | $41.00 | $4.02–$36.90 | 3% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS SKILLED | $2.40 | $4.00 | $2.84–$3.92 | 86% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINE KETONES | $7.20 | $12.00 | $3.58–$10.80 | 57% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS COMPLETE | $20.40 | $34.00 | $3.58–$30.60 | 21% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 SKILLED DEPAKOTE (VAL ACID | $11.40 | $19.00 | $2.00–$17.10 | at median | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK ONLY | $12.60 | $21.00 | $3.10–$18.90 | 28% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 SKILLE UA C/S | $40.80 | $68.00 | $7.18–$61.20 | 15% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE TO LABCORP | $40.80 | $68.00 | $7.18–$61.20 | 15% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE-URINE | $40.80 | $68.00 | $7.18–$61.20 | 15% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $40.80 | $68.00 | $7.18–$61.20 | 15% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12/FOLATE SKILLED | $18.60 | $31.00 | $13.41–$27.90 | 69% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 SKILLED VITAMIN B 12 | $27.60 | $46.00 | $13.41–$41.40 | 53% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 & FOLATE | $32.40 | $54.00 | $13.41–$48.60 | 45% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SERUM | $40.80 | $68.00 | $13.41–$61.20 | 31% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $79.20 | $132.00 | $26.33–$118.80 | 40% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D D2/D3 FRACTIONATED | $160.20 | $267.00 | $26.33–$240.30 | 22% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY D2&D3 | $318.60 | $531.00 | $26.33–$477.90 | 143% above | 40% |
| Zinc blood test CPT 84630 ZINC WHOLE BLOOD | $27.00 | $45.00 | $10.13–$40.50 | 53% below | 40% |
| Zinc blood test CPT 84630 ZINC | $27.00 | $45.00 | $10.13–$40.50 | 53% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT LABCORP | $40.80 | $68.00 | $13.39–$61.20 | 24% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QUANTITATIVE-BLOOD | $40.80 | $68.00 | $13.39–$61.20 | 24% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DIST FIBUL FX W/O | $165.60 | $276.00 | $196.24–$270.48 | 39% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TRT RM CLSD TRT DISTAL FI | $165.60 | $276.00 | $196.24–$270.48 | 39% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FAC FEE CLOSED TREAT DIST | $174.60 | $291.00 | $206.90–$285.18 | 36% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PRO FEE CLOSED DISTAL FIB | $373.20 | $622.00 | $222.13–$559.80 | 37% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FAC FEE FRAC METATARSAL | $165.60 | $276.00 | $196.24–$248.40 | 42% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FRAC CARE METATA | $262.80 | $438.00 | $213.37–$394.20 | 8% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIO ELEC ELCT CNVS EXT | $530.40 | $884.00 | $141.60–$795.60 | 4% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC CONV OF ARRYTHMIA | $639.60 | $1,066.00 | $141.60–$959.40 | 15% above | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE > 28 DAYS | $360.00 | $600.00 | $168.18–$2,090.39 | 89% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP | $210.00 | $350.00 | $138.56–$2,090.39 | 48% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT DIST RA | $333.00 | $555.00 | $245.47–$499.50 | 5% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX DIST RAD W OR W/O FX U | $333.00 | $555.00 | $245.47–$499.50 | 5% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FAC FEE FRAC DISTAL RAD | $333.00 | $555.00 | $245.47–$499.50 | 5% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FRACTURE CARE DIS | $341.40 | $569.00 | $245.47–$512.10 | 3% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $147.00 | $245.00 | $193.29–$697.30 | 77% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN (LAVAG) | $69.60 | $116.00 | $14.87–$104.40 | 12% above | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN (LAVAGE) | $69.60 | $116.00 | $14.87–$104.40 | 12% above | 40% |
| Earwax removal with instruments, one ear CPT 69210 ED- EARS REMOVE IMPACTED CERUMEN | $60.60 | $101.00 | $43.60–$90.90 | 18% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINA | $128.40 | $214.00 | $116.21–$200.64 | 40% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN SIMPLE | $166.20 | $277.00 | $116.21–$249.30 | 22% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 FACILITY FEE INCISION & D | $166.20 | $277.00 | $116.21–$249.30 | 22% below | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR 1ST ING HERNIA AGE 5 YRS/> | $990.00 | $1,650.00 | $463.99–$3,580.43 | 86% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION MAJOR JOINT | $199.80 | $333.00 | $62.42–$306.96 | 16% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASPIRA &/OR INJECT JOINT W/O GUID | $199.80 | $333.00 | $62.42–$306.96 | 16% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FACILITY FEE ARTHROCENTES | $264.00 | $440.00 | $62.42–$396.00 | 11% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHOCENTESIS ASPIR W/O ULTRASOUND GUID | $322.20 | $537.00 | $51.99–$483.30 | 42% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PT ARTHRO ASPIRATION W/O ULTRASOUND | $322.20 | $537.00 | $51.99–$483.30 | 42% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS | $322.20 | $537.00 | $51.99–$483.30 | 42% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR SCALP TRUN | $199.80 | $333.00 | $233.37–$406.51 | 36% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL REMOVAL | $120.00 | $200.00 | $100.90–$200.64 | 23% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 FACILITY FEE NAIL REMOVAL | $216.60 | $361.00 | $100.90–$324.90 | 39% above | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT & OR STERIOD NERVE BLK | $271.80 | $453.00 | $71.41–$407.70 | 29% below | 40% |
| Paracentesis with imaging guidance CPT 49083 US GUIDED PARACENTESIS | $148.20 | $247.00 | $175.62–$906.99 | 84% below | 40% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $240.00 | $400.00 | $211.56–$2,090.39 | 90% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 TISSUE FB REMOVAL | $130.80 | $218.00 | $141.32–$406.51 | 47% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 FACILITY FEE REMOVAL FORE | $226.80 | $378.00 | $141.32–$406.51 | 8% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 TREATMENT ROOM FOREIGN BO | $226.80 | $378.00 | $141.32–$406.51 | 8% below | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $1,005.00 | $1,675.00 | $694.00–$3,525.00 | 89% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 ELBOW TO FINGER C | $86.40 | $144.00 | $87.45–$279.69 | 55% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 FACILITY FEE SHORT ARM CA | $174.60 | $291.00 | $87.45–$279.69 | 10% below | 40% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST (K | $90.60 | $151.00 | $79.12–$279.69 | 42% below | 40% |
| Short leg cast (below the knee) CPT 29405 FACILITY FEE SHORT LEG CA | $174.60 | $291.00 | $79.12–$279.69 | 13% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 FACILITY FEE REPAIR SIMP | $140.40 | $234.00 | $101.86–$210.60 | 28% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SCALP HEAD | $148.80 | $248.00 | $101.86–$223.20 | 24% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL | $93.00 | $155.00 | $83.17–$200.64 | 40% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG UP TO 15 LESIONS | $116.40 | $194.00 | $83.17–$200.64 | 25% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 FACILITY FEE SKIN TAG REM | $423.00 | $705.00 | $83.17–$634.50 | 172% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE L | $128.40 | $214.00 | $147.46–$705.88 | 79% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DI | $454.80 | $758.00 | $147.46–$705.88 | 24% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 FACILITY FEE REPAIR 2.6 T | $140.40 | $234.00 | $124.87–$210.60 | 32% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR 2.6 TO 7.5 | $166.20 | $277.00 | $124.87–$249.30 | 19% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FACILITY FEE REPAIR FACE | $140.40 | $234.00 | $124.95–$210.60 | 33% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR FACE EARS | $153.00 | $255.00 | $124.95–$229.50 | 28% below | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $1,290.00 | $2,150.00 | $489.75–$5,361.83 | 65% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SING LESION | $235.80 | $393.00 | $85.61–$406.51 | 1% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORAC W/IMAGING GUIDANCE | $421.80 | $703.00 | $279.05–$632.70 | 37% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORAC WITH IMAGING GUID | $454.80 | $758.00 | $279.05–$682.20 | 32% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT MUSCLE INJ | $316.20 | $527.00 | $47.28–$474.30 | 39% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDED BRST BIOPSY ONLY | $2,022.00 | $3,370.00 | $425.53–$3,033.00 | 12% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST W/PLACEMENT BREAST LOCAL | $2,022.00 | $3,370.00 | $425.53–$3,033.00 | 12% above | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $476.40 | $794.00 | $41.40–$714.60 | 28% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT SUBSEQUENT | $140.40 | $234.00 | $6.45–$218.98 | 13% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED- NEBULIZER TREATMENT | $140.40 | $234.00 | $6.45–$218.98 | 13% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT SUBSEQ 3RD MED | $140.40 | $234.00 | $6.45–$218.98 | 13% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT SUBSEQ 2ND MED | $140.40 | $234.00 | $6.45–$218.98 | 13% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT INITIAL | $140.40 | $234.00 | $6.45–$218.98 | 13% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $355.20 | $592.00 | $284.40–$826.03 | 56% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ED- ACUITY LEVEL CRITICAL CARE LONGER TH | $739.80 | $1,233.00 | $284.40–$1,109.70 | 9% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $103.80 | $173.00 | $5.10–$155.70 | 11% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED- OBTAIN EKG- 12 LEAD | $103.80 | $173.00 | $5.10–$155.70 | 11% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PROBLEM FOCUSED | $56.40 | $94.00 | $10.41–$84.60 | 50% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED- ACUITY LEVEL 1 | $79.20 | $132.00 | $10.41–$118.80 | 30% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EXPANDED PROBLEM | $61.20 | $102.00 | $38.21–$153.55 | 64% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED- ACUITY LEVEL 2 | $127.20 | $212.00 | $38.21–$190.80 | 25% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EXPANDED PROBLEM | $99.60 | $166.00 | $65.64–$272.98 | 66% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED- ACUITY LEVEL 3 | $207.00 | $345.00 | $65.64–$310.50 | 29% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 DETAILED MODER'L | $181.80 | $303.00 | $111.74–$417.27 | 59% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED- ACUITY LEVEL 4 | $334.20 | $557.00 | $111.74–$501.30 | 24% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER COMPREHENSIVE | $272.40 | $454.00 | $162.14–$595.54 | 57% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED- ACUITY LEVEL 5 | $501.60 | $836.00 | $162.14–$752.40 | 22% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM EKG TRACING VIA RADIOLOGY | $182.40 | $304.00 | $30.99–$273.60 | 52% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM STRESS EKG | $378.00 | $630.00 | $30.99–$567.00 | at median | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRA INF HYD 31 MIN/1 HR | $140.40 | $234.00 | $29.79–$212.71 | 14% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTR/INF HYD 31MIN-1 HR | $140.40 | $234.00 | $29.79–$212.71 | 14% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRA INF/HYD/ 31MIN-1HR | $140.40 | $234.00 | $29.79–$212.71 | 14% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THERAPY UP TO 1 HO | $140.40 | $234.00 | $59.34–$212.71 | 39% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVEN INF FOR THERAPY | $140.40 | $234.00 | $59.34–$212.71 | 39% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC IM INJ | $46.20 | $77.00 | $14.00–$72.00 | 31% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FACILITY FEE THERAPEUTIC | $46.20 | $77.00 | $14.00–$72.00 | 31% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC IM/SQ | $46.20 | $77.00 | $14.00–$72.00 | 31% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM IMMUNIZATION ADMINISTRATION | $46.20 | $77.00 | $14.00–$72.00 | 31% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TREATMENT ROOM FEE LEVEL | $67.80 | $113.00 | $68.76–$101.70 | 37% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL - HIGH COMPLEXITY | $79.20 | $132.00 | $61.16–$118.80 | 53% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION TEST W BRONCHODILATOR | $211.20 | $352.00 | $38.66–$373.15 | 46% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY | $32.40 | $54.00 | $32.19–$48.60 | 41% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 FACILITY FEE THERAPUTIC P | $87.60 | $146.00 | $85.75–$133.04 | 30% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $151.20 | $252.00 | $72.49–$226.80 | 21% above | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC ENGERIX B INJ [20 MCG/ML] | $102.82 | $171.37 | $59.98–$121.84 | 21% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 VAC INFLUENZA INJ *HIGH DOSE* 0.7 ML | $97.27 | $162.12 | $56.74–$115.27 | 43% below | 40% |
| Rabies vaccine, one dose CPT 90675 VAC RABIES VACCINE | $767.56 | $1,279.26 | $305.79–$909.55 | 11% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VAC TETAN/ DIPH/ PERT ADULT INJ | $77.44 | $129.07 | $38.63–$91.77 | 1% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VAC/TET/DIPH ADULT | $77.44 | $129.07 | $38.63–$91.77 | 1% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN EA ADD | $46.20 | $77.00 | $19.84–$72.00 | 23% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM IMMUN 1 VAC SINGLE | $46.20 | $77.00 | $19.84–$72.00 | 23% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATI | $350.40 | $584.00 | $19.84–$525.60 | 484% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $46.20 | $77.00 | $14.51–$69.30 | 60% above | 40% |
Source file: https://elkviewhospital.com/wp-content/uploads/2026/09/370783_ElkviewGeneralHospital_StandardCharges.csv