Duncan Regional Hospital
Duncan Regional Hospital in Duncan, OK publishes cash prices for 382 common procedures listed here, from its own machine-readable price file updated Mar 14, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 179 of 367 procedures and below it for 175. By typical cash price it ranks #20 of 43 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1407 N Whisenant Dr, Duncan, OK 73533 Collected Sep 27, 2026 Source price file (580) 252-5300
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 370023 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE UNILATERAL XRAY | $179.52 | $503.00 | $84.89–$472.82 | 3% above | 64% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TRANSC 02 TEN MON SGL LEV-BILT | $262.80 | $322.00 | $131.40–$396.11 | 25% above | 18% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS - X-RAY | $362.94 | $1,072.00 | $84.89–$1,007.68 | 27% above | 66% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING-WHOLE BODY-NM | $819.26 | $3,594.00 | $409.63–$3,378.36 | 11% below | 77% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST ULTRASOUND COMPLETE UNI | $216.80 | $607.00 | $108.40–$649.93 | 35% below | 64% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 BREAST ULTRASOUND LIMITED UNI | $179.52 | $589.00 | $89.76–$649.93 | 46% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO | $362.94 | $5,411.00 | $181.47–$5,086.34 | 76% below | 93% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY ARTERIES | $728.12 | $4,718.00 | $364.06–$4,434.92 | 38% below | 85% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $179.52 | — | $89.76–$1,534.10 | 80% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD & PELVIS W/OUT CONTRAST | $492.82 | $5,336.00 | $246.41–$5,015.84 | 63% below | 91% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 RENAL STONE SCAN | $492.82 | $5,336.00 | $246.41–$5,015.84 | 63% below | 91% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD & PELVIS WITH CONTRAST | $728.12 | $5,398.00 | $364.06–$5,074.12 | 55% below | 87% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 APPENDICITIS SCAN | $728.12 | $5,398.00 | $364.06–$5,074.12 | 55% below | 87% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAPHY | $728.12 | $6,038.00 | $364.06–$5,675.72 | 62% below | 88% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABD & PELVIS W&W/OUT CONTRAST | $728.12 | $6,038.00 | $364.06–$5,675.72 | 62% below | 88% |
| CT scan of the abdomen with contrast CPT 74160 ABDOMEN WITH CONTRAST-CT | $362.94 | $4,569.00 | $181.47–$4,294.86 | 68% below | 92% |
| CT scan of the abdomen without contrast CPT 74150 ABDOMEN WITHOUT CONTRAST-CT | $216.80 | $3,828.00 | $108.40–$3,598.32 | 78% below | 94% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 MAXILLOFACIAL WITHOUT-CT | $216.80 | $3,145.00 | $108.40–$2,956.30 | 75% below | 93% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD WITHOUT CONTRAST-CT | $216.80 | $3,537.00 | $108.40–$3,324.78 | 77% below | 94% |
| CT scan of the head with contrast CPT 70460 HEAD WITH CONTRAST ONLY-CT. | $362.94 | $4,466.00 | $181.47–$4,198.04 | 70% below | 92% |
| CT scan of the head without and with contrast CPT 70470 HEAD W/WO CONTRAS-CT | $362.94 | $4,785.00 | $181.47–$4,497.90 | 72% below | 92% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WITHOUT CONT-CT | $216.80 | $3,857.00 | $108.40–$3,625.58 | 79% below | 94% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WITHOUT C-CT | $216.80 | $3,961.00 | $108.40–$3,723.34 | 78% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS WITH CONTRAST-CT | $362.94 | $4,035.00 | $181.47–$3,792.90 | 66% below | 91% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID SCAN/DOPPLER-US | $492.82 | $1,889.00 | $246.41–$1,775.66 | at median | 74% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS PA & LAT -XRAY | $179.52 | $536.00 | $84.89–$503.84 | 52% above | 67% |
| Chest X-ray, 2 views CPT 71046 CHEST SPECIAL VIEWS - XRAY | $179.52 | $482.00 | $84.89–$453.08 | 52% above | 63% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW PA - XRAY | $179.52 | $374.00 | $84.89–$351.56 | 2% above | 52% |
| Chest X-ray, single view CPT 71045 COUNTY HEALTH CXR | $179.52 | $486.00 | $84.89–$456.84 | 2% above | 63% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW PORTABLE | $179.52 | $726.00 | $84.89–$682.44 | 2% above | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL ULTRASOUND-US | $216.80 | $1,415.00 | $108.40–$1,330.10 | 46% below | 85% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY SCAN (DEXA) AXIAL | $216.80 | $344.00 | $108.40–$323.36 | 98% above | 37% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHERAL | $179.52 | $342.00 | $89.76–$321.48 | 73% above | 48% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $492.82 | — | $246.41–$628.35 | 6% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX WITHOUT CONTRAST-CT | $216.80 | $3,726.00 | $108.40–$3,502.44 | 77% below | 94% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX - PE PROTOCOL | $362.94 | $4,643.00 | $181.47–$4,364.42 | 68% below | 92% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX WITH CONTRAST-CT | $362.94 | $4,643.00 | $181.47–$4,364.42 | 68% below | 92% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY ARTERIAL US | $492.82 | $1,212.00 | $246.41–$1,139.28 | 24% above | 59% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILATERAL EXTREMITY VENOUS US | $492.82 | $1,665.00 | $246.41–$1,565.10 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM(2D)-COMPLETE | $1,117.88 | $3,910.00 | $558.94–$3,675.40 | 3% above | 71% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY WITHOUT PHARM | $819.26 | $2,377.00 | $409.63–$3,592.95 | 29% below | 66% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $319.00 | — | $83.79–$406.73 | 16% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $2,074.26 | — | $1,037.13–$4,940.98 | 34% below | — |
| Knee X-ray, 3 views one side CPT 73562 KNEE UNILATERAL | $179.52 | $564.00 | $84.89–$530.16 | at median | 68% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SINGLE QUADRANT US | $216.80 | $1,346.00 | $108.40–$1,265.24 | 44% below | 84% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $216.80 | — | $108.40–$687.03 | 34% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY JOINT W/O | $492.82 | $4,608.00 | $246.41–$4,331.52 | 66% below | 89% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREMITY JOINT WW/O | $728.12 | $5,653.00 | $364.06–$5,313.82 | 60% below | 87% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST | $492.82 | $4,615.00 | $246.41–$4,338.10 | 53% below | 89% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $728.12 | $5,658.00 | $364.06–$5,318.52 | 63% below | 87% |
| MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN | $492.82 | $4,617.00 | $246.41–$4,339.98 | 49% below | 89% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/O W/ CONTRAST | $728.12 | $5,666.00 | $364.06–$5,326.04 | 48% below | 87% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAST | $492.82 | $4,617.00 | $246.41–$4,339.98 | 58% below | 89% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST | $728.12 | $6,920.00 | $364.06–$6,504.80 | 53% below | 89% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-THORACIC W/O CONTRAST | $492.82 | $4,626.00 | $246.41–$4,348.44 | 54% below | 89% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 C-SPINE W/WO CONTRAST - MRI | $728.12 | $6,931.00 | $364.06–$6,515.14 | 52% below | 89% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-CERVICAL W/O | $492.82 | $4,626.00 | $246.41–$4,348.44 | 52% below | 89% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $728.12 | $5,246.00 | $364.06–$4,931.24 | 49% below | 86% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $492.82 | $4,615.00 | $246.41–$4,338.10 | 56% below | 89% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JOINT W/O | $492.82 | $4,608.00 | $246.41–$4,331.52 | 71% below | 89% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF SPECT IMA-MULT | $2,661.62 | $4,514.00 | $1,330.81–$4,243.16 | 4% above | 41% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CPTR OPHTH DX IMG POST SEGMT | $121.10 | — | $60.55–$181.75 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH | $2,973.78 | $8,791.00 | $1,486.89–$9,843.45 | 25% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED PELVIC ULTRASOUND | $216.80 | $736.00 | $108.40–$691.84 | 28% below | 71% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND-US | $216.80 | $1,310.00 | $108.40–$1,231.40 | 55% below | 83% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULT-PREGNANT UTERUS > 14 WKS | $216.80 | $854.00 | $108.40–$802.76 | 49% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULT-PREGNANT UTERUS < 14 WKS | $216.80 | $854.00 | $108.40–$802.76 | 49% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED-US | $216.80 | $586.00 | $108.40–$550.84 | 38% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER UNILATERAL 2 VIEWS | $179.52 | $564.00 | $84.89–$530.16 | 6% below | 68% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $2,074.26 | — | $1,037.13–$4,940.98 | 25% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHOCARDIOGRAM | $1,117.88 | $3,560.00 | $558.94–$3,346.40 | 4% below | 69% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION VIDEO | $362.94 | $910.00 | $181.47–$893.34 | 16% above | 60% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND- TRANSVAGINAL NONOB | $216.80 | $1,220.00 | $108.40–$1,146.80 | 43% below | 82% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND-TRANSVAGINAL NONOB | $216.80 | $1,220.00 | $108.40–$1,146.80 | 43% below | 82% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANS VAG W/TRANS ABDOM OB | $216.80 | $464.00 | $108.40–$436.16 | 23% below | 53% |
| Transvaginal ultrasound during pregnancy CPT 76817 PREGNANT UTERUS-TRANSVAGINAL | $216.80 | $1,072.00 | $108.40–$1,007.68 | 23% below | 80% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN STUDY-US | $216.80 | $1,430.00 | $108.40–$1,344.20 | 59% below | 85% |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM ULTRASOUND | $216.80 | $748.00 | $108.40–$703.12 | 37% below | 71% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ULTRASOUND-US | $216.80 | $815.00 | $108.40–$766.10 | 47% below | 73% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID/SOFT TISS ULTRASND-US | $216.80 | $815.00 | $108.40–$766.10 | 47% below | 73% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GASTROGRAFIN UGI - XRAY | $362.94 | $1,439.00 | $181.47–$1,352.66 | 5% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILATERAL EXTREMITY VENOUS US | $216.80 | $1,272.00 | $108.40–$1,195.68 | 56% below | 83% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST UNILATERAL MIN 3 VIEWS | $179.52 | $529.00 | $84.89–$497.26 | 2% above | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP DURING OPERATIVE PROCEDURE | $179.52 | $580.00 | $84.89–$545.20 | 3% below | 69% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP COMPLETE UNILATERAL MIN 2 | $179.52 | $567.00 | $84.89–$532.98 | 3% below | 68% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SUPINE - X-RAY | $179.52 | $481.00 | $84.89–$452.14 | 5% above | 63% |
| X-ray of the abdomen, 1 view CPT 74018 KUB - XRAY | $179.52 | $481.00 | $84.89–$452.14 | 5% above | 63% |
| X-ray of the abdomen, 1 view CPT 74018 FETOGRAM - XRAY | $179.52 | $481.00 | $84.89–$452.14 | 5% above | 63% |
| X-ray of the abdomen, 1 view CPT 74018 SCOUT (X-RAY) | $179.52 | $481.00 | $84.89–$452.14 | 5% above | 63% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE UNILATERAL 2 VIEWS | $179.52 | $368.00 | $84.89–$345.92 | 12% above | 51% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS UNILATERAL - X-RAY | $179.52 | $480.00 | $84.89–$451.20 | 12% above | 63% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT UNILATERAL 2 VIEWS | $179.52 | $368.00 | $84.89–$345.92 | 11% above | 51% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE UNILATERAL MIN 3 | $179.52 | $503.00 | $84.89–$472.82 | 4% below | 64% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND UNILATERAL MIN 3 VIEWS | $179.52 | $494.00 | $84.89–$464.36 | 1% above | 64% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS | $179.52 | $534.00 | $84.89–$501.96 | 6% above | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS XRAY | $216.80 | $680.00 | $84.89–$639.20 | 2% above | 68% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/ OBLIQUES-XRAY | $216.80 | $909.00 | $84.89–$854.46 | 25% below | 76% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $216.80 | — | $84.89–$276.42 | 15% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE 3 VIEWS | $179.52 | $517.00 | $84.89–$485.98 | 10% above | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP & LAT -XRAY | $179.52 | $536.00 | $84.89–$503.84 | 10% below | 67% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS XRAY | $216.80 | $531.00 | $84.89–$499.14 | 14% above | 59% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS | $179.52 | $529.00 | $84.89–$497.26 | 1% above | 66% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $11.36 | $142.50 | $3.18–$133.95 | 65% below | 92% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $11.10 | $194.50 | $3.11–$182.83 | 71% below | 94% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL - ACUTE | $102.02 | $631.00 | $28.58–$593.14 | 45% below | 84% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE | $11.18 | $33.00 | $3.13–$33.78 | 55% below | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $11.18 | $249.50 | $3.13–$234.53 | 55% below | 96% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN F2-COW MILK IGE | $11.18 | $81.00 | $3.13–$76.14 | 55% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL - CHILDHOOD | $11.18 | $1,019.50 | $3.13–$958.33 | 55% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL - FOOD | $11.18 | $202.50 | $3.13–$190.35 | 55% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL - MOLDS | $11.18 | $509.50 | $3.13–$478.93 | 55% below | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL-RESP OK/TX | $11.18 | $645.00 | $3.13–$606.30 | 55% below | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEDIATRIC FOOD | $11.18 | $315.50 | $3.13–$296.57 | 55% below | 96% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALB IGE M5 ALLRGN | $11.18 | $85.00 | $3.13–$79.90 | 55% below | 87% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY (RHEUM EVALUATR) | $27.74 | $241.50 | $7.77–$227.01 | 61% below | 89% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $27.74 | $57.00 | $7.77–$53.58 | 61% below | 51% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLICCITRULLNTD PEPTIDE IgG | $27.74 | $160.50 | $7.77–$150.87 | 61% below | 83% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY | $25.90 | $121.00 | $7.25–$113.74 | 40% below | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $25.90 | $57.00 | $7.25–$53.58 | 40% below | 55% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-BRAIN NATRIURETIC PEPTIDE | $84.10 | $207.00 | $23.56–$194.58 | 25% below | 59% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP | $84.10 | $194.50 | $23.56–$182.83 | 25% below | 57% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (NON-PRO) | $84.10 | $194.50 | $23.56–$182.83 | 25% below | 57% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $84.10 | $130.00 | $23.56–$122.20 | 25% below | 35% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $18.12 | $117.50 | $5.08–$110.45 | 43% below | 85% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEV 4 - GROSS & MICR | $108.94 | $195.50 | $54.47–$183.77 | 14% below | 44% |
| Blood culture for bacteria CPT 87040 BLOOD BAG CULTURE (TRANS RXN) | $22.10 | $205.50 | $6.19–$193.17 | 64% below | 89% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $22.10 | $205.50 | $6.19–$193.17 | 64% below | 89% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER | $19.48 | $36.00 | $5.45–$33.84 | 106% above | 46% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ICU | $19.48 | $36.00 | $5.45–$33.84 | 106% above | 46% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-LAB DRAW | $19.48 | $36.00 | $5.45–$33.84 | 106% above | 46% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $19.48 | $36.00 | $5.45–$33.84 | 106% above | 46% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ACU-LAB DRAW | $19.48 | $36.00 | $5.45–$33.84 | 106% above | 46% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR PP | $8.42 | $124.00 | $2.36–$116.56 | 67% below | 93% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL | $8.42 | $124.00 | $2.36–$116.56 | 67% below | 93% |
| Blood lead test CPT 83655 LEAD URINE | $25.94 | $109.00 | $7.27–$102.46 | 39% below | 76% |
| Blood lead test CPT 83655 LEAD LEVEL | $25.94 | $106.00 | $7.27–$99.64 | 39% below | 76% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG SERUM SCREEN | $16.10 | $167.00 | $4.51–$156.98 | 60% below | 90% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 GROUP (ABO) | $262.80 | $130.00 | $1.79–$335.07 | 360% above | -102% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (INFLAM) | $11.10 | $145.50 | $3.11–$136.77 | 59% below | 92% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF/EPI PCR GENEXPERT | $79.84 | $349.50 | $22.36–$328.53 | 11% below | 77% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF PCR - QUAL | $79.84 | $206.50 | $22.36–$194.11 | 11% below | 61% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 TUMOR ANTIGEN | $44.58 | $169.50 | $12.49–$159.33 | 51% below | 74% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 TUMOR ANTIGEN | $44.58 | $220.00 | $12.49–$206.80 | 27% below | 80% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS-COVID19 AMP PROBE | $109.90 | $145.50 | $30.79–$140.12 | 50% above | 24% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA-AMPLIF NA PROBE | $75.16 | $239.50 | $21.05–$225.13 | 4% below | 69% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 UR-SURE CHLAMYDIA | $75.16 | $300.00 | $21.05–$282.00 | 4% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $75.16 | $79.50 | $21.05–$95.83 | 4% below | 5% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS rRNA DET | $75.16 | $205.50 | $21.05–$193.17 | 4% below | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $28.68 | $97.00 | $8.03–$91.18 | 56% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - BASIC | $28.68 | $109.00 | $8.03–$102.46 | 56% below | 74% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $16.64 | $90.50 | $4.66–$85.07 | 63% below | 82% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITH NO DIFFERENTIAL | $13.86 | $77.50 | $3.88–$72.85 | 53% below | 82% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP W/ADJUSTED CALCIUM | $22.62 | $47.50 | $6.34–$44.65 | 50% below | 52% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $22.62 | $157.50 | $6.34–$148.05 | 50% below | 86% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER (QUANTITATIVE) | $21.80 | $349.00 | $6.11–$328.06 | 76% below | 94% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $47.62 | $153.50 | $13.34–$144.29 | 37% below | 69% |
| Estradiol blood test CPT 82670 ESTRADIOL | $59.84 | $272.50 | $16.76–$256.15 | 20% below | 78% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRIC 3RD GENERATION | $39.80 | $43.50 | $11.15–$83.79 | 42% below | 9% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $39.80 | $180.50 | $11.15–$169.67 | 42% below | 78% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN | $42.04 | $319.50 | $11.78–$300.33 | 65% below | 87% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $29.20 | $204.00 | $8.18–$191.76 | 40% below | 86% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $31.48 | $76.00 | $8.82–$71.44 | 46% below | 59% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $31.48 | $76.00 | $8.82–$71.44 | 46% below | 59% |
| Free T3 thyroid hormone test CPT 84481 T3 - FREE | $36.28 | $241.00 | $10.16–$226.54 | 60% below | 85% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $36.28 | $241.00 | $10.16–$226.54 | 60% below | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE (T4) | $19.32 | $162.00 | $5.41–$152.28 | 68% below | 88% |
| Free testosterone test CPT 84402 TESTOSTERONE - FREE | $54.56 | $321.00 | $15.28–$301.74 | 37% below | 83% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE-FEMALE&PEDI | $54.56 | $230.50 | $15.28–$216.67 | 37% below | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE O'SULLIVAN | $10.18 | $152.50 | $2.85–$143.35 | 65% below | 93% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE--3 HRS | $27.56 | $252.86 | $7.72–$237.68 | 58% below | 89% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE-3 SPECIMENS | $27.56 | $291.00 | $7.72–$273.54 | 58% below | 91% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HR | $27.56 | $218.00 | $7.72–$204.92 | 58% below | 87% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE--5 HRS | $27.56 | $332.20 | $7.72–$312.26 | 58% below | 92% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE--4 HRS | $27.56 | $297.00 | $7.72–$279.18 | 58% below | 91% |
| Glucose tolerance test, 3 samples CPT 82951 GTT - 3 SAMPLES | $27.56 | $77.00 | $7.72–$72.38 | 58% below | 64% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 UR-SURE GC | $75.16 | $300.00 | $21.05–$282.00 | 2% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE | $75.16 | $79.50 | $21.05–$109.63 | 2% below | 5% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA-AMPLIF NA PROBE | $75.16 | $239.50 | $21.05–$225.13 | 2% below | 69% |
| H. pylori antibody blood test CPT 86677 H.PYLORI IGG ANTIBODY | $36.10 | $281.50 | $10.11–$264.61 | 47% below | 87% |
| H. pylori antibody blood test CPT 86677 H.PYLORI ANTIBODY IGM | $36.10 | $250.50 | $10.11–$235.47 | 47% below | 86% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL ANTIGEN | $30.80 | $244.00 | $8.63–$229.36 | 73% below | 87% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA (PCR) | $182.28 | $223.50 | $51.06–$232.41 | 7% below | 18% |
| HIV-1 and HIV-2 antibody test CPT 86703 ST ANTHONY HIV 1 & 2 | $29.36 | $76.00 | $8.23–$71.44 | 35% below | 61% |
| HIV-1 and HIV-2 antibody test CPT 86703 NSTK HIV NON-DRH SOURCE | $29.36 | $178.50 | $8.23–$167.79 | 35% below | 84% |
| HIV-1 and HIV-2 antibody test CPT 86703 NSTK HIV NON-DRH EMPLOYEE | $29.36 | $178.50 | $8.23–$167.79 | 35% below | 84% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY 1 & 2 | $29.36 | $170.00 | $8.23–$159.80 | 35% below | 83% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AND 2 ABS EIA W REFLEX | $51.58 | $170.00 | $14.45–$159.80 | 7% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $75.16 | $135.50 | $21.05–$127.37 | 29% below | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN | $20.80 | $229.50 | $5.83–$215.73 | 52% below | 91% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY TOTAL | $23.00 | $135.50 | $6.44–$127.37 | 47% below | 83% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN | $22.12 | $140.00 | $6.20–$131.60 | 44% below | 84% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY IGG | $30.56 | $217.50 | $8.56–$204.45 | 38% below | 86% |
| Hepatitis C antibody blood test (screening) CPT 86803 ST ANTHONY HEP C Ab IgG/EIA | $30.56 | $127.00 | $8.56–$119.38 | 38% below | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA (PCR)-QUANT | $91.76 | $540.00 | $25.70–$507.60 | 59% below | 83% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA ULTRAQUANT | $91.76 | $1,010.00 | $25.70–$949.40 | 59% below | 91% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $28.26 | $55.00 | $7.91–$56.05 | 54% below | 49% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB-HSV 1 | $28.26 | $380.50 | $7.91–$357.67 | 54% below | 93% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB HSV TYPE 1 (IGM) | $28.26 | $94.50 | $7.91–$88.83 | 54% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB HSV TYPE 1 (IGG) | $28.26 | $184.50 | $7.91–$173.43 | 54% below | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER REFLEX | $28.26 | $96.00 | $7.91–$90.24 | 54% below | 71% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 ANTIBODY | $28.26 | $245.50 | $7.91–$230.77 | 54% below | 88% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB HSV TYPE 2 (IGG) | $41.44 | $186.50 | $11.61–$175.31 | 36% below | 78% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER REFLEX | $41.44 | $96.00 | $11.61–$90.24 | 36% below | 57% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $41.44 | $52.00 | $11.61–$52.84 | 36% below | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB HSV TYPE 2 (IGM) | $41.44 | $94.50 | $11.61–$88.83 | 36% below | 56% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 ANTIBODY | $41.44 | $245.50 | $11.61–$230.77 | 36% below | 83% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 INHIBITION | $41.44 | $225.00 | $11.61–$211.50 | 36% below | 82% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB-HSV 2 | $41.44 | $380.50 | $11.61–$357.67 | 36% below | 89% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN ULTRAQUANT | $27.74 | $363.50 | $7.77–$341.69 | 46% below | 92% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL | $38.38 | $394.00 | $10.75–$370.36 | 69% below | 90% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $24.48 | $220.00 | $6.86–$206.80 | 45% below | 89% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $13.86 | $22.00 | $3.88–$20.68 | 57% below | 37% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $13.86 | $104.00 | $3.88–$97.76 | 57% below | 87% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON AND IRON BINDING CAPACITY | $18.72 | $167.73 | $5.24–$157.66 | 52% below | 89% |
| Iron-binding capacity (TIBC) test CPT 83550 TOT. IRON BINDING CAPACITY | $18.72 | $121.00 | $5.24–$113.74 | 52% below | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $18.72 | $42.00 | $5.24–$39.48 | 52% below | 55% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $18.60 | $380.50 | $5.21–$357.67 | 65% below | 95% |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS 3RD GENERATION | $39.66 | $163.50 | $11.11–$153.69 | 46% below | 76% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $39.66 | $180.50 | $11.11–$169.67 | 46% below | 78% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE | $14.76 | $215.50 | $4.13–$202.57 | 66% below | 93% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $14.76 | $276.50 | $4.13–$259.91 | 66% below | 95% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL | $17.50 | $228.50 | $4.90–$214.79 | 61% below | 92% |
| Lyme disease antibody test CPT 86618 AB- LYME'S DISEASE | $36.48 | $106.00 | $10.22–$99.64 | 49% below | 66% |
| Lyme disease antibody test CPT 86618 LYME-BORRELIA BURG IgM | $36.48 | $169.50 | $10.22–$159.33 | 49% below | 78% |
| Lyme disease antibody test CPT 86618 LYME-BORRELIA BURG IgG/IgM | $36.48 | $252.86 | $10.22–$237.68 | 49% below | 86% |
| Lyme disease antibody test CPT 86618 LYME-BORRELIA BURG IgG | $36.48 | $169.50 | $10.22–$159.33 | 49% below | 78% |
| Magnesium blood test CPT 83735 MAGNESIUM (SERUM) LEVEL | $14.36 | $104.00 | $4.02–$97.76 | 49% below | 86% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE (RANDOM) | $14.36 | $142.50 | $4.02–$133.95 | 49% below | 90% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $27.58 | $36.00 | $7.73–$35.16 | 40% below | 23% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IgM (ACUTE) | $27.58 | $173.50 | $7.73–$163.09 | 40% below | 84% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IgG (IMMUNE) | $27.58 | $173.50 | $7.73–$163.09 | 40% below | 84% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODIES IGG IGM | $27.58 | $48.50 | $7.73–$45.59 | 40% below | 43% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $11.10 | $285.00 | $3.11–$267.90 | 66% below | 96% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $102.40 | $443.00 | $28.69–$416.42 | 22% below | 77% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE (INCLUDES TOTAL) | $39.40 | $154.37 | $11.03–$145.10 | 61% below | 74% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $39.40 | $54.00 | $11.03–$50.76 | 61% below | 27% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - TOTAL - DIAGNOSTIC | $39.40 | $110.50 | $11.03–$103.87 | 49% below | 64% |
| Pap test (liquid-based, automated screening with review) CPT 88175 TP CYTC PAP & RVW | $57.00 | $70.50 | $15.97–$72.68 | 20% below | 19% |
| Pap test (liquid-based, automated screening with review) CPT 88175 SP AUTOMATED PAP & RVW | $57.00 | $70.50 | $15.97–$72.68 | 20% below | 19% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 TP CYTC PAP | $43.40 | $75.00 | $12.16–$70.50 | 38% below | 42% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH (INTACT) | $88.42 | $219.50 | $24.77–$206.33 | 37% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $88.42 | $219.50 | $24.77–$206.33 | 37% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH - SEND OUT | $88.42 | $219.50 | $24.77–$206.33 | 37% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $12.88 | $17.00 | $3.61–$16.42 | 59% below | 24% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PROTIME AND PTT | $12.88 | $186.00 | $3.61–$174.84 | 59% below | 93% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VWP - APTT | $12.88 | $184.50 | $3.61–$173.43 | 59% below | 93% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT(PARTIAL THROMBOPLAST TIME) | $12.88 | $164.00 | $3.61–$154.16 | 59% below | 92% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $1,625.88 | — | $358.80–$2,073.00 | 38% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $44.68 | $220.00 | $12.52–$206.80 | 41% below | 80% |
| Prolactin blood test CPT 84146 PROLACTIN | $41.52 | $220.00 | $11.63–$206.80 | 51% below | 81% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.18 | $86.00 | $2.57–$80.84 | 58% below | 89% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN URINE-PRESUM OPTICAL | $26.98 | $187.00 | $7.56–$175.78 | 31% below | 86% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN SCREEN | $35.46 | $207.00 | $9.93–$194.58 | 36% below | 83% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $35.40 | $186.50 | $9.92–$175.31 | 27% below | 81% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (EVALUATR) | $12.14 | $721.50 | $3.40–$678.21 | 54% below | 98% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $12.14 | $89.50 | $3.40–$84.13 | 54% below | 86% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS QUANT | $12.14 | $194.50 | $3.40–$182.83 | 54% below | 94% |
| Rheumatoid factor (RF) test CPT 86431 RHEMATOID FACTOR W/TITER | $12.14 | $36.00 | $3.40–$33.84 | 54% below | 66% |
| Rheumatoid factor (RF) test CPT 86431 QUANT RHEUM FACTOR | $12.14 | $57.00 | $3.40–$53.58 | 54% below | 79% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGM | $30.82 | $186.50 | $8.63–$175.31 | 40% below | 83% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IgG (IMMUNE) | $30.82 | $186.50 | $8.63–$175.31 | 40% below | 83% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $30.82 | $40.00 | $8.63–$39.30 | 40% below | 23% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $30.82 | $186.50 | $8.63–$175.31 | 40% below | 83% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR (SED RATE) | $5.78 | $90.50 | $1.62–$85.07 | 72% below | 94% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $26.36 | $313.00 | $7.39–$294.22 | 78% below | 92% |
| Stool ova and parasites exam CPT 87177 PARAD-O&P DIRECT SMEAR CONC/ID | $19.06 | $144.00 | $5.34–$135.36 | 67% below | 87% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $9.38 | — | $2.63–$20.22 | 59% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $34.10 | — | $9.55–$43.48 | 41% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLEX TITER AND CONFIRM | $9.14 | $45.00 | $2.56–$42.30 | 64% below | 80% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PREMARITAL RPR | $9.14 | $76.00 | $2.56–$71.44 | 64% below | 88% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILIS SCREEN) SEND OUT | $9.14 | $102.00 | $2.56–$95.88 | 64% below | 91% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-SERUM | $9.14 | $85.00 | $2.56–$79.90 | 64% below | 89% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $9.14 | $81.00 | $2.56–$76.14 | 64% below | 89% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $9.14 | $112.50 | $2.56–$105.75 | 64% below | 92% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS | $132.76 | $346.00 | $37.19–$325.24 | 20% below | 62% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD | $132.76 | $500.50 | $37.19–$470.47 | 20% below | 73% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE - TOTAL | $55.28 | $300.00 | $15.49–$282.00 | 32% below | 82% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TES PNL-TESTOSTERONE- TOTAL | $55.28 | $92.50 | $15.49–$86.95 | 32% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $55.28 | $300.00 | $15.49–$282.00 | 32% below | 82% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FEMALE & PEDI | $55.28 | $285.00 | $15.49–$267.90 | 32% below | 81% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME AUTOABS | $31.16 | $124.00 | $8.73–$116.56 | 44% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THRYOID PEROXIDASE ANTI | $31.16 | $140.00 | $8.73–$131.60 | 44% below | 78% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AUTOABS | $31.16 | $117.50 | $8.73–$110.45 | 44% below | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NEONATAL (CH) | $35.98 | $54.00 | $10.08–$63.12 | 19% below | 33% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $35.98 | $172.00 | $10.08–$161.68 | 19% below | 79% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS PCR GENEXPERT-F | $75.16 | $120.00 | $21.05–$112.80 | 14% below | 37% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA QUAL FEMALE | $75.16 | $151.00 | $21.05–$141.94 | 14% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS PCR GENEXPERT-M | $75.16 | $120.00 | $21.05–$112.80 | 14% below | 37% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA QUAL MALE | $75.16 | $151.00 | $21.05–$141.94 | 14% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $75.16 | $79.50 | $21.05–$109.63 | 14% below | 5% |
| Uric acid blood test CPT 84550 URIC ACID (SERUM) | $9.68 | $66.00 | $2.71–$62.04 | 62% below | 85% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUTINE | $6.80 | $76.00 | $1.90–$71.44 | 72% below | 91% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $8.62 | — | $2.41–$12.24 | 49% below | — |
| Urinalysis without microscope exam, automated CPT 81003 NITRITE URINE | $4.82 | $69.50 | $1.35–$65.33 | 58% below | 93% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY | $4.82 | $52.00 | $1.35–$48.88 | 58% below | 91% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $4.82 | $58.50 | $1.35–$54.99 | 58% below | 92% |
| Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD URINE | $4.82 | $69.50 | $1.35–$65.33 | 58% below | 93% |
| Urinalysis without microscope exam, automated CPT 81003 LEUKOCYTES URINE | $4.82 | $69.50 | $1.35–$65.33 | 58% below | 93% |
| Urinalysis without microscope exam, automated CPT 81003 KETONE URINE | $4.82 | $52.00 | $1.35–$48.88 | 58% below | 91% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE-URINE QUAL | $4.82 | $69.50 | $1.35–$65.33 | 58% below | 93% |
| Urinalysis without microscope exam, automated CPT 81003 DIPSTICK URINE | $4.82 | $52.00 | $1.35–$48.88 | 58% below | 91% |
| Urinalysis without microscope exam, automated CPT 81003 BLOOD URINE | $4.82 | $69.50 | $1.35–$65.33 | 58% below | 93% |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN URINE | $4.82 | $69.50 | $1.35–$65.33 | 58% below | 93% |
| Urinalysis without microscope exam, automated CPT 81003 ALBUMIN URINE | $4.82 | $52.00 | $1.35–$48.88 | 58% below | 91% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE ALB/PROT DIPSTICK | $7.46 | $42.00 | $2.09–$39.48 | 57% below | 82% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE BLOOD DIPSTICK | $7.46 | $42.00 | $2.09–$39.48 | 57% below | 82% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE- URINE | $17.28 | $138.50 | $4.84–$130.19 | 64% below | 88% |
| Urine culture for bacteria, with colony count CPT 87086 ENVIRONMENTAL CULTURE | $17.28 | $132.50 | $4.84–$124.55 | 64% below | 87% |
| Urine pregnancy test, read by color change CPT 81025 URINE HCG PREGNANCY TEST | $18.44 | $167.00 | $5.17–$156.98 | 32% below | 89% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL | $32.30 | $103.50 | $9.05–$97.29 | 45% below | 69% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $32.30 | $103.50 | $9.05–$97.29 | 45% below | 69% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYD TOTL-SEND OUT | $63.40 | $438.00 | $17.76–$411.72 | 52% below | 86% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL (25 OH) | $63.40 | $438.00 | $17.76–$411.72 | 52% below | 86% |
| Zinc blood test CPT 84630 ZINC LEVEL (SERUM OR URINE) | $24.40 | $126.00 | $6.83–$118.44 | 58% below | 81% |
| Zinc blood test CPT 84630 ZINC 24 HR URINE | $24.40 | $89.50 | $6.83–$84.13 | 58% below | 73% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-QUAN | $32.24 | $240.00 | $9.03–$225.60 | 40% below | 87% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG-NON-PREGNANT TUMOR MARKER | $32.24 | $112.50 | $9.03–$105.75 | 40% below | 71% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP TR/QD - HCG | $32.24 | $206.50 | $9.03–$194.11 | 40% below | 84% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORION HCG QUANT | $32.24 | $79.50 | $9.03–$74.73 | 40% below | 59% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG - QUANTITATIVE | $32.24 | $217.50 | $9.03–$204.45 | 40% below | 85% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $6,611.96 | — | $3,305.98–$11,865.12 | 135% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $26,232.86 | — | $13,116.43–$33,446.90 | 137% above | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $12,721.60 | — | $6,360.80–$16,911.52 | 196% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $14,564.62 | — | $7,282.31–$34,937.82 | 1% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $14,564.62 | — | $7,282.31–$34,937.82 | 6% above | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $14,113.52 | — | $2,857.96–$17,994.74 | — | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $601.84 | $2,685.00 | $300.92–$3,240.88 | 138% above | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST BX-STEREOTACTIC 1ST LES | $3,303.34 | $6,781.00 | $1,651.67–$8,788.66 | 74% above | 51% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DSTL FIB FX WO MANIP | $489.06 | $2,264.00 | $244.53–$3,412.41 | 79% above | 78% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TRTMT OF METATARSAL FX WO MAN | $489.06 | $2,264.00 | $244.53–$3,412.41 | 72% above | 78% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $6,615.10 | — | $3,307.55–$18,332.59 | 1% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $6,615.10 | — | $3,307.55–$18,332.59 | at median | — |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC W/COR ANGIO W/WO L VENTR | $6,557.62 | $15,394.00 | $3,278.81–$14,470.36 | 19% above | 57% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,334.14 | $2,009.00 | $667.07–$4,192.81 | 140% above | 34% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,334.14 | $2,009.00 | $667.07–$4,192.81 | 140% above | 34% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $3,981.30 | — | $1,990.65–$10,952.27 | 45% above | — |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $4,649.94 | — | $2,324.97–$10,948.39 | 26% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB | $50,016.42 | — | $24,645.60–$63,770.94 | 270% above | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $1,775.26 | — | $887.63–$3,363.33 | at median | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $4,176.50 | — | $2,088.25–$9,544.92 | 23% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $4,176.50 | — | $2,088.25–$9,544.92 | 935% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $1,360.84 | — | $680.42–$9,544.92 | 188% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX RAD FX/ EPIP SEP WO MNP | $489.06 | $2,264.00 | $244.53–$3,412.41 | 39% above | 78% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $2,403.90 | — | $1,201.95–$3,391.43 | 273% above | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,403.90 | — | $1,201.95–$6,688.74 | 7% below | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,403.90 | — | $1,201.95–$4,113.57 | 11% below | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,858.80 | — | $929.40–$4,113.57 | 39% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $6,482.42 | — | $1,690.47–$8,265.09 | 96% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $620.18 | — | $310.09–$2,654.16 | 81% above | — |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $4,649.94 | — | $2,324.97–$10,948.39 | at median | — |
| Coronary stent placement, one artery CPT 92928 STENT W/WO PTCA SINGLE ART/BRN | $23,121.14 | $25,424.00 | $10,678.08–$56,655.96 | 126% above | 9% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $7,031.76 | — | $3,515.88–$10,641.44 | 59% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $1,360.84 | — | $680.42–$10,641.44 | 109% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $6,482.42 | — | $3,241.21–$11,441.66 | 107% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $405.10 | — | $202.55–$1,556.32 | 409% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $3,020.04 | — | $1,510.02–$9,766.19 | 3% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $1,038.26 | — | $519.13–$9,766.19 | 266% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN IRRIGATE | $121.10 | $141.00 | $59.22–$181.75 | 96% above | 14% |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL W/INTR | $121.10 | $147.00 | $60.55–$181.75 | 64% above | 18% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $410.14 | — | $205.07–$522.93 | 18% above | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $14,113.52 | — | $7,056.76–$21,595.12 | 140% above | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $14,113.52 | — | $7,056.76–$21,595.12 | at median | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $7,516.94 | — | $3,758.47–$21,595.12 | at median | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $14,113.52 | — | $7,056.76–$21,595.12 | 22% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL OR THORACIC ESI | $1,411.90 | $2,685.00 | $705.95–$3,240.88 | 114% above | 47% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL INJ PHARM | $676.24 | $536.00 | $169.98–$862.21 | 17% above | -26% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR FACET INJ - FIRST LEVEL | $1,815.12 | $3,994.00 | $907.56–$5,290.31 | 63% above | 55% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $12,721.60 | — | $6,360.80–$16,220.04 | 2% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $12,721.60 | — | $6,360.80–$16,220.04 | 16% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $7,195.04 | — | $3,597.52–$15,974.39 | 6% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,858.80 | — | $929.40–$5,148.03 | 1% below | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,895.08 | — | $5,947.54–$22,202.91 | 18% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $11,895.08 | — | $5,947.54–$24,791.30 | 18% above | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $6,615.10 | — | $3,307.55–$13,430.78 | 46% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $1,858.80 | — | $929.40–$5,460.69 | 57% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $5,591.18 | — | $2,795.59–$13,009.97 | 22% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $10,064.42 | — | $5,032.21–$15,183.83 | 26% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $6,482.42 | — | $3,241.21–$15,183.83 | at median | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS-SIMPLE | $405.10 | $872.00 | $202.55–$1,752.39 | 89% above | 54% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS CYST SIMPLE | $405.10 | $1,005.00 | $202.55–$1,752.39 | 89% above | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $7,195.04 | — | $3,597.52–$15,974.39 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 LIGAMENT-TENDON INJECTION | $601.84 | $1,725.00 | $300.92–$2,200.14 | 176% above | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTION | $601.84 | $1,128.00 | $300.92–$2,200.14 | 153% above | 47% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS | $601.84 | $1,128.00 | $300.92–$2,200.14 | 153% above | 47% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JOINT INJ - UNILATERAL | $601.84 | $1,759.00 | $300.92–$2,200.14 | 153% above | 66% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $262.80 | — | $131.40–$3,477.36 | 25% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JOINT/BURSA | $601.84 | $810.00 | $300.92–$2,200.14 | 165% above | 26% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MEDIUM JOINT INJ - UNILATERAL | $601.84 | $1,208.00 | $300.92–$2,200.14 | 165% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ/ASPIRATION SMALL JOINT | $601.84 | $1,208.00 | $300.92–$2,200.14 | 240% above | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $6,615.10 | — | $3,307.55–$15,877.80 | at median | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $6,615.10 | — | $3,307.55–$15,877.80 | 1% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $6,615.10 | — | $3,307.55–$15,877.80 | at median | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $6,615.10 | — | $3,307.55–$15,877.80 | 1% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $11,895.08 | — | $5,947.54–$22,202.91 | 24% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $21,226.38 | — | $10,613.19–$27,063.63 | 49% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $21,226.38 | — | $10,613.19–$27,063.63 | 59% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $21,226.38 | — | $10,613.19–$27,063.63 | 28% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $11,895.08 | — | $5,947.54–$22,202.91 | 11% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $11,895.08 | — | $5,947.54–$22,202.91 | 9% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $11,895.08 | — | $5,947.54–$22,202.91 | 45% above | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $1,118.48 | — | $559.24–$2,446.28 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLOS SC/AX/TR/EXT 2.5 OR < | $814.56 | $740.00 | $310.80–$1,617.71 | 161% above | -10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE 2.5CM OR LESS | $814.56 | $740.00 | $310.80–$1,617.71 | 161% above | -10% |
| Left heart catheterization, diagnostic CPT 93452 LHC W/WO L VENTRICULOGRAPHY | $6,557.62 | $12,712.00 | $3,278.81–$11,949.28 | 37% above | 48% |
| Lower-back epidural injection, with imaging guidance CPT 62323 RADIOLOGY EPIDURAL INJECTION | $1,411.90 | $2,685.00 | $705.95–$3,240.88 | 114% above | 47% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,815.12 | — | $907.56–$3,240.88 | 190% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFOR EPIDURAL INJ LUMBAR | $1,815.12 | $3,994.00 | $907.56–$5,290.31 | 90% above | 55% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $14,564.62 | — | $7,282.31–$27,261.95 | 22% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $14,564.62 | — | $7,282.31–$27,261.95 | 22% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $37,493.60 | — | $17,363.51–$47,804.34 | at median | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $7,807.14 | — | $3,903.57–$20,522.31 | 108% above | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $13,295.94 | — | $6,647.97–$20,522.31 | 62% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $6,482.42 | — | $3,241.21–$9,835.10 | 76% above | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $1,248.00 | — | $624.00–$11,271.29 | at median | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $1,434.48 | — | $717.24–$5,460.69 | 396% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $1,434.48 | — | $717.24–$5,460.69 | 220% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE PART OR COMP | $405.10 | $816.00 | $202.55–$1,617.71 | 161% above | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL | $405.10 | $815.00 | $202.55–$1,617.71 | 161% above | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NERVE | $601.84 | $3,743.00 | $300.92–$3,518.42 | 58% above | 84% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GRTR OCCIP NERVE | $601.84 | $2,432.00 | $300.92–$3,240.88 | 58% above | 75% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $21,336.70 | $34,859.00 | $10,668.35–$55,274.72 | 134% above | 39% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMAG | $1,911.50 | $2,366.00 | $955.75–$4,617.42 | 106% above | 19% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS | $1,911.50 | $3,357.00 | $955.75–$4,617.42 | 106% above | 43% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $26,232.86 | — | $13,116.43–$53,187.86 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $814.56 | $3,575.00 | $407.28–$5,460.69 | 125% above | 77% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL MATRIX | $814.56 | $3,576.00 | $407.28–$5,460.69 | 125% above | 77% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $4,176.50 | — | $2,088.25–$8,406.52 | 73% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $21,226.38 | — | $10,613.19–$32,620.85 | 1% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RF ABLATION LUMBAR OR SACRAL | $3,981.30 | $4,625.00 | $1,942.50–$5,290.31 | 130% above | 14% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $7,807.14 | — | $3,903.57–$9,954.10 | 559% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVAL FOREIGN BODY | $814.56 | $2,162.00 | $407.28–$2,032.28 | 232% above | 62% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOV FB SUBQ SIMP | $814.56 | $1,006.00 | $407.28–$1,752.39 | 232% above | 19% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $11,895.08 | — | $5,947.54–$26,943.52 | 5% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,858.80 | — | $929.40–$4,113.57 | 89% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,858.80 | — | $929.40–$4,113.57 | 56% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $6,611.96 | — | $3,305.98–$19,010.11 | 29% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $7,031.76 | — | $3,515.88–$25,727.77 | 24% below | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $541.46 | — | $270.73–$788.99 | 180% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPL OF SHORT ARM SPLINT | $262.80 | $1,229.00 | $131.40–$1,485.27 | 104% above | 79% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $541.46 | — | $270.73–$788.99 | 249% above | — |
| Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT | $321.70 | $1,229.00 | $160.85–$1,485.27 | 129% above | 74% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $6,615.10 | — | $3,307.55–$15,877.80 | 31% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SUPERFIAL WOUND 2.5 OR < | $405.10 | $538.00 | $202.55–$1,617.71 | 107% above | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5CM OR LESS | $405.10 | $759.00 | $202.55–$1,617.71 | 107% above | 47% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN | $814.56 | $2,957.00 | $407.28–$5,460.69 | 172% above | 72% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $1,434.48 | — | $717.24–$5,460.69 | 223% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS <= 15 LESIONS | $405.10 | $2,885.00 | $202.55–$2,711.90 | 161% above | 86% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS<= 15 LESIONS | $405.10 | $2,885.00 | $202.55–$2,711.90 | 161% above | 86% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE | $1,411.90 | $3,452.00 | $705.95–$3,536.27 | 136% above | 59% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,411.90 | $1,997.00 | $705.95–$3,536.27 | 136% above | 29% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SUPERFICIAL WOUND 2.6-7.5 | $405.10 | $673.00 | $202.55–$1,617.71 | 97% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6 - 7.5CM | $405.10 | $673.00 | $202.55–$1,617.71 | 97% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR 2.5CM OR LESS | $405.10 | $537.00 | $202.55–$1,617.71 | 92% above | 25% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $10,364.48 | — | $5,182.24–$21,251.48 | 180% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $405.10 | $2,852.00 | $202.55–$5,460.69 | 74% above | 86% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN | $405.10 | $2,957.00 | $202.55–$5,460.69 | 74% above | 86% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS | $1,260.50 | $3,452.00 | $630.25–$4,617.42 | 87% above | 63% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $6,611.96 | — | $3,305.98–$11,865.12 | 39% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $12,060.84 | — | $6,030.42–$15,377.57 | 154% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $6,611.96 | — | $3,305.98–$11,865.12 | 172% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $12,060.84 | — | $6,030.42–$15,377.57 | 409% above | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $26,232.86 | — | $13,116.43–$53,187.86 | 8% above | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $26,232.86 | — | $13,116.43–$53,187.86 | 2% above | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $37,493.60 | — | $18,746.80–$53,187.86 | 54% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $11,895.08 | — | $5,947.54–$26,943.52 | at median | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,262.92 | — | $1,631.46–$10,260.62 | at median | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ | $601.84 | $1,725.00 | $300.92–$2,200.14 | 165% above | 65% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCLES | $601.84 | $1,128.00 | $300.92–$2,200.14 | 165% above | 47% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $11,895.08 | — | $5,947.54–$22,202.91 | 175% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 U/S BX BREAST BX-1ST LESION | $3,303.34 | $9,206.00 | $1,651.67–$8,788.66 | 84% above | 64% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $3,867.58 | — | $1,933.79–$8,443.94 | 115% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $1,911.50 | $2,588.00 | $955.75–$3,949.64 | 174% above | 26% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $1,911.50 | — | $955.75–$8,443.94 | 4% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $3,867.58 | — | $1,933.79–$8,443.94 | 29% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $1,911.50 | — | $955.75–$8,443.94 | 197% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,911.50 | $2,588.00 | $955.75–$3,949.64 | 80% above | 26% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST | $12,136.58 | — | $5,378.06–$15,474.14 | 11% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $10,364.48 | — | $5,182.24–$15,774.19 | 289% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $10,364.48 | — | $5,182.24–$22,287.52 | 4% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $4,176.50 | — | $2,088.25–$12,413.83 | 552% above | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN EXTREM | $6,417.12 | $6,953.00 | $2,920.26–$14,244.47 | 2% below | 8% |
| Wart removal, up to 14 warts CPT 17110 DEST BENIGN LESIONS 1-14 | $405.10 | $242.00 | $101.64–$1,556.32 | 148% above | -67% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LES 1-14 | $405.10 | $2,100.00 | $202.55–$1,974.00 | 148% above | 81% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ 1ST 20 CM | $814.56 | $722.00 | $303.24–$1,556.32 | 100% above | -13% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN & SUB Q 1ST 20 CM | $814.56 | $1,381.00 | $407.28–$1,556.32 | 100% above | 41% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $14,564.62 | — | $7,282.31–$22,726.58 | 6% above | — |
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 ADMINISTRATION - T3 | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION-INFUS | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - ICU | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - T2 | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION -CATH LAB | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - ACU | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - BC | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - ER | $891.32 | $2,471.00 | $445.66–$5,499.69 | 34% above | 64% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SMALL VOLUME NEB INITIAL | $414.68 | $320.00 | $134.40–$1,671.17 | 234% above | -30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM COLLECTION | $414.68 | $269.00 | $112.98–$1,671.17 | 234% above | -54% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER TRMT INITIA | $414.68 | $269.00 | $112.98–$1,671.17 | 234% above | -54% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT INITIAL | $414.68 | $269.00 | $112.98–$1,671.17 | 234% above | -54% |
| Chemotherapy IV infusion, first hour CPT 96413 INFUSION CHEMO INIT TO 1 HR | $676.24 | $455.00 | $191.10–$862.21 | 94% above | -49% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> | $262.74 | — | $131.37–$334.99 | 3% above | — |
| Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> | $262.74 | — | $131.37–$334.99 | 3% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $319.00 | — | $159.50–$406.73 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES | $1,717.92 | $2,890.00 | $858.96–$2,716.60 | 112% above | 41% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,717.92 | $297.00 | $124.74–$2,190.35 | 112% above | -478% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG - AWAKE & DROWSEY | $634.88 | $1,482.00 | $317.44–$3,296.99 | 47% above | 57% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - ER | $121.10 | $400.00 | $36.97–$376.00 | 4% above | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $121.10 | $705.00 | $36.97–$662.70 | 4% above | 83% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $1,081.78 | — | $540.89–$3,516.19 | 48% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E.R. CARE UNIT LEVEL I | $179.52 | $306.00 | $89.76–$287.64 | 58% above | 41% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E.R. CARE UNIT LEVEL II | $322.86 | $728.00 | $161.43–$684.32 | 90% above | 56% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E.R. CARE UNIT LEVEL III | $564.52 | $1,208.00 | $282.26–$1,135.52 | 92% above | 53% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E.R. CARE UNIT LEVEL IV | $868.16 | $1,581.00 | $434.08–$1,486.14 | 97% above | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E.R. CARE UNIT LEVEL V | $1,249.98 | $2,692.00 | $624.99–$2,530.48 | 95% above | 54% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC PHARMACOLOGICAL STRESS | $634.88 | $790.00 | $236.44–$809.47 | 69% above | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST | $634.88 | $946.00 | $236.44–$889.24 | 69% above | 33% |
| Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT | $262.74 | — | $131.37–$334.99 | 14% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT | $327.58 | $345.00 | $144.90–$720.41 | 3% above | 5% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT | $327.58 | $377.00 | $158.34–$720.41 | 11% above | 13% |
| Group psychotherapy session CPT 90853 FOCUS GROUP THERAPY | $188.58 | $539.00 | $94.29–$506.66 | 3% below | 65% |
| Group psychotherapy session CPT 90853 PROCESS GROUP THERAPY | $188.58 | $539.00 | $94.29–$506.66 | 3% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATE INIT TO 1 HR | $429.56 | $416.00 | $174.72–$547.69 | 164% above | -3% |
| IV infusion of a medicine, first hour CPT 96365 INFUSN NON-CHEMO INIT TO 1 HR | $429.56 | $467.00 | $196.14–$547.69 | 87% above | 8% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NON-CHEMO IM/SUBQ | $145.10 | $119.00 | $49.98–$185.00 | 117% above | -22% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NONCHEMO IM/SUBQ | $145.10 | $119.00 | $49.98–$185.00 | 117% above | -22% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC INTERVIEW EXAM | $327.58 | $236.00 | $99.12–$584.24 | 131% above | -39% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $634.88 | $751.00 | $315.42–$809.47 | 33% above | 15% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $327.58 | — | $163.79–$584.24 | 6% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $634.88 | — | $317.44–$809.47 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $327.58 | — | $163.79–$417.66 | 18% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHER 30 MIN W PT&OR FAM | $327.58 | $307.00 | $128.94–$417.66 | 51% above | -7% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHER 45 MIN W/PT &OR FAM | $327.58 | $315.00 | $132.30–$417.66 | 26% above | -4% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHER 60 MIN W PT &OR FAM | $327.58 | $337.00 | $141.54–$417.66 | 21% above | 3% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $60.74 | — | $30.37–$77.44 | 128% above | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $319.00 | — | $159.50–$406.73 | 121% above | — |
| Spirometry before and after a bronchodilator CPT 94060 PEAK FLOW | $634.88 | $354.00 | $148.68–$809.47 | 61% above | -79% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN | $634.88 | — | $181.75–$809.47 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY (THERAPEUTIC) | $262.80 | $272.50 | $114.45–$463.11 | 110% above | 4% |
| Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM | $262.80 | — | $131.40–$335.07 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $668.28 | $1,748.35 | $71.25–$1,643.44 | 3% below | 62% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $145.10 | $78.00 | $32.76–$185.00 | 142% above | -86% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 PERIODONTAL SCALING & ROOT | $3,389.76 | — | $428.00–$4,321.94 | — | — |
| Porcelain crown CDT D2740 CROWN PORCELAIN/CERAMIC | $3,389.76 | — | $1,694.88–$4,342.44 | — | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 IMPACT TOOTH REMOV COMP BONY | $3,389.76 | — | $1,694.88–$10,221.13 | — | — |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 END THXPY, MOLAR TOOTH | $3,389.76 | — | $1,305.42–$4,321.94 | — | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 DENTAL PROPHYLAXIS ADULT | $262.74 | — | $120.38–$334.99 | — | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $3,389.76 | — | $1,694.88–$11,090.09 | — | — |
Source file: https://mrfs.hyvehealthcare.com/DuncanRegionalHealth/731008550_duncan-regional-hospital_standardcharges.json