Great Plains Regional Medical Center
Great Plains Regional Medical Center in Elk City, OK publishes cash prices for 100 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 above the Oklahoma median for 76 of 100 procedures and below it for 22. By typical cash price it ranks #40 of 43 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1801 W 3rd Street, Elk City, OK 73644 Collected Sep 27, 2026 Source price file (580) 225-2511
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 370019 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Great Plains Regional Medical Center in Elk City, OK:
- Jan 15, 2026 Warning notice
- May 11, 2026 Corrective action plan requested
- Jun 5, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 | $63.41 | $97.56 | — | 95% above | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 | $63.41 | $97.56 | — | — | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 | $291.98 | $449.20 | — | 670% above | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 | $291.98 | $449.20 | — | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 | $792.11 | $1,218.63 | — | 327% above | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 | $792.11 | $1,218.63 | — | — | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 | $36.09 | $55.53 | — | 46% above | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 | $36.09 | $55.53 | — | — | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 | $142.39 | $219.06 | — | 103% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 | $142.39 | $219.06 | — | — | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 | $48.69 | $74.90 | — | 13% above | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 | $48.69 | $74.90 | — | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 | $61.86 | $95.17 | — | 45% below | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 | $61.86 | $95.17 | — | — | 35% |
| Basic metabolic panel (blood test) CPT 80048 | $37.68 | $57.97 | — | 18% above | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 | $37.68 | $57.97 | — | — | 35% |
| Blood culture for bacteria CPT 87040 | $88.72 | $136.49 | — | 44% above | 35% |
| Blood culture for bacteria inpatient CPT 87040 | $88.72 | $136.49 | — | — | 35% |
| Blood glucose (sugar) test CPT 82947 | $17.64 | $27.14 | — | 30% below | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 | $17.64 | $27.14 | — | — | 35% |
| Blood lead test CPT 83655 | $63.83 | $98.20 | — | 51% above | 35% |
| Blood lead test inpatient CPT 83655 | $63.83 | $98.20 | — | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 | $102.11 | $157.09 | — | 155% above | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 | $102.11 | $157.09 | — | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 | $62.28 | $95.82 | — | 9% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 | $62.28 | $95.82 | — | — | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 | $190.12 | $292.49 | — | 600% above | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 | $190.12 | $292.49 | — | — | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 | $292.05 | $449.31 | — | 224% above | 35% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 | $292.05 | $449.31 | — | — | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 | $185.94 | $286.06 | — | 104% above | 35% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 | $185.94 | $286.06 | — | — | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 | $26.01 | $40.02 | — | 58% below | 35% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 | $26.01 | $40.02 | — | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 | $400.21 | $615.70 | — | 412% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 | $400.21 | $615.70 | — | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 | $93.07 | $143.19 | — | 42% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 | $93.07 | $143.19 | — | — | 35% |
| Complete blood count (CBC) with differential CPT 85025 | $296.20 | $455.69 | — | 553% above | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 | $296.20 | $455.69 | — | — | 35% |
| Complete blood count (CBC), no differential CPT 85027 | $1,004.81 | $1,545.86 | — | 3272% above | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 | $1,004.81 | $1,545.86 | — | — | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 | $76.13 | $117.13 | — | 68% above | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 | $76.13 | $117.13 | — | — | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 | $360.87 | $555.19 | — | 296% above | 35% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 | $360.87 | $555.19 | — | — | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 | $323.02 | $496.95 | — | 328% above | 35% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 | $323.02 | $496.95 | — | — | 35% |
| Estradiol blood test CPT 82670 | $225.34 | $346.68 | — | 201% above | 35% |
| Estradiol blood test inpatient CPT 82670 | $225.34 | $346.68 | — | — | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 | $141.97 | $218.41 | — | 108% above | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 | $141.97 | $218.41 | — | — | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 | $183.09 | $281.67 | — | 52% above | 35% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 | $183.09 | $281.67 | — | — | 35% |
| Ferritin blood test (iron stores) CPT 82728 | $164.60 | $253.23 | — | 238% above | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 | $164.60 | $253.23 | — | — | 35% |
| Folate (folic acid) blood test CPT 82746 | $71.36 | $109.78 | — | 22% above | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 | $71.36 | $109.78 | — | — | 35% |
| Free T3 thyroid hormone test CPT 84481 | $52.83 | $81.27 | — | 41% below | 35% |
| Free T3 thyroid hormone test inpatient CPT 84481 | $52.83 | $81.27 | — | — | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 | $36.48 | $56.13 | — | 41% below | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 | $36.48 | $56.13 | — | — | 35% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 | $63.62 | $97.88 | — | 61% below | 35% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 | $63.62 | $97.88 | — | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 | $306.77 | $471.96 | — | 948% above | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 | $306.77 | $471.96 | — | — | 35% |
| Glucose tolerance test, 3 samples CPT 82951 | $33.68 | $51.81 | — | 48% below | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 | $33.68 | $51.81 | — | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 | $132.68 | $204.13 | — | 72% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 | $132.68 | $204.13 | — | — | 35% |
| H. pylori antibody blood test CPT 86677 | $38.32 | $58.95 | — | 44% below | 35% |
| H. pylori antibody blood test inpatient CPT 86677 | $38.32 | $58.95 | — | — | 35% |
| H. pylori stool antigen test CPT 87338 | $263.41 | $405.24 | — | 133% above | 35% |
| H. pylori stool antigen test inpatient CPT 87338 | $263.41 | $405.24 | — | — | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 | $152.51 | $234.63 | — | 235% above | 35% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 | $152.51 | $234.63 | — | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 | $219.39 | $337.52 | — | 357% above | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 | $219.39 | $337.52 | — | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 | $101.23 | $155.74 | — | 136% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 | $101.23 | $155.74 | — | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 | $21.79 | $33.53 | — | 50% below | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 | $21.79 | $33.53 | — | — | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 | $21.79 | $33.53 | — | 44% below | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 | $21.79 | $33.53 | — | — | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 | $49.28 | $75.81 | — | at median | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 | $49.28 | $75.81 | — | — | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 | $60.56 | $93.17 | — | 73% below | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 | $60.56 | $93.17 | — | — | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 | $78.13 | $120.20 | — | 27% above | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 | $78.13 | $120.20 | — | — | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 | $37.68 | $57.97 | — | 42% below | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 | $37.68 | $57.97 | — | — | 35% |
| Homocysteine blood test CPT 83090 | $463.16 | $712.55 | — | 272% above | 35% |
| Homocysteine blood test inpatient CPT 83090 | $463.16 | $712.55 | — | — | 35% |
| Insulin blood test CPT 83525 | $44.60 | $68.62 | — | at median | 35% |
| Insulin blood test inpatient CPT 83525 | $44.60 | $68.62 | — | — | 35% |
| Iron blood test (serum iron) CPT 83540 | $83.66 | $128.70 | — | 161% above | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 | $83.66 | $128.70 | — | — | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 | $249.10 | $383.23 | — | 535% above | 35% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 | $249.10 | $383.23 | — | — | 35% |
| Kidney function blood test panel CPT 80069 | $89.80 | $138.16 | — | 70% above | 35% |
| Kidney function blood test panel inpatient CPT 80069 | $89.80 | $138.16 | — | — | 35% |
| LH (luteinizing hormone) test CPT 83002 | $73.04 | $112.37 | — | at median | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 | $73.04 | $112.37 | — | — | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 | $129.17 | $198.72 | — | 201% above | 35% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 | $129.17 | $198.72 | — | — | 35% |
| Liver function blood test panel CPT 80076 | $11.43 | $17.58 | — | 74% below | 35% |
| Liver function blood test panel inpatient CPT 80076 | $11.43 | $17.58 | — | — | 35% |
| Lyme disease antibody test CPT 86618 | $324.38 | $499.05 | — | 354% above | 35% |
| Lyme disease antibody test inpatient CPT 86618 | $324.38 | $499.05 | — | — | 35% |
| Magnesium blood test CPT 83735 | $53.50 | $82.30 | — | 91% above | 35% |
| Magnesium blood test inpatient CPT 83735 | $53.50 | $82.30 | — | — | 35% |
| Measles (rubeola) antibody test CPT 86765 | $116.66 | $179.48 | — | 156% above | 35% |
| Measles (rubeola) antibody test inpatient CPT 86765 | $116.66 | $179.48 | — | — | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 | $98.59 | $151.68 | — | 199% above | 35% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 | $98.59 | $151.68 | — | — | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 | $790.34 | $1,215.90 | — | 685% above | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 | $790.34 | $1,215.90 | — | — | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 | $90.23 | $138.81 | — | 17% above | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 | $90.23 | $138.81 | — | — | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 | $32.37 | $49.80 | — | 77% below | 35% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 | $32.37 | $49.80 | — | — | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 | $84.08 | $129.35 | — | 169% above | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 | $84.08 | $129.35 | — | — | 35% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 | $229.07 | $352.41 | — | 81% below | 35% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 | $229.07 | $352.41 | — | — | 35% |
| Progesterone blood test CPT 84144 | $73.04 | $112.37 | — | 4% below | 35% |
| Progesterone blood test inpatient CPT 84144 | $73.04 | $112.37 | — | — | 35% |
| Prolactin blood test CPT 84146 | $22.50 | $34.61 | — | 74% below | 35% |
| Prolactin blood test inpatient CPT 84146 | $22.50 | $34.61 | — | — | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 | $212.34 | $326.67 | — | 865% above | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 | $212.34 | $326.67 | — | — | 35% |
| Rapid flu test (influenza antigen) CPT 87804 | $125.20 | $192.61 | — | 124% above | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 | $125.20 | $192.61 | — | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 | $216.55 | $333.15 | — | 346% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 | $216.55 | $333.15 | — | — | 35% |
| Rubella antibody test (immunity check) CPT 86762 | $49.52 | $76.19 | — | 4% below | 35% |
| Rubella antibody test (immunity check) inpatient CPT 86762 | $49.52 | $76.19 | — | — | 35% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 | $56.38 | $86.74 | — | 53% below | 35% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 | $56.38 | $86.74 | — | — | 35% |
| Stool ova and parasites exam CPT 87177 | $36.56 | $56.24 | — | 36% below | 35% |
| Stool ova and parasites exam inpatient CPT 87177 | $36.56 | $56.24 | — | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 | $307.83 | $473.59 | — | 1102% above | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 | $307.83 | $473.59 | — | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 | $168.99 | $259.99 | — | 2% above | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 | $168.99 | $259.99 | — | — | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 | $81.65 | $125.61 | — | at median | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 | $81.65 | $125.61 | — | — | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 | $323.02 | $496.95 | — | 485% above | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 | $323.02 | $496.95 | — | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 | $438.76 | $675.01 | — | 886% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 | $438.76 | $675.01 | — | — | 35% |
| Uric acid blood test CPT 84550 | $21.16 | $32.55 | — | 16% below | 35% |
| Uric acid blood test inpatient CPT 84550 | $21.16 | $32.55 | — | — | 35% |
| Urinalysis with microscope exam, automated CPT 81001 | $26.11 | $40.17 | — | 8% above | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 | $26.11 | $40.17 | — | — | 35% |
| Urinalysis with microscope exam, manual CPT 81000 | $157.78 | $242.74 | — | 834% above | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 | $157.78 | $242.74 | — | — | 35% |
| Urinalysis without microscope exam, automated CPT 81003 | $36.31 | $55.86 | — | 219% above | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 | $36.31 | $55.86 | — | — | 35% |
| Urinalysis without microscope exam, manual CPT 81002 | $26.44 | $40.67 | — | 51% above | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 | $26.44 | $40.67 | — | — | 35% |
| Urine culture for bacteria, with colony count CPT 87086 | $130.96 | $201.48 | — | 174% above | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 | $130.96 | $201.48 | — | — | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 | $183.51 | $282.32 | — | 210% above | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 | $183.51 | $282.32 | — | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 | $76.48 | $117.66 | — | 42% below | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 | $76.48 | $117.66 | — | — | 35% |
| Zinc blood test CPT 84630 | $95.29 | $146.60 | — | 65% above | 35% |
| Zinc blood test inpatient CPT 84630 | $95.29 | $146.60 | — | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 | $149.21 | $229.55 | — | 177% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 | $149.21 | $229.55 | — | — | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Colonoscopy with tissue sample CPT 45380 | $3,830.59 | $5,893.22 | — | 41% above | 35% |
| Colonoscopy, diagnostic CPT 45378 | $3,972.48 | $6,111.51 | — | 196% above | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 | $5,277.42 | $8,119.11 | — | 699% above | 35% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 | $2,326.29 | $3,578.91 | — | 109% above | 35% |
| Gallbladder removal, laparoscopic CPT 47562 | $12,187.27 | $18,749.64 | — | 21% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 | $2,035.86 | $3,232.10 | — | 757% above | 37% |
| Knee arthroscopy with meniscus trim CPT 29881 | $8,671.66 | $13,341.02 | — | 30% above | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 | $16,420.28 | $25,261.97 | — | 71% above | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 | $2,466.03 | $3,793.89 | — | 273% above | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 | $21,057.80 | $32,396.61 | — | 127% above | 35% |
| Total hip replacement CPT 27130 | $30,270.69 | $46,570.30 | — | 24% above | 35% |
| Total knee replacement CPT 27447 | $27,001.75 | $41,541.15 | — | 5% above | 35% |
| Total shoulder replacement CPT 23472 | $37,172.38 | $57,188.28 | — | 53% above | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $5,986.10 | $9,209.38 | — | 757% above | 35% |
Source file: https://www.gprmc-ok.com/730579295_great-plains-regional-medical_standardcharges.csv