Atoka County Medical Center
Atoka County Medical Center in Atoka, OK publishes cash prices for 234 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 187 of 231 procedures and above it for 34. By typical cash price it ranks #5 of 45 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1590 West Liberty Road, Atoka, OK 74525 Collected Sep 27, 2026 Source price file (580) 889-3333
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 371300 · 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 1 action for a hospital named Atoka County Medical Center in Atoka, OK:
- Jun 15, 2026 Warning notice
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.
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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3-view | $103.00 | $258.00 | $114.00–$219.00 | 41% below | 60% |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete | $245.00 | $611.00 | $269.00–$519.00 | 27% below | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limited | $201.00 | $502.00 | $221.00–$427.00 | 40% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/ Contrast | $800.00 | $2,000.00 | $880.00–$1,700.00 | 47% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/wo Contrast | $800.00 | $2,000.00 | $880.00–$1,700.00 | 47% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Ab/pel Wo Contrast | $425.00 | $1,062.00 | $467.00–$903.00 | 68% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $651.00 | $1,627.00 | $716.00–$1,383.00 | 60% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Ab/pel W/wo Contrast | $1,610.00 | $4,025.00 | $1,771.00–$3,421.00 | 15% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abd W/contrast | $651.00 | $1,627.00 | $716.00–$1,383.00 | 42% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abd Wo Contrast | $534.00 | $1,336.00 | $588.00–$1,136.00 | 47% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo Contrast | $534.00 | $1,336.00 | $588.00–$1,136.00 | 47% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sin/facial Wo Contrast | $398.00 | $995.00 | $438.00–$846.00 | 55% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $366.00 | $915.00 | $403.00–$778.00 | 61% below | 60% |
| CT scan of the head with contrast CPT 70460 Ct Head W/contrast | $437.00 | $1,092.00 | $480.00–$928.00 | 64% below | 60% |
| CT scan of the head without and with contrast CPT 70470 Ct Head W/wo Contrast | $543.00 | $1,358.00 | $598.00–$1,154.00 | 58% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-spine Wo Contrast | $461.00 | $1,152.00 | $507.00–$979.00 | 54% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-spine Wo Contrast | $464.00 | $1,160.00 | $510.00–$986.00 | 53% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $466.00 | $1,165.00 | $513.00–$990.00 | 57% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid Complete | $493.00 | $1,234.00 | $543.00–$1,049.00 | at median | 60% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2-view | $87.00 | $216.00 | $95.00–$184.00 | 27% below | 60% |
| Chest X-ray, single view CPT 71045 Xr Chest 1-view | $66.00 | $165.00 | $73.00–$140.00 | 62% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal Complete | $232.00 | $579.00 | $255.00–$492.00 | 42% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Aorta | $232.00 | $579.00 | $255.00–$492.00 | 42% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo Contrast | $462.00 | $1,154.00 | $508.00–$981.00 | 52% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/contrast | $510.00 | $1,276.00 | $561.00–$1,085.00 | 55% below | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Ext Arteries Bi | $562.00 | $1,404.00 | $618.00–$1,193.00 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Ext Venous Bi | $554.00 | $1,386.00 | $610.00–$1,178.00 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Complete | $740.00 | $1,850.00 | $814.00–$1,573.00 | 32% below | 60% |
| Knee X-ray, 3 views CPT 73562 Xr Knee 3-view | $113.00 | $283.00 | $125.00–$241.00 | 37% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $174.00 | $434.00 | $191.00–$369.00 | 55% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,053.00 | $2,632.00 | $1,158.00–$2,237.00 | 25% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mr Low Ext W/wo Contrast | $1,444.00 | $3,609.00 | $1,588.00–$3,068.00 | 20% below | 60% |
| MRI of the abdomen without contrast CPT 74181 Mr Abd Wo Contrast | $1,154.00 | $2,886.00 | $1,270.00–$2,453.00 | 8% above | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mr Abd W/wo Contrast | $1,608.00 | $4,021.00 | $1,769.00–$3,418.00 | 16% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 Mr Head Wo Contrast | $1,471.00 | $3,677.00 | $1,618.00–$3,125.00 | 43% above | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $2,148.00 | $5,370.00 | $2,363.00–$4,565.00 | 45% above | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $1,193.00 | $2,983.00 | $1,313.00–$2,536.00 | at median | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mr L-spine W/wo Contrast | $1,707.00 | $4,267.00 | $1,877.00–$3,627.00 | 11% above | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mr T-spine Wo Contrast | $1,258.00 | $3,146.00 | $1,384.00–$2,674.00 | 18% above | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mr C-spine W/wo Contrast | $1,647.00 | $4,119.00 | $1,812.00–$3,501.00 | 6% above | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mr C-spine Wo Contrast | $1,186.00 | $2,965.00 | $1,305.00–$2,520.00 | 15% above | 60% |
| MRI of the pelvis without and with contrast CPT 72197 Mr Pelvis W/wo Contrast | $1,663.00 | $4,158.00 | $1,830.00–$3,534.00 | 14% above | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 Mr Pelvis Wo Contrast | $421.00 | $1,053.00 | $463.00–$895.00 | 61% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mr Up Ext Wo Contrast | $1,037.00 | $2,593.00 | $1,141.00–$2,204.00 | 38% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder Scan | $250.00 | $625.00 | $275.00–$531.00 | 17% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $182.00 | $456.00 | $201.00–$388.00 | 63% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $261.00 | $652.00 | $287.00–$554.00 | 34% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob 1st Tri | $261.00 | $652.00 | $287.00–$554.00 | 38% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $190.00 | $475.00 | $209.00–$404.00 | 46% below | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2/3-view | $107.00 | $268.00 | $118.00–$228.00 | 44% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $208.00 | $521.00 | $229.00–$443.00 | 45% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $261.00 | $652.00 | $287.00–$554.00 | 50% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Prostate Complete | $137.00 | $343.00 | $151.00–$292.00 | 60% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents | $246.00 | $616.00 | $271.00–$524.00 | 27% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid Complete | $184.00 | $461.00 | $203.00–$392.00 | 55% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us St Head/neck | $234.00 | $585.00 | $257.00–$497.00 | 43% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Ext Venous Uni | $376.00 | $940.00 | $414.00–$799.00 | 24% below | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3-view | $91.00 | $227.00 | $100.00–$193.00 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/pel 2/3-views | $132.00 | $330.00 | $145.00–$281.00 | 27% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1-view | $74.00 | $185.00 | $81.00–$157.00 | 57% below | 60% |
| X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2-view | $82.00 | $206.00 | $91.00–$175.00 | 49% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(s) 3-view | $103.00 | $258.00 | $114.00–$219.00 | 36% below | 60% |
| X-ray of the foot, 2 views CPT 73620 Xr Foot 2-view | $82.00 | $206.00 | $91.00–$175.00 | 49% below | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3-view | $103.00 | $258.00 | $114.00–$219.00 | 45% below | 60% |
| X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3-view | $103.00 | $258.00 | $114.00–$219.00 | 42% below | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 2-view | $103.00 | $258.00 | $114.00–$219.00 | 39% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L-spine 2/3-view | $144.00 | $361.00 | $159.00–$307.00 | 32% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $155.00 | $386.00 | $170.00–$328.00 | 47% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr T-spine 2-view | $124.00 | $309.00 | $136.00–$263.00 | 34% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3-view | $103.00 | $258.00 | $114.00–$219.00 | 37% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C-spine 2/3-view | $177.00 | $443.00 | $195.00–$377.00 | 11% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-view | $103.00 | $258.00 | $114.00–$219.00 | 44% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx 3-view | $132.00 | $330.00 | $145.00–$281.00 | 26% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt/alt | $21.00 | $51.00 | $22.00–$43.00 | 35% below | 59% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot/ast | $21.00 | $51.00 | $22.00–$43.00 | 45% below | 59% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $162.00 | $405.00 | $178.00–$344.00 | 10% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honey | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat F007 | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut-f013 | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Linseed F333 | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut F017 | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana F092 | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia F345 | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl G | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl V | $15.00 | $37.00 | $16.00–$31.00 | 32% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Stachybotrys Atra | $16.00 | $39.00 | $17.00–$33.00 | 28% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fruit Allegen Profile | $74.00 | $185.00 | $81.00–$157.00 | 233% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pediatric 3-6 Yrs Pnl | $89.00 | $222.00 | $98.00–$189.00 | 301% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pediatric 0-3 Yrs Pnl | $106.00 | $266.00 | $117.00–$226.00 | 377% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Ige Nut Pnl/rflx | $133.00 | $333.00 | $147.00–$283.00 | 499% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Panel (10) | $162.00 | $406.00 | $179.00–$345.00 | 630% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mold | $186.00 | $466.00 | $205.00–$396.00 | 738% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pediatric 6 Yrs Plus | $222.00 | $555.00 | $244.00–$472.00 | 900% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Panel (16) | $249.00 | $622.00 | $274.00–$529.00 | 1022% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen 12 Panel | $447.00 | $1,117.00 | $491.00–$949.00 | 1914% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Area 10 Panel | $466.00 | $1,164.00 | $512.00–$989.00 | 1999% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody | $61.00 | $154.00 | $68.00–$131.00 | 13% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-ccp Ab, Igg/iga | $121.00 | $303.00 | $133.00–$258.00 | 72% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab By Multiplex | $36.00 | $90.00 | $40.00–$77.00 | 16% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Ifa Rfx To Titer /Pattern | $42.00 | $104.00 | $46.00–$88.00 | 2% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-chromatin Ab | $50.00 | $126.00 | $55.00–$107.00 | 17% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab By Rfx5 | $260.00 | $651.00 | $286.00–$553.00 | 506% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana,ifa Rfx 11 Mark Multiplex | $446.00 | $1,116.00 | $491.00–$949.00 | 940% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab By Rfx9 | $469.00 | $1,172.00 | $516.00–$996.00 | 993% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana 12 Plus Profile, (Rdl) | $810.00 | $2,025.00 | $891.00–$1,721.00 | 1788% above | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp | $81.00 | $201.00 | $88.00–$171.00 | 28% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-probnp | $98.00 | $246.00 | $108.00–$209.00 | 13% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $43.00 | $106.00 | $47.00–$90.00 | 35% above | 59% |
| Blood culture for bacteria CPT 87040 Culture Blood | $37.00 | $94.00 | $41.00–$80.00 | 40% below | 61% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Drawing Charge 36415 | $10.00 | $25.00 | $11.00–$21.00 | 3% above | 60% |
| Blood glucose (sugar) test CPT 82947 Glucose | $24.00 | $60.00 | $26.00–$51.00 | 5% below | 60% |
| Blood lead test CPT 83655 Lead Blood Pediatric | $19.00 | $48.00 | $21.00–$41.00 | 55% below | 60% |
| Blood lead test CPT 83655 Lead, Blood ( Adult) | $31.00 | $78.00 | $34.00–$66.00 | 27% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type Abo | $18.00 | $45.00 | $20.00–$38.00 | 68% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant | $29.00 | $72.00 | $32.00–$61.00 | at median | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp | $29.00 | $73.00 | $32.00–$62.00 | at median | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $68.00 | $171.00 | $75.00–$145.00 | 25% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $67.00 | $167.00 | $73.00–$142.00 | 4% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Rna | $53.00 | $132.00 | $58.00–$112.00 | 32% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia & Gonorrhea Std Urine | $100.00 | $250.00 | $110.00–$213.00 | 28% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gc Amplification | $100.00 | $250.00 | $110.00–$213.00 | 28% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct,ng,trich Vag By Naa | $154.00 | $384.00 | $169.00–$326.00 | 97% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $57.00 | $142.00 | $62.00–$121.00 | 13% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $49.00 | $123.00 | $54.00–$105.00 | 8% above | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $103.00 | $258.00 | $114.00–$219.00 | 104% above | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $69.00 | $172.00 | $76.00–$146.00 | 20% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Serum | $60.00 | $151.00 | $66.00–$128.00 | 21% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s | $86.00 | $214.00 | $94.00–$182.00 | 14% above | 60% |
| Estradiol blood test CPT 82670 Estradiol | $80.00 | $200.00 | $88.00–$170.00 | at median | 60% |
| Estradiol blood test CPT 82670 Estradiol, Sensitive, Lc/ms | $92.00 | $230.00 | $101.00–$196.00 | 15% above | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $61.00 | $152.00 | $67.00–$129.00 | 8% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh And Lh | $89.00 | $222.00 | $98.00–$189.00 | 34% above | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $101.00 | $252.00 | $111.00–$214.00 | 16% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $53.00 | $132.00 | $58.00–$112.00 | at median | 60% |
| Ferritin blood test (iron stores) CPT 82728 ..Zz Test Ferritin | $53.00 | $132.00 | $58.00–$112.00 | at median | 60% |
| Folate (folic acid) blood test CPT 82746 Folate | $58.00 | $146.00 | $64.00–$124.00 | at median | 60% |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $61.00 | $153.00 | $67.00–$130.00 | 32% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $52.00 | $131.00 | $58.00–$111.00 | 15% below | 60% |
| Free testosterone test CPT 84402 Testosterone Free Direct | $105.00 | $262.00 | $115.00–$223.00 | 21% above | 60% |
| Free testosterone test CPT 84402 Testosterone Free And Total | $149.00 | $372.00 | $164.00–$316.00 | 72% above | 60% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 1hr | $27.00 | $67.00 | $29.00–$57.00 | 56% below | 60% |
| H. pylori antibody blood test CPT 86677 H.pylori, Igg Abs | $49.00 | $123.00 | $54.00–$105.00 | 28% below | 60% |
| H. pylori antibody blood test CPT 86677 H Pylori-stool | $70.00 | $174.00 | $77.00–$148.00 | 2% above | 60% |
| H. pylori antibody blood test CPT 86677 H Pylori, Iga G M | $147.00 | $369.00 | $162.00–$314.00 | 115% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Quant Pcr | $197.00 | $494.00 | $217.00–$420.00 | at median | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ab/p24 Ag W/ Reflex | $134.00 | $336.00 | $148.00–$286.00 | 175% above | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Pap Smear W/hpv (Aptima) | $125.00 | $313.00 | $138.00–$266.00 | 19% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $33.00 | $83.00 | $37.00–$71.00 | 23% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab | $43.00 | $108.00 | $48.00–$92.00 | 2% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag | $34.00 | $84.00 | $37.00–$71.00 | 13% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Ab Rflx To Qnt Pcr | $68.00 | $171.00 | $75.00–$145.00 | 36% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus, Quant, Rna (Abbott Realtime | $327.00 | $817.00 | $359.00–$694.00 | 47% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Pcr Qnt Rfx To Geno | $396.00 | $990.00 | $436.00–$842.00 | 78% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Quant Gt 1a Ns 5a Profile | $612.00 | $1,530.00 | $673.00–$1,301.00 | 175% above | 60% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-pcr Qnt (Non Graph) | $204.00 | $510.00 | $224.00–$434.00 | 8% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus Type 1-2 Igm | $46.00 | $116.00 | $51.00–$99.00 | 21% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Positive Herp Simplex Virus Type 1-2 Igg | $52.00 | $129.00 | $57.00–$110.00 | 11% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 And 2 Ab, Igg | $87.00 | $218.00 | $96.00–$185.00 | 49% above | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1/2 Pcr | $92.00 | $229.00 | $101.00–$195.00 | 57% above | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity | $38.00 | $95.00 | $42.00–$81.00 | 26% below | 60% |
| Homocysteine blood test CPT 83090 Homocysteine Serum | $75.00 | $186.00 | $82.00–$158.00 | 40% below | 60% |
| Homocysteine blood test CPT 83090 Homocysteine Plasma | $149.00 | $372.00 | $164.00–$316.00 | 20% above | 60% |
| Insulin blood test CPT 83525 Free And Total Insulin | $55.00 | $139.00 | $61.00–$118.00 | 17% above | 60% |
| Insulin blood test CPT 83525 Insulin | $79.00 | $198.00 | $87.00–$168.00 | 68% above | 60% |
| Iron blood test (serum iron) CPT 83540 Iron | $39.00 | $98.00 | $43.00–$83.00 | 20% above | 60% |
| Iron blood test (serum iron) CPT 83540 *Anemia Panel B-042077 | $53.00 | $133.00 | $59.00–$113.00 | 64% above | 60% |
| Iron blood test (serum iron) CPT 83540 *Anemia Profile A | $64.00 | $161.00 | $71.00–$137.00 | 98% above | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron/tibc | $53.00 | $132.00 | $58.00–$112.00 | 27% above | 60% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $62.00 | $155.00 | $68.00–$132.00 | 17% above | 60% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $61.00 | $152.00 | $67.00–$129.00 | 16% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $40.00 | $100.00 | $44.00–$85.00 | 7% below | 60% |
| Liver function blood test panel CPT 80076 Liver function blood test | $52.00 | $129.00 | $57.00–$110.00 | 17% above | 60% |
| Lyme disease antibody test CPT 86618 Lymes Disease Total Ab/reflux To Immunoa | $56.00 | $140.00 | $62.00–$119.00 | 22% below | 60% |
| Lyme disease antibody test CPT 86618 Lyme Reflex To Western Blot | $70.00 | $174.00 | $77.00–$148.00 | 2% below | 60% |
| Lyme disease antibody test CPT 86618 Lymes Titer | $104.00 | $261.00 | $115.00–$222.00 | 45% above | 60% |
| Lyme disease antibody test CPT 86618 Tickborne Disease Ab Profile Serum | $247.00 | $618.00 | $272.00–$525.00 | 245% above | 60% |
| Magnesium blood test CPT 83735 Magnesium | $27.00 | $68.00 | $30.00–$58.00 | 4% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, Igm | $52.00 | $129.00 | $57.00–$110.00 | 13% above | 60% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) | $59.00 | $146.00 | $64.00–$124.00 | 28% above | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Spot | $26.00 | $66.00 | $29.00–$56.00 | 21% below | 61% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Qual/rflx Qnt | $30.00 | $76.00 | $33.00–$65.00 | 9% below | 61% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $129.00 | $322.00 | $142.00–$274.00 | 68% above | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth (Intact) | $114.00 | $286.00 | $126.00–$243.00 | 18% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $24.00 | $59.00 | $26.00–$50.00 | 23% below | 59% |
| Progesterone blood test CPT 84144 Progesterone | $63.00 | $157.00 | $69.00–$133.00 | 14% below | 60% |
| Prolactin blood test CPT 84146 Prolactin | $63.00 | $157.00 | $69.00–$133.00 | 26% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $23.00 | $57.00 | $25.00–$48.00 | at median | 60% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A | $36.00 | $91.00 | $40.00–$77.00 | 35% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B | $36.00 | $91.00 | $40.00–$77.00 | 35% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep | $33.00 | $83.00 | $37.00–$71.00 | 32% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $26.00 | $66.00 | $29.00–$56.00 | 1% below | 61% |
| Rheumatoid factor (RF) test CPT 86431 Chromium | $56.00 | $140.00 | $62.00–$119.00 | 112% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 Rf Igm | $101.00 | $252.00 | $111.00–$214.00 | 283% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 Rf Iga | $101.00 | $252.00 | $111.00–$214.00 | 283% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 Rf Igg | $101.00 | $252.00 | $111.00–$214.00 | 283% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg | $50.00 | $125.00 | $55.00–$106.00 | 3% below | 60% |
| Stool ova and parasites exam CPT 87177 Ova & Parasite | $40.00 | $100.00 | $44.00–$85.00 | 30% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $19.00 | $46.00 | $20.00–$39.00 | 26% below | 59% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Csf Vdrl | $31.00 | $77.00 | $34.00–$65.00 | 21% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr,rflx To Qnt Confirm Tp | $55.00 | $138.00 | $61.00–$117.00 | 115% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Sexually Transmitted Infections Profile | $417.00 | $1,042.00 | $458.00–$886.00 | 1528% above | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb-gold Plus (1 Tube) | $91.00 | $227.00 | $100.00–$193.00 | 45% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold Plus | $101.00 | $254.00 | $112.00–$216.00 | 39% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Woman, Children, Ma | $83.00 | $207.00 | $91.00–$176.00 | at median | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone | $84.00 | $211.00 | $93.00–$179.00 | 1% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Tpo | $75.00 | $188.00 | $83.00–$160.00 | 34% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $75.00 | $187.00 | $82.00–$159.00 | 53% above | 60% |
| Uric acid blood test CPT 84550 Uric Acid | $17.00 | $42.00 | $18.00–$36.00 | 33% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $26.00 | $65.00 | $29.00–$55.00 | at median | 60% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $29.00 | $72.00 | $32.00–$61.00 | 72% above | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $436.00 | $1,090.00 | $480.00–$927.00 | 3533% above | 60% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Routine | $32.00 | $79.00 | $35.00–$67.00 | 33% below | 59% |
| Urine pregnancy test, read by color change CPT 81025 Preg Test Urine | $26.00 | $66.00 | $29.00–$56.00 | 4% below | 61% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $54.00 | $134.00 | $59.00–$114.00 | at median | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 & Folate | $85.00 | $212.00 | $93.00–$180.00 | 57% above | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Anemia Panel-205526 | $142.00 | $354.00 | $156.00–$301.00 | 163% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $111.00 | $277.00 | $122.00–$235.00 | 15% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D 25-hydroxy D2 +D3 | $118.00 | $294.00 | $129.00–$250.00 | 10% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Hydroxy D Lcms D2+d3 | $143.00 | $358.00 | $158.00–$304.00 | 9% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D3 (Send Out) | $254.00 | $635.00 | $279.00–$540.00 | 94% above | 60% |
| Zinc blood test CPT 84630 Zinc Plasma,serum | $89.00 | $222.00 | $98.00–$189.00 | 54% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta Subunit Qnt | $52.00 | $129.00 | $57.00–$110.00 | 4% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Bhcg (Quant) | $58.00 | $144.00 | $63.00–$122.00 | 8% above | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $290.00 | $725.00 | $319.00–$616.00 | 48% below | 60% |
| Cervical biopsy CPT 57500 Cervical Biopsi (Dr. Lee) | $149.00 | $372.00 | $164.00–$316.00 | 87% below | 60% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $811.00 | $2,028.00 | $892.00–$1,724.00 | 69% below | 60% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $630.00 | $1,574.00 | $693.00–$1,338.00 | 76% below | 60% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $573.00 | $1,431.00 | $630.00–$1,216.00 | 64% below | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Cervix Biopsy Ecc (Dr. Lee) | $200.00 | $499.00 | $220.00–$424.00 | 32% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destru 1st Permal Lesion 17000 | $40.00 | $99.00 | $45.00–$84.00 | 50% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Cl Destruction Ben /Premalignant Lesion | $106.00 | $265.00 | $117.00–$225.00 | 33% above | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Cl Ear Lavage | $22.00 | $54.00 | $24.00–$46.00 | 64% below | 59% |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen_instrumentation | $42.00 | $106.00 | $47.00–$90.00 | 43% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 Cl Rem Impacted Cerumen Instrument | $70.00 | $174.00 | $77.00–$148.00 | 5% below | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endormetrial Biopsy (Dr. Lee) | $41.00 | $103.00 | $45.00–$88.00 | 86% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy | $255.00 | $638.00 | $281.00–$542.00 | 86% below | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrh Ligature Simple | $103.00 | $258.00 | $114.00–$219.00 | 90% below | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorr Ligature Simple | $177.00 | $443.00 | $183.00–$377.00 | 82% below | 60% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy With Sample (Dr. Lee) | $632.00 | $1,580.00 | $695.00–$1,343.00 | 90% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Of Abscess Simple | $82.00 | $206.00 | $94.00–$175.00 | 61% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Cl I & D Simple | $199.00 | $497.00 | $219.00–$422.00 | 5% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath | $51.00 | $128.00 | $32.00–$109.00 | 75% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Cl Injection Major Joint -Knee, Shoulder | $200.00 | $500.00 | $220.00–$425.00 | 12% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro/asp Major Joint | $271.00 | $678.00 | $298.00–$576.00 | 19% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthro/asp Inter Joint/bu | $59.00 | $146.00 | $31.00–$124.00 | 74% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Cl Injection Intermed Joint | $140.00 | $350.00 | $154.00–$298.00 | 38% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthro/asp Inj Small Join | $56.00 | $141.00 | $30.00–$120.00 | 62% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Cl Injection Small Joint | $100.00 | $250.00 | $110.00–$213.00 | 32% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Bg Les 0.5cm/< T/a/l | $77.00 | $194.00 | $71.00–$165.00 | 73% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Cl Exc Bg Les 0.5cm/< T/a/l | $199.00 | $497.00 | $219.00–$422.00 | 31% below | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Cl Exc Other Benign Les 0.5cm Or Less | $202.00 | $506.00 | $223.00–$430.00 | 55% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Cl Nail Avulsion Inital Part/complete | $177.00 | $443.00 | $195.00–$377.00 | 14% above | 60% |
| Paracentesis with imaging guidance CPT 49083 Us Abd Paracentesis | $572.00 | $1,431.00 | $630.00–$1,216.00 | 36% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 Cl Application Of Short Arm Splint | $103.00 | $257.00 | $113.00–$218.00 | 18% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 Splint Appl Short Arm 29125 | $103.00 | $257.00 | $113.00–$218.00 | 18% below | 60% |
| Short leg splint (calf to foot) CPT 29515 App Short Leg Splint | $63.00 | $158.00 | $47.00–$134.00 | 55% below | 60% |
| Short leg splint (calf to foot) CPT 29515 Splint App Short Leg | $127.00 | $318.00 | $140.00–$270.00 | 10% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Sim Repair To 2.5cm Sclp, Nk, Trunk, Ext | $206.00 | $515.00 | $227.00–$438.00 | 5% above | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Cl Sim Rpr 0-2.5 Sclp Nk Trnk, Ext | $206.00 | $515.00 | $227.00–$438.00 | 5% above | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Corpora Cavernosa Irrigation | $260.00 | $650.00 | $286.00–$553.00 | 33% above | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Punct Lumbar Diag | $323.00 | $807.00 | $355.00–$686.00 | 44% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Lac Repair 2.5cm Or Less | $83.00 | $208.00 | $54.00–$177.00 | 58% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Repair Lac 2.6-7.5 Cm | $250.00 | $625.00 | $275.00–$531.00 | 27% above | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Cl Sim Repair Lac 2.6-7.5 Cm | $250.00 | $625.00 | $275.00–$531.00 | 27% above | 60% |
| Thoracentesis with imaging guidance CPT 32555 Us Thoracentesis | $572.00 | $1,431.00 | $630.00–$1,216.00 | 12% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point 20552 | $54.00 | $136.00 | $34.00–$116.00 | 75% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Cl Trigger Point Inject 1 Or 2 Muscles | $76.00 | $190.00 | $84.00–$162.00 | 65% below | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd W/ Dilation | $596.00 | $1,489.00 | $655.00–$1,266.00 | 68% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $524.00 | $1,309.00 | $576.00–$1,113.00 | 34% below | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $452.00 | $1,130.00 | $497.00–$961.00 | 60% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Fl Debridement Sc Tissue First 20cm | $89.00 | $223.00 | $98.00–$190.00 | 78% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq 1st 20sqcm< | $91.00 | $228.00 | $53.00–$194.00 | 78% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin W Sub Q Tissue (Dr. Mo) | $140.00 | $349.00 | $154.00–$297.00 | 66% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Cl Debridement Sc Tissue 1st 20cm | $212.00 | $530.00 | $233.00–$451.00 | 48% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion | $160.00 | $400.00 | $176.00–$340.00 | 75% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion2-4 Hr | $244.00 | $610.00 | $268.00–$519.00 | 62% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion >4hr | $368.00 | $920.00 | $405.00–$782.00 | 43% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction For Dx | $26.00 | $65.00 | $29.00–$55.00 | 79% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Updraft Therapy | $67.00 | $167.00 | $73.00–$142.00 | 46% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Tx | $74.00 | $185.00 | $81.00–$157.00 | 40% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Cl Inital Neb Under 1hr | $80.00 | $200.00 | $88.00–$170.00 | 35% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial Breathing Treatment | $80.00 | $200.00 | $88.00–$170.00 | 35% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial Breathing Treatment Add'l | $80.00 | $200.00 | $88.00–$170.00 | 35% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st 30 Min | $560.00 | $1,400.00 | $616.00–$1,190.00 | 31% below | 60% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $23.00 | $58.00 | $26.00–$49.00 | at median | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg W/o Interp | $70.00 | $175.00 | $77.00–$149.00 | 40% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Cl Ekg W/o Inter | $70.00 | $175.00 | $77.00–$149.00 | 40% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Visit Level 1 Ah | $80.00 | $200.00 | $11.00–$170.00 | 29% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 Rm Chg | $84.00 | $210.00 | $92.00–$179.00 | 26% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit Level 2 Ah | $160.00 | $400.00 | $39.00–$340.00 | 2% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 Rm Chg | $168.00 | $420.00 | $185.00–$357.00 | 3% above | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit Level 3 Am | $240.00 | $600.00 | $67.00–$510.00 | 17% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 Rm Chg | $252.00 | $630.00 | $277.00–$536.00 | 13% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Visit Level 4 Ah | $320.00 | $800.00 | $114.00–$680.00 | 22% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 Rm Ch | $336.00 | $840.00 | $370.00–$714.00 | 18% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Visit Level 5 Ah | $380.00 | $950.00 | $165.00–$808.00 | 39% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 Rm Chg | $392.00 | $980.00 | $431.00–$833.00 | 37% below | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $242.00 | $606.00 | $267.00–$515.00 | 13% below | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $189.00 | $473.00 | $208.00–$402.00 | 34% below | 60% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $133.00 | $333.00 | $147.00–$283.00 | 31% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration M/s <91 | $68.00 | $170.00 | $75.00–$145.00 | 57% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Cl Iv Hydration 1st Hr | $68.00 | $170.00 | $75.00–$145.00 | 57% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration Er <91 | $68.00 | $170.00 | $75.00–$145.00 | 57% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 Ivpb (Initial) Er Infusion >15 Min 96365 | $74.00 | $185.00 | $81.00–$157.00 | 68% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 Ivpb (Initial) M/s Infusion >15 Min | $74.00 | $185.00 | $81.00–$157.00 | 68% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Cl Im/sq Injections | $40.00 | $100.00 | $44.00–$85.00 | 35% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/sq M/s Injections | $40.00 | $100.00 | $44.00–$85.00 | 35% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/sq Er Injections | $40.00 | $100.00 | $44.00–$85.00 | 35% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuro Mus Stim Re-ed (15min) | $96.00 | $240.00 | $106.00–$204.00 | 29% above | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-ed | $96.00 | $240.00 | $106.00–$204.00 | 29% above | 60% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $123.00 | $307.00 | $135.00–$261.00 | 26% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $185.00 | $462.00 | $203.00–$393.00 | 10% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $244.00 | $611.00 | $269.00–$519.00 | 12% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level 2 (Dr. Davault) | $20.00 | $50.00 | $22.00–$43.00 | 81% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Ov Level 2 (Dr. M) | $49.00 | $124.00 | $55.00–$105.00 | 55% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Expanded | $58.00 | $146.00 | $40.00–$124.00 | 46% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Cl New Lvl 2 | $78.00 | $196.00 | $86.00–$167.00 | 28% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level 2 (Dr. Lee) | $108.00 | $270.00 | $119.00–$230.00 | at median | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complexity Eval | $100.00 | $250.00 | $110.00–$213.00 | 7% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex | $126.00 | $316.00 | $139.00–$269.00 | 25% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex | $100.00 | $250.00 | $110.00–$213.00 | 7% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex | $112.00 | $280.00 | $123.00–$238.00 | 16% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy (15 Min) | $31.00 | $77.00 | $34.00–$65.00 | 60% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy | $48.00 | $120.00 | $53.00–$102.00 | 38% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $51.00 | $128.00 | $56.00–$109.00 | 20% below | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $162.00 | $404.00 | $178.00–$343.00 | 73% above | 60% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $88.00 | $221.00 | $97.00–$188.00 | 12% below | 60% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventative New Age 65+ | $97.00 | $243.00 | $107.00–$207.00 | 16% below | 60% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventative Exam New Patient Age 65+ | $97.00 | $243.00 | $194.00–$207.00 | 16% below | 60% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Cl Preventative Est Age 18-39 | $66.00 | $165.00 | $73.00–$140.00 | 21% below | 60% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventative Exam Est Pt Age 18-39 | $66.00 | $165.00 | $132.00–$140.00 | 21% below | 60% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Cl Well Adult Exam 18-39 Yr Est Pt | $146.00 | $365.00 | $161.00–$310.00 | 76% above | 60% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Cl Preventative Est Age 40-64 | $72.00 | $180.00 | $79.00–$153.00 | 26% below | 60% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventative Exam Est Pt Age 40-64 | $72.00 | $180.00 | $144.00–$153.00 | 26% below | 60% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Cl Preventative Est Age 65+ | $81.00 | $203.00 | $89.00–$173.00 | 22% below | 60% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventative Exam Est Pt Age 65+ | $81.00 | $203.00 | $162.00–$173.00 | 22% below | 60% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $165.00 | $413.00 | $182.00–$351.00 | 22% below | 60% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $226.00 | $565.00 | $249.00–$480.00 | 10% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established Patient Comp High | $114.00 | $285.00 | $121.00–$242.00 | 48% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Ov Level 5 | $164.00 | $410.00 | $180.00–$349.00 | 25% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est. Pt. Level 5 (Dr. Lee) | $180.00 | $451.00 | $198.00–$383.00 | 18% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Cl Est Lvl 5 | $199.00 | $498.00 | $219.00–$423.00 | 9% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level 3 (Dr. Davault) | $20.00 | $50.00 | $22.00–$43.00 | 84% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est. Pt. Level 3 (Dr. Lee) | $21.00 | $52.00 | $23.00–$44.00 | 84% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Gyn Est Pt Visit Iii | $41.00 | $103.00 | $45.00–$88.00 | 68% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level Three | $49.00 | $124.00 | $55.00–$105.00 | 62% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 O/p Est Pateint Level Iii | $49.00 | $124.00 | $55.00–$105.00 | 62% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Office Level 3 (Dr. M) | $49.00 | $124.00 | $55.00–$105.00 | 62% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established Patient Expanded Low | $57.00 | $143.00 | $56.00–$122.00 | 56% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Cl Est Lvl 3 | $100.00 | $251.00 | $110.00–$213.00 | 22% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level 4 (Dr. Davault) | $20.00 | $50.00 | $22.00–$43.00 | 88% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est. Pt. Level 4 (Dr. Lee) | $60.00 | $150.00 | $66.00–$128.00 | 64% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level Four | $62.00 | $155.00 | $68.00–$132.00 | 63% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established Patient Comp Moderate | $84.00 | $211.00 | $82.00–$179.00 | 50% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Ov Level 4 | $104.00 | $260.00 | $114.00–$221.00 | 38% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl Est Lvl 4 | $142.00 | $354.00 | $156.00–$301.00 | 15% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level 2 (Dr. Davault) | $20.00 | $50.00 | $22.00–$43.00 | 76% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Limited | $34.00 | $85.00 | $30.00–$72.00 | 60% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Gyn Brief Visit | $41.00 | $103.00 | $45.00–$88.00 | 51% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est. Pt. Level 2 (Dr. Lee) | $48.00 | $120.00 | $53.00–$102.00 | 43% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 O/p Est Patient Level Ii | $49.00 | $124.00 | $55.00–$105.00 | 42% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level Two | $49.00 | $124.00 | $55.00–$105.00 | 42% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Cl Est Lvl 2 | $75.00 | $187.00 | $82.00–$159.00 | 11% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $54.00 | $135.00 | $59.00–$115.00 | 38% below | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $82.00 | $205.00 | $90.00–$174.00 | 8% below | 60% |
| Speech and language evaluation CPT 92523 St Speech/lang/path Eval | $160.00 | $400.00 | $176.00–$340.00 | 9% below | 60% |
| Speech therapy session, individual CPT 92507 St Tx Speech/lang/voice/other Com Disord | $73.00 | $182.00 | $80.00–$155.00 | 34% below | 60% |
| Spirometry (breathing test) CPT 94010 Simple Spirometry | $60.00 | $150.00 | $66.00–$128.00 | 55% below | 60% |
| Spirometry (breathing test) CPT 94010 Incentive Spirometer Initial | $62.00 | $154.00 | $68.00–$131.00 | 53% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry /Pre & Post Brochodilator | $180.00 | $450.00 | $198.00–$383.00 | 54% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity 1 On 1 | $40.00 | $100.00 | $44.00–$85.00 | 27% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities( Add 15 Min) | $56.00 | $140.00 | $62.00–$119.00 | 2% above | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities( 1st 15 Min) | $56.00 | $140.00 | $62.00–$119.00 | 2% above | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vacc. 0.5ml | $16.00 | $41.00 | $18.00–$35.00 | 61% below | 61% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vacc. 20mcg/ml | $86.00 | $215.00 | $95.00–$183.00 | 34% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Toxoid | $46.00 | $114.00 | $50.00–$97.00 | 39% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Miscellaneous Dtap Tetanus | $46.00 | $115.00 | $51.00–$98.00 | 41% below | 60% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Injection/med Typhoid | $42.00 | $105.00 | $46.00–$89.00 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Cl Vaccine Administration | $8.00 | $21.00 | $9.00–$18.00 | 85% below | 62% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Sotalol Hydrochloride 80mg Tab | $9.00 | $10.00 | $4.00–$9.00 | 83% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Fenofibrate (Tricor) 145mg Tab | $12.00 | $13.00 | $6.00–$11.00 | 78% below | 8% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin One 90471 | $24.00 | $60.00 | $26.00–$51.00 | 55% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Imm Admin Each Add 90472 | $14.00 | $36.00 | $16.00–$31.00 | 49% below | 61% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Cl Admin Additional Vaccine After Inital | $19.00 | $48.00 | $21.00–$41.00 | 31% below | 60% |