Memorial Health
Memorial Health in Lawton, OK publishes cash prices for 257 common procedures listed here, from its own machine-readable price file updated Mar 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 233 of 255 procedures and below it for 20. By typical cash price it ranks #42 of 43 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
3401 W Gore Blvd, Lawton, OK 73505 Collected Sep 27, 2026 Source price file (580) 355-8620
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 370056 · 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 2 actions for a hospital named Memorial Health in Lawton, OK:
- Feb 10, 2026 Warning notice
- May 13, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMIT BILAT EXTREM ARTERIES | $655.31 | $524.25 | $118.93–$482.31 | — | -25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US PRT UPPER-X LIMITED BIL | $579.59 | $463.67 | $118.93–$426.57 | 176% above | -25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDEX SNGLE | $579.59 | $463.67 | $118.93–$426.57 | 176% above | -25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US PRT LOWER-X LIMITED BIL | $579.59 | $463.67 | $118.93–$426.57 | 176% above | -25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NONINVASIVE ARTERIAL STUDY (SGL L | $655.31 | $524.25 | $118.93–$482.31 | 212% above | -25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 US PRT UPPER-X LIMITED UNILATERAL | $579.59 | $463.67 | $118.93–$426.57 | 176% above | -25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL ESOPHAGRAM SINGLE CONTRAST STUDY | $821.98 | $657.58 | $72.72–$604.97 | 187% above | -25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE &/JOINT IMAGING WHOLE BODY | $1,262.78 | $1,010.22 | $363.67–$1,216.30 | 37% above | -25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING/STATIC TOT BOD | $2,748.78 | $2,199.02 | $370.76–$2,023.09 | 199% above | -25% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI REAL TIME WITH IMAGE LIMIT | $514.16 | $411.33 | $81.24–$402.35 | 54% above | -25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHEST FOR PE PROTOCOL | $2,641.64 | $2,113.31 | $164.26–$1,944.24 | 76% above | -25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO (W/RECON) | $2,741.74 | $2,193.39 | $164.26–$2,017.91 | 83% above | -25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORO MORPHO W/CALIUM SCORE | $1,928.51 | $1,542.81 | $329.52–$1,419.38 | 65% above | -25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $143.09 | $114.47 | $41.20–$949.70 | 44% above | -25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST | $3,774.50 | $3,019.60 | $223.03–$2,778.03 | 182% above | -25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONT STONE STDY | $3,774.50 | $3,019.60 | $223.03–$2,778.03 | 182% above | -25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST | $5,049.69 | $4,039.75 | $329.52–$3,716.57 | 213% above | -25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W + W/O CONTRAST | $6,814.89 | $5,451.91 | $329.52–$5,015.75 | 259% above | -25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST | $2,966.56 | $2,373.25 | $86.86–$2,183.39 | 164% above | -25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/OUT CONTRAST | $1,888.13 | $1,510.50 | $98.12–$1,389.66 | 88% above | -25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFAC AREA W/O CONTRAS | $1,886.38 | $1,509.10 | $98.12–$1,388.37 | 115% above | -25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT OF HEAD UNENHANCED | $3,651.56 | $2,921.25 | $98.12–$2,687.55 | 289% above | -25% |
| CT scan of the head with contrast CPT 70460 CT OF HEAD ENHANCED(20 SLICES) | $2,966.56 | $2,373.25 | $164.26–$2,183.39 | 145% above | -25% |
| CT scan of the head without and with contrast CPT 70470 CT OF HEAD UNENHANCED & ENHANCED | $3,804.38 | $3,043.50 | $164.26–$2,800.02 | 197% above | -25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/OUT CONTRAST | $2,462.46 | $1,969.97 | $50.93–$1,812.37 | 144% above | -25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONT | $2,462.46 | $1,969.97 | $98.12–$1,812.37 | 150% above | -25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,081.33 | $1,665.06 | $86.86–$1,531.85 | 92% above | -25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DOPPLER COMPLETE | $1,059.08 | $847.26 | $223.03–$779.47 | 115% above | -25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID | $1,059.08 | $847.26 | $223.03–$779.47 | 115% above | -25% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA & LAT (2 VIEWS) | $512.83 | $410.26 | $72.72–$377.43 | 333% above | -25% |
| Chest X-ray, single view CPT 71045 XR CHEST AP (1 VIEW) | $335.45 | $268.36 | $72.72–$246.89 | 91% above | -25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL/BILAT | $1,113.54 | $890.83 | $98.12–$819.56 | — | -25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA-CCMH | $525.13 | $420.10 | $25.86–$386.49 | 380% above | -25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST (GRP 2) | $553.24 | $442.59 | $98.12–$896.81 | 42% below | -25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT ABD/PELVIS W/O CONTRAST | $2,462.46 | $1,969.97 | $98.12–$1,812.37 | 158% above | -25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WITHOUT CONTRAST | $2,462.46 | $1,969.97 | $98.12–$1,812.37 | 158% above | -25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT ABD/PELVIS W/CONTRAST | $2,641.64 | $2,113.31 | $86.86–$1,944.24 | 135% above | -25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST | $2,641.64 | $2,113.31 | $86.86–$1,944.24 | 135% above | -25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT (CONVERTED FROM SCREEN) | $888.71 | $710.97 | $254.02–$654.09 | — | -25% |
| Diagnostic mammogram, both breasts CPT 77066 DX MAMMO INCL CAD BILATERIAL | $592.28 | $473.82 | $170.57–$580.91 | 244% above | -25% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG UNILAT(CONVERTED FROM SCREEN) | $888.71 | $710.97 | $200.75–$654.09 | 389% above | -25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ART DOPPLER LOW-X BILAT[COMPLT | $1,081.91 | $865.53 | $223.03–$796.28 | — | -25% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DOPPLER LOWER COMPLETE | $1,081.91 | $865.53 | $223.03–$796.28 | 173% above | -25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS-DOPLER BILAT-LOWER | $1,559.66 | $1,247.73 | $223.03–$1,147.91 | — | -25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DRPPLER BILAT-UPPER | $1,628.16 | $1,302.53 | $223.03–$1,198.32 | — | -25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS-DOPLER BILAT-UPPER | $1,628.16 | $1,302.53 | $223.03–$1,198.32 | — | -25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US PV DUPLEX | $512.83 | $410.26 | $147.69–$668.89 | 15% below | -25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DOPPLER COMPLETE | $1,628.16 | $1,302.53 | $223.03–$1,198.32 | 169% above | -25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAPHY 2D&M | $2,804.96 | $2,243.97 | $505.90–$2,064.45 | 158% above | -25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO M MODE/COLOR FLOW | $2,804.96 | $2,243.97 | $505.90–$2,064.45 | 158% above | -25% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY - UNATTENDED | $2,381.66 | $1,905.33 | $71.77–$1,752.90 | 529% above | -25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 2ND NITE MEDICAR-MEDIC | $2,318.44 | $1,854.75 | $667.71–$3,058.77 | 26% below | -25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 FOLLOW-UP POLYSOMNOGRAM | $3,890.44 | $3,112.35 | $938.73–$3,058.77 | 24% above | -25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM 2ND NITE | $4,744.06 | $3,795.25 | $938.73–$3,491.63 | 52% above | -25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM - SPLIT NIGHT | $6,064.89 | $4,851.91 | $938.73–$4,463.75 | 94% above | -25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GB,SINGLE ORGAN,QUADRANT,FOLLO | $1,057.33 | $845.86 | $98.12–$778.19 | 175% above | -25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN LIMITED | $1,214.00 | $971.20 | $98.12–$893.50 | 216% above | -25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CA SCREENING | $100.09 | $80.07 | $28.82–$425.31 | 70% below | -25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $493.53 | $394.82 | $98.12–$425.31 | 50% above | -25% |
| MRI of the abdomen without contrast CPT 74181 STRONG HEART STUDY ABDOMEN | $1,751.11 | $1,400.89 | $223.03–$2,257.20 | 67% above | -25% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $4,290.90 | $3,432.72 | $223.03–$3,158.10 | 309% above | -25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/CONTRAST | $5,694.29 | $4,555.43 | $329.52–$4,190.99 | 192% above | -25% |
| MRI of the brain, no contrast dye CPT 70551 NATIVE AMER STRONG HEART/STROKE | $1,670.31 | $1,336.25 | $223.03–$1,510.05 | 71% above | -25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WITHOUT CONTRAST | $4,290.90 | $3,432.72 | $223.03–$3,158.10 | 340% above | -25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O CONT THEN W/CONT | $5,694.29 | $4,555.43 | $329.52–$4,190.99 | 303% above | -25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/OUT CONTRASTING | $4,290.90 | $3,432.72 | $223.03–$3,158.10 | 267% above | -25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/O CON THEN W/CON | $5,694.29 | $4,555.43 | $329.52–$4,190.99 | 270% above | -25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/OUT CONTRAST | $4,290.90 | $3,432.72 | $223.03–$3,158.10 | 301% above | -25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/O CONT THEN W/C | $5,694.29 | $4,555.43 | $329.52–$4,190.99 | 275% above | -25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/OUT CONTRAST | $4,290.90 | $3,432.72 | $223.03–$3,158.10 | 319% above | -25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/CONTRAST | $4,290.90 | $3,432.72 | $329.52–$3,158.10 | 200% above | -25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS | $2,625.81 | $2,100.65 | $223.03–$1,932.59 | 132% above | -25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ANY JOINT UPPER EXT W/O CONTR | $4,290.90 | $3,432.72 | $223.03–$3,158.10 | 154% above | -25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 SPECT MULTI STUDY COMPLETE | $8,290.29 | $6,632.23 | $1,204.55–$6,101.65 | 222% above | -25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM DUAL ST/LEXISCAN/ADENO/DOBU | $8,290.29 | $6,632.23 | $1,204.55–$6,101.65 | 222% above | -25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM STRESS-LEXISCAN/ADENO/DOBUT | $8,290.29 | $6,632.23 | $1,204.55–$6,101.65 | 222% above | -25% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGING W/CT SKULL-MID THIGH | $10,594.70 | $8,475.76 | $1,345.82–$7,797.69 | 166% above | -25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED/BLADDER | $263.43 | $210.74 | $75.86–$402.35 | 13% below | -25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC SONOGRAM 76856 | $971.26 | $777.01 | $98.12–$714.84 | 100% above | -25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PAHP - OB SINGLE FETUS | $307.33 | $245.86 | $50.93–$271.27 | 27% below | -25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US GOP&G - OB SINGLE FETUS | $658.63 | $526.90 | $50.93–$484.74 | 55% above | -25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OSD OB COMPLETE | $1,129.33 | $903.46 | $50.93–$831.18 | 166% above | -25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US COMPLETE OB | $1,129.33 | $903.46 | $50.93–$831.18 | 166% above | -25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US GPO&G OB 1ST TRIMSTR<14 WEEKS | $563.79 | $451.03 | $98.12–$414.94 | 34% above | -25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER (<14 WEEKS) | $563.79 | $451.03 | $98.12–$414.94 | 34% above | -25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US GPO&G - OB LIMITED | $909.79 | $727.83 | $98.12–$669.60 | 160% above | -25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED/FHT,AFI,PLACEN,LOC | $909.79 | $727.83 | $98.12–$669.60 | 160% above | -25% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO INCL CAD BILATERAL | $493.53 | $394.82 | $142.13–$580.91 | — | -25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM 1ST NITE | $6,064.89 | $4,851.91 | $938.73–$4,463.75 | 119% above | -25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM INFANT | $7,055.53 | $5,644.42 | $938.73–$5,192.86 | 155% above | -25% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $3,036.81 | $2,429.45 | $505.90–$2,235.09 | 160% above | -25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL DYNAMIC PHARYNGEAL EVAL | $1,167.99 | $934.39 | $164.26–$859.63 | 272% above | -25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL ULTRASOUND 76830 | $1,183.79 | $947.03 | $98.12–$871.26 | 212% above | -25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US GPO & G TRANSVAGINAL | $909.79 | $727.83 | $98.12–$669.60 | 221% above | -25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $909.79 | $727.83 | $98.12–$669.60 | 221% above | -25% |
| Transvaginal ultrasound during pregnancy CPT 76817 OSD OB TRANSVAGINAL | $909.79 | $727.83 | $98.12–$669.60 | 221% above | -25% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,214.00 | $971.20 | $98.12–$893.50 | 130% above | -25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE 76700 | $1,445.49 | $1,156.39 | $98.12–$1,063.87 | 174% above | -25% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS 76870 | $786.85 | $629.48 | $98.12–$579.12 | 129% above | -25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE,HEAD & NECK 76536 | $732.39 | $585.91 | $98.12–$539.03 | 79% above | -25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY UPPER GI DELAY W/O KUB | $720.51 | $576.41 | $164.26–$553.03 | 89% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US PERIPHERAL VEINS LMTD (PV) | $1,139.86 | $911.89 | $98.12–$838.93 | 129% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN-DOPPLER UNI LOWER-LEFT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOPPLER UNI LOWER RIGHT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DRPPLER UNI UPPER RIGHT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN-DOPPLER UNI LOWER-RIGHT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN-DOPPLER UNI UPPER-LEFT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN-DOPPLER UNI UPPER-RIGHT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VWEN DOPPLER UNI LOWER LEFT | $1,081.91 | $865.53 | $98.12–$796.28 | 118% above | -25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER UNILATERAL COMP | $1,139.86 | $911.89 | $98.12–$838.93 | 129% above | -25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP/PELVIS 2-3 VIEWS | $317.89 | $254.31 | $72.72–$233.96 | 71% above | -25% |
| X-ray of the abdomen, 1 view CPT 74018 KUB 1 VIEW (AP SITZ MARKER) | $261.73 | $209.38 | $72.72–$192.62 | 53% above | -25% |
| X-ray of the abdomen, 1 view CPT 74018 XR FETAL AGE 1 VIEW | $400.43 | $320.34 | $72.72–$294.71 | 134% above | -25% |
| X-ray of the abdomen, 1 view CPT 74018 KUB 1 VIEW | $400.43 | $320.34 | $72.72–$294.71 | 134% above | -25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT | $337.21 | $269.77 | $72.72–$248.18 | 110% above | -25% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT, 2 VIEWS | $211.94 | $169.55 | $61.03–$173.16 | 31% above | -25% |
| X-ray of the foot, 2 views CPT 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $354.58 | $283.66 | $72.72–$260.96 | 120% above | -25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 3 VIEW | $577.83 | $462.26 | $72.72–$425.27 | 173% above | -25% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR 5 VIEWS | $913.30 | $730.64 | $72.72–$672.18 | 215% above | -25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE, THORACIC 2 VIEW | $453.11 | $362.49 | $72.72–$333.49 | 141% above | -25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEWS | $460.14 | $368.11 | $72.72–$338.66 | 182% above | -25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3 VIEW | $509.33 | $407.46 | $72.72–$374.86 | 156% above | -25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS (AP) | $337.21 | $269.77 | $72.72–$248.18 | 77% above | -25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUN AND/OR COCCYX | $337.21 | $269.77 | $72.72–$248.18 | 90% above | -25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver Fibrosis, FibroTest ActiTest Panel | $41.39 | $33.11 | $5.14–$30.46 | 27% above | -25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $119.44 | $95.55 | $5.14–$87.90 | 268% above | -25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $179.25 | $143.40 | $5.02–$131.92 | 373% above | -25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL MASTER (ACUTE) | $595.50 | $476.40 | $35.90–$438.28 | 221% above | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REGION 6 GRASSES IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW DOCK WEED IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VERNAL GRASS IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IgE | $18.31 | $14.65 | $5.06–$28.94 | 26% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD AND TREE NUT ALLERGY PNL | $19.58 | $15.66 | $5.06–$28.94 | 21% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILD AND TREE NUT ALLERGY PNL | $19.58 | $15.66 | $5.06–$28.94 | 21% below | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Allergy Profile Region X | $57.96 | $46.37 | $5.06–$42.66 | 134% above | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Childhood Allergy (Food & Environmental) | $57.96 | $46.37 | $5.06–$42.66 | 134% above | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile | $57.96 | $46.37 | $5.06–$42.66 | 134% above | -25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $70.23 | $56.18 | $12.56–$51.68 | at median | -25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide (CCP) Ab (I | $352.91 | $282.33 | $12.56–$259.74 | 403% above | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANASCR, IFA RFX TITER and PATT | $42.45 | $33.96 | $11.73–$31.24 | 1% below | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B AUTOANTIBODIES | $79.00 | $63.20 | $11.73–$58.14 | 84% above | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 IMMUNOASSAY, MULTISTEP | $84.48 | $67.58 | $11.73–$62.17 | 97% above | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 NUCLEAR ANTIBODIES CHRG ONLY | $84.48 | $67.58 | $11.73–$62.17 | 97% above | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 PAN ANCA Plus with Reflex | $84.48 | $67.58 | $11.73–$62.17 | 97% above | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $390.03 | $312.02 | $11.73–$287.05 | 809% above | -25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH PANEL IF POSITIVE | $390.03 | $312.02 | $11.73–$287.05 | 809% above | -25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP | $182.73 | $146.18 | $38.08–$134.48 | 63% above | -25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide (BNP) | $193.85 | $155.08 | $38.08–$142.67 | 73% above | -25% |
| Basic metabolic panel (blood test) CPT 80048 BMP | $104.29 | $83.43 | $8.21–$76.75 | 227% above | -25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC META PANEL WITH TOTAL CA++ | $354.91 | $283.93 | $8.21–$261.21 | 1012% above | -25% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD X1 ADULT | $365.34 | $292.27 | $10.01–$268.88 | 492% above | -25% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD PANEL ITEM | $365.34 | $292.27 | $10.01–$268.88 | 492% above | -25% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD X1 PED | $387.71 | $310.17 | $10.01–$285.35 | 528% above | -25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venous Puncture | $43.86 | $35.09 | $8.57–$32.28 | 365% above | -25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $67.91 | $54.33 | $8.57–$49.98 | 619% above | -25% |
| Blood glucose (sugar) test CPT 82947 CREATININE (WB) | $36.41 | $29.13 | $3.81–$26.79 | 44% above | -25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (WB) | $36.41 | $29.13 | $3.81–$26.79 | 44% above | -25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (EPOC) | $153.99 | $123.19 | $3.81–$113.33 | 507% above | -25% |
| Blood glucose (sugar) test CPT 82947 CREATININE (EPOC) | $153.99 | $123.19 | $3.81–$113.33 | 507% above | -25% |
| Blood glucose (sugar) test CPT 82947 GTT 1HOUR | $161.69 | $129.35 | $3.81–$119.00 | 538% above | -25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $161.69 | $129.35 | $3.81–$119.00 | 538% above | -25% |
| Blood glucose (sugar) test CPT 82947 GTT FASTING | $161.69 | $129.35 | $3.81–$119.00 | 538% above | -25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, RANDOM | $161.69 | $129.35 | $3.81–$119.00 | 538% above | -25% |
| Blood glucose (sugar) test CPT 82947 Glucose - Fasting | $171.39 | $137.11 | $3.81–$126.14 | 576% above | -25% |
| Blood lead test CPT 83655 Lead, Blood (OSHA) | $84.48 | $67.58 | $11.75–$62.17 | 100% above | -25% |
| Blood lead test CPT 83655 Lead, Blood | $84.48 | $67.58 | $11.75–$62.17 | 100% above | -25% |
| Blood lead test CPT 83655 Heavy Metals Panel, Blood | $111.00 | $88.80 | $11.75–$81.69 | 163% above | -25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg. Test Urine | $93.05 | $74.44 | $7.29–$68.48 | 132% above | -25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG Qual Serum Preg | $93.05 | $74.44 | $7.29–$68.48 | 132% above | -25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY TEST | $109.61 | $87.69 | $7.29–$80.67 | 173% above | -25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST, URINE | $191.51 | $153.21 | $7.29–$140.95 | 378% above | -25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE | $233.61 | $186.89 | $7.29–$171.93 | 483% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RBC RETYPE | $159.05 | $127.24 | $9.83–$152.14 | 178% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RUBELLA IGG ANTIBODIES | $177.28 | $141.82 | $9.83–$152.14 | 210% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 NEO RH | $177.28 | $141.82 | $9.83–$152.14 | 210% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO | $177.28 | $141.82 | $9.83–$152.14 | 210% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE - CHRG ONLY - CHRG ONLY | $177.28 | $141.82 | $9.83–$152.14 | 210% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 NEO ABO | $177.28 | $141.82 | $9.83–$152.14 | 210% above | -25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RH (D) | $177.28 | $141.82 | $9.83–$152.14 | 210% above | -25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (INFLAMMATION)* | $94.90 | $75.92 | $5.02–$69.84 | 250% above | -25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE DNA BY PCR | $353.08 | $282.46 | $28.94–$259.86 | 292% above | -25% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 | $142.48 | $113.98 | $20.19–$104.86 | 56% above | -25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125* | $142.48 | $113.98 | $20.19–$104.86 | 133% above | -25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 TESTING | $250.10 | $200.08 | $49.77–$184.07 | 242% above | -25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 WOMENS HEALTH | $72.54 | $58.03 | $20.89–$53.38 | 7% below | -25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED DNA | $453.16 | $362.53 | $28.94–$333.52 | 480% above | -25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GONORRHEA AMPLIFIED DNA | $453.16 | $362.53 | $28.94–$333.52 | 480% above | -25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE * | $570.80 | $456.64 | $12.99–$420.10 | 773% above | -25% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Auto Diff | $132.20 | $105.76 | $7.54–$97.29 | 192% above | -25% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT | $346.13 | $276.90 | $7.54–$254.74 | 664% above | -25% |
| Complete blood count (CBC) with differential CPT 85025 RUBELLA IGG ANTIBODIES | $346.13 | $276.90 | $7.54–$254.74 | 664% above | -25% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/OUT DIFF | $200.30 | $160.24 | $6.28–$147.42 | 572% above | -25% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $135.90 | $108.72 | $10.24–$100.02 | 200% above | -25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL* | $403.95 | $323.16 | $10.24–$297.30 | 791% above | -25% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $172.13 | $137.70 | $9.87–$126.68 | 89% above | -25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate | $167.33 | $133.86 | $21.56–$123.15 | 122% above | -25% |
| Estradiol blood test CPT 82670 Estradiol | $233.61 | $186.89 | $27.10–$171.93 | 213% above | -25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $374.11 | $299.29 | $18.02–$275.34 | 447% above | -25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $150.76 | $120.61 | $19.04–$110.96 | 25% above | -25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $119.28 | $95.42 | $13.22–$87.78 | 145% above | -25% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $126.43 | $101.14 | $13.22–$93.04 | 159% above | -25% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $91.44 | $73.15 | $14.26–$67.29 | 57% above | -25% |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $152.91 | $122.33 | $16.43–$112.54 | 70% above | -25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROID STIM. HORMONE | $168.64 | $134.91 | $8.75–$124.11 | 175% above | -25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXINE) | $168.64 | $134.91 | $8.75–$124.11 | 175% above | -25% |
| Free testosterone test CPT 84402 Testosterone, Free, LC/MS/MS | $99.40 | $79.52 | $24.71–$73.15 | 15% above | -25% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE | $110.56 | $88.45 | $24.71–$81.37 | 28% above | -25% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $1,181.41 | $945.13 | $35.90–$869.51 | 633% above | -25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP | $161.69 | $129.35 | $4.61–$119.00 | 453% above | -25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE BLOOD | $172.31 | $137.85 | $4.61–$126.82 | 489% above | -25% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE | $409.26 | $327.41 | $12.48–$301.21 | 529% above | -25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 75G | $515.30 | $412.24 | $12.48–$379.26 | 692% above | -25% |
| Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL GTT | $516.46 | $413.17 | $12.48–$380.11 | 693% above | -25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, EA ADDITION | $516.46 | $413.17 | $12.48–$380.11 | 693% above | -25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 2 HOUR | $516.46 | $413.17 | $12.48–$380.11 | 693% above | -25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE GTT, THREE SPECIMENS | $516.46 | $413.17 | $12.48–$380.11 | 693% above | -25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 WOMENS HEALTH | $72.54 | $58.03 | $20.89–$93.91 | 6% below | -25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA AMPLIFIED DNA | $453.16 | $362.53 | $34.04–$333.52 | 488% above | -25% |
| H. pylori stool antigen test CPT 87338 H.PYLORI ANTIGEN | $512.96 | $410.37 | $13.95–$377.54 | 355% above | -25% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag, EIA, Stool | $545.13 | $436.10 | $13.95–$401.21 | 383% above | -25% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 RNA, QN RT PCR | $729.06 | $583.25 | $82.55–$536.59 | 274% above | -25% |
| HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV SCREEN | $42.24 | $33.79 | $12.16–$31.08 | 7% below | -25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN/ANTIBODY 4th GEN w RFL | $84.54 | $67.63 | $23.36–$62.21 | 76% above | -25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 AB NO SOURCE | $317.95 | $254.36 | $23.36–$234.01 | 562% above | -25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RAPID HIV SCREEN | $317.95 | $254.36 | $23.36–$234.01 | 562% above | -25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIBODY | $317.95 | $254.36 | $23.36–$234.01 | 562% above | -25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 ANTIBODY (SOURCE) | $317.95 | $254.36 | $23.36–$234.01 | 562% above | -25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 ANTIBODY (EMPLOYEE) | $338.01 | $270.41 | $23.36–$248.77 | 604% above | -25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV | $152.35 | $121.88 | $34.04–$112.12 | 45% above | -25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 PAP and HPV | $152.35 | $121.88 | $34.04–$112.12 | 45% above | -25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $119.28 | $95.42 | $9.42–$87.78 | 178% above | -25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY (EMPLOYEE) | $200.30 | $160.24 | $10.42–$147.42 | 362% above | -25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB, NO SOURCE | $200.30 | $160.24 | $10.42–$147.42 | 362% above | -25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RAPID HIV SCREEN | $200.30 | $160.24 | $10.42–$147.42 | 362% above | -25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 TOTAL HEPATITIS B CORE ANTIBODY | $213.73 | $170.98 | $10.42–$157.30 | 392% above | -25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $213.73 | $170.98 | $10.42–$157.30 | 392% above | -25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $247.70 | $198.16 | $10.02–$182.30 | 532% above | -25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN (SOURCE) | $263.43 | $210.74 | $10.02–$193.88 | 572% above | -25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 RAPID HIV SCREEN | $263.43 | $210.74 | $10.02–$193.88 | 572% above | -25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen W/Refl Confi | $263.43 | $210.74 | $10.02–$193.88 | 572% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB NO SOURCE - CHRG ONLY | $247.70 | $198.16 | $13.84–$182.30 | 404% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY (SOURCE) | $247.70 | $198.16 | $13.84–$182.30 | 404% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB (EMPLOYEE) | $247.70 | $198.16 | $13.84–$182.30 | 404% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 RAPID HIV SCREEN | $247.70 | $198.16 | $13.84–$182.30 | 404% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY (ANTI HCV) | $263.43 | $210.74 | $13.84–$193.88 | 436% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 TOTAL HEPATITIS B CORE ANTIBODY | $263.43 | $210.74 | $13.84–$193.88 | 436% above | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab W/Refl to HCV RNA, QN, PC | $263.43 | $210.74 | $13.84–$193.88 | 436% above | -25% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RNA, Quantitative RT PCR | $694.25 | $555.40 | $41.55–$510.96 | 212% above | -25% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RNA, QN RT PCR | $694.25 | $555.40 | $41.55–$510.96 | 212% above | -25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX AB I (IGM) | $117.78 | $94.22 | $12.79–$86.68 | 92% above | -25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 and 2 IGG | $122.10 | $97.68 | $12.79–$89.86 | 99% above | -25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Titer | $125.90 | $100.72 | $12.79–$92.66 | 105% above | -25% |
| Herpes blood test, HSV-1 antibody CPT 86695 Torch IgG Panel | $125.90 | $100.72 | $12.79–$92.66 | 105% above | -25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2 IgG,Type Specific Ab Herpeselect | $125.90 | $100.72 | $12.79–$92.66 | 105% above | -25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2 Ab (IgM), IFA W/Rfl to Titer | $125.90 | $100.72 | $12.79–$92.66 | 105% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 86696 | $166.83 | $133.46 | $18.77–$122.78 | 156% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1/2 IgG,Type Specific Ab Herpeselect | $177.28 | $141.82 | $18.77–$130.47 | 172% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 INHIBITION | $177.28 | $141.82 | $18.77–$130.47 | 172% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1/2 Ab (IgM), IFA W/Rfl to Titer | $177.28 | $141.82 | $18.77–$130.47 | 172% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Titer | $177.28 | $141.82 | $18.77–$130.47 | 172% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 Torch IgG Panel | $177.28 | $141.82 | $18.77–$130.47 | 172% above | -25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2 IGG | $177.28 | $141.82 | $18.77–$130.47 | 172% above | -25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN (CARDIAC RISK) | $117.78 | $94.22 | $12.56–$86.68 | 130% above | -25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP (CARDIAC RISK)* | $233.61 | $186.89 | $12.56–$171.93 | 356% above | -25% |
| Homocysteine blood test CPT 83090 Homocysteine | $64.60 | $51.68 | $17.38–$71.77 | 48% below | -25% |
| Insulin blood test CPT 83525 Insulin | $142.48 | $113.98 | $11.09–$104.86 | 219% above | -25% |
| Iron blood test (serum iron) CPT 83540 IRON | $149.25 | $119.40 | $6.28–$109.84 | 366% above | -25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $149.25 | $119.40 | $8.48–$109.84 | 281% above | -25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON | $149.25 | $119.40 | $8.48–$109.84 | 281% above | -25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $402.28 | $321.82 | $8.42–$296.07 | 662% above | -25% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) | $351.25 | $281.00 | $17.96–$258.52 | 382% above | -25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $207.26 | $165.81 | $6.68–$152.54 | 383% above | -25% |
| Liver function blood test panel CPT 80076 LFT | $104.29 | $83.43 | $7.92–$76.75 | 135% above | -25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTIOIN PANEL* | $302.21 | $241.77 | $7.92–$222.42 | 582% above | -25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $370.64 | $296.51 | $7.92–$272.78 | 736% above | -25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SCREEN | $374.11 | $299.29 | $16.52–$275.34 | 423% above | -25% |
| Lyme disease antibody test CPT 86618 Lyme Disease, EIA W/Refl IgG, IgM Wester | $397.65 | $318.12 | $16.52–$292.67 | 456% above | -25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $179.25 | $143.40 | $6.50–$131.92 | 540% above | -25% |
| Measles (rubeola) antibody test CPT 86765 MUMPS IGG ANTIBODIES | $200.30 | $160.24 | $12.49–$147.42 | 339% above | -25% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG ANTIBODY | $200.30 | $160.24 | $12.49–$147.42 | 339% above | -25% |
| Measles (rubeola) antibody test CPT 86765 Measles Ab (IgM) | $213.73 | $170.98 | $12.49–$157.30 | 369% above | -25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MOND SPOT | $133.53 | $106.82 | $5.02–$98.27 | 305% above | -25% |
| Obstetric blood test panel CPT 80055 PRENATAL PROFILE II | $830.14 | $664.11 | $35.90–$610.98 | 532% above | -25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE CHRG 84154 | $158.05 | $126.44 | $17.84–$116.32 | 57% above | -25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (Free and Total) | $190.51 | $152.41 | $17.84–$140.21 | 89% above | -25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Free and Total) | $168.99 | $135.19 | $17.84–$124.37 | 120% above | -25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $223.16 | $178.53 | $17.84–$164.24 | 191% above | -25% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP relex HPV | $117.01 | $93.61 | $25.81–$1,261.70 | 64% above | -25% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP and HPV | $117.01 | $93.61 | $25.81–$1,261.70 | 64% above | -25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT | $203.78 | $163.02 | $40.04–$149.97 | 46% above | -25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Evaluation with Refl | $41.39 | $33.11 | $5.83–$30.46 | 33% above | -25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PART THROMBOPLASTIN TIME (APTT | $185.55 | $148.44 | $5.83–$136.56 | 495% above | -25% |
| Progesterone blood test CPT 84144 Progesterone | $142.48 | $113.98 | $20.23–$104.86 | 87% above | -25% |
| Prolactin blood test CPT 84146 PROLACTIN | $354.91 | $283.93 | $18.80–$261.21 | 318% above | -25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $42.64 | $34.11 | $4.16–$31.38 | 94% above | -25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Protime | $54.04 | $43.23 | $4.16–$39.77 | 146% above | -25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $100.21 | $80.17 | $4.16–$73.75 | 356% above | -25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $107.69 | $86.15 | $4.16–$79.25 | 390% above | -25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Abuse Panel 10 | $639.58 | $511.66 | $12.22–$470.72 | 1540% above | -25% |
| Rheumatoid factor (RF) test CPT 86431 RA LATEX TITER - MISC CHRG | $70.24 | $56.19 | $5.50–$51.69 | 166% above | -25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODIES | $200.30 | $160.24 | $13.96–$147.42 | 290% above | -25% |
| Rubella antibody test (immunity check) CPT 86762 MUMPS IGG ANTIBODIES | $200.30 | $160.24 | $13.96–$147.42 | 290% above | -25% |
| Rubella antibody test (immunity check) CPT 86762 Torch IgM Panel | $213.73 | $170.98 | $13.96–$157.30 | 316% above | -25% |
| Rubella antibody test (immunity check) CPT 86762 Torch IgG Panel | $213.73 | $170.98 | $13.96–$157.30 | 316% above | -25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $67.91 | $54.33 | $2.62–$49.98 | 226% above | -25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE RBC AUTOMATED | $204.95 | $163.96 | $2.62–$150.84 | 885% above | -25% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $263.43 | $210.74 | $11.94–$307.34 | 120% above | -25% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE EXAM | $173.96 | $139.17 | $8.63–$128.03 | 202% above | -25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECES (SCREENING) | $43.88 | $35.10 | $4.25–$32.29 | 93% above | -25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult | $50.90 | $40.72 | $4.25–$37.46 | 124% above | -25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECES (DIAGNOSTIC) | $51.35 | $41.08 | $4.25–$37.79 | 126% above | -25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECES ICT (DIAG) | $135.35 | $108.28 | $15.44–$99.61 | 132% above | -25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECES ICT (SCRN) | $144.13 | $115.30 | $15.44–$106.07 | 147% above | -25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $89.46 | $71.57 | $4.14–$65.84 | 249% above | -25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, Serum | $172.31 | $137.85 | $4.14–$126.82 | 573% above | -25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $172.31 | $137.85 | $4.14–$126.82 | 573% above | -25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RUBELLA IGG ANTIBODIES | $172.31 | $137.85 | $4.14–$126.82 | 573% above | -25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold, (Draw Site Incubate | $492.11 | $393.69 | $48.01–$362.19 | 196% above | -25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $190.51 | $152.41 | $25.04–$140.21 | 133% above | -25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies | $56.33 | $45.06 | $14.11–$71.77 | 2% above | -25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase and Thyroglobulin Ant | $134.19 | $107.35 | $14.11–$98.76 | 143% above | -25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome (LKM-1) Ab (IgG) | $134.19 | $107.35 | $14.11–$98.76 | 143% above | -25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $179.13 | $143.30 | $16.30–$131.83 | 303% above | -25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM. HORMONE | $357.88 | $286.30 | $16.30–$263.39 | 704% above | -25% |
| Trichomonas test (NAAT) CPT 87661 WOMENS HEALTH | $72.54 | $58.03 | $20.89–$93.91 | 17% below | -25% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY PCR | $212.96 | $170.37 | $34.04–$156.74 | 143% above | -25% |
| Uric acid blood test CPT 84550 Uric Acid, Serum | $74.45 | $59.56 | $4.38–$54.79 | 195% above | -25% |
| Uric acid blood test CPT 84550 URIC ACID, SERUM | $179.25 | $143.40 | $4.38–$131.92 | 610% above | -25% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS* | $56.33 | $45.06 | $3.07–$41.45 | 133% above | -25% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis | $17.85 | $14.28 | $3.90–$13.13 | 6% above | -25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick Only | $20.51 | $16.41 | $2.18–$15.09 | 80% above | -25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS (CHEM ONLY) | $56.33 | $45.06 | $2.18–$41.45 | 394% above | -25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $56.33 | $45.06 | $2.18–$41.45 | 394% above | -25% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY | $42.24 | $33.79 | $3.38–$31.08 | 142% above | -25% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK FOR BLOOD | $50.39 | $40.31 | $3.38–$37.08 | 188% above | -25% |
| Urinalysis without microscope exam, manual CPT 81002 DIPSTICK URINE PROTEIN | $73.86 | $59.09 | $3.38–$54.36 | 323% above | -25% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $334.68 | $267.74 | $7.83–$246.32 | 600% above | -25% |
| Urine pregnancy test, read by color change CPT 81025 BHCG Qual Urine Preg | $38.70 | $30.96 | $8.35–$28.48 | 43% above | -25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B-12, SERUM | $103.68 | $82.94 | $14.63–$76.30 | 75% above | -25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITD, 25-HYDROXY (CALCIFEROL) | $142.30 | $113.84 | $28.71–$104.73 | 8% above | -25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY TOTAL | $152.43 | $121.94 | $28.71–$112.18 | 16% above | -25% |
| Zinc blood test CPT 84630 Zinc, Plasma | $107.69 | $86.15 | $11.05–$79.25 | 86% above | -25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE | $248.53 | $198.82 | $14.60–$182.91 | 361% above | -25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Triple Screen | $248.53 | $198.82 | $14.60–$182.91 | 361% above | -25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG, Total, QN | $248.53 | $198.82 | $14.60–$182.91 | 361% above | -25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY BREAST PERC 1ST LESION | $4,088.91 | $3,271.13 | $1,177.60–$5,440.72 | 116% above | -25% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC LV ONLY | $27,691.70 | $22,153.36 | $2,967.72–$20,381.09 | 403% above | -25% |
| Cardiac catheterization with coronary angiogram CPT 93458 SP LHC, LV, COR, AO | $27,691.70 | $22,153.36 | $2,967.72–$20,381.09 | 403% above | -25% |
| Cardiac catheterization with coronary angiogram CPT 93458 SP LHC, LV, COR | $27,691.70 | $22,153.36 | $2,967.72–$20,381.09 | 403% above | -25% |
| Cardiac catheterization with coronary angiogram CPT 93458 SP LHC, COR | $27,691.70 | $22,153.36 | $2,967.72–$20,381.09 | 403% above | -25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION | $534.44 | $427.55 | $153.91–$2,595.61 | 4% below | -25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - CATH LAB | $1,199.60 | $959.68 | $345.48–$2,595.61 | 116% above | -25% |
| Catheter ablation for atrial fibrillation CPT 93656 EP EVAL & A-FIB ABLATION | $44,007.10 | $35,205.68 | $12,674.04–$38,469.62 | 226% above | -25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITHOUT REGIONAL BLOCK | $666.09 | $532.87 | $191.83–$5,908.90 | 65% above | -25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONAL BLOCK | $666.09 | $532.87 | $191.83–$5,908.90 | 65% above | -25% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION WITHOUT REGIONAL BLOCK | $666.09 | $532.87 | $191.83–$5,908.90 | 41% above | -25% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION WITH REGIONAL BLOCK | $666.09 | $532.87 | $191.83–$5,908.90 | 41% above | -25% |
| Coronary stent placement, one artery CPT 92928 SP CORONARY STENT, SINGLE VESSEL | $25,021.93 | $20,017.54 | $7,206.31–$35,073.56 | 145% above | -25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $109.98 | $87.98 | $31.67–$6,587.71 | 83% below | -25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DI, Pre-mal 1st les | $713.11 | $570.49 | $183.34–$963.46 | 795% above | -25% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia | $287.63 | $230.10 | $82.83–$6,045.88 | 1% above | -25% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $287.63 | $230.10 | $82.83–$6,045.88 | 1% above | -25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN w/IRRIGATION | $53.50 | $42.80 | $15.40–$155.69 | 14% below | -25% |
| Earwax removal with instruments, one ear one side CPT 69210 CERUMEN REMOV REQUIRED INSTRU UNILATERAL | $273.96 | $219.17 | $54.81–$201.63 | 272% above | -25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $273.18 | $218.54 | $78.67–$3,275.03 | 75% below | -25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPLINGRAM PR CODE | $189.66 | $151.73 | $54.62–$949.70 | at median | -25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE | $631.49 | $505.19 | $72.34–$1,084.84 | 195% above | -25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Cyst Single | $713.11 | $570.49 | $72.34–$1,084.84 | 233% above | -25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHOCENTESIS (KNEE, HIP, SHOULDER) | $1,203.11 | $962.49 | $30.21–$1,362.02 | 407% above | -25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHOCENTESIS (WRIST, ELBOW, ANKLE) | $1,203.11 | $962.49 | $25.86–$1,362.02 | 429% above | -25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Close <2.5cm Scalp | $1,374.13 | $1,099.30 | $162.11–$1,011.35 | 340% above | -25% |
| Left heart catheterization, diagnostic CPT 93452 LFT HRT CATH LV ONLY | $12,089.40 | $9,671.52 | $2,967.72–$8,897.79 | 153% above | -25% |
| Left heart catheterization, diagnostic CPT 93452 LP LHC, LV ONLY | $12,089.40 | $9,671.52 | $2,967.72–$8,897.79 | 153% above | -25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $278.49 | $222.79 | $80.20–$2,006.31 | 55% below | -25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $188.56 | $150.85 | $54.30–$3,275.03 | 80% below | -25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SP NJX AA&/STRD TFRM EPI L/S 1 | $2,772.04 | $2,217.63 | $429.26–$3,275.03 | 191% above | -25% |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD POSTERIOR/PSTLAT TQ 1NTRSPC LUMB | $53,273.51 | $42,618.81 | $12,183.33–$39,209.30 | 42% above | -25% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 | $1,795.34 | $1,436.27 | $517.05–$6,977.63 | 44% above | -25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Ex Bn,Trunk <0.5cm | $2,472.83 | $1,978.26 | $81.63–$3,380.50 | 755% above | -25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Ex Bn, Face <0.5cm | $2,472.83 | $1,978.26 | $90.06–$3,380.50 | 452% above | -25% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE (PT, COMPL | $430.30 | $344.24 | $123.92–$1,001.47 | 177% above | -25% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $2,360.60 | $1,888.48 | $452.12–$2,858.47 | 154% above | -25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL - PART/COMPLETE | $803.33 | $642.66 | $89.77–$3,380.50 | 122% above | -25% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LM | $3,840.24 | $3,072.19 | $830.72–$3,275.03 | 122% above | -25% |
| Short arm splint (forearm and hand) CPT 29125 APP OF SHORT ARM SPLINT-STATIC | $324.03 | $259.22 | $93.31–$919.47 | 152% above | -25% |
| Short arm splint (forearm and hand) CPT 29125 APPL. OF SHORT ARM SPLINT-STATIC | $343.46 | $274.77 | $98.91–$919.47 | 167% above | -25% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CASE | $894.76 | $715.81 | $45.61–$658.54 | 477% above | -25% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $948.44 | $758.75 | $45.61–$698.05 | 512% above | -25% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOSPY OF SKING SINGLE LESION | $730.91 | $584.73 | $210.50–$3,380.50 | 144% above | -25% |
| Skin biopsy, punch, one lesion CPT 11104 Pnch Bx Skin Lesion1 | $1,374.13 | $1,099.30 | $368.64–$3,380.50 | 359% above | -25% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION | $2,170.90 | $1,736.72 | $368.64–$3,380.50 | 625% above | -25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Ex Mal, Trunk <0.5cm | $2,472.83 | $1,978.26 | $118.24–$3,380.50 | 457% above | -25% |
| Skin tag removal, up to 15 tags CPT 11200 Ex Skin Tag to 15 | $713.11 | $570.49 | $183.34–$963.46 | 359% above | -25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $953.70 | $762.96 | $274.66–$2,189.17 | 60% above | -25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION | $696.11 | $556.89 | $183.34–$3,380.50 | 199% above | -25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tang Bx Skin Single | $713.11 | $570.49 | $183.34–$3,380.50 | 206% above | -25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $730.91 | $584.73 | $183.34–$3,380.50 | 214% above | -25% |
| Thoracentesis with imaging guidance CPT 32555 X-THORACENTESIS,ASPIRATION PUNCT | $2,360.60 | $1,888.48 | $570.46–$2,858.47 | 250% above | -25% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS ASPIRATE PLEURA W/IMAGING | $2,360.60 | $1,888.48 | $570.46–$2,858.47 | 250% above | -25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 AUS Breast biopsy, perc 1st lesion w/US | $6,711.25 | $5,369.00 | $1,494.96–$5,440.72 | 273% above | -25% |
| Vein ablation, radiofrequency, first vein CPT 36475 US ENDOVENOUS ABLATION THERAPY | $12,660.26 | $10,128.21 | $1,426.88–$9,317.95 | 93% above | -25% |
| Wart removal, up to 14 warts CPT 17110 DI Bn, up to 14 | $713.11 | $570.49 | $183.34–$963.46 | 337% above | -25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBCUT TISS 1ST 20SQCM | $1,403.34 | $1,122.67 | $192.55–$1,032.85 | 245% above | -25% |
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 PRODUCT ADMIN ONE UNIT | $689.29 | $551.43 | $36.61–$3,404.65 | 3% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PROD ADMIN 1 UNIT | $730.64 | $584.51 | $36.61–$3,404.65 | 10% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMIN 1 UNIT | $730.64 | $584.51 | $36.61–$3,404.65 | 10% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,081.91 | $865.53 | $36.61–$3,404.65 | 62% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PROD ADMIN 2 UNITS | $1,156.20 | $924.96 | $36.61–$3,404.65 | 74% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMIN TWO UNITS | $1,285.81 | $1,028.65 | $36.61–$3,404.65 | 93% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMIN 3 OR MORE UNITS | $1,603.61 | $1,282.89 | $36.61–$3,404.65 | 141% above | -25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PROD ADMIN 3 OR MORE UNITS | $1,699.81 | $1,359.85 | $36.61–$3,404.65 | 155% above | -25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRES OR NONPRES INHALATION TRTMT | $305.58 | $244.46 | $88.00–$1,034.56 | 146% above | -25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER TREATMENT | $305.58 | $244.46 | $88.00–$1,034.56 | 146% above | -25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INITIAL 1ST HR | $769.28 | $615.42 | $221.55–$566.18 | 121% above | -25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION, INTL HR | $1,240.00 | $992.00 | $224.54–$912.64 | 256% above | -25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF, INTL HR | $1,240.00 | $992.00 | $224.54–$912.64 | 256% above | -25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE - FIRST 30-74 MIN | $2,422.06 | $1,937.65 | $697.55–$1,782.63 | 198% above | -25% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RECORDING INC AWAKE & DROWSY | $929.11 | $743.29 | $267.58–$2,041.04 | 115% above | -25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 STANDARD 12 LEAD-NO PC | $324.91 | $259.93 | $31.67–$239.13 | 179% above | -25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE LEVEL 1 | $289.76 | $231.81 | $81.24–$213.26 | 156% above | -25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE LEVEL 2 | $410.98 | $328.78 | $118.36–$302.47 | 142% above | -25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE LEVEL 3 | $711.31 | $569.05 | $204.85–$523.52 | 142% above | -25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER CARE LEVEL 4 | $1,406.88 | $1,125.50 | $392.90–$1,035.46 | 219% above | -25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS EKG-TECHNICAL | $706.05 | $564.84 | $165.90–$519.65 | 88% above | -25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG STRESS MONITORING TRACING | $706.05 | $564.84 | $165.90–$519.65 | 88% above | -25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS TEST | $706.05 | $564.84 | $165.90–$519.65 | 88% above | -25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM STRESS TEST - NO ISOTOPE | $1,391.05 | $1,112.84 | $165.90–$1,023.81 | 270% above | -25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE EKG | $1,391.05 | $1,112.84 | $165.90–$1,023.81 | 270% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL >31 MIN-1HR | $333.69 | $266.95 | $96.10–$357.39 | 105% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION,HYDR,INITIAL>30MINS | $376.20 | $300.96 | $108.34–$357.39 | 131% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION,HYDR,INIT, 31MIN-1HR | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDR,INITIAL,31MIN-1HR | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS,HYDR,INITIAL,31MIN-1HR | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, HYDR,INITIAL >30MINS | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDR,INITAL, 31MINS-1HR | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDR,INITIAL, 31MIN-1HR | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS,HYDR,INITIAL, 31MIN-1HR | $456.11 | $364.89 | $131.36–$357.39 | 180% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF, HYDR, INIT, 31MIN-1HR | $484.74 | $387.79 | $139.60–$357.39 | 197% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS,HYDR,INITAL,31MIN-1HR | $484.74 | $387.79 | $139.60–$357.39 | 197% above | -25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS,HYDR,INITIAL 31MIN-1HR | $499.56 | $399.65 | $143.87–$367.67 | 207% above | -25% |
| IV infusion of a medicine, first hour CPT 96365 NCHEMO INF INITIAL ONE HOUR | $398.68 | $318.94 | $114.81–$357.39 | 74% above | -25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION, THER/DX, INITIAL' | $456.11 | $364.89 | $131.36–$357.39 | 99% above | -25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION, THER/DX, INITIAL | $484.74 | $387.79 | $139.60–$357.39 | 111% above | -25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION, THERM/DX, INITIAL | $499.56 | $399.65 | $143.87–$367.67 | 118% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NCHEMO SQ/IM INJECTION | $138.73 | $110.98 | $39.95–$117.46 | 107% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ ANTBIOTIC | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q/M INJ | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q/IM INJECTIONS | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q/IM INJ | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q/IM EACH INJ | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q IM/INJ | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION - SUB Q OR IM | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ OF ANTIBIOTIC | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ ANTIBIOTIC | $140.50 | $112.40 | $40.46–$117.46 | 110% above | -25% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION (15 MIN) | $74.45 | $59.56 | $21.44–$97.75 | at median | -25% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCLULAR REEDUCATION (15 MIN) | $158.06 | $126.45 | $45.52–$116.33 | 112% above | -25% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION (15 MIN) | $258.16 | $206.53 | $47.51–$190.00 | 247% above | -25% |
| New patient office visit, about 30 minutes CPT 99203 NEW OUTPATIENT VISIT (INTERMEDIAT | $374.91 | $299.93 | $107.97–$275.93 | 127% above | -25% |
| New patient office visit, about 30 minutes CPT 99203 NEW OP-INTERMED | $651.60 | $521.28 | $156.86–$479.57 | 294% above | -25% |
| New patient office visit, about 30 minutes CPT 99203 NEW OP - INTERMED | $651.60 | $521.28 | $156.86–$479.57 | 294% above | -25% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT - LEVEL 3 | $709.56 | $567.65 | $156.86–$522.23 | 329% above | -25% |
| New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new | $260.38 | $208.30 | $74.98–$235.83 | 15% above | -25% |
| New patient office visit, about 45 minutes CPT 99204 NEW OUTPATIENT VISIT (EXTENSIVE) | $576.38 | $461.10 | $165.99–$424.21 | 156% above | -25% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT - LEVEL 4 | $800.53 | $640.42 | $230.55–$589.18 | 255% above | -25% |
| New patient office visit, about 45 minutes CPT 99204 NEW OP - EXTENSIVE | $1,001.13 | $800.90 | $235.83–$736.82 | 344% above | -25% |
| New patient office visit, about 45 minutes CPT 99204 NEW OP-EXTENSIVE | $1,001.13 | $800.90 | $235.83–$736.82 | 344% above | -25% |
| New patient office visit, about 60 minutes CPT 99205 NEW OUTPATIENT VISIT (COMPLEX) | $577.83 | $462.26 | $166.41–$425.27 | 108% above | -25% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT - LEVEL 5 | $932.78 | $746.22 | $268.63–$686.52 | 236% above | -25% |
| New patient office visit, about 60 minutes CPT 99205 NEW OP - COMPLEX | $1,261.08 | $1,008.86 | $311.21–$928.15 | 354% above | -25% |
| New patient office visit, about 60 minutes CPT 99205 NEW OP- COMPLEX | $1,261.08 | $1,008.86 | $311.21–$928.15 | 354% above | -25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OP - BRIEF | $263.43 | $210.74 | $75.86–$193.88 | 144% above | -25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OP- BRIEF | $263.43 | $210.74 | $75.86–$193.88 | 144% above | -25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OUTPATIENT VISIT (LMT) | $355.18 | $284.14 | $101.31–$261.40 | 229% above | -25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT - LEVEL 2 | $426.78 | $341.42 | $101.31–$314.10 | 295% above | -25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OP-LIMITED | $447.85 | $358.28 | $101.31–$329.61 | 314% above | -25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OP - LIMITED | $447.85 | $358.28 | $101.31–$329.61 | 314% above | -25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION COUNSELING O/P (15MIN) | $66.71 | $53.37 | $19.21–$156.26 | 38% above | -25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT LOW COMPLEXITY | $354.75 | $283.80 | $102.16–$261.09 | 219% above | -25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $444.34 | $355.47 | $70.56–$327.03 | 164% above | -25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $296.80 | $237.44 | $70.56–$218.44 | 176% above | -25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MED COMPLEXITY | $370.59 | $296.47 | $70.56–$272.75 | 177% above | -25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY (15 MIN) | $158.06 | $126.45 | $38.21–$116.33 | 101% above | -25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY (15MIN) | $345.99 | $276.79 | $38.21–$254.64 | 340% above | -25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE W/HP/IP (PER15 MIN) | $110.54 | $88.43 | $31.83–$97.75 | 66% above | -25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE, EA 15 MIN | $258.16 | $206.53 | $41.45–$190.00 | 288% above | -25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE (15 MIN) | $258.16 | $206.53 | $41.45–$190.00 | 288% above | -25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE (15MIN) | $258.16 | $206.53 | $41.45–$190.00 | 288% above | -25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE, (PER 15 MIN) | $258.16 | $206.53 | $41.45–$190.00 | 288% above | -25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10 | $96.85 | $77.48 | $27.49–$71.28 | 263% above | -25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smk Cess up to 10min | $104.20 | $83.36 | $27.49–$76.69 | 291% above | -25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est | $357.95 | $286.36 | $103.08–$263.45 | 63% above | -25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST OUTPATIENT VISIT (COMPLEX) | $576.38 | $461.10 | $165.99–$424.21 | 163% above | -25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT - LEVEL 5 | $800.53 | $640.42 | $230.55–$589.18 | 266% above | -25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB OP - COMPLEX | $879.94 | $703.95 | $253.42–$647.63 | 302% above | -25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB OP- COMPLEX | $879.94 | $703.95 | $253.42–$647.63 | 302% above | -25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est | $264.28 | $211.42 | $76.11–$194.50 | 98% above | -25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST OUTPATIENT VISIT (INTERMEDIAT | $374.91 | $299.93 | $107.97–$275.93 | 181% above | -25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT - LEVEL 3 | $402.19 | $321.75 | $115.83–$296.01 | 202% above | -25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB OP - INTERMED | $439.08 | $351.26 | $126.45–$323.15 | 230% above | -25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB OP- INTERMED | $439.08 | $351.26 | $126.45–$323.15 | 230% above | -25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est | $311.10 | $248.88 | $89.59–$228.96 | 83% above | -25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OUTPATIENT VISIT (EXTENSIVE) | $576.38 | $461.10 | $165.99–$424.21 | 240% above | -25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB OP - EXTENSIVE | $649.85 | $519.88 | $180.76–$478.28 | 283% above | -25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB OP-EXTENSIVE | $649.85 | $519.88 | $180.76–$478.28 | 283% above | -25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT - LEVEL 4 | $668.46 | $534.77 | $180.76–$491.98 | 294% above | -25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est | $217.43 | $173.94 | $62.61–$160.02 | 159% above | -25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB OP - LIMITED | $263.43 | $210.74 | $75.86–$193.88 | 214% above | -25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB OP-LIMITED | $263.43 | $210.74 | $75.86–$193.88 | 214% above | -25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT - LEVEL 2 | $268.16 | $214.53 | $77.23–$197.36 | 219% above | -25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST OUTPATIENT VISIT (LIMITED) | $356.51 | $285.21 | $79.27–$262.39 | 324% above | -25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PROF CONSULT, INTERM | $391.65 | $313.32 | $112.79–$288.25 | 225% above | -25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PROF CONSULT, EXTENDED | $568.36 | $454.69 | $163.68–$418.31 | 468% above | -25% |
| Speech and language evaluation CPT 92523 SPEECH/LANGUAGE EVAL | $779.83 | $623.86 | $148.33–$573.95 | 346% above | -25% |
| Speech therapy session, individual CPT 92507 MODIFICATION PROSTHESIS PER OCC | $370.59 | $296.47 | $106.72–$272.75 | 234% above | -25% |
| Speech therapy session, individual CPT 92507 MODIFICATION PROSTHESIS - PER OCC | $370.59 | $296.47 | $106.72–$272.75 | 234% above | -25% |
| Speech therapy session, individual CPT 92507 VOICE/SPEECH/LANG/TX-INDIVIDUAL | $393.40 | $314.72 | $108.31–$289.54 | 255% above | -25% |
| Speech therapy session, individual CPT 92507 VOICE/SPEECH/LANG/TX | $393.40 | $314.72 | $108.31–$289.54 | 255% above | -25% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION SPIROMETERY | $312.60 | $250.08 | $90.02–$260.45 | 116% above | -25% |
| Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETERY | $593.65 | $474.92 | $157.51–$523.36 | 51% above | -25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES-EA 15 MIN | $93.05 | $74.44 | $26.79–$97.75 | 70% above | -25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES (15 MIN) | $247.63 | $198.10 | $51.35–$182.25 | 352% above | -25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES (15MIN) | $247.63 | $198.10 | $51.35–$182.25 | 352% above | -25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, EA 15 MIN | $247.63 | $198.10 | $51.35–$182.25 | 352% above | -25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $367.83 | $294.26 | $105.93–$286.70 | 194% above | -25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $567.28 | $453.82 | $118.93–$417.51 | 353% above | -25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMNOCCAL VACCINE | $240.59 | $192.47 | $69.28–$177.07 | 52% above | -25% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster vacc sc | $390.08 | $312.06 | $61.03–$287.09 | at median | -25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $110.60 | $88.48 | $31.85–$117.46 | 84% above | -25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADDITIONAL VACCINATION | $110.60 | $88.48 | $20.41–$81.40 | 284% above | -25% |
Source file: https://mrfs.hyvehealthcare.com/MemorialHealth/736061037_memorial-health_standardcharges.json