Arbuckle Memorial Hospital
Arbuckle Memorial Hospital in Sulphur, OK publishes cash prices for 252 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 181 of 251 procedures and above it for 66. By typical cash price it ranks #5 of 46 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2011 West Broadway, Sulphur, OK 73086 Collected Sep 27, 2026 Source price file (580) 622-2161
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 371328 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Cl X-ray Exam Of Ankle Complete | $32.00 | $40.00 | $22.00–$85.00 | 82% below | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Complete Rt 3 Views | $276.00 | $345.00 | $85.00–$345.00 | 58% above | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Complete Lt 3 Views | $276.00 | $345.00 | $85.00–$345.00 | 58% above | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Abi | $768.00 | $960.00 | $164.00–$960.00 | 237% above | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus | $188.00 | $235.00 | $85.00–$235.00 | 34% below | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Whole Body Bone Scan | $687.00 | $859.00 | $467.00–$859.00 | 25% below | 20% |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete 76641 | $126.00 | $157.00 | $85.00–$164.00 | 62% below | 20% |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast 76641 | $214.00 | $267.00 | $145.00–$267.00 | 36% below | 20% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limited 76642 | $96.00 | $120.00 | $65.00–$164.00 | 71% below | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W Cm 71275 | $1,284.00 | $1,605.00 | $573.00–$1,605.00 | 14% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis Wo Cm 74176 | $777.00 | $971.00 | $468.00–$971.00 | 42% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd Pelvis Wo 74176 | $1,961.00 | $2,451.00 | $468.00–$2,451.00 | 46% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $2,267.00 | $2,834.00 | $468.00–$2,834.00 | 41% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd Pelvis W Wo 74178 | $2,932.00 | $3,665.00 | $468.00–$3,665.00 | 55% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W 74160 | $589.00 | $736.00 | $400.00–$736.00 | 44% below | 20% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W Cm 74160 | $963.00 | $1,204.00 | $468.00–$1,204.00 | 9% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo 74150tc | $346.00 | $432.00 | $173.00–$432.00 | 65% below | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Mandible Wo 70486 | $1,106.00 | $1,382.00 | $173.00–$1,382.00 | 26% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxil Wo 70486 | $1,192.00 | $1,490.00 | $173.00–$1,490.00 | 36% above | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,008.00 | $1,260.00 | $468.00–$1,260.00 | 6% above | 20% |
| CT scan of the head with contrast CPT 70460 Ct Brain W Cm 70460 | $1,082.00 | $1,352.00 | $468.00–$1,352.00 | 10% below | 20% |
| CT scan of the head without and with contrast CPT 70470 Ct Brain W Wo Cm 70470 | $1,314.00 | $1,642.00 | $468.00–$1,642.00 | 3% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Sp Wo Cm 72131 | $1,106.00 | $1,382.00 | $173.00–$1,382.00 | 9% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cerv Wo Cm 72125 | $1,106.00 | $1,382.00 | $173.00–$1,382.00 | 4% above | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,159.00 | $1,449.00 | $468.00–$1,449.00 | 7% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid 93880 | $393.00 | $491.00 | $249.00–$491.00 | 20% below | 20% |
| Chest X-ray, 2 views CPT 71046 Chest W Apical Lordotic 2 Views | $106.00 | $133.00 | $72.00–$133.00 | 10% below | 20% |
| Chest X-ray, 2 views CPT 71046 Chest W Oblique 2 View | $197.00 | $246.00 | $85.00–$246.00 | 66% above | 20% |
| Chest X-ray, 2 views CPT 71046 Chest 2 View | $235.00 | $294.00 | $85.00–$294.00 | 98% above | 20% |
| Chest X-ray, single view CPT 71045 Chest 1 View Portable | $143.00 | $179.00 | $85.00–$179.00 | 17% below | 20% |
| Chest X-ray, single view CPT 71045 Chest 1 View Ap | $143.00 | $179.00 | $85.00–$179.00 | 17% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Abdominal Aorta | $193.00 | $241.00 | $131.00–$249.00 | 52% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal Complete 76770 | $490.00 | $612.00 | $249.00–$612.00 | 22% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo Cm 71250 | $1,067.00 | $1,334.00 | $173.00–$1,334.00 | 12% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W Cm 71260 | $1,225.00 | $1,531.00 | $468.00–$1,531.00 | 9% above | 20% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Us Art Stud Dup Lower Ext 93925 | $696.00 | $870.00 | $249.00–$870.00 | 61% above | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Bilateral 93970 | $890.00 | $1,112.00 | $249.00–$1,112.00 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echocardiograph 2d W Colorflow | $1,050.00 | $1,312.00 | $687.00–$1,312.00 | 3% below | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography W/cpap | $2,160.00 | $2,700.00 | $1,128.00–$2,700.00 | 21% below | 20% |
| Knee X-ray, 3 views CPT 73562 Cl X-ray Exam Of Knee 3 Views | $36.00 | $45.00 | $24.00–$85.00 | 80% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3v Lt | $276.00 | $345.00 | $85.00–$345.00 | 55% above | 20% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3v Rt | $276.00 | $345.00 | $85.00–$345.00 | 55% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Liver 76705 | $307.00 | $384.00 | $164.00–$384.00 | 20% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited 76705 | $307.00 | $384.00 | $164.00–$384.00 | 20% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Bladder | $352.00 | $440.00 | $164.00–$440.00 | 8% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Soft Tissue Lower Back 76705 | $352.00 | $440.00 | $164.00–$440.00 | 8% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Renal Limited 76705 | $352.00 | $440.00 | $164.00–$440.00 | 8% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder 76705 | $352.00 | $440.00 | $164.00–$440.00 | 8% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Non Obst Limited 76857 | $194.00 | $243.00 | $132.00–$243.00 | 36% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Non Obst 76856 | $534.00 | $668.00 | $249.00–$668.00 | 10% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $266.00 | $332.00 | $151.00–$332.00 | 28% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob 1st Trimester Less Than 14 Weeks | $231.00 | $289.00 | $151.00–$289.00 | 45% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Fetal Death 76815 | $109.00 | $136.00 | $74.00–$151.00 | 68% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $158.00 | $198.00 | $108.00–$198.00 | 54% below | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Comp Lt Minimum 2 Views | $235.00 | $294.00 | $85.00–$294.00 | 21% above | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt Minimum 2 Views | $235.00 | $294.00 | $85.00–$294.00 | 21% above | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Rt Minimum 2 Views | $235.00 | $294.00 | $85.00–$294.00 | 21% above | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Comp Rt Minimum 2 Views | $235.00 | $294.00 | $85.00–$294.00 | 21% above | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $1,920.00 | $2,400.00 | $1,128.00–$2,400.00 | 31% below | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Cine/video X-ray Throat | $150.00 | $188.00 | $102.00–$188.00 | 50% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $534.00 | $668.00 | $164.00–$668.00 | 41% above | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvag | $182.00 | $228.00 | $124.00–$228.00 | 34% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $540.00 | $675.00 | $249.00–$675.00 | 3% above | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum & Con | $592.00 | $740.00 | $164.00–$740.00 | 72% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissues Head/neck | $474.00 | $593.00 | $164.00–$593.00 | 16% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid 76536 | $474.00 | $593.00 | $164.00–$593.00 | 16% above | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Lower Extremety Non Vascular | $315.00 | $394.00 | $164.00–$394.00 | 35% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Unilat 93971 | $445.00 | $556.00 | $164.00–$556.00 | 8% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Lt Minimum 3 View | $350.00 | $437.00 | $85.00–$437.00 | 95% above | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Rt Minimum 3v | $350.00 | $437.00 | $85.00–$437.00 | 95% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip Complete Minimum 2 Views | $165.00 | $206.00 | $85.00–$206.00 | 8% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Pelvis & Hip Minimum 2 Views | $183.00 | $229.00 | $85.00–$229.00 | 2% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilateral With Pelvis 2-3 Views | $140.00 | $175.00 | $85.00–$175.00 | 22% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Rt W Pelvis Unilat Minimum 2 Views | $251.00 | $314.00 | $85.00–$314.00 | 40% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Lt W Pelvis Unilat Minimum 2 Views | $251.00 | $314.00 | $85.00–$314.00 | 40% above | 20% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View | $160.00 | $200.00 | $85.00–$200.00 | 5% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 Kub 1 View | $463.00 | $579.00 | $85.00–$579.00 | 176% above | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Ap Lateral Rt 2 Views | $183.00 | $229.00 | $85.00–$229.00 | 13% above | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Ap Lateral Lt 2 Views | $183.00 | $229.00 | $85.00–$229.00 | 13% above | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 Cl X-ray Exam Of Finger(s) 2+ Views | $26.00 | $32.00 | $17.00–$85.00 | 83% below | 19% |
| X-ray of the finger(s), 2 or more views CPT 73140 Fingers Minimum 2 Views | $215.00 | $269.00 | $85.00–$269.00 | 38% above | 20% |
| X-ray of the foot, 2 views one side CPT 73620 Foot Lt 2 Views | $183.00 | $229.00 | $85.00–$229.00 | 13% above | 20% |
| X-ray of the foot, 2 views one side CPT 73620 Foot Rt 2 Views | $183.00 | $229.00 | $85.00–$229.00 | 13% above | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Cl X-ray Exam Of Foot Complete | $32.00 | $40.00 | $22.00–$85.00 | 82% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Rt Complete Minimum 3 Views | $286.00 | $357.00 | $85.00–$357.00 | 58% above | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Lt Minimum 3 Views | $286.00 | $357.00 | $85.00–$357.00 | 58% above | 20% |
| X-ray of the hand, 3 or more views CPT 73130 Cl X-ray Exam Of Hand 3+ Views | $75.00 | $94.00 | $51.00–$94.00 | 57% below | 20% |
| X-ray of the hand, 3 or more views CPT 73130 Hand Ltminimum 3 Views | $350.00 | $437.00 | $85.00–$437.00 | 102% above | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Rt Minimum 3 Views | $350.00 | $437.00 | $85.00–$437.00 | 102% above | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Patella Ap Lat Lt 1-2 Views | $106.00 | $132.00 | $72.00–$132.00 | 35% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Ap Lat Rt 1-2 Views | $106.00 | $132.00 | $72.00–$132.00 | 35% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Patella Ap Lat Rt 1-2 Views | $106.00 | $132.00 | $72.00–$132.00 | 35% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Ap Lat Lt 1-2 Views | $106.00 | $132.00 | $72.00–$132.00 | 35% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L Spine A P & Lat 2 Or 3 Views | $290.00 | $362.00 | $85.00–$362.00 | 37% above | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $382.00 | $477.00 | $85.00–$477.00 | 31% above | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complete Min 3 Views | $136.00 | $170.00 | $85.00–$170.00 | 16% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cerv Ap Lat 3 Or Less Views | $370.00 | $463.00 | $85.00–$463.00 | 81% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C Spine Ap Lat 2 Views | $370.00 | $463.00 | $85.00–$463.00 | 81% above | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 Views | $183.00 | $229.00 | $85.00–$229.00 | at median | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis Ap 1-2 Views | $183.00 | $229.00 | $85.00–$229.00 | at median | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Minimum 2 Views | $222.00 | $278.00 | $85.00–$278.00 | 25% above | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Cl Alt (Sgpt) | $6.00 | $8.00 | $4.00–$8.00 | 81% below | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) | $28.00 | $35.00 | $7.00–$35.00 | 13% below | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Cl Ast (Sgot) | $6.00 | $8.00 | $4.00–$8.00 | 84% below | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) | $23.00 | $29.00 | $7.00–$29.00 | 39% below | 21% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Cl Hepatitis Profile | $132.00 | $165.00 | $12.00–$165.00 | 24% below | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile | $132.00 | $165.00 | $12.00–$165.00 | 24% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Hair / Dander | $10.00 | $13.00 | $7.00–$15.00 | 54% below | 23% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel (Ok/tx) | $12.00 | $15.00 | $8.00–$15.00 | 44% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Profile W/total Ige, Area 10 | $12.00 | $15.00 | $8.00–$15.00 | 44% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orange Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Potato White Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate/cacao Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cod Fish Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium Chrysogenum | $18.00 | $22.00 | $12.00–$22.00 | 17% below | 18% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Profile, Wheat, Ige W/comp Rfx | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork F026- Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Turkey Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peach Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Casein Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rice Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef Ige | $18.00 | $23.00 | $13.00–$23.00 | 17% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yeast F045-ige | $34.00 | $42.00 | $15.00–$42.00 | 57% above | 19% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yeast Cult | $34.00 | $42.00 | $15.00–$42.00 | 57% above | 19% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Southwest Allergy Panel 14 | $140.00 | $175.00 | $15.00–$175.00 | 548% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Profile W/total Ige, Area14 | $140.00 | $175.00 | $15.00–$175.00 | 548% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Comp Panel X 24 | $247.00 | $309.00 | $15.00–$309.00 | 1044% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Basic X12 | $600.00 | $750.00 | $15.00–$750.00 | 2678% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide, Igg & Iga | $32.00 | $40.00 | $15.00–$40.00 | 53% below | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $32.00 | $40.00 | $15.00–$40.00 | 53% below | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Analyzer | $36.00 | $45.00 | $15.00–$45.00 | 16% below | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Analyzer 12 Plus Profile | $36.00 | $45.00 | $15.00–$45.00 | 16% below | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen | $40.00 | $50.00 | $15.00–$50.00 | 7% below | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana By Ifa Reflex To Titer / Pattern | $40.00 | $50.00 | $15.00–$50.00 | 7% below | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bn Peptide | $95.00 | $119.00 | $47.00–$119.00 | 15% below | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp Pro N-terminal | $162.00 | $203.00 | $47.00–$203.00 | 45% above | 20% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $55.00 | $69.00 | $12.00–$69.00 | 72% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 =>Pathology/cytology<= | $190.00 | $237.00 | $33.00–$237.00 | 47% above | 20% |
| Blood culture for bacteria CPT 87040 Blood Culture 1st Set | $29.00 | $36.00 | $11.00–$36.00 | 53% below | 19% |
| Blood culture for bacteria CPT 87040 Culture Blood 1st Set | $29.00 | $36.00 | $11.00–$36.00 | 53% below | 19% |
| Blood culture for bacteria CPT 87040 Culture Blood 2nd Set | $29.00 | $36.00 | $11.00–$36.00 | 53% below | 19% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Drawing Blood Routine | $6.00 | $8.00 | $3.00–$8.00 | 38% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Fee 36415 | $6.00 | $8.00 | $3.00–$8.00 | 38% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Fee | $6.00 | $7.00 | $3.00–$7.00 | 38% below | 14% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture For Collection | $6.00 | $8.00 | $3.00–$8.00 | 38% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Spec Collect | $12.00 | $15.00 | $3.00–$15.00 | 23% above | 20% |
| Blood glucose (sugar) test CPT 82947 Glucose | $23.00 | $29.00 | $7.00–$29.00 | 9% below | 21% |
| Blood glucose (sugar) test CPT 82947 Cl Glucose Tolerance 5 Hour | $23.00 | $29.00 | $7.00–$29.00 | 9% below | 21% |
| Blood lead test CPT 83655 Cl Lead Blood | $34.00 | $42.00 | $16.00–$42.00 | 17% below | 19% |
| Blood lead test CPT 83655 Urine Lead Random Or 24 Hr | $87.00 | $109.00 | $16.00–$109.00 | 112% above | 20% |
| Blood lead test CPT 83655 Lead Blood Adult | $119.00 | $149.00 | $16.00–$149.00 | 191% above | 20% |
| Blood lead test CPT 83655 Lead, Whole Blood (Adult) | $119.00 | $149.00 | $16.00–$149.00 | 191% above | 20% |
| Blood lead test CPT 83655 Lead, Venous Blood Pediatrics | $119.00 | $149.00 | $16.00–$149.00 | 191% above | 20% |
| Blood lead test CPT 83655 Lead Blood Pediatrics | $119.00 | $149.00 | $16.00–$149.00 | 191% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qualitative | $32.00 | $40.00 | $7.00–$40.00 | 20% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Blood Typing Abo 86900 | $12.00 | $15.00 | $6.00–$15.00 | 79% below | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (Crp), Quantitative | $14.00 | $18.00 | $10.00–$18.00 | 48% below | 22% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp Inflamation | $14.00 | $18.00 | $10.00–$18.00 | 48% below | 22% |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen (Ca) 19-9 | $58.00 | $73.00 | $15.00–$73.00 | 36% below | 21% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $58.00 | $73.00 | $15.00–$73.00 | 36% below | 21% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (Ca)125 | $58.00 | $72.00 | $15.00–$72.00 | 7% below | 19% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $58.00 | $72.00 | $15.00–$72.00 | 7% below | 19% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Co2 Covid 19 Amp Probe | $102.00 | $128.00 | $41.00–$128.00 | 28% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid Swab | $120.00 | $150.00 | $41.00–$150.00 | 50% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Discontinued Accula | $120.00 | $150.00 | $41.00–$150.00 | 50% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia & Gono, Urine Or Urogen Swab | $24.00 | $30.00 | $16.00–$41.00 | 69% below | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gc/chlamydia Swab | $78.00 | $98.00 | $41.00–$98.00 | at median | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gc Chlamydia Do Not Use | $78.00 | $98.00 | $41.00–$98.00 | at median | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gc & Chlamydia Urine Aptima | $78.00 | $98.00 | $41.00–$98.00 | at median | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Xx Gc/chl Inhouse Urine/swab Discontinue | $78.00 | $98.00 | $41.00–$98.00 | at median | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gonococcus/genital Mycoplasma | $1,044.00 | $1,305.00 | $41.00–$1,305.00 | 1243% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Clamydia/gonococcus/genital Mycoplasma P | $1,044.00 | $1,305.00 | $41.00–$1,305.00 | 1243% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $66.00 | $83.00 | $12.00–$83.00 | 1% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $53.00 | $66.00 | $8.00–$66.00 | 17% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $44.00 | $55.00 | $8.00–$55.00 | 40% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $83.00 | $104.00 | $12.00–$104.00 | 62% above | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer (Fibrin Degradation) | $21.00 | $26.00 | $6.00–$26.00 | 74% below | 19% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea S | $62.00 | $77.00 | $19.00–$77.00 | 18% below | 19% |
| Estradiol blood test CPT 82670 X Estradiol Ultrasensitive Children | $62.00 | $78.00 | $19.00–$78.00 | 20% below | 21% |
| Estradiol blood test CPT 82670 Estradiol Ultrasensitive (12y And Under) | $76.00 | $95.00 | $19.00–$95.00 | 2% below | 20% |
| Estradiol blood test CPT 82670 Estradiol | $180.00 | $225.00 | $19.00–$225.00 | 133% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 X Follicle Stimulating Hormone Ultrasen | $50.00 | $63.00 | $19.00–$63.00 | 25% below | 21% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone | $51.00 | $64.00 | $19.00–$64.00 | 23% below | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle-stimulating Hormone (Fsh) | $51.00 | $64.00 | $19.00–$64.00 | 23% below | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal | $156.00 | $195.00 | $18.00–$195.00 | 26% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $38.00 | $47.00 | $18.00–$47.00 | 25% below | 19% |
| Ferritin blood test (iron stores) CPT 82728 Cl Ferritin | $38.00 | $47.00 | $18.00–$47.00 | 25% below | 19% |
| Folate (folic acid) blood test CPT 82746 Cl Folate | $50.00 | $63.00 | $18.00–$63.00 | 14% below | 21% |
| Folate (folic acid) blood test CPT 82746 Folate | $50.00 | $63.00 | $18.00–$63.00 | 14% below | 21% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3) Free, T3, Free | $47.00 | $59.00 | $19.00–$59.00 | 48% below | 20% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $47.00 | $59.00 | $19.00–$59.00 | 48% below | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $25.00 | $31.00 | $17.00–$31.00 | 59% below | 19% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 *** Do Not Use*** | $45.00 | $56.00 | $19.00–$56.00 | 27% below | 20% |
| Free testosterone test CPT 84402 Testosterone Free | $70.00 | $87.00 | $19.00–$87.00 | 19% below | 20% |
| Free testosterone test CPT 84402 Testosterone Adult Male | $70.00 | $87.00 | $19.00–$87.00 | 19% below | 20% |
| Free testosterone test CPT 84402 Testosterone Total & Free Men | $71.00 | $89.00 | $19.00–$89.00 | 18% below | 20% |
| Free testosterone test CPT 84402 Testosterone Total & Free | $71.00 | $89.00 | $19.00–$89.00 | 18% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hr | $37.00 | $46.00 | $18.00–$46.00 | 38% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Gestational Glucose Tolerance 3hrs | $37.00 | $46.00 | $18.00–$46.00 | 38% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance 3 Specimens | $37.00 | $46.00 | $18.00–$46.00 | 38% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2 Hr | $58.00 | $72.00 | $18.00–$72.00 | 2% below | 19% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Direct Probe | $55.00 | $69.00 | $38.00–$69.00 | 29% below | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Urine | $78.00 | $98.00 | $41.00–$98.00 | 1% above | 20% |
| H. pylori antibody blood test CPT 86677 Cl Helicobacter Pylo Antibody | $42.00 | $52.00 | $15.00–$52.00 | 38% below | 19% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylo Antibody Panel | $42.00 | $52.00 | $15.00–$52.00 | 38% below | 19% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylo Antibody Igg | $42.00 | $52.00 | $15.00–$52.00 | 38% below | 19% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Stool Ag | $98.00 | $122.00 | $11.00–$122.00 | 13% below | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Pcr Quant (Abbott Real Time) | $97.00 | $121.00 | $41.00–$121.00 | 50% below | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant Vl Pcr | $97.00 | $121.00 | $41.00–$121.00 | 50% below | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 Cl Hiv Antibody | $16.00 | $20.00 | $11.00–$20.00 | 65% below | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 Xx Hiv Antibodies Discontinued | $38.00 | $47.00 | $15.00–$47.00 | 16% below | 19% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Antigen Ab Screen 4th Gen | $60.00 | $75.00 | $11.00–$75.00 | 23% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Cl Glycosylated Hemoglobin | $24.00 | $30.00 | $7.00–$30.00 | 32% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycosylated A1c | $32.00 | $40.00 | $7.00–$40.00 | 10% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $32.00 | $40.00 | $7.00–$40.00 | 10% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb A1c + Glycomark(1,5 Ag) | $32.00 | $40.00 | $7.00–$40.00 | 10% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Cl Hep B Surf Ab | $17.00 | $21.00 | $11.00–$21.00 | 60% below | 19% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab Igg | $30.00 | $38.00 | $15.00–$38.00 | 30% below | 21% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab Qual | $30.00 | $38.00 | $15.00–$38.00 | 30% below | 21% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen Scrn Qual. | $29.00 | $36.00 | $11.00–$36.00 | 26% below | 19% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Sur Ag | $29.00 | $36.00 | $11.00–$36.00 | 26% below | 19% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Antibody | $34.00 | $43.00 | $15.00–$43.00 | 31% below | 21% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Antibody Rfx To Quant Pcr | $39.00 | $49.00 | $15.00–$49.00 | 21% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Antibody Screen | $39.00 | $49.00 | $15.00–$49.00 | 21% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Analyzer Rflx Geno | $40.00 | $50.00 | $15.00–$50.00 | 19% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Fibrospect Hcv | $380.00 | $475.00 | $15.00–$475.00 | 671% above | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Pcr Quant Viral Load | $118.00 | $148.00 | $41.00–$148.00 | 47% below | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Quant (Viral Load),rna Abbott Real | $118.00 | $148.00 | $41.00–$148.00 | 47% below | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Pcr Quant W Reflex Genotyp | $226.00 | $283.00 | $41.00–$283.00 | 2% above | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C By Rna Pcr Quant W/rfx To Genotype | $226.00 | $283.00 | $41.00–$283.00 | 2% above | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Qt Pcr Bill Only | $266.00 | $333.00 | $41.00–$333.00 | 20% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Panel 1&2 Igg & Igm | $40.00 | $50.00 | $15.00–$50.00 | 28% below | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus (Hsv) 1 & 2, Ab Igg | $65.00 | $81.00 | $15.00–$81.00 | 18% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex 1 & 2 Igg | $65.00 | $81.00 | $15.00–$81.00 | 18% above | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 1&2 Igm Fia | $54.00 | $68.00 | $15.00–$68.00 | 17% below | 21% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp Hs Cardio | $36.00 | $45.00 | $15.00–$45.00 | 29% below | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein (Crp) Hs Cardiac Risk | $36.00 | $45.00 | $15.00–$45.00 | 29% below | 20% |
| Homocysteine blood test CPT 83090 Homocysteine | $47.00 | $59.00 | $19.00–$59.00 | 62% below | 20% |
| Insulin blood test CPT 83525 Insulin Serum | $23.00 | $29.00 | $16.00–$29.00 | 50% below | 21% |
| Insulin blood test CPT 83525 Islet Cell Dysfunction Group 1 | $54.00 | $67.00 | $19.00–$67.00 | 18% above | 19% |
| Iron blood test (serum iron) CPT 83540 Iron Serum | $15.00 | $19.00 | $7.00–$19.00 | 53% below | 21% |
| Iron blood test (serum iron) CPT 83540 Iron | $30.00 | $38.00 | $7.00–$38.00 | 7% below | 21% |
| Iron blood test (serum iron) CPT 83540 Cl Iron Serum | $38.00 | $47.00 | $7.00–$47.00 | 18% above | 19% |
| Iron blood test (serum iron) CPT 83540 Islet Cell Ag/512 Autoantibody Igg | $54.00 | $67.00 | $7.00–$67.00 | 68% above | 19% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $25.00 | $31.00 | $7.00–$31.00 | 38% below | 19% |
| Iron-binding capacity (TIBC) test CPT 83550 Cl Total Iron Binding Capacity | $68.00 | $85.00 | $7.00–$85.00 | 68% above | 20% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $22.00 | $27.00 | $12.00–$27.00 | 58% below | 19% |
| LH (luteinizing hormone) test CPT 83002 Cl Lh Lutenizing Hormone | $17.00 | $21.00 | $11.00–$21.00 | 76% below | 19% |
| LH (luteinizing hormone) test CPT 83002 Microalbumin 24hr Urine Profile | $52.00 | $65.00 | $19.00–$65.00 | 28% below | 20% |
| LH (luteinizing hormone) test CPT 83002 Lutenizing Hormone (Lh) | $52.00 | $65.00 | $19.00–$65.00 | 28% below | 20% |
| LH (luteinizing hormone) test CPT 83002 Lh Lutenizing Hormone | $52.00 | $65.00 | $19.00–$65.00 | 28% below | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $19.00 | $24.00 | $7.00–$24.00 | 55% below | 21% |
| Lipase blood test (pancreas enzyme) CPT 83690 Cl Lipase | $19.00 | $24.00 | $7.00–$24.00 | 55% below | 21% |
| Liver function blood test panel CPT 80076 Liver function blood test | $50.00 | $63.00 | $12.00–$63.00 | 13% above | 21% |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology W/reflex | $43.00 | $54.00 | $15.00–$54.00 | 37% below | 20% |
| Lyme disease antibody test CPT 86618 Tickborne Disease Antibody Profile | $62.00 | $77.00 | $15.00–$77.00 | 9% below | 19% |
| Lyme disease antibody test CPT 86618 Lyme Antibody (Igg & Igm) | $62.00 | $77.00 | $15.00–$77.00 | 9% below | 19% |
| Magnesium blood test CPT 83735 Magnesium 24 Hr Urine | $18.00 | $23.00 | $7.00–$23.00 | 36% below | 22% |
| Magnesium blood test CPT 83735 Magnesium Rbc | $18.00 | $23.00 | $7.00–$23.00 | 36% below | 22% |
| Magnesium blood test CPT 83735 Magnesium | $28.00 | $35.00 | $7.00–$35.00 | at median | 20% |
| Measles (rubeola) antibody test CPT 86765 Measles Igm | $36.00 | $45.00 | $15.00–$45.00 | 22% below | 20% |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody, Igg | $36.00 | $45.00 | $15.00–$45.00 | 22% below | 20% |
| Measles (rubeola) antibody test CPT 86765 Measles, Mumps, Rubela (Mmr) | $36.00 | $45.00 | $15.00–$45.00 | 22% below | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot | $18.00 | $22.00 | $12.00–$22.00 | 44% below | 18% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $51.00 | $64.00 | $18.00–$64.00 | 49% below | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $51.00 | $64.00 | $18.00–$64.00 | 34% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Touch Prep *Not Linked* | $51.00 | $64.00 | $26.00–$64.00 | 29% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Thin Prep | $112.00 | $140.00 | $26.00–$140.00 | 57% above | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gynecologic Pap Test (Pap Thin Prep) | $112.00 | $140.00 | $26.00–$140.00 | 60% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone (Pth Intact) | $114.00 | $143.00 | $48.00–$143.00 | 18% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth N-term *Not Linked* | $114.00 | $143.00 | $48.00–$143.00 | 18% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact | $114.00 | $143.00 | $48.00–$143.00 | 18% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth C-term *Not Linked* | $114.00 | $143.00 | $48.00–$143.00 | 18% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $28.00 | $35.00 | $6.00–$35.00 | 10% below | 20% |
| Progesterone blood test CPT 84144 Progesterone Ultrasensitive *Discontinue | $57.00 | $71.00 | $19.00–$71.00 | 22% below | 20% |
| Progesterone blood test CPT 84144 Progesterone | $58.00 | $72.00 | $19.00–$72.00 | 20% below | 19% |
| Prolactin blood test CPT 84146 Cl Prolactin | $18.00 | $22.00 | $12.00–$22.00 | 76% below | 18% |
| Prolactin blood test CPT 84146 Prolactin | $54.00 | $67.00 | $19.00–$67.00 | 29% below | 19% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $28.00 | $35.00 | $6.00–$35.00 | 21% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B | $18.00 | $22.00 | $11.00–$22.00 | 67% below | 18% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Ab Swab 87804 | $34.00 | $42.00 | $11.00–$42.00 | 38% below | 19% |
| Rapid flu test (influenza antigen) CPT 87804 Rhc Influenza Ab Swab 87804 | $34.00 | $42.00 | $11.00–$42.00 | 38% below | 19% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A&b | $36.00 | $45.00 | $11.00–$45.00 | 34% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Test | $16.00 | $20.00 | $11.00–$20.00 | 67% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 * Do Not Use | $34.00 | $42.00 | $11.00–$42.00 | 30% below | 19% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Dc Strep Screen 87880 | $52.00 | $65.00 | $11.00–$65.00 | 7% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen 87880 | $52.00 | $65.00 | $11.00–$65.00 | 7% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid 87880 | $52.00 | $65.00 | $11.00–$65.00 | 7% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep | $52.00 | $65.00 | $11.00–$65.00 | 7% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rhc Strep Screen 87880 | $52.00 | $65.00 | $11.00–$65.00 | 7% above | 20% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant | $16.00 | $20.00 | $11.00–$20.00 | 39% below | 20% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (Rf) | $16.00 | $20.00 | $11.00–$20.00 | 39% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg & Igm | $36.00 | $45.00 | $15.00–$45.00 | 30% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antobodies, Igg | $36.00 | $45.00 | $15.00–$45.00 | 30% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Conval | $40.00 | $50.00 | $15.00–$50.00 | 22% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubela Antibodies, Igm | $40.00 | $50.00 | $15.00–$50.00 | 22% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Acute | $40.00 | $50.00 | $15.00–$50.00 | 22% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody | $142.00 | $178.00 | $15.00–$178.00 | 177% above | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate | $18.00 | $23.00 | $8.00–$23.00 | 14% below | 22% |
| Stool ova and parasites exam CPT 87177 Cl Ova & Parasites | $24.00 | $30.00 | $11.00–$30.00 | 55% below | 20% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites | $24.00 | $30.00 | $11.00–$30.00 | 55% below | 20% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites Examination | $24.00 | $30.00 | $11.00–$30.00 | 55% below | 20% |
| Stool ova and parasites exam CPT 87177 Parasite Complete Exam Stool | $100.00 | $125.00 | $11.00–$125.00 | 87% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Cl Occult Blood Fecal | $8.00 | $10.00 | $5.00–$10.00 | 65% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood | $12.00 | $15.00 | $7.00–$15.00 | 47% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood 82270 | $13.00 | $16.00 | $7.00–$16.00 | 43% below | 19% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood Test Screen | $14.00 | $17.00 | $7.00–$17.00 | 38% below | 18% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Fecal Additional | $28.00 | $35.00 | $7.00–$35.00 | 23% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Ifobt Screen For Colorectal Ca | $14.00 | $17.00 | $9.00–$18.00 | 76% below | 18% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Reflex Bill Only | $18.00 | $23.00 | $13.00–$23.00 | 30% below | 22% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Cl Rpr Qualative | $18.00 | $23.00 | $13.00–$23.00 | 30% below | 22% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon -Tb Gold Plus | $200.00 | $250.00 | $45.00–$250.00 | 19% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Cl Testosterone | $18.00 | $22.00 | $12.00–$22.00 | 78% below | 18% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total, Women, Children | $70.00 | $87.00 | $19.00–$87.00 | 15% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Women | $71.00 | $89.00 | $19.00–$89.00 | 14% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Men | $71.00 | $89.00 | $19.00–$89.00 | 14% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Female / Child | $71.00 | $89.00 | $19.00–$89.00 | 14% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Women & Children | $160.00 | $200.00 | $19.00–$200.00 | 94% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody | $41.00 | $51.00 | $15.00–$51.00 | 26% below | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (Tpo) Antibodies | $41.00 | $51.00 | $15.00–$51.00 | 26% below | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome (Lkm) Antibodies | $138.00 | $172.00 | $15.00–$172.00 | 150% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome -1 Antibody Igg | $138.00 | $172.00 | $15.00–$172.00 | 150% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $50.00 | $63.00 | $19.00–$63.00 | at median | 21% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Swab Aptima | $62.00 | $77.00 | $41.00–$77.00 | 28% below | 19% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Urine Aptima | $78.00 | $98.00 | $41.00–$98.00 | 10% below | 20% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis-urine Aptima, Swab | $78.00 | $98.00 | $41.00–$98.00 | 10% below | 20% |
| Uric acid blood test CPT 84550 Uric Acid | $23.00 | $29.00 | $7.00–$29.00 | 9% below | 21% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $28.00 | $35.00 | $4.00–$35.00 | 7% above | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $28.00 | $35.00 | $4.00–$35.00 | 115% above | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $12.00 | $15.00 | $4.00–$15.00 | 30% below | 20% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $22.00 | $28.00 | $11.00–$28.00 | 54% below | 21% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine | $22.00 | $28.00 | $11.00–$28.00 | 54% below | 21% |
| Urine pregnancy test, read by color change CPT 81025 Dc Ua Pregnancy Test 81025 | $18.00 | $23.00 | $4.00–$23.00 | 33% below | 22% |
| Urine pregnancy test, read by color change CPT 81025 Rhc Ua Pregnancy Test 81025 | $18.00 | $23.00 | $4.00–$23.00 | 33% below | 22% |
| Urine pregnancy test, read by color change CPT 81025 Ua Pregnancy Test 81025 | $18.00 | $23.00 | $4.00–$23.00 | 33% below | 22% |
| Urine pregnancy test, read by color change CPT 81025 Hcgurine | $20.00 | $25.00 | $4.00–$25.00 | 26% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 Hcg Urine Screen | $32.00 | $40.00 | $4.00–$40.00 | 18% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 Vitamin | $42.00 | $52.00 | $19.00–$52.00 | 22% below | 19% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cl B12 Vitamin | $42.00 | $52.00 | $19.00–$52.00 | 22% below | 19% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-oh | $82.00 | $102.00 | $47.00–$102.00 | 37% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-oh Vitamin D (D2+d3 Fractionated) | $109.00 | $136.00 | $47.00–$136.00 | 17% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Fractionated | $109.00 | $136.00 | $47.00–$136.00 | 17% below | 20% |
| Zinc blood test CPT 84630 Zinc, Serum Or Plasma | $31.00 | $39.00 | $16.00–$39.00 | 46% below | 21% |
| Zinc blood test CPT 84630 Zinc Blood | $31.00 | $39.00 | $16.00–$39.00 | 46% below | 21% |
| Zinc blood test CPT 84630 Zinc Rbc *Not Linked* | $32.00 | $40.00 | $16.00–$40.00 | 45% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker Quantitative | $42.00 | $52.00 | $19.00–$52.00 | 22% below | 19% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $42.00 | $52.00 | $19.00–$52.00 | 22% below | 19% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant Plasma/serum | $52.00 | $65.00 | $19.00–$65.00 | 4% below | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Heart Electroconversion External | $189.00 | $236.00 | $128.00–$956.00 | 66% below | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $210.00 | $262.00 | $143.00–$956.00 | 62% below | 20% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $320.00 | $400.00 | $218.00–$2,552.00 | 90% below | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Radius Ulna Fracture | $230.00 | $287.00 | $156.00–$658.00 | 29% below | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Reduction Of Metacarpal Closed | $405.00 | $506.00 | $275.00–$658.00 | 25% above | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Tx Of Distal Radial Fracture | $445.00 | $556.00 | $417.00–$658.00 | 38% above | 20% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $744.00 | $930.00 | $506.00–$1,437.00 | 70% below | 20% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $744.00 | $930.00 | $506.00–$1,437.00 | 70% below | 20% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $573.00 | $716.00 | $390.00–$1,437.00 | 57% below | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Any Method | $120.00 | $150.00 | $82.00–$242.00 | 51% above | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Any Method 17000 | $121.00 | $151.00 | $82.00–$242.00 | 52% above | 20% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impacted Cerumen By Irrigation | $26.00 | $32.00 | $17.00–$32.00 | 58% below | 19% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax 1 Or Both Ears | $38.00 | $47.00 | $26.00–$47.00 | 43% below | 19% |
| Earwax removal with instruments, one ear CPT 69210 Impacted Cerumen Removal | $46.00 | $57.00 | $35.00–$57.00 | 31% below | 19% |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen | $62.00 | $78.00 | $42.00–$78.00 | 8% below | 21% |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerec | $92.00 | $115.00 | $63.00–$115.00 | 37% above | 20% |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Ear Wax 1 Or Both 69210 | $93.00 | $116.00 | $63.00–$116.00 | 39% above | 20% |
| IUD insertion (the device itself billed separately) CPT 58300 Mirena Insertion 58300 | $480.00 | $600.00 | $292.00–$600.00 | 2% above | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Absc/cyst Simple | $155.00 | $194.00 | $106.00–$242.00 | 22% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Absc/cyst | $178.00 | $222.00 | $127.00–$242.00 | 11% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Ab | $194.00 | $242.00 | $132.00–$242.00 | 3% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Ab Simple Or Single 10060 | $208.00 | $260.00 | $141.00–$260.00 | 4% above | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision And Drainage (Simple) | $466.00 | $583.00 | $242.00–$583.00 | 134% above | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendom Ligament Gangl Cyst | $60.00 | $75.00 | $41.00–$356.00 | 71% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Single Tendon Sheath Or Ligament 20550 | $102.00 | $127.00 | $69.00–$356.00 | 51% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Trigger Point Injection | $113.00 | $141.00 | $77.00–$356.00 | 46% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Large Arthro Injection Joint | $69.00 | $86.00 | $51.00–$356.00 | 70% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain Inject Major Joint Or Bursa | $72.00 | $90.00 | $49.00–$356.00 | 68% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis/inj Lg | $88.00 | $110.00 | $60.00–$356.00 | 61% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Inj Or Asperation Lg20610 | $116.00 | $145.00 | $79.00–$356.00 | 49% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major Joint Inj | $212.00 | $265.00 | $144.00–$356.00 | 7% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Large | $236.00 | $295.00 | $160.00–$356.00 | 4% above | 20% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Of Nonbiodegradable Drug Deliv | $281.00 | $351.00 | $191.00–$351.00 | 21% above | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain Inject Intermed Joint Bursa | $59.00 | $74.00 | $40.00–$356.00 | 74% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis/inj Med Jt | $63.00 | $79.00 | $42.00–$356.00 | 72% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Intermediate | $74.00 | $93.00 | $51.00–$356.00 | 67% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Inj Or Asperation Md20605 | $97.00 | $121.00 | $66.00–$356.00 | 57% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Medium | $220.00 | $275.00 | $150.00–$356.00 | 3% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain Inject Small Joint Or Bursa | $60.00 | $75.00 | $41.00–$356.00 | 57% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthr Small Joint | $63.00 | $79.00 | $41.00–$356.00 | 54% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis | $72.00 | $90.00 | $49.00–$356.00 | 48% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Small | $172.00 | $215.00 | $117.00–$356.00 | 24% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Small 20600 | $173.00 | $216.00 | $118.00–$356.00 | 25% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Of Wounds Trunk | $116.00 | $145.00 | $79.00–$557.00 | 57% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Suture Layered Scalp Tnk Ext 1.0-2.5cm | $154.00 | $192.00 | $144.00–$557.00 | 42% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Suture Layered Scalp Tnk Ext 2.5cm Or < | $292.00 | $365.00 | $199.00–$557.00 | 9% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Lacer Inter >2 | $330.00 | $413.00 | $225.00–$557.00 | 24% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Lacer Inter 2.5 Cm Or Less 12031 | $331.00 | $414.00 | $225.00–$557.00 | 24% above | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Remove Lesion Trunk Arm Leg | $58.00 | $72.00 | $39.00–$660.00 | 80% below | 19% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Lee Benign Tr | $215.00 | $269.00 | $146.00–$660.00 | 26% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Lee Benign Tr 0.5 | $216.00 | $270.00 | $147.00–$660.00 | 25% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Remove Lesion Face Lid Ear Nose Lip | $74.00 | $93.00 | $51.00–$660.00 | 83% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Benign Face .5 | $246.00 | $307.00 | $167.00–$660.00 | 45% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Benign Face .5 11440 | $246.00 | $308.00 | $168.00–$660.00 | 45% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Single Nail Plate | $65.00 | $81.00 | $44.00–$97.00 | 57% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Avuls Nail Plate | $110.00 | $138.00 | $75.00–$138.00 | 28% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Abulsion Nail Plate Si | $160.00 | $200.00 | $97.00–$200.00 | 5% above | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Si 11730 | $161.00 | $201.00 | $97.00–$201.00 | 6% above | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate | $208.00 | $260.00 | $64.00–$260.00 | 37% above | 20% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis W Imaging Guida | $216.00 | $270.00 | $147.00–$1,094.00 | 75% below | 20% |
| Paracentesis with imaging guidance CPT 49083 Us Paracentesis Guidance | $291.00 | $364.00 | $198.00–$1,094.00 | 67% below | 20% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis With Imaging Guidance | $603.00 | $754.00 | $121.00–$1,094.00 | 31% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail/matrix | $210.00 | $263.00 | $121.00–$660.00 | 42% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Matrix 11750 | $270.00 | $338.00 | $184.00–$660.00 | 25% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Matrix | $270.00 | $337.00 | $183.00–$660.00 | 25% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent Removal Of Nail Bed | $628.00 | $785.00 | $427.00–$785.00 | 75% above | 20% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $354.00 | $443.00 | $241.00–$2,071.00 | 56% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision Removal Foreign Body Subq Tissu | $68.00 | $85.00 | $46.00–$242.00 | 72% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 I&rem Foreign Body Simple Sq | $90.00 | $113.00 | $85.00–$242.00 | 63% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Fb Simple 10120 | $206.00 | $258.00 | $140.00–$258.00 | 16% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Fb | $206.00 | $257.00 | $140.00–$257.00 | 16% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 I&r Foreign Body Simple | $244.00 | $305.00 | $166.00–$305.00 | 1% below | 20% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal Cancer Screening | $442.00 | $552.00 | $300.00–$1,437.00 | 62% below | 20% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Cancer Screening Hi Risk | $442.00 | $552.00 | $300.00–$1,437.00 | 67% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 Cast-short Arm | $120.00 | $150.00 | $82.00–$279.00 | 38% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 Appliction Short Arm Splint 29075 | $142.00 | $178.00 | $97.00–$279.00 | 26% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 Appliction Short Arm Splint | $142.00 | $177.00 | $96.00–$279.00 | 26% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 Cast Short Arm | $165.00 | $206.00 | $74.00–$279.00 | 15% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 Splinting Application Fore Arm | $76.00 | $95.00 | $52.00–$95.00 | 39% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 Splinting Application Short Arm | $106.00 | $132.00 | $52.00–$132.00 | 15% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 Appliction Short Arm Splint | $132.00 | $165.00 | $64.00–$165.00 | 6% above | 20% |
| Short arm splint (forearm and hand) CPT 29125 Appliction Short Arm Splint 29125 | $133.00 | $166.00 | $64.00–$166.00 | 7% above | 20% |
| Short leg cast (below the knee) CPT 29405 Appliction Short Leg Splint | $148.00 | $185.00 | $101.00–$279.00 | 5% below | 20% |
| Short leg cast (below the knee) CPT 29405 Cast Short Leg | $154.00 | $193.00 | $71.00–$279.00 | 1% below | 20% |
| Short leg splint (calf to foot) CPT 29515 Application Of Foot Splint | $98.00 | $123.00 | $64.00–$123.00 | 30% below | 20% |
| Short leg splint (calf to foot) CPT 29515 Splinting Application Short Leg | $113.00 | $141.00 | $63.00–$141.00 | 20% below | 20% |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Spling | $118.00 | $148.00 | $64.00–$148.00 | 16% below | 20% |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Spling 29515 | $119.00 | $149.00 | $64.00–$149.00 | 15% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Superficial Wounds Trunk | $91.00 | $114.00 | $62.00–$277.00 | 53% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Suture Simple Ext. 1.12.5 | $150.00 | $187.00 | $57.00–$277.00 | 23% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Lac Repair 2.5cm Or Less | $176.00 | $220.00 | $120.00–$277.00 | 10% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Laceration >2.5 | $287.00 | $359.00 | $195.00–$359.00 | 47% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Laceration 2.5 Cm Or Less 12001 | $288.00 | $360.00 | $196.00–$360.00 | 48% above | 20% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single | $350.00 | $437.00 | $238.00–$660.00 | 17% above | 20% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy (Skin, Subcutaneous) | $466.00 | $583.00 | $317.00–$660.00 | 56% above | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Remove Malig Lesion Trunk Arm Leg | $104.00 | $130.00 | $71.00–$660.00 | 68% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags Up To 15 | $46.00 | $58.00 | $32.00–$242.00 | 70% below | 21% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags Up T | $147.00 | $184.00 | $100.00–$242.00 | 5% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags 1-15 | $148.00 | $185.00 | $101.00–$242.00 | 5% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Spinal Fluid Tap Lumbar | $84.00 | $105.00 | $57.00–$1,266.00 | 85% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx Spinaltap | $101.00 | $126.00 | $76.00–$1,266.00 | 82% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $344.00 | $430.00 | $234.00–$1,266.00 | 39% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Superficial Wounds Trunk | $107.00 | $134.00 | $73.00–$277.00 | 45% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple 2.6-7.5 Cm | $255.00 | $319.00 | $74.00–$319.00 | 31% above | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Laceration 2.6 | $306.00 | $382.00 | $208.00–$382.00 | 57% above | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Laceration 2.6 12002 | $306.00 | $383.00 | $208.00–$383.00 | 57% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Superficial Wounds Face | $101.00 | $126.00 | $69.00–$277.00 | 47% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Suture Simple 2.5cm Or Less Face | $134.00 | $167.00 | $91.00–$277.00 | 30% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Laceration 2.5 Cm Or Less 12011 | $306.00 | $383.00 | $208.00–$383.00 | 60% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Laceration >2.5 | $306.00 | $382.00 | $208.00–$382.00 | 60% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Complex Repair Eyelid Nose Lip 0-1.0cm | $462.00 | $578.00 | $277.00–$578.00 | 141% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Eyelid Nose Lip 0-1.0cm | $582.00 | $728.00 | $70.00–$728.00 | 204% above | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy Skin Single-shave, Scoop, Currett | $350.00 | $437.00 | $238.00–$660.00 | 48% above | 20% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/imaging Guidance | $146.00 | $182.00 | $99.00–$1,410.00 | 77% below | 20% |
| Thoracentesis with imaging guidance CPT 32555 Us Thoracentesis Guidance | $400.00 | $500.00 | $272.00–$1,410.00 | 36% below | 20% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Imaging Guidance | $825.00 | $1,031.00 | $124.00–$1,410.00 | 32% above | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection; Trigger Pt 1 Or 2 Muscles | $212.00 | $265.00 | $144.00–$356.00 | at median | 20% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd W/dilation | $573.00 | $716.00 | $390.00–$1,416.00 | 68% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $573.00 | $716.00 | $390.00–$1,416.00 | 18% below | 20% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd W/polypectomy Snare | $573.00 | $716.00 | $390.00–$1,416.00 | 81% below | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $744.00 | $930.00 | $506.00–$1,416.00 | 30% below | 20% |
| Wart removal, up to 14 warts CPT 17110 Destroy Flat Wart Up To 14 Lesions | $94.00 | $117.00 | $64.00–$242.00 | 40% below | 20% |
| Wart removal, up to 14 warts CPT 17110 Wart Destruction 1-14 17110 | $101.00 | $126.00 | $69.00–$242.00 | 36% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq Tissue 20sqcm Or Less | $74.00 | $93.00 | $51.00–$557.00 | 82% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Sq Tissue 20 Sq Cm/< 11042 | $120.00 | $150.00 | $82.00–$557.00 | 70% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss <20sqcm Or Less | $244.00 | $305.00 | $72.00–$557.00 | 40% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin, Into Subq | $716.00 | $895.00 | $487.00–$895.00 | 76% above | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $776.00 | $970.00 | $528.00–$970.00 | 18% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration (One/day) | $776.00 | $970.00 | $528.00–$970.00 | 18% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 Prbc Transfusion | $776.00 | $970.00 | $528.00–$970.00 | 18% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressure Breathing Ippb Initial | $18.00 | $22.00 | $12.00–$77.00 | 85% below | 18% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Oxygen Stand-by | $26.00 | $32.00 | $17.00–$77.00 | 78% below | 19% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neubulizer Hand Held | $33.00 | $41.00 | $22.00–$77.00 | 72% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neubulizer Hand Held 94640 | $34.00 | $42.00 | $23.00–$77.00 | 71% below | 19% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Subsequent Updraft Treatment | $240.00 | $300.00 | $77.00–$300.00 | 102% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Initial Treatment | $240.00 | $300.00 | $77.00–$300.00 | 102% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment | $240.00 | $300.00 | $77.00–$300.00 | 102% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial Updraft Treatment | $240.00 | $300.00 | $77.00–$300.00 | 102% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $384.00 | $480.00 | $77.00–$480.00 | 224% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st Hour | $640.00 | $800.00 | $435.00–$800.00 | 17% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st Hour 99291 | $1,200.00 | $1,500.00 | $816.00–$1,500.00 | 56% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care First Hour | $1,200.00 | $1,500.00 | $816.00–$1,500.00 | 56% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st 30-74 Min | $1,200.00 | $1,500.00 | $261.00–$1,500.00 | 56% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care 30-74 Minutes | $1,600.00 | $2,000.00 | $1,088.00–$2,000.00 | 108% above | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $108.00 | $135.00 | $39.00–$135.00 | 226% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing Only | $53.00 | $66.00 | $36.00–$66.00 | 54% below | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Routine 93005 | $120.00 | $150.00 | $39.00–$150.00 | 5% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Visit Minor | $25.00 | $31.00 | $17.00–$31.00 | 77% below | 19% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 A Feelvl I | $34.00 | $42.00 | $23.00–$42.00 | 69% below | 19% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Physician Fee Minorlv 1 | $200.00 | $250.00 | $14.00–$250.00 | 83% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Roomminor I | $400.00 | $500.00 | $272.00–$500.00 | 266% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit Low Moderate | $38.00 | $48.00 | $26.00–$48.00 | 76% below | 21% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Phy Fee Low Complexitylv Ii | $360.00 | $450.00 | $53.00–$450.00 | 125% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emerg Room Intermediate Ii | $600.00 | $750.00 | $408.00–$750.00 | 275% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit Moderate | $71.00 | $89.00 | $48.00–$89.00 | 76% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Physician Asst Moderatelvl Iii | $520.00 | $650.00 | $488.00–$650.00 | 79% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 P A Fee Level Iii | $520.00 | $650.00 | $354.00–$650.00 | 79% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Phy Fee Moderate Complv Iii | $580.00 | $725.00 | $91.00–$725.00 | 100% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Expanded Iii | $880.00 | $1,100.00 | $598.00–$1,100.00 | 204% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Dept Visit High | $109.00 | $136.00 | $74.00–$136.00 | 74% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Phy Fee Detailedlv Iv | $800.00 | $1,000.00 | $155.00–$1,000.00 | 94% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room-detailed Iv | $1,040.00 | $1,300.00 | $707.00–$1,300.00 | 153% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit High | $171.00 | $214.00 | $116.00–$214.00 | 73% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Physician Asst High Complexitylvl V | $760.00 | $950.00 | $713.00–$950.00 | 21% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Phy Fee High Complexitylv 5 | $1,000.00 | $1,250.00 | $225.00–$1,250.00 | 60% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room-comprehe/critical | $1,360.00 | $1,700.00 | $925.00–$1,700.00 | 117% above | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test | $541.00 | $676.00 | $248.00–$676.00 | 40% above | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $132.00 | $165.00 | $90.00–$223.00 | 45% below | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $110.00 | $137.00 | $75.00–$223.00 | 61% below | 20% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $35.00 | $44.00 | $24.00–$317.00 | 81% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration 31 To 1hr 96360 | $52.00 | $65.00 | $35.00–$449.00 | 67% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration 31 To 1hr | $55.00 | $69.00 | $38.00–$449.00 | 65% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydraion | $64.00 | $80.00 | $44.00–$449.00 | 59% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 Iv Med Infusion 1st Hour | $407.00 | $509.00 | $277.00–$509.00 | 77% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Adm Of Inj Subq Or Im | $16.00 | $20.00 | $11.00–$65.00 | 74% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/sq Injection | $28.00 | $35.00 | $19.00–$65.00 | 54% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Adm Of Inj Subq Or Im 96372 | $28.00 | $35.00 | $19.00–$65.00 | 54% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq-im Injection Administration | $48.00 | $60.00 | $33.00–$65.00 | 21% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-education | $56.00 | $70.00 | $38.00–$70.00 | 24% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ed/coordination/balance | $56.00 | $70.00 | $38.00–$70.00 | 24% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Tens | $56.00 | $70.00 | $38.00–$70.00 | 24% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ed/coordination | $56.00 | $70.00 | $38.00–$70.00 | 24% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $289.00 | $361.00 | $196.00–$361.00 | 75% above | 20% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $420.00 | $525.00 | $286.00–$525.00 | 86% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $420.00 | $525.00 | $286.00–$525.00 | 51% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pre Employment Physical 99202 Kerr Pump | $79.00 | $99.00 | $54.00–$99.00 | 27% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit New Pat L | $116.00 | $145.00 | $79.00–$145.00 | 7% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Visit Level 2 99202 | $144.00 | $180.00 | $98.00–$180.00 | 33% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient Visit New Low | $145.00 | $181.00 | $98.00–$181.00 | 34% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Visit Level 2 | $251.00 | $314.00 | $171.00–$314.00 | 133% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation High | $128.00 | $160.00 | $87.00–$354.00 | 22% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low | $128.00 | $160.00 | $87.00–$354.00 | 15% above | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate | $128.00 | $160.00 | $87.00–$354.00 | 3% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 C Traction Per Day | $51.00 | $64.00 | $35.00–$64.00 | 30% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy | $51.00 | $64.00 | $35.00–$64.00 | 30% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Services | $51.00 | $64.00 | $35.00–$64.00 | 30% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $60.00 | $75.00 | $41.00–$75.00 | at median | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $168.00 | $210.00 | $114.00–$210.00 | 74% above | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $188.00 | $235.00 | $128.00–$235.00 | 75% above | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Exam New 65 | $190.00 | $237.00 | $129.00–$237.00 | 59% above | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Exam New 65 Plus 99387 | $200.00 | $250.00 | $136.00–$250.00 | 67% above | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Checkup New 65+ Yrs | $200.00 | $250.00 | $136.00–$250.00 | 67% above | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Exam Est 18 | $122.00 | $152.00 | $83.00–$152.00 | 47% above | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Exam Est 18-39 Years 99395 | $140.00 | $175.00 | $95.00–$175.00 | 69% above | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Checkup Est 18-39 Yrs | $140.00 | $175.00 | $95.00–$175.00 | 69% above | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Exam Est 40 | $134.00 | $168.00 | $91.00–$168.00 | 38% above | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Checkup Est 40-64 Yrs | $140.00 | $175.00 | $95.00–$175.00 | 45% above | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Exam Est 40-64 Years 99396 | $140.00 | $175.00 | $95.00–$175.00 | 45% above | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Exam Est 65 | $148.00 | $185.00 | $101.00–$185.00 | 43% above | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Commercial Wellness Exam 65+ | $164.00 | $205.00 | $112.00–$205.00 | 58% above | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Exam Est 65 Plus 99397 | $164.00 | $205.00 | $112.00–$205.00 | 58% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavioral Change Smoking 3-10 Min 99406 | $27.00 | $34.00 | $18.00–$36.00 | 1% above | 21% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 | $150.00 | $188.00 | $102.00–$188.00 | 31% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 99215 | $151.00 | $189.00 | $103.00–$189.00 | 31% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level 5 | $280.00 | $350.00 | $190.00–$350.00 | 28% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Visit Level 5 | $420.00 | $525.00 | $286.00–$525.00 | 92% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 | $76.00 | $95.00 | $52.00–$95.00 | 39% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 99213 | $77.00 | $96.00 | $52.00–$96.00 | 38% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established Patient Visit Level 3 | $113.00 | $141.00 | $76.00–$141.00 | 9% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level 3 | $143.00 | $179.00 | $97.00–$179.00 | 15% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Visit Level 3 | $289.00 | $361.00 | $196.00–$361.00 | 133% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 | $102.00 | $128.00 | $70.00–$128.00 | 37% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established Patient Visit Level 4 | $205.00 | $256.00 | $111.00–$256.00 | 26% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 99214 | $208.00 | $260.00 | $141.00–$260.00 | 27% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level 4 | $208.00 | $260.00 | $141.00–$260.00 | 27% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Visit Level 4 | $420.00 | $525.00 | $286.00–$525.00 | 157% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Sport Physical 99212 | $16.00 | $20.00 | $11.00–$20.00 | 81% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established Patient Visit Level 2 | $55.00 | $69.00 | $52.00–$69.00 | 33% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 | $68.00 | $85.00 | $46.00–$85.00 | 18% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office Visit Level 2 | $69.00 | $86.00 | $47.00–$86.00 | 16% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level 2 | $86.00 | $107.00 | $58.00–$107.00 | 4% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Visit Level 2 | $251.00 | $314.00 | $171.00–$314.00 | 204% above | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $170.00 | $212.00 | $115.00–$212.00 | 95% above | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $238.00 | $298.00 | $162.00–$298.00 | 167% above | 20% |
| Speech and language evaluation CPT 92523 Eval Speech Sound Prod W Lang Comp Expre | $360.00 | $450.00 | $245.00–$450.00 | 104% above | 20% |
| Speech therapy session, individual CPT 92507 Speech, Language & Voice Treatment | $152.00 | $190.00 | $103.00–$342.00 | 37% above | 20% |
| Spirometry (breathing test) CPT 94010 Pft Halliburton | $28.00 | $35.00 | $19.00–$77.00 | 76% below | 20% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test 94010 | $58.00 | $73.00 | $40.00–$77.00 | 51% below | 21% |
| Spirometry (breathing test) CPT 94010 Pul Function Test | $62.00 | $77.00 | $42.00–$77.00 | 47% below | 19% |
| Spirometry (breathing test) CPT 94010 Pul Func Pre/post Bronch 94060 | $74.00 | $92.00 | $50.00–$92.00 | 37% below | 20% |
| Spirometry (breathing test) CPT 94010 Base Spirometry Bbd | $285.00 | $356.00 | $77.00–$356.00 | 143% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Pul Func /Lab/x-ray | $74.00 | $92.00 | $50.00–$151.00 | 80% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Before & After Abd | $541.00 | $676.00 | $151.00–$676.00 | 43% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activity Training | $60.00 | $75.00 | $41.00–$75.00 | 5% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activity Training 15 Min. | $60.00 | $75.00 | $41.00–$75.00 | 5% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $218.00 | $273.00 | $87.00–$273.00 | 74% above | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Cl Varicella Vaccine | $109.00 | $136.00 | $74.00–$162.00 | 60% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Do Not Use | $52.00 | $65.00 | $35.00–$65.00 | 49% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Adult Dosage Im | $56.00 | $70.00 | $38.00–$70.00 | 46% below | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Vaccine Mennicoccal | $102.00 | $128.00 | $70.00–$162.00 | 37% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Administration Pneumon | $24.00 | $30.00 | $16.00–$40.00 | 85% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Vaccine Under 8 Yr | $10.00 | $12.00 | $7.00–$57.00 | 80% below | 17% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Single/com Vaccine | $16.00 | $20.00 | $11.00–$57.00 | 68% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Single/com Vaccine 90471 | $17.00 | $21.00 | $11.00–$57.00 | 66% below | 19% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Single Comb Over 8 Yr | $38.00 | $47.00 | $26.00–$57.00 | 24% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Megestrol Tab 40mg | $4.00 | $5.00 | $3.00–$57.00 | 86% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Diltiazem Cap Er 180mg (Cardizem) | $5.00 | $6.00 | $3.00–$57.00 | 82% below | 17% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Diltiazem Cap Er 240mg (Cardizem) | $6.00 | $8.00 | $4.00–$57.00 | 78% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Administration Additional | $9.00 | $11.00 | $6.00–$57.00 | 68% below | 18% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Adm 2 Or More Single/c | $16.00 | $20.00 | $11.00–$57.00 | 42% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Adm 2 Or More Single/c 90472 | $17.00 | $21.00 | $11.00–$57.00 | 39% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional Vaccine | $19.00 | $24.00 | $13.00–$57.00 | 31% below | 21% |