SelfPayRates
Hospital Stillwater, OK

Stillwater Medical Center OK

Stillwater Medical Center OK in Stillwater, OK publishes cash prices for 266 common procedures listed here, from its own machine-readable price file updated Dec 31, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 238 of 265 procedures and below it for 26. By typical cash price it ranks #43 of 43 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1323 W 6th Ave, Stillwater, OK 74074 Collected Sep 27, 2026 Source price file (405) 372-1480

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 370049 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs OklahomaOff list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 IX,ANKLE,3 VIEW,BILATERAL $1,055.20 $1,319.00 $89.70–$1,187.10 — 20%
Ankle X-ray, complete, 3 or more views CPT 73610 IX,ANKLE,3 VIEW $610.40 $763.00 $89.70–$686.70 249% above 20%
Ankle X-ray, complete, 3 or more views CPT 73610 ORTHO,IX,ANKLE,3 VIEW $610.40 $763.00 $89.70–$686.70 249% above 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US,EXTREMITY,LWR/UPR,ART DPPLR $940.00 $1,175.00 $131.32–$1,057.50 348% above 20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 IX,ESOPHOGRAM $917.60 $1,147.00 $181.36–$1,032.30 220% above 20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM,BONE SCAN,WHOLE BODY $2,665.60 $3,332.00 $409.37–$2,998.80 190% above 20%
Breast ultrasound, complete, one breast CPT 76641 US,BREAST COMPLETE,UNI $674.40 $843.00 $108.33–$758.70 102% above 20%
Breast ultrasound, limited (one breast or one area) CPT 76642 US,BREAST,LIMITED,UNI $602.40 $753.00 $89.70–$677.70 81% above 20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA,CHEST,ANGIO,W/WO,W/PSTPROC $3,772.00 $4,715.00 $181.36–$4,243.50 152% above 20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT,HRT,W/O,DYE,W/CA,TEST,MAPP $1,092.00 $1,365.00 $89.70–$1,228.50 996% above 20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT,ABDOMEN/PELVIS WO/CONTRAST $4,910.40 $6,138.00 $246.25–$5,524.20 267% above 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT,ABDOMEN/PELVIS W/CONTRAST $5,839.20 $7,299.00 $363.83–$6,569.10 262% above 20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT,ABDOMEN/PELVIS,W/WO CNTST $7,183.20 $8,979.00 $363.83–$8,081.10 279% above 20%
CT scan of the abdomen with contrast CPT 74160 CT,ABDOMEN W/CONTRAST $3,392.80 $4,241.00 $181.36–$3,816.90 202% above 20%
CT scan of the abdomen without contrast CPT 74150 CT,ABDOMEN WO/CONTRAST $3,371.20 $4,214.00 $108.33–$3,792.60 235% above 20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT,MAXILLOFACIAL WO/CONTRAST $2,776.00 $3,470.00 $108.33–$3,123.00 216% above 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT,HEAD/BRAIN,W/O CONTRAST $2,797.60 $3,497.00 $108.33–$3,147.30 198% above 20%
CT scan of the head with contrast CPT 70460 CT,HEAD/BRAIN,W/CONTRAST $2,647.20 $3,309.00 $181.36–$2,978.10 119% above 20%
CT scan of the head without and with contrast CPT 70470 CT,HEAD/BRAIN,W/WO CONTRAST $4,084.00 $5,105.00 $181.36–$4,594.50 219% above 20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT,LUMBAR SPINE WO/CONTRAST $3,282.40 $4,103.00 $108.33–$3,692.70 225% above 20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT,CERVICAL SPINE WO/CONTRAST $3,291.20 $4,114.00 $108.33–$3,702.60 234% above 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT,PELVIS W/CONTRAST $3,208.00 $4,010.00 $181.36–$3,609.00 196% above 20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US,CAROTID IMG W/DOPPLER $1,614.40 $2,018.00 $246.25–$1,816.20 228% above 20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CARDIO,US,CAROTID IMG W/DOPPLE $1,614.40 $2,018.00 $246.25–$1,816.20 228% above 20%
Chest X-ray, 2 views CPT 71046 IX,CHEST,HEALTH DEPT,2 VIEW $72.00 $90.00 $45.00–$241.07 39% below 20%
Chest X-ray, 2 views CPT 71046 IX,CHEST,2 VIEW $621.60 $777.00 $89.70–$699.30 425% above 20%
Chest X-ray, single view CPT 71045 IX,CHEST,1 VIEW $486.40 $608.00 $89.70–$547.20 177% above 20%
Chest X-ray, single view CPT 71045 IX,CHEST,1 VW,LATERAL DECUBITS $486.40 $608.00 $89.70–$547.20 177% above 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US,RETROPERITONEAL;COMPLETE $674.40 $843.00 $108.33–$758.70 69% above 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DM,BONE DENSITY,DEXA,AXIAL $698.40 $873.00 $108.33–$785.70 539% above 20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DM,BONE DENSITY,DEXA,PERIPHERL $223.20 $279.00 $89.70–$251.10 115% above 20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT,THORAX,DX,W/O CONTRAST $2,889.60 $3,612.00 $108.33–$3,250.80 203% above 20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT,THORAX,DX,W/CONTRAST $3,214.40 $4,018.00 $181.36–$3,616.20 186% above 20%
Diagnostic mammogram, both breasts CPT 77066 IX,MAMMO,DX,BI,PW $120.00 $150.00 $75.00–$282.24 30% below 20%
Diagnostic mammogram, both breasts CPT 77066 IX,MAMMO,DX,BI,DIGITAL $680.80 $851.00 $282.24–$765.90 295% above 20%
Diagnostic mammogram, both breasts CPT 77066 DM,MAMMO,DX,BI,DIGITAL $680.80 $851.00 $282.24–$765.90 295% above 20%
Diagnostic mammogram, one breast CPT 77065 IX,MAMMO,DX,UNI,DIGITAL $680.80 $851.00 $223.06–$765.90 274% above 20%
Diagnostic mammogram, one breast CPT 77065 DM,MAMMO,DX,UNI,DIGITAL $680.80 $851.00 $223.06–$765.90 274% above 20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 SSA,US,DUPLEX SCAN,LOWER EXT $1,672.00 $2,090.00 $246.25–$1,881.00 322% above 20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US,DUPLEX SCAN,LOWER EXT,BI $1,672.00 $2,090.00 $246.25–$1,881.00 322% above 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US,VENOUS DOPPLER,BILATERAL $1,744.00 $2,180.00 $246.25–$1,962.00 — 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 CARDIO,US,DUPLEX EXTREMITY,BI $1,744.00 $2,180.00 $246.25–$1,962.00 188% above 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 SSA,US,DUPLEX EXTREMITY,BI $1,744.00 $2,180.00 $246.25–$1,962.00 188% above 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CARDIO,US,ECHOCARDIOGRAPHY,2D $2,858.40 $3,573.00 $558.58–$3,215.70 163% above 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US,ECHOCARDIOGRAM W/INJECTION $2,858.40 $3,573.00 $558.58–$3,215.70 163% above 20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM,HEPATOBILIARY IMAGING $2,292.80 $2,866.00 $409.37–$2,579.40 99% above 20%
Knee X-ray, 3 views both sides CPT 73562 IX,KNEE,3 VIEW,BILATERAL $1,132.80 $1,416.00 $89.70–$1,274.40 — 20%
Knee X-ray, 3 views CPT 73562 ORTHO,IX KNEE,3 VIEWS $668.00 $835.00 $89.70–$751.50 273% above 20%
Knee X-ray, 3 views one side CPT 73562 IX,KNEE,3 VIEW,UNILATERAL $668.00 $835.00 $89.70–$751.50 273% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US,ABDOMINAL,LTD $1,034.40 $1,293.00 $108.33–$1,163.70 169% above 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT,LUNG CANCER SCREEN FOLLOWUP $1,336.00 $1,670.00 $108.33–$1,503.00 305% above 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT,LUNG CANCER SCREEN $1,336.00 $1,670.00 $108.33–$1,503.00 305% above 20%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI,BREAST,BI,W/WO CONTRAST $3,193.60 $3,992.00 $627.14–$3,592.80 405% above 20%
MRI of both breasts, without and then with contrast dye CPT 77049 OPEN MRI,BREAST,BI,W/WO $3,193.60 $3,992.00 $627.14–$3,592.80 405% above 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI,LOWER EXTREMITY,JOINT,W/O $3,552.00 $4,440.00 $246.25–$3,996.00 143% above 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 OPEN MRI,LOWER EXTR,JOINT,W/O $3,552.00 $4,440.00 $246.25–$3,996.00 143% above 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI,LOWER EXTREMITY,JOINT,W/WO $4,761.60 $5,952.00 $363.83–$5,356.80 161% above 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 OPEN MRI,LOWER EXTR,JOINT,W/WO $4,761.60 $5,952.00 $363.83–$5,356.80 161% above 20%
MRI of the abdomen without contrast CPT 74181 MRI,ABDOMEN,W/O CONTRAST $3,328.80 $4,161.00 $246.25–$3,744.90 217% above 20%
MRI of the abdomen without contrast CPT 74181 OPEN MRI,ABD,W/O CONTRAST $3,328.80 $4,161.00 $246.25–$3,744.90 217% above 20%
MRI of the abdomen without contrast CPT 74181 OPEN MRA,ABDOMEN,W/O $3,328.80 $4,161.00 $246.25–$3,744.90 217% above 20%
MRI of the abdomen, without and then with contrast dye CPT 74183 OPEN MRI,ABDOMEN,W/WO $5,296.80 $6,621.00 $363.83–$5,958.90 171% above 20%
MRI of the brain, no contrast dye CPT 70551 MRI,BRAIN,WO/CONTRAST $3,631.20 $4,539.00 $246.25–$4,085.10 272% above 20%
MRI of the brain, no contrast dye CPT 70551 OPEN MRI,BRAIN,WO/CONTRAST $3,631.20 $4,539.00 $246.25–$4,085.10 272% above 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI,BRAIN,W/WO CONTRAST $5,021.60 $6,277.00 $363.83–$5,649.30 256% above 20%
MRI of the brain, with and without contrast dye CPT 70553 OPEN MRI,BRAIN,W/WO CONTRAST $5,021.60 $6,277.00 $363.83–$5,649.30 256% above 20%
MRI of the lower back, no contrast dye CPT 72148 MRI,LUMBAR SPINE,WO/CONTRAST $4,020.00 $5,025.00 $246.25–$4,522.50 244% above 20%
MRI of the lower back, no contrast dye CPT 72148 OPEN MRI,LUMBAR SPINE,WO/ $4,020.00 $5,025.00 $246.25–$4,522.50 244% above 20%
MRI of the lower back, without and then with contrast dye CPT 72158 OPEN MRI,LUMBAR SPINE W/WO $5,604.00 $7,005.00 $363.83–$6,304.50 264% above 20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI,LUMBAR SPINE W/WO CONSTRST $5,604.00 $7,005.00 $363.83–$6,304.50 264% above 20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 OPEN MRI,THORACIC SPINE WO/ $3,904.00 $4,880.00 $246.25–$4,392.00 265% above 20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI,THORACIC SPINE WO/CONTRAST $3,904.00 $4,880.00 $246.25–$4,392.00 265% above 20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI,CERVICAL SPINE W/WO CONTRS $5,170.40 $6,463.00 $363.83–$5,816.70 241% above 20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 OPEN MRI,CERVICAL SPINE W/WO $5,170.40 $6,463.00 $363.83–$5,816.70 241% above 20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 OPEN MRI,CERVICAL SPINE WO/ $3,950.40 $4,938.00 $246.25–$4,444.20 286% above 20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI,CERVICAL SPINE WO/CONTRAST $3,950.40 $4,938.00 $246.25–$4,444.20 286% above 20%
MRI of the pelvis without and with contrast CPT 72197 OPEN MRI,PELVIS,W/WO CONTRAST $4,971.20 $6,214.00 $363.83–$5,592.60 248% above 20%
MRI of the pelvis without and with contrast CPT 72197 MRI,PELVIS,W/WO CONTRAST $4,971.20 $6,214.00 $363.83–$5,592.60 248% above 20%
MRI of the pelvis, no contrast dye CPT 72195 MRA,PELVIS,ANGIOGRAPHY,W/O CNT $2,932.00 $3,665.00 $246.25–$3,298.50 159% above 20%
MRI of the pelvis, no contrast dye CPT 72195 MRI,PELVIS,W/O CONTRAST $2,932.00 $3,665.00 $246.25–$3,298.50 159% above 20%
MRI of the pelvis, no contrast dye CPT 72195 OPEN MRA,PELVIS,ANGIO,W/O CNT $2,932.00 $3,665.00 $246.25–$3,298.50 159% above 20%
MRI of the pelvis, no contrast dye CPT 72195 OPEN MRI,PELVIS,W/O CONTRAST $2,932.00 $3,665.00 $246.25–$3,298.50 159% above 20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 OPEN MRI,UPPER EXTR,JOINT,W/O $3,773.60 $4,717.00 $246.25–$4,245.30 123% above 20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI,UPPER EXTREMITY,JOINT,W/O $3,773.60 $4,717.00 $246.25–$4,245.30 123% above 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIO,MYOCARDIAL SPECT,MULTI $4,931.20 $6,164.00 $1,329.97–$5,547.60 92% above 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM,MYOCARDIAL SPECT,MULTI $4,931.20 $6,164.00 $1,329.97–$5,547.60 92% above 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CC,MYOCARDIAL SPECT,MULTI $4,931.20 $6,164.00 $1,329.97–$5,547.60 92% above 20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET,LUNG,RESTAGING $6,814.40 $8,518.00 $1,485.95–$7,666.20 71% above 20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET,LUNG,INITIAL STAGING $6,814.40 $8,518.00 $1,485.95–$7,666.20 71% above 20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET,TUMUR IMAGE,SKULL-MID THGH $6,814.40 $8,518.00 $1,485.95–$7,666.20 71% above 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US,PELVIS,NON-OB,LTD/FOLLOW-UP $637.60 $797.00 $108.33–$717.30 112% above 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SSA,US,PELVIC,NON-OB,TLD $637.60 $797.00 $108.33–$717.30 112% above 20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US,PELVIC,NON OB,COMPLETE $1,148.80 $1,436.00 $108.33–$1,292.40 137% above 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US,COMPLT OB,PAYNE CO HEALTH $367.20 $459.00 $108.33–$413.10 13% below 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US,PREGNACNC,>14WKS,SINGLE FET $514.40 $643.00 $108.33–$578.70 21% above 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US,PREGNANCY,1ST TRI,SNG/1GEST $920.80 $1,151.00 $108.33–$1,035.90 118% above 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US.LIMITED OB,PAYNE CO HEALTH $289.60 $362.00 $108.33–$325.80 17% below 20%
Screening mammogram, both breasts both sides CPT 77067 IX,MAMMO,SCREEN,BILATERAL $513.60 $642.00 $227.50–$577.80 — 20%
Screening mammogram, both breasts CPT 77067 DM,MAMMO,SCREEN,BI,DIG,PW $96.00 $120.00 $60.00–$227.50 40% below 20%
Screening mammogram, both breasts CPT 77067 DM,MAMMO,SCREEN,BI,IMPLANTS $513.60 $642.00 $227.50–$577.80 224% above 20%
Screening mammogram, both breasts CPT 77067 DM,MAMMO,SCREEN,DIGITAL $513.60 $642.00 $227.50–$577.80 224% above 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 IX,SHOULDER,COMPLETE,3 VIEW $659.20 $824.00 $89.70–$741.60 244% above 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 ORTHO,IX,SHOULDER,2 VIEW,MIN $659.20 $824.00 $89.70–$741.60 244% above 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 IX,SHOULDER,2 VIEW,MIN $659.20 $824.00 $89.70–$741.60 244% above 20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IX,SWALLOWING FUNCTN W/CINERAD $1,114.40 $1,393.00 $181.36–$1,253.70 255% above 20%
Transvaginal pelvic ultrasound CPT 76830 US,TRANSVAGINAL,NON-OB $376.80 $471.00 $108.33–$423.90 1% below 20%
Transvaginal ultrasound during pregnancy CPT 76817 US,PREGNANCY,RLTM W/DOC,TRNSVG $715.20 $894.00 $108.33–$804.60 152% above 20%
Ultrasound of the abdomen, complete CPT 76700 US,ABDOMINAL,COMPLETE $1,688.80 $2,111.00 $108.33–$1,899.90 221% above 20%
Ultrasound of the scrotum and testicles CPT 76870 US,TESTICLE $1,129.60 $1,412.00 $108.33–$1,270.80 229% above 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US,HEAD/NECK,SOFT TISSUE,THYRD $1,075.20 $1,344.00 $108.33–$1,209.60 164% above 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SSA,US NECK/THROID $1,075.20 $1,344.00 $108.33–$1,209.60 164% above 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 IX,UPPER GI TRC 1 CONTRST STDY $989.60 $1,237.00 $181.36–$1,113.30 160% above 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 SSA,US,DUPLEX EXTREMITY,UNI $1,357.60 $1,697.00 $108.33–$1,527.30 173% above 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US,VDOP,UNILATERAL DUPLEX $1,357.60 $1,697.00 $108.33–$1,527.30 173% above 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CARDIO,V-DOPP PERIPH UNILAT $1,357.60 $1,697.00 $108.33–$1,527.30 173% above 20%
Wrist X-ray, complete, 3 or more views CPT 73110 IX,WRIST W/NAVICULAR,3 VIEW,MN $574.40 $718.00 $89.70–$646.20 227% above 20%
Wrist X-ray, complete, 3 or more views CPT 73110 ORTHO,IX,WRIST,3 VIEW,MINIMUM $574.40 $718.00 $89.70–$646.20 227% above 20%
Wrist X-ray, complete, 3 or more views CPT 73110 IX,WRIST,3 VIEW,MINIMUM $574.40 $718.00 $89.70–$646.20 227% above 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 ORTHO,IX,HIP,2-3 VIEW $492.80 $616.00 $89.70–$554.40 166% above 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 IX,HIP,UNI W/WO PELVIS,2-3VIEW $492.80 $616.00 $89.70–$554.40 166% above 20%
X-ray of the abdomen, 1 view CPT 74018 IX,ABDOMEN,1 VIEW $498.40 $623.00 $89.70–$560.70 191% above 20%
X-ray of the ankle, 2 views both sides CPT 73600 IX,ANKLE,2 VIEW,BILATERAL $888.80 $1,111.00 $89.70–$999.90 — 20%
X-ray of the ankle, 2 views CPT 73600 IX,ANKLE,2 VIEW $447.20 $559.00 $89.70–$503.10 179% above 20%
X-ray of the finger(s), 2 or more views both sides CPT 73140 IX,FINGER/S,2 VIEW MIN,BILAT $726.40 $908.00 $89.70–$817.20 — 20%
X-ray of the finger(s), 2 or more views CPT 73140 IX,FINGER/S,2 VIEW MINIMUM $464.80 $581.00 $89.70–$522.90 189% above 20%
X-ray of the finger(s), 2 or more views CPT 73140 ORTHO,IX FINGER 2 VIEW MIN $464.80 $581.00 $89.70–$522.90 189% above 20%
X-ray of the foot, 2 views both sides CPT 73620 IX,FOOT,2 VIEW,BILATERAL $920.00 $1,150.00 $89.70–$1,035.00 — 20%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 IX,FOOT,CMPLT,3 VIEW,MIN,BILAT $1,094.40 $1,368.00 $89.70–$1,231.20 — 20%
X-ray of the foot, complete, 3 or more views CPT 73630 IX,FOOT,COMPLETE,3 VIEW,MIN $648.80 $811.00 $89.70–$729.90 248% above 20%
X-ray of the foot, complete, 3 or more views CPT 73630 ORTHO,IX FOOT COMPLETE,3 VIEWS $648.80 $811.00 $89.70–$729.90 248% above 20%
X-ray of the hand, 3 or more views both sides CPT 73130 IX,HAND,3 VIEW,BILATERAL $964.80 $1,206.00 $89.70–$1,085.40 — 20%
X-ray of the hand, 3 or more views CPT 73130 ORTHO,IX,HAND,3 VIEWS $575.20 $719.00 $89.70–$647.10 223% above 20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 IX,KNEE,1/2 VIEW,BILATERAL $952.80 $1,191.00 $89.70–$1,071.90 — 20%
X-ray of the knee, 1 or 2 views CPT 73560 ORTHO,IX,KNEE,1/2 VIEW $493.60 $617.00 $89.70–$555.30 193% above 20%
X-ray of the knee, 1 or 2 views one side CPT 73560 IX,KNEE,1/2 VIEW,UNILATERAL $493.60 $617.00 $89.70–$555.30 193% above 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 ORTHO,IX,LUMBAR SPINE,2/3 VIEW $584.80 $731.00 $108.33–$657.90 176% above 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 IX,LUMBAR SPINE,2/3 VIEW $584.80 $731.00 $108.33–$657.90 176% above 20%
X-ray of the lower back, 4 or more views CPT 72110 IX,LUMBAR SPINE,4 VIEW MINIMUM $965.60 $1,207.00 $108.33–$1,086.30 233% above 20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 IX,THORACIC SPINE,2 VIEW,AP/L $635.20 $794.00 $108.33–$714.60 238% above 20%
X-ray of the nasal bones, 3 or more views CPT 70160 IX,NASAL BONES,3 VIEW $445.60 $557.00 $89.70–$501.30 173% above 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 ORTHO,IX,CERVICAL SPINE,1-3 $560.00 $700.00 $89.70–$630.00 181% above 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 IX,CERVICAL SPINE,1-3 VIEWS $560.00 $700.00 $89.70–$630.00 181% above 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 IX,PELVIS,2 VIEW $544.80 $681.00 $108.33–$612.90 187% above 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 IX,PELVIS,1 VIEW $544.80 $681.00 $108.33–$612.90 187% above 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 IX,SACRUM,COCCYX,2 VIEW,MINM $463.20 $579.00 $89.70–$521.10 160% above 20%

Lab tests

ProcedureCash price List priceInsurers payvs OklahomaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE,AMINO,ALT,SGPT,9000135 $112.00 $140.00 $5.68–$126.00 245% above 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE,AST,SGOT,9000135 $112.00 $140.00 $5.55–$126.00 195% above 20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 3603100,HEPATITIS ACUTE PROF $361.60 $452.00 $51.01–$406.80 95% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5610780,LATEX ALLERGEN IGE $47.20 $59.00 $5.59–$53.10 90% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SESAME SEED $56.80 $71.00 $5.59–$63.90 129% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PEAR $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BLACK OLIVE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BETA LACTOGLOBULI $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BEE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BAHIA GRASS $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,APPLE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ANIMAL MIX $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ALPHA LACTALBUMIN $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5621625,STEMPHYLLI $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5621550,PHOMA BET $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CANDICA ALBICANS $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CARROT $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CATFISH $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CHESTNUT $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CHICKEN FEATHER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CILANTRO $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CLAM,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COCKLEBUR $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COCKLEBURR $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COCONUT FOOD $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CODFISH,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CODFISH,NON-FOOD $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COTTONSEED $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CRABMEAT,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CRAYFISH $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CUMIN $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,DRESCHSLERA $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,DUCK FEATHER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,EGGPLANT $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ENGLISH PLATAIN $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,FESCUE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,FIREANTS $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,FLAXSEED $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,FLOUNDER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,GLUTEN $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,GOOSE FEATHER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,GRAPE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,GUINEA PIG $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HADDOCK $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HALIBUT $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HAMSTER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HORNET $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HOUSE DUST $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,KIWI $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,LENTIL $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,LIMA BEAN $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,LOBSTER,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MACKEREL $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MAHI MAHI $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BLUE MUSSEL $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MEADOW $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MESQUITE TREE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MICE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WINGSCALE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WHEY $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WESTERN RAGWEED $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WATERMELON $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WASP $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,TUNA,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,TROUT $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SWORDFISH $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MOLD $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SWEET POTATO $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SUNFLOWER SEEDS $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MUCOR RACEMOSUS $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MUSHROOM $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ONION $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,STEMPHY HERBARUM $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,STACHYBOTRYS/ATRA $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SQUID $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SHRIMP,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,OVALBUMIN $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,OVOMUCOID $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SARDINES $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SALMON,5616525 $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RYE GRASS $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RYE $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ROACH $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RED SNAPPER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RED CEDAR $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RABBIT EPITHELIUM $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RABBIT DANDER $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PINION NUT $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PERCH $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PENICILLIN G $59.20 $74.00 $5.59–$66.60 139% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MOUNTAIN JUNIPER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,NETTLE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,OAK $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,OAT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PECAN,POLLEN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,GALACTOSE ALPHA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ORANGE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,STRAWBERRY $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PENICILLIUM $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PAPER WASP $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HAZELNUT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HICKORY NUT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HONEY BEE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PEA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,HORSE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SPECIFIC,EACH $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,JOHNSON GRASS $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,K BLUE GRASS $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SOYBEAN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,LAMB $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,LAMBSQUARTER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PEACH $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SHRIMP $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,LOBSTER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SHORT RAGWEED $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MACADAMIA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SHEEP SORREL $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SETOMELANOMMA RST $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BIRCH $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SESAME $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SCALLOP $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PECAN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,YELLOW JACKET $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,YELLOW HORN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,YELLOW DOCK $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,POTATO $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WHITE MULBERRY $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ASPERGILLUS MOLD $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ASPERGILLUS $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WHITE HORN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WHITE ASH $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ALTERNARIA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ALTENARIA TENUI $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PISTACHIO $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ALMOND $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WHEAT,POLLEN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WHEAT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5616830,FUSARIUM $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5616780,AUREO PULL $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5613150,CANDIDA IC $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BANANA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5606175,CLADOSPOR $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BOX ELDER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BRAZIL NUT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BUMBLE BEE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PEANUT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,SALMON $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CASEIN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CASHEW $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CAT DANDER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PENICILL.CHRY $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,WALNUT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,W JUNIPER CEDAR $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CHICKEN MEAT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CHOCOLATE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,TURKEY MEAT $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BARLEY $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CLADOSPORIUM HERB $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CLADOSPORIUM MOLD $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CLAM $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PINEAPPLE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,TUNA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RUSSIAN THISTLE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COCKROACH $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,TOMATO $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CODFISH $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,TIMOTHY $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ROUGH MARSHELDER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CORN $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MILK $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COTTONWOOD $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COW $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,COWS MILK $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CRAB $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,OYSTER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BEEF $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,BERMUDA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,MOUSE URINE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,CURVULARIA $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,D PTERONYSSINUS $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,D. FARINAE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,DERMASTR $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,DOG DANDER $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PIGWEED $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RICE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,DUST MITE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,EGG WHITE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,EGG YOLK $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,PIG $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ELM $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,RED MULBERRY TREE $64.00 $80.00 $5.59–$72.00 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,SPEC,IGE,LATEX,670654 $77.60 $97.00 $5.59–$87.30 213% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,ASPERGILLUS FUMCT $104.00 $130.00 $5.59–$117.00 320% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 5525125,CARMINE RAST ALLERGEN $116.80 $146.00 $5.59–$131.40 371% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG,SPEC,IGE,CRUDE,XTRC, EA $321.60 $402.00 $5.59–$361.80 1197% above 20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 5570175,CYCLIC CITRATE PEPTIDE $165.60 $207.00 $13.87–$186.30 136% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 5500135,ANA DETAIL $146.40 $183.00 $12.95–$164.70 241% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 DNA ANTIBODY NATIVE,006981 $192.80 $241.00 $12.95–$216.90 349% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 5500050,ANA ABS SCREEN $192.80 $241.00 $12.95–$216.90 349% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 5508597,CENTROMERE B AB $192.80 $241.00 $12.95–$216.90 349% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA,LUPUS,5500380 $192.80 $241.00 $12.95–$216.90 349% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES,006981 $192.80 $241.00 $12.95–$216.90 349% above 20%
Blood culture for bacteria CPT 87040 BLOOD CULTURE BACTERIA,6000200 $283.20 $354.00 $11.05–$318.60 359% above 20%
Blood culture for bacteria CPT 87040 CULTURE,BLOOD,AEROBIC $283.20 $354.00 $11.05–$318.60 359% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,HEALTH DEPT $16.00 $20.00 $9.43–$26.18 69% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INF,VENIPUNCTURE $42.40 $53.00 $9.43–$47.70 349% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED,OP,VENIPUNCTURE $42.40 $53.00 $9.43–$47.70 349% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $42.40 $53.00 $9.43–$47.70 349% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PWNCL,VENIPUNCTURE $42.40 $53.00 $9.43–$47.70 349% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CARDIO,ROUTINE VENIPUNCTURE $42.40 $53.00 $9.43–$47.70 349% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED,VENIPUNCTURE $42.40 $53.00 $9.43–$47.70 349% above 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 7311600,ALLERGY ISOHEMAGGLUTIN $142.40 $178.00 $89.00–$352.92 149% above 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE,ABO $268.80 $336.00 $131.32–$352.92 371% above 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 2008425,C-REACTIVE PROTEIN $88.00 $110.00 $5.55–$99.00 224% above 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN $144.00 $180.00 $5.55–$162.00 430% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLFIED PROBE,17262993 $59.20 $74.00 $37.00–$107.29 34% below 20%
C. difficile toxin gene test (stool PCR) CPT 87493 6001200,CLOSTRIDIUM D MLCULR $188.00 $235.00 $39.92–$211.50 109% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN GENES,AMP PROBE $246.40 $308.00 $39.92–$277.20 173% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF,TCDB,GENE,PCR $718.40 $898.00 $39.92–$808.20 697% above 20%
CA 19-9 blood test (tumor marker) CPT 86301 2024050,CA 19-9 $165.60 $207.00 $22.29–$186.30 82% above 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 2015430,CA125 SEROUS $165.60 $207.00 $22.29–$186.30 170% above 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 2015625,CA 125 $169.60 $212.00 $22.29–$190.80 177% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 6907557,SARS-COV2/COVID-19,AMP $130.40 $163.00 $54.95–$147.68 78% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 DNA/RNA,SARS-COV-2/COVID-19,AM $140.80 $176.00 $54.95–$158.40 92% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 DNA/RNA,SARS-COV-2/COVID-19,SP $140.80 $176.00 $54.95–$158.40 92% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 94534-5,RAPID COVID $144.80 $181.00 $54.95–$162.90 98% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP,6910129 $88.80 $111.00 $37.58–$101.00 14% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IADNA,CHLAMYDIA,TRACHO,6987005 $88.80 $111.00 $37.58–$101.00 14% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 5559980,CHLAMYDIA TRACHOMATIS $182.40 $228.00 $37.58–$205.20 133% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH,DNA AMP PRB $196.80 $246.00 $37.58–$221.40 152% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS,5560330 $196.80 $246.00 $37.58–$221.40 152% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDI,TRAC,PHAR,SWAB,188698 $200.80 $251.00 $37.58–$225.90 157% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA PROBE,5560335 $222.40 $278.00 $37.58–$250.20 185% above 20%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT WO/DIFF $25.60 $32.00 $6.93–$28.80 14% below 20%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT W/O $187.20 $234.00 $6.93–$210.60 528% above 20%
Complete blood count (CBC), no differential CPT 85027 CCS,COMPLETE BLOOD COUNT W/O $187.20 $234.00 $6.93–$210.60 528% above 20%
Comprehensive metabolic panel (blood test) CPT 80053 ANNUAL,CMP $134.40 $168.00 $11.31–$151.20 197% above 20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER TITRE,QUANTITATIVE $147.20 $184.00 $10.90–$165.60 62% above 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 2022725,DEHYDROEPIANDROSTERONE $116.80 $146.00 $23.81–$131.40 55% above 20%
Estradiol blood test CPT 82670 ESTRADIOL $71.20 $89.00 $29.92–$80.41 5% below 20%
Estradiol blood test CPT 82670 ESTRADIOL,SERUM,3618875 $182.40 $228.00 $29.92–$205.20 144% above 20%
Estradiol blood test CPT 82670 2006475,ESTRADIOL $196.80 $246.00 $29.92–$221.40 163% above 20%
Estradiol blood test CPT 82670 2006547,ESTRADIOL,SERUM $472.00 $590.00 $29.92–$531.00 531% above 20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH,BLOOD $47.20 $59.00 $19.90–$53.48 31% below 20%
Fecal calprotectin (stool inflammation test) CPT 83993 3501045,CALPROTECTIN,FECAL $510.40 $638.00 $21.02–$574.20 325% above 20%
Ferritin blood test (iron stores) CPT 82728 4500800,FERRITIN $94.40 $118.00 $14.60–$106.20 94% above 20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $190.40 $238.00 $14.60–$214.20 291% above 20%
Folate (folic acid) blood test CPT 82746 FOLIC ACID,SERUM,4500850 $37.60 $47.00 $15.74–$42.30 35% below 20%
Folate (folic acid) blood test CPT 82746 4500850,FOLIC ACID,SERUM $54.40 $68.00 $15.74–$61.20 7% below 20%
Folate (folic acid) blood test CPT 82746 FOLIC ACID,SERUM $176.80 $221.00 $15.74–$198.90 203% above 20%
Free T3 thyroid hormone test CPT 84481 3606325,TRIIODOTHYRONINE,T3 $83.20 $104.00 $18.14–$93.60 7% below 20%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONONE,FREE $241.60 $302.00 $18.14–$271.80 169% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 4502550,THYROXINE FREE,T4 $83.20 $104.00 $9.66–$93.60 36% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 4502550,THYROXINE,FREE $143.20 $179.00 $9.66–$161.10 133% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE,FREE $189.60 $237.00 $9.66–$213.30 209% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 3653475,THYROXINE T4 FREE DD $281.60 $352.00 $9.66–$316.80 359% above 20%
Free testosterone test CPT 84402 TESTOSTRONE,FREE,BIO,3666100 $190.40 $238.00 $27.28–$214.20 121% above 20%
Free testosterone test CPT 84402 3610875,TESTOSTERONE,FREE $192.80 $241.00 $27.28–$216.90 124% above 20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL-NON MC $332.80 $416.00 $54.67–$374.40 107% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IADNA,NEISSERIA,GONORR,6987005 $88.80 $111.00 $37.58–$101.00 15% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP,6910129 $88.80 $111.00 $37.58–$101.00 15% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 5960180,NEISSERIA GONORRHOEAE $182.40 $228.00 $37.58–$205.20 137% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PRB $196.80 $246.00 $37.58–$221.40 155% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE,5560330 $196.80 $246.00 $37.58–$221.40 155% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IN.GONORRHOEAE DNA PROB,188698 $200.80 $251.00 $37.58–$225.90 161% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA PROB,5560335 $205.60 $257.00 $37.58–$231.30 167% above 20%
H. pylori antibody blood test CPT 86677 HPYLORI AB IGG,5579875 $196.00 $245.00 $18.05–$220.50 187% above 20%
H. pylori antibody blood test CPT 86677 HPYLORI IGM AB,3,5579875 $196.00 $245.00 $18.05–$220.50 187% above 20%
H. pylori antibody blood test CPT 86677 HPYLORI IGA ABS,2, 5579875 $196.00 $245.00 $18.05–$220.50 187% above 20%
H. pylori antibody blood test CPT 86677 5577750,HELICOBACTER PYLORI AB $212.00 $265.00 $18.05–$238.50 210% above 20%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI $212.00 $265.00 $18.05–$238.50 210% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 5595435,HIV-1 RNA QUANT PCR $396.00 $495.00 $91.14–$445.50 103% above 20%
HIV-1 and HIV-2 antibody test CPT 86703 NEEDLESTICK,SOURCE,HIV $80.80 $101.00 $14.68–$90.90 78% above 20%
HIV-1 and HIV-2 antibody test CPT 86703 5670000,HIV 1/O/2 ABS W/REFLEX $193.60 $242.00 $14.68–$217.80 325% above 20%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1-2 ABS,2900275 $197.60 $247.00 $14.68–$222.30 334% above 20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 5522575,HUMAN PAPILLOMA VIRUS $312.00 $390.00 $37.58–$351.00 196% above 20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 6905701,HPV DNA $428.80 $536.00 $37.58–$482.40 307% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB,2939075 $107.20 $134.00 $11.50–$120.60 147% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SRF AB,2900275 $193.60 $242.00 $11.50–$217.80 346% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 3611850,HEPATITIS B SURFACE AB $193.60 $242.00 $11.50–$217.80 346% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB,2905225 $193.60 $242.00 $11.50–$217.80 346% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 NEEDLESTICK,EMP,HEPATITIS,ANBD $193.60 $242.00 $11.50–$217.80 346% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG,2939075 $107.20 $134.00 $11.06–$120.60 173% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG,2905225 $181.60 $227.00 $11.06–$204.30 363% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 3603000,HEPATITIS B SURFACE AG $181.60 $227.00 $11.06–$204.30 363% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 5593950,HEPATITIS C RNA QUANT $531.20 $664.00 $45.88–$597.60 139% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1,IGG,3630375 $106.40 $133.00 $14.13–$119.70 73% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1,IGG EIG,5592125 $123.20 $154.00 $14.13–$138.60 101% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,1 AB,5563985 $123.20 $154.00 $14.13–$138.60 101% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,1 AB,5563986 $123.20 $154.00 $14.13–$138.60 101% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB,2900275 $123.20 $154.00 $14.13–$138.60 101% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2,IGG,3630375 $124.00 $155.00 $20.72–$139.50 90% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX,1/2,5563985 $124.00 $155.00 $20.72–$139.50 90% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2,IGG EIA,5592125 $124.00 $155.00 $20.72–$139.50 90% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX,1/2,5563986 $124.00 $155.00 $20.72–$139.50 90% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2,IGG,2900275 $124.00 $155.00 $20.72–$139.50 90% above 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 2023150,CARDIO C-REACTIVE PROT $116.00 $145.00 $13.87–$130.50 127% above 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY,CRP $204.00 $255.00 $13.87–$229.50 298% above 20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE,1506500 $47.20 $59.00 $19.19–$53.10 62% below 20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE $224.80 $281.00 $19.19–$252.90 81% above 20%
Homocysteine blood test CPT 83090 2004575,HOMOCYSTEINE $224.80 $281.00 $19.19–$252.90 81% above 20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE,117702 $281.60 $352.00 $19.19–$316.80 126% above 20%
Insulin blood test CPT 83525 GLUCOSE,2HR,2006775 $109.60 $137.00 $12.24–$123.30 146% above 20%
Insulin blood test CPT 83525 INSULIN,TOTAL,3601855 $155.20 $194.00 $12.24–$174.60 248% above 20%
Insulin blood test CPT 83525 INSULIN,FASTING,2006775 $155.20 $194.00 $12.24–$174.60 248% above 20%
Insulin blood test CPT 83525 2023075,INSULIN $155.20 $194.00 $12.24–$174.60 248% above 20%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON,4501000 $56.00 $70.00 $6.93–$63.00 75% above 20%
Iron blood test (serum iron) CPT 83540 IRON $97.60 $122.00 $6.93–$109.80 205% above 20%
Iron blood test (serum iron) CPT 83540 3609500,IRON 24HR URINE $332.00 $415.00 $6.93–$373.50 938% above 20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY,4501000 $56.00 $70.00 $9.36–$63.00 43% above 20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $103.20 $129.00 $9.36–$116.10 163% above 20%
LH (luteinizing hormone) test CPT 83002 LH,ASSAY OF GONADOTROPIN $47.20 $59.00 $19.83–$53.29 35% below 20%
Lipase blood test (pancreas enzyme) CPT 83690 2004000,LIPASE $76.00 $95.00 $7.38–$85.50 77% above 20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $172.80 $216.00 $7.38–$194.40 303% above 20%
Liver function blood test panel CPT 80076 2006125,LIVER FUNCTION PANEL $66.40 $83.00 $8.75–$74.70 50% above 20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $276.80 $346.00 $8.75–$311.40 525% above 20%
Magnesium blood test CPT 83735 2004100,MAGNESIUM $58.40 $73.00 $7.18–$65.70 109% above 20%
Magnesium blood test CPT 83735 ASSAY MAGNESIUM,2927785 $72.00 $90.00 $7.18–$81.00 157% above 20%
Magnesium blood test CPT 83735 MAGNESIUM $89.60 $112.00 $7.18–$100.80 220% above 20%
Magnesium blood test CPT 83735 MAGNESIUM,KIDNEY ST RK,9003000 $105.60 $132.00 $7.18–$118.80 277% above 20%
Magnesium blood test CPT 83735 3808800,MAGNESIUM,UR,24 HR $140.80 $176.00 $7.18–$158.40 403% above 20%
Magnesium blood test CPT 83735 3803525,MAGNESIUM,RBC $221.60 $277.00 $7.18–$249.30 691% above 20%
Measles (rubeola) antibody test CPT 86765 5571225,MEASLES IGG ABS $96.00 $120.00 $13.79–$108.00 111% above 20%
Measles (rubeola) antibody test CPT 86765 MEASLES IGM,RUBEOLA,5571200 $96.00 $120.00 $13.79–$108.00 111% above 20%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG,RUBEOLA,5571200 $96.00 $120.00 $13.79–$108.00 111% above 20%
Mono test (heterophile antibody, Monospot) CPT 86308 5545275,MONO SCREEN,EBV $67.20 $84.00 $5.55–$75.60 104% above 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE,2001575 $148.80 $186.00 $19.70–$167.40 48% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 2012225,PSA $79.20 $99.00 $19.70–$89.10 3% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL,2001575 $162.40 $203.00 $19.70–$182.70 111% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,PROSTATE SPECIFIC AG TOTAL $162.40 $203.00 $19.70–$182.70 111% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 3602325,PSA ULTRA SENSITIVE $220.00 $275.00 $19.70–$247.50 186% above 20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH,INTACT,5577075 $268.00 $335.00 $44.21–$301.50 92% above 20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH,INTACT $268.00 $335.00 $44.21–$301.50 92% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN PARTIAL,5575075 $155.20 $194.00 $6.44–$174.60 397% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS,PTT,1506300 $155.20 $194.00 $6.44–$174.60 397% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT,1501650 $155.20 $194.00 $6.44–$174.60 397% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT,1506500 $155.20 $194.00 $6.44–$174.60 397% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME $172.00 $215.00 $6.44–$193.50 451% above 20%
Progesterone blood test CPT 84144 2007800,PROGESTERONE $152.80 $191.00 $22.34–$171.90 101% above 20%
Prolactin blood test CPT 84146 3602400,PROLACTIN $204.00 $255.00 $20.76–$229.50 140% above 20%
Prolactin blood test CPT 84146 3608600,PROLACTIN,ULTRA,SERUM $273.60 $342.00 $20.76–$307.80 222% above 20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ORTHO,DRUG TEST PRESUMP OPTICA $32.00 $40.00 $13.49–$36.25 18% below 20%
Rapid flu test (influenza antigen) CPT 87804 PFP,RHC,INFLUENZA A/B ASSAY $31.20 $39.00 $17.73–$47.65 44% below 20%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS ANTIGEN $112.00 $140.00 $17.73–$126.00 101% above 20%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR,QUANTITATIVE $80.80 $101.00 $6.07–$90.90 207% above 20%
Rheumatoid factor (RF) test CPT 86431 5572775,RA FACTOR $80.80 $101.00 $6.07–$90.90 207% above 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS ANTI IGG,5518903 $59.20 $74.00 $15.41–$66.60 15% above 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS ANTI IMG,5518903 $59.20 $74.00 $15.41–$66.60 15% above 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG AB,5592125 $104.00 $130.00 $15.41–$117.00 102% above 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG IGM,5592125 $104.00 $130.00 $15.41–$117.00 102% above 20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG $104.00 $130.00 $15.41–$117.00 102% above 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 0107000,RBC,SED RATE,AUTOMATED $63.20 $79.00 $2.89–$71.10 204% above 20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS $144.00 $180.00 $13.18–$162.00 20% above 20%
Stool ova and parasites exam CPT 87177 OVA & PARASITE,6000400 $165.60 $207.00 $9.53–$186.30 188% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,QUALITATIVE $49.60 $62.00 $4.57–$55.80 94% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF,3703925 $110.40 $138.00 $4.57–$124.20 331% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 5500605,NONTREP AB,RPR $115.20 $144.00 $4.57–$129.60 350% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 5500600,RAPID PLASMA REAGIN $123.20 $154.00 $4.57–$138.60 381% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 5587325,QUANTIFERON-TB GOLD $356.80 $446.00 $66.38–$401.40 114% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $64.80 $81.00 $27.64–$74.28 21% below 20%
Testosterone blood test, total (not free testosterone) CPT 84403 3602775,TESTOSTERONE,TOTAL $175.20 $219.00 $27.64–$197.10 115% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 3602650,TESTOSTERONE,TOTAL $188.80 $236.00 $27.64–$212.40 131% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL,3602545 $188.80 $236.00 $27.64–$212.40 131% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTERONE,TOTAL,3666100 $190.40 $238.00 $27.64–$214.20 133% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 5579200,SOLUBLE LIVER ANTIGEN $161.60 $202.00 $15.58–$181.80 193% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 3606775,LIVER-KIDNEY-MICROSOME $172.00 $215.00 $15.58–$193.50 211% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDOSE AUT,3612580 $172.00 $215.00 $15.58–$193.50 211% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 3612430,THYROID PEROXIDASE ABS $172.00 $215.00 $15.58–$193.50 211% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 5592675,A-LC-1 AB $344.00 $430.00 $15.58–$387.00 523% above 20%
Trichomonas test (NAAT) CPT 87661 IADNA,TRICHO,VAGI,AMP,6987005 $88.80 $111.00 $37.58–$101.00 1% above 20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS SWAB,6987004 $108.80 $136.00 $37.58–$122.40 24% above 20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS,VAGINALIS,6987019 $221.60 $277.00 $37.58–$249.30 153% above 20%
Trichomonas test (NAAT) CPT 87661 6910121,TRICHOMONAS SWAB,TMA $239.20 $299.00 $37.58–$269.10 173% above 20%
Trichomonas test (NAAT) CPT 87661 6910123,TRICHOMONAS,TMA,URINE $265.60 $332.00 $37.58–$298.80 203% above 20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO $14.40 $18.00 $3.40–$16.20 40% below 20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS,AUTOMATED,W/MICRO $172.00 $215.00 $3.40–$193.50 612% above 20%
Urinalysis with microscope exam, manual CPT 81000 UA,DIPSTICK,NONAUTO,W/SCOPE $67.20 $84.00 $4.31–$75.60 298% above 20%
Urine culture for bacteria, with colony count CPT 87086 6002002,CULTURE,COL COUN,URINE $65.60 $82.00 $8.64–$73.80 37% above 20%
Urine culture for bacteria, with colony count CPT 87086 CULTURE,COLONY COUNT,URINE $139.20 $174.00 $8.64–$156.60 191% above 20%
Vitamin B12 (cobalamin) blood test CPT 82607 B12,SERUM,4500850 $64.00 $80.00 $16.15–$72.00 8% above 20%
Vitamin B12 (cobalamin) blood test CPT 82607 4500900,B12,SERUM $76.00 $95.00 $16.15–$85.50 28% above 20%
Vitamin B12 (cobalamin) blood test CPT 82607 B12,SERUM $156.80 $196.00 $16.15–$176.40 165% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 2023925,VIT D,25-HYDROXY,TOTAL $172.00 $215.00 $31.70–$193.50 31% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 3607325,VIT D,FRACTIONATE D2/3 $282.40 $353.00 $31.70–$317.70 115% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D,25-HYDROXY,TOTAL $282.40 $353.00 $31.70–$317.70 115% above 20%
Zinc blood test CPT 84630 3603840,ZINC,SERUM $136.00 $170.00 $12.20–$153.00 135% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 3601425,BETA-HCG,QUANTIT,SERUM $60.80 $76.00 $16.12–$68.40 13% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN,CHRONIC,3622400 $224.00 $280.00 $16.12–$252.00 315% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 3600075,HCG TUMOR MARKER $235.20 $294.00 $16.12–$264.60 336% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN,CHORIONC,3810900 $235.20 $294.00 $16.12–$264.60 336% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN,CHRONIC,3622300 $247.20 $309.00 $16.12–$278.10 358% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG,GONADOTROPIN, $247.20 $309.00 $16.12–$278.10 358% above 20%

Surgery and procedures

ProcedureCash price List priceInsurers payvs OklahomaOff list
Botox injections for chronic migraine CPT 64615 SSA,CHEMODENERV MUSC MIGRAINE $2,094.40 $2,618.00 $300.73–$2,356.20 729% above 20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 IX,BREAST BX, DVC PLACE,1ST,ST $5,297.60 $6,622.00 $1,650.63–$5,959.80 179% above 20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 US,BREAST BX,NEEDLE CORE,PERC $5,297.60 $6,622.00 $1,650.63–$5,959.80 179% above 20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ORTHO,TREAT OF ANKLE FX W/O $1,708.00 $2,135.00 $244.38–$1,921.50 525% above 20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ED,FX,CL,METATARSAL,WO/M,EA $1,508.80 $1,886.00 $244.38–$1,697.40 431% above 20%
Cardiac catheterization with coronary angiogram one side CPT 93458 CC,CATH PLACE LT HRT W/LV GRAM $15,624.00 $19,530.00 $3,276.74–$17,577.00 184% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CC,CARDIOVERSION,EXTERNAL $2,713.60 $3,392.00 $666.65–$3,052.80 389% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 SD,CARDIOVERSION/DEFIBRILATION $2,713.60 $3,392.00 $666.65–$3,052.80 389% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 IMCU,CARDIOVERSION/DEFIBRILLTN $2,713.60 $3,392.00 $666.65–$3,052.80 389% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ICU,CARDIOVERSION/DEFIBRILLTN $2,713.60 $3,392.00 $666.65–$3,052.80 389% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED,CARDIOVERSION/DEFIBRILATION $2,713.60 $3,392.00 $666.65–$3,052.80 389% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 5TH,CARDIOVERSION/DEFIBRILLTN $2,713.60 $3,392.00 $666.65–$3,052.80 389% above 20%
Catheter ablation for atrial fibrillation CPT 93656 CC,EP,TX ATRIAL FIB PULM VEIN $54,291.20 $67,864.00 $24,992.44–$67,167.18 302% above 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NB,CIRCUMCISION,WCLAMP,WBLCK $5,104.00 $6,380.00 $2,086.93–$5,742.00 1165% above 20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED,FX,CL,RADIUS/ULNA,WO/M $1,433.60 $1,792.00 $244.38–$1,612.80 308% above 20%
Coronary stent placement, one artery CPT 92928 CC,CORONARY STENT,WPTA,SINGLE $30,844.00 $38,555.00 $11,553.28–$34,699.50 202% above 20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ED,CYSTOURETHROSCOPY $5,793.60 $7,242.00 $679.99–$6,517.80 790% above 20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 WC,DESTRUCTION,LESION,1ST $1,000.00 $1,250.00 $202.43–$1,125.00 1156% above 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 ED,REMOVE CERUMEN IRRI/LVG,UNI $244.00 $305.00 $60.51–$274.50 294% above 20%
Earwax removal with instruments, one ear CPT 69210 ED,REMOVE,IMPACTED CERUMEN $320.80 $401.00 $60.51–$360.90 336% above 20%
Earwax removal with instruments, one ear CPT 69210 INF,REMOVE,IMPACTED CERUMEN $320.80 $401.00 $60.51–$360.90 336% above 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 SSA,BIOPSY OF UTERUS LINING $560.00 $700.00 $204.94–$630.00 61% above 20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 ORTHO,NJX INTERLAMINAR CRV/THR $2,094.40 $2,618.00 $705.51–$2,356.20 217% above 20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SSA,NJX INTERLAMINAR CRV/THRC $2,094.40 $2,618.00 $705.51–$2,356.20 217% above 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 ORTHO,INJ PARAVERT F JNT L/S $3,417.60 $4,272.00 $906.99–$3,844.80 207% above 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SSA,INJ PARAVERT F JNT L/S 1 L $3,417.60 $4,272.00 $906.99–$3,844.80 207% above 20%
Hemorrhoid banding (rubber band ligation) CPT 46221 SSA,LIGATION OF HEMORRHOID(S) $3,472.00 $4,340.00 $928.81–$3,906.00 194% above 20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 IX,HYSTEROSALPINGOGRAM,INJ PRC $560.00 $700.00 $350.00–$630.00 194% above 20%
Incision and drainage of a simple or single skin abscess CPT 10060 WC,ABSCESS DRAIN,SKIN,SMPL/SNG $1,296.00 $1,620.00 $202.43–$1,458.00 505% above 20%
Incision and drainage of a simple or single skin abscess CPT 10060 SSA,I&D,ABSCESS,SKIN,SMP/SNG $1,296.00 $1,620.00 $202.43–$1,458.00 505% above 20%
Incision and drainage of a simple or single skin abscess CPT 10060 ED,I&D,ABSCESS,SKIN,SIMPLE $1,296.00 $1,620.00 $202.43–$1,458.00 505% above 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ED,INJS,TENDON SHEATH,LIGAMENT $517.60 $647.00 $300.73–$808.21 137% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ORTHO,CLINIC,ARTH/ASPR INJ,MJR $1,432.00 $1,790.00 $300.73–$1,611.00 503% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 3RD,ARTHROCENTES/ASPRT/INJ,MJR $1,504.00 $1,880.00 $300.73–$1,692.00 533% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IX,ARTHROCENTESI/ASPRT/INJ,MJR $1,504.00 $1,880.00 $300.73–$1,692.00 533% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED,ARTHROCENTES/ASPRTN/INJ,MJR $1,504.00 $1,880.00 $300.73–$1,692.00 533% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT,ARTHROCENTESI/ASPRT/INJ,MJR $1,504.00 $1,880.00 $300.73–$1,692.00 533% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 5TH,ARTHROCENTES/ASPRT/INJ,MJR $1,504.00 $1,880.00 $300.73–$1,692.00 533% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 1ST,ARTHROCENTES/ASPRT/INJ,MJR $1,504.00 $1,880.00 $300.73–$1,692.00 533% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ORTHO,CLINIC,ARTH/ASPR INJ,MED $682.40 $853.00 $300.73–$808.21 200% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IX,ARTHROCENTES/ASPRTN/INJ,MED $1,251.20 $1,564.00 $300.73–$1,407.60 450% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED,ARTHROCENTES/ASPRTN/INJ,MED $1,251.20 $1,564.00 $300.73–$1,407.60 450% above 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED,ARTHOCENTESIS/ASPRT/INJ,SML $1,212.00 $1,515.00 $300.73–$1,363.50 585% above 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 IX,ARTHOCENTESIS/ASPRT/INJ,SML $1,212.00 $1,515.00 $300.73–$1,363.50 585% above 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED,REPAIR,S,A,T,E,INTR<2.5CM $919.20 $1,149.00 $407.02–$1,093.87 194% above 20%
Left heart catheterization, diagnostic CPT 93452 CC,LT HEART CATH W/LV $11,187.20 $13,984.00 $3,276.74–$12,585.60 134% above 20%
Lower-back epidural injection, with imaging guidance CPT 62323 SSA,NJX INTERLAMINAR CRV/THRC $2,094.40 $2,618.00 $705.51–$2,356.20 217% above 20%
Lower-back epidural injection, without imaging guidance CPT 62322 IX,INJECTION,DRUG,LUMBR/SACRAL $2,483.20 $3,104.00 $906.99–$2,793.60 297% above 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SSA,NJX AA&/STRD TFRM EPI L/S $3,246.40 $4,058.00 $906.99–$3,652.20 241% above 20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ED,EXCISE,LESION,TAL,<.5CM $3,645.60 $4,557.00 $716.79–$4,101.30 1161% above 20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 SSA,EXC FACE-MM B9+MARG 0.5CM $3,472.00 $4,340.00 $716.79–$3,906.00 676% above 20%
Nail removal (partial or complete), one nail CPT 11730 ED,AVULSN,NAIL PLATE,SMPL,SNG $716.00 $895.00 $202.43–$805.50 361% above 20%
Occipital nerve block (injection for headaches) CPT 64405 ED,INJ,OCCIPITAL NERVE $1,970.40 $2,463.00 $300.73–$2,216.70 417% above 20%
Pacemaker implant (dual chamber) CPT 33208 CC,INSERT HEART PM ATRIAL/VENT $28,588.00 $35,735.00 $10,661.62–$32,161.50 213% above 20%
Paracentesis with imaging guidance CPT 49083 US,PERIOCENTESIS,ABD,W/IMAGING $3,167.20 $3,959.00 $955.15–$3,563.10 241% above 20%
Paracentesis with imaging guidance CPT 49083 ED,PERIOCENTESIS,ABD,W/IMAGING $3,167.20 $3,959.00 $955.15–$3,563.10 241% above 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 IF,EXCISE NAIL/MATRIX,PERMNENT $2,658.40 $3,323.00 $407.02–$2,990.70 635% above 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED,EXCISE NAIL/MATRIX,PERMNENT $2,658.40 $3,323.00 $407.02–$2,990.70 635% above 20%
Prostate biopsy CPT 55700 CT,PROSTATE,SNG/MULTI,NDL BX $5,362.40 $6,703.00 $2,086.93–$6,032.70 122% above 20%
Prostate biopsy CPT 55700 US,PROSTATE,SNG/MULTI,NDL BX $5,362.40 $6,703.00 $2,086.93–$6,032.70 122% above 20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SSA,DESTROY LUMB/SAC FACET JNT $6,160.00 $7,700.00 $1,989.40–$6,930.00 256% above 20%
Removal of a foreign object under the skin, simple CPT 10120 ED,INCISE,REMOVAL,FB,SIMPLE $1,408.00 $1,760.00 $407.02–$1,584.00 473% above 20%
Removal of a foreign object under the skin, simple CPT 10120 SSA,INCISE & REMOVAL FB,SMP $1,408.00 $1,760.00 $407.02–$1,584.00 473% above 20%
Short arm cast (elbow to hand) CPT 29075 ORTHO,APPLICATION FOREARM CAST $702.40 $878.00 $270.56–$790.20 264% above 20%
Short arm splint (forearm and hand) CPT 29125 ED,APPL,SPLINT,SHORT ARM,STATC $844.80 $1,056.00 $131.32–$950.40 556% above 20%
Short arm splint (forearm and hand) CPT 29125 ED,OP,APPL,SPLINT,SHORT ARM $844.80 $1,056.00 $131.32–$950.40 556% above 20%
Short arm splint (forearm and hand) CPT 29125 CL,OT,SPLINT,SHORT ARM,STATIC $844.80 $1,056.00 $131.32–$950.40 556% above 20%
Short arm splint (forearm and hand) CPT 29125 INF,APPL,SPLINT,SHORT ARM $844.80 $1,056.00 $131.32–$950.40 556% above 20%
Short leg cast (below the knee) CPT 29405 INF,APPL,SHORT LEG CAST $854.40 $1,068.00 $270.56–$961.20 451% above 20%
Short leg cast (below the knee) CPT 29405 ED,APPL,SHORT LEG CAST $854.40 $1,068.00 $270.56–$961.20 451% above 20%
Short leg splint (calf to foot) CPT 29515 ED,OP,APPL,SPLINT,SHORT LEG $844.80 $1,056.00 $160.75–$950.40 502% above 20%
Short leg splint (calf to foot) CPT 29515 ED,APPL,SPLINT,SHORT LEG $844.80 $1,056.00 $160.75–$950.40 502% above 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 2ND,REPAIR,SNAGTE,SMPLE,2.5CM $799.20 $999.00 $202.43–$899.10 308% above 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED,REPAIR,SNAGTE,SMPLE,2.5CM $799.20 $999.00 $202.43–$899.10 308% above 20%
Skin biopsy, punch, one lesion CPT 11104 SSA,PNCH BX SKIN SINGLE LESION $2,404.00 $3,005.00 $407.02–$2,704.50 703% above 20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 SSA,EXC TR-EXT MAL+MARG 0.5CM $2,530.40 $3,163.00 $716.79–$2,846.70 470% above 20%
Skin tag removal, up to 15 tags CPT 11200 ED,SKIN TAB REMOVAL,^15LESION $1,050.40 $1,313.00 $202.43–$1,181.70 576% above 20%
Skin tag removal, up to 15 tags CPT 11200 SSA,SKIN TAB REMOVAL,^15LESION $1,050.40 $1,313.00 $202.43–$1,181.70 576% above 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 IX,LUMBAR PUNCTURE,DIAGNOSTIC $1,836.00 $2,295.00 $705.51–$2,065.50 207% above 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED,LUMBAR SPINAL PUNCTURE,DX $1,836.00 $2,295.00 $705.51–$2,065.50 207% 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 ED,REPAIR,SNAGTE,SMP,2.6-7.5CM $836.80 $1,046.00 $202.43–$941.40 308% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED,REPAIR,FACE,SMPL,<2.5CM $783.20 $979.00 $202.43–$881.10 271% above 20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 SSA,TANGNTL BX SKIN SINGLE LES $3,645.60 $4,557.00 $202.43–$4,101.30 1464% above 20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ED,TANGNTL BX SKIN SINGLE LES $3,645.60 $4,557.00 $202.43–$4,101.30 1464% above 20%
Thoracentesis with imaging guidance CPT 32555 CT,THORACENTESIS,W/IMAGE GUIDE $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 ED,THORACENTESIS W/IMAGING $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 ICU,THORACENTESIS,W/IMAGE GUID $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 IMCU,THORACENTESIS,W/IMAG GUID $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 SD,THORACENTESIS,W/IMAGE GUIDE $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 US,THORACENTESIS,W/IMAGE GUIDE $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 3RD,THORACENTESIS,W/IMAGE GUID $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 5TH,THORACENTESIS,W/IMAGE GUID $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Thoracentesis with imaging guidance CPT 32555 CC,THORACENTESIS,W/IMAGE GUIDE $2,388.80 $2,986.00 $629.86–$2,687.40 255% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 ORTHO,INF TRIGGER PT,1-2 MUSC $682.40 $853.00 $300.73–$808.21 200% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 ED,TRIGGER POINT INJ,1+,1+MSCL $1,355.20 $1,694.00 $300.73–$1,524.60 496% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 IX,TRIGGER POINT INJ,1+,1+MSCL $1,355.20 $1,694.00 $300.73–$1,524.60 496% above 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US,BREAST BX,W/W0 DVC PLACE,1 $5,297.60 $6,622.00 $1,650.63–$5,959.80 194% above 20%
Vein ablation, radiofrequency, first vein CPT 36475 SSA,VEIN ABLATION,1ST VEIN $8,588.00 $10,735.00 $3,206.54–$9,661.50 31% above 20%
Wart removal, up to 14 warts CPT 17110 INF,DESTRUCT,BENGN LESION,1-14 $1,050.40 $1,313.00 $202.43–$1,181.70 544% above 20%
Wart removal, up to 14 warts CPT 17110 ED,DESTRUCT,BENIGN LESION,1-14 $1,050.40 $1,313.00 $202.43–$1,181.70 544% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC,DEBRIDE,SUBQ,1ST 20SQCM $863.20 $1,079.00 $407.02–$1,093.87 112% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED,DEBRIDE,SUBQ,1ST 20SQCM $863.20 $1,079.00 $407.02–$1,093.87 112% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SSA,DEBRIDE,SUBQ,1ST 20SQCM $863.20 $1,079.00 $407.02–$1,093.87 112% above 20%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs OklahomaOff list
Blood transfusion (giving blood or blood components) CPT 36430 ICU,TRANSFUSION,3RD FLOOR IC $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 SW,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 SD,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 RHB,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 INF,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 IMCU,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 1ST,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 ICU,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 ED,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 ED,OP,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 CC,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 5TH,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 3RD,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Blood transfusion (giving blood or blood components) CPT 36430 2ND FLOOR,TRANSFUSION $2,844.80 $3,556.00 $445.38–$3,200.40 327% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR2 TX,SUBSEQUENT $358.40 $448.00 $207.20–$556.85 189% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OBS,AEROSOL TX,SUBSEQUENT $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX,INITIAL $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX,SUBSEQUENT $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED,AEROSOL TX,INITIAL $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED,AEROSOL TX,SUBSEQUENT $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INF,AEROSOL TX,INITIAL $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PWNCL,AIRWAY INHALATION TRTMNT $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INF,AEROSOL TX,SUBSEQUENT $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OBS,AEROSOL TX,INITIAL $443.20 $554.00 $207.20–$556.85 257% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR2 TX,INITAL $443.20 $554.00 $207.20–$556.85 257% above 20%
Chemotherapy IV infusion, first hour CPT 96413 5TH,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 ED,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 CCS,CHEMO INF,1HR,SNG/INITIAL $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 ED,OP,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 ICU,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 IMCU,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 INF,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 3RD,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 2ND,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Chemotherapy IV infusion, first hour CPT 96413 1ST,CHEMO INFUSION,1ST HOUR $809.60 $1,012.00 $337.91–$910.80 132% above 20%
Critical care, first 30 to 74 minutes CPT 99291 RHBPHYS,CRITICAL CARE,30-74MIN $481.60 $602.00 $301.00–$2,306.98 41% below 20%
Critical care, first 30 to 74 minutes CPT 99291 HSP,CRITICAL CARE,30-74MIN $481.60 $602.00 $301.00–$2,306.98 41% below 20%
Critical care, first 30 to 74 minutes CPT 99291 EMERGENCY ROOM,CRITICAL CARE $3,986.40 $4,983.00 $858.41–$4,484.70 391% above 20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG,AWAKE/DROWSY,20-40,MIN $1,995.20 $2,494.00 $317.24–$2,244.60 362% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CARDIO,CLINIC EKG,TRACING $440.00 $550.00 $60.51–$495.00 277% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED,EKG $440.00 $550.00 $60.51–$495.00 277% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $440.00 $550.00 $60.51–$495.00 277% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PWNCL,CLINIC EKG,TRACING $440.00 $550.00 $60.51–$495.00 277% above 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HSP,ER,MIN SEVERITY $72.00 $90.00 $45.00–$900.00 36% below 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM,LEVEL 1 $499.20 $624.00 $89.70–$900.00 341% above 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HSP,ER,LOW SEVERITY $96.00 $120.00 $60.00–$900.00 43% below 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM,LEVEL 2 $862.40 $1,078.00 $161.33–$970.20 408% above 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HSP,ER,MODERATE SEVERITY $138.40 $173.00 $86.50–$900.00 53% below 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM,LEVEL 3 $1,452.00 $1,815.00 $282.08–$1,633.50 395% above 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HSP,ER,HIGH SEVERITY $281.60 $352.00 $176.00–$1,165.86 36% below 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM,LEVEL 4 $2,359.20 $2,949.00 $433.81–$2,654.10 435% above 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HSP,ER,LIFE THREATENING $399.20 $499.00 $249.50–$1,678.61 38% below 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM,LEVEL 5 $2,925.60 $3,657.00 $624.60–$3,291.30 357% above 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 CC,STRESS TEST,TREADMILL/PHARM $1,299.20 $1,624.00 $317.24–$1,461.60 245% above 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO,STRESS TEST - TECH $1,299.20 $1,624.00 $317.24–$1,461.60 245% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 1ST,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IMCU,HYDRATION TX,31-60 MINUTE $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ICU,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED OP,HYDRATION TX,31-60 MIN $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CC,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CCS,HYDRATION,1ST 31-60MIN $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 5TH,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 3RD,HYDRATION TX,31-60 MINUTES $533.60 $667.00 $214.64–$600.30 227% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2ND FLR,HYDRATION TX,1ST HOUR $533.60 $667.00 $214.64–$600.30 227% above 20%
IV infusion of a medicine, first hour CPT 96365 ED,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 CCS,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 5TH,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 3RD,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 2ND FLOOR,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 1ST,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 INF,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 IMCU,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 ICU,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 ED OP,INFUSION,1ST HR $690.40 $863.00 $214.64–$776.70 201% above 20%
IV infusion of a medicine, first hour CPT 96365 CC,INFUSION TX,1ST HOUR $690.40 $863.00 $214.64–$776.70 201% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 3RD,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IMCU,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM,INJECTION,IM/SQ $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PWNCL,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SD,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED,INJECTION,IM/SQ $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED OP,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CCS,THER/PROPH/DIAG INJ SC/IM $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CC,INJECTION,SQ/IM $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 5TH,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 1ST,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ICU,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2ND FLOOR,INJECTION,IM/SQ,EA $200.00 $250.00 $72.50–$225.00 199% above 20%
Neuromuscular re-education, 15 minutes CPT 97112 CL,PT,NEUROMUSCULAR REEDUCATN $136.00 $170.00 $52.11–$153.00 83% above 20%
Neuromuscular re-education, 15 minutes CPT 97112 CL,OT,NEUROMUSCULAR REEDUCATN $136.00 $170.00 $52.11–$153.00 83% above 20%
New patient office visit, about 30 minutes CPT 99203 HSP,OP,VISIT,NEW,LEVEL 3 $172.00 $215.00 $107.50–$193.50 4% above 20%
New patient office visit, about 30 minutes CPT 99203 ORTHO,CLINIC LEVEL 3,NEW PT $323.20 $404.00 $172.04–$363.60 95% above 20%
New patient office visit, about 30 minutes CPT 99203 SSA,CLINIC LEVEL 3,NEW PATIENT $323.20 $404.00 $172.04–$363.60 95% above 20%
New patient office visit, about 30 minutes CPT 99203 CARDIO,CLINIC LEVEL 3,NEW PT $323.20 $404.00 $172.04–$363.60 95% above 20%
New patient office visit, about 30 minutes CPT 99203 WC,NEW PATIENT VISIT,INTERMED $323.20 $404.00 $172.04–$363.60 95% above 20%
New patient office visit, about 45 minutes CPT 99204 HSP,OP,VISIT,NEW,LEVEL 4 $256.00 $320.00 $160.00–$288.00 14% above 20%
New patient office visit, about 45 minutes CPT 99204 HSP,OP,MCR CONSULT,NEW,HIGH $256.00 $320.00 $160.00–$288.00 14% above 20%
New patient office visit, about 45 minutes CPT 99204 ORTHO,CLINIC LEVEL 4,NEW PT $356.00 $445.00 $222.50–$400.50 58% above 20%
New patient office visit, about 45 minutes CPT 99204 CARDIO,CLINIC LEVEL 4,NEW PT $356.00 $445.00 $222.50–$400.50 58% above 20%
New patient office visit, about 45 minutes CPT 99204 WC,NEW PATIENT VISIT,EXTENDED $356.00 $445.00 $222.50–$400.50 58% above 20%
New patient office visit, about 45 minutes CPT 99204 SSA,CLINIC LEVEL 4,NEW PATIENT $356.00 $445.00 $222.50–$400.50 58% above 20%
New patient office visit, about 60 minutes CPT 99205 HSP,OP,VISIT,NEW,LEVEL 5 $340.00 $425.00 $212.50–$382.50 22% above 20%
New patient office visit, about 60 minutes CPT 99205 CARDIO,CLINIC LEVEL 5,NEW PT $392.00 $490.00 $245.00–$441.00 41% above 20%
New patient office visit, about 60 minutes CPT 99205 ORTHO,CLINIC LEVEL 5,NEW PT $392.00 $490.00 $245.00–$441.00 41% above 20%
New patient office visit, about 60 minutes CPT 99205 SSA,CLINIC LEVEL 5,NEW PATIENT $392.00 $490.00 $245.00–$441.00 41% above 20%
New patient office visit, about 60 minutes CPT 99205 WC,NEW PATIENT VISIT,COMPLEX $392.00 $490.00 $245.00–$441.00 41% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HSP,OP,VISIT,NEW,LEVEL 2 $108.00 $135.00 $67.50–$121.50 at median 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CARDIO,NEW PT VISIT,BRIEF $293.60 $367.00 $111.11–$330.30 172% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC,CLINIC,NEW PT VISIT,BRIEF $293.60 $367.00 $111.11–$330.30 172% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ORTHO,CLINIC,NEW PT VST,BRIEF $293.60 $367.00 $111.11–$330.30 172% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 SSA,CLINIC,NEW PT VISIT,BRIEF $293.60 $367.00 $111.11–$330.30 172% above 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUT TX,MNT,INITIAL,IND,15MIN $181.60 $227.00 $56.20–$204.30 276% above 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT,DCS,INITIAL,IND,15MIN $181.60 $227.00 $56.20–$204.30 276% above 20%
Occupational therapy evaluation, low complexity CPT 97165 CL,OT,EVAL,LOW COMPLEX,30 MIN $294.40 $368.00 $156.94–$331.20 165% above 20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 CL,PT,EVAL,HIGH COMPLEX,45 MIN $337.60 $422.00 $155.47–$379.80 101% above 20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 CL,PT,EVAL,LOW COMPLEX,20 MIN $307.20 $384.00 $155.47–$345.60 186% above 20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 CL,PT,EVAL,MOD COMPLEX,30 MIN $326.40 $408.00 $155.47–$367.20 144% above 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL,PT,MANUAL THERAPY,15MIN $184.80 $231.00 $41.91–$207.90 135% above 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL,PT,JOINT MOBILIZATION $184.80 $231.00 $41.91–$207.90 135% above 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL,OT,MANUAL THERAPY,15MIN $184.80 $231.00 $41.91–$207.90 135% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL,PT,THERAPEUTIC PROCEDURE $172.80 $216.00 $45.46–$194.40 160% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ORTHO,CL,PT,THERAPEUTIC PROCED $172.80 $216.00 $45.46–$194.40 160% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL,OT,THERAPEUTIC PROCEDURE $172.80 $216.00 $45.46–$194.40 160% above 20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 CCS,BEHAV CHNG SMOKING 3-10MIN $96.00 $120.00 $30.35–$108.00 260% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HSP,OP,MCR CONSULT,EST,SEVERE $321.60 $402.00 $201.00–$361.80 47% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HSP,OP,VISIT,EST,LEVEL 5 $321.60 $402.00 $201.00–$361.80 47% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 SSA,CLINIC LEVEL 5,EST PATIENT $373.60 $467.00 $233.50–$420.30 71% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC,ESTABLISHED PATIENT,COMPLEX $373.60 $467.00 $233.50–$420.30 71% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ORTHO,CLINIC LEVEL 5,EST PT $373.60 $467.00 $233.50–$420.30 71% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CARDIO,CLINIC LEVEL 5,EST PT $373.60 $467.00 $233.50–$420.30 71% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HSP,OP,MCR CONSULT,EST,MODRATE $148.00 $185.00 $92.50–$166.50 11% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HSP,OP,VISIT,EST,LEVEL 3 $148.00 $185.00 $92.50–$166.50 11% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC,ESTABLISHED PATIENT,INTERMD $308.00 $385.00 $140.32–$346.50 131% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CARDIO,CLINIC LEVEL 3,EST PT $308.00 $385.00 $140.32–$346.50 131% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SSA,CLINIC LEVEL 3,EST PATIENT $308.00 $385.00 $140.32–$346.50 131% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ORTHO,CLINIC LEVEL 3,EST PT $308.00 $385.00 $140.32–$346.50 131% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HSP,OP,VISIT,EST,LEVEL 4 $219.20 $274.00 $137.00–$246.60 29% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HSP,OP,MCR CONSULT,EST,HIGH $219.20 $274.00 $137.00–$246.60 29% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC,ESTABLISHED PATIENT,EXTENDD $339.20 $424.00 $198.25–$381.60 100% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CARDIO,CLINIC LEVEL 4,EST PT $339.20 $424.00 $198.25–$381.60 100% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SSA,CLINIC LEVEL 4,EST PATIENT $339.20 $424.00 $198.25–$381.60 100% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ORTHO,CLINIC LEVEL 4,EST PT $339.20 $424.00 $198.25–$381.60 100% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HSP,OP,VISIT,EST,LEVEL 2 $84.00 $105.00 $52.50–$94.50 at median 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HSP,OP,MCR CONSULT,EST,LOW $84.00 $105.00 $52.50–$94.50 at median 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP TX ROOM,5TH FLOOR $162.40 $203.00 $86.94–$182.70 93% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC,ESTABLISHED PATIENT,LIMITED $280.00 $350.00 $86.94–$315.00 233% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PWNCL,CLINIC LEVEL 2,ESTABLISH $280.00 $350.00 $86.94–$315.00 233% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CARDIO,CLINIC LEVEL 2,EST PT $280.00 $350.00 $86.94–$315.00 233% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 IR,OP TREATMENT ROOM $280.00 $350.00 $86.94–$315.00 233% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ORTHO,CLINIC LEVEL 2,EST PT $280.00 $350.00 $86.94–$315.00 233% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SSA,CLINIC LEVEL 2,EST PATIENT $280.00 $350.00 $86.94–$315.00 233% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CCS,EST VISIT LEVEL 2 $280.00 $350.00 $86.94–$315.00 233% above 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HSP, CONSULT,NEW/EST,LEVEL 3 $153.60 $192.00 $96.00–$172.80 28% above 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HSP,OP CONSULT,NEW/EST,LEVEL 4 $228.00 $285.00 $142.50–$257.57 128% above 20%
Speech and language evaluation CPT 92523 CL,SPEECH,SOUND/LANG COMPRHSN $563.20 $704.00 $352.00–$633.60 222% above 20%
Speech therapy session, individual CPT 92507 CL,SPEECH THERAPY $267.20 $334.00 $118.80–$300.60 141% above 20%
Spirometry (breathing test) CPT 94010 PFT INTERP AND REPORT,CMW $40.00 $50.00 $25.00–$428.36 72% below 20%
Spirometry (breathing test) CPT 94010 PFT,BLACKWELL,DORADA FOODS $200.00 $250.00 $125.00–$428.36 38% above 20%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION STUDY,BASIC $336.00 $420.00 $159.39–$428.36 132% above 20%
Spirometry (breathing test) CPT 94010 BEDSIDE SPIROMETRY $336.00 $420.00 $159.39–$428.36 132% above 20%
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATOR STUDY $815.20 $1,019.00 $317.24–$917.10 107% above 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 CL,OT,THERAPEUTIC ACTIVITIES $141.60 $177.00 $56.32–$159.30 158% above 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 CL,PT,THERAPEUTIC ACTIVITY $141.60 $177.00 $56.32–$159.30 158% above 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF,PHLEBOTOMY,THERAPEUTIC $332.80 $416.00 $131.32–$374.40 166% above 20%

Vaccines

ProcedureCash price List priceInsurers payvs OklahomaOff list
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE $270.40 $338.00 $85.94–$304.20 81% above 20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE $156.00 $195.00 $70.17–$175.50 21% above 20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MUMPS,MEASLES,RUBELLA VACCINE $298.40 $373.00 $94.36–$335.70 159% above 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVOX VACCINE,PRC PRTCTED $292.80 $366.00 $122.93–$329.40 85% above 20%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS,50 MG/0.5 ML SYRINGE $1,148.80 $1,436.00 $519.75–$1,292.40 19% above 20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN,DOSE $1,283.20 $1,604.00 $333.93–$1,443.60 86% above 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA/TETANUS,17478013101 $91.20 $114.00 $35.13–$102.60 3% above 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTHERIA/PERTUSIS INJ $158.40 $198.00 $47.42–$178.20 103% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED OP,VACCINATION,1ST DRUG $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 3RD,VACCINATION,1ST $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 3RD,IMMUNIZATION,INFLUENZA $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2ND FLOOR,VACCINE,1ST $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2ND FLOOR,HEPATITIS B INJ,VFC $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 1ST,VACCINATION,1ST $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED,VACCINATION,1ST $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INF,IMMUNIZATION/VACCINE,SNG $156.80 $196.00 $72.50–$194.84 161% above 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED OP,IMMUNIZATION,EA ADD $67.20 $84.00 $22.39–$75.60 133% above 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INF,IMMUNIZATN/VACC,EA ADD $67.20 $84.00 $22.39–$75.60 133% above 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED,VACCINE,EA ADD $67.20 $84.00 $22.39–$75.60 133% above 20%

Source file: https://mrfs.hyvehealthcare.com/StillwaterMedicalCenter/730927647_stillwater-medical-center-ok_standardcharges.json