Hospital Weatherford, OK

Weatherford Regional Hospital, INC of Weatherford

Listed in its price file as “Weatherford Hospital Authority”.

Weatherford Regional Hospital, INC of Weatherford in Weatherford, OK publishes cash prices for 285 common procedures listed here, from its own machine-readable price file updated Jun 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 156 of 283 procedures and above it for 121. By typical cash price it ranks #18 of 43 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

3701 E Main St Weatherford OK 73096 Collected Sep 27, 2026 Source price file (580) 772-5551

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 371323 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs OklahomaOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views $112.00 $140.00 $40.38–$140.00 36% below 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries $168.00 $210.00 $75.60–$309.33 20% below 20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus $210.40 $263.00 $40.38–$263.00 27% below 20%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body $624.00 $780.00 $280.80–$780.00 32% below 20%
Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast $172.00 $215.00 $77.40–$233.42 49% below 20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast $152.80 $191.00 $68.76–$233.42 54% below 20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast $920.00 $1,150.00 $414.00–$1,150.00 39% below 20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium $105.60 $132.00 $47.52–$550.98 6% above 20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast $1,360.00 $1,700.00 $389.21–$1,700.00 2% above 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $1,520.00 $1,900.00 $389.21–$1,900.00 6% below 20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast $1,760.00 $2,200.00 $389.21–$2,200.00 7% below 20%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast $760.00 $950.00 $342.00–$950.00 32% below 20%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast $640.00 $800.00 $288.00–$800.00 36% below 20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast $693.60 $867.00 $312.12–$867.00 21% below 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast $600.00 $750.00 $150.29–$750.00 36% below 20%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast $773.60 $967.00 $150.29–$967.00 36% below 20%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast $880.00 $1,100.00 $150.29–$1,100.00 31% below 20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast $927.20 $1,159.00 $263.44–$1,159.00 8% below 20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast $600.00 $750.00 $263.44–$750.00 39% below 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $853.60 $1,067.00 $384.12–$1,067.00 21% below 20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow $372.00 $465.00 $142.18–$465.00 25% below 20%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views $116.80 $146.00 $40.38–$146.00 1% below 20%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view $112.00 $140.00 $40.38–$140.00 36% below 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity $288.00 $360.00 $129.60–$360.00 28% below 20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast $745.60 $932.00 $316.91–$932.00 22% below 20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast $877.60 $1,097.00 $316.91–$1,097.00 22% below 20%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts $308.00 $385.00 $138.60–$385.00 79% above 20%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast $240.00 $300.00 $108.00–$337.02 32% above 20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts $378.40 $473.00 $170.28–$473.00 4% below 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers $442.40 $553.00 $199.08–$553.00 27% below 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function $1,081.60 $1,352.00 $338.00–$1,352.00 1% below 20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system $680.00 $850.00 $306.00–$1,290.42 41% below 20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate, breathing, airflow, and effort $192.00 $240.00 $39.86–$240.00 49% below 20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) $2,000.00 $2,500.00 $900.00–$2,500.00 36% below 20%
Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views $112.00 $140.00 $40.38–$140.00 37% below 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen $288.00 $360.00 $129.60–$360.00 25% below 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening $607.20 $759.00 $150.29–$759.00 84% above 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast $840.00 $1,050.00 $339.92–$1,050.00 42% below 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast $1,360.00 $1,700.00 $339.92–$1,700.00 25% below 20%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast $688.80 $861.00 $309.96–$1,309.53 34% below 20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast $1,382.40 $1,728.00 $622.08–$1,728.00 29% below 20%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast $921.60 $1,152.00 $414.72–$1,152.00 6% below 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast $1,324.80 $1,656.00 $533.61–$1,656.00 6% below 20%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast $1,072.80 $1,341.00 $301.09–$1,341.00 8% below 20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast $1,288.00 $1,610.00 $301.09–$1,610.00 16% below 20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast $965.60 $1,207.00 $301.09–$1,207.00 10% below 20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast $1,288.00 $1,610.00 $301.09–$1,610.00 15% below 20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast $883.20 $1,104.00 $301.09–$1,104.00 14% below 20%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast $1,382.40 $1,728.00 $622.08–$1,728.00 3% below 20%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast $1,019.20 $1,274.00 $458.64–$1,274.00 10% below 20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast $840.00 $1,050.00 $339.92–$1,050.00 50% below 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT $2,080.00 $2,600.00 $837.25–$2,600.00 19% below 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis $288.00 $360.00 $129.60–$360.00 4% below 20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis $288.00 $360.00 $129.60–$360.00 41% below 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $372.00 $465.00 $150.64–$465.00 12% below 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus $288.00 $360.00 $129.60–$360.00 32% below 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus $288.00 $360.00 $129.60–$360.00 18% below 20%
Screening mammogram, both breasts CPT 77067 Screening mammography $252.00 $315.00 $113.40–$337.02 59% above 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views $118.40 $148.00 $40.38–$148.00 38% below 20%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) $1,920.00 $2,400.00 $864.00–$2,400.00 31% below 20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function $169.60 $212.00 $76.32–$320.85 46% below 20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $288.00 $360.00 $129.60–$360.00 24% below 20%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus $288.00 $360.00 $129.60–$360.00 2% above 20%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen $319.20 $399.00 $142.18–$399.00 39% below 20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum $288.00 $360.00 $129.60–$360.00 16% below 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue $288.00 $360.00 $129.60–$360.00 29% below 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract $200.00 $250.00 $90.00–$320.85 47% below 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers $288.00 $360.00 $129.60–$388.06 42% below 20%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views $112.00 $140.00 $40.38–$140.00 36% below 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views $112.00 $140.00 $40.38–$140.00 40% below 20%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view $112.00 $140.00 $40.38–$140.00 35% below 20%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views $112.00 $140.00 $40.38–$140.00 30% below 20%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views $112.00 $140.00 $40.38–$140.00 30% below 20%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views $112.00 $140.00 $40.38–$140.00 31% below 20%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views $112.00 $140.00 $40.38–$140.00 40% below 20%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views $112.00 $140.00 $40.38–$140.00 37% below 20%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views $112.00 $140.00 $40.38–$140.00 34% below 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views $188.00 $235.00 $40.38–$235.00 11% below 20%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views $197.60 $247.00 $40.38–$247.00 32% below 20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views $188.00 $235.00 $40.38–$235.00 at median 20%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views $112.00 $140.00 $40.38–$140.00 31% below 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views $188.00 $235.00 $40.38–$235.00 6% below 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views $188.00 $235.00 $40.38–$235.00 1% below 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views $112.00 $140.00 $40.38–$140.00 37% below 20%

Lab tests

ProcedureCash price List priceInsurers payvs OklahomaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $19.20 $24.00 $8.64–$24.00 41% below 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $16.00 $20.00 $7.20–$20.00 58% below 20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel $216.00 $270.00 $19.94–$270.00 16% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each $38.40 $48.00 $16.07–$48.00 55% above 20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $52.00 $65.00 $16.07–$65.00 26% below 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder $67.20 $84.00 $16.07–$84.00 57% above 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $225.60 $282.00 $55.87–$282.00 101% above 20%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $56.00 $70.00 $19.94–$70.00 75% above 20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity $152.00 $190.00 $43.11–$190.00 20% above 20%
Blood culture for bacteria CPT 87040 Bacterial blood culture $94.40 $118.00 $42.48–$118.00 53% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $12.00 $15.00 $5.40–$15.00 27% above 20%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $20.80 $26.00 $9.36–$26.00 18% below 20%
Blood lead test CPT 83655 Lead level $55.20 $69.00 $24.84–$69.00 31% above 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $55.20 $69.00 $18.40–$69.00 38% above 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $80.00 $100.00 $5.46–$100.00 40% above 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $29.60 $37.00 $13.32–$37.00 9% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $124.00 $155.00 $16.07–$155.00 38% above 20%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 $181.60 $227.00 $52.15–$227.00 99% above 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 $168.80 $211.00 $52.15–$211.00 176% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen $82.40 $103.00 $37.08–$103.00 13% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $88.00 $110.00 $16.07–$110.00 13% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $72.80 $91.00 $19.94–$91.00 11% above 20%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $32.00 $40.00 $13.54–$40.00 29% below 20%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $56.00 $70.00 $13.54–$70.00 88% above 20%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $62.40 $78.00 $19.94–$78.00 38% above 20%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $112.00 $140.00 $23.19–$140.00 23% above 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level $181.60 $227.00 $39.86–$227.00 141% above 20%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) $88.00 $110.00 $39.60–$110.00 18% above 20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level $70.40 $88.00 $31.68–$88.00 3% above 20%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level $247.20 $309.00 $18.40–$309.00 106% above 20%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $87.20 $109.00 $18.40–$109.00 79% above 20%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $72.00 $90.00 $18.40–$90.00 24% above 20%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free $100.00 $125.00 $30.02–$125.00 11% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $105.60 $132.00 $30.02–$132.00 72% above 20%
Free testosterone test CPT 84402 Testosterone (hormone) level, free $112.00 $140.00 $39.86–$140.00 30% above 20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $41.60 $52.00 $9.62–$52.00 42% above 20%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $50.40 $63.00 $18.40–$63.00 23% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $88.00 $110.00 $39.60–$110.00 14% above 20%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) $56.00 $70.00 $25.20–$70.00 18% below 20%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $120.00 $150.00 $16.07–$150.00 6% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification $336.00 $420.00 $52.15–$420.00 72% above 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies $90.40 $113.00 $16.07–$113.00 88% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $59.20 $74.00 $18.40–$74.00 38% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement $56.80 $71.00 $16.07–$71.00 31% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen $41.60 $52.00 $16.07–$52.00 6% above 20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $116.00 $145.00 $26.66–$145.00 136% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification $353.60 $442.00 $52.15–$442.00 59% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $92.00 $115.00 $26.66–$115.00 50% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $92.00 $115.00 $16.07–$115.00 41% above 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity $64.00 $80.00 $16.07–$80.00 25% above 20%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level $138.40 $173.00 $39.86–$173.00 11% above 20%
Insulin blood test CPT 83525 Insulin measurement, total $60.00 $75.00 $27.00–$75.00 35% above 20%
Iron blood test (serum iron) CPT 83540 Iron level $32.00 $40.00 $9.62–$40.00 at median 20%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $41.60 $52.00 $18.40–$52.00 6% above 20%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $52.80 $66.00 $19.94–$66.00 at median 20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level $72.00 $90.00 $32.40–$90.00 1% below 20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $63.20 $79.00 $9.62–$79.00 47% above 20%
Liver function blood test panel CPT 80076 Liver function blood test panel $47.20 $59.00 $19.94–$59.00 7% above 20%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $142.40 $178.00 $26.66–$178.00 99% above 20%
Magnesium blood test CPT 83735 Magnesium level $44.00 $55.00 $9.62–$55.00 57% above 20%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $84.80 $106.00 $16.07–$106.00 86% above 20%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $20.00 $25.00 $9.00–$26.38 39% below 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free $105.60 $132.00 $18.40–$132.00 5% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $95.20 $119.00 $18.40–$119.00 24% above 20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level $128.00 $160.00 $39.86–$160.00 8% below 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $45.60 $57.00 $7.19–$57.00 46% above 20%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level $102.40 $128.00 $30.02–$128.00 35% above 20%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level $130.40 $163.00 $39.86–$163.00 54% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $25.60 $32.00 $7.19–$32.00 16% above 20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation $150.40 $188.00 $18.40–$188.00 286% above 20%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus $32.00 $40.00 $14.35–$40.00 43% below 20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) $40.00 $50.00 $14.35–$50.00 18% below 20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $24.80 $31.00 $11.16–$31.00 6% below 20%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) $60.80 $76.00 $16.07–$76.00 18% above 20%
Stool ova and parasites exam CPT 87177 Smear for parasites $23.20 $29.00 $10.44–$29.00 60% below 20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay $52.00 $65.00 $18.40–$65.00 11% below 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $28.00 $35.00 $12.60–$35.00 9% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon $177.60 $222.00 $26.66–$222.00 7% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total $74.40 $93.00 $33.48–$93.00 9% below 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $65.60 $82.00 $29.52–$82.00 19% above 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $72.80 $91.00 $30.02–$91.00 64% above 20%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique $120.00 $150.00 $52.15–$150.00 37% above 20%
Uric acid blood test CPT 84550 Uric acid level, blood $33.60 $42.00 $9.62–$42.00 33% above 20%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated $23.20 $29.00 $5.82–$29.00 4% below 20%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test $10.40 $13.00 $4.10–$13.00 9% below 20%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine $60.00 $75.00 $14.35–$75.00 25% above 20%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $24.00 $30.00 $5.82–$30.00 11% below 20%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $76.80 $96.00 $30.02–$96.00 30% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $84.00 $105.00 $37.80–$105.00 36% below 20%
Zinc blood test CPT 84630 Zinc level $60.80 $76.00 $27.29–$76.00 5% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $116.80 $146.00 $30.02–$146.00 116% above 20%

Surgery and procedures

ProcedureCash price List priceInsurers payvs OklahomaOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Primary removal of adenoids (younger than 12 years) $476.00 $595.00 $182.24–$306.31 83% below 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $529.60 $662.00 $91.10–$160.62 5% below 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $892.00 $1,115.00 $401.40–$1,505.86 61% above 20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat $892.00 $1,115.00 $401.40–$1,505.86 — 20%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean delivery with care before and after delivery $3,475.20 $4,344.00 $2,289.26–$3,513.00 — 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device $260.00 $325.00 $117.00–$3,428.09 36% below 20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope $342.40 $428.00 $154.08–$953.25 at median 20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus $640.00 $800.00 $197.30–$337.71 80% below 20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth $100.00 $125.00 $45.00–$558.96 26% above 20%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of eardrum with placement of eardrum tube under general anesthesia $372.00 $465.00 $135.07–$1,397.21 88% below 20%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia $284.00 $355.00 $127.80–$3,507.56 at median 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $31.20 $39.00 $14.04–$141.94 50% below 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $80.80 $101.00 $36.36–$141.94 31% above 20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing $31.20 $39.00 $14.04–$141.94 — 20%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $112.00 $140.00 $50.40–$141.94 52% above 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus $236.00 $295.00 $106.20–$312.06 32% below 20%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Removal of nasal sinus using an endoscope $344.00 $430.00 $260.86–$6,355.28 94% below 20%
Hysterectomy through an abdominal incision (total) CPT 58150 Removal of uterus and cervix through abdomen $2,240.00 $2,800.00 $878.73–$1,505.79 23% below 20%
Hysteroscopy with endometrial ablation CPT 58563 Exam of uterus with destruction of lining of uterus using an endoscope $2,971.20 $3,714.00 $206.44–$4,504.73 63% below 20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope $1,520.00 $1,900.00 $194.30–$2,915.05 77% below 20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention $276.00 $345.00 $124.20–$345.00 40% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $180.00 $225.00 $81.00–$629.38 16% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $279.20 $349.00 $125.64–$629.38 30% above 20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess $279.20 $349.00 $125.64–$629.38 — 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament $117.60 $147.00 $32.09–$276.41 46% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $440.00 $550.00 $198.00–$790.19 85% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $480.00 $600.00 $216.00–$790.19 102% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint $440.00 $550.00 $198.00–$790.19 — 20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue $256.00 $320.00 $115.20–$1,248.90 22% above 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $91.20 $114.00 $30.01–$53.54 48% below 20%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope $1,567.20 $1,959.00 $554.77–$970.91 81% below 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $364.80 $456.00 $125.09–$224.45 17% above 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $534.40 $668.00 $240.48–$668.00 71% above 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $534.40 $668.00 $240.48–$668.00 — 20%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of miscarriage during first trimester $855.20 $1,069.00 $324.84–$2,915.05 77% below 20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $188.80 $236.00 $84.96–$1,961.22 35% below 20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less $224.00 $280.00 $100.80–$1,961.22 50% below 20%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $156.00 $195.00 $46.72–$80.82 at median 20%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $279.20 $349.00 $125.64–$581.01 80% above 20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $279.20 $349.00 $125.64–$581.01 — 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $262.40 $328.00 $118.08–$1,961.22 27% below 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $534.40 $668.00 $240.48–$1,961.22 48% above 20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail $534.40 $668.00 $240.48–$1,961.22 — 20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $224.00 $280.00 $100.80–$629.38 9% below 20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $534.40 $668.00 $240.48–$668.00 118% above 20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $534.40 $668.00 $240.48–$668.00 — 20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $1,057.60 $1,322.00 $475.92–$1,477.40 11% below 20%
Septoplasty to straighten the nasal septum CPT 30520 Reshaping of nasal cartilage $1,392.00 $1,740.00 $568.12–$1,318.48 73% below 20%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast $118.40 $148.00 $54.63–$90.60 39% below 20%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $120.00 $150.00 $38.09–$58.17 7% below 20%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $184.00 $230.00 $82.80–$533.44 43% above 20%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint $184.00 $230.00 $82.80–$533.44 — 20%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $113.60 $142.00 $43.14–$73.10 19% below 20%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $228.00 $285.00 $102.60–$533.44 62% above 20%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot $228.00 $285.00 $102.60–$533.44 — 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $279.20 $349.00 $125.64–$581.01 42% above 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $279.20 $349.00 $125.64–$581.01 — 20%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth $463.20 $579.00 $208.44–$1,961.22 55% above 20%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags $476.00 $595.00 $214.20–$595.00 206% above 20%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags $476.00 $595.00 $214.20–$595.00 — 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $925.60 $1,157.00 $416.52–$1,270.06 55% above 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $1,440.00 $1,800.00 $648.00–$1,800.00 141% above 20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $925.60 $1,157.00 $416.52–$1,270.06 — 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $244.80 $306.00 $110.16–$581.01 19% 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 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $279.20 $349.00 $125.64–$581.01 36% above 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $279.20 $349.00 $125.64–$581.01 — 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $238.40 $298.00 $107.28–$581.01 13% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $279.20 $349.00 $125.64–$581.01 32% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $279.20 $349.00 $125.64–$581.01 — 20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth $230.40 $288.00 $103.68–$1,961.22 1% below 20%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $304.00 $380.00 $136.80–$1,658.36 55% below 20%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $356.80 $446.00 $90.86–$254.99 47% below 20%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $304.00 $380.00 $136.80–$1,658.36 — 20%
Tonsil and adenoid removal, age 12 or older CPT 42821 Removal of tonsils and adenoid glands (12 years or older) $700.00 $875.00 $255.92–$1,318.48 85% below 20%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands (younger than 12 years) $672.00 $840.00 $245.35–$425.22 86% below 20%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils (12 years or older) $580.00 $725.00 $216.85–$1,318.48 76% below 20%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils (younger than 12 years) $604.00 $755.00 $227.80–$2,694.50 74% below 20%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid $1,740.00 $2,175.00 $781.56–$1,365.76 85% below 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $342.40 $428.00 $154.08–$790.19 51% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $342.40 $428.00 $154.08–$790.19 51% above 20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles $342.40 $428.00 $154.08–$790.19 — 20%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Destruction of fallopian tubes using an endoscope $952.00 $1,190.00 $314.01–$550.32 78% below 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth $1,768.00 $2,210.00 $795.60–$3,156.47 2% below 20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm $4,349.60 $5,437.00 $129.82–$796.46 142% above 20%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $640.00 $800.00 $117.64–$305.12 8% below 20%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal delivery with care before and after delivery $3,122.40 $3,903.00 $2,063.41–$3,167.56 — 20%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths $168.00 $210.00 $75.60–$558.96 3% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $534.40 $668.00 $240.48–$668.00 32% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $534.40 $668.00 $240.48–$668.00 32% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $534.40 $668.00 $240.48–$668.00 — 20%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs OklahomaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $644.00 $805.00 $289.80–$1,975.23 3% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $296.00 $370.00 $133.20–$600.21 139% above 20%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less $309.60 $387.00 $109.91–$387.00 11% below 20%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $504.00 $630.00 $185.44–$323.29 38% below 20%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $1,256.00 $1,570.00 $565.20–$1,570.00 55% above 20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes $1,256.00 $1,570.00 $565.20–$1,570.00 — 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $104.00 $130.00 $17.59–$130.00 11% below 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $44.80 $56.00 $9.93–$32.95 60% below 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $112.00 $140.00 $50.40–$140.00 1% below 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional $112.00 $140.00 $50.40–$140.00 — 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $87.20 $109.00 $36.56–$63.32 49% below 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $204.00 $255.00 $91.80–$255.00 20% above 20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $204.00 $255.00 $91.80–$255.00 — 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $456.80 $571.00 $205.56–$571.00 56% above 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $456.80 $571.00 $61.84–$94.72 56% above 20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $456.80 $571.00 $205.56–$571.00 — 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $330.40 $413.00 $114.02–$375.75 25% below 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $608.00 $760.00 $273.60–$760.00 38% above 20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $608.00 $760.00 $273.60–$760.00 — 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $1,198.40 $1,498.00 $153.05–$252.77 87% above 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $1,198.40 $1,498.00 $539.28–$1,498.00 87% above 20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $1,198.40 $1,498.00 $539.28–$1,498.00 — 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) $271.20 $339.00 $81.21–$339.00 28% below 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $328.00 $410.00 $109.91–$410.00 101% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $328.00 $410.00 $109.91–$410.00 101% above 20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes $328.00 $410.00 $109.91–$410.00 — 20%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $328.00 $410.00 $109.91–$410.00 43% above 20%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $328.00 $410.00 $109.91–$410.00 43% above 20%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $328.00 $410.00 $109.91–$410.00 — 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $96.80 $121.00 $43.56–$121.00 45% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $96.80 $121.00 $43.56–$121.00 45% above 20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $96.80 $121.00 $43.56–$121.00 — 20%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $144.00 $180.00 $64.80–$180.00 13% below 20%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $304.80 $381.00 $137.16–$381.00 35% above 20%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $320.00 $400.00 $144.00–$400.00 15% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $96.00 $120.00 $43.20–$120.00 11% below 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes $60.00 $75.00 $27.00–$90.66 24% above 20%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) $182.40 $228.00 $5.00–$144.66 95% above 20%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) $220.80 $276.00 $5.00–$175.55 105% above 20%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial new patient preventive medicine evaluation (65 years or older) $240.00 $300.00 $5.00–$188.93 101% above 20%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination (18-39 years) $21.36 $26.70 $9.61–$26.70 74% below 20%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years) $21.36 $26.70 $9.61–$26.70 78% below 20%
Preventive checkup, returning patient aged 65 or older CPT 99397 Established patient periodic preventive medicine examination (65 year old or older) $21.36 $26.70 $9.61–$26.70 79% below 20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes $52.00 $65.00 $23.40–$65.00 95% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $208.00 $260.00 $93.60–$260.00 5% below 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $103.20 $129.00 $46.44–$129.00 23% below 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $148.00 $185.00 $66.60–$185.00 13% below 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $74.40 $93.00 $33.48–$93.00 11% below 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more $228.00 $285.00 $5.00–$285.00 89% above 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more $326.40 $408.00 $5.00–$408.00 226% above 20%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume $236.00 $295.00 $87.46–$295.00 63% above 20%
Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration $424.00 $530.00 $87.46–$530.00 8% above 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem $300.00 $375.00 $101.31–$375.00 140% above 20%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician $271.20 $339.00 $61.48–$102.96 337% above 20%

Vaccines

ProcedureCash price List priceInsurers payvs OklahomaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza vaccine, inactivated $200.00 $250.00 $90.00–$250.00 441% above 20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine $168.00 $210.00 $75.60–$210.00 60% below 20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $53.60 $67.00 $24.12–$67.00 24% above 20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $710.40 $888.00 $33.89–$888.00 323% above 20%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage $198.40 $248.00 $89.28–$248.00 33% above 20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine, adult dosage (3 dose schedule) $225.00 $281.25 $101.25–$281.25 74% above 20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus, preservative free $71.20 $89.00 $32.04–$89.00 59% below 20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine $194.40 $243.00 $87.48–$243.00 69% above 20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine $185.60 $232.00 $83.52–$232.00 15% above 20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B $652.00 $815.00 $293.40–$815.00 231% above 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $608.00 $760.00 $273.60–$760.00 4% below 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent $320.00 $400.00 $144.00–$400.00 102% above 20%
Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle $1,162.40 $1,453.00 $33.89–$1,453.00 69% above 20%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles vaccine for injection into muscle $390.00 $487.50 $33.89–$487.50 at median 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) $64.80 $81.00 $29.16–$81.00 27% below 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) $57.60 $72.00 $25.92–$72.00 26% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $60.00 $75.00 $27.00–$75.00 at median 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $24.00 $30.00 $10.80–$30.00 17% below 20%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWRHIWEATHERFORDOK&type=CDMWithoutLabel&fileType=CSV