Pushmataha Hospital
Listed in its price file as “Pushmataha County - City of Antlers Hospital Authority”.
Pushmataha Hospital in Antlers, OK publishes cash prices for 181 common procedures listed here, from its own machine-readable price file updated Oct 3, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 115 of 179 procedures and above it for 56. By typical cash price it ranks #23 of 60 Oklahoma hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
510 E Main St, Antlers, OK 74523 Collected Sep 28, 2026 Source price file Check a bill from this hospital (580) 298-3341
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 370083 · CMS hospital register
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Pushmataha Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST | $1,545.00 | $3,090.00 | — | 18% above | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST | $1,545.00 | $3,090.00 | — | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS XRAY | $154.50 | $309.00 | — | 23% below | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS XRAY | $154.50 | $309.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE (3+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 26% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE (3+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | 26% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE (3+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE (3+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT RIGHT W/O CONTRAST | $648.20 | $1,296.40 | — | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT LEFT W/O CONTRAST | $648.20 | $1,296.40 | — | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT RIGHT W/O CONTRAST | $648.20 | $1,296.40 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT LEFT W/O CONTRAST | $648.20 | $1,296.40 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED RT | $149.00 | $298.00 | — | 55% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED LT | $149.00 | $298.00 | — | 55% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED LT | $149.00 | $298.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED RT | $149.00 | $298.00 | — | — | 50% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONTRAST | $1,267.53 | $2,535.06 | — | 3% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONTRAST | $1,267.53 | $2,535.06 | — | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST | $690.50 | $1,381.00 | — | 47% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST | $690.50 | $1,381.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CONTRAST | $1,388.00 | $2,776.00 | — | 7% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CONTRAST | $1,388.00 | $2,776.00 | — | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,321.00 | $2,642.00 | — | 1% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,321.00 | $2,642.00 | — | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $1,522.00 | $3,044.00 | — | 6% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $1,522.00 | $3,044.00 | — | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $1,576.00 | $3,152.00 | — | 17% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $1,576.00 | $3,152.00 | — | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,162.09 | $2,324.18 | — | 9% above | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST | $1,162.09 | $2,324.18 | — | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,029.50 | $2,059.00 | — | 5% above | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $1,029.50 | $2,059.00 | — | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,029.50 | $2,059.00 | — | 5% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $1,029.50 | $2,059.00 | — | — | 50% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST | $1,175.20 | $2,350.40 | — | 5% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST | $1,175.20 | $2,350.40 | — | — | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS XRAY | $108.15 | $216.30 | — | 39% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS XRAY | $108.15 | $216.30 | — | — | 50% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW XRAY | $90.00 | $180.00 | — | 45% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW XRAY | $90.00 | $180.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LEFT XRAY | $128.75 | $257.50 | — | 27% below | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RIGHT XRAY | $128.75 | $257.50 | — | 27% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIES LOWER EXT BILATERAL | $701.87 | $1,403.74 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIES LOWER EXT BILATERAL | $701.87 | $1,403.74 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US EXT/VEINS/DVT BILAT | $693.00 | $1,386.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US EXT/VEINS/DVT BILAT | $693.00 | $1,386.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO SCAN COMPLETE | $1,050.00 | $2,100.00 | — | 3% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO SCAN COMPLETE | $1,050.00 | $2,100.00 | — | — | 50% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | 41% below | 50% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | 41% below | 50% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | — | 50% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW (3+) VIEWS COMPLETE RIGHT XRAY | $128.75 | $257.50 | — | 28% below | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW (3+) VIEWS COMPLETE LEFT XRAY | $128.75 | $257.50 | — | 28% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW (3+) VIEWS COMPLETE RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW (3+) VIEWS COMPLETE LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL (3+) COMPLETE XRAY | $175.10 | $350.20 | — | 18% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL (3+) COMPLETE XRAY | $175.10 | $350.20 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 28% below | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS LEFT XRAY | $128.75 | $257.50 | — | 28% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LEFT XRAY | $72.10 | $144.20 | — | 61% below | 50% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RIGHT XRAY | $72.10 | $144.20 | — | 61% below | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RIGHT XRAY | $72.10 | $144.20 | — | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LEFT XRAY | $72.10 | $144.20 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS (2+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 20% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS (2+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | 20% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEOUS (2+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEOUS (2+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT XRAY | $141.63 | $283.25 | — | 25% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT XRAY | $141.63 | $283.25 | — | 25% below | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RIGHT XRAY | $141.63 | $283.25 | — | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LEFT XRAY | $141.63 | $283.25 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT LEFT W/O CONTRAST | $594.83 | $1,189.65 | — | 33% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT RIGHT W/O CONTRAST | $594.83 | $1,189.65 | — | 33% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT RIGHT W/O CONTRAST | $594.83 | $1,189.65 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT LEFT W/O CONTRAST | $594.83 | $1,189.65 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED ABDOMEN | $202.00 | $404.00 | — | 47% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIMITED ABDOMEN | $202.00 | $404.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB 2 VIEWS LEFT XRAY | $90.00 | $180.00 | — | 47% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB 2 VIEWS RIGHT XRAY | $90.00 | $180.00 | — | 47% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB-FIB 2 VIEWS LEFT XRAY | $90.00 | $180.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB-FIB 2 VIEWS RIGHT XRAY | $90.00 | $180.00 | — | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $2,080.25 | $4,160.49 | — | 97% above | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST | $2,080.25 | $4,160.49 | — | — | 50% |
| Neck soft tissue X-ray CPT 70360 NECK/SOFT TISSUE XRAY | $221.45 | $442.90 | — | 37% above | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK/SOFT TISSUE XRAY | $221.45 | $442.90 | — | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | 43% below | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | 43% below | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | — | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS LEFT XRAY | $118.45 | $236.90 | — | 51% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS RIGHT XRAY | $118.45 | $236.90 | — | 51% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS LEFT XRAY | $118.45 | $236.90 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS RIGHT XRAY | $118.45 | $236.90 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE LEFT XRAY | $133.90 | $267.80 | — | 30% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE RIGHT XRAY | $133.90 | $267.80 | — | 30% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE RIGHT XRAY | $133.90 | $267.80 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE LEFT XRAY | $133.90 | $267.80 | — | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS/PARANASAL (3+) COMPLETE XRAY | $175.10 | $350.20 | — | 13% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS/PARANASAL (3+) COMPLETE XRAY | $175.10 | $350.20 | — | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS XRAY | $169.50 | $339.00 | — | 14% below | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS XRAY | $169.50 | $339.00 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LEFT XRAY | $128.75 | $257.50 | — | 33% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 33% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES (2+) VIEWS RIGHT XRAY | $84.98 | $169.95 | — | 46% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES (2+) VIEWS LEFT XRAY | $84.98 | $169.95 | — | 46% below | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES (2+) VIEWS LEFT XRAY | $84.98 | $169.95 | — | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES (2+) VIEWS RIGHT XRAY | $84.98 | $169.95 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | 41% below | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | 41% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT/VEINS/DVT UNILAT RT | $342.50 | $685.00 | — | 26% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT/VEINS/DVT UNILAT LT | $342.50 | $685.00 | — | 26% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT/VEINS/DVT UNILAT LT | $342.50 | $685.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT/VEINS/DVT UNILAT RT | $342.50 | $685.00 | — | — | 50% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | 37% below | 50% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | 37% below | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST (3+) VIEWS COMPLETE RIGHT XRAY | $113.30 | $226.60 | — | 37% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST (3+) VIEWS COMPLETE LEFT XRAY | $113.30 | $226.60 | — | 37% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST (3+) VIEWS COMPLETE RIGHT XRAY | $113.30 | $226.60 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST (3+) VIEWS COMPLETE LEFT XRAY | $113.30 | $226.60 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS RIGHT XRAY | $164.80 | $329.60 | — | 13% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS LEFT XRAY | $164.80 | $329.60 | — | 13% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS RIGHT XRAY | $164.80 | $329.60 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS LEFT XRAY | $164.80 | $329.60 | — | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW XRAY | $92.70 | $185.40 | — | 43% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW XRAY | $92.70 | $185.40 | — | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | 41% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | 41% below | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | — | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER (2+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 20% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER (2+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | 20% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER (2+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER (2+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | 40% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | 40% below | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RIGHT XRAY | $103.00 | $206.00 | — | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LEFT XRAY | $103.00 | $206.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE (3+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | 33% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE (3+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 33% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE (3+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE (3+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND (3+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | 29% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND (3+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 29% below | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND (3+) VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND (3+) VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LEFT XRAY | $128.75 | $257.50 | — | 26% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RIGHT XRAY | $128.75 | $257.50 | — | 26% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RIGHT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LEFT XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS XRAY | $169.50 | $339.00 | — | 20% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS XRAY | $169.50 | $339.00 | — | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL (3+) COMPLETE XRAY | $128.75 | $257.50 | — | 21% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL (3+) COMPLETE XRAY | $128.75 | $257.50 | — | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2-3 VIEWS XRAY | $221.45 | $442.90 | — | 8% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2-3 VIEWS XRAY | $221.45 | $442.90 | — | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS XRAY | $169.50 | $339.00 | — | 12% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS XRAY | $169.50 | $339.00 | — | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX (2+) VIEWS XRAY | $169.50 | $339.00 | — | 5% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX (2+) VIEWS XRAY | $169.50 | $339.00 | — | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA | $87.00 | $174.00 | — | 33% below | 50% |
| ACTH blood test inpatient CPT 82024 ACTH PLASMA | $87.00 | $174.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALTI | $26.50 | $53.00 | — | 19% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALTI | $26.50 | $53.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST | $26.50 | $53.00 | — | 29% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST | $26.50 | $53.00 | — | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $202.40 | $404.79 | — | 11% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $202.40 | $404.79 | — | — | 50% |
| Albumin blood test CPT 82040 ALBUMIN SERUM/PLASMA | $23.50 | $47.00 | — | 21% below | 50% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM/PLASMA | $23.50 | $47.00 | — | — | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE PLASMA OR SERUM | $91.50 | $183.00 | — | 33% below | 50% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE PLASMA OR SERUM | $91.50 | $183.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $22.50 | $45.00 | — | 22% below | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $22.50 | $45.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE CRUDE ALLERGEN EA | $15.00 | $30.00 | — | 29% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE BASIC FOOD | $144.00 | $288.00 | — | 586% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE CRUDE ALLERGEN EA | $15.00 | $30.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE BASIC FOOD | $144.00 | $288.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN | $75.86 | $151.72 | — | 42% above | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN | $75.86 | $151.72 | — | — | 50% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $75.00 | $150.00 | — | 25% above | 50% |
| Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL | $75.00 | $150.00 | — | — | 50% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $41.00 | $82.00 | — | 3% below | 50% |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $41.00 | $82.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IgG AND IgA | $77.00 | $154.00 | — | 17% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IgG AND IgA | $77.00 | $154.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA WITH REFLEX | $44.50 | $89.00 | — | 16% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $44.50 | $89.00 | — | 16% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX RFX 5 | $44.50 | $89.00 | — | 16% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 PLUS PROFILE (RDL) | $44.50 | $89.00 | — | 16% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX | $44.50 | $89.00 | — | 16% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTIPLEX RFX 5 | $44.50 | $89.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX | $44.50 | $89.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA WITH REFLEX | $44.50 | $89.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $44.50 | $89.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 12 PLUS PROFILE (RDL) | $44.50 | $89.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $148.00 | $296.00 | — | 31% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N TERMINAL PRO BRAIN NATRIURETIC PEPTIDE | $148.00 | $296.00 | — | 31% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $148.00 | $296.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N TERMINAL PRO BRAIN NATRIURETIC PEPTIDE | $148.00 | $296.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NOSE | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE VAG | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 OTHER SOURCE EXCEPT URINE/BLOOD/STOOL | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $42.50 | $85.00 | — | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NOSE | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE VAG | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 OTHER SOURCE EXCEPT URINE/BLOOD/STOOL | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE | $42.50 | $85.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND | $42.50 | $85.00 | — | — | 50% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN | $26.50 | $53.00 | — | 30% below | 50% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN | $26.50 | $53.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HISTOPATHOLOGY BIOPSY CODE 88305 | $101.00 | $202.00 | — | 23% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HISTOPATHOLOGY BIOPSY CODE 88305 | $101.00 | $202.00 | — | — | 50% |
| Blood culture for bacteria CPT 87040 BLOOD AEROBIC WITH ISOLATION OF ISOLATES | $47.00 | $94.00 | — | 30% below | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $47.00 | $94.00 | — | 30% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $47.00 | $94.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD AEROBIC WITH ISOLATION OF ISOLATES | $47.00 | $94.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING CHARGE | $5.15 | $10.30 | — | 50% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING CHARGE | $5.15 | $10.30 | — | — | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (FBC) | $29.00 | $58.00 | — | 10% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FBC) | $29.00 | $58.00 | — | — | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $38.50 | $77.00 | — | 12% below | 50% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $38.50 | $77.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP | $79.89 | $159.77 | — | 36% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP | $79.89 | $159.77 | — | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $25.00 | $50.00 | — | 1% above | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $25.00 | $50.00 | — | — | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE SERUM | $108.07 | $216.14 | — | 26% above | 50% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM | $108.07 | $216.14 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QUANT | $36.57 | $73.13 | — | 2% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QUANT | $36.57 | $73.13 | — | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF TOXIN GENE NAA | $107.00 | $214.00 | — | 27% above | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF TOXIN GENE NAA | $107.00 | $214.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $106.50 | $213.00 | — | 17% above | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $106.50 | $213.00 | — | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $103.65 | $207.30 | — | 21% above | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $103.65 | $207.30 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-RAPID PCR | $102.50 | $205.00 | — | 28% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS - LAB CORP | $102.50 | $205.00 | — | 28% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-RAPID PCR | $102.50 | $205.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS - LAB CORP | $102.50 | $205.00 | — | — | 50% |
| Calcium blood test, total CPT 82310 CALCIUM | $27.00 | $54.00 | — | 26% below | 50% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $27.00 | $54.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $96.18 | $192.35 | — | 2% below | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $96.18 | $192.35 | — | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA | $55.11 | $110.21 | — | 3% below | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA | $55.11 | $110.21 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA, SDA | $57.50 | $115.00 | — | 28% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA, SDA | $57.50 | $115.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $76.50 | $153.00 | — | 16% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $76.50 | $153.00 | — | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 AUTO DIFF | $30.00 | $60.00 | — | 34% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 AP-CBC | $30.00 | $60.00 | — | 34% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $30.00 | $60.00 | — | 34% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC (OBI) | $30.00 | $60.00 | — | 34% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 AP-CBC | $30.00 | $60.00 | — | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 AUTO DIFF | $30.00 | $60.00 | — | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC (OBI) | $30.00 | $60.00 | — | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $30.00 | $60.00 | — | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $137.50 | $275.00 | — | 98% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $137.50 | $275.00 | — | — | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL | $78.73 | $157.45 | — | 18% above | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVARY, MS | $78.73 | $157.45 | — | 18% above | 50% |
| Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION TEST | $78.73 | $157.45 | — | 18% above | 50% |
| Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION TEST | $78.73 | $157.45 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVARY, MS | $78.73 | $157.45 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $78.73 | $157.45 | — | — | 50% |
| Creatinine blood test CPT 82565 GLOMERULAR FILTRATION RATE ESTIMATED | $27.50 | $55.00 | — | 7% below | 50% |
| Creatinine blood test CPT 82565 CREATININE | $27.50 | $55.00 | — | 7% below | 50% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $27.50 | $55.00 | — | — | 50% |
| Creatinine blood test inpatient CPT 82565 GLOMERULAR FILTRATION RATE ESTIMATED | $27.50 | $55.00 | — | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $99.00 | $198.00 | — | 3% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER PLASMA QUANTITATIVE | $99.00 | $198.00 | — | 3% above | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $99.00 | $198.00 | — | — | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER PLASMA QUANTITATIVE | $99.00 | $198.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $50.00 | $100.00 | — | 34% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $50.00 | $100.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE URINE | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD (10 DRUGS) WITH REFLEX | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 16 WITH REFLEX | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD (13 DRUGS) WITH REFLEX | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SERUM | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BLOOD ALCOHOL | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL | $120.00 | $240.00 | — | 27% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD (10 DRUGS) WITH REFLEX | $120.00 | $240.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE SERUM | $120.00 | $240.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL | $120.00 | $240.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PROFILE URINE | $120.00 | $240.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 16 WITH REFLEX | $120.00 | $240.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BLOOD ALCOHOL | $120.00 | $240.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD (13 DRUGS) WITH REFLEX | $120.00 | $240.00 | — | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $54.50 | $109.00 | — | at median | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PANEL | $54.50 | $109.00 | — | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE LC/MS | $94.50 | $189.00 | — | 4% above | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $94.50 | $189.00 | — | 4% above | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $94.50 | $189.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSITIVE LC/MS | $94.50 | $189.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $65.92 | $131.84 | — | 1% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $65.92 | $131.84 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL | $39.50 | $79.00 | — | 71% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL | $39.50 | $79.00 | — | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $46.50 | $93.00 | — | 22% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $46.50 | $93.00 | — | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $67.98 | $135.96 | — | 9% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $67.98 | $135.96 | — | — | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $76.50 | $153.00 | — | 15% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $76.50 | $153.00 | — | — | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $119.50 | $239.00 | — | 38% above | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $119.50 | $239.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP | $27.00 | $54.00 | — | 45% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP | $27.00 | $54.00 | — | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $174.00 | $348.00 | — | 10% below | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $174.00 | $348.00 | — | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1HR | $63.00 | $126.00 | — | at median | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1HR | $63.00 | $126.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS | $57.50 | $115.00 | — | 30% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONOCOCCUS | $57.50 | $115.00 | — | — | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI | $63.35 | $126.69 | — | 16% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI | $63.35 | $126.69 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AND HIV-2 ANTIBODIES SINGLE RESULT | $41.00 | $82.00 | — | 13% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AND HIV-2 ANTIBODIES SINGLE RESULT | $41.00 | $82.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN WITH eAG | $40.17 | $80.34 | — | at median | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN | $40.17 | $80.34 | — | at median | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN | $40.17 | $80.34 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN WITH eAG | $40.17 | $80.34 | — | — | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $18.03 | $36.05 | — | 6% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $18.03 | $36.05 | — | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $58.71 | $117.42 | — | 20% above | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $58.71 | $117.42 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB | $54.00 | $108.00 | — | 22% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (QUANT) | $54.00 | $108.00 | — | 22% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (QUANT) | $54.00 | $108.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB | $54.00 | $108.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SUR ANTIGEN | $46.50 | $93.00 | — | 12% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SUR ANTIGEN | $46.50 | $93.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $134.00 | $268.00 | — | 163% above | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $134.00 | $268.00 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANTITATIVE RNA WITH REFLEX | $277.59 | $555.17 | — | 25% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANT VIRAL LOA | $277.59 | $555.17 | — | 25% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANTITATIVE REAL TIME | $277.59 | $555.17 | — | 25% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANT VIRAL LOA | $277.59 | $555.17 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANTITATIVE RNA WITH REFLEX | $277.59 | $555.17 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANTITATIVE REAL TIME | $277.59 | $555.17 | — | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HI-SENSI | $48.00 | $96.00 | — | 11% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HI-SENSI | $48.00 | $96.00 | — | — | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $103.50 | $207.00 | — | 11% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE SERUM | $103.50 | $207.00 | — | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $54.00 | $108.00 | — | 15% above | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $54.00 | $108.00 | — | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $77.25 | $154.50 | — | 11% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $77.25 | $154.50 | — | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $67.98 | $135.96 | — | 7% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $67.98 | $135.96 | — | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $36.43 | $72.85 | — | 23% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $36.43 | $72.85 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL | $29.00 | $58.00 | — | 14% below | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL | $29.00 | $58.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $41.00 | $82.00 | — | 15% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $41.00 | $82.00 | — | — | 50% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $78.50 | $157.00 | — | 44% above | 50% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $78.50 | $157.00 | — | — | 50% |
| Lyme disease antibody test CPT 86618 LYME REFLEX TO WESTERN BLOT | $75.00 | $150.00 | — | at median | 50% |
| Lyme disease antibody test CPT 86618 LYME AB W/REFLEX | $75.00 | $150.00 | — | at median | 50% |
| Lyme disease antibody test CPT 86618 LYMES DISENE ANTIBODIES REFLEX TO WESTER | $75.00 | $150.00 | — | at median | 50% |
| Lyme disease antibody test CPT 86618 LYMES TITER | $75.00 | $150.00 | — | at median | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYMES TITER | $75.00 | $150.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB W/REFLEX | $75.00 | $150.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYMES DISENE ANTIBODIES REFLEX TO WESTER | $75.00 | $150.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME REFLEX TO WESTERN BLOT | $75.00 | $150.00 | — | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $37.50 | $75.00 | — | 9% above | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $37.50 | $75.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 ANITNUCLEAR AB BY MULTPLEX IMMUNOASSAY | $20.00 | $40.00 | — | 43% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT | $32.96 | $65.92 | — | 6% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANITNUCLEAR AB BY MULTPLEX IMMUNOASSAY | $20.00 | $40.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT | $32.96 | $65.92 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $73.65 | $147.29 | — | 4% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (SEND OUT) | $73.65 | $147.29 | — | 4% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $73.65 | $147.29 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (SEND OUT) | $73.65 | $147.29 | — | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR AUTOMATEDMANUAL W PHYS. SUPER | $21.88 | $43.75 | — | 68% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR CYTOPATHOLOGY CERVICAL/VAGINAL | $21.88 | $43.75 | — | 68% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR AUTOMATEDMANUAL W PHYS. SUPER | $21.88 | $43.75 | — | — | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR CYTOPATHOLOGY CERVICAL/VAGINAL | $21.88 | $43.75 | — | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH (INTACT) | $104.00 | $208.00 | — | 25% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (INTACT) | $104.00 | $208.00 | — | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $27.00 | $54.00 | — | 17% below | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $27.00 | $54.00 | — | — | 50% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $25.50 | $51.00 | — | 21% below | 50% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $25.50 | $51.00 | — | — | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $78.50 | $157.00 | — | 16% below | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $78.50 | $157.00 | — | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG PANEL / ER | $72.10 | $144.20 | — | 48% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG PANEL / ER | $72.10 | $144.20 | — | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $34.50 | $69.00 | — | 34% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $34.50 | $69.00 | — | 34% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $34.50 | $69.00 | — | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $34.50 | $69.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP | $27.00 | $54.00 | — | 44% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP | $27.00 | $54.00 | — | — | 50% |
| Renin blood test CPT 84244 RENIN ACTIVITY RATIO | $70.50 | $141.00 | — | 33% below | 50% |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY RATIO | $70.50 | $141.00 | — | — | 50% |
| Rh blood typing CPT 86901 BB RH BLOOD | $43.58 | $87.15 | — | 1% above | 50% |
| Rh blood typing inpatient CPT 86901 BB RH BLOOD | $43.58 | $87.15 | — | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG | $35.50 | $71.00 | — | 31% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG | $35.50 | $71.00 | — | — | 50% |
| Stool ova and parasites exam CPT 87177 O&P | $53.50 | $107.00 | — | 10% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 O&P | $53.50 | $107.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA | $50.47 | $100.94 | — | 27% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $50.47 | $100.94 | — | 27% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SCREENING | $50.47 | $100.94 | — | 27% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS ANTIBODIES | $50.47 | $100.94 | — | 27% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $50.47 | $100.94 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA | $50.47 | $100.94 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS SCREENING | $50.47 | $100.94 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS ANTIBODIES | $50.47 | $100.94 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TITER | $38.63 | $77.25 | — | 34% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $38.63 | $77.25 | — | 34% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $38.63 | $77.25 | — | 34% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $38.63 | $77.25 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TITER | $38.63 | $77.25 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL | $38.63 | $77.25 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $139.50 | $279.00 | — | 18% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $139.50 | $279.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BLOOD | $93.50 | $187.00 | — | 2% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BLOOD | $93.50 | $187.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES | $59.50 | $119.00 | — | at median | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODIES | $59.50 | $119.00 | — | at median | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODIES | $59.50 | $119.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES | $59.50 | $119.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $56.50 | $113.00 | — | 5% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $56.50 | $113.00 | — | — | 50% |
| Total IgE blood test CPT 82785 IGE | $47.00 | $94.00 | — | 3% below | 50% |
| Total IgE blood test inpatient CPT 82785 IGE | $47.00 | $94.00 | — | — | 50% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $27.00 | $54.00 | — | 18% below | 50% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $27.00 | $54.00 | — | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $67.98 | $135.96 | — | 15% above | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $67.98 | $135.96 | — | — | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $56.65 | $113.30 | — | 1% below | 50% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $56.65 | $113.30 | — | — | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS PROBE TECHNIQUE | $50.50 | $101.00 | — | 42% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS PROBE TECHNIQUE | $50.50 | $101.00 | — | — | 50% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $23.50 | $47.00 | — | 29% below | 50% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $23.50 | $47.00 | — | — | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY | $67.47 | $134.93 | — | 3% below | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN I LOCI | $67.47 | $134.93 | — | 3% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY | $67.47 | $134.93 | — | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I LOCI | $67.47 | $134.93 | — | — | 50% |
| Uric acid blood test CPT 84550 URIC ACID | $27.00 | $54.00 | — | 2% above | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $27.00 | $54.00 | — | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 ICTOTEST | $30.90 | $61.80 | — | 10% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/ MICRO | $30.90 | $61.80 | — | 10% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/ MICRO | $30.90 | $61.80 | — | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 ICTOTEST | $30.90 | $61.80 | — | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO DIACON | $25.75 | $51.50 | — | 80% above | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO DIACON | $25.75 | $51.50 | — | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $48.00 | $96.00 | — | at median | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $48.00 | $96.00 | — | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN | $75.71 | $151.41 | — | 98% above | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN | $75.71 | $151.41 | — | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREG TEST URINE | $32.96 | $65.92 | — | 20% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST URINE | $32.96 | $65.92 | — | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $67.00 | $134.00 | — | 8% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $67.00 | $134.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY FRACTIONATED LC-MS | $119.48 | $238.96 | — | 1% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY | $119.48 | $238.96 | — | 1% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY | $119.48 | $238.96 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY FRACTIONATED LC-MS | $119.48 | $238.96 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL | $147.96 | $295.92 | — | 3% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITRIOL | $147.96 | $295.92 | — | — | 50% |
| Zinc blood test CPT 84630 ZINC SERUM OR PLASMA | $25.50 | $51.00 | — | 56% below | 50% |
| Zinc blood test CPT 84630 ZINC WHOLE BLOOD | $25.50 | $51.00 | — | 56% below | 50% |
| Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD | $25.50 | $51.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 ZINC SERUM OR PLASMA | $25.50 | $51.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUAN | $72.05 | $144.10 | — | 19% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUAN | $72.05 | $144.10 | — | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION SINGLE/SIMPLE - ER | $221.00 | $442.00 | — | at median | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION SINGLE/SIMPLE - ER | $221.00 | $442.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR SIMPLE EXTREM <2.5CM | $230.00 | $460.00 | — | 17% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR SIMPLE EXTREM <2.5CM | $230.00 | $460.00 | — | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WOUND REPAIR SIMPLE EXTREM 2.6CM-7.5CM | $230.00 | $460.00 | — | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WOUND REPAIR SIMPLE EXTREM 2.6CM-7.5CM | $230.00 | $460.00 | — | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL ADDL FREQUENCY | $37.50 | $75.00 | — | 71% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER SUBSEQUENT | $37.50 | $75.00 | — | 71% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL | $37.50 | $75.00 | — | 71% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $37.50 | $75.00 | — | 71% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TXT W/AER/HHN/MDH/IPP | $37.50 | $75.00 | — | 71% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL | $37.50 | $75.00 | — | 71% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER INITIAL ADDL FREQUENCY | $37.50 | $75.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER SUBSEQUENT | $37.50 | $75.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TXT W/AER/HHN/MDH/IPP | $37.50 | $75.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL | $37.50 | $75.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER INITIAL | $37.50 | $75.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION | $37.50 | $75.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $107.00 | $214.00 | — | 13% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $107.00 | $214.00 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MEDICAL SCREENING EXAM | $90.13 | $180.25 | — | 41% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 RM CHG | $150.00 | $300.00 | — | 2% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MEDICAL SCREENING EXAM | $90.13 | $180.25 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 RM CHG | $150.00 | $300.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31 MIN TO 1 HR | $159.00 | $318.00 | — | 7% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31 MIN TO 1 HR | $159.00 | $318.00 | — | — | 50% |
| IV push of a medicine, first drug CPT 96374 IV PUSH MED, single or initial substance | $159.00 | $318.00 | — | 7% above | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH MED, single or initial substance | $159.00 | $318.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM or SC - ER | $66.00 | $132.00 | — | 3% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM or SC - ER | $66.00 | $132.00 | — | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB PHLEBOTOMY | $121.50 | $243.00 | — | at median | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB PHLEBOTOMY | $121.50 | $243.00 | — | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 25MCG/0.5ML VACCINE | $176.66 | $353.32 | — | 6% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 25MCG/0.5ML VACCINE | $176.66 | $353.32 | — | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH TOXOID SYRINGE 0.5ML | $45.22 | $90.43 | — | 35% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH TOXOID SYRINGE 0.5ML | $45.22 | $90.43 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INITIAL VACCINE/TOXOID | $80.00 | $160.00 | — | 34% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN. TETANUS - ER | $80.00 | $160.00 | — | 34% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN. TETANUS - ER | $80.00 | $160.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INITIAL VACCINE/TOXOID | $80.00 | $160.00 | — | — | 50% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.