Cleveland Area Hospital
Cleveland Area Hospital in Cleveland, OK publishes cash prices for 300 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 233 of 297 procedures and below it for 59. By typical cash price it ranks #48 of 60 Oklahoma hospitals and #14 of 18 hospitals in the Tulsa, OK area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1401 W PAWNEE ST, CLEVELAND, OK 74020 Collected Sep 27, 2026 Source price file (918) 358-2501
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 371320 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Cleveland Area Hospital in Cleveland, OK:
- Sep 26, 2025 Warning notice
- Nov 14, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 74170 CT ABDOMEN W O AND W CONTRAST MATERIAL | $2,228.50 | $2,785.62 | $143.16–$2,785.62 | 70% above | 20% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W OR MORE W O CONTRAST | $2,228.50 | $2,785.62 | $143.16–$2,785.62 | 70% above | 20% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN COMPLETE W DECUB AND OR ERECT | $379.04 | $473.80 | $21.64–$473.80 | 81% above | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI | $477.96 | $597.45 | $160.51–$597.45 | 110% above | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 US ABI LIMITED LEFT | $477.96 | $597.45 | $160.51–$597.45 | 110% above | 20% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN AND PELVIS | $3,293.89 | $4,117.36 | $239.84–$4,117.36 | 46% above | 20% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD NECK | $2,336.86 | $2,921.08 | $143.14–$2,921.08 | 76% above | 20% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN HEAD | $2,336.86 | $2,921.08 | $143.14–$2,921.08 | 76% above | 20% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK | $2,332.74 | $2,915.93 | $143.14–$2,915.93 | 77% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST ABDOMEN | $3,246.38 | $4,057.98 | $143.19–$4,057.98 | 117% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST | $3,246.38 | $4,057.98 | $143.19–$4,057.98 | 117% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT ABDOMEN AND PELVIS W O CONTRAST MATERIAL | $2,058.35 | $2,572.94 | $88.54–$2,572.94 | 54% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS W O CONTRAST | $2,058.35 | $2,572.94 | $88.54–$2,572.94 | 54% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOEN AND PELVIS W CONTRAST MATERIAL | $2,767.76 | $3,459.70 | $188.51–$3,459.70 | 67% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT NECK CHEST ABD PELVIS W CONT | $2,767.76 | $3,459.70 | $188.51–$3,459.70 | 67% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST | $2,767.76 | $3,459.70 | $188.51–$3,459.70 | 67% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT ABDOMEN AND PELVIS W O CONTRST 1 BODY RE | $3,100.71 | $3,875.89 | $212.92–$3,875.89 | 55% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS W OR MORE W O CONTRAST | $3,100.71 | $3,875.89 | $212.92–$3,875.89 | 55% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 74160 CT ABDOMEN W CONTRAST MATERIAL | $1,746.90 | $2,183.62 | $143.16–$2,183.62 | 65% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $1,746.90 | $2,183.62 | $143.16–$2,183.62 | 65% above | 20% |
| CT scan of the abdomen without contrast CPT 74150 74150 CT ABDOMEN W O CONTRAST MATERIAL | $1,601.86 | $2,002.32 | $70.23–$2,002.32 | 64% above | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W O CONTRAST | $1,601.86 | $2,002.32 | $70.23–$2,002.32 | 64% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W O CONTRAST | $1,364.54 | $1,705.68 | $76.07–$1,705.68 | 43% above | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN HEAD W O CONTRAST | $1,460.76 | $1,825.95 | $57.46–$1,825.95 | 53% above | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN HEAD STROKE PROTOCOL | $1,460.76 | $1,825.95 | $57.46–$1,825.95 | 53% above | 20% |
| CT scan of the head with contrast CPT 70460 CT BRAIN HEAD W CONTRAST | $1,538.41 | $1,923.01 | $82.45–$1,923.01 | 32% above | 20% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN HEAD W OR MORE W O CONTRAST | $1,809.50 | $2,261.88 | $98.54–$2,261.88 | 41% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W O CONTRAST | $1,491.44 | $1,864.30 | $71.34–$1,864.30 | 46% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W O CONTRAST | $1,749.50 | $2,186.88 | $72.18–$2,186.88 | 64% above | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $1,694.02 | $2,117.52 | $143.16–$2,117.52 | 56% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL | $1,110.75 | $1,388.44 | $322.17–$1,388.44 | — | 20% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W OR MORE W O CONTRAST | $2,054.40 | $2,568.00 | $119.08–$2,568.00 | 65% above | 20% |
| Chest CT scan without and with contrast CPT 71270 71270 CT THORAX W O AND W CONTRAST MATERIAL | $2,054.40 | $2,568.00 | $119.08–$2,568.00 | 65% above | 20% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST ABD PELVIS W OR MORE W O CONTRAST | $2,054.40 | $2,568.00 | $119.08–$2,568.00 | 65% above | 20% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST ABDOMEN W OR MORE W O CONTRAST | $2,054.40 | $2,568.00 | $119.08–$2,568.00 | 65% above | 20% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $330.42 | $413.03 | $19.41–$413.03 | 85% above | 20% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $261.12 | $326.40 | $14.42–$326.40 | 51% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $615.53 | $769.41 | $61.35–$769.41 | 34% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $615.53 | $769.41 | $61.35–$769.41 | 34% above | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA AXIAL SKELETON EO | $352.77 | $440.96 | $24.69–$374.82 | 75% above | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA AXIAL SKELETON | $352.77 | $440.96 | $24.69–$374.82 | 75% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST ABDOMEN W O CONTRAST | $1,570.54 | $1,963.18 | $71.34–$1,963.18 | 65% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W O CONTRAST | $1,570.54 | $1,963.18 | $71.34–$1,963.18 | 65% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT THORAX W O CONTRAST MATERIAL | $1,570.54 | $1,963.18 | $71.34–$1,963.18 | 65% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST ABD PELVIS W O CONTRAST | $1,570.54 | $1,963.18 | $71.34–$1,963.18 | 65% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $1,967.71 | $2,459.64 | $97.15–$2,459.64 | 75% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT CHEST ABD PELVIS W CONTRAST | $1,967.71 | $2,459.64 | $97.15–$2,459.64 | 75% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ABD PELVIS W CONTRAST | $1,967.71 | $2,459.64 | $97.15–$2,459.64 | 75% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ABDOMEN W CONTRAST | $1,967.71 | $2,459.64 | $97.15–$2,459.64 | 75% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT THORAX W CONTRAST MATERIAL | $1,967.71 | $2,459.64 | $97.15–$2,459.64 | 75% above | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIGITAL DIAGNOSTIC BILAT | $491.93 | $614.91 | $93.26–$526.18 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIAGNOSTIC BILATERAL W TOMO | $491.93 | $614.91 | $93.26–$526.18 | — | 20% |
| Diagnostic mammogram, both breasts CPT 77066 77066 DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS | $495.22 | $619.03 | $93.26–$526.18 | 67% above | 20% |
| Diagnostic mammogram, one breast CPT 77065 77065 DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS | $168.92 | $211.15 | $64.64–$235.60 | 16% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC RIGHT | $168.92 | $211.15 | $64.64–$235.60 | 16% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC LEFT | $168.92 | $211.15 | $64.64–$235.60 | 16% below | 20% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXT ARTERIAL DUPLEX BILATERAL | $822.35 | $1,027.94 | $314.68–$1,027.94 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXT VENOUS DUPLEX BILATERAL | $873.12 | $1,091.40 | $323.84–$1,091.40 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UPPER EXT VENOUS DUPLEX BILATERAL | $873.12 | $1,091.40 | $323.84–$1,091.40 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE W COLOR | $1,257.28 | $1,571.60 | $481.12–$1,571.60 | 16% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE W COLOR EO | $1,257.28 | $1,571.60 | $481.12–$1,571.60 | 16% above | 20% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC W O CONTRAST | $859.43 | $1,074.29 | $85.48–$1,074.29 | 6% below | 20% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS SELLA W O CONTRAST | $859.43 | $1,074.29 | $85.48–$1,074.29 | 6% below | 20% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 OR MORE VIEWS | $224.13 | $280.16 | $29.13–$280.16 | 3% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $496.87 | $621.09 | $49.68–$621.09 | 29% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD PEL | $496.87 | $621.09 | $49.68–$621.09 | 29% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $496.87 | $621.09 | $49.68–$621.09 | 29% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD TRUNK | $496.87 | $621.09 | $49.68–$621.09 | 29% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US RIGHT UPPER QUADRANT | $496.87 | $621.09 | $49.68–$621.09 | 29% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLA RIGHT | $400.00 | $500.00 | $25.80–$510.00 | 54% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLA LEFT | $408.00 | $510.00 | $25.80–$510.00 | 57% above | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE COUNT SCREENING | $2,194.22 | $2,742.78 | $75.21–$2,742.78 | 523% above | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING | $2,194.22 | $2,742.78 | $75.21–$2,742.78 | 523% above | 20% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN HEAD W O CONTRAST | $951.72 | $1,189.65 | $137.94–$1,189.65 | 10% below | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $1,689.20 | $2,111.50 | $110.75–$2,111.50 | 46% above | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W O CONTRAST | $1,689.20 | $2,111.50 | $110.75–$2,111.50 | 46% above | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W OR MORE W O CONTRAST | $2,432.93 | $3,041.16 | $204.04–$3,041.16 | 30% above | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC W O CONTRAST | $2,111.09 | $2,638.86 | $110.20–$2,638.86 | 94% above | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W O CONTRAST | $2,111.09 | $2,638.86 | $110.20–$2,638.86 | 94% above | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC W OR MORE W O CONTRAST | $2,786.77 | $3,483.46 | $183.49–$3,483.46 | 88% above | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W OR MORE W O CONTRAST | $2,786.77 | $3,483.46 | $183.49–$3,483.46 | 88% above | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W O CONTRAST | $1,978.42 | $2,473.03 | $105.76–$2,473.03 | 66% above | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W OR MORE W O CONTRAST | $2,804.07 | $3,505.09 | $184.04–$3,505.09 | 81% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W O CONTRAST | $2,031.16 | $2,538.95 | $105.20–$2,538.95 | 86% above | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W OR MORE W O CONTRAST | $2,506.33 | $3,132.91 | $184.60–$3,132.91 | 57% above | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W O CONTRAST | $2,111.09 | $2,638.86 | $105.48–$2,638.86 | 88% above | 20% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W OR MORE W O CONTRAST | $2,504.14 | $3,130.17 | $202.93–$3,130.17 | 61% above | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O CONTRAST | $1,609.27 | $2,011.59 | $139.08–$2,011.59 | 56% above | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $463.09 | $578.86 | $34.13–$578.86 | 66% above | 20% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W CONTRAST | $1,904.26 | $2,380.33 | $103.53–$2,380.33 | 78% above | 20% |
| Neck soft tissue CT scan with contrast CPT 70491 70491 CT NECK SOFT TISSUE W CONTRAST | $1,904.26 | $2,380.33 | $103.53–$2,380.33 | 78% above | 20% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W O CONTRAST | $1,427.99 | $1,784.99 | $78.01–$1,784.99 | 68% above | 20% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $145.25 | $181.56 | $18.86–$185.87 | 10% below | 20% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W O CONTRAST | $1,472.88 | $1,841.10 | $71.07–$1,841.10 | 53% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD | $201.06 | $251.32 | $21.91–$251.32 | 33% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE BUTTOCKS OR PELVIC WALL | $201.06 | $251.32 | $21.91–$251.32 | 33% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER SCAN | $201.06 | $251.32 | $21.91–$251.32 | 33% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $610.58 | $763.23 | $61.07–$763.23 | 26% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WEEKS | $645.60 | $807.00 | $74.10–$807.00 | 44% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 14 WEEKS SINGLE | $575.28 | $719.10 | $59.13–$719.10 | 52% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 14 WEEKS W TVS IF INDICATED | $575.28 | $719.10 | $59.13–$719.10 | 52% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $407.20 | $509.00 | $42.19–$509.00 | 21% above | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MG MAMMO SCREENING BILATERAL W TOMO | $160.00 | $200.00 | $61.23–$463.50 | — | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MG MAMMO DIGITAL SCREENING BILATERAL | $370.80 | $463.50 | $61.23–$463.50 | — | 20% |
| Screening mammogram, both breasts one side CPT 77067 MG MAMMO DIGITAL SCREENING LEFT | $370.80 | $463.50 | $61.23–$463.50 | 105% above | 20% |
| Screening mammogram, both breasts one side CPT 77067 MG MAMMO DIGITAL SCREENING RIGHT | $370.80 | $463.50 | $61.23–$463.50 | 105% above | 20% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE | $294.17 | $367.71 | $22.75–$367.71 | 43% above | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 4 VIEWS | $238.96 | $298.70 | $22.75–$298.70 | 18% above | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MODIFIED BARIUM SWALLOW | $920.00 | $1,150.00 | $83.01–$1,150.00 | 181% above | 20% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W O CONTRAST | $1,522.56 | $1,903.20 | $71.90–$1,903.20 | 50% above | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $627.89 | $784.86 | $72.43–$784.86 | 58% above | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 CLEV US OB ADD GEST 14 WEEKS | $475.45 | $594.31 | $47.74–$594.31 | 53% above | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $653.62 | $817.02 | $65.49–$817.02 | 24% above | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS W DOPPLER IF IND ADD ON | $579.26 | $724.07 | $58.57–$724.07 | 63% above | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS | $579.26 | $724.07 | $58.57–$724.07 | 63% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK SOFT TISSUE | $455.67 | $569.59 | $69.96–$569.59 | 12% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE | $455.67 | $569.59 | $69.96–$569.59 | 12% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $455.67 | $569.59 | $69.96–$569.59 | 12% above | 20% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN KUB 1 VIEW | $212.59 | $265.74 | $18.03–$265.74 | 25% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS | $183.60 | $229.50 | $24.41–$250.18 | 13% below | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4 OR MORE VIEWS | $495.22 | $619.03 | $33.02–$619.03 | 62% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS | $342.78 | $428.48 | $19.41–$428.48 | 63% above | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 OR MORE VIEWS | $189.07 | $236.34 | $24.69–$236.34 | 16% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $352.67 | $440.84 | $24.14–$440.84 | 73% above | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $238.14 | $297.67 | $16.36–$297.67 | 24% above | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2 OR MORE VIEWS | $154.09 | $192.61 | $20.25–$192.61 | 13% below | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA QST | $275.20 | $344.00 | $34.35–$344.00 | 107% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $44.00 | $55.00 | $4.71–$55.00 | 33% above | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $40.00 | $50.00 | $4.61–$50.00 | 5% above | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL W RFX TO CONFIRM QST | $274.40 | $343.00 | $42.37–$343.00 | 50% above | 20% |
| Albumin blood test CPT 82040 ALBUMIN LEVEL | $38.40 | $48.00 | $4.40–$48.00 | 25% above | 20% |
| Albumin blood test CPT 82040 ALBUMIN SER PLAS BLD | $38.40 | $48.00 | $4.40–$48.00 | 25% above | 20% |
| Aldosterone blood test CPT 82088 ALDOSTERONE LC MS MS QST | $185.60 | $232.00 | $36.25–$232.00 | 33% above | 20% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $185.60 | $232.00 | $36.25–$232.00 | 33% above | 20% |
| Aldosterone blood test CPT 82088 ALDOSTERONE PLASMA RENIN ACTIVITY RATIOLC MS MS QST | $185.60 | $232.00 | $36.25–$232.00 | 33% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE ISOENZYMES PANEL | $40.80 | $51.00 | $4.61–$51.00 | 28% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALP ISOENZYMES | $40.80 | $51.00 | $4.61–$51.00 | 28% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $40.80 | $51.00 | $4.61–$51.00 | 28% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALP | $40.80 | $51.00 | $4.61–$51.00 | 28% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO F203 IGE QST | $40.00 | $50.00 | $4.64–$77.10 | 85% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT F284 IGE QST | $40.00 | $50.00 | $4.64–$77.10 | 85% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PANEL COMPLETE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEINS E72 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 6 TREES QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM T8 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM M2 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS M4 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM M1 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS G6 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS G9 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM BOTRYOSUM M10 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER E1 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE GRASS G5 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS COCKSFOOT G3 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON F41 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS G10 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 6 GRASSES QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT F256 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN COCKROACH I206 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS M3 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA M6 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER E5 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH T15 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR T6 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD T14 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY PECAN TREE T22 IGE QST | $61.68 | $77.10 | $4.64–$77.10 | 186% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP | $129.60 | $162.00 | $14.92–$162.00 | 143% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER QST | $129.60 | $162.00 | $14.92–$162.00 | 143% above | 20% |
| Ammonia blood test CPT 82140 AMMONIA P QST | $108.00 | $135.00 | $12.96–$135.00 | 80% above | 20% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $108.00 | $135.00 | $12.96–$135.00 | 80% above | 20% |
| Ammonia blood test CPT 82140 AMMONIA U | $108.00 | $135.00 | $12.96–$135.00 | 80% above | 20% |
| Amylase blood test CPT 82150 AMYLASE LEVEL | $49.60 | $62.00 | $5.76–$62.00 | 7% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP | $72.00 | $90.00 | $11.52–$90.00 | 10% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB IGG QST | $72.00 | $90.00 | $11.52–$90.00 | 10% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN IFA W REFL TIT ANDPATTERN QST | $93.60 | $117.00 | $10.75–$117.00 | 53% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $93.60 | $117.00 | $10.75–$117.00 | 53% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP QST | $290.87 | $363.59 | $34.92–$363.59 | 157% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE | $290.87 | $363.59 | $34.92–$363.59 | 157% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP | $290.87 | $363.59 | $34.92–$363.59 | 157% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 INFECTIOUS AGENT NUCLEIC ACID DNA RNA GARDNERELLA VAGINALIS AMPLIFIED PROBE | $66.40 | $83.00 | $7.67–$83.00 | 50% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT QST | $66.40 | $83.00 | $7.67–$83.00 | 50% above | 20% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $68.54 | $85.68 | $7.53–$85.68 | 50% above | 20% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $38.40 | $48.00 | $4.47–$48.00 | 1% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP BILL BONE MARROW BIOPSY | $160.00 | $200.00 | $29.69–$200.00 | 16% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP BILL TISSUE EXAM BY PATHOLOGIST | $160.00 | $200.00 | $29.69–$200.00 | 16% above | 20% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD QST | $80.00 | $100.00 | $9.18–$100.00 | 10% above | 20% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD MANUAL QST | $80.00 | $100.00 | $9.18–$100.00 | 10% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BILL ONLY VENIPUNCTURE | $22.40 | $28.00 | $7.85–$28.00 | 115% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS DRAW | $22.40 | $28.00 | $7.85–$28.00 | 115% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL | $29.60 | $37.00 | $3.50–$37.00 | 12% above | 20% |
| Blood lead test CPT 83655 LEAD LEVEL POC | $28.80 | $36.00 | $10.77–$57.41 | 38% below | 20% |
| Blood lead test CPT 83655 LEAD | $84.00 | $105.00 | $10.77–$160.00 | 82% above | 20% |
| Blood lead test CPT 83655 LEAD QST | $84.00 | $105.00 | $10.77–$105.00 | 82% above | 20% |
| Blood lead test CPT 83655 LEAD W DEMOGRAPHICS QST | $84.00 | $105.00 | $10.77–$105.00 | 82% above | 20% |
| Blood lead test CPT 83655 LYMPHOCYTE SUBSET PANEL 2 QST | $126.40 | $158.00 | $10.77–$160.00 | 174% above | 20% |
| Blood lead test CPT 83655 PERCENT CD19 B CELLS QST | $128.00 | $160.00 | $10.77–$160.00 | 177% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BILL ONLY ABO RH TYPE | $23.20 | $29.00 | $2.66–$166.98 | 61% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BILL ONLY 86900 BLOOD TYPING ABO | $23.20 | $29.00 | $2.66–$166.98 | 61% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE GL | $23.20 | $29.00 | $2.66–$166.98 | 61% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GL | $23.20 | $29.00 | $2.66–$166.98 | 61% below | 20% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN | $31.20 | $39.00 | $3.51–$39.00 | 27% above | 20% |
| C-peptide blood test CPT 84681 C PEPTIDE QST | $160.00 | $200.00 | $18.51–$200.00 | 89% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $40.00 | $50.00 | $4.61–$50.00 | 5% above | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN BQL PCR QST | $180.00 | $225.00 | $33.15–$225.00 | 114% above | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 QST | $125.60 | $157.00 | $18.51–$157.00 | 38% above | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QST | $154.40 | $193.00 | $18.51–$193.00 | 90% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 ANTIGEN BD VERITOR | $369.60 | $462.00 | $0.01–$462.00 | 361% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS COV 2 RNA QUALITATIVE REAL TIME RT PCR QST | $369.60 | $462.00 | $0.01–$462.00 | 361% above | 20% |
| Calcium blood test, total CPT 82310 82310 CALCIUM PEDIATRIC URINE W CREATININE QST | $39.20 | $49.00 | $4.59–$49.00 | 8% above | 20% |
| Calcium blood test, total CPT 82310 CALCIUM | $39.20 | $49.00 | $4.59–$49.00 | 8% above | 20% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL | $39.20 | $49.00 | $4.59–$49.00 | 8% above | 20% |
| Calcium blood test, total CPT 82310 82310 CALCIUM PEDIATRIC URINE W CREATININE QST | $39.20 | $49.00 | $4.59–$49.00 | 8% above | 20% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA QST | $141.60 | $177.00 | $16.86–$177.00 | 38% above | 20% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB IGG QST | $99.20 | $124.00 | $11.46–$124.00 | 72% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA N GONORRHOEAE RNA TMA UROGENITAL QST | $120.00 | $150.00 | $31.21–$165.67 | 50% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA | $120.00 | $150.00 | $31.21–$165.67 | 50% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL QST | $106.30 | $132.87 | $11.91–$132.87 | 61% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $106.30 | $132.87 | $11.91–$132.87 | 61% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBC W DIFF | $61.80 | $77.25 | $6.91–$77.25 | 36% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 CBC W MAN DIFF | $48.80 | $61.00 | $5.75–$61.00 | 15% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $82.42 | $103.02 | $9.39–$103.02 | 19% above | 20% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL QST | $120.80 | $151.00 | $14.50–$151.00 | 81% above | 20% |
| Cortisol blood test, total CPT 82533 CORTISOL A M QST | $120.80 | $151.00 | $14.50–$151.00 | 81% above | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $52.42 | $65.52 | $5.79–$65.52 | 41% above | 20% |
| Creatinine blood test CPT 82565 CREATININE | $39.20 | $49.00 | $4.55–$49.00 | 32% above | 20% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG QST | $83.20 | $104.00 | $12.80–$104.00 | 39% above | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $126.24 | $157.80 | $9.05–$157.80 | 31% above | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE QST | $300.00 | $375.00 | $19.77–$375.00 | 297% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITOR BARBITURATE W CONFW MED UR QST | $165.60 | $207.00 | $55.27–$295.25 | 75% above | 20% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $67.20 | $84.00 | $6.24–$84.00 | 11% above | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV NUCLEAR AG EBNA AB IGG QST | $167.48 | $209.35 | $16.14–$209.35 | 142% above | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG VCA AB IGM QST | $167.48 | $209.35 | $16.14–$209.35 | 142% above | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG VCA AB IGG QST | $167.48 | $209.35 | $16.14–$209.35 | 142% above | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 EBV | $167.48 | $209.35 | $16.14–$209.35 | 142% above | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 EBV 2 | $167.48 | $209.35 | $16.14–$209.35 | 142% above | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL | $145.60 | $182.00 | $24.85–$182.00 | 63% above | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL QST | $145.60 | $182.00 | $24.85–$182.00 | 63% above | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL ULTRASENSITIVE LC MS MS QST | $145.60 | $182.00 | $24.85–$182.00 | 63% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH QST | $127.20 | $159.00 | $16.53–$223.63 | 85% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH PED QST | $178.90 | $223.63 | $16.53–$223.63 | 161% above | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $235.20 | $294.00 | $17.46–$294.45 | 63% above | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL QST | $235.56 | $294.45 | $17.46–$294.45 | 63% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $107.33 | $134.16 | $12.12–$134.16 | 66% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN QST | $107.33 | $134.16 | $12.12–$134.16 | 66% above | 20% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY CLAUSS QST | $91.20 | $114.00 | $8.65–$114.00 | 43% above | 20% |
| Folate (folic acid) blood test CPT 82746 FOLATE QST | $112.06 | $140.08 | $13.08–$140.08 | 80% above | 20% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE QST | $131.84 | $164.80 | $15.07–$164.80 | 47% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE QST | $71.69 | $89.61 | $8.02–$89.61 | 17% above | 20% |
| Free testosterone test CPT 84402 TESTOSTERONE FREEBIOANDTOT LC MS MS QST | $172.80 | $216.00 | $22.66–$216.00 | 99% above | 20% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $172.80 | $216.00 | $22.66–$216.00 | 99% above | 20% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE QST | $172.80 | $216.00 | $22.66–$216.00 | 99% above | 20% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT QST | $56.00 | $70.00 | $6.40–$70.00 | 14% above | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $313.12 | $391.40 | $31.24–$391.40 | 60% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 HR UP TO 3 SPECIMENS | $84.80 | $106.00 | $11.45–$106.00 | 35% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1 HOUR | $84.80 | $106.00 | $11.45–$106.00 | 35% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 HOUR | $84.80 | $106.00 | $11.45–$106.00 | 35% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 HOUR | $84.80 | $106.00 | $11.45–$106.00 | 35% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA N GONORRHOEAE RECTAL RNA TMA QST | $240.00 | $300.00 | $31.21–$316.00 | 188% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA N GONORRHOEAERNATMATHROATQST | $240.00 | $300.00 | $31.21–$316.00 | 188% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA N GONORRHOEAE DNA SDA | $240.00 | $300.00 | $31.21–$316.00 | 188% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE | $252.80 | $316.00 | $31.21–$316.00 | 204% above | 20% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL QST | $108.80 | $136.00 | $12.79–$136.00 | 4% below | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 2 AG AB FOURTH GEN W RFL QST | $90.40 | $113.00 | $21.42–$114.82 | 88% above | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 SUREPATH PAP QST | $164.00 | $205.00 | $31.21–$205.00 | 87% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C QST | $77.38 | $96.72 | $8.64–$96.72 | 80% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $77.38 | $96.72 | $8.64–$96.72 | 80% above | 20% |
| Hemoglobin blood test CPT 85018 HGB | $18.40 | $23.00 | $0.01–$23.00 | 8% below | 20% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL QST | $88.00 | $110.00 | $10.72–$110.00 | 80% above | 20% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL W REFL IGM QST | $88.00 | $110.00 | $10.72–$110.00 | 80% above | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG W REFL CONFIRM QST | $68.80 | $86.00 | $9.19–$86.00 | 65% above | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 SCREENING HEPATITIS C | $109.82 | $137.28 | $12.69–$137.28 | 115% above | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB W REFL TO HCV RNA QN PCR QST | $109.82 | $137.28 | $12.69–$137.28 | 115% above | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANTITATIVE REAL TIME PCR QST | $301.60 | $377.00 | $38.11–$377.00 | 36% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG TYPE SPECIFIC AB QST | $64.00 | $80.00 | $11.73–$80.00 | 9% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 | $64.00 | $80.00 | $11.73–$80.00 | 9% above | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG TYPE SPECIFIC AB QST | $53.60 | $67.00 | $17.21–$91.85 | 3% below | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HS CRP QST | $93.60 | $117.00 | $11.52–$117.00 | 72% above | 20% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QST | $116.00 | $145.00 | $15.94–$145.00 | 6% below | 20% |
| Insulin blood test CPT 83525 INSULIN | $85.60 | $107.00 | $10.17–$107.00 | 81% above | 20% |
| Insulin blood test CPT 83525 INSULIN QST | $85.60 | $107.00 | $10.17–$107.00 | 81% above | 20% |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL QST | $54.08 | $67.60 | $5.75–$67.60 | 49% above | 20% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $54.08 | $67.60 | $5.75–$67.60 | 49% above | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $66.40 | $83.00 | $7.77–$83.00 | 42% above | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON AND TOTAL IRON BINDING CAPACITY PANEL | $66.40 | $83.00 | $7.77–$83.00 | 42% above | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $83.20 | $104.00 | $7.72–$104.00 | 20% above | 20% |
| LH (luteinizing hormone) test CPT 83002 LH QST | $137.60 | $172.00 | $16.47–$260.00 | 88% above | 20% |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS QST | $208.00 | $260.00 | $16.47–$260.00 | 185% above | 20% |
| Lactate (lactic acid) blood test CPT 83605 LA VEN | $91.46 | $114.33 | $10.29–$114.33 | 90% above | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE QST | $46.40 | $58.00 | $5.37–$58.00 | 32% above | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL | $54.91 | $68.64 | $6.13–$68.64 | 3% above | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE CLEV | $54.91 | $68.64 | $6.13–$68.64 | 3% above | 20% |
| Liver function blood test panel CPT 80076 HEP FNCT PNL | $67.39 | $84.24 | $7.27–$84.24 | 23% above | 20% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB W RFX BLOT IGGIGM QST | $130.82 | $163.53 | $15.15–$163.53 | 61% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $53.25 | $66.56 | $5.96–$66.56 | 55% above | 20% |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG QST | $82.40 | $103.00 | $11.46–$103.00 | 100% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREENING POC | $24.00 | $30.00 | $4.61–$50.00 | 33% below | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT WHOLE BLOOD POC | $25.60 | $32.00 | $4.61–$50.00 | 29% below | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE MONO SCREEN QST | $40.00 | $50.00 | $4.61–$50.00 | 12% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN | $40.00 | $50.00 | $4.61–$50.00 | 12% above | 20% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG QST | $74.40 | $93.00 | $11.61–$93.00 | 33% above | 20% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL REF | $760.00 | $950.00 | $42.53–$950.00 | 430% above | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $92.80 | $116.00 | $16.36–$116.00 | 3% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC CPT 84153 | $148.10 | $185.12 | $16.36–$185.12 | 92% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL QST | $148.10 | $185.12 | $16.36–$185.12 | 92% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 SUREPATH PAP RFX HR HPV QST | $120.00 | $150.00 | $23.67–$150.00 | 73% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 BILL ONLY AP 88175 THIN PREP PAP | $122.40 | $153.00 | $23.67–$153.00 | 76% above | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 SUREPATH PAP AND HPV DNA QST | $240.80 | $301.00 | $18.02–$301.00 | 243% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 ZZPTH INTACT W CALCIUM QST | $210.40 | $263.00 | $36.72–$263.00 | 51% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH | $210.40 | $263.00 | $36.72–$263.00 | 51% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W O CALCIUM QST | $210.40 | $263.00 | $36.72–$263.00 | 51% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $48.00 | $60.00 | $5.35–$60.00 | 48% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 LUPUS ANTICOAGULANT EVALUATION W RFX QST | $48.00 | $60.00 | $5.35–$60.00 | 48% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $48.00 | $60.00 | $5.35–$60.00 | 48% above | 20% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL | $36.80 | $46.00 | $4.22–$46.00 | 12% above | 20% |
| Potassium blood test CPT 84132 POTASSIUM LEVEL | $36.80 | $46.00 | $4.23–$46.00 | 13% above | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE QST | $120.00 | $150.00 | $18.55–$150.00 | 65% above | 20% |
| Prolactin blood test CPT 84146 PROLACTIN QST | $142.40 | $178.00 | $17.24–$178.00 | 52% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME AND INR | $41.40 | $51.75 | $3.82–$51.75 | 27% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR | $41.40 | $51.75 | $3.82–$51.75 | 27% above | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BILL ONLY DRUG SCREEN EMPLOYEE | $48.80 | $61.00 | $11.21–$100.00 | at median | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE | $80.00 | $100.00 | $11.21–$100.00 | 64% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B POC | $40.00 | $50.00 | $14.72–$137.00 | 25% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $109.60 | $137.00 | $14.72–$137.00 | 104% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $109.60 | $137.00 | $14.72–$137.00 | 104% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP POC | $40.00 | $50.00 | $14.70–$115.00 | 18% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCREEN | $92.00 | $115.00 | $14.70–$115.00 | 89% above | 20% |
| Renin blood test CPT 84244 PLASMA RENIN ACTIVITY LC MS MS QST | $85.60 | $107.00 | $19.56–$107.00 | 19% below | 20% |
| Renin blood test CPT 84244 ALDOSTERONE PLASMA RENIN ACTIVITY RATIO | $85.60 | $107.00 | $19.56–$107.00 | 19% below | 20% |
| Renin blood test CPT 84244 RENIN | $85.60 | $107.00 | $19.56–$107.00 | 19% below | 20% |
| Rh blood typing CPT 86901 RH GL | $23.20 | $29.00 | $2.66–$50.13 | 46% below | 20% |
| Rh blood typing CPT 86901 BILL ONLY 86901 BLD TYPING RH D | $23.20 | $29.00 | $2.66–$50.13 | 46% below | 20% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QST | $62.40 | $78.00 | $5.04–$78.00 | 117% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS QST | $95.20 | $119.00 | $12.80–$119.00 | 81% above | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE QST | $20.80 | $26.00 | $2.40–$26.00 | at median | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE MANUAL QST | $20.80 | $26.00 | $2.40–$26.00 | at median | 20% |
| Sodium blood test CPT 84295 SODIUM LEVEL | $30.40 | $38.00 | $4.28–$38.00 | 4% below | 20% |
| Stool ova and parasites exam CPT 87177 OVA OR MOREPARASITES CONC AND PERM SMEAR QST | $107.20 | $134.00 | $7.92–$134.00 | 74% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL FOR OCCULT BLOOD POC | $9.60 | $12.00 | $3.67–$21.32 | 58% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN | $31.20 | $39.00 | $3.90–$86.00 | 37% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD DIAGNOSTIC 1ST SPEC | $68.80 | $86.00 | $3.90–$86.00 | 202% above | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS QST | $165.23 | $206.54 | $11.78–$375.00 | 316% above | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB CASCADE QST | $300.00 | $375.00 | $11.78–$375.00 | 655% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR DX W RFX TITER AND CONFIRMATORY TESTING QST | $32.80 | $41.00 | $3.80–$41.00 | 14% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS 1 TUBE QST | $272.00 | $340.00 | $55.13–$340.00 | 59% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC MS MS QST | $146.43 | $183.04 | $22.96–$183.04 | 63% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $146.43 | $183.04 | $22.96–$183.04 | 63% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $146.43 | $183.04 | $22.96–$183.04 | 63% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS QST | $112.00 | $140.00 | $12.94–$140.00 | 87% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $128.48 | $160.60 | $14.94–$160.60 | 140% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W RFLX TO FREE T4 | $128.48 | $160.60 | $14.94–$160.60 | 140% above | 20% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E QST | $92.80 | $116.00 | $14.64–$116.00 | 79% above | 20% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL QST | $33.60 | $42.00 | $3.87–$42.00 | at median | 20% |
| Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE TOTAL QST | $54.32 | $67.90 | $6.11–$67.90 | 25% above | 20% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $54.32 | $67.90 | $6.11–$67.90 | 25% above | 20% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL QST | $109.60 | $137.00 | $12.61–$137.00 | 86% above | 20% |
| Transferrin blood test CPT 84466 TRANSFERRIN QST | $97.60 | $122.00 | $11.35–$122.00 | 70% above | 20% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS | $240.00 | $300.00 | $31.21–$300.00 | 173% above | 20% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA QL TMA QST | $240.00 | $300.00 | $31.21–$300.00 | 173% above | 20% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS | $240.00 | $300.00 | $31.21–$300.00 | 173% above | 20% |
| Triglycerides blood test CPT 84478 LIPOPROTEIN ELECTROPHORISIS | $64.00 | $80.00 | $5.11–$80.00 | 86% above | 20% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES QST | $64.00 | $80.00 | $5.11–$80.00 | 86% above | 20% |
| Troponin test, quantitative CPT 84484 TROPONIN I TRIAGE | $100.67 | $125.84 | $11.09–$125.84 | 42% above | 20% |
| Troponin test, quantitative CPT 84484 TROPONIN I | $100.67 | $125.84 | $11.09–$125.84 | 42% above | 20% |
| Uric acid blood test CPT 84550 URIC ACID | $35.20 | $44.00 | $4.02–$44.00 | 33% above | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE WITH CULTURE IF INDICATED | $25.60 | $32.00 | $2.82–$32.00 | 9% below | 20% |
| Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTICK POC | $31.20 | $39.00 | $3.58–$39.00 | 75% above | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK POC | $12.00 | $15.00 | $2.00–$15.00 | 16% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK POC | $12.00 | $15.00 | $2.00–$15.00 | 16% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE QL QST | $24.00 | $30.00 | $2.00–$30.00 | 68% above | 20% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE ROUTINE QST | $62.40 | $78.00 | $7.18–$78.00 | 29% above | 20% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN W CREATININE U24 QST | $41.60 | $52.00 | $5.14–$52.00 | 9% above | 20% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN U W O CREATININE QST | $41.60 | $52.00 | $5.14–$52.00 | 9% above | 20% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QUANT | $41.60 | $52.00 | $5.14–$52.00 | 9% above | 20% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $64.80 | $81.00 | $7.66–$81.00 | 140% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 QST | $116.48 | $145.60 | $13.41–$145.60 | 88% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25 OH QST | $206.34 | $257.92 | $26.33–$257.92 | 57% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 OH VIT D D2D3 LC MS MS QST | $206.34 | $257.92 | $26.33–$257.92 | 57% above | 20% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 DIHYDROXY LC MS MS QST | $213.60 | $267.00 | $34.25–$267.00 | 36% above | 20% |
| Zinc blood test CPT 84630 ZINC QST | $86.40 | $108.00 | $10.13–$108.00 | 49% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE | $112.00 | $140.00 | $13.39–$140.00 | 84% above | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLTX DSTL FIBULAR FX LAT MALLS W O MANJ TECH | $823.20 | $1,029.00 | $315.01–$1,029.00 | 213% above | 20% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE LATERAL MALLEOLUS | $840.80 | $1,051.00 | $321.74–$1,051.00 | 220% above | 20% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TX METATARSAL FRACTURE W O MANIPULATION TECH | $548.80 | $686.00 | $210.01–$686.00 | 104% above | 20% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TREATMENT OF METATARSAL FRACTURE WITHOUT MANIPULATION EACH PRO | $583.20 | $729.00 | $223.17–$729.00 | 117% above | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 PHY CARDIOVERSION EXTERNAL PRO | $971.20 | $1,214.00 | $371.64–$1,214.00 | 68% above | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL TECH | $1,127.20 | $1,409.00 | $431.34–$1,409.00 | 95% above | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLTX DSTL RADIAL FX EPIPHYSL SEP W O MANJ TECH | $821.60 | $1,027.00 | $314.40–$1,027.00 | 163% above | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE EG COLLES OR SMITH TYPE | $882.40 | $1,103.00 | $337.66–$1,103.00 | 182% above | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCTION EG LASER SURGERY ELECTROSURGERY CRYOSURGERY CHEMO | $151.06 | $188.82 | $57.80–$366.80 | 90% above | 20% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL | $107.74 | $134.67 | $41.23–$280.00 | 38% above | 20% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT TECH | $124.80 | $156.00 | $47.76–$156.00 | 59% above | 20% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL PRO | $224.00 | $280.00 | $41.23–$280.00 | 186% above | 20% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 ENDOMETRIAL BIOPSY WITH OR W O ENDOCER BIOPSY W O CERVICAL | $234.96 | $293.70 | $89.91–$347.98 | 14% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION AND DRAINAGE ABSCESS SIMPLE SINGLE TECH | $304.06 | $380.07 | $116.35–$380.07 | 35% above | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION AND DRAINAGE OF ABSCESS EG CARBUNCLE SUPPURATIVE HIDRADENITIS | $321.60 | $402.00 | $123.06–$410.00 | 43% above | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION AND DRAINAGE OF ABSCESS SIMPLE OR SINGLE | $328.00 | $410.00 | $123.06–$410.00 | 46% above | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTIONS SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS | $204.80 | $256.00 | $78.37–$533.66 | 10% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION 1 TENDON SHEATH LIGAMENT APONEUROSIS TECH | $505.60 | $632.00 | $193.47–$632.00 | 122% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIRATION AND OR INJECTION MAJOR JOINT OR BURSA | $167.20 | $209.00 | $63.98–$533.66 | 33% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIRAND INJ MAJOR JT BURSA W O US TECH | $408.80 | $511.00 | $156.43–$533.66 | 63% above | 20% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERTION NON BIODEGRADABLE DRUG DELIVERY IMPLANT | $229.70 | $287.13 | $87.90–$287.13 | at median | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASPIRATION AND OR INJECTION INTERMEDIATE JOINT OR BURSA | $133.60 | $167.00 | $51.12–$533.66 | 50% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASPIRAND INJ INTERM JT BURS W O US TECH | $505.60 | $632.00 | $193.47–$632.00 | 87% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASPIRATION AND OR INJECTION SMALL JOINT OR BURSA | $120.67 | $150.84 | $40.10–$533.66 | 39% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASPIRAND INJ SMALL JT BURSA W O US TECH | $505.60 | $632.00 | $193.47–$632.00 | 157% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND OR EXTREMITIES | $324.80 | $406.00 | $124.29–$706.00 | 4% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 REPAIR INTERMEDIATE S A T E 2 5 CM TECH | $591.20 | $739.00 | $226.23–$739.00 | 74% above | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 0 5CM | $287.50 | $359.37 | $110.01–$1,271.08 | 1% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXCISION BENIGN LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE 0 5CM | $322.66 | $403.32 | $123.47–$1,271.08 | 28% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXCISION OTHER BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG | $925.60 | $1,157.00 | $123.47–$1,271.08 | 107% above | 20% |
| Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE SINGLE | $260.62 | $325.77 | $99.73–$366.80 | 61% above | 20% |
| Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE SINGLE PRO | $292.80 | $366.00 | $99.73–$366.80 | 80% above | 20% |
| Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE PARTIAL COMPLETE SIMPLE 1 TECH | $302.03 | $377.54 | $115.58–$377.54 | 86% above | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NERVE PRO | $232.80 | $291.00 | $89.08–$533.66 | 39% below | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV TECH | $578.40 | $723.00 | $221.33–$723.00 | 52% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION OF NAIL AND NAIL MATRIX PARTIAL OR COMPLETE FOR PERMANENT REMOVAL | $362.93 | $453.66 | $138.88–$706.00 | 7% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION OF NAIL AND NAIL MATRIX PARTIAL OR COMPLETE | $405.60 | $507.00 | $138.88–$706.00 | 4% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TECH | $907.20 | $1,134.00 | $347.15–$1,134.00 | 133% above | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE | $360.00 | $450.00 | $137.76–$706.00 | 18% above | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE PRO | $400.00 | $500.00 | $137.76–$706.00 | 31% above | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TECH | $761.60 | $952.00 | $291.44–$952.00 | 150% above | 20% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW TO FINGER SHORT ARM PRO | $110.40 | $138.00 | $42.25–$492.76 | 43% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM TECH | $535.20 | $669.00 | $204.80–$669.00 | 177% above | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION OF SHORT ARM SPLINT FOREARM TO HAND STATIC | $144.70 | $180.87 | $55.37–$469.00 | 12% above | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION OF SHORT ARM SPLINT FOREARM TO HAND STATIC PRO | $375.20 | $469.00 | $55.37–$469.00 | 192% above | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM HAND STATIC TECH | $412.80 | $516.00 | $157.96–$516.00 | 221% above | 20% |
| Short leg cast (below the knee) CPT 29405 29405 APPLICATION OF SHORT LEG CAST BELOW KNEE TO TOES PRO | $340.00 | $425.00 | $130.11–$492.76 | 119% above | 20% |
| Short leg cast (below the knee) CPT 29405 29405 APPLICATION SHORT LEG CAST BELOW KNEE TOE TECH | $535.20 | $669.00 | $204.80–$669.00 | 245% above | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION OF SHORT LEG SPLINT CALF TO FOOT | $158.50 | $198.12 | $60.65–$424.00 | 7% above | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TECH | $337.60 | $422.00 | $129.19–$422.00 | 129% above | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION OF SHORT LEG SPLINT CALF TO FOOT PRO | $339.20 | $424.00 | $60.65–$424.00 | 130% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR OF WOUNDS SCALP NECK AXILLAE GENITALIA TRUNK 2 5CM | $211.78 | $264.72 | $81.04–$366.80 | 7% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL | $240.00 | $300.00 | $81.04–$366.80 | 21% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR SCALP NECK AX GENIT TRUNK 2 5CM TECH | $436.72 | $545.90 | $81.33–$545.90 | 121% above | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 0 5CM | $446.83 | $558.54 | $170.99–$1,271.08 | 17% above | 20% |
| Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW 15 TECH | $174.40 | $218.00 | $66.74–$366.80 | 12% above | 20% |
| Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA | $236.00 | $295.00 | $67.65–$366.80 | 52% above | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC TECH | $548.00 | $685.00 | $209.70–$1,297.04 | 8% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC PRO | $647.20 | $809.00 | $247.66–$1,297.04 | 8% 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 12002 SIMPLE REPAIR OF WOUNDS SCALP NECK AXILLAE GENITALIA TRUNK 2 6 7 5CM | $256.06 | $320.07 | $97.98–$370.00 | 21% 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 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL | $296.00 | $370.00 | $97.98–$370.00 | 40% 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 12002 SMPL REPAIR SCALP NECK AX GENIT TRUNK 2 6 7 5CM TECH | $437.60 | $547.00 | $98.87–$547.00 | 107% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS | $293.60 | $367.00 | $112.35–$367.00 | 28% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR F E E N L M 2 5CM TECH | $527.36 | $659.20 | $201.80–$659.20 | 129% above | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11100 BIOPSY OF SKIN SUBCUTANEOUS TISSUE AND OR MUCOUS MEMBRANE SINGLE LESION | $267.20 | $334.00 | $102.25–$366.80 | at median | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGENTIAL BIOPSY SKIN SINGLE LESIONSHAVE SCOOP SAUCERIZE CURETTE | $267.20 | $334.00 | $102.25–$366.80 | at median | 20% |
| Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS NEEDLE CATH PLEURA W IMAGING TECH | $306.40 | $383.00 | $117.25–$1,104.08 | 55% below | 20% |
| Trigger finger release surgery CPT 26055 26055 TENDON SHEATH INCISION EG FOR TRIGGER FINGER PRO | $715.20 | $894.00 | $273.68–$2,845.02 | 48% below | 20% |
| Trigger finger release surgery CPT 26055 26055 TENDON SHEATH INCISION EG FOR TRIGGER FINGER TECH | $2,389.60 | $2,987.00 | $914.41–$2,987.00 | 72% above | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTIONS SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2 MUSCLES PRO | $79.20 | $99.00 | $30.31–$533.66 | 66% below | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTIONS SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2 MUSCLES | $122.14 | $152.67 | $30.31–$533.66 | 47% below | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION SINGLE MLT TRIGGER POINT 1 2 MUSCLES TECH | $518.40 | $648.00 | $198.37–$648.00 | 123% above | 20% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION EG LASER SURGERY ELECTROSURGERY CRYOSURGERY CHEMOSURGERY | $95.20 | $119.00 | $36.43–$366.80 | 42% below | 20% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION OF BENIGN LESIONS 1 14 LESIONS | $252.84 | $316.05 | $36.43–$366.80 | 55% above | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE EPIDERMIS AND DERMIS IF | $156.80 | $196.00 | $60.00–$706.00 | 61% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE FIRST 20 SQ CM OR LESS | $240.00 | $300.00 | $60.00–$706.00 | 41% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM TECH | $556.00 | $695.00 | $212.76–$706.00 | 37% above | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE CRYOPRECIPITATE PRODUCT | $272.00 | $340.00 | $104.08–$1,200.00 | 62% below | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD COMPONENTS 1 2 UNITS CHARGE | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLD OR MORECOMP 3 OR MORE UNITS CHARGE | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLD OR MOREBLD COMP 2 UNITS CHARGE | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE FRESH FROZEN PLASMA | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE PLATELET PRODUCT | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE RED BLOOD CELLS | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE RED BLOOD CELLS LEUKOREDUCED | $960.00 | $1,200.00 | $104.08–$1,200.00 | 32% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL INITIAL CHARGE | $200.00 | $250.00 | $6.64–$383.94 | 52% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT IPV SUBSEQUENT CHARGE | $200.00 | $250.00 | $6.64–$383.94 | 52% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT IPV INITIAL CHARGE | $200.00 | $250.00 | $6.64–$383.94 | 52% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL SUBSEQUENT CHARGE | $200.00 | $250.00 | $6.64–$383.94 | 52% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TREATMENT CHARGE | $200.00 | $250.00 | $6.64–$383.94 | 52% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY | $200.00 | $250.00 | $6.64–$383.94 | 52% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE EANDM UNSTABL PRO | $865.60 | $1,082.00 | $331.23–$1,141.11 | 6% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE 30 74 MIN HOSP CHARGE | $1,401.60 | $1,752.00 | $536.34–$1,752.00 | 52% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 FACILITY LEVEL CRITICAL CARE ILL INJURED PATIENT INIT 30 74 MIN | $1,545.00 | $1,931.25 | $591.22–$1,931.25 | 68% above | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG W 12 OR MORE LEADS TRACING INTERP REPORT | $112.00 | $140.00 | $25.57–$140.00 | 159% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG LAB | $165.65 | $207.06 | $5.25–$1,198.00 | 30% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ECG ACQUISITION | $165.65 | $207.06 | $5.25–$1,198.00 | 30% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG ROU 12L REPEAT PRO PRO | $958.40 | $1,198.00 | $5.25–$1,198.00 | 652% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 ED VISIT FOR EANDM PATIENT LEV 1 MAY NOT REQ PRESENCE OF PHYSICIAN | $60.00 | $75.00 | $22.96–$940.00 | 58% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EANDM THAT MAY NOT REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED | $137.60 | $172.00 | $52.65–$940.00 | 3% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 SIMPLE WOUND CARE DRESSING | $164.80 | $206.00 | $63.06–$940.00 | 16% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 EANDM REQ A MEDICALLY APPROPRIATE HX AND OR EXAM AND STRAIGHTFORWARD | $137.60 | $172.00 | $52.65–$940.00 | 55% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ED VISIT EANDM PATIENT LEV 2 REQ MED APPROP HSTRY EXAM MDM CC | $317.24 | $396.55 | $121.40–$940.00 | 4% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 EANDM REQ A MEDICALLY APPROPRIATE HX AND OR EXAM AND LOW LEVEL MEDICAL | $206.40 | $258.00 | $78.98–$940.00 | 59% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ED VISIT EANDM PATIENT LEV 3 REQ MED APPROP HSTRY EXAM LOW MDM CC | $571.20 | $714.00 | $218.58–$940.00 | 12% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 EANDM REQ A MEDICALLY APPROPRIATE HX AND OR EXAM AND MODERATE | $379.20 | $474.00 | $145.11–$940.00 | 48% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ED VISIT EANDM PATIENT LEV 4 REQ MED APPROP HSTRY EXAM MODERATE MDM CC | $865.20 | $1,081.50 | $331.08–$1,081.50 | 18% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 EANDM REQ A MEDICALLY APPROPRIATE HX AND OR EXAM AND HIGH LEVEL MEDICAL | $551.20 | $689.00 | $210.92–$940.00 | 52% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ED VISIT E M PATIENT LEV 5 REQ MED APPROP HSTRY EXAM HIGH MDM CC | $1,216.22 | $1,520.28 | $465.40–$1,520.28 | 6% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INF HYDRATION INITIAL 31 60 MIN CHARGE | $247.20 | $309.00 | $94.59–$417.86 | 43% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INF HYDRATION INITIAL 31 60 MIN | $257.60 | $322.00 | $0.01–$417.86 | 49% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV HYDRATION TH DX INITIAL CHARGE | $481.93 | $602.41 | $171.97–$602.41 | 106% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 INFUSION THER DRUG 1 HR CHARGE | $481.93 | $602.41 | $171.97–$690.90 | 106% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV INF DRUG THRPY INITIAL HR | $552.72 | $690.90 | $171.97–$690.90 | 137% above | 20% |
| IV push of a medicine, first drug CPT 96374 96374 INJ IV PUSH INITIAL | $303.23 | $379.04 | $0.01–$417.86 | 106% above | 20% |
| IV push of a medicine, first drug CPT 96374 96374 OP INJ IV PUSH INITIAL CHARGE | $303.23 | $379.04 | $0.01–$417.86 | 106% above | 20% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 INJ IV PUSH INITIAL | $303.23 | $379.04 | $0.01–$417.86 | — | 20% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 OP INJ IV PUSH INITIAL CHARGE | $303.23 | $379.04 | $0.01–$417.86 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ IM OR SUBQ | $113.98 | $142.48 | $12.49–$174.07 | 82% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ IM OR SUBQ CHARGE | $139.26 | $174.07 | $12.49–$174.07 | 122% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ IM OR SUBQ | $113.98 | $142.48 | $12.49–$174.07 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ IM OR SUBQ CHARGE | $139.26 | $174.07 | $12.49–$174.07 | — | 20% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE OUTPATIENT VISIT NEW PATIENT LEVEL 3 30 44 MIN | $212.80 | $266.00 | $81.43–$266.00 | 29% above | 20% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE OUTPATIENT VISIT NEW PATIENT LEVEL 4 45 59 MIN | $318.40 | $398.00 | $121.84–$398.00 | 41% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 99205 VST NEW PAT COMPRE HIGH COMPL PRO | $391.20 | $489.00 | $149.70–$527.00 | 41% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE OUTPATIENT VISIT NEW PATIENT LEVEL 5 60 MIN | $421.60 | $527.00 | $149.70–$527.00 | 52% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE OUTPATIENT VISIT NEW PATIENT LEVEL 2 15 29 MINS | $137.60 | $172.00 | $52.65–$209.00 | 27% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 LEVEL 2 VISIT NEW PT PRO | $167.20 | $209.00 | $52.65–$209.00 | 55% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 IP SMOKING AND TOBACCO USE CESSATION INTERM 3 10 MIN CHARGE | $64.00 | $80.00 | $24.49–$80.00 | 134% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 SMOKING CESSATION COUNESLING 3 TO 10 MIN PRO | $64.00 | $80.00 | $14.77–$80.00 | 134% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT TTE LIMITED CHARGE | $64.00 | $80.00 | $24.49–$80.00 | 134% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 VST EST PAT COMPRE HIGH COMPLX PRO | $292.80 | $366.00 | $112.04–$430.00 | 34% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 LEVEL 5 TX RM EST PT CHARGE | $339.20 | $424.00 | $129.80–$424.00 | 55% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE OUTPATIENT VISIT ESTABLISHED PATIENT LEVEL 5 40 54 MIN | $344.00 | $430.00 | $112.04–$430.00 | 57% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 EST 99213 | $172.00 | $215.00 | $65.82–$215.00 | 29% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE OUTPATIENT VISIT ESTABLISHED PATIENT LEVEL 3 | $172.00 | $215.00 | $65.82–$215.00 | 29% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 LEVEL 3 TX RM EST PT CHARGE | $242.40 | $303.00 | $92.76–$303.00 | 82% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE OUTPATIENT VISIT ESTABLISHED PATIENT LEVEL 4 | $244.00 | $305.00 | $93.37–$352.00 | 44% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 VST EST PAT DET LOW MOD COMPL PRO | $281.60 | $352.00 | $93.37–$352.00 | 66% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 LEVEL 4 TX RM EST PT CHARGE | $789.60 | $987.00 | $207.11–$987.00 | 365% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE OUTPATIENT VISIT ESTABLISHED PATIENT LEVEL 2 | $106.40 | $133.00 | $40.72–$154.67 | 25% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 LEVEL 2 TX RM EST PT CHARGE | $198.40 | $248.00 | $75.92–$248.00 | 133% above | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 LEVEL 3 OUTPT CONSULT PRO | $258.40 | $323.00 | $98.88–$323.00 | 115% above | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 LEVEL 4 OUTPT CONSULT PRO | $382.40 | $478.00 | $146.33–$478.00 | 282% above | 20% |
| Spirometry (breathing test) CPT 94010 RT SPIROMETRY W GRAPHIC RECORD CHARGE | $240.00 | $300.00 | $91.84–$300.00 | 34% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 RT PRE AND POST SPIRO CHARGE | $691.97 | $864.96 | $216.55–$864.96 | 83% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 94060 BRONCHODILAT RESPONSE SPIROMETRY PRE POST BRONCHODILATOR ADMIN CHARGE | $691.97 | $864.96 | $216.55–$864.96 | 83% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 94060 SPIROMETRY W BRONCHODILATOR | $691.97 | $864.96 | $216.55–$864.96 | 83% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 94060 COMPLETE PFTW BRONCHODILATOR | $691.97 | $864.96 | $216.55–$864.96 | 83% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 94060 ROUTINE PFT | $691.97 | $864.96 | $216.55–$864.96 | 83% above | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 VARICELLA VIRUS VACCINE LIVE FOR SUBCUTANEOUS USE | $103.20 | $129.00 | $39.49–$182.25 | 62% below | 20% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 90696 DTAP IPV WHEN ADMINISTERED TO CHILDREN 4 THROUGH 6 YEARS OF AGE | $126.40 | $158.00 | $48.37–$158.00 | 41% above | 20% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 90700 DTAP UNDER 7 YEARS FOR IM USE | $35.20 | $44.00 | $13.47–$44.00 | 48% below | 20% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 90723 DTAP HEPB IPV PEDIARIX FOR INTRAMUSCULAR USE | $103.20 | $129.00 | $39.49–$129.00 | 20% below | 20% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 90698 DTAP HIB IPV PENTACEL FOR INTRAMUSCULAR USE | $44.00 | $55.00 | $16.84–$111.49 | 58% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515 0810 52 INFLUENZA VIRUS VACCINE INACTIVATED PRESERVATIVE FREE | $112.93 | $141.16 | $43.21–$141.16 | 133% above | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515 0810 52 INFLUENZA VIRUS VACCINE INACTIVATED PRESERVATIVE FREE | $112.93 | $141.16 | $43.21–$141.16 | — | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 VACCINE GARDASIL 9 | $240.00 | $300.00 | $83.92–$300.00 | at median | 20% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 90633 HAVRIX HEPATITIS A VACCINE 2 DOSE SCHEDULE FOR INTRAMUSCULAR USE | $60.00 | $75.00 | $0.01–$75.00 | 48% below | 20% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 90744 HEPATITIS B VACCINE PEDIATRIC ADOLESCENT DOSAGE 3 DOSE SCHEDULE | $60.00 | $75.00 | $22.96–$75.00 | 8% above | 20% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 90647 HIB VACCINE PRP OMP CONJUGATE | $120.00 | $150.00 | $27.18–$150.00 | 52% above | 20% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 90647 HIB VACCINE PRP OMP CONJUGATE OVER 18 | $120.00 | $150.00 | $27.18–$150.00 | 52% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90686 INFLUENZA QUADRIVALENT VACCINE CHARGE | $144.80 | $181.00 | $55.41–$181.00 | 6% below | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 IMMUNIZATION ADMINISTRATION | $144.80 | $181.00 | $55.41–$181.00 | 6% below | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 MEASLES MUMPS AND RUBELLA VIRUS VACCINE MMR LIVE FOR SUBCUTANEOUS USE | $70.40 | $88.00 | $26.94–$92.95 | 45% below | 20% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 90710 MEASLES MUMPS RUBELLA AND VARICELLA VACCINE MMRV | $468.80 | $586.00 | $179.39–$586.00 | 161% above | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 MENINGOCOCCAL CONJUGATE VACCINE QUADRIVALENT FOR INTRAMUSCULAR USE | $444.00 | $555.00 | $138.57–$555.00 | 176% above | 20% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 MENINGOCOCCAL VACCINE SEROGROUP B 2 DOSE SCHEDULE FOR IM USE | $348.00 | $435.00 | $133.17–$435.00 | 9% above | 20% |
| Meningococcal B vaccine (Trumenba) CPT 90621 90621 MENINGOCOCCAL VACCINE SEROGROUP B 2 DOSE SCHEDULE FOR IM USE | $40.00 | $50.00 | $15.31–$177.44 | 15% below | 20% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 90670 PNEUMOCOCCAL 13 VALENT CONJUGATE VACCINE | $482.40 | $603.00 | $184.60–$603.00 | 79% above | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006 4837 03 PNEUMOCOCCAL 23 POLYVALENT VACCINE SOL | $272.20 | $340.25 | $104.16–$340.25 | 64% above | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006 4837 03 PNEUMOCOCCAL 23 POLYVALENT VACCINE SOL | $272.20 | $340.25 | $104.16–$340.25 | — | 20% |
| Polio vaccine, inactivated (IPV) CPT 90713 90713 POLIOVIRUS VACCINE INACTIVATED IPV | $80.00 | $100.00 | $30.61–$100.00 | 25% above | 20% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 90680 ROTAVIRUS VACCINE PENTAVALENT 3 DOSE SCHEDULE LIVE FOR ORAL USE | $105.60 | $132.00 | $40.41–$132.00 | at median | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 TENIVAC TETANUS AND DIPHTHERIA TOXOIDS TD OVER 18 | $36.00 | $45.00 | $13.78–$45.00 | 51% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TDAP WHEN ADMINISTERED TO INDIVIDUALS 7 YEARS OR OLDER | $72.00 | $90.00 | $27.55–$90.00 | 9% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160 0842 52 TETANUS DIPHTH PERTUSS ADULT 5 UNITS 2 5 UNITS 18 5 MCG 0 5 ML | $98.01 | $122.51 | $37.50–$122.51 | 24% above | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160 0842 52 TETANUS DIPHTH PERTUSS ADULT 5 UNITS 2 5 UNITS 18 5 MCG 0 5 ML | $98.01 | $122.51 | $37.50–$122.51 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 VFC IMMUNIZATION ADMINISTRATION FIRST VACCINE | $31.20 | $39.00 | $11.94–$126.64 | 47% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMINISTRATION FIRST VACCINE | $31.20 | $39.00 | $11.94–$126.64 | 47% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN ONE CHARGE | $124.85 | $156.06 | $17.77–$156.06 | 110% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMINISTRATION EACH ADDITIONAL VACCINE | $28.80 | $36.00 | $11.02–$36.00 | at median | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 VFC IMMUNIZATION ADMINISTRATION EACH ADDITIONAL VACCINE | $28.80 | $36.00 | $11.02–$36.00 | at median | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMIN ADDL CHARGE | $33.60 | $42.00 | $12.70–$42.00 | 17% above | 20% |