Hospital McAlester, OK

McAlester Regional Health Center

Listed in its price file as “McAlester Regional Health Center Authority”.

McAlester Regional Health Center in McAlester, OK publishes cash prices for 440 common procedures listed here, from its own machine-readable price file updated Oct 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 375 of 430 procedures and above it for 47. By typical cash price it ranks #4 of 60 Oklahoma hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1 Clark Bass Blvd, McAlester, OK 74501 Collected Oct 23, 2026 Source price file Check a bill from this hospital (918) 426-1800

Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 370034 · CMS hospital register NPI 1316940034

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

McAlester Regional Health Center 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 ABDOMEN CT WITH AND WITHOUT	$1,191.20	$2,978.00	$180.67–$2,799.32	9% below	60%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN FLAT & UPRIGHT/DECU	$34.40	$86.00	$68.58–$189.58	83% below	60%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle XR 3 VW	$31.20	$78.00	$62.40–$156.98	82% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE AP/OBL/LAT>= 3V LT	$38.40	$96.00	$68.58–$156.98	78% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE AP/OBLIQ/LAT 3V RT	$38.40	$96.00	$68.58–$156.98	78% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ARTERIAL LIMITED ABI	$79.60	$199.00	$131.32–$320.02	65% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY W/O CONT RT	$645.20	$1,613.00	$107.69–$1,516.22	28% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY W/O CONT LT	$645.20	$1,613.00	$107.69–$1,516.22	28% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR-ESOPHAGRAM/ESOPHAGUS	$204.40	$511.00	$68.58–$480.34	29% below	60%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGE; WHOLE BODY	$660.00	$1,650.00	$409.37–$1,551.00	28% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 US-BREAST US COMPLETE UNILAT	$136.40	$341.00	$107.69–$371.87	60% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US-BREAST LIMITED UNILAT	$110.00	$275.00	$89.64–$371.87	67% below	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen/Pelvis W/WO CONT	$1,748.40	$4,371.00	$359.36–$4,108.74	22% below	60%
CT angiography (CTA) of the head CPT 70496 CT Angiography Head W/WO CONT	$738.00	$1,845.00	$180.67–$1,734.30	44% below	60%
CT angiography (CTA) of the neck CPT 70498 CT Angiography Carotid	$738.00	$1,845.00	$180.67–$1,734.30	43% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA W PE PROTOCOL	$923.20	$2,308.00	$180.67–$2,169.52	38% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 FEMORAL STEM	$923.20	$2,308.00	$180.67–$2,169.52	38% below	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CARDIAC CALCIUM SCORING	$98.40	$246.00	$89.64–$877.75	at median	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN FOR STONES PROTOCOL	$1,034.80	$2,587.00	$245.77–$2,431.78	23% below	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN/PELVIS CT W/O CONT	$1,034.80	$2,587.00	$245.77–$2,431.78	23% below	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN/PELVIS CT WITH CONT	$1,887.20	$4,718.00	$359.36–$4,434.92	17% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD W/WO /CT-PELVIS WITH	$2,382.00	$5,955.00	$359.36–$5,597.70	26% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABDOMEN/PELVIS W/WO CONT	$2,382.00	$5,955.00	$359.36–$5,597.70	26% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-UROGRAM ABO/PLV W/WO	$2,382.00	$5,955.00	$359.36–$5,597.70	26% above	60%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN CT WITH CONTRAST	$965.20	$2,413.00	$180.67–$2,268.22	10% below	60%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN CT WITHOUT CONTRAST	$751.60	$1,879.00	$107.69–$1,766.26	23% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-FACIAL BONES W/O CONT	$538.40	$1,346.00	$107.69–$1,265.24	41% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-SINUS W/O CONTRAST	$538.40	$1,346.00	$107.69–$1,265.24	41% below	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN WITHOUT CONTRAST	$751.60	$1,879.00	$107.69–$1,766.26	20% below	60%
CT scan of the head with contrast CPT 70460 CT BRAIN WITH CONTRAST	$931.60	$2,329.00	$180.67–$2,189.26	17% below	60%
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/WO CONTRAST	$1,145.60	$2,864.00	$180.67–$2,692.16	11% below	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMBAR SPINE W/O CONT	$811.20	$2,028.00	$107.69–$1,906.32	21% below	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERVICAL W/O CONT	$811.20	$2,028.00	$107.69–$1,906.32	24% below	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$923.20	$2,308.00	$180.67–$2,169.52	15% below	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US-CAROTID DUPLEX SCAN;BILAT	$416.80	$1,042.00	$245.77–$979.48	—	60%
Chest CT scan without and with contrast CPT 71270 CHEST CT W/WO CONTRAST	$1,191.20	$2,978.00	$180.67–$2,799.32	4% below	60%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS FR&LAT	$31.20	$78.00	$62.40–$156.98	82% below	60%
Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS 2V	$106.40	$266.00	$68.58–$250.04	40% below	60%
Chest X-ray, single view CPT 71045 XR-CHEST FRONTAL SINGLE VIEW	$190.40	$476.00	$68.58–$447.44	15% above	60%
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle XR Complete	$33.60	$84.00	$67.20–$156.98	81% below	60%
Collarbone (clavicle) X-ray, complete CPT 73000 XR EXM-CLAVICLE COMPLETE BIL	$67.20	$168.00	$68.58–$157.92	62% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR EXM-CLAVICLE COMPLETE RT	$33.60	$84.00	$67.20–$156.98	81% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR EXM-CLAVICLE COMPLETE-LT	$33.60	$84.00	$67.20–$156.98	81% below	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RENAL COMPLETE	$161.60	$404.00	$107.69–$379.76	64% below	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSTY-AXIAL>=1SITE	$136.00	$340.00	$107.69–$319.60	46% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA EXTREM PERIPHERAL>=1 SITE	$64.00	$160.00	$89.64–$166.46	41% below	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST CT WITHOUT CONTRAST	$795.20	$1,988.00	$107.69–$1,868.72	17% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$1,029.60	$2,574.00	$180.67–$2,419.56	8% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W PE PROTOCOL	$1,029.60	$2,574.00	$180.67–$2,419.56	8% below	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC BILAT	$167.60	$419.00	$209.50–$536.90	—	60%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC UNI-LT	$124.40	$311.00	$155.50–$536.90	38% below	60%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC UNI-RT	$124.40	$311.00	$155.50–$536.90	38% below	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 EX ARTERIES LOWER BILATERAL	$462.00	$1,155.00	$245.77–$1,085.70	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS;BILAT	$559.20	$1,398.00	$245.77–$1,314.12	—	60%
Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW 2 VIEWS AP/LAT LT	$33.20	$83.00	$66.40–$156.98	81% below	60%
Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW 2 VIEWS AP/LAT RT	$110.00	$275.00	$68.58–$258.50	36% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW>=3 VWS LT	$38.00	$95.00	$68.58–$156.98	79% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW AP/LAT/OBL 3 VWS-RT	$162.80	$407.00	$68.58–$382.58	9% below	60%
Eye socket (orbit) CT scan without contrast CPT 70480 ORBITS CT WITHOUT CONTRAST	$751.60	$1,879.00	$107.69–$1,766.26	16% below	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-IAC/TEMP Bones	$751.60	$1,879.00	$107.69–$1,766.26	16% below	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR-EXM-FACIAL BONES>=3 VWS	$222.80	$557.00	$68.58–$523.58	2% above	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM AP/LAT RT	$31.60	$79.00	$63.20–$156.98	82% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR-FOREARM 2 VIEWS LT	$31.60	$79.00	$63.20–$156.98	82% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$583.20	$1,458.00	$409.37–$2,055.75	45% below	60%
Hand X-ray, 2 views one side CPT 73120 WRIST ARTHROGRAM RAD LT	$134.00	$335.00	$68.58–$314.90	28% below	60%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 2-0 POLY GS-21	$162.80	$407.00	$68.58–$382.58	1% above	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-EXAM-HEEL>=2 V; LT	$162.80	$407.00	$68.58–$382.58	1% above	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, ATTENDED	$378.00	$945.00	$159.39–$888.30	at median	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/> YRS CPAP 4/> PARAM	$1,671.60	$4,179.00	$884.55–$3,928.26	43% below	60%
Knee X-ray, 3 views both sides CPT 73562 XR-KNEE 3V BILATERAL	$86.80	$217.00	$68.58–$203.98	—	60%
Knee X-ray, 3 views one side CPT 73562 XR-KNEE 3V LT	$44.00	$110.00	$68.58–$156.98	77% below	60%
Knee X-ray, 3 views one side CPT 73562 XR-KNEE 3V RT	$44.00	$110.00	$68.58–$156.98	77% below	60%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR-KNEE>=4V BILAT	$96.00	$240.00	$68.58–$225.60	—	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR-KNEE>=4V LT	$48.40	$121.00	$68.58–$189.58	83% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR-KNEE>=4V RT	$48.40	$121.00	$68.58–$189.58	83% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT	$645.20	$1,613.00	$107.69–$1,516.22	28% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT RT	$645.20	$1,613.00	$107.69–$1,516.22	28% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LIMITED	$240.00	$600.00	$107.69–$564.00	37% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-AORTA ECHO	$240.00	$600.00	$107.69–$564.00	37% below	60%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXT US NONVASC LIMITED LEFT	$166.40	$416.00	—	36% below	60%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXT US NONVASC LIMITED RIGHT	$166.40	$416.00	—	36% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN	$237.60	$594.00	$107.69–$558.36	32% below	60%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tib-Fib XR 2 VW	$31.20	$78.00	$62.40–$156.98	82% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA AND FIB 2V RT	$162.80	$407.00	$68.58–$382.58	4% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA AND FIB 2V LT	$162.80	$407.00	$68.58–$382.58	4% below	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRA; HEAD; WO CONTRAST	$752.40	$1,881.00	$245.77–$1,782.13	29% below	60%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI-BILATERAL BREAST W/WO CONT	$1,094.80	$2,737.00	$1,202.53–$2,572.78	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CATH URETERAL 4FR	$1,122.80	$2,807.00	$245.77–$2,638.58	17% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 EXTREMITY JOINT LOWER MRI LEFT	$1,122.80	$2,807.00	—	17% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LE JOINT W/O CONT LT	$1,122.80	$2,807.00	$245.77–$2,638.58	17% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 EXTREMITY JOINT LOWER MR RIGHT	$1,122.80	$2,807.00	—	17% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-EXT JOINT LOWER W/WO RT	$1,080.40	$2,701.00	$359.36–$2,538.94	40% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-EXT JOINT LOWER W/WO LT	$1,080.40	$2,701.00	$359.36–$2,538.94	40% below	60%
MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN W/O CONT	$1,122.80	$2,807.00	$245.77–$2,638.58	1% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN W/WO CONTRAST	$1,122.80	$2,807.00	$359.36–$2,638.58	40% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN/BRAINSTEM W/O CONT	$904.40	$2,261.00	$245.77–$2,125.34	16% below	60%
MRI of the brain, no contrast dye CPT 70551 MR IAC W/O CONT	$904.40	$2,261.00	$245.77–$2,125.34	16% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN LMTED-W/O CONT	$904.40	$2,261.00	$245.77–$2,125.34	16% below	60%
MRI of the brain, no contrast dye CPT 70551 BRAIN/BRAINSTEM MRI W/O CONT	$904.40	$2,261.00	$245.77–$2,125.34	16% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/WO CONTRAST	$1,409.60	$3,524.00	$359.36–$3,312.56	4% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/IAC W/WO CONTRAST	$1,409.60	$3,524.00	$359.36–$3,312.56	4% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN/PITUITARY W/WO CONTR	$1,409.60	$3,524.00	$359.36–$3,312.56	4% below	60%
MRI of the lower back, no contrast dye CPT 72148 MRI-LUMBAR W/O CONTRAST EXTEND	$1,432.80	$3,582.00	$245.77–$3,367.08	23% above	60%
MRI of the lower back, no contrast dye CPT 72148 MRI-LUMBAR W/O CONTRAST	$1,432.80	$3,582.00	$245.77–$3,367.08	23% above	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMB SPINE W & WO CONTR	$1,368.40	$3,421.00	$359.36–$3,215.74	11% below	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMBAR W/WO CONT EXTENDED	$1,434.00	$3,585.00	$359.36–$3,369.90	7% below	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-THORACIC W/O CONTRAST	$1,122.80	$2,807.00	$245.77–$2,638.58	3% above	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-CERV SPINE W & WO CONTR	$1,632.80	$4,082.00	$359.36–$3,837.08	at median	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-CERVICAL W/O CONTRAST	$942.00	$2,355.00	$245.77–$2,213.70	16% below	60%
MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/WO CONTRAST	$1,444.80	$3,612.00	$359.36–$3,395.28	6% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS WITHOUT CONTRAST	$1,122.80	$2,807.00	$245.77–$2,638.58	10% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 EXTREMITY JOINT UPPER MR RIGHT	$1,122.80	$2,807.00	—	20% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-UE JOINT W/O CONT LT	$1,122.80	$2,807.00	$245.77–$2,638.58	20% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 EXTREMITY JOINT UPPER MRI LEFT	$1,122.80	$2,807.00	—	20% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-UE JOINT W/O CONT RT	$1,122.80	$2,807.00	$245.77–$2,638.58	20% below	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR-EXAM-NECK SPINE>=4 VIEWS	$55.60	$139.00	$68.58–$189.58	80% below	60%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK CT W/CONT	$977.60	$2,444.00	$180.67–$2,297.36	6% below	60%
Neck soft tissue CT scan without contrast CPT 70490 CT-SOFT TISSUE NECK W/O CONT	$751.60	$1,879.00	$107.69–$1,766.26	11% below	60%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$279.60	$699.00	$68.58–$657.06	73% above	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION IMAGING	$1,610.40	$4,026.00	$1,329.97–$3,784.44	37% below	60%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID-THIGH	$1,641.60	$4,104.00	$1,472.93–$5,632.06	59% below	60%
Pelvic CT scan without contrast CPT 72192 PELVIS CT WITHOUT CONTRAST	$676.80	$1,692.00	$107.69–$1,590.48	30% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-URINARY BLADDER	$150.00	$375.00	$107.69–$371.87	50% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE US	$295.60	$739.00	$107.69–$694.66	39% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS, ADDL FETUS	$116.40	$291.00	$107.69–$273.54	74% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US>=14 WKS SNGL FETUS	$376.40	$941.00	$107.69–$884.54	16% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-OB<14 WKS SINGLE FETUS	$81.60	$204.00	$107.69–$255.85	78% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS, ADD'L FETUS	$81.60	$204.00	$107.69–$255.85	78% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+FETUS(S)	$120.40	$301.00	$107.69–$282.94	64% below	60%
Rib X-ray, one side, 2 views CPT 71100 Rib XR UNI 2 VW	$27.20	$68.00	$54.40–$156.98	85% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XR-EXAM-RIBS 2VWS UNILAT-LT	$150.00	$375.00	$68.58–$352.50	17% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY EXAM-RIBS 2VWS UNILAT-LT	$150.00	$375.00	—	17% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XR-EXAM-RIBS 2VWS UNILAT-RT	$150.00	$375.00	$68.58–$352.50	17% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIB/CHEST 3+ VIEWS LT	$45.20	$113.00	$68.58–$189.58	81% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIB/CHEST 3+ VIEWS RT	$198.00	$495.00	$68.58–$465.30	18% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W/CHEST LT	$198.00	$495.00	—	18% below	60%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILAT	$145.60	$364.00	$182.00–$536.90	—	60%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR-SHOULDER MIN 2V BILAT	$70.80	$177.00	$68.58–$166.38	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder XR 2 VW	$33.20	$83.00	$66.40–$156.98	82% below	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder XR 3 VW	$37.60	$94.00	$68.58–$156.98	80% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER MIN 2V LT	$35.60	$89.00	$68.58–$156.98	81% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER MIN 2V RT	$35.60	$89.00	$68.58–$156.98	81% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEW RT	$170.00	$425.00	—	10% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEW LT	$170.00	$425.00	$68.58–$399.50	10% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3+VIEW LT	$216.80	$542.00	—	14% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3+VIEW RT	$216.80	$542.00	—	14% above	60%
Sinus X-ray, complete, 3 or more views CPT 70220 XR-EXAM-SINUSES.=3VIEWS	$222.80	$557.00	$68.58–$523.58	11% above	60%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4views	$35.60	$89.00	$68.58–$189.58	82% below	60%
Skull X-ray, fewer than 4 views CPT 70250 XR-EXAM OF SKULL< 4 VIEWS	$44.40	$111.00	$68.58–$189.58	77% below	60%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$1,671.60	$4,179.00	$884.55–$3,928.26	40% below	60%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE W ECG MONITOR	$465.20	$1,163.00	$558.58–$1,093.22	60% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION STUDY	$204.40	$511.00	$180.67–$511.14	38% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-FEMUR AP/LAT 2V LT	$162.80	$407.00	$68.58–$382.58	16% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-FEMUR AP/LAT 2V RT	$162.80	$407.00	$68.58–$382.58	16% below	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC CT W/O CONTRAST	$811.20	$2,028.00	$107.69–$1,906.32	20% below	60%
Toe X-ray, 2 or more views CPT 73660 Toe(s) XR Min 2 VW	$21.20	$53.00	$42.40–$156.98	87% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XR-TOE(S) AP/LAT;>=2V RT	$34.40	$86.00	$68.58–$156.98	78% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XR-TOE(S) AP/LAT;>=2V LT	$110.00	$275.00	$68.58–$258.50	30% below	60%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$376.80	$942.00	$107.69–$885.48	1% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 FETAL BIOPHYS PROFILE W/NST	$147.60	$369.00	$107.69–$346.86	53% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 US-OB TRANSVAGINAL	$376.80	$942.00	$107.69–$885.48	21% above	60%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$280.40	$701.00	$107.69–$658.94	47% below	60%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$212.40	$531.00	$107.69–$499.14	40% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID/SFT TISS NECK/HEAD US	$225.60	$564.00	$107.69–$530.16	45% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR-UGI SERIES WO KUB	$309.60	$774.00	$180.67–$727.56	19% below	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS>2V LT	$35.60	$89.00	$68.58–$156.98	79% below	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR-HUMERUS 2V RT	$162.80	$407.00	$68.58–$382.58	6% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-VEIN PERIPHERAL FLOW LT	$144.40	$361.00	$107.69–$618.22	69% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-VEIN PERIPHERAL FLOW RT	$462.00	$1,155.00	$107.69–$1,085.70	at median	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN PERIPHERAL FLOW RT	$462.00	$1,155.00	$107.69–$1,085.70	at median	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN PERIPHERAL FLOW LEFT	$462.00	$1,155.00	—	at median	60%
Wrist X-ray, 2 views CPT 73100 Wrist XR 2 VW	$22.40	$56.00	$44.80–$156.98	86% below	60%
Wrist X-ray, 2 views one side CPT 73100 XR-WRIST 2V;P/REDUC LT	$38.00	$95.00	$68.58–$156.98	77% below	60%
Wrist X-ray, 2 views one side CPT 73100 XR-WRIST 2V;P/REDUC RT	$98.40	$246.00	$68.58–$231.24	39% below	60%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist XR 3 VW	$29.20	$73.00	$58.40–$156.98	84% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST >= 3 VIEWS RT	$43.20	$108.00	$68.58–$156.98	76% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST >= 3 VIEWS LT	$43.20	$108.00	$68.58–$156.98	76% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT MIN 2-3V LT	$44.40	$111.00	$68.58–$156.98	77% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-HIP UNILAT MIN 2-3V RT	$44.40	$111.00	$68.58–$156.98	77% below	60%
X-ray of the abdomen, 1 view CPT 74018 XR-ABDOMEN OR KUB AP 1View	$28.40	$71.00	$56.80–$156.98	83% below	60%
X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE AP/LAT P/R 2V LT	$21.20	$53.00	$42.40–$156.98	88% below	60%
X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE AP/LAT P/R 2V RT	$132.80	$332.00	$68.58–$312.08	24% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER(S) 2+VIEW RT	$38.00	$95.00	$68.58–$156.98	76% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR-FINGER(S) AP/LAT 2V+ LT	$162.80	$407.00	$68.58–$382.58	1% above	60%
X-ray of the foot, complete, 3 or more views CPT 73630 LETHIBOND CT-1	$162.80	$407.00	$68.58–$382.58	15% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT>=3 VIEWS LT	$35.60	$89.00	$68.58–$156.98	81% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR-FOOT AP/OBLIQUE/LAT 3V RT	$35.60	$89.00	$68.58–$156.98	81% below	60%
X-ray of the hand, 3 or more views CPT 73130 Hand XR 3 VW	$29.20	$73.00	$58.40–$156.98	84% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND AP/OBLIQUE/LAT 3V RT	$37.60	$94.00	$68.58–$156.98	79% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND >=3 VIEWS LT	$37.60	$94.00	$68.58–$156.98	79% below	60%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR-KNEE 1-2 VIEWS BILAT	$74.40	$186.00	$68.58–$174.84	—	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR-KNEE AP LAT 1-2V LT	$37.60	$94.00	$68.58–$156.98	78% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR-KNEE AP/LAT 1-2V RT	$162.80	$407.00	$68.58–$382.58	6% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-EXAM LUMBOSACRAL 2-3 VWS	$42.80	$107.00	$68.58–$189.58	80% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine XR 3 VW	$44.40	$111.00	$68.58–$189.58	79% below	60%
X-ray of the lower back, 4 or more views CPT 72110 XRAY EXAM-LOWER SPINE>4 VWS	$246.00	$615.00	$68.58–$578.10	22% below	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR-EXAM-THORACIC SPINE 2VWS	$41.20	$103.00	$68.58–$189.58	80% below	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine XR 2 VW	$44.40	$111.00	$68.58–$189.58	79% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 4 VW	$27.20	$68.00	$54.40–$156.98	83% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 XR-EXAM-NASAL BONES>=3 VWS	$162.80	$407.00	$68.58–$382.58	at median	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Neck Spine XR 2-3 VW	$44.40	$111.00	$68.58–$156.98	78% below	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-EXAM-NECK SPINE 2-3 VIEWS	$279.60	$699.00	$68.58–$657.06	37% above	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvic XR 1 VW	$31.20	$78.00	$62.40–$189.58	84% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR-PELVIS 1 OR 2 VIEWS	$38.80	$97.00	$68.58–$189.58	80% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR-PELVIS: 1 OR 2 VIEWS	$38.80	$97.00	$68.58–$189.58	80% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum Coccyx XR 2 VW	$31.20	$78.00	$62.40–$156.98	82% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-EXAM-TAILBONE>2 VIEWS	$196.40	$491.00	$68.58–$461.54	10% above	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
ACTH blood test CPT 82024 ACTH	$114.40	$286.00	$41.36–$268.84	12% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanin Amino (ALT)(SGPT)	$32.40	$81.00	$5.68–$76.14	1% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT)	$30.80	$77.00	$5.55–$72.38	18% below	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ABC ACUTE PROFILE	$70.00	$175.00	$51.01–$164.50	62% below	60%
Albumin blood test CPT 82040 ALBUMIN SERUM	$6.80	$17.00	$5.30–$15.98	77% below	60%
Aldosterone blood test CPT 82088 ALDOSTERONE (SERUM)	$123.20	$308.00	$43.64–$289.52	10% below	60%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE	$123.20	$308.00	$43.64–$289.52	10% below	60%
Aldosterone blood test CPT 82088 ALDOSTERONE LCMS	$129.60	$324.00	$43.64–$304.56	6% below	60%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS.	$8.00	$20.00	$5.55–$18.80	72% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IgE	$8.00	$20.00	$5.59–$18.80	62% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IgE	$8.00	$20.00	$5.59–$18.80	62% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IgE	$8.00	$20.00	$5.59–$18.80	62% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM CHRYSOGENUM MOULD	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED, ROUGH ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Mites D F IgE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES/D.P.;IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES D F IgE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG ASPERGILLIUS FUMIG IgE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNIA ALTERNATA ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ASH, WHITE ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM, AMERICAN ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATAPHAGOIDES FARINAE ALLG	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATAPHAG PTERONYSSINUS ALG	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY, WHITE ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR MOUNTAIN ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN HICKORY IgE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, COMMON SHORT ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN FOOD IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 OK/TX ALTERNIA ALTERNATA	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK, WHITE ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SORRELL IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS IGE QUANT	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE, BOX ELDER ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVER BIRCH ALLERGEN	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH; IGE	$9.60	$24.00	$5.59–$22.56	54% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH, WHITE ALLERGEN	$10.40	$26.00	$5.59–$24.44	50% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM ALLERGEN	$11.20	$28.00	$5.59–$26.32	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FESCUE MEADOW ALLERGEN	$11.20	$28.00	$5.59–$26.32	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNIA TENIUS ALLERGEN	$11.20	$28.00	$5.59–$26.32	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS PERENIAL ALLERGEN	$11.20	$28.00	$5.59–$26.32	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PEANUT IGE	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY EGG WHITE IGE	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EACH	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SOYBEAN IGE	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHEAT IGE	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MILK IGE	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN	$16.40	$41.00	$5.59–$38.54	22% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD6 PANEL ALLERGEN	$30.80	$77.00	$5.59–$72.38	47% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD3-VEGTABLE PANEL ALLERG EA	$30.80	$77.00	$5.59–$72.38	47% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD NUT PANEL 1	$30.80	$77.00	$5.59–$72.38	47% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD2 - FRUIT PANEL ALLERG EA	$30.80	$77.00	$5.59–$72.38	47% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HOUSE DUST	$32.00	$80.00	$5.59–$75.20	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PANEL COMPL	$40.00	$100.00	$5.59–$94.00	90% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG HOUSE DUST PNL#1 81877	$63.20	$158.00	$5.59–$148.52	201% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD NUT PANEL 2	$70.00	$175.00	$5.59–$164.50	233% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE ALPHA 1,3	$75.20	$188.00	$5.59–$176.72	258% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG SEASON INHALENTS 31766	$158.00	$395.00	$5.59–$371.30	652% above	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 C-ALPHA FETOPROTEIN MATERNAL	$48.40	$121.00	$17.96–$113.74	9% below	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP QUAD	$69.20	$173.00	$17.96–$162.62	30% above	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$77.20	$193.00	$17.96–$181.42	45% above	60%
Ammonia blood test CPT 82140 AMMONIUM, 24 HR U	$24.40	$61.00	$15.60–$57.34	59% below	60%
Ammonia blood test CPT 82140 AMMONIA	$24.40	$61.00	$15.60–$57.34	59% below	60%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$16.40	$41.00	$6.94–$38.54	61% below	60%
Amylase blood test CPT 82150 URINE AMYLASE; RANDOM	$57.20	$143.00	$6.94–$134.42	35% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP	$33.60	$84.00	$13.87–$78.96	49% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$9.60	$24.00	$12.95–$22.66	82% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$32.00	$80.00	$12.95–$75.20	39% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP DETECTOR	$52.40	$131.00	$42.05–$123.14	54% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GC CULTURE	$49.60	$124.00	$9.23–$116.56	17% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THROAT	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULT	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULT	$51.20	$128.00	$9.23–$120.32	20% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASAL CULT	$51.20	$128.00	$9.23–$120.32	20% above	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$12.00	$30.00	$9.06–$28.20	73% below	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$33.60	$84.00	$5.38–$78.96	11% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HISTOLOGY - TISSUE LEVEL 4	$151.20	$378.00	$53.68–$355.32	16% above	60%
Blood culture for bacteria CPT 87040 CULTURE; BLOOD	$32.80	$82.00	$11.05–$77.08	51% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$4.00	$10.00	$8.00–$17.05	60% below	60%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$2.80	$7.00	$4.21–$7.37	89% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE Quantitative; Blood	$26.80	$67.00	$4.21–$62.98	2% above	60%
Blood lead test CPT 83655 LEAD; BLOOD	$38.40	$96.00	$12.97–$90.24	12% below	60%
Blood lead test CPT 83655 LEAD, 24 HR URINE	$39.60	$99.00	$12.97–$93.06	9% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$21.20	$53.00	$8.05–$49.82	53% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE BLOOD	$28.00	$70.00	$56.00–$229.81	52% below	60%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen; QUANT; BUN	$7.20	$18.00	$4.23–$16.92	71% below	60%
C-peptide blood test CPT 84681 C-PEPTIDE	$88.00	$220.00	$22.29–$206.80	at median	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$8.00	$20.00	$5.55–$18.80	79% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM TOXIN PCR	$71.60	$179.00	$39.92–$168.26	15% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF 027 DNA	$71.60	$179.00	$39.92–$168.26	15% below	60%
CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA19-9	$88.00	$220.00	$22.29–$206.80	4% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125	$112.80	$282.00	$22.29–$265.08	32% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19	$77.20	$193.00	$54.95–$181.42	4% below	60%
Calcium blood test, total CPT 82310 Calcium Total; Serum	$32.40	$81.00	$5.53–$76.14	11% below	60%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$137.20	$343.00	$20.31–$322.42	39% above	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IgG	$47.60	$119.00	$13.79–$111.86	17% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$52.00	$130.00	$37.58–$122.20	34% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PNEUMONIAE	$52.00	$130.00	$37.58–$122.20	34% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DETECT NUCLEIC ACID	$94.00	$235.00	$37.58–$220.90	19% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$20.40	$51.00	$14.34–$47.94	69% below	60%
Complete blood count (CBC) with differential CPT 85025 COM BLOOD COUNT WITH DIFF	$11.20	$28.00	$8.32–$26.32	75% below	60%
Complete blood count (CBC), no differential CPT 85027 COM BLOOD COUNT NO DIFF	$9.60	$24.00	$6.93–$22.56	76% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$14.80	$37.00	$11.31–$34.78	79% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 CHEM 26	$80.80	$202.00	$11.31–$189.88	17% above	60%
Cortisol blood test, total CPT 82533 CORTISOL; SALIVA	$74.40	$186.00	$17.46–$174.84	9% above	60%
Cortisol blood test, total CPT 82533 CORTISOL; Total	$79.60	$199.00	$17.46–$187.06	16% above	60%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE ISOENZYME	$16.00	$40.00	$6.97–$37.60	56% below	60%
Creatine kinase (CK) blood test, total CPT 82550 Creatinine Kinase CK/CPK	$16.00	$40.00	$6.97–$37.60	56% below	60%
Creatinine blood test CPT 82565 CREATININE SERUM	$9.20	$23.00	$5.48–$21.62	69% below	60%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB	$78.40	$196.00	$15.41–$184.24	16% above	60%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUAN	$15.20	$38.00	$10.90–$35.72	84% below	60%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER P	$41.60	$104.00	$10.90–$97.76	57% below	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$76.80	$192.00	$23.81–$180.48	2% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES	$20.00	$50.00	$40.00–$116.46	79% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL	$21.20	$53.00	$42.40–$116.46	78% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE	$21.20	$53.00	$42.40–$116.46	78% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINES	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL W/ CONFIRM UR	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MEPERIDINE	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYPHENE	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL	$78.40	$196.00	$66.55–$184.24	17% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN	$88.80	$222.00	$66.55–$208.68	6% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URN MED DRG SCRN PANEL	$178.00	$445.00	$66.55–$418.30	88% above	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECT PANEL(NA;K;CL;CO2)	$51.60	$129.00	$7.51–$121.26	5% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BAR VIRUS lgM AB	$54.00	$135.00	$19.43–$126.90	22% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BAR VIRUS lgG BAR	$54.00	$135.00	$19.43–$126.90	22% below	60%
Estradiol blood test CPT 82670 ESTRADIOL (E2)	$122.40	$306.00	$29.92–$287.64	35% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$58.00	$145.00	$19.90–$136.30	13% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal	$122.80	$307.00	$21.02–$288.58	8% below	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$17.60	$44.00	$14.60–$41.36	70% below	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN QUANT.	$60.80	$152.00	$10.41–$142.88	3% below	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID; Serum	$18.80	$47.00	$15.74–$44.18	70% below	60%
Free T3 thyroid hormone test CPT 84481 FREE T3	$73.20	$183.00	$18.14–$172.02	19% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$17.60	$44.00	$9.66–$41.36	71% below	60%
Free testosterone test CPT 84402 TESTOSTERONE,FREE	$85.20	$213.00	$27.28–$200.22	2% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGPT (GGT)	$16.40	$41.00	$7.71–$38.54	67% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOL 1HR	$36.00	$90.00	$5.09–$84.60	23% above	60%
Glucose tolerance test, 3 samples CPT 82951 GLUC TOLERANCE TEST (GTT)3SPC	$62.40	$156.00	$13.78–$146.64	1% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMDIA T AMPOLIF NA RPOBE	$23.60	$59.00	$37.58–$65.77	71% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PCR	$52.00	$130.00	$37.58–$122.20	37% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMPLIF RNA	$63.60	$159.00	$37.58–$149.46	23% below	60%
H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODY	$72.00	$180.00	$18.05–$169.20	4% below	60%
H. pylori antibody blood test CPT 86677 H PYLORI AB,IgG,IgM ILGA S	$133.60	$334.00	$18.05–$313.96	78% above	60%
H. pylori stool antigen test CPT 87338 HELICOBACTER AG; F	$57.20	$143.00	$15.40–$134.42	49% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$114.00	$285.00	$91.14–$267.90	42% below	60%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RNA RT PC RG	$131.60	$329.00	$91.14–$309.26	33% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB ANTIGEN COMBO SCRN	$40.40	$101.00	$25.79–$94.94	15% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$6.80	$17.00	$10.40–$18.20	83% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$14.80	$37.00	$10.40–$34.78	63% below	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$26.40	$66.00	$2.54–$62.04	38% above	60%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$9.60	$24.00	$12.91–$22.59	80% below	60%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB	$77.60	$194.00	$12.91–$182.36	62% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$43.20	$108.00	$11.50–$101.52	3% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$32.40	$81.00	$11.06–$76.14	22% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$32.40	$81.00	$11.06–$76.14	22% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$11.20	$28.00	$15.28–$26.74	78% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY SCRN	$50.40	$126.00	$15.28–$118.44	1% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB SCREEN	$65.20	$163.00	$15.28–$153.22	28% above	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT QUANT S	$96.40	$241.00	$45.88–$226.54	57% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$96.40	$241.00	$45.88–$226.54	57% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG SPECIFIC	$18.80	$47.00	$14.13–$44.18	68% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG SPECIFIC	$18.80	$47.00	$20.72–$44.18	66% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II IGM AB	$40.40	$101.00	$20.72–$94.94	27% below	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP(HIGH SENSITIVITY)	$18.80	$47.00	$13.87–$44.18	65% below	60%
Homocysteine blood test CPT 83090 HOMOCYSTINE,SERUM	$84.80	$212.00	$19.19–$199.28	27% below	60%
Insulin blood test CPT 83525 INSULIN, TOTAL	$28.40	$71.00	$12.24–$66.74	40% below	60%
Iron blood test (serum iron) CPT 83540 IRON	$14.00	$35.00	$6.93–$32.90	61% below	60%
Iron-binding capacity (TIBC) test CPT 83550 IBC	$13.20	$33.00	$9.36–$31.02	71% below	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$20.40	$51.00	$9.30–$47.94	71% below	60%
LH (luteinizing hormone) test CPT 83002 LH	$80.40	$201.00	$19.83–$188.94	10% above	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$23.60	$59.00	$12.39–$55.46	50% below	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, BODY FLUID	$39.60	$99.00	$6.47–$93.06	18% above	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$39.60	$99.00	$6.47–$93.06	18% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY LIPASE	$6.00	$15.00	$7.38–$14.10	87% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$29.20	$73.00	$7.38–$68.62	39% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$29.20	$73.00	$7.38–$68.62	39% below	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$18.40	$46.00	$8.75–$43.24	66% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$12.80	$32.00	$18.24–$31.92	83% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE IgG & M CSF	$55.20	$138.00	$18.24–$129.72	26% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTI	$57.20	$143.00	$18.24–$134.42	24% below	60%
Magnesium blood test CPT 83735 C-MG 24 HR UA	$27.20	$68.00	$7.18–$63.92	21% below	60%
Magnesium blood test CPT 83735 MAGNESIUM	$27.20	$68.00	$7.18–$63.92	21% below	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) IGG AB	$48.00	$120.00	$13.79–$112.80	24% above	60%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile AB SCR; MONO TEST	$44.00	$110.00	$5.55–$103.40	23% above	60%
Mumps immunity blood test CPT 86735 MMR IMMUNITY	$20.80	$52.00	$13.98–$48.88	63% below	60%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB, TRR IGG, IGM	$29.60	$74.00	$13.98–$69.56	47% below	60%
Mumps immunity blood test CPT 86735 MUMPS AB; IgG	$29.60	$74.00	$13.98–$69.56	47% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$76.40	$191.00	$19.70–$179.54	10% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC AG	$61.60	$154.00	$19.70–$144.76	20% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; Total	$61.60	$154.00	$19.70–$144.76	20% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-I	$88.00	$220.00	$44.21–$206.80	37% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$15.60	$39.00	$6.44–$36.66	52% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT REF	$15.60	$39.00	$6.44–$36.66	52% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT MIXING STUDY	$76.80	$192.00	$6.44–$180.48	139% above	60%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$10.40	$26.00	$5.08–$24.44	68% below	60%
Potassium blood test CPT 84132 Potassium Serum	$34.40	$86.00	$5.10–$80.84	6% above	60%
Potassium blood test CPT 84132 POTASSIUM	$34.40	$86.00	$5.10–$80.84	6% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 INFORMASEQ (SM) WITH XY ANEUP	$1,042.80	$2,607.00	$812.94–$2,450.58	12% below	60%
Progesterone blood test CPT 84144 PROGESTERONE	$76.80	$192.00	$22.34–$180.48	5% above	60%
Prolactin blood test CPT 84146 PROLACTIN, SERUM	$58.00	$145.00	$20.76–$136.30	38% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/I.N. RATIO	$19.60	$49.00	$4.59–$46.06	40% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$19.60	$49.00	$4.59–$46.06	40% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN 12	$16.40	$41.00	$13.49–$38.54	66% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Occ Med Rapid Strep	$11.60	$29.00	$17.70–$30.98	76% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY WOPTIC	$14.80	$37.00	$17.70–$34.78	70% below	60%
Renin blood test CPT 84244 RENIN ACTIVITY, PLASMA	$40.00	$100.00	$23.55–$94.00	62% below	60%
Renin blood test CPT 84244 RENIN, PLASMA	$116.40	$291.00	$23.55–$273.54	11% above	60%
Rh blood typing CPT 86901 RH TYPE	$26.00	$65.00	$38.47–$69.98	40% below	60%
Rheumatoid factor (RF) test CPT 86431 RHEMATOID FACTOR QUANT	$5.20	$13.00	$6.07–$12.22	81% below	60%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor; Quant	$30.40	$76.00	$6.07–$71.44	10% above	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$63.60	$159.00	$15.41–$149.46	24% above	60%
Sodium blood test CPT 84295 SODIUM; SERUM PLASMA	$6.40	$16.00	$5.15–$15.04	80% below	60%
Stool ova and parasites exam CPT 87177 OVA-PARASITE EXAM	$80.40	$201.00	$9.53–$188.94	35% above	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL OCCULT BLOOD; 3 CARDS	$5.60	$14.00	$4.69–$13.16	74% below	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB IGG S	$24.00	$60.00	$14.18–$56.40	40% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL	$34.80	$87.00	$4.57–$81.78	20% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTI FERON TB GOLD	$116.40	$291.00	$66.38–$273.54	32% below	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL, SERUM	$46.80	$117.00	$27.64–$109.98	49% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER,KIDNEY,MICROSOME AUTOABS	$40.00	$100.00	$15.58–$94.00	33% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE ANTIBODIES	$40.00	$100.00	$15.58–$94.00	33% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH; Thyroid Stimulat Hormone	$54.00	$135.00	$17.99–$126.90	at median	60%
Total IgE blood test CPT 82785 IGE	$37.60	$94.00	$17.63–$88.36	23% below	60%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$6.40	$16.00	$4.66–$15.04	81% below	60%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL, S	$12.80	$32.00	$7.36–$30.08	70% below	60%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4)	$24.00	$60.00	$7.36–$56.40	45% below	60%
Total triiodothyronine (T3) blood test CPT 84480 T3; TOTAL	$46.00	$115.00	$15.19–$108.10	22% below	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINAL AMPLIF	$23.60	$59.00	$37.58–$65.77	73% below	60%
Trichomonas test (NAAT) CPT 87661 MEGASHAERA-1	$63.60	$159.00	$37.58–$149.46	27% below	60%
Trichomonas test (NAAT) CPT 87661 BVAB-2	$63.60	$159.00	$37.58–$149.46	27% below	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$165.20	$413.00	$37.58–$388.22	90% above	60%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, BODY FLUID	$43.20	$108.00	$6.15–$101.52	31% above	60%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$43.20	$108.00	$6.15–$101.52	31% above	60%
Troponin test, quantitative CPT 84484 TROPONIN I; Quantitative	$60.00	$150.00	$13.36–$141.00	14% below	60%
Troponin test, quantitative CPT 84484 TROPONIN I	$60.00	$150.00	$13.36–$141.00	14% below	60%
Uric acid blood test CPT 84550 URIC ACID; Blood	$12.40	$31.00	$4.84–$29.14	52% below	60%
Uric acid blood test CPT 84550 URIC ACID BODY FLUID	$28.00	$70.00	$4.84–$65.80	9% above	60%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto w/Scope	$16.40	$41.00	$3.40–$38.54	42% below	60%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W SCOPE	$2.80	$7.00	$4.31–$7.54	84% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCOPE	$2.80	$7.00	$2.41–$6.58	80% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W O SCOPE	$4.40	$11.00	$2.41–$10.34	69% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINE SPEC. GRAVITY	$4.40	$11.00	$2.41–$10.34	69% below	60%
Urinalysis without microscope exam, manual CPT 81002 Urine Analysis Dipstick	$2.40	$6.00	$3.73–$6.53	84% below	60%
Urinalysis without microscope exam, manual CPT 81002 KETONE;URINE (Dipstick)	$13.20	$33.00	$3.73–$31.02	13% below	60%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$12.40	$31.00	$8.64–$29.14	74% below	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$7.60	$19.00	$6.19–$17.86	80% below	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUAN URINE	$20.40	$51.00	$6.19–$47.94	47% below	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$5.60	$14.00	$9.22–$16.14	79% below	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$19.20	$48.00	$16.15–$45.12	69% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$37.60	$94.00	$31.70–$88.36	69% below	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1,25 DIHYDROXY	$99.60	$249.00	$41.23–$234.06	35% below	60%
Zinc blood test CPT 84630 ZINC, SERUM	$55.60	$139.00	$12.20–$130.66	4% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$22.40	$56.00	$16.12–$52.64	63% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$22.40	$56.00	$16.12–$52.64	63% below	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS 1' <12 YRS	$1,732.00	$4,330.00	$3,303.90–$6,788.78	45% below	60%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$663.60	$1,659.00	$1,327.20–$11,124.38	92% below	60%
Botox injections for chronic migraine CPT 64615 CHEMODNRVN MUSC MIGRAINE	$157.60	$394.00	$300.73–$1,854.31	38% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,698.80	$4,247.00	$1,650.63–$5,028.55	15% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST 1ST LESION STRTCTC-RT	$530.00	$1,325.00	$1,060.00–$5,028.55	73% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST 1ST LESION STRTCTC-LT	$530.00	$1,325.00	$1,060.00–$5,028.55	73% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM-BX BRST 1ST LES STRTCTC-RT	$1,698.80	$4,247.00	$1,650.63–$5,028.55	15% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM-BX BRST 1ST LES STRTCTC-LT	$1,698.80	$4,247.00	$1,650.63–$5,028.55	15% below	60%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 LAT MALLEOLAR ANK FX	$492.00	$1,230.00	$244.38–$1,952.46	93% above	60%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX; WO MANIP	$332.00	$830.00	$244.38–$1,952.46	65% above	60%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS	$1,131.60	$2,829.00	$2,263.20–$10,489.24	83% below	60%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRJ HLLUX VLGUS W/RSC PX PHL	$2,029.60	$5,074.00	$3,305.47–$10,489.24	69% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$666.40	$1,666.00	$666.65–$2,398.97	28% below	60%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY; MEDIAN NERVE CARP	$676.00	$1,690.00	$1,352.00–$6,266.49	71% below	60%
Cervical biopsy CPT 57500 BIOPSY CERVIX	$205.60	$514.00	$411.20–$1,924.38	71% below	60%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY	$2,526.00	$6,315.00	$3,157.50–$5,936.10	—	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$230.40	$576.00	$460.80–$5,461.26	92% below	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$258.80	$647.00	$517.60–$5,461.26	43% below	60%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION	$164.80	$412.00	$329.60–$5,461.26	65% below	60%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$312.00	$780.00	$624.00–$2,102.10	65% below	60%
Colonoscopy with polyp removal CPT 45385 COLNSCPY W/LESN REM SNARE TECH	$849.60	$2,124.00	$1,201.20–$3,827.05	45% below	60%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$752.80	$1,882.00	$1,201.20–$2,353.63	49% below	60%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$630.00	$1,575.00	$928.81–$2,353.63	56% below	60%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX CURETT CERVIX W SCOPE	$250.40	$626.00	$309.90–$1,518.61	at median	60%
Cystoscopy with ureteral stent placement CPT 52332 CYST W INS OF URETERAL STENT	$2,336.40	$5,841.00	$3,513.66–$6,148.91	62% below	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$600.80	$1,502.00	$679.99–$6,088.64	10% below	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$415.20	$1,038.00	$830.40–$6,546.50	89% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LSN 1 LSNS	$126.80	$317.00	$202.43–$890.47	27% above	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY GEN ANESTHESIA	$195.20	$488.00	$390.40–$5,587.86	94% below	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$157.60	$394.00	$315.20–$5,587.86	45% below	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$12.80	$32.00	$25.60–$146.84	78% below	60%
Earwax removal with instruments, one ear both sides CPT 69210 REMOVE IMPACTED EAR WAX BILAT	$56.00	$140.00	$60.51–$146.84	—	60%
Earwax removal with instruments, one ear CPT 69210 RMV IMPCTEDEARWX W INSTR UNIL	$51.60	$129.00	$60.51–$146.84	31% below	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASL ENDO W MAXILL ANTROSTOMY	$184.40	$461.00	$368.80–$12,355.94	95% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$603.60	$1,509.00	$705.51–$1,854.31	9% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1LEV	$852.40	$2,131.00	$906.99–$3,026.92	24% below	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$687.20	$1,718.00	$1,374.40–$11,124.38	91% below	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$924.80	$2,312.00	$1,849.60–$11,124.38	93% below	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST <3CM RDC	$409.60	$1,024.00	$819.20–$9,139.96	92% below	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$222.00	$555.00	$444.00–$2,945.52	78% below	60%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY; CHOLECYSTECOMY	$1,196.00	$2,990.00	$2,392.00–$12,703.69	74% below	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTECTOMY W GRAPH	$1,147.20	$2,868.00	$2,294.40–$14,184.67	82% below	60%
Gallbladder removal, open surgery through a larger incision CPT 47600 RMVL GALLBLADDER	$1,729.60	$4,324.00	$2,162.00–$9,676.15	at median	60%
Hammertoe correction surgery CPT 28285 HAMMERTOE OP ONE TOE	$2,280.00	$5,700.00	$3,305.47–$7,684.60	33% below	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMRHDTOMY INT BY RUBBER BAND	$414.00	$1,035.00	$828.00–$3,124.40	57% below	60%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHDCTMY INTR EXTRNL SNGL	$782.80	$1,957.00	$1,565.60–$7,443.83	85% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH AND INTRO SALINE HYSTEROG	$51.60	$129.00	$64.50–$877.75	73% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 REOPEN FALLOPIAN TUBE	$460.40	$1,151.00	$575.50–$1,081.94	140% above	60%
Hysteroscopy with endometrial ablation CPT 58563 HYSTROSCOPY W INDMETRL ABLATON	$1,782.80	$4,457.00	$3,565.60–$8,800.82	78% below	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROS W BX ENDO OR POLYPECT	$609.20	$1,523.00	$1,218.40–$8,687.63	89% below	60%
IUD insertion (the device itself billed separately) CPT 58300 INSRT INTRAUTERINE DVC	$88.00	$220.00	$110.00–$322.84	81% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 WC-I&D ABSC; SMPL OR SGL-P	$88.80	$222.00	$177.60–$1,002.66	64% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$120.00	$300.00	$202.43–$1,002.66	52% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 WC-I&D ABSC; SMPL OR SGL-F	$204.80	$512.00	$202.43–$1,002.66	18% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 ER-I&D ABSC; SMPL OR SGL	$204.80	$512.00	$202.43–$1,002.66	18% below	60%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC 5+ YR	$828.00	$2,070.00	$1,656.00–$9,139.96	86% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$47.20	$118.00	$94.40–$1,258.84	79% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIGMNT	$92.00	$230.00	$184.00–$1,258.84	60% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJ JNT/BURSA W/O US	$111.20	$278.00	$222.40–$1,258.84	68% below	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSRT DRG IMPLT DVC NOBIODGDBL	$214.00	$535.00	$131.32–$1,989.62	4% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ INTRM JNT/BURSA W/O US	$91.60	$229.00	$183.20–$1,258.84	66% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JNT/BURSA	$86.80	$217.00	$173.60–$1,258.84	59% below	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPSCPY APPENDECTOMY	$957.20	$2,393.00	$1,914.40–$12,703.69	57% below	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$5,750.40	$14,376.00	$5,943.79–$13,513.44	160% above	60%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPSCPY FUNDOPLASTY	$1,741.20	$4,353.00	$3,482.40–$18,561.38	54% below	60%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPSCPY TOTAL HYST UTERS 250GM	$1,526.80	$3,817.00	$3,053.60–$18,561.38	89% below	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPSCPY HYSTO RMVLTUBES OVARES	$1,697.60	$4,244.00	$3,395.20–$18,561.38	90% below	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL	$680.00	$1,700.00	$1,360.00–$12,703.69	89% below	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA RPR RECUR	$885.60	$2,214.00	$1,771.20–$12,703.69	92% below	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$1,061.60	$2,654.00	$2,123.20–$12,703.69	91% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REP S/A/T/EXT<=2.5CM	$367.20	$918.00	$407.02–$925.60	13% above	60%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$603.60	$1,509.00	$705.51–$1,854.31	9% below	60%
Lower-back epidural injection, without imaging guidance CPT 62322 SPINAL FLUID TAP-DIAGNOSTIC	$494.80	$1,237.00	$906.99–$1,854.31	21% below	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S	$377.60	$944.00	$755.20–$3,026.92	61% below	60%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$341.20	$853.00	$682.40–$11,742.12	91% below	60%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$1,136.00	$2,840.00	$2,272.00–$11,742.12	85% below	60%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE MISCARRIAGE	$612.00	$1,530.00	$1,224.00–$5,668.55	80% below	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$189.20	$473.00	$378.40–$3,124.40	35% below	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM/<	$207.60	$519.00	$415.20–$3,124.40	46% below	60%
Nail removal (partial or complete), one nail CPT 11730 WC-SPL AVULSE NP; SGL - P	$65.20	$163.00	$130.40–$925.60	70% below	60%
Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL	$101.60	$254.00	$202.43–$925.60	54% below	60%
Nail removal (partial or complete), one nail CPT 11730 WC-SPL AVULSE NP; SGL - F	$140.40	$351.00	$202.43–$925.60	36% below	60%
Nail removal (partial or complete), one nail CPT 11730 ER-SPL AVULSE NP; SGL	$204.80	$512.00	$202.43–$925.60	7% below	60%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANSTH ; > OCCIPITAL NERVE	$852.40	$2,131.00	$300.73–$2,003.14	124% above	60%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$348.80	$872.00	$697.60–$2,641.92	60% below	60%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$1,359.60	$3,399.00	$2,719.20–$55,201.08	91% below	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER-Removal of Nail Bed	$140.00	$350.00	$280.00–$3,124.40	67% below	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$346.40	$866.00	$407.02–$3,124.40	17% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$852.40	$2,131.00	$1,704.80–$3,481.45	52% below	60%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION 1+	$1,886.80	$4,717.00	$3,456.96–$6,826.93	24% above	60%
Removal of a foreign object under the skin, simple CPT 10120 SCREW CANN 4X40MM	$124.00	$310.00	$248.00–$1,002.66	64% below	60%
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL	$153.20	$383.00	$306.40–$1,002.66	56% below	60%
Removal of a foreign object under the skin, simple CPT 10120 WC-INC & REM FB SQ, SMPL-F	$1,139.20	$2,848.00	$407.02–$2,677.12	230% above	60%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 TOTAL THY LOBECTOMY UNILATERAL	$1,152.80	$2,882.00	$2,305.60–$15,416.09	89% below	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCR COLONOSCOPY PT NOT HI RISK	$630.00	$1,575.00	$928.81–$2,353.63	54% below	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN COLONSCPY PT NOT HI RISK	$941.60	$2,354.00	$928.81–$2,353.63	31% below	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY ON HI RISK PT	$630.00	$1,575.00	$928.81–$2,353.63	54% below	60%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$1,139.20	$2,848.00	$2,278.40–$10,876.89	66% below	60%
Short arm cast (elbow to hand) CPT 29075 APPLIC CAST ELBOW TO FINGER	$140.00	$350.00	$270.56–$473.48	41% below	60%
Short arm cast (elbow to hand) CPT 29075 APPLIC HALO TYPE BODY CAST	$140.00	$350.00	$270.56–$473.48	41% below	60%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT STATIC	$100.00	$250.00	$131.32–$849.82	25% below	60%
Short leg splint (calf to foot) CPT 29515 APPLIC SHORT LEG SPLINT	$112.00	$280.00	$160.75–$849.82	39% below	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHLDR ATHRO SURG	$1,078.80	$2,697.00	$2,157.60–$9,084.69	84% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL RPR SPFCL BODY<=2.5 CM	$146.80	$367.00	$202.43–$925.60	26% below	60%
Skin biopsy, punch, one lesion CPT 11104 MM-BREAST SKIN PUNCH BIOPSY	$422.80	$1,057.00	$407.02–$3,124.40	23% above	60%
Skin biopsy, punch, one lesion CPT 11104 WC-SKIN BIOPSY, SINGLE-F	$422.80	$1,057.00	$407.02–$3,124.40	23% above	60%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,198.40	$2,996.00	$407.02–$3,124.40	249% above	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MLG+MARG 0.5 < CM	$295.20	$738.00	$590.40–$3,124.40	8% below	60%
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; <=15 LESIONS	$136.00	$340.00	$202.43–$890.47	13% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LMBAR DIAGNSTC	$245.60	$614.00	$491.20–$2,023.32	59% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SPFCL BODY 2.6-7.5	$176.00	$440.00	$202.43–$925.60	13% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$176.40	$441.00	$202.43–$925.60	5% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER-SREP F/E/N/L/MM; 2.5CM/<	$829.60	$2,074.00	$202.43–$1,949.56	349% above	60%
TURP (transurethral resection of the prostate) CPT 52601 TRANSUR ELEC RES PROSTATE TURP	$4,664.80	$11,662.00	$5,178.97–$12,159.32	at median	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGE BX SKIN SINGL LES	$100.80	$252.00	$201.60–$3,124.40	64% below	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PUNCH BX SKIN SINGL LES	$195.20	$488.00	$202.43–$3,124.40	31% below	60%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/Imaging	$293.20	$733.00	$586.40–$2,641.92	57% below	60%
Tonsil and adenoid removal, age 12 or older CPT 42821 T & A; AGE 12 OR MORE	$2,020.80	$5,052.00	$3,303.90–$6,788.78	58% below	60%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS/ADENOIDS <12 YR	$2,020.80	$5,052.00	$4,041.60–$10,546.59	57% below	60%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY; AGE 12 OR MORE	$300.40	$751.00	$600.80–$6,788.78	88% below	60%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS <12 YRS	$2,020.80	$5,052.00	$4,041.60–$10,546.59	34% below	60%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$1,101.20	$2,753.00	$2,202.40–$15,416.09	88% below	60%
Trigger finger release surgery CPT 26055 TRGR FNGR RLSE	$866.00	$2,165.00	$1,630.43–$5,870.75	38% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL	$86.00	$215.00	$172.00–$1,258.84	67% below	60%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP W DESTRUCTION OF OVIDUCTS	$600.00	$1,500.00	$1,200.00–$12,703.69	92% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,698.80	$4,247.00	$1,650.63–$5,028.55	6% below	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$287.20	$718.00	$574.40–$4,831.32	83% below	60%
Upper endoscopy (EGD) with biopsy CPT 43239 UPR GI ENDOSCOPY BIOPSY	$548.40	$1,371.00	$934.25–$2,259.84	44% below	60%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$975.60	$2,439.00	$934.25–$2,292.66	1% below	60%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$602.40	$1,506.00	$934.25–$4,831.32	59% below	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$360.00	$900.00	$720.00–$4,831.32	82% below	60%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY DIAGNOSIS	$474.40	$1,186.00	$934.25–$2,259.84	58% below	60%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$746.00	$1,865.00	$934.25–$2,259.84	35% below	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/PYELO/LITHO	$4,892.00	$12,230.00	$5,178.97–$12,752.10	56% below	60%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY ONLY	$1,509.20	$3,773.00	$1,886.50–$4,538.40	—	60%
Vaginal delivery, including prenatal and postpartum care CPT 59400 ROUTINE OBSTETRICAL CARE	$2,278.00	$5,695.00	$2,847.50–$5,353.30	—	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY UNI OR BIL	$397.60	$994.00	$795.20–$7,102.74	38% below	60%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LSN 1TO14	$171.60	$429.00	$202.43–$890.47	5% above	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$170.00	$425.00	$340.00–$890.47	61% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER-DEB SUBQ TISSUE 20 SQ CM/<	$248.40	$621.00	$407.02–$890.47	44% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC-DEB SUBQ TISS 1ST 20CM - F	$422.80	$1,057.00	$407.02–$993.58	4% below	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$462.00	$1,155.00	$445.38–$3,146.72	33% below	60%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INITL INFUSION<=1 HR	$376.80	$942.00	$197.63–$885.48	4% above	60%
Chemotherapy IV infusion, first hour CPT 96413 K-WIRE 1.6 W/TROCAR POINT	$376.80	$942.00	$197.63–$885.48	4% above	60%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$183.20	$458.00	$101.34–$430.52	—	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES	$218.40	$546.00	$436.80–$1,502.22	82% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$209.20	$523.00	$222.41–$1,886.41	52% below	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG COMPLT W 12 LEADS	$14.80	$37.00	$18.50–$34.78	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM Pediatric	$99.60	$249.00	$29.87–$234.06	19% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LOW LEVEL ED E&M VISIT LEV II	$34.40	$86.00	$68.80–$282.33	89% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HIGH LEV ED E&M VISIT LEVEL IV	$96.80	$242.00	$193.60–$759.17	87% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HIGH LEV ED E&M VISIT LEVEL V	$141.60	$354.00	$283.20–$1,093.05	88% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS PH/TM TRACE ONLY	$344.40	$861.00	$146.02–$809.34	11% below	60%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/PATIENT	$86.00	$215.00	$163.68–$412.19	70% below	60%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONITOR REPORT 48 HRS	$76.80	$192.00	$96.00–$320.02	at median	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRAT 31-60 MIN INT	$56.40	$141.00	$112.80–$375.62	67% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD 31 MIN TO 1 HR INT	$99.60	$249.00	$197.63–$375.62	42% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS, HYDRAT 31-40 MIN	$234.00	$585.00	$197.63–$549.90	36% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRAT 31-60 MIN	$234.00	$585.00	$197.63–$549.90	36% above	60%
IV infusion of a medicine, first hour CPT 96365 INT INF;THERAPY; UP TO 1 HR	$55.60	$139.00	$111.20–$375.62	76% below	60%
IV infusion of a medicine, first hour CPT 96365 INT INF, THERAPY, UP TO 1 HR	$124.80	$312.00	$197.63–$375.62	47% below	60%
IV infusion of a medicine, first hour CPT 96365 INT INF,THERAPY,UP TO 1 HR	$234.00	$585.00	$197.63–$549.90	at median	60%
IV infusion of a medicine, first hour CPT 96365 INT INF-THERAPY-UP TO 1 HR	$234.00	$585.00	$197.63–$549.90	at median	60%
IV infusion of a medicine, first hour CPT 96365 STERI-STRIP 1/4X4	$234.00	$585.00	$197.63–$549.90	at median	60%
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPEUTIC<=1 HR	$234.00	$585.00	$197.63–$549.90	at median	60%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG	$104.00	$260.00	$208.00–$375.62	30% below	60%
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE/INT DRUG	$234.00	$585.00	$214.64–$549.90	57% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$34.80	$87.00	$69.60–$126.88	46% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION	$76.80	$192.00	$72.50–$180.48	19% above	60%
Neuromuscular re-education, 15 minutes CPT 97112 OT-NEURMUSC.RE-ED EXER 15 MI	$54.80	$137.00	$62.11–$128.78	21% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 PT-NEURMUSC.RE-ED EXER 15 MI	$54.80	$137.00	$62.11–$128.78	21% below	60%
New patient office visit, about 30 minutes CPT 99203 New Patient Injury	$45.60	$114.00	$57.00–$107.16	72% below	60%
New patient office visit, about 30 minutes CPT 99203 VISIT LEV 3 - NEW PT - F	$72.80	$182.00	$91.00–$171.08	56% below	60%
New patient office visit, about 30 minutes CPT 99203 E&M LEVEL 3 - NEW PT	$72.80	$182.00	$91.00–$171.08	56% below	60%
New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPATIENT VISIT NEW	$61.20	$153.00	$76.50–$143.82	73% below	60%
New patient office visit, about 45 minutes CPT 99204 VISIT LEV 4 - NEW PT - F	$80.00	$200.00	$100.00–$188.00	65% below	60%
New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPT VISIT NEW 60MIN	$71.60	$179.00	$89.50–$168.26	74% below	60%
New patient office visit, about 60 minutes CPT 99205 E&M LEVEL 5 NEW PT F	$205.20	$513.00	$256.50–$482.22	26% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT LEV 2 - NEW PT - F	$63.20	$158.00	$79.00–$148.52	52% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THERAPY;EA 15M	$42.80	$107.00	$53.50–$144.43	11% below	60%
Occupational therapy evaluation, low complexity CPT 97165 EVAL LOW COMPLEX 30 MIN	$95.60	$239.00	$99.19–$224.66	12% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$132.40	$331.00	$62.11–$311.14	16% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVAL LOW COMPLEX 20 MIN	$95.60	$239.00	$62.11–$224.66	15% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$112.40	$281.00	$62.11–$264.14	14% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THER TECH;PER 15 MI	$51.60	$129.00	$62.11–$121.26	25% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL TREATMENT;PER 15 MIN	$51.60	$129.00	$62.11–$121.26	25% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL TREATMENT;PER 15 MIN	$51.60	$129.00	$62.11–$121.26	25% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE; 15 MI	$54.40	$136.00	$62.11–$127.84	19% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT IND EXERCISE/15 MIN	$54.40	$136.00	$62.11–$127.84	19% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAP. EXERCISE - 15 MIN	$54.40	$136.00	$62.11–$127.84	19% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-IND EXERCISE 15 MINS	$54.40	$136.00	$62.11–$127.84	19% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O POLY G4-46	$54.40	$136.00	$62.11–$127.84	19% below	60%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18TO39	$115.60	$289.00	$144.50–$271.66	23% above	60%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40TO64	$151.20	$378.00	$189.00–$355.32	41% above	60%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM EM NEW PAT 65YRS OlDR	$98.80	$247.00	$123.50–$232.18	14% below	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18TO39	$103.60	$259.00	$129.50–$243.46	25% above	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40TO64	$89.20	$223.00	$111.50–$209.62	8% below	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 PREVENT VIST EST 65+YRS	$91.20	$228.00	$114.00–$214.32	12% below	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3TO10 MIN	$12.00	$30.00	$24.00–$53.11	68% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT LEVEL 5 ESTAB PT - F	$85.20	$213.00	$106.50–$200.22	62% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M LEVEL 5 - ESTABLISHED PT	$153.60	$384.00	$192.00–$360.96	32% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LEVEL 3 ESTAB PT - F	$64.40	$161.00	$80.50–$151.34	54% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PHA Physical Level 2	$33.20	$83.00	$41.50–$78.02	81% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OUTPT VISIT EST LEV 4	$84.00	$210.00	$105.00–$197.40	52% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT LEVEL 4 ESTAB PT - F	$102.00	$255.00	$127.50–$239.70	42% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M LEVEL 2 - ESTABLISHED PT	$34.40	$86.00	$43.00–$80.84	71% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT LEV 2 - ESTAB PT - F	$54.40	$136.00	$68.00–$127.84	55% below	60%
Speech and language evaluation CPT 92523 SP EVALUATION	$178.80	$447.00	$130.55–$420.18	at median	60%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$178.80	$447.00	$130.55–$420.18	at median	60%
Speech therapy session, individual CPT 92507 SP-Speech Device Treatment	$123.20	$308.00	$130.55–$289.52	2% above	60%
Speech therapy session, individual CPT 92507 SP-SPEECH LANGUAGE TX	$123.20	$308.00	$130.55–$289.52	2% above	60%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$164.80	$412.00	$148.56–$387.28	24% below	60%
Spirometry before and after a bronchodilator CPT 94060 VENT PUL MONITOR PRE/POST BD	$317.20	$793.00	$148.56–$745.42	19% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITY;15 MI	$55.20	$138.00	$62.11–$129.72	8% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIV;PER 15 MI	$55.20	$138.00	$62.11–$129.72	8% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$131.60	$329.00	$131.32–$309.26	8% above	60%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST	$70.40	$176.00	$88.00–$212.41	14% above	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine	$148.40	$371.00	$185.50–$348.74	46% below	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV Vaccine	$57.20	$143.00	$71.50–$134.42	20% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTHERIA/TETANUS TOX INJ-PED	$23.60	$59.00	$29.50–$55.46	65% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix DTaP< 7 YRS IM	$24.80	$62.00	$31.00–$58.28	63% below	60%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL DTAP; POLIO; HIB VCCH	$29.20	$73.00	$36.50–$68.62	62% below	60%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP; Polio; HIB Vaccine	$29.20	$73.00	$36.50–$68.62	62% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 2025-2026	$5.10	$12.75	$6.37–$11.98	89% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu VAC SEASNL NO PRSRV 3 OLDR	$16.00	$40.00	$20.00–$37.60	64% below	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine-Adult	$76.80	$192.00	$96.00–$180.48	51% below	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A Vaccine-PED/ADOL	$36.40	$91.00	$45.50–$85.54	57% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine-Adult	$65.20	$163.00	$81.50–$153.22	32% below	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PED VACCINE	$30.40	$76.00	$38.00–$71.44	47% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus B Vaccine 4 dose	$18.80	$47.00	$23.50–$44.18	59% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-dose 24-25 65&UP	$20.40	$51.00	$25.50–$47.94	87% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE 2025-2026	$20.41	$51.02	$25.51–$47.95	87% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE 24-25 65&UP	$64.40	$161.00	$80.50–$151.34	58% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMS-MEASLES/RUBELLA/VL	$44.00	$110.00	$55.00–$103.40	66% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$74.80	$187.00	$93.50–$175.78	43% below	60%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMR-Varicella Vaccine	$246.40	$616.00	$308.00–$579.04	33% above	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vaccine	$134.40	$336.00	$168.00–$315.84	16% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 4MC	$159.60	$399.00	$199.50–$375.06	1% below	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO MENB-4C	$73.60	$184.00	$92.00–$172.96	77% below	60%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACC 13 VAL IM	$75.60	$189.00	$94.50–$177.66	72% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20	$173.20	$432.99	$216.49–$407.01	72% below	60%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine IPOL	$37.20	$93.00	$46.50–$87.42	42% below	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE INJ	$231.60	$579.00	$316.26–$584.38	62% below	60%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotavirus Vaccine	$93.20	$233.00	$116.50–$219.02	at median	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus,Diphtheria,Pertussis 0	$16.00	$40.00	$20.00–$37.60	80% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM	$27.20	$68.00	$34.00–$63.92	66% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaxcare Vaccine Admin	$21.20	$53.00	$42.40–$126.88	63% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VAC/TOX SING/COMB FIRST	$76.80	$192.00	$72.50–$180.48	36% above	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL VAC	$13.20	$33.00	$16.50–$31.02	54% below	60%

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.

Source file: https://mrfs.hyvehealthcare.com/McAlesterRegionalHealth/730992978_mcalester-regional-health-center_standardcharges.json