SelfPayRates
Hospital Oklahoma City, OK

Oklahoma Spine Hospital

Oklahoma Spine Hospital in Oklahoma City, OK publishes cash prices for 256 common procedures listed here, from its own machine-readable price file updated Apr 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 224 of 254 procedures and above it for 26. By typical cash price it ranks #2 of 64 Oklahoma hospitals and #2 of 8 hospitals in the Oklahoma City, OK area, cheapest first. Select a procedure to compare it with other hospitals nearby.

14101 Parkway Commons Dr, Oklahoma City, OK, 73134 Collected Oct 27, 2026 Source price file Check a bill from this hospital (405) 749-2700

Acute care hospital For-profit hospital Emergency department CCN 370206 · CMS hospital register NPI 1699745893

Scans and imaging

ProcedureCash priceList priceInsurers payvs OklahomaOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W&WO $235.00 $1,628.00 $144.39–$814.00 82% below 86%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W&WO $235.00 $1,628.00 $144.39–$814.00 — 86%
Abdominal X-ray, 2 views CPT 74019 XR ABD 2V $140.00 $264.00 $21.90–$212.68 34% below 47%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD 2V $140.00 $264.00 $21.90–$212.68 — 47%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE L 3V,LEFT SIDE $115.00 $234.00 $24.15–$176.10 35% below 51%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE R 3V,RIGHT SIDE $115.00 $234.00 $24.15–$176.10 35% below 51%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE L 3V,LEFT SIDE $115.00 $234.00 $24.15–$176.10 — 51%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE R 3V,RIGHT SIDE $115.00 $234.00 $24.15–$176.10 — 51%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT R WO,RIGHT SIDE $140.00 $1,019.00 $85.19–$509.50 85% below 86%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT L WO,LEFT SIDE $140.00 $1,019.00 $85.19–$509.50 85% below 86%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT R WO,RIGHT SIDE $140.00 $1,019.00 $85.19–$509.50 — 86%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT L WO,LEFT SIDE $140.00 $1,019.00 $85.19–$509.50 — 86%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Ba SWALLOW $235.00 $477.00 $59.85–$356.04 20% below 51%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Ba SWALLOW $235.00 $477.00 $59.85–$356.04 — 51%
CT angiography (CTA) of the head CPT 70496 CTA HEAD $235.00 $1,645.00 $144.09–$491.90 82% below 86%
CT angiography (CTA) of the head CPT 70496 70496 CT ANT HEAD W $235.00 $446.00 $144.09–$446.00 82% below 47%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD $235.00 $1,645.00 $144.09–$491.90 — 86%
CT angiography (CTA) of the head inpatient CPT 70496 70496 CT ANT HEAD W $235.00 $446.00 $144.09–$446.00 — 47%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W CONTRAST $235.00 $2,171.00 $144.09–$491.90 82% below 89%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CONTRAST $235.00 $2,171.00 $144.09–$491.90 — 89%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST $235.00 $1,764.00 $144.09–$491.90 84% below 87%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST $235.00 $1,764.00 $144.09–$491.90 — 87%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV WO $315.00 $1,530.00 $90.18–$483.44 76% below 79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV WO $315.00 $1,530.00 $90.18–$483.44 — 79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W $460.00 $2,413.00 $195.04–$1,206.50 75% below 81%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV W $460.00 $2,413.00 $195.04–$1,206.50 — 81%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W&WO $460.00 $2,413.00 $220.06–$1,206.50 78% below 81%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W&WO $460.00 $2,413.00 $220.06–$1,206.50 — 81%
CT scan of the abdomen with contrast CPT 74160 CT ABD W $235.00 $1,397.00 $157.05–$698.50 79% below 83%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W $235.00 $1,397.00 $157.05–$698.50 — 83%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO $140.00 $1,019.00 $71.94–$509.50 86% below 86%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO $140.00 $1,019.00 $71.94–$509.50 — 86%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS/FACE WO $140.00 $1,019.00 $77.84–$265.85 85% below 86%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS/FACE WO $140.00 $1,019.00 $77.84–$265.85 — 86%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO $140.00 $1,019.00 $58.73–$265.85 86% below 86%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO $140.00 $1,019.00 $58.73–$265.85 — 86%
CT scan of the head with contrast CPT 70460 CT HEAD W $235.00 $1,397.00 $84.03–$445.05 81% below 83%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W $235.00 $1,397.00 $84.03–$445.05 — 83%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO $235.00 $1,628.00 $101.15–$477.54 82% below 86%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO $235.00 $1,628.00 $101.15–$477.54 — 86%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SP WO $140.00 $1,200.00 $93.61–$251.69 86% below 88%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SP BEALL WO $140.00 $1,200.00 $93.61–$251.69 86% below 88%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SP WO $140.00 $1,200.00 $93.61–$251.69 — 88%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SP BEALL WO $140.00 $1,200.00 $93.61–$251.69 — 88%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SP WO $140.00 $1,019.00 $73.62–$251.69 87% below 86%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SP BEALL WO $140.00 $1,019.00 $73.62–$251.69 87% below 86%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SP BEALL WO $140.00 $1,019.00 $73.62–$251.69 — 86%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SP WO $140.00 $1,019.00 $73.62–$251.69 — 86%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W $235.00 $1,397.00 $157.05–$698.50 78% below 83%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W $235.00 $1,397.00 $157.05–$698.50 — 83%
Chest CT scan without and with contrast CPT 71270 CT CHEST W&WO $235.00 $1,628.00 $122.23–$477.54 81% below 86%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W&WO $235.00 $1,628.00 $122.23–$477.54 — 86%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V $115.00 $272.00 $18.71–$176.10 35% below 58%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2V $115.00 $272.00 $18.71–$176.10 — 58%
Chest X-ray, single view CPT 71045 XR CHEST 1V $115.00 $252.00 $13.83–$176.10 30% below 54%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1V $115.00 $252.00 $13.83–$176.10 — 54%
Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE 2V $115.00 $234.00 $20.49–$176.10 36% below 51%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE 2V $115.00 $234.00 $20.49–$176.10 — 51%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL REAL TIME W/IMAGE COM $205.00 $1,219.00 $62.66–$609.50 56% below 83%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL REAL TIME W/IMAGE COM $205.00 $1,219.00 $62.66–$609.50 — 83%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STUDY AXIAL SKELETON $140.00 $187.00 $22.24–$212.68 46% below 25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY STUDY AXIAL SKELETON $140.00 $187.00 $22.24–$212.68 — 25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULAR SKELETON $115.00 $152.00 $17.08–$176.10 6% above 24%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY APPENDICULAR SKELETON $115.00 $152.00 $17.08–$176.10 — 24%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO $140.00 $1,019.00 $73.06–$265.85 85% below 86%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO $140.00 $1,019.00 $73.06–$265.85 — 86%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W $235.00 $1,397.00 $149.48–$445.05 79% below 83%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W $235.00 $1,397.00 $149.48–$445.05 — 83%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN BI LOW/UP $260.00 $1,547.00 $163.10–$773.50 — 83%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEN BI LOW/UP $260.00 $1,547.00 $163.10–$773.50 — 83%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY $405.00 $2,408.00 $176.84–$1,204.00 63% below 83%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY $405.00 $2,408.00 $176.84–$1,204.00 — 83%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW L 2V,LEFT SIDE $115.00 $234.00 $17.96–$176.10 34% below 51%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW R 2V,RIGHT SIDE $115.00 $234.00 $17.96–$176.10 34% below 51%
Elbow X-ray, 2 views one side CPT 73070 XROR ELBOW L 2V,LEFT SIDE $115.00 $234.00 $17.96–$176.10 34% below 51%
Elbow X-ray, 2 views one side CPT 73070 XROR ELBOW R 2V,RIGHT SIDE $115.00 $234.00 $17.96–$176.10 34% below 51%
Elbow X-ray, 2 views inpatient one side CPT 73070 XROR ELBOW L 2V,LEFT SIDE $115.00 $234.00 $17.96–$176.10 — 51%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW L 2V,LEFT SIDE $115.00 $234.00 $17.96–$176.10 — 51%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW R 2V,RIGHT SIDE $115.00 $234.00 $17.96–$176.10 — 51%
Elbow X-ray, 2 views inpatient one side CPT 73070 XROR ELBOW R 2V,RIGHT SIDE $115.00 $234.00 $17.96–$176.10 — 51%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW L 3V,LEFT SIDE $115.00 $234.00 $20.49–$176.10 36% below 51%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW R 3V,RIGHT SIDE $115.00 $234.00 $20.49–$176.10 36% below 51%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW L 3V,LEFT SIDE $115.00 $234.00 $20.49–$176.10 — 51%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW R 3V,RIGHT SIDE $115.00 $234.00 $20.49–$176.10 — 51%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO $140.00 $1,019.00 $87.12–$251.69 85% below 86%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT WO $140.00 $1,019.00 $87.12–$251.69 — 86%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACE 3V $140.00 $254.00 $28.49–$212.68 37% below 45%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACE 3V $140.00 $254.00 $28.49–$212.68 — 45%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM L 2V,LEFT SIDE $115.00 $234.00 $18.24–$176.10 36% below 51%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM R 2V,RIGHT SIDE $115.00 $234.00 $18.24–$176.10 36% below 51%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM R 2V,RIGHT SIDE $115.00 $234.00 $18.24–$176.10 — 51%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM L 2V,LEFT SIDE $115.00 $234.00 $18.24–$176.10 — 51%
Hand X-ray, 2 views one side CPT 73120 XR HAND L 2V,LEFT SIDE $140.00 $234.00 $19.65–$212.68 25% below 40%
Hand X-ray, 2 views one side CPT 73120 XR HAND R 2V,RIGHT SIDE $140.00 $234.00 $19.65–$212.68 25% below 40%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND L 2V,LEFT SIDE $140.00 $234.00 $19.65–$212.68 — 40%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND R 2V,RIGHT SIDE $140.00 $234.00 $19.65–$212.68 — 40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALC R 2V,RIGHT SIDE $115.00 $234.00 $17.68–$176.10 29% below 51%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALC L 2V,LEFT SIDE $115.00 $234.00 $17.68–$176.10 29% below 51%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALC R 2V,RIGHT SIDE $115.00 $234.00 $17.68–$176.10 — 51%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALC L 2V,LEFT SIDE $115.00 $234.00 $17.68–$176.10 — 51%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT $1,135.00 $4,500.00 $108.00–$2,250.00 63% below 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TITRATION $1,135.00 $4,500.00 $108.00–$2,250.00 63% below 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT $1,135.00 $4,500.00 $108.00–$2,250.00 — 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP TITRATION $1,135.00 $4,500.00 $108.00–$2,250.00 — 75%
Knee X-ray, 3 views one side CPT 73562 XR KNEE L 3V,LEFT SIDE $115.00 $254.00 $26.68–$176.10 41% below 55%
Knee X-ray, 3 views one side CPT 73562 XR KNEE R 3V,RIGHT SIDE $115.00 $254.00 $26.68–$176.10 41% below 55%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE R 3V,RIGHT SIDE $115.00 $254.00 $26.68–$176.10 — 55%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE L 3V,LEFT SIDE $115.00 $254.00 $26.68–$176.10 — 55%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE R 4V,RIGHT SIDE $140.00 $354.00 $30.05–$212.68 51% below 60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE L 4V,LEFT SIDE $140.00 $354.00 $30.05–$212.68 51% below 60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE L 4V,LEFT SIDE $140.00 $354.00 $30.05–$212.68 — 60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE R 4V,RIGHT SIDE $140.00 $354.00 $30.05–$212.68 — 60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT R WO,RIGHT SIDE $140.00 $1,019.00 $73.34–$509.50 84% below 86%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT L WO,LEFT SIDE $140.00 $1,019.00 $73.34–$509.50 84% below 86%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT L WO,LEFT SIDE $140.00 $1,019.00 $73.34–$509.50 — 86%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT R WO,RIGHT SIDE $140.00 $1,019.00 $73.34–$509.50 — 86%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBFIB L 2V,LEFT SIDE $115.00 $254.00 $20.21–$176.10 32% below 55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBFIB R 2V,RIGHT SIDE $115.00 $254.00 $20.21–$176.10 32% below 55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBFIB L 2V,LEFT SIDE $115.00 $254.00 $20.21–$176.10 — 55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBFIB R 2V,RIGHT SIDE $115.00 $254.00 $20.21–$176.10 — 55%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD $315.00 $1,921.00 $141.06–$490.81 71% below 84%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD $315.00 $1,921.00 $141.06–$490.81 — 84%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW JNT R WO,RIGHT SIDE $315.00 $2,041.00 $123.35–$1,020.50 77% below 85%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW JNT L WO,LEFT SIDE $315.00 $2,041.00 $123.35–$1,020.50 77% below 85%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW JNT R WO,RIGHT SIDE $315.00 $2,041.00 $123.35–$1,020.50 — 85%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW JNT L WO,LEFT SIDE $315.00 $2,041.00 $123.35–$1,020.50 — 85%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW JNT R W&WO,RIGHT SIDE $460.00 $2,273.00 $255.42–$796.73 74% below 80%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW JNT L W&WO,LEFT SIDE $460.00 $2,273.00 $255.42–$796.73 74% below 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW JNT R W&WO,RIGHT SIDE $460.00 $2,273.00 $255.42–$796.73 — 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW JNT L W&WO,LEFT SIDE $460.00 $2,273.00 $255.42–$796.73 — 80%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST $315.00 $1,307.00 $114.08–$653.50 73% below 76%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT CONTRAST $315.00 $1,307.00 $114.08–$653.50 — 76%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH AND WITHOUT CONTRAST $460.00 $2,199.00 $211.01–$1,099.50 76% below 79%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WITH AND WITHOUT CONTRAST $460.00 $2,199.00 $211.01–$1,099.50 — 79%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO $315.00 $1,921.00 $112.67–$604.30 75% below 84%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO $315.00 $1,921.00 $112.67–$604.30 — 84%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO $460.00 $2,784.00 $188.80–$892.83 69% below 83%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO $460.00 $2,784.00 $188.80–$892.83 — 83%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SP WO $315.00 $1,921.00 $108.46–$604.30 75% below 84%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SP WO $315.00 $1,921.00 $108.46–$604.30 — 84%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SP W&WO $460.00 $2,784.00 $189.64–$796.73 72% below 83%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SP W&WO $460.00 $2,784.00 $189.64–$796.73 — 83%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SP WO $315.00 $1,921.00 $107.89–$490.81 72% below 84%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SP WO $315.00 $1,921.00 $107.89–$490.81 — 84%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SP W&WO $460.00 $2,784.00 $190.20–$796.73 72% below 83%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SP W&WO $460.00 $2,784.00 $190.20–$796.73 — 83%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SP WO $315.00 $1,921.00 $107.89–$604.30 73% below 84%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SP WO $315.00 $1,921.00 $107.89–$604.30 — 84%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO $460.00 $2,784.00 $209.88–$796.73 72% below 83%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO $460.00 $2,784.00 $209.88–$796.73 — 83%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO $315.00 $1,921.00 $143.31–$490.81 69% below 84%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO $315.00 $1,921.00 $143.31–$490.81 — 84%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT R WO,RIGHT SIDE $315.00 $1,921.00 $123.35–$490.81 78% below 84%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT L WO,LEFT SIDE $315.00 $1,921.00 $123.35–$490.81 78% below 84%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP JNT L WO,LEFT SIDE $315.00 $1,921.00 $123.35–$490.81 — 84%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP JNT R WO,RIGHT SIDE $315.00 $1,921.00 $123.35–$490.81 — 84%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SP 4V $140.00 $396.00 $32.57–$212.68 49% below 65%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR C-SP 4V $140.00 $396.00 $32.57–$212.68 — 65%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W $235.00 $1,397.00 $106.21–$430.87 79% below 83%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W $235.00 $1,397.00 $106.21–$430.87 — 83%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK WO $140.00 $1,019.00 $79.81–$251.69 84% below 86%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK WO $140.00 $1,019.00 $79.81–$251.69 — 86%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO $140.00 $1,019.00 $72.78–$265.85 86% below 86%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO $140.00 $1,019.00 $72.78–$265.85 — 86%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIB RT 2V,RIGHT SIDE $115.00 $234.00 $21.15–$176.10 42% below 51%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIB LT 2V,LEFT SIDE $115.00 $234.00 $21.15–$176.10 42% below 51%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIB LT 2V,LEFT SIDE $115.00 $234.00 $21.15–$176.10 — 51%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIB RT 2V,RIGHT SIDE $115.00 $234.00 $21.15–$176.10 — 51%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB LT 3V,LEFT SIDE $140.00 $303.00 $24.99–$212.68 43% below 54%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB RT 3V,RIGHT SIDE $140.00 $303.00 $24.99–$212.68 43% below 54%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIB LT 3V,LEFT SIDE $140.00 $303.00 $24.99–$212.68 — 54%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIB RT 3V,RIGHT SIDE $140.00 $303.00 $24.99–$212.68 — 54%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER R 2V,RIGHT SIDE $115.00 $254.00 $21.62–$176.10 41% below 55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XROR SHOULDER L 2V,LEFT SIDE $115.00 $254.00 $21.62–$176.10 41% below 55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XROR SHOULDER R 2V,RIGHT SIDE $115.00 $254.00 $21.62–$176.10 41% below 55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER L 2V,LEFT SIDE $115.00 $254.00 $21.62–$176.10 41% below 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XROR SHOULDER R 2V,RIGHT SIDE $115.00 $254.00 $21.62–$176.10 — 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER R 2V,RIGHT SIDE $115.00 $254.00 $21.62–$176.10 — 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XROR SHOULDER L 2V,LEFT SIDE $115.00 $254.00 $21.62–$176.10 — 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER L 2V,LEFT SIDE $115.00 $254.00 $21.62–$176.10 — 55%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS 3V $115.00 $303.00 $22.24–$176.10 44% below 62%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUS 3V $115.00 $303.00 $22.24–$176.10 — 62%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL1-3V $140.00 $303.00 $21.98–$212.68 32% below 54%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL1-3V $140.00 $303.00 $21.98–$212.68 — 54%
Sleep study in a lab (polysomnography) CPT 95810 DIAGNOSTIC STUDY $700.00 $4,200.00 $108.00–$2,100.00 75% below 83%
Sleep study in a lab (polysomnography) inpatient CPT 95810 DIAGNOSTIC STUDY $700.00 $4,200.00 $108.00–$2,100.00 — 83%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR L 2V,LEFT SIDE $115.00 $254.00 $22.74–$176.10 40% below 55%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR R 2V,RIGHT SIDE $115.00 $254.00 $22.74–$176.10 40% below 55%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR R 2V,RIGHT SIDE $115.00 $254.00 $22.74–$176.10 — 55%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR L 2V,LEFT SIDE $115.00 $254.00 $22.74–$176.10 — 55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SP WO $140.00 $1,019.00 $73.62–$251.69 86% below 86%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SP BEALL WO $140.00 $1,019.00 $73.62–$251.69 86% below 86%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SP WO $140.00 $1,019.00 $73.62–$251.69 — 86%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SP BEALL WO $140.00 $1,019.00 $73.62–$251.69 — 86%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE L 2V,LEFT SIDE $115.00 $234.00 $19.37–$176.10 29% below 51%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE R 2V,RIGHT SIDE $115.00 $234.00 $19.37–$176.10 29% below 51%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE L 2V,LEFT SIDE $115.00 $234.00 $19.37–$176.10 — 51%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE R 2V,RIGHT SIDE $115.00 $234.00 $19.37–$176.10 — 51%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS L 2V,LEFT SIDE $115.00 $254.00 $20.49–$176.10 34% below 55%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS R 2V,RIGHT SIDE $115.00 $254.00 $20.49–$176.10 34% below 55%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS R 2V,RIGHT SIDE $115.00 $254.00 $20.49–$176.10 — 55%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS L 2V,LEFT SIDE $115.00 $254.00 $20.49–$176.10 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN LT LOW/UP,LEFT SIDE $125.00 $738.00 $93.61–$369.00 73% below 83%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN RT LOW/UP,RIGHT SIDE $125.00 $738.00 $93.61–$631.00 73% below 83%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN RT LOW/UP,RIGHT SIDE $125.00 $738.00 $93.61–$631.00 — 83%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN LT LOW/UP,LEFT SIDE $125.00 $738.00 $93.61–$369.00 — 83%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST L 2V,LEFT SIDE $115.00 $234.00 $21.90–$176.10 30% below 51%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST R 2V,RIGHT SIDE $115.00 $234.00 $21.90–$176.10 30% below 51%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST L 2V,LEFT SIDE $115.00 $234.00 $21.90–$176.10 — 51%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST R 2V,RIGHT SIDE $115.00 $234.00 $21.90–$176.10 — 51%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST L 3V,LEFT SIDE $115.00 $254.00 $27.52–$176.10 36% below 55%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST R 3V,RIGHT SIDE $115.00 $254.00 $27.52–$176.10 36% below 55%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST L 3V,LEFT SIDE $115.00 $254.00 $27.52–$176.10 — 55%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST R 3V,RIGHT SIDE $115.00 $254.00 $27.52–$176.10 — 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LT 2V,LEFT SIDE $115.00 $254.00 $29.30–$176.10 39% below 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RT 2V,RIGHT SIDE $115.00 $254.00 $29.30–$176.10 39% below 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP LT 2V,LEFT SIDE $115.00 $254.00 $29.30–$176.10 — 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP RT 2V,RIGHT SIDE $115.00 $254.00 $29.30–$176.10 — 55%
X-ray of the abdomen, 1 view CPT 74018 XR ABD 1V $115.00 $234.00 $17.96–$176.10 34% below 51%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1V $115.00 $234.00 $17.96–$176.10 — 51%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE L 2V,LEFT SIDE $115.00 $234.00 $20.77–$176.10 36% below 51%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE R 2V,RIGHT SIDE $115.00 $234.00 $20.77–$176.10 36% below 51%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE R 2V,RIGHT SIDE $115.00 $234.00 $20.77–$176.10 — 51%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE L 2V,LEFT SIDE $115.00 $234.00 $20.77–$176.10 — 51%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER L 2-3V,LEFT SIDE $115.00 $234.00 $26.40–$176.10 29% below 51%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER R 2-3V,RIGHT SIDE $115.00 $234.00 $26.40–$176.10 29% below 51%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER R 2-3V,RIGHT SIDE $115.00 $234.00 $26.40–$176.10 — 51%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER L 2-3V,LEFT SIDE $115.00 $234.00 $26.40–$176.10 — 51%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT R 2V,RIGHT SIDE $115.00 $234.00 $17.68–$176.10 34% below 51%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT L 2V,LEFT SIDE $115.00 $234.00 $17.68–$176.10 34% below 51%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT R 2V,RIGHT SIDE $115.00 $234.00 $17.68–$176.10 — 51%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT L 2V,LEFT SIDE $115.00 $234.00 $17.68–$176.10 — 51%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT R 3V,RIGHT SIDE $115.00 $254.00 $22.18–$176.10 42% below 55%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT L 3V,LEFT SIDE $115.00 $254.00 $22.18–$176.10 42% below 55%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT L 3V,LEFT SIDE $115.00 $254.00 $22.18–$176.10 — 55%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT R 3V,RIGHT SIDE $115.00 $254.00 $22.18–$176.10 — 55%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND R 3V,RIGHT SIDE $115.00 $254.00 $24.15–$176.10 42% below 55%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND L 3V,LEFT SIDE $115.00 $254.00 $24.15–$176.10 42% below 55%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND L 3V,LEFT SIDE $115.00 $254.00 $24.15–$176.10 — 55%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND R 3V,RIGHT SIDE $115.00 $254.00 $24.15–$176.10 — 55%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE L 1-2V,LEFT SIDE $115.00 $234.00 $22.18–$176.10 34% below 51%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE R 1-2V,RIGHT SIDE $115.00 $234.00 $22.18–$176.10 34% below 51%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE L 1-2V,LEFT SIDE $115.00 $234.00 $22.18–$176.10 — 51%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE R 1-2V,RIGHT SIDE $115.00 $234.00 $22.18–$176.10 — 51%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 34% below 54%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XROR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 34% below 54%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XROR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 — 54%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 — 54%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SP 4V $140.00 $396.00 $32.86–$212.68 55% below 65%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SP 4V $140.00 $396.00 $32.86–$212.68 — 65%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XROR T-SP 2V $140.00 $234.00 $18.71–$212.68 34% below 40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SP 2V $140.00 $234.00 $18.71–$212.68 34% below 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XROR T-SP 2V $140.00 $234.00 $18.71–$212.68 — 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SP 2V $140.00 $234.00 $18.71–$212.68 — 40%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL 1-3V $115.00 $254.00 $24.14–$176.10 30% below 55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL 1-3V $115.00 $254.00 $24.14–$176.10 — 55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 44% below 62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XROR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 44% below 62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XROR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 — 62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 — 62%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V $140.00 $234.00 $16.56–$212.68 27% below 40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V $140.00 $234.00 $16.56–$212.68 — 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2V $115.00 $234.00 $20.49–$176.10 35% below 51%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2V $115.00 $234.00 $20.49–$176.10 — 51%

Lab tests

ProcedureCash priceList priceInsurers payvs OklahomaOff list
ACTH blood test CPT 82024 ACTH $60.00 $370.86 $19.12–$48.28 54% below 84%
ACTH blood test inpatient CPT 82024 ACTH $60.00 $370.86 $19.12–$48.28 — 84%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALTV) $10.00 $50.89 $2.62–$6.63 69% below 80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALTV) $10.00 $50.89 $2.62–$6.63 — 80%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) $10.00 $49.70 $2.56–$6.48 73% below 80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) $10.00 $49.70 $2.56–$6.48 — 80%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEP PANEL $75.00 $457.38 $23.57–$59.54 60% below 84%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEP PANEL $75.00 $457.38 $23.57–$59.54 — 84%
Albumin blood test CPT 82040 ALBUMIN SERUM $10.00 $47.53 $2.45–$6.19 68% below 79%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM $10.00 $47.53 $2.45–$6.19 — 79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE SPECIFIC $10.00 $90.00 $2.56–$6.48 67% below 89%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE $10.00 $49.70 $2.56–$6.48 67% below 80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE $10.00 $49.70 $2.56–$6.48 — 80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE SPECIFIC $10.00 $90.00 $2.56–$6.48 — 89%
Ammonia blood test CPT 82140 AMMONIA PLASMA $25.00 $139.93 $7.21–$18.21 64% below 82%
Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA $25.00 $139.93 $7.21–$18.21 — 82%
Amylase blood test CPT 82150 AMYLASE $10.00 $62.23 $3.21–$8.10 78% below 84%
Amylase blood test inpatient CPT 82150 AMYLASE $10.00 $62.23 $3.21–$8.10 — 84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCKUC CITRULLNATED PEPTIDE ( CCP), ANTI $20.00 $124.32 $6.41–$16.19 70% below 84%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCKUC CITRULLNATED PEPTIDE ( CCP), ANTI $20.00 $124.32 $6.41–$16.19 — 84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN $20.00 $116.06 $5.98–$15.11 67% below 83%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN $20.00 $116.06 $5.98–$15.11 — 83%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC $60.00 $325.92 $16.80–$49.08 49% below 82%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC $60.00 $325.92 $16.80–$49.08 — 82%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE MISC $15.00 $82.74 $4.26–$10.78 66% below 82%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT AEROBE $15.00 $82.74 $4.26–$10.78 66% below 82%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT AEROBE $15.00 $82.74 $4.26–$10.78 — 82%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE MISC $15.00 $82.74 $4.26–$10.78 — 82%
Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL $15.00 $81.20 $4.19–$10.58 73% below 82%
Basic metabolic panel (blood test) CPT 80048 RBMP $15.00 $81.20 $4.19–$10.58 73% below 82%
Basic metabolic panel (blood test) inpatient CPT 80048 RBMP $15.00 $81.20 $4.19–$10.58 — 82%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC MET PANEL $15.00 $81.20 $4.19–$10.58 — 82%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $10.00 $48.16 $2.48–$6.28 74% below 79%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL $10.00 $48.16 $2.48–$6.28 — 79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVEL IV $55.00 $184.05 $13.72–$92.02 61% below 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM LEVEL IV $55.00 $184.05 $13.72–$92.02 — 70%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $20.00 $99.12 $5.11–$12.90 73% below 80%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $20.00 $99.12 $5.11–$12.90 — 80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $3.50 $21.00 $1.08–$9.15 65% below 83%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $3.50 $21.00 $1.08–$9.15 — 83%
Blood glucose (sugar) test CPT 82947 GLUCOSE FLUID $10.00 $37.73 $1.94–$4.91 64% below 73%
Blood glucose (sugar) test CPT 82947 ISTAT GLUCOSE $10.00 $28.00 $1.94–$4.91 64% below 64%
Blood glucose (sugar) test CPT 82947 GLUCOSE ISTAT $10.00 $37.73 $1.94–$4.91 64% below 73%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING $10.00 $37.73 $1.94–$4.91 64% below 73%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM $10.00 $37.73 $1.94–$4.91 64% below 73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE ISTAT $10.00 $37.73 $1.94–$4.91 — 73%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT GLUCOSE $10.00 $28.00 $1.94–$4.91 — 64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING $10.00 $37.73 $1.94–$4.91 — 73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FLUID $10.00 $37.73 $1.94–$4.91 — 73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM $10.00 $37.73 $1.94–$4.91 — 73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE $15.00 $72.24 $3.72–$9.40 67% below 79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL URINE $15.00 $72.24 $3.72–$9.40 67% below 79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL URINE $15.00 $72.24 $3.72–$9.40 — 79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUALITATIVE $15.00 $72.24 $3.72–$9.40 — 79%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN $10.00 $37.94 $1.95–$4.94 60% below 74%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN $10.00 $37.94 $1.95–$4.94 — 74%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANT $10.00 $49.70 $2.56–$6.48 74% below 80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP QUANT $10.00 $49.70 $2.56–$6.48 — 80%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF A AND B PCR $60.00 $310.31 $17.37–$46.59 38% below 81%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF A AND B PCR $60.00 $310.31 $17.37–$46.59 — 81%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 $35.00 $199.85 $10.30–$26.01 62% below 82%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA125 $35.00 $199.85 $10.30–$26.01 — 82%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RCOVID $80.00 $300.00 $45.64–$64.14 1% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ABBOTT ID NOW NUCLEIC ACID AMPLIFICATION $80.00 $300.00 $45.64–$64.14 1% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RCOVID $80.00 $300.00 $45.64–$64.14 — 73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ABBOTT ID NOW NUCLEIC ACID AMPLIFICATION $80.00 $300.00 $45.64–$64.14 — 73%
Calcium blood test, total CPT 82310 CALCIUM $10.00 $49.56 $2.55–$6.45 72% below 80%
Calcium blood test, total inpatient CPT 82310 CALCIUM $10.00 $49.56 $2.55–$6.45 — 80%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINO EMBRYONIC ANTIGEN $30.00 $182.07 $9.39–$23.70 71% below 84%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINO EMBRYONIC ANTIGEN $30.00 $182.07 $9.39–$23.70 — 84%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY IGM $20.00 $111.30 $6.38–$16.10 65% below 82%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER TITER $20.00 $123.69 $6.38–$16.10 65% below 84%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY IGM $20.00 $111.30 $6.38–$16.10 — 82%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER TITER $20.00 $123.69 $6.38–$16.10 — 84%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $25.00 $128.59 $6.63–$16.74 64% below 81%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $25.00 $128.59 $6.63–$16.74 — 81%
Complete blood count (CBC) with differential CPT 85025 CHARGE CBC/PLATELETS/RDW $15.00 $74.62 $3.85–$9.71 67% below 80%
Complete blood count (CBC) with differential CPT 85025 RCBC $15.00 $74.62 $3.85–$9.71 67% below 80%
Complete blood count (CBC) with differential inpatient CPT 85025 RCBC $15.00 $74.62 $3.85–$9.71 — 80%
Complete blood count (CBC) with differential inpatient CPT 85025 CHARGE CBC/PLATELETS/RDW $15.00 $74.62 $3.85–$9.71 — 80%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM $10.00 $62.09 $3.20–$8.09 77% below 84%
Complete blood count (CBC), no differential CPT 85027 CHARGE- HEMOGRAM $10.00 $62.09 $3.20–$8.09 77% below 84%
Complete blood count (CBC), no differential inpatient CPT 85027 CHARGE- HEMOGRAM $10.00 $62.09 $3.20–$8.09 — 84%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM $10.00 $62.09 $3.20–$8.09 — 84%
Comprehensive metabolic panel (blood test) CPT 80053 RCMP $20.00 $101.43 $5.23–$13.20 72% below 80%
Comprehensive metabolic panel (blood test) CPT 80053 COMP MET PANEL $20.00 $101.43 $5.23–$13.20 72% below 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 RCMP $20.00 $101.43 $5.23–$13.20 — 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP MET PANEL $20.00 $101.43 $5.23–$13.20 — 80%
Cortisol blood test, total CPT 82533 CORTISOL SERUM $25.00 $156.52 $8.07–$20.38 67% below 84%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM $25.00 $156.52 $8.07–$20.38 — 84%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL $10.00 $62.51 $3.22–$8.14 76% below 84%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL $10.00 $62.51 $3.22–$8.14 — 84%
Creatinine blood test CPT 82565 CREATININE $10.00 $49.21 $2.53–$6.40 66% below 80%
Creatinine blood test inpatient CPT 82565 CREATININE $10.00 $49.21 $2.53–$6.40 — 80%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $20.00 $97.72 $5.04–$12.73 80% below 80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER $20.00 $97.72 $5.04–$12.73 — 80%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S $35.00 $213.50 $11.00–$27.79 54% below 84%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S $35.00 $213.50 $11.00–$27.79 — 84%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL $95.00 $310.00 $45.98–$77.68 2% below 69%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ORAL FLUID DRUG TESTING $95.00 $187.00 $45.98–$77.68 2% below 49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL $95.00 $310.00 $45.98–$77.68 — 69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ORAL FLUID DRUG TESTING $95.00 $187.00 $45.98–$77.68 — 49%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECROLYTE PANEL $15.00 $67.34 $3.47–$8.76 75% below 78%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECROLYTE PANEL $15.00 $67.34 $3.47–$8.76 — 78%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL $30.00 $174.23 $8.98–$22.68 57% below 83%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL $30.00 $174.23 $8.98–$22.68 — 83%
Estradiol blood test CPT 82670 ESTRADIOL $45.00 $268.24 $13.83–$34.93 51% below 83%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $45.00 $268.24 $13.83–$34.93 — 83%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $30.00 $178.43 $9.19–$23.23 57% below 83%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $30.00 $178.43 $9.19–$23.23 — 83%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $25.00 $130.90 $6.74–$17.04 61% below 81%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $25.00 $130.90 $6.74–$17.04 — 81%
Fibrinogen blood test CPT 85384 FIBRINOGEN $15.00 $81.55 $4.20–$12.15 79% below 82%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN $15.00 $81.55 $4.20–$12.15 — 82%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $25.00 $141.19 $7.28–$18.38 62% below 82%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $25.00 $141.19 $7.28–$18.38 — 82%
Free T3 thyroid hormone test CPT 84481 T3 FREE $30.00 $162.68 $8.38–$21.18 67% below 82%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $30.00 $162.68 $8.38–$21.18 — 82%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $15.00 $86.59 $4.46–$11.28 76% below 83%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $15.00 $86.59 $4.46–$11.28 — 83%
Free testosterone test CPT 84402 TESTERONE FREE $40.00 $244.58 $12.60–$31.84 54% below 84%
Free testosterone test inpatient CPT 84402 TESTERONE FREE $40.00 $244.58 $12.60–$31.84 — 84%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT $15.00 $69.16 $3.56–$9.00 69% below 78%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT $15.00 $69.16 $3.56–$9.00 — 78%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI $30.00 $139.30 $7.18–$21.06 60% below 78%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI $30.00 $139.30 $7.18–$21.06 — 78%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1& 2 SGL ASSAY $40.00 $231.21 $11.92–$30.10 15% below 83%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1& 2 SGL ASSAY $40.00 $231.21 $11.92–$30.10 — 83%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $15.00 $82.95 $4.80–$12.14 65% below 82%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $15.00 $82.95 $4.80–$12.14 — 82%
Hemoglobin blood test CPT 85018 HEMOGLOBIN BLOOD $5.00 $22.75 $1.17–$2.96 75% below 78%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN BLOOD $5.00 $22.75 $1.17–$2.96 — 78%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY $20.00 $115.71 $5.97–$15.06 59% below 83%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY $20.00 $115.71 $5.97–$15.06 — 83%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF ANTIBDY $20.00 $103.11 $5.31–$13.43 58% below 81%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF ANTIBDY $20.00 $103.11 $5.31–$13.43 — 81%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURGACE ANTIGEN $20.00 $99.19 $5.11–$12.91 56% below 80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B ANTIGEN $20.00 $99.19 $5.11–$12.91 56% below 80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B ANTIGEN $20.00 $99.19 $5.11–$12.91 — 80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURGACE ANTIGEN $20.00 $99.19 $5.11–$12.91 — 80%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY $25.00 $136.99 $7.06–$17.84 55% below 82%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY $25.00 $136.99 $7.06–$17.84 — 82%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QUANT PCR $65.00 $411.32 $21.20–$53.55 71% below 84%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA QUANT PCR $65.00 $411.32 $21.20–$53.55 — 84%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1 $20.00 $92.33 $6.53–$16.49 69% below 78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1 $20.00 $92.33 $6.53–$16.49 — 78%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY HERPES SIMPLEX TYPE 2 $30.00 $135.45 $9.58–$24.19 49% below 78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY HERPES SIMPLEX TYPE 2 $30.00 $135.45 $9.58–$24.19 — 78%
Homocysteine blood test CPT 83090 HOMOCYSTINE $30.00 $161.98 $8.35–$22.40 74% below 81%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE $30.00 $161.98 $8.35–$22.40 — 81%
Insulin blood test CPT 83525 INSULIN TOTAL $20.00 $109.76 $5.66–$14.29 62% below 82%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL $20.00 $109.76 $5.66–$14.29 — 82%
Iron blood test (serum iron) CPT 83540 IRON $10.00 $53.48 $3.20–$8.09 73% below 81%
Iron blood test (serum iron) inpatient CPT 83540 IRON $10.00 $53.48 $3.20–$8.09 — 81%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CPCY $15.00 $83.93 $4.33–$10.93 68% below 82%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CPCY $15.00 $83.93 $4.33–$10.93 — 82%
Kidney function blood test panel CPT 80069 RENAL FUNCT PANEL $15.00 $83.37 $4.30–$10.85 80% below 82%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCT PANEL $15.00 $83.37 $4.30–$10.85 — 82%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE $30.00 $177.80 $9.17–$23.15 59% below 83%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE $30.00 $177.80 $9.17–$23.15 — 83%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $20.00 $102.55 $5.28–$14.46 66% below 80%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $20.00 $102.55 $5.28–$14.46 — 80%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $10.00 $57.96 $2.99–$7.55 72% below 83%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITONEAL FLUID $10.00 $57.96 $2.99–$7.55 72% below 83%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH $10.00 $57.96 $2.99–$7.55 — 83%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PERITONEAL FLUID $10.00 $57.96 $2.99–$7.55 — 83%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM $15.00 $66.15 $3.41–$8.61 72% below 77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM $15.00 $66.15 $3.41–$8.61 — 77%
Liver function blood test panel CPT 80076 HEPATIC FUNC PANEL $15.00 $78.47 $4.04–$10.21 74% below 81%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNC PANEL $15.00 $78.47 $4.04–$10.21 — 81%
Magnesium blood test CPT 83735 MAGNESIUM $15.00 $64.33 $3.32–$8.38 60% below 77%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $15.00 $64.33 $3.32–$8.38 — 77%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGM $20.00 $123.69 $6.38–$16.10 54% below 84%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG $20.00 $123.69 $6.38–$16.10 54% below 84%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGM $20.00 $123.69 $6.38–$16.10 — 84%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGG $20.00 $123.69 $6.38–$16.10 — 84%
Mumps immunity blood test CPT 86735 MUMPS IGG $20.00 $125.30 $6.46–$16.31 66% below 84%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG $20.00 $125.30 $6.46–$16.31 — 84%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE $65.00 $396.34 $20.43–$51.60 53% below 84%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE $65.00 $396.34 $20.43–$51.60 — 84%
Partial thromboplastin time (PTT) clotting test CPT 85730 RPTT $10.00 $57.68 $2.97–$7.51 69% below 83%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT $10.00 $57.68 $2.97–$7.51 69% below 83%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $10.00 $57.68 $2.97–$7.51 — 83%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RPTT $10.00 $57.68 $2.97–$7.51 — 83%
Phosphorus (phosphate) blood test CPT 84100 PHOS INORG SERUM $10.00 $45.50 $2.35–$5.93 70% below 78%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOS INORG SERUM $10.00 $45.50 $2.35–$5.93 — 78%
Potassium blood test CPT 84132 POTASSIUM ISTAT $10.00 $44.17 $2.28–$5.95 70% below 77%
Potassium blood test CPT 84132 POTASSIUM $10.00 $44.17 $2.28–$5.95 70% below 77%
Potassium blood test inpatient CPT 84132 POTASSIUM ISTAT $10.00 $44.17 $2.28–$5.95 — 77%
Potassium blood test inpatient CPT 84132 POTASSIUM $10.00 $44.17 $2.28–$5.95 — 77%
Progesterone blood test CPT 84144 PROGESTERONE $35.00 $200.34 $10.32–$26.08 53% below 83%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $35.00 $200.34 $10.32–$26.08 — 83%
Prolactin blood test CPT 84146 PROLACTIN $30.00 $186.06 $9.59–$24.23 68% below 84%
Prolactin blood test inpatient CPT 84146 PROLACTIN $30.00 $186.06 $9.59–$24.23 — 84%
Prothrombin time (PT/INR) clotting test CPT 85610 RPT $10.00 $37.73 $1.94–$5.36 69% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $10.00 $37.73 $1.94–$5.36 69% below 73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RPT $10.00 $37.73 $1.94–$5.36 — 73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $10.00 $37.73 $1.94–$5.36 — 73%
Renin blood test CPT 84244 RENIN $35.00 $211.19 $10.89–$27.49 67% below 83%
Renin blood test inpatient CPT 84244 RENIN $35.00 $211.19 $10.89–$27.49 — 83%
Rh blood typing CPT 86901 BB BLOOD TYPING RH $5.00 $28.70 $1.48–$66.73 89% below 83%
Rh blood typing inpatient CPT 86901 BB BLOOD TYPING RH $5.00 $28.70 $1.48–$66.73 — 83%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS DIAG PANEL $10.00 $54.46 $2.81–$7.09 66% below 82%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID QUANT $10.00 $54.46 $2.81–$7.09 66% below 82%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID QUANT $10.00 $54.46 $2.81–$7.09 — 82%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS DIAG PANEL $10.00 $54.46 $2.81–$7.09 — 82%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG $25.00 $138.18 $7.12–$17.99 53% below 82%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG $25.00 $138.18 $7.12–$17.99 — 82%
Sodium blood test CPT 84295 SODIUM SERUM $10.00 $46.20 $2.38–$6.01 69% below 78%
Sodium blood test CPT 84295 SODIUM ISTAT $10.00 $46.20 $2.38–$6.01 69% below 78%
Sodium blood test inpatient CPT 84295 SODIUM SERUM $10.00 $46.20 $2.38–$6.01 — 78%
Sodium blood test inpatient CPT 84295 SODIUM ISTAT $10.00 $46.20 $2.38–$6.01 — 78%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES, DIRECT SMEARS, CONCEN $15.00 $83.93 $4.40–$11.13 76% below 82%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES, DIRECT SMEARS, CONCEN $15.00 $83.93 $4.40–$11.13 — 82%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD $10.00 $31.22 $1.61–$5.48 56% below 68%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD $10.00 $31.22 $1.61–$5.48 — 68%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PREMATERIAL SEROLOG $10.00 $41.02 $2.11–$5.34 68% below 76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSFVDRL $10.00 $41.02 $2.11–$5.34 68% below 76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSFVDRL $10.00 $41.02 $2.11–$5.34 — 76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PREMATERIAL SEROLOG $10.00 $41.02 $2.11–$5.34 — 76%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB $95.00 $595.14 $30.67–$77.48 46% below 84%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB $95.00 $595.14 $30.67–$77.48 — 84%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $40.00 $247.87 $12.78–$32.26 57% below 84%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE $40.00 $247.87 $12.78–$32.26 — 84%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXI ANTI $25.00 $139.72 $7.20–$18.19 59% below 82%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXI ANTI $25.00 $139.72 $7.20–$18.19 — 82%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $30.00 $161.35 $8.32–$21.00 44% below 81%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $30.00 $161.35 $8.32–$21.00 — 81%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE $25.00 $158.06 $8.15–$20.58 52% below 84%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE $25.00 $158.06 $8.15–$20.58 — 84%
Total cholesterol blood test CPT 82465 SERUM CHOLESTEROL $10.00 $41.79 $2.15–$5.44 70% below 76%
Total cholesterol blood test inpatient CPT 82465 SERUM CHOLESTEROL $10.00 $41.79 $2.15–$5.44 — 76%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL $15.00 $65.94 $3.40–$8.59 65% below 77%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL $15.00 $65.94 $3.40–$8.59 — 77%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $25.00 $136.15 $7.02–$17.73 58% below 82%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL $25.00 $136.15 $7.02–$17.73 — 82%
Transferrin blood test CPT 84466 TRANSFERRIN $20.00 $110.32 $6.32–$15.95 65% below 82%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $20.00 $110.32 $6.32–$15.95 — 82%
Triglycerides blood test CPT 84478 TRIGLYCERIDE $10.00 $55.16 $2.84–$7.18 71% below 82%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE $10.00 $55.16 $2.84–$7.18 — 82%
Troponin test, quantitative CPT 84484 ISTAT HIGH SENSITIVITY TROPONIN $20.00 $94.50 $4.87–$15.59 72% below 79%
Troponin test, quantitative CPT 84484 RTROPONIN $20.00 $94.50 $4.87–$15.59 72% below 79%
Troponin test, quantitative CPT 84484 ISTAT TROPONIN $20.00 $94.50 $4.87–$15.59 72% below 79%
Troponin test, quantitative inpatient CPT 84484 RTROPONIN $20.00 $94.50 $4.87–$15.59 — 79%
Troponin test, quantitative inpatient CPT 84484 ISTAT TROPONIN $20.00 $94.50 $4.87–$15.59 — 79%
Troponin test, quantitative inpatient CPT 84484 ISTAT HIGH SENSITIVITY TROPONIN $20.00 $94.50 $4.87–$15.59 — 79%
Uric acid blood test CPT 84550 URIC ACID $10.00 $43.40 $2.24–$5.65 63% below 77%
Uric acid blood test inpatient CPT 84550 URIC ACID $10.00 $43.40 $2.24–$5.65 — 77%
Urinalysis with microscope exam, automated CPT 81001 CHARGE - URINEWITHMICROSCOPI $5.00 $30.45 $1.57–$3.96 84% below 84%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHARGE - URINEWITHMICROSCOPI $5.00 $30.45 $1.57–$3.96 — 84%
Urinalysis without microscope exam, automated CPT 81003 CHARGE- URINALYSIS $5.00 $21.56 $1.11–$2.81 65% below 77%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHARGE- URINALYSIS $5.00 $21.56 $1.11–$2.81 — 77%
Urinalysis without microscope exam, manual CPT 81002 CHARGE - URINALYSIS NONAUTO W/O SCOPE $10.00 $22.47 $1.27–$4.35 39% below 55%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHARGE - URINALYSIS NONAUTO W/O SCOPE $10.00 $22.47 $1.27–$4.35 — 55%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $15.00 $77.49 $4.00–$10.09 69% below 81%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $15.00 $77.49 $4.00–$10.09 — 81%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE $10.00 $55.51 $2.86–$7.23 74% below 82%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE $10.00 $55.51 $2.86–$7.23 — 82%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $25.00 $144.76 $7.46–$18.85 62% below 83%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $25.00 $144.76 $7.46–$18.85 — 83%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH $45.00 $284.27 $14.65–$37.00 66% below 84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D3 25-OH $45.00 $284.27 $14.65–$37.00 — 84%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 DIOH $60.00 $268.90 $19.05–$48.13 61% below 78%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25 DIOH $60.00 $268.90 $19.05–$48.13 — 78%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE $25.00 $144.55 $7.45–$18.81 60% below 83%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE $25.00 $144.55 $7.45–$18.81 — 83%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs OklahomaOff list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 ARTHRODESIS ANT INTERBODY $16,900.00 $21,600.00 $1,458.62–$21,873.59 13% above 22%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 ARTHRODESIS ANT INTERBODY $16,900.00 $21,600.00 $1,458.62–$21,873.59 — 22%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 DECOMPRESSOPM ROTATOR CUFF REP $9,555.00 $11,000.00 $896.06–$12,144.34 31% below 13%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827 DECOMPRESSOPM ROTATOR CUFF REP $9,555.00 $11,000.00 $896.06–$12,144.34 — 13%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 DISTAL METATARSAL OSTEOTOM $4,310.00 $5,000.00 $798.19–$5,515.84 21% below 14%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296 DISTAL METATARSAL OSTEOTOM $4,310.00 $5,000.00 $798.19–$5,515.84 — 14%
Carpal tunnel release, open surgery CPT 64721 64721 NEUROPLASTY MEDIAN NEVERE AT CARP $2,575.00 $3,100.00 $435.61–$3,319.71 5% above 17%
Carpal tunnel release, open surgery inpatient CPT 64721 64721 NEUROPLASTY MEDIAN NEVERE AT CARP $2,575.00 $3,100.00 $435.61–$3,319.71 — 17%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 EPI STEROID INJ CRV/ THRC WITH IMA $930.00 $2,535.95 $248.00–$1,177.28 41% above 63%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 EPI STEROID INJ CRV/ THRC WITH IMA $930.00 $2,535.95 $248.00–$1,177.28 — 63%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJ FACET L/S 1 LEVE $1,165.00 $2,829.00 $171.26–$1,513.49 3% above 59%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 INJ FACET L/S 1 LEVE $1,165.00 $2,829.00 $171.26–$1,513.49 — 59%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIB $4,715.00 $5,313.00 $484.62–$10,607.58 at median 11%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIB $4,715.00 $5,313.00 $484.62–$10,607.58 — 11%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBL $3,500.00 $6,198.00 $650.90–$10,607.58 58% below 44%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBL $3,500.00 $6,198.00 $650.90–$10,607.58 — 44%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE $4,715.00 $5,313.00 $290.92–$5,999.40 at median 11%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE $4,715.00 $5,313.00 $290.92–$5,999.40 — 11%
Hammertoe correction surgery CPT 28285 28285 CORRECTION HAMMERTOE $4,310.00 $5,000.00 $496.80–$5,515.84 12% above 14%
Hammertoe correction surgery inpatient CPT 28285 28285 CORRECTION HAMMERTOE $4,310.00 $5,000.00 $496.80–$5,515.84 — 14%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION DRAIN ABSCESS $265.00 $500.00 $116.21–$500.00 2% above 47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 INCISION DRAIN ABSCESS $265.00 $500.00 $116.21–$500.00 — 47%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 REPAIR INTIAL ING HERNIA 5Y OLDER $4,715.00 $5,600.00 $463.99–$5,999.40 at median 16%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 REPAIR INTIAL ING HERNIA 5Y OLDER $4,715.00 $5,600.00 $463.99–$5,999.40 — 16%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJ TNDN SHEATH LIG $405.00 $2,306.00 $55.12–$760.00 71% above 82%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJ TNDN SHEATH LIG $405.00 $2,306.00 $55.12–$760.00 — 82%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHRCNTSIS INJ MAJO $405.00 $756.00 $62.42–$756.00 11% above 46%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHRCNTSIS INJ MAJO $405.00 $756.00 $62.42–$756.00 — 46%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHRCNTSIS INJ INT $405.00 $1,896.00 $51.99–$760.00 50% above 79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHRCNTSIS INJ INT $405.00 $1,896.00 $51.99–$760.00 — 79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHRO ASPIR &/OR IN $405.00 $1,930.00 $51.05–$760.00 66% above 79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ARTHRO ASPIR &/OR IN $405.00 $1,930.00 $51.05–$760.00 — 79%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 EPI STEROID INJ LUM/SAC WITH IMAGI $930.00 $2,535.95 $244.63–$1,177.28 27% above 63%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 EPI STEROID INJ LUM/SAC WITH IMAGI $930.00 $2,535.95 $244.63–$1,177.28 — 63%
Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC $1,165.00 $1,278.00 $132.16–$1,513.49 86% above 9%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC $1,165.00 $1,278.00 $132.16–$1,513.49 — 9%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 TRANFORAMINAL INJ L $1,165.00 $2,829.00 $237.63–$1,513.49 22% above 59%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 TRANFORAMINAL INJ L $1,165.00 $2,829.00 $237.63–$1,513.49 — 59%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 LAMINOTOMY 1 INTERSPACE LUMBAR $9,555.00 $11,000.00 $812.40–$12,144.34 1% below 13%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 63030 LAMINOTOMY 1 INTERSPACE LUMBAR $9,555.00 $11,000.00 $812.40–$12,144.34 — 13%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 22633 ARTHRODESIS COMBINED POST INTERBO $16,900.00 $21,600.00 $1,547.22–$31,263.09 — 22%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 22633 ARTHRODESIS COMBINED POST INTERBO $16,900.00 $21,600.00 $1,547.22–$31,263.09 — 22%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 22630 ARTHRODESIS POST INTER TECH LUMBAR $23,085.00 $27,800.00 $1,367.62–$31,263.09 38% below 17%
Lumbar interbody fusion (PLIF or TLIF), one level inpatient CPT 22630 22630 ARTHRODESIS POST INTER TECH LUMBAR $23,085.00 $27,800.00 $1,367.62–$31,263.09 — 17%
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 LAM FACET FORM LUMBAR $9,555.00 $11,000.00 $966.43–$12,144.34 23% below 13%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 63047 LAM FACET FORM LUMBAR $9,555.00 $11,000.00 $966.43–$12,144.34 — 13%
Lumbar spinal fusion (posterior), one level CPT 22612 22612 ARTHODESIS POSTER BELOW C2 LUMB $16,900.00 $21,600.00 $1,339.59–$31,263.09 38% below 22%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 22612 ARTHODESIS POSTER BELOW C2 LUMB $16,900.00 $21,600.00 $1,339.59–$31,263.09 — 22%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE $265.00 $358.00 $100.90–$358.00 20% above 26%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 AVULSION OF NAIL PLATE $265.00 $358.00 $100.90–$358.00 — 26%
Occipital nerve block (injection for headaches) CPT 64405 64405 OCCIPITAL NERVE BLOC $405.00 $2,306.00 $71.41–$760.00 6% above 82%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 OCCIPITAL NERVE BLOC $405.00 $2,306.00 $71.41–$760.00 — 82%
Paracentesis with imaging guidance CPT 49083 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC $1,195.00 $2,062.00 $254.78–$1,593.85 29% above 42%
Paracentesis with imaging guidance inpatient CPT 49083 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC $1,195.00 $2,062.00 $254.78–$1,593.85 — 42%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 DESTRUCTION BY NEUROLYTIC AGENT PA $405.00 $4,512.00 $417.14–$3,319.71 77% below 91%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 DESTRUCTION BY NEUROLYTIC AGENT PA $405.00 $4,512.00 $417.14–$3,319.71 — 91%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL FB SUBQ TISSU $530.00 $530.00 $141.32–$679.20 45% above —
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INCISION AND REMOVAL FB SUBQ TISSU $530.00 $530.00 $141.32–$679.20 — —
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 DISTAL CLAVICULECTOMY INCL DIST $4,310.00 $5,000.00 $583.18–$5,515.84 40% below 14%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824 DISTAL CLAVICULECTOMY INCL DIST $4,310.00 $5,000.00 $583.18–$5,515.84 — 14%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 DECOMPRESSION SUB SPACE PART ACROM $800.00 $4,800.00 $137.26–$1,163.00 92% below 83%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 DECOMPRESSION SUB SPACE PART ACROM $800.00 $4,800.00 $137.26–$1,163.00 — 83%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 LACERATION REPAIR EXTRE SIMP 2.5CM $74.00 $221.45 $101.86–$337.79 62% below 67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 RPR S N AX GEN TRNK 2.5CM< $265.00 $887.00 $101.86–$760.00 34% above 70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 LACERATION REPAIR EXTRE SIMP 2.5CM $74.00 $221.45 $101.86–$337.79 — 67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 RPR S N AX GEN TRNK 2.5CM< $265.00 $887.00 $101.86–$760.00 — 70%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOV SKIN TAGSMULTI FIBRO TAG 15 $265.00 $500.00 $83.17–$500.00 70% above 47%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOV SKIN TAGSMULTI FIBRO TAG 15 $265.00 $500.00 $83.17–$500.00 — 47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR SPINE PUNCT LUMB $930.00 $1,512.00 $147.46–$1,177.28 49% above 38%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR SPINE PUNCT LUMB $930.00 $1,512.00 $147.46–$1,177.28 — 38%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 LACERATION REPAIR FACE SIMP 2.5CM $92.00 $275.00 $124.95–$337.79 50% below 67%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 LACERATION REPAIR FACE SIMP 2.5CM $92.00 $275.00 $124.95–$337.79 — 67%
Total shoulder replacement CPT 23472 23472 ARTHROPLASTY GLEN JOINT TTL SHOULD $23,085.00 $33,866.00 $1,196.97–$31,263.09 at median 32%
Total shoulder replacement inpatient CPT 23472 23472 ARTHROPLASTY GLEN JOINT TTL SHOULD $23,085.00 $33,866.00 $1,196.97–$31,263.09 — 32%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ 1 - 2 MUSCLE GRP $405.00 $2,306.00 $47.28–$760.00 53% above 82%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ 1 - 2 MUSCLE GRP $405.00 $2,306.00 $47.28–$760.00 — 82%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BIOPSY BREAST $2,175.00 $2,700.00 $425.53–$2,754.41 21% above 19%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 BIOPSY BREAST $2,175.00 $2,700.00 $425.53–$2,754.41 — 19%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE $540.00 $560.00 $118.98–$679.20 14% above 4%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE $540.00 $560.00 $118.98–$679.20 — 4%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs OklahomaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD $101.00 $302.00 $41.40–$743.21 86% below 67%
Blood transfusion (giving blood or blood components) CPT 36430 TRANS PLATLET PARTIA $120.00 $360.00 $41.40–$743.21 83% below 67%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD $101.00 $302.00 $41.40–$743.21 — 67%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS PLATLET PARTIA $120.00 $360.00 $41.40–$743.21 — 67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB $25.00 $149.00 $7.57–$355.93 81% below 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT $95.00 $551.88 $7.57–$355.93 28% below 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AIRWAY INHALATION TR $290.00 $537.00 $7.57–$537.00 120% above 46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB $25.00 $149.00 $7.57–$355.93 — 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT $95.00 $551.88 $7.57–$355.93 — 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 AIRWAY INHALATION TR $290.00 $537.00 $7.57–$537.00 — 46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $25.00 $143.00 $5.31–$101.00 81% below 83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG ED $27.00 $81.00 $5.31–$100.98 79% below 67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $25.00 $143.00 $5.31–$101.00 — 83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG ED $27.00 $81.00 $5.31–$100.98 — 67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM LEVEL 1 $115.00 $120.00 $10.41–$120.00 30% below 4%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER ROOM LEVEL 1 $115.00 $120.00 $10.41–$120.00 — 4%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM LEVEL II $205.00 $230.00 $38.21–$230.00 35% below 11%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER ROOM LEVEL II $205.00 $230.00 $38.21–$230.00 — 11%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM LEVEL III $116.00 $350.00 $65.64–$350.00 78% below 67%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER ROOM LEVEL III $116.00 $350.00 $65.64–$350.00 — 67%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM LEVEL IV $150.00 $460.00 $111.74–$532.28 80% below 67%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER ROOM LEVEL IV $150.00 $460.00 $111.74–$532.28 — 67%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM LEVEL V $193.00 $580.00 $162.14–$766.38 83% below 67%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER ROOM LEVEL V $193.00 $580.00 $162.14–$766.38 — 67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 INTRAVENOUS INFUSI, HYDR; INITIAL $305.00 $433.00 $29.79–$368.71 67% above 30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 INTRAVENOUS INFUSI, HYDR; INITIAL $305.00 $433.00 $29.79–$368.71 — 30%
IV infusion of a medicine, first hour CPT 96365 96365 TX/PROPH/DG UP TO 1 HOUR $122.00 $731.00 $59.34–$368.71 48% below 83%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 TX/PROPH/DG UP TO 1 HOUR $122.00 $731.00 $59.34–$368.71 — 83%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH MEDS $60.00 $181.00 $33.58–$368.71 60% below 67%
IV push of a medicine, first drug CPT 96374 96374 THERAPEUTIC, PROPHYLACTIC, OR DIAG $305.00 $433.00 $33.58–$368.71 105% above 30%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH MEDS $60.00 $181.00 $33.58–$368.71 — 67%
IV push of a medicine, first drug inpatient CPT 96374 96374 THERAPEUTIC, PROPHYLACTIC, OR DIAG $305.00 $433.00 $33.58–$368.71 — 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SUB INJECTION $95.00 $128.00 $14.00–$128.00 43% above 26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ $95.00 $196.00 $14.00–$124.55 43% above 52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAG $103.00 $215.00 $14.00–$124.55 55% above 52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ $95.00 $196.00 $14.00–$124.55 — 52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SUB INJECTION $95.00 $128.00 $14.00–$128.00 — 26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAG $103.00 $215.00 $14.00–$124.55 — 52%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROM/PROPRIO BALAN $25.00 $148.00 $30.17–$75.00 64% below 83%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROM/PROPRIO BALAN $25.00 $148.00 $30.17–$75.00 — 83%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY INITIAL EACH 15 MIN $25.00 $137.00 $33.98–$68.50 48% below 82%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THERAPY INITIAL EACH 15 MIN $25.00 $137.00 $33.98–$68.50 — 82%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY $55.00 $327.32 $75.00–$163.66 66% below 83%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY $55.00 $327.32 $75.00–$163.66 — 83%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY $55.00 $327.32 $75.00–$163.66 51% below 83%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY $55.00 $327.32 $75.00–$163.66 — 83%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY $25.00 $133.00 $24.30–$75.00 64% below 81%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY $25.00 $133.00 $24.30–$75.00 — 81%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISES EACH 15 MIN $30.00 $155.00 $26.34–$77.50 56% below 81%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISES EACH 15 MIN $30.00 $155.00 $26.34–$77.50 — 81%

Vaccines

ProcedureCash priceList priceInsurers payvs OklahomaOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMINISTRATION $95.00 $117.00 $19.84–$124.55 68% above 19%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMINISTRATION $95.00 $117.00 $19.84–$124.55 — 19%
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://oklahomaspine.com/wp-content/uploads/731538478_Oklahoma-Spine-Hospital-LLC_standardcharges.csv