SelfPayRates — hospital cash prices, from the source
Cash prices at 7 facilities across 5 cities for code 81003, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| St. John Broken Arrow, Inc.
JENKS, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Broken Arrow, Inc.
JENKS, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Medical Center, Inc.
TULSA, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Medical Center, Inc.
TULSA, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Broken Arrow, Inc.
BROKEN ARROW, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Broken Arrow, Inc.
BROKEN ARROW, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| Owasso Medical Facility, Inc.
N OWASSO, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| Owasso Medical Facility, Inc.
N OWASSO, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Sapulpa, Inc.
SAPULPA, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Sapulpa, Inc.
SAPULPA, OK UA DIPSTICK KID STONE SAT 44712 |
$9.66 | $26.12 | 63% | — file |
|
| St. John Broken Arrow, Inc.
BROKEN ARROW, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
BROKEN ARROW, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Medical Center, Inc.
TULSA, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Medical Center, Inc.
TULSA, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Medical Center, Inc.
TULSA, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Medical Center, Inc.
TULSA, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Sapulpa, Inc.
SAPULPA, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Sapulpa, Inc.
SAPULPA, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Sapulpa, Inc.
SAPULPA, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Sapulpa, Inc.
SAPULPA, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| Owasso Medical Facility, Inc.
N OWASSO, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| Owasso Medical Facility, Inc.
N OWASSO, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| Owasso Medical Facility, Inc.
N OWASSO, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| Owasso Medical Facility, Inc.
N OWASSO, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
JENKS, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
JENKS, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
JENKS, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
JENKS, OK SPECIFIC GRAVITY UR- 46471 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
BROKEN ARROW, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| St. John Broken Arrow, Inc.
BROKEN ARROW, OK UA W/O MICROSCOPIC- 46514 |
$21.46 | $58.00 | 63% | — file |
|
| Saint Francis Hospital Yale
TULSA, OK Hc Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy |
$49.44 | $123.60 | 60% | Apr 1, 2026 file |
|
| Saint Francis Hospital South
TULSA, OK Hc Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy |
$49.44 | $123.60 | 60% | Apr 1, 2026 file |
Outpatient: lowest $9.66, median $21.46, highest $49.44 — a 5.1× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $21.46. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.