Great Plains Regional Medical Center — procedure prices

Published prices for 118 procedures at Great Plains Regional Medical Center (Elk City, OK), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
Albumin blood test $47 $72 $59 $5
Aldosterone test $98 $151 $94 $41
Alkaline phosphatase test $314 $483 $22 $5
Alpha-fetoprotein (AFP) test $26 $40 $22 $17
ALT liver enzyme test $63 $98 $82 $5
Ammonia blood test $334 $514 $18 $15
Amylase test $109 $167 $24 $6
Antinuclear antibody (ANA) test $49 $75 $100 $12
Arterial blood gas (ABG) $279 $430 $37 $26
AST liver enzyme test $292 $449 $82 $5
Basic metabolic panel $38 $58 $72 $8
Bilirubin blood test $55 $84 $25 $5
Blood clotting test (PT/INR) $212 $327 $100 $4
Blood glucose test $39 $59 $38 $5
Blood type and screen $84 $129 $166 $10
Blood type test $219 $337 $93 $3
BNP (heart failure) test $62 $95 $83 $39
Breast MRI $1,812 $2,788 $225 $216
C-reactive protein (CRP) $190 $292 $166 $5
CA 19-9 tumor marker test $186 $286 $116 $21
CA-125 ovarian marker test $26 $40 $134 $21
Calcium blood test $227 $350 $26 $5
CEA tumor marker test $106 $163 $27 $19
Celiac disease test $66 $101 $19 $12
CK-MB heart enzyme test $19 $30 $27 $12
Clotting time test (PTT) $84 $129 $100 $6
Colonoscopy $3,902 $6,002 — $480
Comprehensive metabolic panel $76 $117 $4 $11
Copper blood test $35 $54 $27 $12
Cortisol test $167 $258 $44 $16
Creatine kinase (CK) test $130 $200 $30 $7
CT angiography of the chest $1,812 $2,788 $225 $281
CT angiography of the head $1,359 $2,091 $225 $274
CT scan of the abdomen $2,363 $3,636 $225 $230
CT scan of the abdomen and pelvis $2,363 $3,636 $225 $300
CT scan of the arm $1,427 $2,196 $225 $199
CT scan of the chest $1,210 $1,862 $225 $167
CT scan of the head $1,826 $2,810 $225 $148
CT scan of the leg $1,319 $2,029 $225 $166
CT scan of the lower back (lumbar spine) $1,298 $1,997 $225 $169
CT scan of the neck $1,210 $1,862 $225 $183
CT scan of the neck (cervical spine) $1,359 $2,091 $225 $168
CT scan of the pelvis $2,363 $3,636 $225 $226
CT scan of the sinuses $1,210 $1,862 $225 $152
D-dimer test $361 $555 $100 $10
DHEA-sulfate test $323 $497 $18 $22
Drug screen (urine) $264 $406 $171 $17
Electrolyte panel $327 $504 $90 $7
Epidural steroid injection $3,872 $5,957 — $275
Estradiol (estrogen) test $225 $347 $34 $28
Facet joint injection (spine) $2,326 $3,579 — $99
Ferritin (iron) test $165 $253 $34 $14
Fibrinogen test $154 $236 $100 $10
Flu test $125 $193 $222 $17
Folate (folic acid) test $71 $110 $49 $15
Free T4 thyroid test $36 $56 $82 $9
FSH hormone test $142 $218 $27 $19
Gallbladder removal (laparoscopic) $12,187 $18,750 — $658
GGT liver test $240 $369 $34 $7
Glucose tolerance test $155 $239 $38 $8
HDL cholesterol test $134 $206 $41 $8
Hematocrit test $14 $22 $35 $2
Hemoglobin A1c (diabetes test) $101 $156 $39 $10
Hepatitis B test $22 $34 $155 $10
Hepatitis C test $49 $76 $155 $14
Hip replacement $30,271 $46,570 — $1,162
HIV test $186 $286 $84 $19
Iron blood test $84 $129 $48 $6
Kidney stone shock-wave (lithotripsy) $21,058 $32,397 — $760
Knee arthroscopy $8,672 $13,341 — $524
Knee joint injection $2,036 $3,232 — $69
Lactate test $29 $45 $36 $12
LDH test $113 $174 $18 $6
LDL cholesterol test $113 $174 $17 $11
LH hormone test $73 $112 $41 $19
Lipase test $129 $199 $17 $7
Lipid (cholesterol) panel $93 $143 $50 $13
Liver function panel $11 $18 $18 $8
Magnesium blood test $54 $82 $87 $7
MRA of the brain $1,450 $2,230 $225 $226
MRA of the neck $1,586 $2,439 $225 $245
MRI of the abdomen $2,816 $4,333 $225 $300
MRI of the ankle $1,812 $2,788 $225 $261
MRI of the brain $1,901 $2,925 $225 $269
MRI of the chest $1,812 $2,788 $225 $371
MRI of the knee $1,812 $2,788 $225 $315
MRI of the lower back (lumbar spine) $1,586 $2,439 $225 $270
MRI of the mid-back (thoracic spine) $1,586 $2,439 $225 $271
MRI of the neck (cervical spine) $1,586 $2,439 $225 $274
MRI of the pelvis $1,586 $2,439 $225 $268
MRI of the shoulder $1,812 $2,788 $225 $313
MRI of the wrist $2,102 $3,234 $225 $330
Parathyroid hormone (PTH) test $32 $50 $71 $41
Phosphorus blood test $180 $277 $18 $5
Platelet count $36 $56 $100 $4
Pregnancy blood test (hCG) $102 $157 $22 $8
Procalcitonin test $172 $264 $55 $27
Prolactin test $23 $35 $82 $19
Prostate test (PSA) $90 $139 $82 $18
Sedimentation rate (ESR) test $154 $237 $34 $3
Semen analysis $38 $59 $51 $12
Sex hormone binding globulin test $32 $49 $49 $22
Shoulder replacement $37,172 $57,188 — $1,300
Strep throat test $217 $333 $214 $17
T3 thyroid test $80 $123 $82 $14
Testosterone test $82 $126 $18 $26
Thyroid test (TSH) $439 $675 $34 $17
Total IgE allergy test $30 $47 $36 $16
Total protein test $217 $333 $77 $4
Triglycerides test $164 $253 $50 $6
Troponin (heart) test $59 $90 $120 $12
Upper GI endoscopy (EGD) $5,986 $9,209 — $371
Uric acid (gout) test $21 $33 $83 $5
Urinalysis $31 $48 $24 $3
Urine microalbumin test $142 $218 $34 $5
Vitamin B12 test $184 $282 $82 $15
Vitamin D test $76 $118 $33 $30
Zinc blood test $95 $147 $82 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.