Jackson County Memorial Hospital Authority — procedure prices

Published prices for 383 procedures at Jackson County Memorial Hospital Authority (Altus, OK), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $508 $51
Abdominal fluid drain (paracentesis) $821 $821 $739 $284
Abdominal ultrasound $818 $818 $541 $100
Abscess incision and drainage $563 $563 $447 $174
Achilles tendon repair $15,154 $624
ACL knee reconstruction $29,249 $889
Acupuncture $137 $38
Adenoid removal (adenoidectomy) $9,933 $204
Albumin blood test $15 $15 $12 $5
Aldosterone test $122 $122 $99 $41
Alkaline phosphatase test $16 $16 $13 $5
Allergy patch testing $68 $5
Allergy shots $47 $11
Allergy testing $68 $4
Alpha-fetoprotein (AFP) test $57 $57 $45 $17
ALT liver enzyme test $16 $16 $13 $5
Ammonia blood test $44 $44 $37 $15
Amniocentesis $1,915 $1,915 $1,321 $120
Amylase test $19 $19 $16 $6
Anal fistula repair $10,892 $541
Ankle fracture repair $19,026 $608
Ankle replacement $44,528 $885
Anoscopy $131 $129
Antinuclear antibody (ANA) test $31 $31 $25 $12
Aortic aneurysm repair (AAA) $54,313 $1,345
Aortic valve replacement $35,247 $1,603
Appendix removal (appendectomy) $30,360 $592
Arterial blood gas (ABG) $46 $26
AST liver enzyme test $16 $16 $13 $5
Barium swallow study $547 $547 $437 $107
Bartholin cyst removal $472 $472 $398 $182
Basic metabolic panel $25 $25 $21 $8
Benign skin lesion removal $1,194 $1,194 $1,409 $171
Bilirubin blood test $15 $15 $13 $5
Bladder function test (urodynamics) $2,494 $345
Bladder scope (cystoscopy) $721 $721 $680 $216
Bladder tumor removal (TURBT) $8,909 $236
Blood clotting test (PT/INR) $13 $13 $11 $4
Blood crossmatch $225 $225 $175
Blood glucose test $13 $13 $10 $5
Blood transfusion $1,164 $1,164 $978 $47
Blood type and screen $180 $180 $124 $10
Blood type test $103 $103 $76 $3
BNP (heart failure) test $269 $269 $138 $39
Bone density scan (DEXA) $336 $336 $232 $39
Bone marrow biopsy $5,122 $5,122 $3,500 $172
Bone scan (nuclear) $2,883 $2,883 $1,989 $259
Botox for migraine $2,713 $157
Brain shunt (VP shunt) $26,194 $1,023
Breast biopsy $3,617 $3,617 $7,358 $478
Breast MRI $246 $216
Breast reconstruction $30,035 $1,227
Breast reduction $29,083 $980
Breast ultrasound $500 $500 $352 $92
Breathing tube insertion (intubation) $611 $611 $452 $133
Bronchoscopy $6,426 $303
Bunion surgery (bunionectomy) $15,348 $883
Burn treatment $296 $296 $255 $129
C-reactive protein (CRP) $16 $16 $13 $5
CA 19-9 tumor marker test $62 $62 $52 $21
CA-125 ovarian marker test $62 $62 $52 $21
Calcium blood test $20 $20 $17 $5
Capsule endoscopy $9,653 $802
Cardiac ablation $2,102 $759
Cardiac catheterization $3,905 $1,049
Cardiac event monitor $466 $170
Cardiac MRI $1,656 $322
Cardiac rehabilitation $261 $26
Cardiac stress test $759 $759 $317 $39
Cardioversion $1,033 $1,033 $1,110 $155
Carotid artery surgery $38,022 $1,026
Carotid artery ultrasound $1,145 $1,145 $352 $156
Carpal tunnel release $9,169 $483
Cataract surgery $9,166 $547
CEA tumor marker test $111 $111 $46 $19
Celiac disease test $151 $151 $121 $12
Central line placement $3,110 $3,110 $3,799 $238
Cervical cerclage $9,367 $137
Cervical LEEP procedure $3,239 $325
Cesarean section (C-section) $15,631 $7,552
Chalazion (eyelid cyst) removal $4,210 $131
Chemotherapy infusion $604 $604 $320 $81
Chest fluid drain (thoracentesis) $1,400 $1,400 $1,190 $311
Chest tube insertion $3,915 $3,915 $3,327 $143
Chest X-ray $331 $331 $200 $37
Chiropractic adjustment $26 $38
Circumcision $448 $448 $1,281 $167
CK-MB heart enzyme test $35 $35 $29 $12
Clotting time test (PTT) $18 $18 $15 $6
Colon resection (colectomy) $23,473 $1,238
Colonoscopy $2,228 $480
Colostomy $16,617 $1,122
Colposcopy $2,222 $161
Complete blood count (CBC) $21 $21 $17 $7
Complex wound repair $1,314 $1,314 $1,062 $390
Comprehensive eye exam $131 $138
Comprehensive metabolic panel $32 $32 $27 $11
Contact lens fitting $338
Continuous glucose monitor setup $46 $35
Contraceptive implant (Nexplanon) $1,874 $115
Copper blood test $37 $37 $31 $12
Corneal transplant $14,911 $1,066
Coronary angioplasty / stent (PCI) $50,800 $426
Coronary artery bypass (CABG) $69,153 $36,593
Coronary CT angiography $831 $326
Cortisol test $130 $130 $99 $16
COVID-19 PCR test $154 $154 $123 $51
CPAP titration study $442 $442 $371 $69
Craniotomy (brain surgery) $26,194 $2,161
Creatine kinase (CK) test $20 $20 $16 $7
CT angiography of the chest $2,451 $2,451 $1,526 $281
CT angiography of the head $1,844 $1,844 $1,272 $274
CT colonography (virtual colonoscopy) $484 $835
CT scan of the abdomen $1,727 $1,727 $1,192 $230
CT scan of the abdomen and pelvis $3,200 $3,200 $1,917 $300
CT scan of the arm $993 $993 $785 $199
CT scan of the chest $1,834 $1,834 $1,266 $167
CT scan of the head $2,411 $2,411 $1,700 $148
CT scan of the leg $1,559 $1,559 $785 $166
CT scan of the lower back (lumbar spine) $1,892 $1,892 $1,312 $169
CT scan of the neck $1,594 $1,594 $931 $183
CT scan of the neck (cervical spine) $1,740 $1,740 $1,184 $168
CT scan of the pelvis $1,601 $1,601 $1,105 $226
CT scan of the sinuses $1,427 $1,427 $985 $152
D-dimer test $31 $31 $26 $10
Defibrillator (ICD) implant $119,271 $798
DHEA-sulfate test $67 $67 $56 $22
Diagnostic mammogram $384 $384 $461 $140
Dialysis fistula creation $17,746 $601
Dilation and curettage (D&C) $9,579 $298
Droopy eyelid repair (ptosis) $13,025 $745
Drug screen (urine) $72 $72 $46 $17
Ear pressure test (tympanometry) $140 $16
Ear tubes (myringotomy) $8,176 $174
Eardrum repair (tympanoplasty) $15,915 $799
Echocardiogram $608 $608 $559 $138
Elbow replacement $44,528 $1,301
Electrocardiogram (EKG) $165 $165 $61 $8
Electroencephalogram (EEG) $759 $759 $1,786 $448
Electrolyte panel $21 $21 $18 $7
Electromyography (EMG) $306 $141
Emergency department visit $428 $428 $302 $69
Endometrial biopsy $471 $98
Epidural steroid injection $1,140 $1,140 $1,359 $275
ERCP (bile duct endoscopy) $9,653 $311
Esophageal dilation $6,682 $522
Esophageal variceal banding $7,069 $126
Estradiol (estrogen) test $61 $61 $58 $28
Eyelid surgery (blepharoplasty) $9,372 $552
Facet joint injection (spine) $345 $345 $4,886 $99
Fallopian tube X-ray (HSG) $597 $597 $445 $164
Family therapy session $394 $394 $331 $110
Fecal occult blood (stool) test $30 $30 $24 $10
Feeding tube (PEG) placement $7,069 $178
Femoral hernia repair $14,128 $584
Ferritin (iron) test $41 $41 $34 $14
Fibrinogen test $29 $29 $20 $10
Fibroid removal (myomectomy) $20,988 $914
Flexible sigmoidoscopy $4,587 $323
Flu test $36 $17
Folate (folic acid) test $44 $44 $37 $15
Foreign body removal (skin) $440 $440 $407 $157
Free T4 thyroid test $27 $27 $23 $9
FSH hormone test $56 $56 $47 $19
Gallbladder removal (laparoscopic) $19,636 $658
Gallbladder scan (HIDA) $2,599 $2,599 $1,946 $334
Ganglion cyst removal $8,590 $321
GGT liver test $22 $22 $18 $7
Glaucoma surgery $5,607 $984
Glucose tolerance test $12 $12 $23 $8
Group therapy session $74 $74 $67 $30
H. pylori test $138 $67
Hammertoe repair $11,244 $548
HDL cholesterol test $46 $8
Hearing test (audiometry) $140 $36
Hematocrit test $7 $7 $6 $2
Hemodialysis $1,920 $1,920 $1,536 $75
Hemoglobin A1c (diabetes test) $29 $29 $24 $10
Hemorrhoid removal $5,044 $338
Hepatitis B test $31 $31 $26 $10
Hepatitis C test $43 $43 $36 $14
Hip arthroscopy $29,249 $931
Hip fracture repair $22,331 $1,120
Hip replacement $12,160 $1,162
HIV test $57 $57 $40 $19
Holter heart monitor $140 $26
Home sleep apnea test $110 $123
HPV vaccine $84
Hydrocele repair $13,373 $315
Hysterectomy $21,435 $933
Hysteroscopy $12,712 $1,270
Ileostomy $16,617 $968
Inguinal hernia repair $14,128 $538
Iron blood test $80 $80 $24 $6
IUD insertion $471
IUD removal $553 $553 $471 $112
IV infusion therapy $292 $292 $229 $44
IVC filter placement $5,507 $1,885
Joint aspiration (small/intermediate) $472 $472 $542 $57
Kidney biopsy $1,515 $1,515 $2,816 $492
Kidney removal (nephrectomy) $26,737 $1,164
Kidney scan (nuclear) $1,064 $172
Kidney stone shock-wave (lithotripsy) $9,055 $9,055 $7,606 $760
Kidney ultrasound $355 $355 $319 $84
Knee arthroscopy $13,293 $524
Knee joint injection $785 $785 $628 $69
Knee replacement $36,578 $18,054
Lactate test $35 $35 $29 $12
Laminectomy (spine) $22,823 $1,157
Laryngoscopy $2,504 $2,504 $3,090 $189
LDH test $18 $18 $15 $6
LDL cholesterol test $61 $61 $46 $11
Leg artery angiogram $344 $149
Leg artery angioplasty $32,395
Leg vein ultrasound (Doppler) $831 $831 $585 $150
LH hormone test $56 $56 $47 $19
Lipase test $21 $21 $17 $7
Lipid (cholesterol) panel $40 $40 $34 $13
Liver biopsy $1,641 $1,641 $1,477 $288
Liver function panel $25 $25 $21 $8
Lower back (lumbar) spinal fusion $94,063 $1,511
Lumbar discectomy $22,823 $898
Lumpectomy (breast) $17,181 $750
Lung function test (PFT) $415 $415 $325 $37
Lung scan (V/Q) $1,729 $1,729 $1,453 $291
Magnesium blood test $25 $25 $20 $7
Mastectomy $18,954 $1,021
Mastoidectomy $22,557 $840
Meniscus repair (knee) $13,293 $714
Mohs skin cancer surgery $9,745 $535
MRA of the brain $2,965 $2,965 $2,076 $226
MRA of the neck $3,084 $3,084 $1,687 $245
MRI of the abdomen $3,523 $3,523 $2,349 $300
MRI of the ankle $2,968 $2,968 $1,656 $261
MRI of the brain $3,193 $3,193 $2,269 $269
MRI of the chest $3,317 $3,317 $1,730 $371
MRI of the knee $2,895 $2,895 $842 $315
MRI of the lower back (lumbar spine) $3,925 $3,925 $2,708 $270
MRI of the mid-back (thoracic spine) $4,133 $4,133 $2,795 $271
MRI of the neck (cervical spine) $3,787 $3,787 $2,613 $274
MRI of the pelvis $3,366 $3,366 $1,656 $268
MRI of the shoulder $3,291 $3,291 $842 $313
MRI of the wrist $2,868 $2,868 $1,656 $330
Nebulizer breathing treatment $552 $552 $464 $9
Neck (cervical) spinal fusion $22,823 $1,410
Nerve conduction study $306 $118
Newborn hospital care $293 $293 $168 $58
Nuchal translucency ultrasound $373 $116
Nuclear cardiac stress test $5,420 $5,420 $3,740 $428
Occupational therapy evaluation $261 $261 $248 $101
Orthopedic hardware removal $4,357 $4,357 $4,800 $632
Ovarian cyst removal $17,881 $698
Ovary removal (oophorectomy) $20,988 $822
Pacemaker insertion $40,609 $15,506
Pap smear (cervical screening) $70 $70 $53 $20
Parathyroid hormone (PTH) test $124 $124 $99 $41
Parathyroid removal $22,557 $891
Pelvic ultrasound $670 $670 $443 $78
PET scan $5,331
Phosphorus blood test $14 $14 $12 $5
Physical therapy evaluation $248 $248 $155 $98
Pilonidal cyst removal $9,436 $541
Platelet count $43 $43 $34 $4
Pregnancy blood test (hCG) $23 $23 $19 $8
Pregnancy ultrasound $526 $526 $373 $126
Procalcitonin test $82 $82 $69 $27
Prolactin test $82 $82 $74 $19
Prostate biopsy $7,038
Prostate removal (prostatectomy) $24,571 $1,063
Prostate surgery (TURP) $17,791 $526
Prostate test (PSA) $55 $55 $46 $18
Psychiatric evaluation $376 $376 $320 $188
Psychotherapy session $313 $313 $219 $140
Pterygium removal (eye) $5,083 $540
Pulmonary rehabilitation $61 $87
Radiofrequency nerve ablation $3,137 $3,137 $4,429 $462
Retina scan (OCT) $214 $33
Retinal (fundus) photography $214 $37
Retinal detachment repair $18,682 $966
Rheumatoid factor test $18 $18 $15 $6
Rotator cuff repair $22,793 $792
Routine eye exam $131 $88
Sacroiliac joint injection $238 $238 $2,162 $176
Scoliosis spine X-ray $536 $536 $370 $58
Screening colonoscopy $2,228 $378
Screening mammogram $338 $338 $287 $126
Scrotal ultrasound $675 $675 $466 $99
Sedimentation rate (ESR) test $8 $8 $7 $3
Semen analysis $90 $90 $99 $12
Septoplasty (deviated septum) $15,915 $613
Sex hormone binding globulin test $173 $173 $50 $22
Shingles vaccine $84
Shoulder arthroscopy $29,249 $962
Shoulder replacement $44,528 $1,300
Simple wound stitches $420 $420 $362 $127
Sinus surgery (endoscopic) $18,079 $224
Skin biopsy $407 $121
Skin cancer lesion removal $4,572 $240
Skin graft $12,987 $898
Skin lesion freezing (cryotherapy) $1,346 $36
Skin tag removal $388 $388 $362 $92
Sleep study (polysomnography) $3,597 $3,597 $2,676 $691
Small bowel resection $16,617 $1,136
Soft tissue ultrasound $583 $583 $352 $64
Speech therapy $247 $247 $326 $76
Spinal cord stimulator $20,943 $2,388
Spinal tap (lumbar puncture) $906 $906 $1,294 $165
Spine fracture repair (kyphoplasty) $66,208 $5,803
Spleen removal (splenectomy) $17,628 $1,036
Stomach removal (gastrectomy) $16,617 $1,595
Strabismus (eye muscle) surgery $16,291 $475
Strep throat test $37 $37 $36 $17
Stress echocardiogram $837 $209
Swallow study $215 $215 $326 $85
T3 thyroid test $43 $43 $36 $14
Tdap (tetanus) vaccine $140 $140 $114
Testicle removal (orchiectomy) $10,393 $306
Testosterone test $179 $179 $99 $26
Thyroid removal (thyroidectomy) $17,558 $1,004
Thyroid test (TSH) $50 $50 $42 $17
Thyroid ultrasound $676 $676 $467 $109
Thyroid uptake scan $2,145 $2,145 $1,823 $145
Tilt table test $466 $168
Tonsillectomy $9,933 $252
Total IgE allergy test $49 $49 $41 $16
Total protein test $11 $11 $9 $4
Tracheostomy $10,089 $273
Transesophageal echocardiogram (TEE) $837 $239
Transvaginal ultrasound $754 $754 $520 $118
Trigger finger release $8,590 $630
Trigger point injection $468 $468 $584 $56
Triglycerides test $17 $17 $14 $6
Troponin (heart) test $37 $37 $31 $12
Tubal ligation $16,051 $333
Turbinate reduction $8,176 $294
Turning a breech baby (version) $7,493 $7,493 $5,995 $94
Ulnar nerve surgery (elbow) $9,169 $575
Upper GI endoscopy (EGD) $2,139 $371
Upper GI series (barium) $547 $547 $459 $128
Ureteral stent placement $8,909 $373
Ureteroscopy (stone removal) $18,659 $365
Uric acid (gout) test $14 $14 $11 $5
Urinalysis $8 $8 $7 $3
Urine microalbumin test $17 $17 $14 $5
Urine pregnancy test $14 $9
UV light therapy (skin) $373 $106
Vaccine administration $95 $95 $73 $19
Vaginal delivery $11,332 $5,487
Varicocele repair $10,393 $327
Varicose vein ablation $11,925 $1,018
Vasectomy $10,393 $347
Visual field test $131 $64
Vitamin B12 test $45 $45 $38 $15
Vitamin D test $103 $103 $83 $30
Vitrectomy (eye) $18,682 $814
Vocal cord injection $18,079 $211
Wart removal $1,303 $121
Weight-loss (bariatric) surgery $29,303 $11,645
Whipple procedure (pancreas) $16,617 $2,871
Wound debridement $441 $441 $407 $186
Wrist fracture repair $19,026 $735
X-ray of the abdomen $338 $338 $155 $36
X-ray of the ankle $523 $523 $100 $37
X-ray of the collarbone $362 $362 $100 $33
X-ray of the elbow $538 $538 $100 $33
X-ray of the facial bones $377 $377 $249 $39
X-ray of the foot $444 $444 $100 $34
X-ray of the forearm $316 $316 $100 $29
X-ray of the hand $442 $442 $100 $38
X-ray of the hip $313 $313 $100 $49
X-ray of the knee $548 $548 $100 $42
X-ray of the lower back (lumbar spine) $336 $336 $232 $47
X-ray of the lower leg $316 $316 $100 $31
X-ray of the mid-back (thoracic spine) $336 $336 $232 $36
X-ray of the neck (cervical spine) $288 $288 $184 $47
X-ray of the pelvis $336 $336 $232 $36
X-ray of the ribs $536 $536 $104 $42
X-ray of the shoulder $551 $551 $100 $36
X-ray of the skull $336 $336 $108 $40
X-ray of the upper arm $316 $316 $100 $32
X-ray of the wrist $431 $431 $100 $43
YAG laser capsulotomy (eye) $2,048 $335
Zinc blood test $73 $73 $68 $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.