| Procedure | Arbuckle Memorial Hospital | Exceptional Community Hospital Ardmore | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $254 | $1,123 | $284 |
| Abdominal ultrasound | $352 | $1,073 | $100 |
| Abdominal ultrasound (complete) | $448 | $1,199 | $114 |
| Abdominal ultrasound (limited) | $352 | $947 | $86 |
| Abscess drainage (complex or multiple) | $343 | $2,982 | $220 |
| Abscess drainage (simple) | $201 | $918 | $129 |
| Abscess incision and drainage | $278 | $1,950 | $174 |
| Albumin blood test | $15 | $18 | $5 |
| Aldosterone test | $82 | $174 | $41 |
| Alkaline phosphatase test | $28 | $44 | $5 |
| Alpha-fetoprotein (AFP) test | $58 | $38 | $17 |
| ALT liver enzyme test | $17 | $42 | $5 |
| Ammonia blood test | $44 | $39 | $15 |
| Amylase test | $44 | $192 | $6 |
| Antinuclear antibody (ANA) test | $40 | $43 | $12 |
| Arterial blood gas (ABG) | $88 | $41 | $26 |
| AST liver enzyme test | $15 | $34 | $5 |
| Barium swallow study | $169 | $419 | $107 |
| Basic metabolic panel | $55 | $19 | $8 |
| Benign skin lesion removal | $256 | $1,065 | $171 |
| Bilirubin blood test | $19 | $18 | $5 |
| Blood clotting test (PT/INR) | $28 | $121 | $4 |
| Blood crossmatch | $36 | $45 | — |
| Blood glucose test | $20 | $20 | $5 |
| Blood transfusion | $776 | $2,042 | $47 |
| Blood type and screen | $42 | $299 | $10 |
| Blood type test | $12 | $137 | $3 |
| Blood type test (ABO group) | $12 | $105 | $3 |
| Blood type test (Rh/D antigen) | $12 | $170 | $3 |
| BNP (heart failure) test | $162 | $157 | $39 |
| Bone scan (nuclear) | $687 | $6,239 | $259 |
| Breast ultrasound | $126 | $654 | $92 |
| Breast ultrasound (complete) | $170 | $911 | $100 |
| Breast ultrasound (limited) | $96 | $398 | $84 |
| Breathing tube insertion (intubation) | $182 | $1,319 | $133 |
| Burn dressing and debridement (medium) | $156 | $229 | $166 |
| Burn dressing and debridement (small) | $124 | $155 | $93 |
| Burn treatment | $124 | $192 | $129 |
| C-reactive protein (CRP) | $14 | $25 | $5 |
| CA 19-9 tumor marker test | $58 | $35 | $21 |
| CA-125 ovarian marker test | $58 | $35 | $21 |
| Calcium blood test | $18 | $14 | $5 |
| Cardiac stress test | $541 | $1,170 | $39 |
| Cardioversion | $200 | $1,107 | $155 |
| Carotid artery ultrasound | $318 | $505 | $156 |
| CEA tumor marker test | $53 | $192 | $19 |
| Celiac disease test | $59 | $96 | $12 |
| Central line placement | $640 | $1,489 | $238 |
| Chest fluid drain (thoracentesis) | $273 | $3,719 | $311 |
| Chest tube insertion | $480 | $757 | $143 |
| Chest X-ray | $143 | $391 | $37 |
| Chest X-ray (1 view) | $143 | $218 | $25 |
| Chest X-ray (2 views) | $197 | $338 | $33 |
| CK-MB heart enzyme test | $42 | $145 | $12 |
| Clotting time test (PTT) | $28 | $163 | $6 |
| Colonoscopy | $744 | $2,955 | $480 |
| Complete blood count (CBC) | $47 | $45 | $7 |
| Complete blood count (CBC) (complete) | $50 | $18 | $8 |
| Comprehensive metabolic panel | $83 | $23 | $11 |
| Copper blood test | $31 | $83 | $12 |
| Cortisol test | $45 | $66 | $16 |
| COVID-19 PCR test | $120 | $130 | $51 |
| CPAP titration study | $327 | $446 | $69 |
| Creatine kinase (CK) test | $30 | $23 | $7 |
| CT angiography of the chest | $1,284 | $2,195 | $281 |
| CT scan of the abdomen | $670 | $2,596 | $230 |
| CT scan of the abdomen and pelvis | $2,114 | $4,125 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,932 | $5,088 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,267 | $4,125 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,369 | $2,698 | $183 |
| CT scan of the abdomen with and without contrast | $973 | $2,867 | $259 |
| CT scan of the abdomen with contrast | $776 | $2,596 | $230 |
| CT scan of the abdomen without contrast | $346 | $1,995 | $136 |
| CT scan of the arm | $1,067 | $2,668 | $199 |
| CT scan of the arm with contrast | $1,067 | $2,668 | $199 |
| CT scan of the arm without contrast | $920 | $1,555 | $161 |
| CT scan of the chest | $1,225 | $1,919 | $167 |
| CT scan of the chest with and without contrast | $1,274 | $2,280 | $196 |
| CT scan of the chest with contrast | $1,225 | $1,919 | $167 |
| CT scan of the chest without contrast | $1,067 | $1,634 | $133 |
| CT scan of the head | $1,082 | $1,830 | $148 |
| CT scan of the head with and without contrast | $1,314 | $2,146 | $173 |
| CT scan of the head with contrast | $1,082 | $1,830 | $148 |
| CT scan of the head without contrast | $1,008 | $1,589 | $107 |
| CT scan of the leg | $1,106 | $2,753 | $166 |
| CT scan of the leg with contrast | $1,067 | $2,753 | $166 |
| CT scan of the leg without contrast | $1,106 | $1,591 | $130 |
| CT scan of the lower back (lumbar spine) | $1,106 | $1,907 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,198 | $2,031 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,008 | $1,907 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,106 | $1,557 | $130 |
| CT scan of the neck | $1,106 | $2,335 | $183 |
| CT scan of the neck (cervical spine) | $1,225 | $2,388 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,274 | $2,546 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,225 | $2,388 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,106 | $2,157 | $131 |
| CT scan of the neck with and without contrast | $1,198 | $2,557 | $220 |
| CT scan of the neck with contrast | $1,067 | $2,335 | $183 |
| CT scan of the neck without contrast | $1,106 | $1,946 | $150 |
| CT scan of the pelvis | $1,159 | $1,645 | $226 |
| CT scan of the pelvis with and without contrast | $1,466 | $1,918 | $251 |
| CT scan of the pelvis with contrast | $1,159 | $1,645 | $226 |
| CT scan of the pelvis without contrast | $1,067 | $1,531 | $133 |
| CT scan of the sinuses | $1,149 | $2,396 | $152 |
| CT scan of the sinuses with and without contrast | $1,198 | $2,615 | $184 |
| CT scan of the sinuses with contrast | $920 | $2,396 | $152 |
| CT scan of the sinuses without contrast | $1,149 | $1,756 | $128 |
| D-dimer test | $21 | $244 | $10 |
| DHEA-sulfate test | $62 | $124 | $22 |
| Drug screen (urine) | $56 | $102 | $17 |
| Echocardiogram | $438 | $1,039 | $138 |
| Echocardiogram without contrast | $834 | $1,039 | $138 |
| EKG / ECG (tracing only) | $87 | $219 | $7 |
| Electrocardiogram (EKG) | $81 | $219 | $8 |
| Electroencephalogram (EEG) | $163 | $541 | $448 |
| Electrolyte panel | $42 | $62 | $7 |
| Emergency department visit | $460 | $1,707 | $69 |
| Emergency department visit (level 1) | $34 | $255 | $11 |
| Emergency department visit (level 2) | $319 | $403 | $40 |
| Emergency department visit (level 3) | $700 | $1,707 | $69 |
| Emergency department visit (level 4) | $575 | $1,833 | $118 |
| Emergency department visit (level 5) | $1,360 | $2,217 | $171 |
| Estradiol (estrogen) test | $180 | $75 | $28 |
| Fecal occult blood (stool) test | $13 | $37 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $13 | $23 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $14 | $51 | $16 |
| Feeding tube (PEG) placement | $763 | $2,891 | $178 |
| Ferritin (iron) test | $38 | $49 | $14 |
| Fibrinogen test | $24 | $23 | $10 |
| Flexible sigmoidoscopy | $384 | $3,616 | $323 |
| Flu test | $34 | $127 | $17 |
| Folate (folic acid) test | $50 | $53 | $15 |
| Free T4 thyroid test | $35 | $48 | $9 |
| FSH hormone test | $51 | $66 | $19 |
| GGT liver test | $23 | $20 | $7 |
| Glucose tolerance test | $37 | $69 | $8 |
| HDL cholesterol test | $23 | $49 | $8 |
| Hematocrit test | $8 | $36 | $2 |
| Hemoglobin A1c (diabetes test) | $32 | $34 | $10 |
| Hepatitis B test | $29 | $37 | $10 |
| Hepatitis C test | $39 | $51 | $14 |
| HIV test | $49 | $49 | $19 |
| HIV test (antibody) | $27 | $49 | $14 |
| HIV test (antigen/antibody combo) | $60 | $49 | $24 |
| Holter heart monitor | $103 | $503 | $26 |
| Iron blood test | $34 | $18 | $6 |
| IV infusion therapy | $231 | $279 | $44 |
| IV infusion therapy (each additional) | $54 | $177 | $21 |
| IV infusion therapy (initial) | $407 | $382 | $67 |
| Joint aspiration (small/intermediate) | $86 | $295 | $57 |
| Joint aspiration or injection (mid-size joint) | $86 | $322 | $57 |
| Joint aspiration or injection (small joint) | $122 | $269 | $56 |
| Kidney ultrasound | $307 | $597 | $84 |
| Kidney ultrasound (limited) | $307 | $712 | $61 |
| Lactate test | $30 | $118 | $12 |
| Laryngoscopy | $227 | $320 | $189 |
| LDH test | $23 | $21 | $6 |
| LDL cholesterol test | $26 | $21 | $11 |
| Leg vein ultrasound (Doppler) | $380 | $912 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $380 | $827 | $116 |
| LH hormone test | $52 | $66 | $19 |
| Lipase test | $19 | $17 | $7 |
| Lipid (cholesterol) panel | $45 | $48 | $13 |
| Liver function panel | $43 | $22 | $8 |
| Lung function test (PFT) | $68 | $461 | $37 |
| Magnesium blood test | $18 | $60 | $7 |
| MRI of the abdomen | $1,793 | $4,142 | $300 |
| MRI of the abdomen without contrast | $1,550 | $3,546 | $194 |
| MRI of the brain | $1,902 | $2,537 | $269 |
| MRI of the brain with contrast | $2,113 | $2,537 | $269 |
| MRI of the brain without contrast | $1,691 | $2,285 | $195 |
| MRI of the lower back (lumbar spine) | $1,793 | $3,130 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,793 | $3,130 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,550 | $2,766 | $192 |
| MRI of the mid-back (thoracic spine) | $1,793 | $3,216 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,793 | $3,978 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,793 | $3,216 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,550 | $2,797 | $190 |
| MRI of the neck (cervical spine) | $1,793 | $2,952 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,793 | $3,255 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,793 | $2,952 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,550 | $2,441 | $191 |
| Nebulizer breathing treatment | $240 | $288 | $9 |
| Office visit (established patient) | $176 | $267 | $115 |
| Office visit (new patient) | $316 | $121 | $177 |
| Office visit, established patient (level 3) | $77 | $241 | $95 |
| Office visit, established patient (level 4) | $208 | $293 | $136 |
| Office visit, new patient (level 3) | $206 | $64 | $118 |
| Office visit, new patient (level 4) | $316 | $317 | $177 |
| Office visit, new patient (level 5) | $400 | $121 | $237 |
| Pap smear (cervical screening) | $112 | $66 | $20 |
| Parathyroid hormone (PTH) test | $114 | $220 | $41 |
| Pelvic ultrasound | $364 | $783 | $78 |
| Pelvic ultrasound (complete) | $534 | $1,087 | $105 |
| Pelvic ultrasound (limited) | $194 | $480 | $51 |
| Phosphorus blood test | $23 | $17 | $5 |
| Physical therapy evaluation | $128 | $280 | $98 |
| Physical therapy evaluation (high complexity) | $128 | $328 | $98 |
| Physical therapy evaluation (moderate complexity) | $128 | $280 | $98 |
| Platelet count | $21 | $44 | $4 |
| Pregnancy blood test (hCG) | $32 | $27 | $8 |
| Pregnancy ultrasound | $250 | $740 | $126 |
| Pregnancy ultrasound (first trimester) | $231 | $733 | $117 |
| Pregnancy ultrasound (second or third trimester) | $250 | $748 | $136 |
| Procalcitonin test | $172 | $152 | $27 |
| Prolactin test | $54 | $226 | $19 |
| Prostate test (PSA) | $51 | $100 | $18 |
| Rheumatoid factor test | $16 | $86 | $6 |
| Scoliosis spine X-ray | $139 | $335 | $58 |
| Scoliosis spine X-ray (1 view) | $183 | $278 | $44 |
| Scoliosis spine X-ray (3 views) | $94 | $393 | $72 |
| Scrotal ultrasound | $592 | $965 | $99 |
| Sedimentation rate (ESR) test | $18 | $43 | $3 |
| Sex hormone binding globulin test | $66 | $88 | $22 |
| Skin biopsy | $350 | $1,134 | $121 |
| Skin biopsy (punch) | $408 | $1,134 | $121 |
| Skin cancer lesion removal | $190 | $3,955 | $240 |
| Sleep study (polysomnography) | $2,040 | $5,408 | $691 |
| Soft tissue ultrasound | $60 | $1,117 | $64 |
| Speech therapy | $152 | $161 | $76 |
| Spinal tap (lumbar puncture) | $214 | $513 | $165 |
| Spirometry (lung function test) | $62 | $324 | $30 |
| Spirometry with bronchodilator | $74 | $598 | $43 |
| Strep throat test | $52 | $202 | $17 |
| Stress echocardiogram | $222 | $1,392 | $209 |
| Swallow study | $149 | $369 | $85 |
| T3 thyroid test | $40 | $44 | $14 |
| Testosterone test | $71 | $92 | $26 |
| Thyroid test (TSH) | $50 | $11 | $17 |
| Thyroid ultrasound | $474 | $560 | $109 |
| Total IgE allergy test | $46 | $44 | $16 |
| Total protein test | $23 | $13 | $4 |
| Transvaginal ultrasound | $534 | $899 | $118 |
| Trigger point injection | $258 | $570 | $56 |
| Trigger point injection (1-2 muscles) | $212 | $1,112 | $52 |
| Triglycerides test | $23 | $23 | $6 |
| Troponin (heart) test | $65 | $146 | $12 |
| Upper GI endoscopy (EGD) | $659 | $3,101 | $371 |
| Uric acid (gout) test | $23 | $16 | $5 |
| Urinalysis | $28 | $86 | $3 |
| Urine microalbumin test | $14 | $31 | $5 |
| Urine pregnancy test | $18 | $17 | $9 |
| Vaccine administration (each additional) | $6 | $40 | $16 |
| Vitamin B12 test | $42 | $54 | $15 |
| Vitamin D test | $109 | $106 | $30 |
| Wound debridement | $244 | $641 | $186 |
| X-ray of the abdomen | $258 | $347 | $36 |
| X-ray of the ankle | $276 | $361 | $37 |
| X-ray of the collarbone | $258 | $541 | $33 |
| X-ray of the elbow | $760 | $359 | $33 |
| X-ray of the facial bones | $114 | $225 | $39 |
| X-ray of the foot | $286 | $582 | $34 |
| X-ray of the forearm | $183 | $291 | $29 |
| X-ray of the hand | $350 | $383 | $38 |
| X-ray of the hip | $174 | $306 | $49 |
| X-ray of the hip (1 view) | $104 | $140 | $34 |
| X-ray of the hip (3 views) | $183 | $306 | $49 |
| X-ray of the knee | $131 | $575 | $42 |
| X-ray of the knee (2 views) | $106 | $575 | $34 |
| X-ray of the knee (3 views) | $276 | $401 | $42 |
| X-ray of the knee (4+ views) | $262 | $707 | $49 |
| X-ray of the lower back (lumbar spine) | $336 | $556 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $290 | $512 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $382 | $601 | $53 |
| X-ray of the lower leg | $239 | $250 | $31 |
| X-ray of the mid-back (thoracic spine) | $438 | $384 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $438 | $403 | $39 |
| X-ray of the neck (cervical spine) | $370 | $434 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $370 | $428 | $40 |
| X-ray of the pelvis | $183 | $228 | $36 |
| X-ray of the pelvis (1 view) | $183 | $155 | $28 |
| X-ray of the ribs | $118 | $476 | $42 |
| X-ray of the ribs (2 views) | $222 | $224 | $36 |
| X-ray of the shoulder | $235 | $578 | $36 |
| X-ray of the skull | $122 | $439 | $40 |
| X-ray of the upper arm | $202 | $251 | $32 |
| X-ray of the wrist | $350 | $589 | $43 |
| Zinc blood test | $31 | $71 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
