| Procedure | Hillcrest Hospital Cushing | Ascension St John Sapulpa | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $38 | $35 | $51 |
| Abdominal fluid drain (paracentesis) | $731 | $1,166 | $284 |
| Abdominal ultrasound | $717 | $445 | $100 |
| Abdominal ultrasound (complete) | $810 | $527 | $114 |
| Abdominal ultrasound (limited) | $623 | $363 | $86 |
| Abscess drainage (complex or multiple) | $1,419 | $166 | $220 |
| Abscess drainage (simple) | $814 | $93 | $129 |
| Abscess incision and drainage | $1,117 | $130 | $174 |
| Albumin blood test | $104 | $11 | $5 |
| Aldosterone test | $685 | $42 | $41 |
| Alkaline phosphatase test | $186 | $27 | $5 |
| Alpha-fetoprotein (AFP) test | $271 | $70 | $17 |
| ALT liver enzyme test | $215 | $32 | $5 |
| Ammonia blood test | $223 | $53 | $15 |
| Amniocentesis | $1,248 | $368 | $120 |
| Amylase test | $197 | $30 | $6 |
| Anoscopy | $124 | $72 | $129 |
| Antinuclear antibody (ANA) test | $106 | $26 | $12 |
| Arterial blood gas (ABG) | $312 | $83 | $26 |
| AST liver enzyme test | $215 | $38 | $5 |
| Barium swallow study | $373 | $231 | $107 |
| Bartholin cyst removal | $1,063 | $113 | $182 |
| Basic metabolic panel | $197 | $32 | $8 |
| Bilirubin blood test | $179 | $69 | $5 |
| Bladder scope (cystoscopy) | $611 | $154 | $216 |
| Blood clotting test (PT/INR) | $376 | $30 | $4 |
| Blood crossmatch | $225 | $83 | — |
| Blood glucose test | $99 | $24 | $5 |
| Blood transfusion | $1,292 | $393 | $47 |
| Blood type and screen | $133 | $34 | $10 |
| Blood type test | $88 | $25 | $3 |
| Blood type test (ABO group) | $82 | $38 | $3 |
| Blood type test (Rh/D antigen) | $95 | $12 | $3 |
| BNP (heart failure) test | $282 | $44 | $39 |
| Bone density scan (DEXA) | $320 | $109 | $39 |
| Bone marrow biopsy | $3,824 | $593 | $172 |
| Bone scan (nuclear) | $1,358 | $606 | $259 |
| Breast biopsy | $2,420 | $1,799 | $478 |
| Breast MRI | $312 | $870 | $216 |
| Breast MRI without contrast | $368 | $870 | $216 |
| Breast ultrasound | $560 | $348 | $92 |
| Breast ultrasound (limited) | $560 | $348 | $84 |
| Breathing tube insertion (intubation) | $647 | $118 | $133 |
| Bronchoscopy | $2,103 | $2,211 | $303 |
| Burn dressing and debridement (medium) | $585 | $119 | $166 |
| Burn dressing and debridement (small) | $545 | $65 | $93 |
| Burn treatment | $565 | $92 | $129 |
| C-reactive protein (CRP) | $80 | $16 | $5 |
| CA 19-9 tumor marker test | $112 | $66 | $21 |
| CA-125 ovarian marker test | $158 | $56 | $21 |
| Calcium blood test | $141 | $36 | $5 |
| Cardiac ablation | $17,358 | $17,899 | $759 |
| Cardiac catheterization | $8,470 | $5,077 | $1,049 |
| Cardiac MRI | $1,442 | $801 | $322 |
| Cardiac MRI without contrast | $1,297 | $718 | $280 |
| Cardiac rehabilitation | $170 | $111 | $26 |
| Cardiac stress test | $760 | $366 | $39 |
| Cardioversion | $3,239 | $163 | $155 |
| Carotid artery ultrasound | $698 | $299 | $156 |
| CEA tumor marker test | $335 | $48 | $19 |
| Central line placement | $2,265 | $245 | $238 |
| Cervical cerclage | $4,930 | $3,274 | $137 |
| Chemotherapy infusion | $347 | $159 | $81 |
| Chemotherapy infusion (each additional) | $257 | $72 | $28 |
| Chemotherapy infusion (first hour) | $437 | $247 | $133 |
| Chest fluid drain (thoracentesis) | $1,722 | $967 | $311 |
| Chest tube insertion | $2,214 | $537 | $143 |
| Chest X-ray | $463 | $119 | $37 |
| Chest X-ray (1 view) | $258 | $86 | $25 |
| Chest X-ray (2 views) | $440 | $118 | $33 |
| Circumcision | $5,038 | $176 | $167 |
| CK-MB heart enzyme test | $249 | $43 | $12 |
| Clotting time test (PTT) | $376 | $22 | $6 |
| Complete blood count (CBC) | $158 | $37 | $7 |
| Complete blood count (CBC) (complete) | $185 | $45 | $8 |
| Complex wound repair | $708 | $317 | $390 |
| Comprehensive metabolic panel | $211 | $41 | $11 |
| Copper blood test | $278 | $102 | $12 |
| Coronary CT angiography | $1,644 | $1,167 | $326 |
| Cortisol test | $335 | $45 | $16 |
| COVID-19 PCR test | $58 | $21 | $51 |
| CPAP titration study | $712 | $104 | $69 |
| Creatine kinase (CK) test | $181 | $30 | $7 |
| CT angiography of the chest | $1,637 | $1,499 | $281 |
| CT angiography of the head | $1,415 | $1,329 | $274 |
| CT scan of the abdomen | $1,119 | $1,020 | $230 |
| CT scan of the abdomen and pelvis | $2,285 | $1,188 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,789 | $1,216 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,285 | $1,188 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,038 | $921 | $183 |
| CT scan of the abdomen with and without contrast | $1,475 | $1,093 | $259 |
| CT scan of the abdomen with contrast | $1,119 | $1,020 | $230 |
| CT scan of the abdomen without contrast | $1,013 | $955 | $136 |
| CT scan of the arm | $1,342 | $794 | $199 |
| CT scan of the arm with contrast | $1,602 | $886 | $199 |
| CT scan of the arm without contrast | $851 | $794 | $161 |
| CT scan of the chest | $1,219 | $1,043 | $167 |
| CT scan of the chest with and without contrast | $1,328 | $1,043 | $196 |
| CT scan of the chest with contrast | $1,219 | $1,108 | $167 |
| CT scan of the chest without contrast | $938 | $953 | $133 |
| CT scan of the head | $1,665 | $892 | $148 |
| CT scan of the head with and without contrast | $2,001 | $1,065 | $173 |
| CT scan of the head with contrast | $1,665 | $883 | $148 |
| CT scan of the head without contrast | $1,639 | $892 | $107 |
| CT scan of the leg | $1,127 | $823 | $166 |
| CT scan of the leg with contrast | $1,607 | $989 | $166 |
| CT scan of the leg without contrast | $934 | $823 | $130 |
| CT scan of the lower back (lumbar spine) | $1,230 | $844 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,719 | $715 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,230 | $903 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,154 | $844 | $130 |
| CT scan of the neck | $1,324 | $917 | $183 |
| CT scan of the neck (cervical spine) | $1,568 | $855 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,073 | $921 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,568 | $855 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,485 | $826 | $131 |
| CT scan of the neck with and without contrast | $1,363 | $1,042 | $220 |
| CT scan of the neck with contrast | $1,324 | $917 | $183 |
| CT scan of the neck without contrast | $992 | $725 | $150 |
| CT scan of the pelvis | $1,167 | $944 | $226 |
| CT scan of the pelvis with and without contrast | $1,316 | $813 | $251 |
| CT scan of the pelvis with contrast | $1,167 | $971 | $226 |
| CT scan of the pelvis without contrast | $821 | $944 | $133 |
| CT scan of the sinuses | $1,316 | $741 | $152 |
| CT scan of the sinuses with and without contrast | $1,383 | $787 | $184 |
| CT scan of the sinuses with contrast | $1,316 | $741 | $152 |
| CT scan of the sinuses without contrast | $1,156 | $138 | $128 |
| D-dimer test | $229 | $58 | $10 |
| Defibrillator (ICD) implant | $25,607 | $9,232 | $798 |
| DHEA-sulfate test | $428 | $75 | $22 |
| Diagnostic mammogram | $330 | $185 | $140 |
| Drug screen (urine) | $838 | $269 | $17 |
| Echocardiogram | $815 | $535 | $138 |
| Echocardiogram with and without contrast | $532 | $375 | $101 |
| Echocardiogram without contrast | $815 | $535 | $138 |
| EEG (awake and asleep) | $711 | $245 | $482 |
| EKG / ECG (tracing only) | $294 | $69 | $7 |
| Electrocardiogram (EKG) | $294 | $41 | $8 |
| Electroencephalogram (EEG) | $750 | $245 | $448 |
| Electrolyte panel | $149 | $28 | $7 |
| Electromyography (EMG) | $795 | $215 | $141 |
| Emergency department visit | $780 | $422 | $69 |
| Emergency department visit (level 1) | $454 | $24 | $11 |
| Emergency department visit (level 2) | $545 | $315 | $40 |
| Emergency department visit (level 3) | $780 | $529 | $69 |
| Emergency department visit (level 4) | $1,164 | $758 | $118 |
| Emergency department visit (level 5) | $1,628 | $201 | $171 |
| Endometrial biopsy | $383 | $86 | $98 |
| Epidural steroid injection | $2,874 | $661 | $275 |
| Estradiol (estrogen) test | $409 | $68 | $28 |
| Fallopian tube X-ray (HSG) | $472 | $196 | $164 |
| Family therapy session | $455 | $210 | $110 |
| Feeding tube (PEG) placement | $3,418 | $1,105 | $178 |
| Ferritin (iron) test | $231 | $44 | $14 |
| Fibrinogen test | $143 | $31 | $10 |
| Flu test | $19 | $66 | $17 |
| Folate (folic acid) test | $218 | $58 | $15 |
| Foreign body removal (skin) | $1,267 | $122 | $157 |
| Free T4 thyroid test | $314 | $61 | $9 |
| FSH hormone test | $273 | $61 | $19 |
| Gallbladder scan (HIDA) | $1,938 | $547 | $334 |
| GGT liver test | $181 | $49 | $7 |
| Glucose tolerance test | $90 | $12 | $8 |
| Group therapy session | $426 | $210 | $30 |
| HDL cholesterol test | $157 | $37 | $8 |
| Hematocrit test | $60 | $11 | $2 |
| Hemodialysis | $809 | $824 | $75 |
| Hemoglobin A1c (diabetes test) | $138 | $137 | $10 |
| Hepatitis B test | $94 | $36 | $10 |
| Hepatitis C test | $103 | $49 | $14 |
| HIV test | $101 | $32 | $19 |
| HIV test (antibody) | $89 | $45 | $14 |
| HIV test (antigen/antibody combo) | $114 | $32 | $24 |
| Holter heart monitor | $272 | $159 | $26 |
| Iron blood test | $131 | $71 | $6 |
| IUD removal | $310 | $81 | $112 |
| IV infusion therapy | $299 | $36 | $44 |
| IV infusion therapy (each additional) | $233 | $17 | $21 |
| IV infusion therapy (initial) | $365 | $55 | $67 |
| IVC filter placement | $5,859 | $5,374 | $1,885 |
| Joint aspiration (small/intermediate) | $509 | $155 | $57 |
| Joint aspiration or injection (mid-size joint) | $597 | $270 | $57 |
| Joint aspiration or injection (small joint) | $421 | $39 | $56 |
| Kidney biopsy | $1,607 | $1,142 | $492 |
| Kidney scan (nuclear) | $1,847 | $818 | $172 |
| Kidney ultrasound | $676 | $339 | $84 |
| Kidney ultrasound (limited) | $572 | $277 | $61 |
| Knee joint injection | $1,472 | $49 | $69 |
| Lactate test | $242 | $21 | $12 |
| Laryngoscopy | $1,190 | $149 | $189 |
| LDH test | $150 | $28 | $6 |
| LDL cholesterol test | $62 | $30 | $11 |
| Leg artery angiogram | $2,778 | $1,500 | $149 |
| Leg vein ultrasound (Doppler) | $987 | $396 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $778 | $385 | $116 |
| LH hormone test | $413 | $59 | $19 |
| Lipase test | $192 | $21 | $7 |
| Lipid (cholesterol) panel | $176 | $28 | $13 |
| Liver biopsy | $1,385 | $1,142 | $288 |
| Liver function panel | $89 | $44 | $8 |
| Lung function test (PFT) | $396 | $129 | $37 |
| Lung scan (V/Q) | $1,359 | $703 | $291 |
| Magnesium blood test | $193 | $47 | $7 |
| MRA of the brain | $1,264 | $686 | $226 |
| MRA of the brain with contrast | $1,264 | $686 | $226 |
| MRA of the brain without contrast | $1,852 | $839 | $328 |
| MRA of the neck | $1,478 | $624 | $245 |
| MRA of the neck with contrast | $1,478 | $624 | $245 |
| MRA of the neck without contrast | $1,710 | $915 | $343 |
| MRI of the abdomen | $1,840 | $979 | $300 |
| MRI of the abdomen with contrast | $1,840 | $954 | $300 |
| MRI of the abdomen without contrast | $1,349 | $979 | $194 |
| MRI of the ankle | $1,610 | $1,026 | $261 |
| MRI of the ankle with contrast | $1,594 | $977 | $261 |
| MRI of the ankle without contrast | $2,071 | $1,026 | $222 |
| MRI of the brain | $1,367 | $928 | $269 |
| MRI of the brain with contrast | $1,367 | $985 | $269 |
| MRI of the brain without contrast | $1,243 | $871 | $195 |
| MRI of the chest | $1,938 | $927 | $371 |
| MRI of the chest without contrast | $1,887 | $1,182 | $466 |
| MRI of the knee | $3,257 | $1,071 | $315 |
| MRI of the knee with contrast | $3,850 | $1,113 | $315 |
| MRI of the knee without contrast | $1,715 | $977 | $204 |
| MRI of the lower back (lumbar spine) | $1,840 | $1,055 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,840 | $1,055 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,380 | $925 | $192 |
| MRI of the mid-back (thoracic spine) | $1,551 | $977 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,890 | $1,390 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,551 | $972 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,363 | $977 | $190 |
| MRI of the neck (cervical spine) | $1,892 | $972 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,082 | $1,276 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,892 | $972 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,254 | $963 | $191 |
| MRI of the pelvis | $1,539 | $890 | $268 |
| MRI of the pelvis with contrast | $1,830 | $842 | $268 |
| MRI of the pelvis without contrast | $1,128 | $890 | $227 |
| MRI of the shoulder | $1,900 | $1,026 | $313 |
| MRI of the shoulder with contrast | $1,900 | $1,026 | $313 |
| MRI of the shoulder without contrast | $2,088 | $1,026 | $205 |
| MRI of the wrist | $1,471 | $966 | $330 |
| MRI of the wrist with contrast | $1,471 | $927 | $330 |
| MRI of the wrist without contrast | $1,399 | $966 | $303 |
| Nebulizer breathing treatment | $198 | $30 | $9 |
| Nerve conduction study | $525 | $230 | $118 |
| Nuclear cardiac stress test | $3,417 | $2,001 | $428 |
| Occupational therapy evaluation | $120 | $75 | $101 |
| Occupational therapy evaluation (high complexity) | $132 | $75 | $101 |
| Occupational therapy evaluation (low complexity) | $109 | $75 | $101 |
| Occupational therapy evaluation (moderate complexity) | $120 | $75 | $101 |
| Parathyroid hormone (PTH) test | $473 | $139 | $41 |
| Pelvic ultrasound | $542 | $393 | $78 |
| Pelvic ultrasound (complete) | $716 | $485 | $105 |
| Pelvic ultrasound (limited) | $367 | $301 | $51 |
| PET scan | $5,467 | $2,949 | — |
| Phosphorus blood test | $133 | $33 | $5 |
| Physical therapy evaluation | $124 | $75 | $98 |
| Physical therapy evaluation (high complexity) | $136 | $75 | $98 |
| Physical therapy evaluation (moderate complexity) | $124 | $75 | $98 |
| Platelet count | $101 | $24 | $4 |
| Pregnancy blood test (hCG) | $242 | $33 | $8 |
| Pregnancy ultrasound | $667 | $528 | $126 |
| Pregnancy ultrasound (first trimester) | $578 | $489 | $117 |
| Pregnancy ultrasound (second or third trimester) | $756 | $566 | $136 |
| Procalcitonin test | $354 | $101 | $27 |
| Prolactin test | $242 | $52 | $19 |
| Prostate test (PSA) | $166 | $77 | $18 |
| Psychotherapy session | $443 | $210 | $140 |
| Scoliosis spine X-ray | $831 | $146 | $58 |
| Scoliosis spine X-ray (1 view) | $792 | $143 | $44 |
| Scoliosis spine X-ray (3 views) | $871 | $148 | $72 |
| Screening mammogram | $341 | $141 | $126 |
| Scrotal ultrasound | $612 | $299 | $99 |
| Sedimentation rate (ESR) test | $108 | $21 | $3 |
| Sex hormone binding globulin test | $173 | $41 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $734 | $116 | $114 |
| Simple wound stitches | $735 | $119 | $127 |
| Sleep study (polysomnography) | $3,010 | $2,252 | $691 |
| Soft tissue ultrasound | $633 | $155 | $64 |
| Speech therapy | $208 | $66 | $76 |
| Spinal tap (lumbar puncture) | $1,054 | $128 | $165 |
| Spine fracture repair (kyphoplasty) | $8,311 | $8,639 | $5,803 |
| Spirometry (lung function test) | $291 | $99 | $30 |
| Spirometry with bronchodilator | $501 | $159 | $43 |
| Strep throat test | $107 | $49 | $17 |
| Stress echocardiogram | $1,371 | $640 | $209 |
| Swallow study | $218 | $88 | $85 |
| T3 thyroid test | $249 | $59 | $14 |
| Testosterone test | $550 | $75 | $26 |
| Thyroid test (TSH) | $298 | $41 | $17 |
| Thyroid ultrasound | $600 | $408 | $109 |
| Thyroid uptake scan | $928 | $218 | $145 |
| Tilt table test | $518 | $487 | $168 |
| Total IgE allergy test | $70 | $58 | $16 |
| Total protein test | $136 | $41 | $4 |
| Transesophageal echocardiogram (TEE) | $1,003 | $852 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,501 | $848 | $239 |
| Transvaginal ultrasound | $621 | $379 | $118 |
| Trigger point injection | $600 | $48 | $56 |
| Trigger point injection (1-2 muscles) | $600 | $45 | $52 |
| Triglycerides test | $116 | $14 | $6 |
| Troponin (heart) test | $263 | $119 | $12 |
| Turning a breech baby (version) | $3,173 | $1,642 | $94 |
| Upper GI endoscopy (EGD) | $1,710 | $949 | $371 |
| Upper GI series (barium) | $566 | $311 | $128 |
| Uric acid (gout) test | $141 | $25 | $5 |
| Urinalysis | $56 | $10 | $3 |
| Urine microalbumin test | $146 | $36 | $5 |
| Urine pregnancy test | $82 | $27 | $9 |
| Vaccine administration | $97 | $28 | $19 |
| Vaccine administration (each additional) | $83 | $28 | $16 |
| Varicose vein ablation | $4,569 | $1,558 | $1,018 |
| Vitamin B12 test | $215 | $50 | $15 |
| Vitamin D test | $459 | $131 | $30 |
| Wound debridement | $749 | $140 | $186 |
| X-ray of the abdomen | $318 | $159 | $36 |
| X-ray of the ankle | $458 | $135 | $37 |
| X-ray of the collarbone | $588 | $121 | $33 |
| X-ray of the elbow | $429 | $119 | $33 |
| X-ray of the facial bones | $417 | $78 | $39 |
| X-ray of the foot | $465 | $137 | $34 |
| X-ray of the forearm | $400 | $118 | $29 |
| X-ray of the hand | $701 | $131 | $38 |
| X-ray of the hip | $306 | $122 | $49 |
| X-ray of the hip (1 view) | $250 | $100 | $34 |
| X-ray of the hip (3 views) | $306 | $122 | $49 |
| X-ray of the hip (4 views) | $337 | $162 | $63 |
| X-ray of the knee | $488 | $122 | $42 |
| X-ray of the knee (2 views) | $395 | $104 | $34 |
| X-ray of the knee (3 views) | $679 | $122 | $42 |
| X-ray of the knee (4+ views) | $488 | $152 | $49 |
| X-ray of the lower back (lumbar spine) | $566 | $188 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $440 | $148 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $691 | $227 | $53 |
| X-ray of the lower leg | $400 | $116 | $31 |
| X-ray of the mid-back (thoracic spine) | $481 | $160 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $448 | $148 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $514 | $172 | $39 |
| X-ray of the neck (cervical spine) | $471 | $167 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $404 | $148 | $40 |
| X-ray of the pelvis | $509 | $122 | $36 |
| X-ray of the pelvis (1 view) | $418 | $116 | $28 |
| X-ray of the ribs | $558 | $197 | $42 |
| X-ray of the ribs (2 views) | $476 | $173 | $36 |
| X-ray of the ribs (3 views) | $558 | $207 | $42 |
| X-ray of the shoulder | $385 | $132 | $36 |
| X-ray of the skull | $499 | $105 | $40 |
| X-ray of the upper arm | $429 | $124 | $32 |
| X-ray of the wrist | $675 | $132 | $43 |
| Zinc blood test | $209 | $58 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
