| Procedure | Hillcrest Hospital Cushing | Stillwater Medical-Perry | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $38 | $681 | $51 |
| Abdominal fluid drain (paracentesis) | $731 | $3,167 | $284 |
| Abdominal ultrasound | $717 | $1,362 | $100 |
| Abdominal ultrasound (complete) | $810 | $1,689 | $114 |
| Abdominal ultrasound (limited) | $623 | $1,034 | $86 |
| Abscess drainage (complex or multiple) | $1,419 | $1,666 | $220 |
| Abscess drainage (simple) | $814 | $1,296 | $129 |
| Abscess incision and drainage | $1,117 | $1,481 | $174 |
| Albumin blood test | $104 | $66 | $5 |
| Aldosterone test | $685 | $411 | $41 |
| Alkaline phosphatase test | $186 | $141 | $5 |
| Alpha-fetoprotein (AFP) test | $271 | $184 | $17 |
| ALT liver enzyme test | $215 | $97 | $5 |
| Ammonia blood test | $223 | $118 | $15 |
| Amniocentesis | $1,248 | $1,774 | $120 |
| Amylase test | $197 | $122 | $6 |
| Anoscopy | $124 | $129 | $129 |
| Antinuclear antibody (ANA) test | $106 | $193 | $12 |
| Arterial blood gas (ABG) | $312 | $310 | $26 |
| AST liver enzyme test | $215 | $100 | $5 |
| Barium swallow study | $373 | $1,016 | $107 |
| Bartholin cyst removal | $1,063 | $762 | $182 |
| Basic metabolic panel | $197 | $263 | $8 |
| Bilirubin blood test | $179 | $106 | $5 |
| Bladder scope (cystoscopy) | $611 | $5,794 | $216 |
| Blood clotting test (PT/INR) | $376 | $140 | $4 |
| Blood crossmatch | $225 | $364 | — |
| Blood glucose test | $99 | $69 | $5 |
| Blood transfusion | $1,292 | $2,845 | $47 |
| Blood type and screen | $133 | $247 | $10 |
| Blood type test | $88 | $200 | $3 |
| Blood type test (ABO group) | $82 | $206 | $3 |
| Blood type test (Rh/D antigen) | $95 | $200 | $3 |
| BNP (heart failure) test | $282 | $248 | $39 |
| Bone density scan (DEXA) | $320 | $698 | $39 |
| Bone marrow biopsy | $3,824 | $4,346 | $172 |
| Bone scan (nuclear) | $1,358 | $2,666 | $259 |
| Breast biopsy | $2,420 | $5,298 | $478 |
| Breast MRI | $312 | $3,194 | $216 |
| Breast ultrasound | $560 | $638 | $92 |
| Breast ultrasound (limited) | $560 | $602 | $84 |
| Breathing tube insertion (intubation) | $647 | $2,645 | $133 |
| Burn dressing and debridement (medium) | $585 | $546 | $166 |
| Burn dressing and debridement (small) | $545 | $563 | $93 |
| Burn treatment | $565 | $555 | $129 |
| C-reactive protein (CRP) | $80 | $116 | $5 |
| CA 19-9 tumor marker test | $112 | $166 | $21 |
| CA-125 ovarian marker test | $158 | $168 | $21 |
| Calcium blood test | $141 | $69 | $5 |
| Cardiac ablation | $17,358 | $54,291 | $759 |
| Cardiac catheterization | $8,470 | $15,624 | $1,049 |
| Cardiac MRI | $1,442 | $1,318 | $322 |
| Cardiac MRI without contrast | $1,297 | $1,318 | $280 |
| Cardiac rehabilitation | $170 | $330 | $26 |
| Cardiac stress test | $760 | $1,299 | $39 |
| Cardioversion | $3,239 | $2,714 | $155 |
| Carotid artery ultrasound | $698 | $1,614 | $156 |
| CEA tumor marker test | $335 | $214 | $19 |
| Central line placement | $2,265 | $6,888 | $238 |
| Chemotherapy infusion | $347 | $810 | $81 |
| Chemotherapy infusion (each additional) | $257 | $283 | $28 |
| Chemotherapy infusion (first hour) | $437 | $810 | $133 |
| Chest fluid drain (thoracentesis) | $1,722 | $2,389 | $311 |
| Chest tube insertion | $2,214 | $3,440 | $143 |
| Chest X-ray | $463 | $486 | $37 |
| Chest X-ray (1 view) | $258 | $486 | $25 |
| Chest X-ray (2 views) | $440 | $347 | $33 |
| Circumcision | $5,038 | $5,104 | $167 |
| CK-MB heart enzyme test | $249 | $208 | $12 |
| Clotting time test (PTT) | $376 | $155 | $6 |
| Complete blood count (CBC) | $158 | $118 | $7 |
| Complete blood count (CBC) (complete) | $185 | $118 | $8 |
| Complex wound repair | $708 | $2,220 | $390 |
| Comprehensive metabolic panel | $211 | $251 | $11 |
| Contraceptive implant (Nexplanon) | $365 | $739 | $115 |
| Copper blood test | $278 | $187 | $12 |
| Coronary CT angiography | $1,644 | $3,584 | $326 |
| Cortisol test | $335 | $262 | $16 |
| COVID-19 PCR test | $58 | $141 | $51 |
| CPAP titration study | $712 | $746 | $69 |
| Creatine kinase (CK) test | $181 | $90 | $7 |
| CT angiography of the chest | $1,637 | $3,772 | $281 |
| CT angiography of the head | $1,415 | $2,841 | $274 |
| CT scan of the abdomen | $1,119 | $3,393 | $230 |
| CT scan of the abdomen and pelvis | $2,285 | $5,839 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,789 | $7,183 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,285 | $5,839 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,038 | $4,910 | $183 |
| CT scan of the abdomen with and without contrast | $1,475 | $4,542 | $259 |
| CT scan of the abdomen with contrast | $1,119 | $3,393 | $230 |
| CT scan of the abdomen without contrast | $1,013 | $3,371 | $136 |
| CT scan of the arm | $1,342 | $2,759 | $199 |
| CT scan of the arm with contrast | $1,602 | $2,759 | $199 |
| CT scan of the arm without contrast | $851 | $2,583 | $161 |
| CT scan of the chest | $1,219 | $3,214 | $167 |
| CT scan of the chest with and without contrast | $1,328 | $4,357 | $196 |
| CT scan of the chest with contrast | $1,219 | $3,214 | $167 |
| CT scan of the chest without contrast | $938 | $2,890 | $133 |
| CT scan of the head | $1,665 | $2,798 | $148 |
| CT scan of the head with and without contrast | $2,001 | $4,084 | $173 |
| CT scan of the head with contrast | $1,665 | $2,647 | $148 |
| CT scan of the head without contrast | $1,639 | $2,798 | $107 |
| CT scan of the leg | $1,127 | $3,145 | $166 |
| CT scan of the leg with contrast | $1,607 | $3,145 | $166 |
| CT scan of the leg without contrast | $934 | $2,837 | $130 |
| CT scan of the lower back (lumbar spine) | $1,230 | $3,826 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,719 | $3,966 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,230 | $3,826 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,154 | $3,282 | $130 |
| CT scan of the neck | $1,324 | $3,179 | $183 |
| CT scan of the neck (cervical spine) | $1,568 | $3,530 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,073 | $4,135 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,568 | $3,530 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,485 | $3,291 | $131 |
| CT scan of the neck with and without contrast | $1,363 | $3,828 | $220 |
| CT scan of the neck with contrast | $1,324 | $3,179 | $183 |
| CT scan of the neck without contrast | $992 | $2,033 | $150 |
| CT scan of the pelvis | $1,167 | $3,208 | $226 |
| CT scan of the pelvis with and without contrast | $1,316 | $3,607 | $251 |
| CT scan of the pelvis with contrast | $1,167 | $3,208 | $226 |
| CT scan of the pelvis without contrast | $821 | $2,495 | $133 |
| CT scan of the sinuses | $1,316 | $3,583 | $152 |
| CT scan of the sinuses with and without contrast | $1,383 | $4,085 | $184 |
| CT scan of the sinuses with contrast | $1,316 | $3,583 | $152 |
| CT scan of the sinuses without contrast | $1,156 | $2,776 | $128 |
| D-dimer test | $229 | $147 | $10 |
| Defibrillator (ICD) implant | $25,607 | $74,164 | $798 |
| DHEA-sulfate test | $428 | $117 | $22 |
| Diagnostic mammogram | $330 | $681 | $140 |
| Drug screen (urine) | $838 | $391 | $17 |
| Echocardiogram | $815 | $2,858 | $138 |
| Echocardiogram with and without contrast | $532 | $1,239 | $101 |
| EEG (awake and asleep) | $711 | $2,268 | $482 |
| EKG / ECG (tracing only) | $294 | $440 | $7 |
| Electrocardiogram (EKG) | $294 | $440 | $8 |
| Electroencephalogram (EEG) | $750 | $2,132 | $448 |
| Electrolyte panel | $149 | $122 | $7 |
| Emergency department visit | $780 | $449 | $69 |
| Emergency department visit (level 1) | $454 | $286 | $11 |
| Emergency department visit (level 2) | $545 | $479 | $40 |
| Emergency department visit (level 3) | $780 | $795 | $69 |
| Emergency department visit (level 4) | $1,164 | $1,320 | $118 |
| Emergency department visit (level 5) | $1,628 | $1,662 | $171 |
| Endometrial biopsy | $383 | $560 | $98 |
| Epidural steroid injection | $2,874 | $2,094 | $275 |
| Estradiol (estrogen) test | $409 | $190 | $28 |
| Fallopian tube X-ray (HSG) | $472 | $666 | $164 |
| Ferritin (iron) test | $231 | $142 | $14 |
| Fibrinogen test | $143 | $157 | $10 |
| Flu test | $19 | $72 | $17 |
| Folate (folic acid) test | $218 | $54 | $15 |
| Foreign body removal (skin) | $1,267 | $1,408 | $157 |
| Free T4 thyroid test | $314 | $166 | $9 |
| FSH hormone test | $273 | $115 | $19 |
| Gallbladder scan (HIDA) | $1,938 | $2,648 | $334 |
| GGT liver test | $181 | $87 | $7 |
| Glucose tolerance test | $90 | $94 | $8 |
| HDL cholesterol test | $157 | $81 | $8 |
| Hematocrit test | $60 | $64 | $2 |
| Hemoglobin A1c (diabetes test) | $138 | $134 | $10 |
| Hepatitis B test | $94 | $182 | $10 |
| Hepatitis C test | $103 | $170 | $14 |
| HIV test | $101 | $112 | $19 |
| HIV test (antibody) | $89 | $194 | $14 |
| HIV test (antigen/antibody combo) | $114 | $95 | $24 |
| Holter heart monitor | $272 | $902 | $26 |
| Home sleep apnea test | $144 | $494 | $123 |
| Iron blood test | $131 | $98 | $6 |
| IUD removal | $310 | $1,371 | $112 |
| IV infusion therapy | $299 | $690 | $44 |
| IV infusion therapy (each additional) | $233 | $359 | $21 |
| IV infusion therapy (initial) | $365 | $690 | $67 |
| IVC filter placement | $5,859 | $11,884 | $1,885 |
| Joint aspiration (small/intermediate) | $509 | $1,212 | $57 |
| Joint aspiration or injection (mid-size joint) | $597 | $1,251 | $57 |
| Joint aspiration or injection (small joint) | $421 | $1,212 | $56 |
| Kidney biopsy | $1,607 | $3,468 | $492 |
| Kidney scan (nuclear) | $1,847 | $2,198 | $172 |
| Kidney ultrasound | $676 | $651 | $84 |
| Kidney ultrasound (limited) | $572 | $651 | $61 |
| Knee joint injection | $1,472 | $1,504 | $69 |
| Lactate test | $242 | $192 | $12 |
| Laryngoscopy | $1,190 | $2,053 | $189 |
| LDH test | $150 | $77 | $6 |
| LDL cholesterol test | $62 | $130 | $11 |
| Leg artery angiogram | $2,778 | $6,888 | $149 |
| Leg vein ultrasound (Doppler) | $987 | $1,551 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $778 | $1,358 | $116 |
| LH hormone test | $413 | $126 | $19 |
| Lipase test | $192 | $124 | $7 |
| Lipid (cholesterol) panel | $176 | $172 | $13 |
| Liver biopsy | $1,385 | $3,468 | $288 |
| Liver function panel | $89 | $172 | $8 |
| Lung function test (PFT) | $396 | $336 | $37 |
| Lung scan (V/Q) | $1,359 | $1,924 | $291 |
| Magnesium blood test | $193 | $98 | $7 |
| MRA of the brain | $1,264 | $3,379 | $226 |
| MRA of the brain without contrast | $1,852 | $3,790 | $328 |
| MRA of the neck | $1,478 | $3,153 | $245 |
| MRA of the neck with contrast | $1,478 | $3,232 | $245 |
| MRA of the neck without contrast | $1,710 | $3,153 | $343 |
| MRI of the abdomen | $1,840 | $3,835 | $300 |
| MRI of the abdomen with contrast | $1,840 | $3,835 | $300 |
| MRI of the abdomen without contrast | $1,349 | $3,329 | $194 |
| MRI of the ankle | $1,610 | $3,297 | $261 |
| MRI of the ankle with contrast | $1,594 | $3,237 | $261 |
| MRI of the ankle without contrast | $2,071 | $3,297 | $222 |
| MRI of the brain | $1,367 | $3,679 | $269 |
| MRI of the brain with contrast | $1,367 | $3,679 | $269 |
| MRI of the brain without contrast | $1,243 | $3,631 | $195 |
| MRI of the chest | $1,938 | $3,136 | $371 |
| MRI of the chest without contrast | $1,887 | $3,534 | $466 |
| MRI of the knee | $3,257 | $3,902 | $315 |
| MRI of the knee with contrast | $3,850 | $3,902 | $315 |
| MRI of the knee without contrast | $1,715 | $3,552 | $204 |
| MRI of the lower back (lumbar spine) | $1,840 | $4,404 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,840 | $4,404 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,380 | $4,020 | $192 |
| MRI of the mid-back (thoracic spine) | $1,551 | $4,744 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,890 | $5,585 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,363 | $3,904 | $190 |
| MRI of the neck (cervical spine) | $1,892 | $4,560 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,082 | $5,170 | $318 |
| MRI of the neck (cervical spine) without contrast | $1,254 | $3,950 | $191 |
| MRI of the pelvis | $1,539 | $3,337 | $268 |
| MRI of the pelvis with contrast | $1,830 | $3,337 | $268 |
| MRI of the pelvis without contrast | $1,128 | $2,932 | $227 |
| MRI of the shoulder | $1,900 | $3,774 | $313 |
| MRI of the shoulder with contrast | $1,900 | $3,656 | $313 |
| MRI of the shoulder without contrast | $2,088 | $3,774 | $205 |
| MRI of the wrist | $1,471 | $3,245 | $330 |
| MRI of the wrist with contrast | $1,471 | $3,014 | $330 |
| MRI of the wrist without contrast | $1,399 | $3,245 | $303 |
| Nebulizer breathing treatment | $198 | $443 | $9 |
| Nuclear cardiac stress test | $3,417 | $4,931 | $428 |
| Occupational therapy evaluation | $120 | $327 | $101 |
| Occupational therapy evaluation (high complexity) | $132 | $334 | $101 |
| Occupational therapy evaluation (low complexity) | $109 | $294 | $101 |
| Occupational therapy evaluation (moderate complexity) | $120 | $327 | $101 |
| Parathyroid hormone (PTH) test | $473 | $268 | $41 |
| Pelvic ultrasound | $542 | $638 | $78 |
| Pelvic ultrasound (complete) | $716 | $1,149 | $105 |
| Pelvic ultrasound (limited) | $367 | $638 | $51 |
| PET scan | $5,467 | $6,814 | — |
| Phosphorus blood test | $133 | $70 | $5 |
| Physical therapy evaluation | $124 | $326 | $98 |
| Physical therapy evaluation (high complexity) | $136 | $338 | $98 |
| Physical therapy evaluation (moderate complexity) | $124 | $326 | $98 |
| Platelet count | $101 | $107 | $4 |
| Pregnancy blood test (hCG) | $242 | $239 | $8 |
| Pregnancy ultrasound | $667 | $718 | $126 |
| Pregnancy ultrasound (first trimester) | $578 | $921 | $117 |
| Pregnancy ultrasound (second or third trimester) | $756 | $514 | $136 |
| Procalcitonin test | $354 | $202 | $27 |
| Prolactin test | $242 | $239 | $19 |
| Prostate test (PSA) | $166 | $162 | $18 |
| Scoliosis spine X-ray | $831 | $368 | $58 |
| Scoliosis spine X-ray (1 view) | $792 | $172 | $44 |
| Scoliosis spine X-ray (3 views) | $871 | $565 | $72 |
| Screening mammogram | $341 | $514 | $126 |
| Scrotal ultrasound | $612 | $1,130 | $99 |
| Sedimentation rate (ESR) test | $108 | $78 | $3 |
| Sex hormone binding globulin test | $173 | $131 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $734 | $799 | $114 |
| Simple wound stitches | $735 | $799 | $127 |
| Skin biopsy | $350 | $3,646 | $121 |
| Skin biopsy (punch) | $350 | $2,404 | $121 |
| Sleep study (polysomnography) | $3,010 | $4,796 | $691 |
| Soft tissue ultrasound | $633 | $599 | $64 |
| Speech therapy | $208 | $267 | $76 |
| Spinal tap (lumbar puncture) | $1,054 | $1,836 | $165 |
| Spirometry (lung function test) | $291 | $268 | $30 |
| Spirometry with bronchodilator | $501 | $815 | $43 |
| Strep throat test | $107 | $137 | $17 |
| Stress echocardiogram | $1,371 | $2,210 | $209 |
| Swallow study | $218 | $385 | $85 |
| T3 thyroid test | $249 | $190 | $14 |
| Testosterone test | $550 | $189 | $26 |
| Thyroid test (TSH) | $298 | $156 | $17 |
| Thyroid ultrasound | $600 | $1,075 | $109 |
| Thyroid uptake scan | $928 | $1,371 | $145 |
| Tilt table test | $518 | $2,502 | $168 |
| Total IgE allergy test | $70 | $126 | $16 |
| Total protein test | $136 | $83 | $4 |
| Transesophageal echocardiogram (TEE) | $1,003 | $2,914 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,501 | $2,914 | $239 |
| Transvaginal ultrasound | $621 | $377 | $118 |
| Trigger point injection | $600 | $1,019 | $56 |
| Trigger point injection (1-2 muscles) | $600 | $1,355 | $52 |
| Triglycerides test | $116 | $94 | $6 |
| Troponin (heart) test | $263 | $332 | $12 |
| Turning a breech baby (version) | $3,173 | $5,243 | $94 |
| Upper GI series (barium) | $566 | $1,006 | $128 |
| Uric acid (gout) test | $141 | $87 | $5 |
| Urinalysis | $56 | $70 | $3 |
| Urine microalbumin test | $146 | $98 | $5 |
| Urine pregnancy test | $82 | $155 | $9 |
| Vaccine administration | $97 | $157 | $19 |
| Vaccine administration (each additional) | $83 | $67 | $16 |
| Varicose vein ablation | $4,569 | $8,588 | $1,018 |
| Vitamin B12 test | $215 | $76 | $15 |
| Vitamin D test | $459 | $282 | $30 |
| Wound debridement | $749 | $863 | $186 |
| X-ray of the abdomen | $318 | $540 | $36 |
| X-ray of the ankle | $458 | $610 | $37 |
| X-ray of the collarbone | $588 | $524 | $33 |
| X-ray of the elbow | $429 | $546 | $33 |
| X-ray of the facial bones | $417 | $544 | $39 |
| X-ray of the foot | $465 | $649 | $34 |
| X-ray of the forearm | $400 | $524 | $29 |
| X-ray of the hand | $701 | $575 | $38 |
| X-ray of the hip | $306 | $437 | $49 |
| X-ray of the hip (1 view) | $250 | $381 | $34 |
| X-ray of the hip (3 views) | $306 | $493 | $49 |
| X-ray of the hip (4 views) | $337 | $231 | $63 |
| X-ray of the knee | $488 | $817 | $42 |
| X-ray of the knee (2 views) | $395 | $494 | $34 |
| X-ray of the knee (3 views) | $679 | $668 | $42 |
| X-ray of the knee (4+ views) | $488 | $817 | $49 |
| X-ray of the lower back (lumbar spine) | $566 | $585 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $440 | $585 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $691 | $966 | $53 |
| X-ray of the lower leg | $400 | $580 | $31 |
| X-ray of the mid-back (thoracic spine) | $481 | $645 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $448 | $635 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $514 | $655 | $39 |
| X-ray of the neck (cervical spine) | $471 | $560 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $404 | $560 | $40 |
| X-ray of the pelvis | $509 | $545 | $36 |
| X-ray of the pelvis (1 view) | $418 | $545 | $28 |
| X-ray of the ribs | $558 | $688 | $42 |
| X-ray of the ribs (2 views) | $476 | $550 | $36 |
| X-ray of the ribs (3 views) | $558 | $694 | $42 |
| X-ray of the shoulder | $385 | $659 | $36 |
| X-ray of the skull | $499 | $399 | $40 |
| X-ray of the upper arm | $429 | $542 | $32 |
| X-ray of the wrist | $675 | $574 | $43 |
| Zinc blood test | $209 | $136 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
