| Procedure | St John Owasso | Bailey Medical Center, Llc | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $35 | $55 | $51 |
| Abdominal fluid drain (paracentesis) | $1,166 | $1,326 | $284 |
| Abdominal ultrasound | $445 | $600 | $100 |
| Abdominal ultrasound (complete) | $527 | $663 | $114 |
| Abdominal ultrasound (limited) | $363 | $537 | $86 |
| Abscess drainage (complex or multiple) | $313 | $727 | $220 |
| Abscess drainage (simple) | $239 | $641 | $129 |
| Abscess incision and drainage | $276 | $684 | $174 |
| Albumin blood test | $11 | $64 | $5 |
| Aldosterone test | $42 | $79 | $41 |
| Alkaline phosphatase test | $27 | $110 | $5 |
| Alpha-fetoprotein (AFP) test | $70 | $187 | $17 |
| ALT liver enzyme test | $32 | $147 | $5 |
| Ammonia blood test | $53 | $147 | $15 |
| Amylase test | $30 | $137 | $6 |
| Antinuclear antibody (ANA) test | $26 | $141 | $12 |
| AST liver enzyme test | $38 | $153 | $5 |
| Barium swallow study | $231 | $466 | $107 |
| Bartholin cyst removal | $79 | $690 | $182 |
| Basic metabolic panel | $32 | $205 | $8 |
| Bilirubin blood test | $69 | $95 | $5 |
| Blood clotting test (PT/INR) | $30 | $103 | $4 |
| Blood crossmatch | $83 | $358 | — |
| Blood glucose test | $24 | $70 | $5 |
| Blood transfusion | $393 | $1,022 | $47 |
| Blood type and screen | $34 | $146 | $10 |
| Blood type test | $25 | $103 | $3 |
| Blood type test (ABO group) | $38 | $110 | $3 |
| Blood type test (Rh/D antigen) | $12 | $97 | $3 |
| BNP (heart failure) test | $44 | $229 | $39 |
| Bone density scan (DEXA) | $109 | $270 | $39 |
| Breast biopsy | $1,799 | $2,053 | $478 |
| Breast MRI | $870 | $1,220 | $216 |
| Breast MRI without contrast | $870 | $1,220 | $216 |
| Breast ultrasound | $348 | $367 | $92 |
| Breast ultrasound (complete) | $348 | $384 | $100 |
| Breast ultrasound (limited) | $348 | $349 | $84 |
| Breathing tube insertion (intubation) | $264 | $1,042 | $133 |
| Burn dressing and debridement (small) | $149 | $413 | $93 |
| Burn treatment | $156 | $413 | $129 |
| C-reactive protein (CRP) | $16 | $119 | $5 |
| CA 19-9 tumor marker test | $66 | $135 | $21 |
| CA-125 ovarian marker test | $56 | $198 | $21 |
| Calcium blood test | $36 | $92 | $5 |
| Cardiac MRI | $801 | $779 | $322 |
| Cardiac stress test | $366 | $652 | $39 |
| Cardioversion | $551 | $2,618 | $155 |
| Carotid artery ultrasound | $299 | $676 | $156 |
| CEA tumor marker test | $48 | $231 | $19 |
| Celiac disease test | $296 | $142 | $12 |
| Central line placement | $1,018 | $2,049 | $238 |
| Chest fluid drain (thoracentesis) | $967 | $1,175 | $311 |
| Chest tube insertion | $537 | $733 | $143 |
| Chest X-ray | $119 | $346 | $37 |
| Chest X-ray (1 view) | $86 | $287 | $25 |
| Chest X-ray (2 views) | $118 | $404 | $33 |
| Circumcision | $149 | $2,945 | $167 |
| CK-MB heart enzyme test | $43 | $173 | $12 |
| Clotting time test (PTT) | $22 | $152 | $6 |
| Complete blood count (CBC) | $37 | $130 | $7 |
| Complete blood count (CBC) (complete) | $45 | $154 | $8 |
| Comprehensive metabolic panel | $41 | $246 | $11 |
| Coronary CT angiography | $1,167 | $1,391 | $326 |
| Cortisol test | $45 | $214 | $16 |
| COVID-19 PCR test | $21 | $61 | $51 |
| CPAP titration study | $104 | $619 | $69 |
| Creatine kinase (CK) test | $30 | $113 | $7 |
| CT angiography of the chest | $1,499 | $1,795 | $281 |
| CT angiography of the head | $1,329 | $1,671 | $274 |
| CT scan of the abdomen | $1,020 | $1,340 | $230 |
| CT scan of the abdomen and pelvis | $1,188 | $2,504 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,216 | $2,836 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,188 | $2,504 | $300 |
| CT scan of the abdomen and pelvis without contrast | $921 | $2,178 | $183 |
| CT scan of the abdomen with and without contrast | $1,093 | $1,645 | $259 |
| CT scan of the abdomen with contrast | $1,020 | $1,340 | $230 |
| CT scan of the abdomen without contrast | $955 | $1,171 | $136 |
| CT scan of the arm | $794 | $1,302 | $199 |
| CT scan of the arm with contrast | $886 | $1,365 | $199 |
| CT scan of the arm without contrast | $794 | $1,302 | $161 |
| CT scan of the chest | $1,043 | $1,398 | $167 |
| CT scan of the chest with and without contrast | $1,043 | $1,536 | $196 |
| CT scan of the chest with contrast | $1,108 | $1,398 | $167 |
| CT scan of the chest without contrast | $953 | $1,159 | $133 |
| CT scan of the head | $892 | $1,520 | $148 |
| CT scan of the head with and without contrast | $1,065 | $1,733 | $173 |
| CT scan of the head with contrast | $883 | $1,520 | $148 |
| CT scan of the head without contrast | $892 | $1,428 | $107 |
| CT scan of the leg | $823 | $1,455 | $166 |
| CT scan of the leg with contrast | $989 | $1,265 | $166 |
| CT scan of the leg without contrast | $823 | $1,477 | $130 |
| CT scan of the lower back (lumbar spine) | $844 | $1,400 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $715 | $1,540 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $903 | $1,400 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $844 | $1,330 | $130 |
| CT scan of the neck | $917 | $1,481 | $183 |
| CT scan of the neck (cervical spine) | $855 | $1,524 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $921 | $1,790 | $196 |
| CT scan of the neck (cervical spine) with contrast | $855 | $1,524 | $168 |
| CT scan of the neck (cervical spine) without contrast | $826 | $1,417 | $131 |
| CT scan of the neck with and without contrast | $1,042 | $1,626 | $220 |
| CT scan of the neck with contrast | $917 | $1,481 | $183 |
| CT scan of the neck without contrast | $725 | $1,043 | $150 |
| CT scan of the pelvis | $944 | $1,390 | $226 |
| CT scan of the pelvis with and without contrast | $813 | $1,529 | $251 |
| CT scan of the pelvis with contrast | $971 | $1,390 | $226 |
| CT scan of the pelvis without contrast | $944 | $1,234 | $133 |
| CT scan of the sinuses | $741 | $1,343 | $152 |
| CT scan of the sinuses with and without contrast | $787 | $1,477 | $184 |
| CT scan of the sinuses with contrast | $741 | $1,343 | $152 |
| CT scan of the sinuses without contrast | $138 | $1,198 | $128 |
| D-dimer test | $58 | $200 | $10 |
| DHEA-sulfate test | $75 | $28 | $22 |
| Diagnostic mammogram | $185 | $271 | $140 |
| Drug screen (urine) | $269 | $304 | $17 |
| Echocardiogram | $535 | $1,182 | $138 |
| Echocardiogram with and without contrast | $375 | $451 | $101 |
| EKG / ECG (tracing only) | $69 | $246 | $7 |
| Electrocardiogram (EKG) | $69 | $246 | $8 |
| Electrolyte panel | $28 | $158 | $7 |
| Emergency department visit | $529 | $751 | $69 |
| Emergency department visit (level 1) | $142 | $278 | $11 |
| Emergency department visit (level 2) | $315 | $515 | $40 |
| Emergency department visit (level 3) | $529 | $751 | $69 |
| Emergency department visit (level 4) | $758 | $1,085 | $118 |
| Emergency department visit (level 5) | $1,152 | $1,412 | $171 |
| Endometrial biopsy | $460 | $193 | $98 |
| Epidural steroid injection | $661 | $788 | $275 |
| Facet joint injection (spine) | $671 | $1,006 | $99 |
| Fallopian tube X-ray (HSG) | $196 | $561 | $164 |
| Feeding tube (PEG) placement | $1,105 | $2,803 | $178 |
| Ferritin (iron) test | $44 | $157 | $14 |
| Fibrinogen test | $31 | $112 | $10 |
| Folate (folic acid) test | $58 | $131 | $15 |
| Foreign body removal (skin) | $430 | $1,043 | $157 |
| Free T4 thyroid test | $61 | $156 | $9 |
| FSH hormone test | $61 | $21 | $19 |
| GGT liver test | $49 | $126 | $7 |
| H. pylori test | $75 | $226 | $67 |
| HDL cholesterol test | $37 | $113 | $8 |
| Hematocrit test | $11 | $51 | $2 |
| Hemoglobin A1c (diabetes test) | $137 | $111 | $10 |
| Hepatitis B test | $36 | $60 | $10 |
| Hepatitis C test | $49 | $134 | $14 |
| HIV test | $32 | $107 | $19 |
| HIV test (antigen/antibody combo) | $32 | $107 | $24 |
| Iron blood test | $71 | $79 | $6 |
| IV infusion therapy | $149 | $290 | $44 |
| IV infusion therapy (each additional) | $68 | $183 | $21 |
| IV infusion therapy (initial) | $229 | $397 | $67 |
| Joint aspiration (small/intermediate) | $233 | $296 | $57 |
| Joint aspiration or injection (mid-size joint) | $270 | $296 | $57 |
| Kidney ultrasound | $339 | $500 | $84 |
| Kidney ultrasound (limited) | $277 | $416 | $61 |
| Knee joint injection | $382 | $1,238 | $69 |
| Lactate test | $21 | $152 | $12 |
| LDH test | $28 | $100 | $6 |
| Leg vein ultrasound (Doppler) | $396 | $652 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $385 | $447 | $116 |
| LH hormone test | $59 | $21 | $19 |
| Lipase test | $21 | $120 | $7 |
| Lipid (cholesterol) panel | $28 | $209 | $13 |
| Liver biopsy | $1,142 | $1,292 | $288 |
| Liver function panel | $44 | $131 | $8 |
| Lung function test (PFT) | $129 | $361 | $37 |
| Magnesium blood test | $47 | $119 | $7 |
| MRA of the brain | $686 | $1,053 | $226 |
| MRA of the neck | $624 | $996 | $245 |
| MRA of the neck with contrast | $624 | $996 | $245 |
| MRA of the neck without contrast | $915 | $1,562 | $343 |
| MRI of the abdomen | $979 | $1,632 | $300 |
| MRI of the abdomen with contrast | $954 | $1,632 | $300 |
| MRI of the abdomen without contrast | $979 | $1,483 | $194 |
| MRI of the ankle | $1,026 | $1,746 | $261 |
| MRI of the ankle with contrast | $977 | $1,746 | $261 |
| MRI of the ankle without contrast | $1,026 | $1,667 | $222 |
| MRI of the brain | $928 | $1,877 | $269 |
| MRI of the brain with contrast | $985 | $1,877 | $269 |
| MRI of the brain without contrast | $871 | $1,751 | $195 |
| MRI of the chest | $927 | $1,476 | $371 |
| MRI of the chest with contrast | $927 | $1,744 | $371 |
| MRI of the knee | $1,071 | $1,984 | $315 |
| MRI of the knee with contrast | $1,113 | $1,804 | $315 |
| MRI of the knee without contrast | $977 | $2,582 | $204 |
| MRI of the lower back (lumbar spine) | $1,055 | $1,764 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,055 | $1,764 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $925 | $1,604 | $192 |
| MRI of the mid-back (thoracic spine) | $977 | $1,949 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,390 | $1,949 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $972 | $2,081 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $977 | $1,406 | $190 |
| MRI of the neck (cervical spine) | $972 | $1,744 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,276 | $2,095 | $318 |
| MRI of the neck (cervical spine) with contrast | $972 | $1,744 | $274 |
| MRI of the neck (cervical spine) without contrast | $963 | $1,589 | $191 |
| MRI of the pelvis | $890 | $1,387 | $268 |
| MRI of the pelvis without contrast | $890 | $1,080 | $227 |
| MRI of the shoulder | $1,026 | $2,034 | $313 |
| MRI of the shoulder with contrast | $1,026 | $2,773 | $313 |
| MRI of the shoulder without contrast | $1,026 | $1,561 | $205 |
| MRI of the wrist | $966 | $1,548 | $330 |
| MRI of the wrist with contrast | $927 | $1,548 | $330 |
| MRI of the wrist without contrast | $966 | $1,407 | $303 |
| Nebulizer breathing treatment | $30 | $135 | $9 |
| Occupational therapy evaluation | $75 | $188 | $101 |
| Occupational therapy evaluation (high complexity) | $75 | $209 | $101 |
| Occupational therapy evaluation (moderate complexity) | $75 | $167 | $101 |
| Parathyroid hormone (PTH) test | $139 | $290 | $41 |
| Pelvic ultrasound | $393 | $544 | $78 |
| Pelvic ultrasound (complete) | $485 | $587 | $105 |
| Pelvic ultrasound (limited) | $301 | $501 | $51 |
| Phosphorus blood test | $33 | $75 | $5 |
| Physical therapy evaluation | $75 | $191 | $98 |
| Physical therapy evaluation (high complexity) | $75 | $209 | $98 |
| Physical therapy evaluation (moderate complexity) | $75 | $191 | $98 |
| Platelet count | $24 | $75 | $4 |
| Pregnancy blood test (hCG) | $33 | $157 | $8 |
| Pregnancy ultrasound | $528 | $547 | $126 |
| Pregnancy ultrasound (first trimester) | $489 | $374 | $117 |
| Pregnancy ultrasound (second or third trimester) | $566 | $721 | $136 |
| Procalcitonin test | $101 | $324 | $27 |
| Prolactin test | $52 | $135 | $19 |
| Prostate test (PSA) | $77 | $112 | $18 |
| Scoliosis spine X-ray | $146 | $512 | $58 |
| Scoliosis spine X-ray (1 view) | $143 | $488 | $44 |
| Scoliosis spine X-ray (3 views) | $148 | $537 | $72 |
| Screening mammogram | $141 | $262 | $126 |
| Scrotal ultrasound | $299 | $515 | $99 |
| Sedimentation rate (ESR) test | $21 | $82 | $3 |
| Sex hormone binding globulin test | $41 | $23 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $130 | $480 | $114 |
| Simple wound stitches | $138 | $523 | $127 |
| Soft tissue ultrasound | $155 | $305 | $64 |
| Speech therapy | $66 | $191 | $76 |
| Spinal tap (lumbar puncture) | $508 | $908 | $165 |
| Spirometry (lung function test) | $99 | $242 | $30 |
| Spirometry with bronchodilator | $159 | $481 | $43 |
| Strep throat test | $49 | $144 | $17 |
| Stress echocardiogram | $640 | $1,687 | $209 |
| Swallow study | $88 | $258 | $85 |
| T3 thyroid test | $59 | $28 | $14 |
| Testosterone test | $75 | $99 | $26 |
| Thyroid test (TSH) | $41 | $238 | $17 |
| Thyroid ultrasound | $408 | $548 | $109 |
| Total IgE allergy test | $58 | $26 | $16 |
| Total protein test | $41 | $95 | $4 |
| Transesophageal echocardiogram (TEE) | $852 | $1,899 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $848 | $1,899 | $239 |
| Transvaginal ultrasound | $379 | $470 | $118 |
| Trigger point injection | $292 | $386 | $56 |
| Trigger point injection (1-2 muscles) | $264 | $446 | $52 |
| Triglycerides test | $14 | $79 | $6 |
| Troponin (heart) test | $119 | $197 | $12 |
| Turning a breech baby (version) | $1,642 | $2,854 | $94 |
| Upper GI series (barium) | $311 | $685 | $128 |
| Uric acid (gout) test | $25 | $84 | $5 |
| Urinalysis | $10 | $69 | $3 |
| Urine microalbumin test | $36 | $40 | $5 |
| Urine pregnancy test | $27 | $119 | $9 |
| Vaccine administration | $28 | $91 | $19 |
| Vaccine administration (each additional) | $28 | $84 | $16 |
| Vitamin B12 test | $50 | $134 | $15 |
| Vitamin D test | $131 | $58 | $30 |
| Wart removal | $105 | $233 | $121 |
| Wound debridement | $394 | $343 | $186 |
| X-ray of the abdomen | $159 | $374 | $36 |
| X-ray of the ankle | $135 | $362 | $37 |
| X-ray of the collarbone | $121 | $293 | $33 |
| X-ray of the elbow | $119 | $335 | $33 |
| X-ray of the facial bones | $78 | $329 | $39 |
| X-ray of the foot | $137 | $367 | $34 |
| X-ray of the forearm | $118 | $315 | $29 |
| X-ray of the hand | $131 | $540 | $38 |
| X-ray of the hip | $122 | $220 | $49 |
| X-ray of the hip (1 view) | $100 | $193 | $34 |
| X-ray of the hip (3 views) | $122 | $220 | $49 |
| X-ray of the hip (4 views) | $162 | $242 | $63 |
| X-ray of the knee | $122 | $509 | $42 |
| X-ray of the knee (2 views) | $104 | $309 | $34 |
| X-ray of the knee (3 views) | $122 | $509 | $42 |
| X-ray of the knee (4+ views) | $152 | $568 | $49 |
| X-ray of the lower back (lumbar spine) | $188 | $425 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $148 | $336 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $227 | $514 | $53 |
| X-ray of the lower leg | $116 | $510 | $31 |
| X-ray of the mid-back (thoracic spine) | $160 | $379 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $148 | $309 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $172 | $449 | $39 |
| X-ray of the neck (cervical spine) | $167 | $378 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $148 | $309 | $40 |
| X-ray of the pelvis | $122 | $352 | $36 |
| X-ray of the pelvis (1 view) | $116 | $335 | $28 |
| X-ray of the ribs | $197 | $432 | $42 |
| X-ray of the ribs (2 views) | $173 | $374 | $36 |
| X-ray of the ribs (3 views) | $207 | $432 | $42 |
| X-ray of the shoulder | $132 | $451 | $36 |
| X-ray of the skull | $105 | $194 | $40 |
| X-ray of the upper arm | $124 | $321 | $32 |
| X-ray of the wrist | $132 | $356 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
