Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Bailey Medical Center, LLC

Owasso, Oklahoma · Tulsa County · Emergency services listed

Bailey Medical Center, LLC is an acute care hospital at 10502 North 110th East Avenue, Owasso, OK 74055. Phone: (918) 376-8000. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked November 2, 2026).

Summary

Bailey Medical Center, LLC is an acute care hospital in Owasso, Oklahoma. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 33 services, specialties and programs. Medicare lists 234 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
73Beds (hospital website)
33Services listed

Quick answers

Does Bailey Medical Center, LLC have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Bailey Medical Center, LLC. In a medical emergency, call 911.
Where is Bailey Medical Center, LLC?
10502 North 110th East Avenue, Owasso, OK 74055, in Tulsa County, Oklahoma.
What is the phone number of Bailey Medical Center, LLC?
(918) 376-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Bailey Medical Center, LLC?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Bailey Medical Center, LLC for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Bailey Medical Center, LLC under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -1.0668; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5][7]

Conditions treated[5][7]

Treatments[7]

Procedures[4][7]

Programs and centers[4]

  • Center for Bariatrics
  • Sleep Center

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingNo visitor restrictions except in the ICU, where two visitors over 18 are allowed per patient[6]
Interpreters and languagesLanguage assistance and non-discrimination notice posted on the site (PDF); interpreter details not read[4]
Patient portalMyChart

Doctors and clinicians (234)

234 doctors and other clinicians list Bailey Medical Center, LLC as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (234)

And 210 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Owasso

All hospitals in Owasso · Hospitals in Tulsa County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Bailey Medical Center, LLC reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment5 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1084%National average: 72%
Would definitely recommend the hospital84%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well84%National average: 80%
“Always” got help as soon as they wanted75%National average: 64%
Staff “always” explained medicines before giving them68%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean79%National average: 73%
Completed surveys408Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients9.8%
Deaths within 30 days: pneumonia patients14.5%
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)16.5%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD20.8%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)148 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)88%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Bailey Medical Center, LLC, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-1.0668Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9978Fewer readmissions than expected
Pneumonia0.9304Fewer readmissions than expected
Hip or knee replacement0.9624Fewer readmissions than expected
No result publishedHeart attack; COPD (chronic lung disease); Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score66.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)20.00 out of 100
Person and community engagement (patient survey)94.00 out of 100
Safety (infections and sepsis care)100.00 out of 100
Efficiency and cost reduction (Medicare spending)50.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.89Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 44 common services exactly as Bailey Medical Center, LLC lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 44 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit with low level of medical decision making $2,504 $751.20 $246.57 – $2,029
Emergency room visit (moderate): rates for 9 insurance plans
  • CIGNA [1260] — CIGNA [126008]: $1,274.54
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $575.92
  • HEALTHPARTNERS [1500] — HEALTHPARTNERS [150000]: $1,274.54
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $575.92
  • NATIONAL ASSOCIATION OF LETTER CARRIERS [1695] — NALC [169500]: $1,274.54
  • ONCOLOGY PATIENT ASSISTANCE PROGRAMS [2295] — BCCS FAMILY CIRCLE OF CARE [229553]: $575.92
  • OSCAR INSURANCE COMPANY [7005] — OSCAR INSURANCE COMPANY [700500]: $575.92
  • OSMA HEALTH NETWORK [2345] — OSMA HEALTH [234500]: $575.92
  • PBA [1775] — PROFESSIONAL BENEFIT ADMIN [177500]: $1,274.54
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit with moderate level of medical decision making $3,617 $1,085.10 $379.20 – $3,617
Emergency room visit (moderately high): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,841.05
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $2,857.43
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $2,857.43
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,830.20
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $2,965.94
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $2,857.43
  • GILSBAR [1425] — GILSBAR [142500]: $2,965.94
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $2,857.43
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $994.68
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $994.68
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit with high level of medical decision making $4,705 $1,411.50 $545.97 – $4,705
Emergency room visit (high): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,394.85
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $3,716.95
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $3,716.95
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,380.73
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $3,858.10
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $3,716.95
  • GILSBAR [1425] — GILSBAR [142500]: $3,858.10
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $3,716.95
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,293.88
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,293.88

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, basic group of blood chemicals (Calcium, total) $684 $205.20 $3.55 – $684
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $348.16
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $540.36
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $540.36
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $346.10
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $560.88
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $540.36
  • GILSBAR [1425] — GILSBAR [142500]: $560.88
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $540.36
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $188.10
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $188.10
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals $820 $246 $4.44 – $820
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $417.38
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $647.80
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $647.80
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $414.92
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $672.40
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $647.80
  • GILSBAR [1425] — GILSBAR [142500]: $672.40
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $647.80
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $225.50
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $225.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, lipids (cholesterol and triglycerides) $697 $209.10 $5.62 – $697
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $354.77
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $550.63
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $550.63
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $352.68
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $571.54
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $550.63
  • GILSBAR [1425] — GILSBAR [142500]: $571.54
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $550.63
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $191.68
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $191.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Kidney function blood test panel $777 $233.10 $3.65 – $777
Kidney function panel: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $395.49
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $613.83
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $613.83
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $393.16
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $637.14
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $613.83
  • GILSBAR [1425] — GILSBAR [142500]: $637.14
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $613.83
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $213.68
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $213.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Liver function blood test panel $438 $131.40 $3.43 – $438
Liver function panel: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $222.94
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $346.02
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $346.02
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $221.63
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $359.16
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $346.02
  • GILSBAR [1425] — GILSBAR [142500]: $359.16
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $346.02
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $120.45
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $120.45
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Manual urinalysis test with examination using microscope, automated $254 $76.20 $1.33 – $254
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $129.29
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $200.66
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $200.66
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $128.52
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $208.28
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $200.66
  • GILSBAR [1425] — GILSBAR [142500]: $208.28
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $200.66
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $69.85
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $69.85
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis, manual test $159 $47.70 $1.46 – $159
Urine test (manual, without microscope): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $80.93
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $125.61
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $125.61
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $80.45
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $130.38
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $125.61
  • GILSBAR [1425] — GILSBAR [142500]: $130.38
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $125.61
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $43.73
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $43.73
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Automated urinalysis test $208 $62.40 $0.95 – $208
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $105.87
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $164.32
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $164.32
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $105.25
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $170.56
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $164.32
  • GILSBAR [1425] — GILSBAR [142500]: $170.56
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $164.32
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $57.20
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $57.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA (prostate specific antigen) measurement, total $373 $111.90 $7.72 – $373
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $189.86
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $294.67
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $294.67
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $188.74
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $305.86
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $294.67
  • GILSBAR [1425] — GILSBAR [142500]: $305.86
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $294.67
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $102.58
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $102.58
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH) $794 $238.20 $7.06 – $794
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $404.15
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $627.26
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $627.26
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $401.76
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $651.08
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $627.26
  • GILSBAR [1425] — GILSBAR [142500]: $651.08
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $627.26
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $218.35
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $218.35
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $512 $153.60 $3.26 – $512
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $260.61
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $404.48
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $404.48
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $259.07
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $419.84
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $404.48
  • GILSBAR [1425] — GILSBAR [142500]: $419.84
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $404.48
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $140.80
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $140.80
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $353 $105.90 $2.72 – $353
Complete blood count (CBC), automated: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $179.68
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $278.87
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $278.87
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $178.62
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $289.46
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $278.87
  • GILSBAR [1425] — GILSBAR [142500]: $289.46
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $278.87
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $97.08
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $97.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, clotting time $344 $103.20 $1.80 – $344
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $175.10
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $271.76
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $271.76
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $174.06
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $282.08
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $271.76
  • GILSBAR [1425] — GILSBAR [142500]: $282.08
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $271.76
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $94.60
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $94.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Coagulation assessment blood test, plasma or whole blood $508 $152.40 $2.52 – $508
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $258.57
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $401.32
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $401.32
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $257.05
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $416.56
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $401.32
  • GILSBAR [1425] — GILSBAR [142500]: $416.56
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $401.32
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $139.70
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $139.70

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan head or brain without contrast $4,761 $1,428.30 $55.30 – $4,761
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,409.07
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,309.28
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,309.28
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $1,190.25
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $1,309.28
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $1,309.28
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $2,713.77
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $1,260.24
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $4,046.85
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $1,190.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI scan of brain before and after contrast $6,669 $2,000.70 $174.52 – $6,669
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $3,374.51
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,833.98
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,833.98
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $1,667.25
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $1,833.98
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $1,833.98
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $3,801.33
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $1,765.28
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $5,668.65
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $1,667.25
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Chest 2 Views $1,347 $404.10 $18.87 – $1,347
Chest X-ray, 2 views: 10 of 49 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $685.62
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $1,064.13
  • CORESOURCE [1315] — CORESOURCE [131500]: $591.33
  • COVENTRY HEALTHCARE [1320] — COVENTRY [132001]: $591.33
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $1,064.13
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $681.58
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $1,104.54
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $1,064.13
  • GILSBAR [1425] — GILSBAR [142500]: $1,104.54
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $1,064.13
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: X-ray of lower and sacral spine, minimum of 4 views $1,712 $513.60 $31.82 – $1,712
X-ray of the lower spine, at least 4 views: 10 of 49 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $871.41
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $1,352.48
  • CORESOURCE [1315] — CORESOURCE [131500]: $751.57
  • COVENTRY HEALTHCARE [1320] — COVENTRY [132001]: $751.57
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $1,352.48
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $866.27
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $1,403.84
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $1,352.48
  • GILSBAR [1425] — GILSBAR [142500]: $1,403.84
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $1,352.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI scan of lower spinal canal without contrast $5,346 $1,603.80 $100.61 – $5,346
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,705.08
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,470.15
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,470.15
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $1,336.50
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $1,470.15
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $1,470.15
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $3,047.22
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $1,415.09
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $4,544.10
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $1,336.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan of pelvis with contrast $4,632 $1,389.60 $158.53 – $4,632
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,343.79
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,273.80
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,273.80
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $1,158
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $1,273.80
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $1,273.80
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $2,640.24
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $1,226.09
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $3,937.20
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $1,158
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI scan of leg joint without contrast $5,737 $1,721.10 $115.42 – $8,605.50
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,902.92
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,577.68
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,577.68
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $1,434.25
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $1,577.68
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $1,577.68
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $3,270.09
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $1,518.58
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $4,876.45
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $1,434.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC|50 In the file: MRI scan of leg joint without contrast|TECHNICAL COMPONENT|BILATERAL PROCEDURE $8,605.50 $2,581.65 $115.42 – $8,605.50
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $4,354.38
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $2,366.51
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $2,366.51
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $2,151.38
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $2,366.51
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $2,366.51
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $4,905.14
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $2,277.88
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $7,314.68
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $2,151.38
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast $8,348 $2,504.40 $178.32 – $8,348
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $4,224.09
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $2,295.70
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $2,295.70
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $2,087
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $2,295.70
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $2,295.70
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $4,758.36
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $2,209.72
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $7,095.80
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $2,087
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete ultrasound scan of abdomen $2,211 $663.30 $62.56 – $2,211
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,125.40
  • CORESOURCE [1315] — CORESOURCE [131500]: $970.63
  • COVENTRY HEALTHCARE [1320] — COVENTRY [132001]: $970.63
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,118.77
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $608.03
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $608.03
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $552.75
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $608.03
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $608.03
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $1,260.27
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $2,404 $721.20 $94.70 – $2,404
Pregnancy ultrasound (after the first trimester): 10 of 49 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,223.64
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $1,899.16
  • CORESOURCE [1315] — CORESOURCE [131500]: $1,055.36
  • COVENTRY HEALTHCARE [1320] — COVENTRY [132001]: $1,055.36
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $1,899.16
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,216.42
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $1,971.28
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $1,899.16
  • GILSBAR [1425] — GILSBAR [142500]: $1,971.28
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $1,899.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $1,566 $469.80 $68.76 – $1,566
Transvaginal ultrasound: 10 of 49 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $797.09
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $1,237.14
  • CORESOURCE [1315] — CORESOURCE [131500]: $687.47
  • COVENTRY HEALTHCARE [1320] — COVENTRY [132001]: $687.47
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $1,237.14
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $792.40
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $1,284.12
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $1,237.14
  • GILSBAR [1425] — GILSBAR [142500]: $1,284.12
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $1,237.14
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Diag Mammo W/ Cad Unilat $805 $241.50 $60.60 – $805
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $409.75
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $635.95
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $635.95
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $407.33
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $660.10
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $635.95
  • GILSBAR [1425] — GILSBAR [142500]: $660.10
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $635.95
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $221.38
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $221.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic mammography of both breasts $1,002 $300.60 $77.20 – $1,002
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $510.02
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $791.58
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $791.58
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $507.01
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $821.64
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $791.58
  • GILSBAR [1425] — GILSBAR [142500]: $821.64
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $791.58
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $275.55
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $275.55
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Screening Mammo Bilat W/Cad if Performed $874 $262.20 $63.85 – $874
Screening mammogram, both breasts: 10 of 45 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $444.87
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $690.46
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $690.46
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $442.24
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $716.68
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $690.46
  • GILSBAR [1425] — GILSBAR [142500]: $716.68
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $690.46
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $240.35
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $240.35

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep study in sleep lab (6 years or older) $11,735 $3,520.50 $288 – $11,735
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $5,973.12
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $9,270.65
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $9,270.65
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $5,937.91
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $9,622.70
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $9,270.65
  • GILSBAR [1425] — GILSBAR [142500]: $9,622.70
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $9,270.65
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $3,227.13
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $3,227.13

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $361 $108.30 $23.94 – $392
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $182.67
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $99.28
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $99.28
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $90.25
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $99.28
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $99.28
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $205.77
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $95.56
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $306.85
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $90.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 20 minutes $578 $173.40 $61.16 – $578
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $292.47
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $158.95
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $158.95
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $144.50
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $158.95
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $158.95
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $329.46
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $153
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $491.30
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $144.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity $635 $190.50 $61.16 – $635
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $321.31
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $174.63
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $174.63
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $158.75
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $174.63
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $174.63
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $361.95
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $168.08
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $539.75
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $158.75
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 45 minutes $698 $209.40 $61.16 – $698
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $353.19
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $191.95
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $191.95
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $174.50
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $191.95
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $191.95
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $397.86
  • HEALTHSCOPE BENEFITS [2290] — HEALTHSCOPE ARDENT [229001]: $184.76
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $593.30
  • HOORAY HEALTH [8000] — HOORAY HEALTH [800000]: $174.50

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $3,706 $1,111.80 $834.91 – $3,706
Upper GI endoscopy (diagnostic): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,745.53
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $2,927.74
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $2,927.74
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,875.24
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $3,038.92
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $2,927.74
  • GILSBAR [1425] — GILSBAR [142500]: $3,038.92
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $2,927.74
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,019.15
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,019.15
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd Biopsy Single/Multiple $5,439 $1,631.70 $834.91 – $5,439
Upper GI endoscopy with biopsy: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,561.77
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $4,296.81
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $4,296.81
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,752.13
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $4,459.98
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $4,296.81
  • GILSBAR [1425] — GILSBAR [142500]: $4,459.98
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $4,296.81
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,495.73
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,495.73
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic exam of large bowel using a flexible endoscope $4,660 $1,398 $811.89 – $4,660
Colonoscopy (diagnostic): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,194.86
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $3,681.40
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $3,681.40
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,357.96
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $3,821.20
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $3,681.40
  • GILSBAR [1425] — GILSBAR [142500]: $3,821.20
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $3,681.40
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,281.50
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,281.50
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy of large bowel using a flexible endoscope $4,943 $1,482.90 $1,049.99 – $4,943
Colonoscopy with biopsy: 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,328.15
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $3,904.97
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $3,904.97
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,501.16
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $4,053.26
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $3,904.97
  • GILSBAR [1425] — GILSBAR [142500]: $4,053.26
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $3,904.97
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,359.33
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,359.33
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare $5,127 $1,538.10 $1,049.99 – $5,127
Colonoscopy with removal of polyps (snare): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,414.82
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $4,050.33
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $4,050.33
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,594.26
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $4,204.14
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $4,050.33
  • GILSBAR [1425] — GILSBAR [142500]: $4,204.14
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $4,050.33
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,409.93
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,409.93
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Screen Not High Risk $4,660 $1,398 $811.89 – $4,660
Screening colonoscopy (not high risk): 10 of 44 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,194.86
  • COMMUNITY CARE [1290] — COMMUNITY CARE MEDICARE SUPPLEMENT [129003]: $3,681.40
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] — EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501]: $3,681.40
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,357.96
  • FIRST HEALTH [1375] — TALL TREE ADMINISTRATORS [137508]: $3,821.20
  • FMH BENEFIT SERVICES [1390] — FMH [139000]: $3,681.40
  • GILSBAR [1425] — GILSBAR [142500]: $3,821.20
  • GROUP RESOURCES [1455] — GROUP RESOURCES [145004]: $3,681.40
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,281.50
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,281.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Inj Epidural Lumb/Caud W/Imaging $2,627 $788.10 $616.70 – $2,627
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,237.32
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,329.26
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $722.43
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $722.43
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $656.75
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $722.43
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $722.43
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $1,497.39
  • HEALTHPARTNERS [1500] — HEALTHPARTNERS [150000]: $1,237.32
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $2,232.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $3,353 $1,005.90 $792.82 – $5,029.50
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,579.26
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,696.62
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $922.08
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $922.08
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $838.25
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $922.08
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $922.08
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $1,911.21
  • HEALTHPARTNERS [1500] — HEALTHPARTNERS [150000]: $1,579.26
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $2,850.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Bilat Inj Anes/Steroid Trnsf Lumbr/Sac Sngl $3,353 $1,005.90 $792.82 – $5,029.50
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $1,579.26
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $1,696.62
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $922.08
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $922.08
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $838.25
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $922.08
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $922.08
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $1,911.21
  • HEALTHPARTNERS [1500] — HEALTHPARTNERS [150000]: $1,579.26
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $2,850.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level|BILATERAL PROCEDURE $5,029.50 $1,508.85 $792.82 – $5,029.50
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • CIGNA [1260] — CIGNA [126008]: $2,368.89
  • FIRST HEALTH [1375] — BENVEO/UCS [137512]: $2,544.93
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,383.11
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,383.11
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $1,257.38
  • HEALTHCARE HIGHWAYS [2210] — HEALTH PLANS INC [221008]: $1,383.11
  • HEALTHCARE HIGHWAYS [2210] — TARO HEALTH PLAN [221010]: $1,383.11
  • HEALTHCARE SOLUTIONS [1485] — HEALTHCARE SOLUTIONS GROUP [148500]: $2,866.82
  • HEALTHPARTNERS [1500] — HEALTHPARTNERS [150000]: $2,368.89
  • HEALTHSMART [1505] — HEALTHSMART BENEFIT SOLUTIONS [150503]: $4,275.08

Source: Bailey Medical Center, LLC’s standard charges file (cdn.ardenthealthservices.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address10502 North 110th East Avenue, Owasso, OK 74055
CountyTulsa County
StateOklahoma
Phone(918) 376‑8000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number370228
Name in Medicare recordsBAILEY MEDICAL CENTER, LLC
Profile levelMedicare data + hospital website
Name on the hospital’s websiteBailey Medical Center
Official websitebaileymedicalcenter.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Home - Bailey Medical Center — baileymedicalcenter.com
  2. Emergency room in Owasso, OK - Bailey Medical Center — baileymedicalcenter.com
  3. Visitor Hours - Bailey Medical Center — baileymedicalcenter.com
  4. Services - Bailey Medical Center — baileymedicalcenter.com