Does Duncan Regional Hospital, Inc have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Duncan Regional Hospital, Inc. In a medical emergency, call 911.

Where is Duncan Regional Hospital, Inc?

1407 Whisenant Drive, Duncan, OK 73533, in Stephens County, Oklahoma.

What is the phone number of Duncan Regional Hospital, Inc?

(580) 252-5300, as listed by Medicare (CMS).

What is the Medicare star rating of Duncan Regional Hospital, Inc?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Duncan Regional Hospital, Inc — Duncan, OK

Quick answers

Does Duncan Regional Hospital, Inc have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Duncan Regional Hospital, Inc. In a medical emergency, call 911.
Where is Duncan Regional Hospital, Inc?: 1407 Whisenant Drive, Duncan, OK 73533, in Stephens County, Oklahoma.
What is the phone number of Duncan Regional Hospital, Inc?: (580) 252-5300, as listed by Medicare (CMS).
What is the Medicare star rating of Duncan Regional Hospital, Inc?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Maternity (Birth Center)
Cardiopulmonary services
Intensive care
Imaging / radiology
Rehabilitation
Surgery
Geriatric psychiatry (inpatient)
Outpatient behavioral health
Wound care
Home care
Hospice

Treatments^[4]

Cardiac rehabilitation

Programs and centers^[4]

Comprehensive Rehabilitation Unit
Horizons inpatient geriatric psychiatric unit
Inspirations outpatient behavioral health
DRH Wound Center
Chisholm Trail Hospice

Visiting and practical information

Interpreters and languages	TDD line for hearing/speech impaired: 580-251-8418^[4]

Doctors and clinicians (315)

315 doctors and other clinicians list Duncan Regional Hospital, Inc 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

And 291 more: the button below opens the full list.

Other emergency rooms nearby

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

Jefferson County Hospital26 mi · Waurika, OK · Critical Access Hospital
Lindsay Municipal Hospital27 mi · Lindsay, OK · Acute Care Hospital
Mercy Hospital Healdton, Inc.29 mi · Healdton, OK · Critical Access Hospital
Lawton Indian Hospital31 mi · Lawton, OK · Acute Care Hospital
Memorial Health33 mi · Lawton, OK · Acute Care Hospital

Other hospitals nearby

Jim Taliaferro Comm Mental Health Ctr33 mi · Lawton, OK · Psychiatric Hospital

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

Wilkins Health & Rehabilitation Community4.9 mi · Duncan, OK · 5 of 5 stars
Elk Crossing5.1 mi · Duncan, OK · 4 of 5 stars
Meridian Nursing Home8.7 mi · Comanche, OK · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Chisholm Trail Hospice0.0 mi · Duncan, OK
Comforting Hands Hospice of Southwest Oklahoma, LLC0.0 mi · Duncan, OK
Complete Hospice Care of Southern Oklahoma24 mi · Lawton, OK · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Duncan Regional Hospital Home Care0.0 mi · Duncan, OK
Health Watch Health Care of Duncan, LLC0.0 mi · Duncan, OK
Memorial Home Health24 mi · Lawton, OK · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Duncan Dialysis Center0.0 mi · Duncan, OK · 4 of 5 stars
Ara - Lawton Dialysis East24 mi · Lawton, OK · 1 of 5 stars
DaVita Lawton Dialysis24 mi · Lawton, OK · 3 of 5 stars

All dialysis facilities 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

Marlow Community Health Center10 mi · Marlow, OK · Community health center
Comanche Community Health Center11 mi · Comanche, OK · Community health center
Comanche School Health Center11 mi · Comanche, OK · Community health center

Clinics and urgent care

DRH Health Children's Clinic0.0 mi · Duncan, OK · Rural health clinic
GDN LLC0.0 mi · Duncan, OK · Urgent care center
Jefferson County Hospital D/B/A Park Clinic0.0 mi · Duncan, OK · Rural health clinic

Pharmacies

Baker Express Pharmacy, LLC0.0 mi · Duncan, OK · Community/retail pharmacy
Hac, Inc.0.0 mi · Duncan, OK · Community/retail pharmacy
R&S Drug Store #1 LLC0.0 mi · Duncan, OK · Community/retail pharmacy

Assisted living nearby

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

Ashbrook Village0.0 mi · Duncan, OK
Chisholm Trail Assisted Living0.0 mi · Duncan, OK
Duncan Assisted Living0.0 mi · Duncan, OK
West Wind Assisted Living10 mi · Marlow, OK

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 Duncan Regional Hospital, Inc 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)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	415Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.515No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.938No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 attack patients	11.9%
Deaths within 30 days: heart failure patients	9.7%
Deaths within 30 days: pneumonia patients	12.9%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	15.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.93No different from the national rate
Complications after hip or knee replacement	4.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	20.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	149 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)	63%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Oklahoma Best hospitals in Oklahoma

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Duncan Regional Hospital, Inc 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC - NEW PT CARE LEVEL 3	$285	Not listed in the file	$119.70 – $267.90
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $242.25 Cigna — PPO/POS: $256.50 Coventry — PPO: $242.25 First Health — PPO: $256.50 Friday Health Plan — PPO: $142.50 Healthcare Highways — Logix PPO: $185.25 Healthcare Highways — Sync PPO: $125.40 HealthSmart — PPO: $267.90 Medica — PPO: $119.70 Oklahoma Health Network (OHN) — PPO: $228
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIAC REHAB LEVEL 3 - NEW	$286	Not listed in the file	$120.12 – $268.84
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $243.10 Cigna — PPO/POS: $257.40 Coventry — PPO: $243.10 First Health — PPO: $257.40 Friday Health Plan — PPO: $143 Healthcare Highways — Logix PPO: $185.90 Healthcare Highways — Sync PPO: $125.84 HealthSmart — PPO: $268.84 Medica — PPO: $120.12 Oklahoma Health Network (OHN) — PPO: $228.80
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CARE LEVEL 3-NEW	$312	Not listed in the file	$131.04 – $293.28
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $265.20 Cigna — PPO/POS: $280.80 Coventry — PPO: $265.20 First Health — PPO: $280.80 Friday Health Plan — PPO: $156 Healthcare Highways — Logix PPO: $202.80 Healthcare Highways — Sync PPO: $137.28 HealthSmart — PPO: $293.28 Medica — PPO: $131.04 Oklahoma Health Network (OHN) — PPO: $249.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC - NEW PT CARE LEVEL 4	$379	Not listed in the file	$159.18 – $356.26
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $322.15 Cigna — PPO/POS: $341.10 Coventry — PPO: $322.15 First Health — PPO: $341.10 Friday Health Plan — PPO: $189.50 Healthcare Highways — Logix PPO: $246.35 Healthcare Highways — Sync PPO: $166.76 HealthSmart — PPO: $356.26 Medica — PPO: $159.18 Oklahoma Health Network (OHN) — PPO: $303.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIAC REHAB LEVEL 4 - NEW	$398	Not listed in the file	$167.16 – $374.12
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $338.30 Cigna — PPO/POS: $358.20 Coventry — PPO: $338.30 First Health — PPO: $358.20 Friday Health Plan — PPO: $199 Healthcare Highways — Logix PPO: $258.70 Healthcare Highways — Sync PPO: $175.12 HealthSmart — PPO: $374.12 Medica — PPO: $167.16 Oklahoma Health Network (OHN) — PPO: $318.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CARE LEVEL 4-NEW	$396	Not listed in the file	$166.32 – $372.24
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $336.60 Cigna — PPO/POS: $356.40 Coventry — PPO: $336.60 First Health — PPO: $356.40 Friday Health Plan — PPO: $198 Healthcare Highways — Logix PPO: $257.40 Healthcare Highways — Sync PPO: $174.24 HealthSmart — PPO: $372.24 Medica — PPO: $166.32 Oklahoma Health Network (OHN) — PPO: $316.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC - NEW PT CARE LEVEL 5	$478	Not listed in the file	$200.76 – $449.32
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $406.30 Cigna — PPO/POS: $430.20 Coventry — PPO: $406.30 First Health — PPO: $430.20 Friday Health Plan — PPO: $239 Healthcare Highways — Logix PPO: $310.70 Healthcare Highways — Sync PPO: $210.32 HealthSmart — PPO: $449.32 Medica — PPO: $200.76 Oklahoma Health Network (OHN) — PPO: $382.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIAC REHAB LEVEL 5 - NEW	$478	Not listed in the file	$200.76 – $449.32
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $406.30 Cigna — PPO/POS: $430.20 Coventry — PPO: $406.30 First Health — PPO: $430.20 Friday Health Plan — PPO: $239 Healthcare Highways — Logix PPO: $310.70 Healthcare Highways — Sync PPO: $210.32 HealthSmart — PPO: $449.32 Medica — PPO: $200.76 Oklahoma Health Network (OHN) — PPO: $382.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CARE LEVEL 5-NEW	$561	Not listed in the file	$235.62 – $527.34
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $476.85 Cigna — PPO/POS: $504.90 Coventry — PPO: $476.85 First Health — PPO: $504.90 Friday Health Plan — PPO: $280.50 Healthcare Highways — Logix PPO: $364.65 Healthcare Highways — Sync PPO: $246.84 HealthSmart — PPO: $527.34 Medica — PPO: $235.62 Oklahoma Health Network (OHN) — PPO: $448.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC - EST PT CARE LEVEL 3	$285	Not listed in the file	$119.70 – $267.90
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $242.25 Cigna — PPO/POS: $256.50 Coventry — PPO: $242.25 First Health — PPO: $256.50 Friday Health Plan — PPO: $142.50 Healthcare Highways — Logix PPO: $185.25 Healthcare Highways — Sync PPO: $125.40 HealthSmart — PPO: $267.90 Medica — PPO: $119.70 Oklahoma Health Network (OHN) — PPO: $228
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIAC REHAB LEVEL 3 - EST	$286	Not listed in the file	$120.12 – $268.84
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $243.10 Cigna — PPO/POS: $257.40 Coventry — PPO: $243.10 First Health — PPO: $257.40 Friday Health Plan — PPO: $143 Healthcare Highways — Logix PPO: $185.90 Healthcare Highways — Sync PPO: $125.84 HealthSmart — PPO: $268.84 Medica — PPO: $120.12 Oklahoma Health Network (OHN) — PPO: $228.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONTINENCE LEVEL III	$270	Not listed in the file	$113.40 – $253.80
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $229.50 Cigna — PPO/POS: $243 Coventry — PPO: $229.50 First Health — PPO: $243 Friday Health Plan — PPO: $135 Healthcare Highways — Logix PPO: $175.50 Healthcare Highways — Sync PPO: $118.80 HealthSmart — PPO: $253.80 Medica — PPO: $113.40 Oklahoma Health Network (OHN) — PPO: $216
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC - EST PT CARE LEVEL 4	$379	Not listed in the file	$159.18 – $356.26
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $322.15 Cigna — PPO/POS: $341.10 Coventry — PPO: $322.15 First Health — PPO: $341.10 Friday Health Plan — PPO: $189.50 Healthcare Highways — Logix PPO: $246.35 Healthcare Highways — Sync PPO: $166.76 HealthSmart — PPO: $356.26 Medica — PPO: $159.18 Oklahoma Health Network (OHN) — PPO: $303.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIAC REHAB LEVEL 4 - EST	$398	Not listed in the file	$167.16 – $374.12
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $338.30 Cigna — PPO/POS: $358.20 Coventry — PPO: $338.30 First Health — PPO: $358.20 Friday Health Plan — PPO: $199 Healthcare Highways — Logix PPO: $258.70 Healthcare Highways — Sync PPO: $175.12 HealthSmart — PPO: $374.12 Medica — PPO: $167.16 Oklahoma Health Network (OHN) — PPO: $318.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONTINENCE LEVEL IV	$361	Not listed in the file	$151.62 – $339.34
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — All Plans: $306.85 Cigna — PPO/POS: $324.90 Coventry — PPO: $306.85 First Health — PPO: $324.90 Friday Health Plan — PPO: $180.50 Healthcare Highways — Logix PPO: $234.65 Healthcare Highways — Sync PPO: $158.84 HealthSmart — PPO: $339.34 Medica — PPO: $151.62 Oklahoma Health Network (OHN) — PPO: $288.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	Not listed in the file
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount) Oklahoma Health Network (OHN) — PPO: 80% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount) Oklahoma Health Network (OHN) — PPO: 80% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 13 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount) Oklahoma Health Network (OHN) — PPO: 80% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 13 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount) Oklahoma Health Network (OHN) — PPO: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E.R. CARE UNIT LEVEL III	$1,208	$564.52	$282.26 – $1,135.52
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — All Plans: $1,026.80 Cigna — PPO/POS: $1,087.20 Coventry — PPO: $1,026.80 First Health — PPO: $1,087.20 Friday Health Plan — PPO: $719.76 Healthcare Highways — Logix PPO: $785.20 Healthcare Highways — Sync PPO: $531.52 HealthSmart — PPO: $1,135.52 Humana Military Tricare — All Plans: $282.26 Medica — PPO: $507.36
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E.R. CARE UNIT LEVEL IV	$1,581	$868.16	$434.08 – $1,486.14
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — All Plans: $1,343.85 Cigna — PPO/POS: $1,422.90 Coventry — PPO: $1,343.85 First Health — PPO: $1,422.90 Friday Health Plan — PPO: $1,106.90 Healthcare Highways — Logix PPO: $1,027.65 Healthcare Highways — Sync PPO: $695.64 HealthSmart — PPO: $1,486.14 Humana Military Tricare — All Plans: $434.08 Medica — PPO: $664.02
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E.R. CARE UNIT LEVEL V	$2,692	$1,249.98	$624.99 – $2,530.48
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — All Plans: $2,288.20 Cigna — PPO/POS: $2,422.80 Coventry — PPO: $2,288.20 First Health — PPO: $2,422.80 Friday Health Plan — PPO: $1,593.72 Healthcare Highways — Logix PPO: $1,749.80 Healthcare Highways — Sync PPO: $1,184.48 HealthSmart — PPO: $2,530.48 Humana Military Tricare — All Plans: $624.99 Medica — PPO: $1,130.64
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TEST 4	$55	Not listed in the file	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$117.50	$18.12	$5.08 – $110.45
Basic metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Plans: $99.87 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $105.75 Coventry — PPO: $99.87 First Health — PPO: $105.75 Friday Health Plan — PPO: $23.10
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP W/ADJUSTED CALCIUM	$47.50	$22.62	$6.34 – $44.65
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Plans: $40.37 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $42.75 Coventry — PPO: $40.37 First Health — PPO: $42.75 Friday Health Plan — PPO: $28.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$157.50	$22.62	$6.34 – $148.05
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Plans: $133.87 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $141.75 Coventry — PPO: $133.87 First Health — PPO: $141.75 Friday Health Plan — PPO: $28.84
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$443	$102.40	$28.69 – $416.42
Obstetric blood test panel: 10 of 19 insurance plan rates Aetna — All Plans: $376.55 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $398.70 Coventry — PPO: $376.55 First Health — PPO: $398.70 Friday Health Plan — PPO: $130.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$97	$28.68	$8.03 – $91.18
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna — All Plans: $82.45 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $87.30 Coventry — PPO: $82.45 First Health — PPO: $87.30 Friday Health Plan — PPO: $36.57
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL - BASIC	$109	$28.68	$8.03 – $102.46
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna — All Plans: $92.65 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $98.10 Coventry — PPO: $92.65 First Health — PPO: $98.10 Friday Health Plan — PPO: $36.57
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$380.50	$18.60	$5.21 – $357.67
Kidney function panel: 10 of 19 insurance plan rates Aetna — All Plans: $323.42 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $342.45 Coventry — PPO: $323.42 First Health — PPO: $342.45 Friday Health Plan — PPO: $23.72
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$228.50	$17.50	$4.90 – $214.79
Liver function panel: 10 of 19 insurance plan rates Aetna — All Plans: $194.22 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $205.65 Coventry — PPO: $194.22 First Health — PPO: $205.65 Friday Health Plan — PPO: $22.31
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE	$76	$6.80	$1.90 – $71.44
Urine test (automated, with microscope): 10 of 19 insurance plan rates Aetna — All Plans: $64.60 BCBS - OK — Blue Advantage HMO: $12.24 BCBS - OK — Blue Choice PPO: $12.24 BCBS - OK — Blue Lincs HMO: $12.24 BCBS - OK — Blue Preferred: $12.24 BCBS - OK — Blue Traditional PPO: $12.24 Cigna — PPO/POS: $68.40 Coventry — PPO: $64.60 First Health — PPO: $68.40 Friday Health Plan — PPO: $8.67
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE ALB/PROT DIPSTICK	$42	$7.46	$2.09 – $39.48
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $35.70 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $37.80 Coventry — PPO: $35.70 First Health — PPO: $37.80 Friday Health Plan — PPO: $9.51
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE BLOOD DIPSTICK	$42	$7.46	$2.09 – $39.48
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $35.70 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $37.80 Coventry — PPO: $35.70 First Health — PPO: $37.80 Friday Health Plan — PPO: $9.51
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ALBUMIN URINE	$52	$4.82	$1.35 – $48.88
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $44.20 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $46.80 Coventry — PPO: $44.20 First Health — PPO: $46.80 Friday Health Plan — PPO: $6.15
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BILIRUBIN URINE	$69.50	$4.82	$1.35 – $65.33
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $59.07 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $62.55 Coventry — PPO: $59.07 First Health — PPO: $62.55 Friday Health Plan — PPO: $6.15
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD URINE	$69.50	$4.82	$1.35 – $65.33
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $59.07 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $62.55 Coventry — PPO: $59.07 First Health — PPO: $62.55 Friday Health Plan — PPO: $6.15
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA - TOTAL - DIAGNOSTIC	$110.50	$39.40	$11.03 – $103.87
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates Aetna — All Plans: $93.92 BCBS - OK — Blue Advantage HMO: $38.68 BCBS - OK — Blue Choice PPO: $38.68 BCBS - OK — Blue Lincs HMO: $38.68 BCBS - OK — Blue Preferred: $38.68 BCBS - OK — Blue Traditional PPO: $38.68 Cigna — PPO/POS: $99.45 Coventry — PPO: $93.92 First Health — PPO: $99.45 Friday Health Plan — PPO: $50.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$172	$35.98	$10.08 – $161.68
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna — All Plans: $146.20 BCBS - OK — Blue Advantage HMO: $63.12 BCBS - OK — Blue Choice PPO: $63.12 BCBS - OK — Blue Lincs HMO: $63.12 BCBS - OK — Blue Preferred: $63.12 BCBS - OK — Blue Traditional PPO: $63.12 Cigna — PPO/POS: $154.80 Coventry — PPO: $146.20 First Health — PPO: $154.80 Friday Health Plan — PPO: $45.87
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH NEONATAL (CH)	$54	$35.98	$10.08 – $63.12
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna — All Plans: $45.90 BCBS - OK — Blue Advantage HMO: $63.12 BCBS - OK — Blue Choice PPO: $63.12 BCBS - OK — Blue Lincs HMO: $63.12 BCBS - OK — Blue Preferred: $63.12 BCBS - OK — Blue Traditional PPO: $63.12 Cigna — PPO/POS: $48.60 Coventry — PPO: $45.90 First Health — PPO: $48.60 Friday Health Plan — PPO: $45.87
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH AUTO DIFF	$90.50	$16.64	$4.66 – $85.07
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates Aetna — All Plans: $76.92 BCBS - OK — Blue Advantage HMO: $28.46 BCBS - OK — Blue Choice PPO: $28.46 BCBS - OK — Blue Lincs HMO: $28.46 BCBS - OK — Blue Preferred: $28.46 BCBS - OK — Blue Traditional PPO: $28.46 Cigna — PPO/POS: $81.45 Coventry — PPO: $76.92 First Health — PPO: $81.45 Friday Health Plan — PPO: $21.22
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH NO DIFFERENTIAL	$77.50	$13.86	$3.88 – $72.85
Complete blood count (CBC), automated: 10 of 19 insurance plan rates Aetna — All Plans: $65.87 BCBS - OK — Blue Advantage HMO: $28.46 BCBS - OK — Blue Choice PPO: $28.46 BCBS - OK — Blue Lincs HMO: $28.46 BCBS - OK — Blue Preferred: $28.46 BCBS - OK — Blue Traditional PPO: $28.46 Cigna — PPO/POS: $69.75 Coventry — PPO: $65.87 First Health — PPO: $69.75 Friday Health Plan — PPO: $17.67
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$86	$9.18	$2.57 – $80.84
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates Aetna — All Plans: $73.10 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $77.40 Coventry — PPO: $73.10 First Health — PPO: $77.40 Friday Health Plan — PPO: $11.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME AND PTT	$186	$12.88	$3.61 – $174.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Plans: $158.10 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $167.40 Coventry — PPO: $158.10 First Health — PPO: $167.40 Friday Health Plan — PPO: $16.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT(PARTIAL THROMBOPLAST TIME)	$164	$12.88	$3.61 – $154.16
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Plans: $139.40 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $147.60 Coventry — PPO: $139.40 First Health — PPO: $147.60 Friday Health Plan — PPO: $16.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$17	$12.88	$3.61 – $16.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Plans: $14.45 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $15.30 Coventry — PPO: $14.45 First Health — PPO: $15.30 Friday Health Plan — PPO: $16.42

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEAD WITHOUT CONTRAST-CT	$3,537	$216.80	$108.40 – $3,324.78
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates Aetna — All Plans: $3,006.45 BCBS - OK — Blue Advantage HMO: $437.58 BCBS - OK — Blue Choice PPO: $597.43 BCBS - OK — Blue Lincs HMO: $460.65 BCBS - OK — Blue Preferred: $460.65 BCBS - OK — Blue Traditional PPO: $687.03 Cigna — PPO/POS: $3,183.30 Coventry — PPO: $3,006.45 First Health — PPO: $3,183.30 Friday Health Plan — PPO: $276.42
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-BRAIN W/O W/ CONTRAST	$5,666	$728.12	$364.06 – $5,326.04
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates Aetna — All Plans: $4,816.10 BCBS - OK — Blue Advantage HMO: $1,553.60 BCBS - OK — Blue Choice PPO: $2,121.16 BCBS - OK — Blue Lincs HMO: $1,635.52 BCBS - OK — Blue Preferred: $1,635.52 BCBS - OK — Blue Traditional PPO: $2,439.26 Cigna — PPO/POS: $5,099.40 Coventry — PPO: $4,816.10 First Health — PPO: $5,099.40 Friday Health Plan — PPO: $928.35
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST SPECIAL VIEWS - XRAY	$482	$179.52	$84.89 – $453.08
Chest X-ray, 2 views: 10 of 19 insurance plan rates Aetna — All Plans: $409.70 BCBS - OK — Blue Advantage HMO: $84.89 BCBS - OK — Blue Choice PPO: $84.89 BCBS - OK — Blue Lincs HMO: $84.89 BCBS - OK — Blue Preferred: $84.89 BCBS - OK — Blue Traditional PPO: $84.89 Cigna — PPO/POS: $433.80 Coventry — PPO: $409.70 First Health — PPO: $433.80 Friday Health Plan — PPO: $228.89
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS PA & LAT -XRAY	$536	$179.52	$84.89 – $503.84
Chest X-ray, 2 views: 10 of 19 insurance plan rates Aetna — All Plans: $455.60 BCBS - OK — Blue Advantage HMO: $84.89 BCBS - OK — Blue Choice PPO: $84.89 BCBS - OK — Blue Lincs HMO: $84.89 BCBS - OK — Blue Preferred: $84.89 BCBS - OK — Blue Traditional PPO: $84.89 Cigna — PPO/POS: $482.40 Coventry — PPO: $455.60 First Health — PPO: $482.40 Friday Health Plan — PPO: $228.89
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE W/ OBLIQUES-XRAY	$909	$216.80	$84.89 – $854.46
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates Aetna — All Plans: $772.65 BCBS - OK — Blue Advantage HMO: $84.89 BCBS - OK — Blue Choice PPO: $84.89 BCBS - OK — Blue Lincs HMO: $84.89 BCBS - OK — Blue Preferred: $84.89 BCBS - OK — Blue Traditional PPO: $84.89 Cigna — PPO/POS: $818.10 Coventry — PPO: $772.65 First Health — PPO: $818.10 Friday Health Plan — PPO: $276.42
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR W/O CONTRAST	$4,617	$492.82	$246.41 – $4,339.98
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates Aetna — All Plans: $3,924.45 BCBS - OK — Blue Advantage HMO: $876.63 BCBS - OK — Blue Choice PPO: $1,196.88 BCBS - OK — Blue Lincs HMO: $922.85 BCBS - OK — Blue Preferred: $922.85 BCBS - OK — Blue Traditional PPO: $1,376.37 Cigna — PPO/POS: $4,155.30 Coventry — PPO: $3,924.45 First Health — PPO: $4,155.30 Friday Health Plan — PPO: $628.35
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PELVIS WITH CONTRAST-CT	$4,035	$362.94	$181.47 – $3,792.90
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates Aetna — All Plans: $3,429.75 BCBS - OK — Blue Advantage HMO: $1,133.17 BCBS - OK — Blue Choice PPO: $1,547.15 BCBS - OK — Blue Lincs HMO: $1,192.93 BCBS - OK — Blue Preferred: $1,192.93 BCBS - OK — Blue Traditional PPO: $1,779.16 Cigna — PPO/POS: $3,631.50 Coventry — PPO: $3,429.75 First Health — PPO: $3,631.50 Friday Health Plan — PPO: $462.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXTREMITY JOINT W/O	$4,608	$492.82	$246.41 – $4,331.52
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates Aetna — All Plans: $3,916.80 BCBS - OK — Blue Advantage HMO: $989.67 BCBS - OK — Blue Choice PPO: $1,351.21 BCBS - OK — Blue Lincs HMO: $1,041.85 BCBS - OK — Blue Preferred: $1,041.85 BCBS - OK — Blue Traditional PPO: $1,553.85 Cigna — PPO/POS: $4,147.20 Coventry — PPO: $3,916.80 First Health — PPO: $4,147.20 Friday Health Plan — PPO: $628.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABD & PELVIS WITH CONTRAST	$5,398	$728.12	$364.06 – $5,074.12
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna — All Plans: $4,588.30 BCBS - OK — Blue Advantage HMO: $1,133.17 BCBS - OK — Blue Choice PPO: $1,547.15 BCBS - OK — Blue Lincs HMO: $1,192.93 BCBS - OK — Blue Preferred: $1,192.93 BCBS - OK — Blue Traditional PPO: $1,779.16 Cigna — PPO/POS: $4,858.20 Coventry — PPO: $4,588.30 First Health — PPO: $4,858.20 Friday Health Plan — PPO: $928.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APPENDICITIS SCAN	$5,398	$728.12	$364.06 – $5,074.12
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna — All Plans: $4,588.30 BCBS - OK — Blue Advantage HMO: $1,133.17 BCBS - OK — Blue Choice PPO: $1,547.15 BCBS - OK — Blue Lincs HMO: $1,192.93 BCBS - OK — Blue Preferred: $1,192.93 BCBS - OK — Blue Traditional PPO: $1,779.16 Cigna — PPO/POS: $4,858.20 Coventry — PPO: $4,588.30 First Health — PPO: $4,858.20 Friday Health Plan — PPO: $928.35
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABDOMEN STUDY-US	$1,430	$216.80	$108.40 – $1,344.20
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates Aetna — All Plans: $1,215.50 BCBS - OK — Blue Advantage HMO: $413.95 BCBS - OK — Blue Choice PPO: $565.17 BCBS - OK — Blue Lincs HMO: $435.78 BCBS - OK — Blue Preferred: $435.78 BCBS - OK — Blue Traditional PPO: $649.93 Cigna — PPO/POS: $1,287 Coventry — PPO: $1,215.50 First Health — PPO: $1,287 Friday Health Plan — PPO: $276.42
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULT-PREGNANT UTERUS > 14 WKS	$854	$216.80	$108.40 – $802.76
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates Aetna — All Plans: $725.90 BCBS - OK — Blue Advantage HMO: $316.69 BCBS - OK — Blue Choice PPO: $316.69 BCBS - OK — Blue Lincs HMO: $316.69 BCBS - OK — Blue Preferred: $316.69 BCBS - OK — Blue Traditional PPO: $316.69 Cigna — PPO/POS: $768.60 Coventry — PPO: $725.90 First Health — PPO: $768.60 Friday Health Plan — PPO: $276.42
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND- TRANSVAGINAL NONOB	$1,220	$216.80	$108.40 – $1,146.80
Transvaginal ultrasound: 10 of 19 insurance plan rates Aetna — All Plans: $1,037 BCBS - OK — Blue Advantage HMO: $413.95 BCBS - OK — Blue Choice PPO: $565.17 BCBS - OK — Blue Lincs HMO: $435.78 BCBS - OK — Blue Preferred: $435.78 BCBS - OK — Blue Traditional PPO: $649.93 Cigna — PPO/POS: $1,098 Coventry — PPO: $1,037 First Health — PPO: $1,098 Friday Health Plan — PPO: $276.42
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND-TRANSVAGINAL NONOB	$1,220	$216.80	$108.40 – $1,146.80
Transvaginal ultrasound: 10 of 19 insurance plan rates Aetna — All Plans: $1,037 BCBS - OK — Blue Advantage HMO: $413.95 BCBS - OK — Blue Choice PPO: $565.17 BCBS - OK — Blue Lincs HMO: $435.78 BCBS - OK — Blue Preferred: $435.78 BCBS - OK — Blue Traditional PPO: $649.93 Cigna — PPO/POS: $1,098 Coventry — PPO: $1,037 First Health — PPO: $1,098 Friday Health Plan — PPO: $276.42
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY UNILATERAL X-RAY	$466	Not listed in the file	$195.72 – $938.37
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates Aetna — All Plans: $396.10 BCBS - OK — Blue Advantage HMO: $597.66 BCBS - OK — Blue Choice PPO: $816 BCBS - OK — Blue Lincs HMO: $629.18 BCBS - OK — Blue Preferred: $629.18 BCBS - OK — Blue Traditional PPO: $938.37 Cigna — PPO/POS: $419.40 Coventry — PPO: $396.10 First Health — PPO: $419.40 Friday Health Plan — PPO: $233
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY BILATERAL X-RAY	$780	Not listed in the file	$327.60 – $938.37
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates Aetna — All Plans: $663 BCBS - OK — Blue Advantage HMO: $597.66 BCBS - OK — Blue Choice PPO: $816 BCBS - OK — Blue Lincs HMO: $629.18 BCBS - OK — Blue Preferred: $629.18 BCBS - OK — Blue Traditional PPO: $938.37 Cigna — PPO/POS: $702 Coventry — PPO: $663 First Health — PPO: $702 Friday Health Plan — PPO: $390
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY BILAT	$630	Not listed in the file	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY UNILAT	$294	Not listed in the file	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$36.97
Electrocardiogram (ECG/EKG) with reading: 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $36.97 BCBS - OK — Blue Choice PPO: $36.97 BCBS - OK — Blue Lincs HMO: $36.97 BCBS - OK — Blue Preferred: $36.97 BCBS - OK — Blue Traditional PPO: $36.97 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LHC W/WO L VENTRICULOGRAPHY	$12,712	$6,557.62	$3,278.81 – $11,949.28
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates Aetna — All Plans: $10,805.20 BCBS - OK — Blue Advantage HMO: $4,591.79 BCBS - OK — Blue Choice PPO: $6,269.27 BCBS - OK — Blue Lincs HMO: $4,833.93 BCBS - OK — Blue Preferred: $4,833.93 BCBS - OK — Blue Traditional PPO: $7,209.44 Cigna — PPO/POS: $11,440.80 Coventry — PPO: $10,805.20 First Health — PPO: $11,440.80 Friday Health Plan — PPO: $8,360.97
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	$15,470.60	$2,472.32 – $19,725.02
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,472.32 BCBS - OK — Blue Choice PPO: $3,375.51 BCBS - OK — Blue Lincs HMO: $2,602.69 BCBS - OK — Blue Preferred: $2,602.69 BCBS - OK — Blue Traditional PPO: $3,881.72 Friday Health Plan — PPO: $19,725.02 Humana Military Tricare — All Plans: $7,735.30 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	$50,016.42	$24,645.60 – $63,770.94
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $24,645.60 BCBS - OK — Blue Choice PPO: $33,649.15 BCBS - OK — Blue Lincs HMO: $25,945.21 BCBS - OK — Blue Preferred: $25,945.21 BCBS - OK — Blue Traditional PPO: $38,695.35 Friday Health Plan — PPO: $63,770.94 Humana Military Tricare — All Plans: $25,008.21 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	$2,074.26	$1,037.13 – $4,940.98
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $3,146.98 BCBS - OK — Blue Choice PPO: $4,296.63 BCBS - OK — Blue Lincs HMO: $3,312.92 BCBS - OK — Blue Preferred: $3,312.92 BCBS - OK — Blue Traditional PPO: $4,940.98 Friday Health Plan — PPO: $2,644.68 Humana Military Tricare — All Plans: $1,037.13 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY (SLEEP STUDY)	$5,203	Not listed in the file	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DEVELOPMENTAL EXER 15 MIN OT	$206	Not listed in the file	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXERCISE 15 MIN - ATTENDED -OT	$206	Not listed in the file	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - LOW COMPLEXITY	$291	Not listed in the file	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - MODERATE COMPLEXITY	$359	Not listed in the file	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - HIGH COMPLEXITY	$425	Not listed in the file	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHER 30 MIN W PT&OR FAM	$307	$327.58	$128.94 – $417.66
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates Aetna — All Plans: $260.95 Cigna — PPO/POS: $276.30 Coventry — PPO: $260.95 First Health — PPO: $276.30 Friday Health Plan — PPO: $417.66 Healthcare Highways — Logix PPO: $199.55 Healthcare Highways — Sync PPO: $135.08 HealthSmart — PPO: $288.58 Humana Military Tricare — All Plans: $163.79 Medica — PPO: $128.94
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHER 45 MIN W/PT &OR FAM	$315	$327.58	$132.30 – $417.66
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates Aetna — All Plans: $267.75 Cigna — PPO/POS: $283.50 Coventry — PPO: $267.75 First Health — PPO: $283.50 Friday Health Plan — PPO: $417.66 Healthcare Highways — Logix PPO: $204.75 Healthcare Highways — Sync PPO: $138.60 HealthSmart — PPO: $296.10 Humana Military Tricare — All Plans: $163.79 Medica — PPO: $132.30
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHER 60 MIN W PT &OR FAM	$337	$327.58	$141.54 – $417.66
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates Aetna — All Plans: $286.45 Cigna — PPO/POS: $303.30 Coventry — PPO: $286.45 First Health — PPO: $303.30 Friday Health Plan — PPO: $417.66 Healthcare Highways — Logix PPO: $219.05 Healthcare Highways — Sync PPO: $148.28 HealthSmart — PPO: $316.78 Humana Military Tricare — All Plans: $163.79 Medica — PPO: $141.54
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/O PATIENT	$377	$327.58	$158.34 – $720.41
Family psychotherapy, without the patient: 10 of 19 insurance plan rates Aetna — All Plans: $320.45 BCBS - OK — Blue Advantage HMO: $458.84 BCBS - OK — Blue Choice PPO: $626.46 BCBS - OK — Blue Lincs HMO: $483.03 BCBS - OK — Blue Preferred: $483.03 BCBS - OK — Blue Traditional PPO: $720.41 Cigna — PPO/POS: $339.30 Coventry — PPO: $320.45 First Health — PPO: $339.30 Friday Health Plan — PPO: $417.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY WITH PATIENT	$345	$327.58	$144.90 – $720.41
Family psychotherapy, with the patient: 10 of 19 insurance plan rates Aetna — All Plans: $293.25 BCBS - OK — Blue Advantage HMO: $458.84 BCBS - OK — Blue Choice PPO: $626.46 BCBS - OK — Blue Lincs HMO: $483.03 BCBS - OK — Blue Preferred: $483.03 BCBS - OK — Blue Traditional PPO: $720.41 Cigna — PPO/POS: $310.50 Coventry — PPO: $293.25 First Health — PPO: $310.50 Friday Health Plan — PPO: $417.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FOCUS GROUP THERAPY	$539	$188.58	$94.29 – $506.66
Group psychotherapy: 10 of 19 insurance plan rates Aetna — All Plans: $458.15 BCBS - OK — Blue Advantage HMO: $286.60 BCBS - OK — Blue Choice PPO: $391.30 BCBS - OK — Blue Lincs HMO: $301.71 BCBS - OK — Blue Preferred: $301.71 BCBS - OK — Blue Traditional PPO: $449.98 Cigna — PPO/POS: $485.10 Coventry — PPO: $458.15 First Health — PPO: $485.10 Friday Health Plan — PPO: $240.44
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROCESS GROUP THERAPY	$539	$188.58	$94.29 – $506.66
Group psychotherapy: 10 of 19 insurance plan rates Aetna — All Plans: $458.15 BCBS - OK — Blue Advantage HMO: $286.60 BCBS - OK — Blue Choice PPO: $391.30 BCBS - OK — Blue Lincs HMO: $301.71 BCBS - OK — Blue Preferred: $301.71 BCBS - OK — Blue Traditional PPO: $449.98 Cigna — PPO/POS: $485.10 Coventry — PPO: $458.15 First Health — PPO: $485.10 Friday Health Plan — PPO: $240.44

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	$7,807.14	$3,903.57 – $9,954.10
Removal of breast growth (open surgery): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $5,597.62 BCBS - OK — Blue Choice PPO: $7,642.54 BCBS - OK — Blue Lincs HMO: $5,892.79 BCBS - OK — Blue Preferred: $5,892.79 BCBS - OK — Blue Traditional PPO: $8,788.66 Friday Health Plan — PPO: $9,954.10 Humana Military Tricare — All Plans: $3,903.57 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	$26,232.86	$13,116.43 – $53,187.86
Total hip replacement: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $33,876.08 BCBS - OK — Blue Choice PPO: $46,251.71 BCBS - OK — Blue Lincs HMO: $35,662.42 BCBS - OK — Blue Preferred: $35,662.42 BCBS - OK — Blue Traditional PPO: $53,187.86 Friday Health Plan — PPO: $33,446.90 Humana Military Tricare — All Plans: $13,116.43 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	$26,232.86	$13,116.43 – $53,187.86
Total knee replacement: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $33,876.08 BCBS - OK — Blue Choice PPO: $46,251.71 BCBS - OK — Blue Lincs HMO: $35,662.42 BCBS - OK — Blue Preferred: $35,662.42 BCBS - OK — Blue Traditional PPO: $53,187.86 Friday Health Plan — PPO: $33,446.90 Humana Military Tricare — All Plans: $13,116.43 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$10,112.79 – $15,877.80
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $10,112.79 BCBS - OK — Blue Choice PPO: $13,807.20 BCBS - OK — Blue Lincs HMO: $10,646.05 BCBS - OK — Blue Preferred: $10,646.05 BCBS - OK — Blue Traditional PPO: $15,877.80 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	$6,615.10	$3,307.55 – $15,877.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $10,112.79 BCBS - OK — Blue Choice PPO: $13,807.20 BCBS - OK — Blue Lincs HMO: $10,646.05 BCBS - OK — Blue Preferred: $10,646.05 BCBS - OK — Blue Traditional PPO: $15,877.80 Friday Health Plan — PPO: $8,434.25 Humana Military Tricare — All Plans: $3,307.55 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	$12,060.84	$6,030.42 – $15,377.57
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $7,557.06 BCBS - OK — Blue Choice PPO: $10,317.80 BCBS - OK — Blue Lincs HMO: $7,955.55 BCBS - OK — Blue Preferred: $7,955.55 BCBS - OK — Blue Traditional PPO: $11,865.12 Friday Health Plan — PPO: $15,377.57 Humana Military Tricare — All Plans: $6,030.42 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$2,588	$1,911.50	$955.75 – $3,949.64
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates Aetna — All Plans: $2,199.80 BCBS - OK — Blue Advantage HMO: $2,515.58 BCBS - OK — Blue Choice PPO: $3,434.57 BCBS - OK — Blue Lincs HMO: $2,648.23 BCBS - OK — Blue Preferred: $2,648.23 BCBS - OK — Blue Traditional PPO: $3,949.64 Cigna — PPO/POS: $2,329.20 Coventry — PPO: $2,199.80 First Health — PPO: $2,329.20 Friday Health Plan — PPO: $2,437.16
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/BIOPSY	$2,588	$1,911.50	$955.75 – $3,949.64
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates Aetna — All Plans: $2,199.80 BCBS - OK — Blue Advantage HMO: $2,515.58 BCBS - OK — Blue Choice PPO: $3,434.57 BCBS - OK — Blue Lincs HMO: $2,648.23 BCBS - OK — Blue Preferred: $2,648.23 BCBS - OK — Blue Traditional PPO: $3,949.64 Cigna — PPO/POS: $2,329.20 Coventry — PPO: $2,199.80 First Health — PPO: $2,329.20 Friday Health Plan — PPO: $2,437.16
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	$1,858.80	$929.40 – $4,113.57
Colonoscopy (diagnostic): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,619.99 BCBS - OK — Blue Choice PPO: $3,577.12 BCBS - OK — Blue Lincs HMO: $2,758.14 BCBS - OK — Blue Preferred: $2,758.14 BCBS - OK — Blue Traditional PPO: $4,113.57 Friday Health Plan — PPO: $2,369.97 Humana Military Tricare — All Plans: $929.40 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	$2,403.90	$1,201.95 – $4,113.57
Colonoscopy with biopsy: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,619.99 BCBS - OK — Blue Choice PPO: $3,577.12 BCBS - OK — Blue Lincs HMO: $2,758.14 BCBS - OK — Blue Preferred: $2,758.14 BCBS - OK — Blue Traditional PPO: $4,113.57 Friday Health Plan — PPO: $3,064.97 Humana Military Tricare — All Plans: $1,201.95 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	$2,403.90	$1,201.95 – $6,688.74
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $4,260.15 BCBS - OK — Blue Choice PPO: $5,816.47 BCBS - OK — Blue Lincs HMO: $4,484.80 BCBS - OK — Blue Preferred: $4,484.80 BCBS - OK — Blue Traditional PPO: $6,688.74 Friday Health Plan — PPO: $3,064.97 Humana Military Tricare — All Plans: $1,201.95 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	$2,403.90	$1,201.95 – $3,391.43
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,160.05 BCBS - OK — Blue Choice PPO: $2,949.16 BCBS - OK — Blue Lincs HMO: $2,273.95 BCBS - OK — Blue Preferred: $2,273.95 BCBS - OK — Blue Traditional PPO: $3,391.43 Friday Health Plan — PPO: $3,064.97 Humana Military Tricare — All Plans: $1,201.95 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	$1,858.80	$929.40 – $4,113.57
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,619.99 BCBS - OK — Blue Choice PPO: $3,577.12 BCBS - OK — Blue Lincs HMO: $2,758.14 BCBS - OK — Blue Preferred: $2,758.14 BCBS - OK — Blue Traditional PPO: $4,113.57 Friday Health Plan — PPO: $2,369.97 Humana Military Tricare — All Plans: $929.40 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	$11,895.08	$5,947.54 – $22,202.91
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $14,141.34 BCBS - OK — Blue Choice PPO: $19,307.46 BCBS - OK — Blue Lincs HMO: $14,887.03 BCBS - OK — Blue Preferred: $14,887.03 BCBS - OK — Blue Traditional PPO: $22,202.91 Friday Health Plan — PPO: $15,166.23 Humana Military Tricare — All Plans: $5,947.54 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	$7,195.04	$3,597.52 – $15,974.39
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $10,174.31 BCBS - OK — Blue Choice PPO: $13,891.19 BCBS - OK — Blue Lincs HMO: $10,710.81 BCBS - OK — Blue Preferred: $10,710.81 BCBS - OK — Blue Traditional PPO: $15,974.39 Friday Health Plan — PPO: $9,173.68 Humana Military Tricare — All Plans: $3,597.52 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	$4,176.50	$2,088.25 – $8,406.52
Prostate biopsy: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $5,354.23 BCBS - OK — Blue Choice PPO: $7,310.23 BCBS - OK — Blue Lincs HMO: $5,636.56 BCBS - OK — Blue Preferred: $5,636.56 BCBS - OK — Blue Traditional PPO: $8,406.52 Friday Health Plan — PPO: $5,325.04 Humana Military Tricare — All Plans: $2,088.25 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	$21,226.38	$10,613.19 – $32,620.85
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $20,776.67 BCBS - OK — Blue Choice PPO: $28,366.81 BCBS - OK — Blue Lincs HMO: $21,872.25 BCBS - OK — Blue Preferred: $21,872.25 BCBS - OK — Blue Traditional PPO: $32,620.85 Friday Health Plan — PPO: $27,063.63 Humana Military Tricare — All Plans: $10,613.19 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	$6,482.42	$3,241.21 – $15,183.83
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $9,670.79 BCBS - OK — Blue Choice PPO: $13,203.73 BCBS - OK — Blue Lincs HMO: $10,180.75 BCBS - OK — Blue Preferred: $10,180.75 BCBS - OK — Blue Traditional PPO: $15,183.83 Friday Health Plan — PPO: $8,265.09 Humana Military Tricare — All Plans: $3,241.21 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RADIOLOGY EPIDURAL INJECTION	$2,685	$1,411.90	$705.95 – $3,240.88
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates Aetna — All Plans: $2,282.25 BCBS - OK — Blue Advantage HMO: $2,064.16 BCBS - OK — Blue Choice PPO: $2,818.24 BCBS - OK — Blue Lincs HMO: $2,173.01 BCBS - OK — Blue Preferred: $2,173.01 BCBS - OK — Blue Traditional PPO: $3,240.88 Cigna — PPO/POS: $2,416.50 Coventry — PPO: $2,282.25 First Health — PPO: $2,416.50 Friday Health Plan — PPO: $1,800.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSFOR EPIDURAL INJ LUMBAR	$3,994	$1,815.12	$907.56 – $5,290.31
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates Aetna — All Plans: $3,394.90 BCBS - OK — Blue Advantage HMO: $3,369.47 BCBS - OK — Blue Choice PPO: $4,600.41 BCBS - OK — Blue Lincs HMO: $3,547.15 BCBS - OK — Blue Preferred: $3,547.15 BCBS - OK — Blue Traditional PPO: $5,290.31 Cigna — PPO/POS: $3,594.60 Coventry — PPO: $3,394.90 First Health — PPO: $3,594.60 Friday Health Plan — PPO: $2,314.28
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSFORAMINAL INJ LUMBAR-BIL	$4,201	Not listed in the file	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	$3,981.30	$1,990.65 – $10,952.27
Carpal tunnel release: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $6,975.65 BCBS - OK — Blue Choice PPO: $9,524 BCBS - OK — Blue Lincs HMO: $7,343.49 BCBS - OK — Blue Preferred: $7,343.49 BCBS - OK — Blue Traditional PPO: $10,952.27 Friday Health Plan — PPO: $5,076.16 Humana Military Tricare — All Plans: $1,990.65 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	$1,118.48	$559.24 – $2,446.28
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $1,558.07 BCBS - OK — Blue Choice PPO: $2,127.26 BCBS - OK — Blue Lincs HMO: $1,640.23 BCBS - OK — Blue Preferred: $1,640.23 BCBS - OK — Blue Traditional PPO: $2,446.28 Friday Health Plan — PPO: $1,426.06 Humana Military Tricare — All Plans: $559.24 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	$4,649.94	$2,324.97 – $10,948.39
Cataract removal with lens implant: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $6,973.18 BCBS - OK — Blue Choice PPO: $9,520.63 BCBS - OK — Blue Lincs HMO: $7,340.89 BCBS - OK — Blue Preferred: $7,340.89 BCBS - OK — Blue Traditional PPO: $10,948.39 Friday Health Plan — PPO: $5,928.67 Humana Military Tricare — All Plans: $2,324.97 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount) Oklahoma Health Network (OHN) — PPO: 80% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount) Oklahoma Health Network (OHN) — PPO: 80% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$5,052 – $7,932
Vaginal delivery after a previous C-section, with care before and after: 10 of 18 insurance plan rates BCBS - OK — Blue Advantage HMO: $5,052 BCBS - OK — Blue Choice PPO: $6,897.60 BCBS - OK — Blue Lincs HMO: $5,318.40 BCBS - OK — Blue Preferred: $5,318.40 BCBS - OK — Blue Traditional PPO: $7,932 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$154,681.28	$77,340.64 – $241,404.66
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $164,524.40 BCBS - OK — Blue Choice PPO: $209,916.19 BCBS - OK — Blue Lincs HMO: $173,181.38 BCBS - OK — Blue Preferred: $173,181.38 BCBS - OK — Blue Traditional PPO: $241,404.66 Friday Health Plan — PPO: $143,080.18 Humana Military Tricare — All Plans: $77,340.64 Medica — PPO: $108,276.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC	Not listed in the file	Not listed in the file	$62,034.41 – $91,022.34
Spinal fusion (not neck), without major complications: rates for 5 insurance plans BCBS - OK — Blue Advantage HMO: $62,034.41 BCBS - OK — Blue Choice PPO: $79,149.52 BCBS - OK — Blue Lincs HMO: $65,298.55 BCBS - OK — Blue Preferred: $65,298.55 BCBS - OK — Blue Traditional PPO: $91,022.34
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$30,219.52	$15,109.76 – $43,973.19
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $29,969.02 BCBS - OK — Blue Choice PPO: $38,237.39 BCBS - OK — Blue Lincs HMO: $31,545.94 BCBS - OK — Blue Preferred: $31,545.94 BCBS - OK — Blue Traditional PPO: $43,973.19 Friday Health Plan — PPO: $27,953.06 Humana Military Tricare — All Plans: $15,109.76 Medica — PPO: $21,153.66 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	$37,943.08	$18,971.54 – $58,792.93
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $40,069.11 BCBS - OK — Blue Choice PPO: $51,124.07 BCBS - OK — Blue Lincs HMO: $42,177.48 BCBS - OK — Blue Preferred: $42,177.48 BCBS - OK — Blue Traditional PPO: $58,792.93 Friday Health Plan — PPO: $35,097.35 Humana Military Tricare — All Plans: $18,971.54 Medica — PPO: $26,560.16 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	$19,211.96	$9,605.98 – $26,207.08
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $17,860.90 BCBS - OK — Blue Choice PPO: $22,788.67 BCBS - OK — Blue Lincs HMO: $18,800.71 BCBS - OK — Blue Preferred: $18,800.71 BCBS - OK — Blue Traditional PPO: $26,207.08 Friday Health Plan — PPO: $17,771.06 Humana Military Tricare — All Plans: $9,605.98 Medica — PPO: $13,448.37 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)

Source: Duncan Regional Hospital, Inc’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 14, 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 type	Acute Care Hospital
Address	1407 Whisenant Drive, Duncan, OK 73533
County	Stephens County
State	Oklahoma
Phone	(580) 252‑5300
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	370023
Name in Medicare records	DUNCAN REGIONAL HOSPITAL, INC
Profile level	Medicare data + hospital website
Name on the hospital’s website	Duncan Regional Hospital
Official website	duncanregional.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Duncan Regional Hospital | DRH Health — duncanregional.com

Duncan Regional Hospital, Inc

Summary

Profile from official sources

At a glance