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Acute Care Hospital

Jackson County Memorial Hospital Authority

Also listed as: Jackson County Memorial Hospital

Altus, Oklahoma · Jackson County · Emergency services listed

Jackson County Memorial Hospital Authority is an acute care hospital at 1200 East Pecan St, Altus, OK 73521. Phone: (580) 379-5500. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Jackson County Memorial Hospital Authority is an acute care hospital in Altus, Oklahoma. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 32 services, specialties and programs. Medicare lists 162 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 2026-10-30). 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
32Services listed

Quick answers

Does Jackson County Memorial Hospital Authority have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Jackson County Memorial Hospital Authority. In a medical emergency, call 911.
Where is Jackson County Memorial Hospital Authority?
1200 East Pecan St, Altus, OK 73521, in Jackson County, Oklahoma.
What is the phone number of Jackson County Memorial Hospital Authority?
(580) 379-5500, as listed by Medicare (CMS).
What is the Medicare star rating of Jackson County Memorial Hospital Authority?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Jackson County Memorial Hospital Authority for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Jackson County Memorial Hospital Authority under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.6129; 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][7][8][9]

Conditions treated[7]

Treatments[5][7]

Procedures[6][9]

Programs and centers[4][8]

  • Sleep Lab
  • Women's Center
  • Diabetes Center of Excellence
  • Cancer Centers of Southwest Oklahoma
  • Food Farmacy (food boxes for community and patients)
  • TeamBirth

Visiting and practical information

VisitingHospital visiting hours 9 a.m. to 9 p.m.; daily quiet time 1-3 p.m. for Mom and baby[8]

Recognition[4][6][8]

  • 2026 Top 100 Rural Community Hospital (Chartis)
  • Cribs for Kids National Bronze Certified Safe Sleep Hospital
  • American College of Radiology accreditation (Women's Imaging)

Doctors and clinicians (162)

162 doctors and other clinicians list Jackson County Memorial Hospital Authority 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 (162)

And 138 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 Altus

Hospitals in Jackson 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 →

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 Jackson County Memorial Hospital Authority 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 hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well80%National average: 80%
“Always” got help as soon as they wanted68%National average: 64%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean73%National average: 73%
Completed surveys345Response rate: 36%

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

Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from 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 patients10.2%
Deaths within 30 days: pneumonia patients18.8%
Deaths within 30 days: COPD patients8%
Deaths within 30 days: stroke patients11.3%
Serious complications (patient safety indicator PSI-90)1.03No different from the national rate
Complications after hip or knee replacement5.7%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients

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)15.7%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD19.5%
Readmitted within 30 days: hip or knee replacement5.6%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack

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)100 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)71%National average: 66%

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

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 Jackson County Memorial Hospital Authority, 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-0.6129Lower 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 failure0.9854Fewer readmissions than expected
Pneumonia0.9280Fewer readmissions than expected
COPD (chronic lung disease)1.0122More readmissions than expected
Hip or knee replacement0.9854Fewer readmissions than expected
No result publishedHeart attack; 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 Score24.92 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)0.00 out of 100
Person and community engagement (patient survey)63.00 out of 100
Safety (infections and sepsis care)36.67 out of 100
Efficiency and cost reduction (Medicare spending)0.00 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, ratio1.02Above the national median hospital (1.00): Medicare spent more

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 87 common services exactly as Jackson County Memorial Hospital Authority 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 87 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility PPO: 80% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility PPO: 80% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility PPO: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Established Patient Level 3 $297.80 $297.80 $178.68 – $282.91
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • Aetna — Gatekeeper: $247.17
  • Aetna — Non Gatekeeper: $253.13
  • Cigna — PPO: $253.13
  • Coventry — First Health PPO: $238.24
  • Coventry — PPO: $220.37
  • Healthcare Highways — Sync PPO: $178.68
  • Humana — PPO: $282.91
  • Oklahoma Health Network (OHN) — PPO: $208.46
  • Phcs — Multiplan PPO: $268.02
  • Phcs — Multiplan Savility PPO: $238.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Established Patient Level 4 $396.26 $396.26 $237.75 – $376.44
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • Aetna — Gatekeeper: $328.89
  • Aetna — Non Gatekeeper: $336.82
  • Cigna — PPO: $336.82
  • Coventry — First Health PPO: $317
  • Coventry — PPO: $293.23
  • Healthcare Highways — Sync PPO: $237.75
  • Humana — PPO: $376.44
  • Oklahoma Health Network (OHN) — PPO: $277.38
  • Phcs — Multiplan PPO: $356.63
  • Phcs — Multiplan Savility PPO: $317
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 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility 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 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility 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 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility 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 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility PPO: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Level 3 $850 $850 $282.08 – $807.50
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $705.50
  • Aetna — Non Gatekeeper: $722.50
  • Cigna — PPO: $722.50
  • Coventry — First Health PPO: $680
  • Coventry — Medicare Advantage: $282.08
  • Coventry — PPO: $629
  • Healthcare Highways — Sync PPO: $510
  • Humana — Medicare Advantage: $282.08
  • Humana — PPO: $807.50
  • Humana — Veteran Services Project Hero: $282.08
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Level 3 Pro $193.77 $193.77 $116.26 – $282.08
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $160.82
  • Aetna — Non Gatekeeper: $164.70
  • Cigna — PPO: $164.70
  • Coventry — First Health PPO: $155.01
  • Coventry — Medicare Advantage: $282.08
  • Coventry — PPO: $143.38
  • Healthcare Highways — Sync PPO: $116.26
  • Humana — Medicare Advantage: $282.08
  • Humana — PPO: $184.08
  • Humana — Veteran Services Project Hero: $282.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Level 4 $1,055.25 $1,055.25 $433.81 – $1,002.48
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $875.85
  • Aetna — Non Gatekeeper: $896.96
  • Cigna — PPO: $896.96
  • Coventry — First Health PPO: $844.20
  • Coventry — Medicare Advantage: $433.81
  • Coventry — PPO: $780.88
  • Healthcare Highways — Sync PPO: $633.15
  • Humana — Medicare Advantage: $433.81
  • Humana — PPO: $1,002.48
  • Humana — Veteran Services Project Hero: $433.81
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Level 4 Pro $355.80 $355.80 $213.48 – $433.81
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $295.31
  • Aetna — Non Gatekeeper: $302.43
  • Cigna — PPO: $302.43
  • Coventry — First Health PPO: $284.64
  • Coventry — Medicare Advantage: $433.81
  • Coventry — PPO: $263.29
  • Healthcare Highways — Sync PPO: $213.48
  • Humana — Medicare Advantage: $433.81
  • Humana — PPO: $338.01
  • Humana — Veteran Services Project Hero: $433.81
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Level 5 $1,513.38 $1,513.38 $624.60 – $1,437.71
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $1,256.10
  • Aetna — Non Gatekeeper: $1,286.37
  • Cigna — PPO: $1,286.37
  • Coventry — First Health PPO: $1,210.70
  • Coventry — Medicare Advantage: $624.60
  • Coventry — PPO: $1,119.90
  • Healthcare Highways — Sync PPO: $908.02
  • Humana — Medicare Advantage: $624.60
  • Humana — PPO: $1,437.71
  • Humana — Veteran Services Project Hero: $624.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Level 5 Pro $517.11 $517.11 $310.26 – $624.60
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $429.20
  • Aetna — Non Gatekeeper: $439.54
  • Cigna — PPO: $439.54
  • Coventry — First Health PPO: $413.68
  • Coventry — Medicare Advantage: $624.60
  • Coventry — PPO: $382.66
  • Healthcare Highways — Sync PPO: $310.26
  • Humana — Medicare Advantage: $624.60
  • Humana — PPO: $491.25
  • Humana — Veteran Services Project Hero: $624.60

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel $25.38 $25.38 $9.06 – $49.37
Basic metabolic panel (blood test): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $21.06
  • Aetna — Non Gatekeeper: $21.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $49.37
  • Cigna — PPO: $21.57
  • Coventry — First Health PPO: $20.30
  • Coventry — Medicare Advantage: $9.06
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $31.68 $31.68 $11.31 – $49.37
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $26.29
  • Aetna — Non Gatekeeper: $26.92
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $49.37
  • Cigna — PPO: $26.92
  • Coventry — First Health PPO: $25.34
  • Coventry — Medicare Advantage: $11.31
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: OB Panel $143.43 $143.43 $49.37 – $136.25
Obstetric blood test panel: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $119.04
  • Aetna — Non Gatekeeper: $121.91
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $49.37
  • Cigna — PPO: $121.91
  • Coventry — First Health PPO: $114.74
  • Coventry — Medicare Advantage: $51.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $40.17 $40.17 $14.34 – $49.37
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $33.34
  • Aetna — Non Gatekeeper: $34.14
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $49.37
  • Cigna — PPO: $34.14
  • Coventry — First Health PPO: $32.13
  • Coventry — Medicare Advantage: $14.34
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $26.04 $26.04 $9.30 – $49.37
Kidney function panel: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $21.61
  • Aetna — Non Gatekeeper: $22.13
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $49.37
  • Cigna — PPO: $22.13
  • Coventry — First Health PPO: $20.83
  • Coventry — Medicare Advantage: $9.30
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $24.51 $24.51 $8.75 – $49.37
Liver function panel: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $20.34
  • Aetna — Non Gatekeeper: $20.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $49.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $49.37
  • Cigna — PPO: $20.83
  • Coventry — First Health PPO: $19.60
  • Coventry — Medicare Advantage: $8.75
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis $9.51 $9.51 $3.40 – $14.43
Urine test (automated, with microscope): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $7.89
  • Aetna — Non Gatekeeper: $8.08
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $14.43
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $14.43
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $14.43
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $14.43
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $14.43
  • Cigna — PPO: $8.08
  • Coventry — First Health PPO: $7.60
  • Coventry — Medicare Advantage: $3.40
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Anc Urine Protein/Glucose $10.44 $10.44 $3.73 – $10.17
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $8.66
  • Aetna — Non Gatekeeper: $8.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $10.17
  • Cigna — PPO: $8.87
  • Coventry — First Health PPO: $8.35
  • Coventry — Medicare Advantage: $3.73
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Rhc Ua W/O Microscopy Non $10.44 $10.44 $3.73 – $10.17
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $8.66
  • Aetna — Non Gatekeeper: $8.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $10.17
  • Cigna — PPO: $8.87
  • Coventry — First Health PPO: $8.35
  • Coventry — Medicare Advantage: $3.73
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Acetone (Qual) $10.44 $10.44 $3.73 – $10.17
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $8.66
  • Aetna — Non Gatekeeper: $8.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $10.17
  • Cigna — PPO: $8.87
  • Coventry — First Health PPO: $8.35
  • Coventry — Medicare Advantage: $3.73
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA Dipstick Only $6.75 $6.75 $2.41 – $10.17
Urine test (automated, without microscope): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $5.60
  • Aetna — Non Gatekeeper: $5.73
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $10.17
  • Cigna — PPO: $5.73
  • Coventry — First Health PPO: $5.40
  • Coventry — Medicare Advantage: $2.41
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic PSA $55.17 $55.17 $19.70 – $52.41
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $45.79
  • Aetna — Non Gatekeeper: $46.89
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $45.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $45.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $45.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $45.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $45.57
  • Cigna — PPO: $46.89
  • Coventry — First Health PPO: $44.13
  • Coventry — Medicare Advantage: $19.70
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH $50.40 $50.40 $17.99 – $74.32
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $41.83
  • Aetna — Non Gatekeeper: $42.84
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $74.32
  • Cigna — PPO: $42.84
  • Coventry — First Health PPO: $40.32
  • Coventry — Medicare Advantage: $17.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Tsh Nbsc $50.40 $50.40 $17.99 – $74.32
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $41.83
  • Aetna — Non Gatekeeper: $42.84
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $74.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $74.32
  • Cigna — PPO: $42.84
  • Coventry — First Health PPO: $40.32
  • Coventry — Medicare Advantage: $17.99
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC - Automated Differential $23.31 $23.31 $8.32 – $33.51
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $19.34
  • Aetna — Non Gatekeeper: $19.81
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $33.51
  • Cigna — PPO: $19.81
  • Coventry — First Health PPO: $18.64
  • Coventry — Medicare Advantage: $8.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC - No Differential $19.41 $19.41 $6.93 – $33.51
Complete blood count (CBC), automated: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $16.11
  • Aetna — Non Gatekeeper: $16.49
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $33.51
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $33.51
  • Cigna — PPO: $16.49
  • Coventry — First Health PPO: $15.52
  • Coventry — Medicare Advantage: $6.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time With INR $12.87 $12.87 $4.59 – $17.83
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $10.68
  • Aetna — Non Gatekeeper: $10.93
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $17.83
  • Cigna — PPO: $10.93
  • Coventry — First Health PPO: $10.29
  • Coventry — Medicare Advantage: $4.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Partial Thromboplastin Time $18.03 $18.03 $6.44 – $17.83
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $14.96
  • Aetna — Non Gatekeeper: $15.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $17.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $17.83
  • Cigna — PPO: $15.32
  • Coventry — First Health PPO: $14.42
  • Coventry — Medicare Advantage: $6.44

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 head/brain wo con $2,314 $2,314 $108.33 – $2,198.30
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $1,920.62
  • Aetna — Non Gatekeeper: $1,966.90
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $372.11
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $372.11
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $372.11
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $372.11
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $372.11
  • Cigna — PPO: $1,966.90
  • Coventry — First Health PPO: $1,851.20
  • Coventry — Medicare Advantage: $108.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI brain wo/w con $4,761.75 $4,761.75 $363.83 – $4,523.66
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $3,952.25
  • Aetna — Non Gatekeeper: $4,047.48
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $1,321.13
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $1,321.13
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $1,321.13
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $1,321.13
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $1,321.13
  • Cigna — PPO: $4,047.48
  • Coventry — First Health PPO: $3,809.40
  • Coventry — Medicare Advantage: $363.83
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR chest 2V $325 $325 $89.70 – $308.75
Chest X-ray, 2 views: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $269.75
  • Aetna — Non Gatekeeper: $276.25
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $99.99
  • Cigna — PPO: $276.25
  • Coventry — First Health PPO: $260
  • Coventry — Medicare Advantage: $89.70
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR spine lumbar min 4V $336.21 $336.21 $99.99 – $319.39
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $279.05
  • Aetna — Non Gatekeeper: $285.77
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $99.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $99.99
  • Cigna — PPO: $285.77
  • Coventry — First Health PPO: $268.96
  • Coventry — Medicare Advantage: $108.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI lumbar spine wo con $3,567.90 $3,567.90 $246.25 – $3,389.50
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $2,961.35
  • Aetna — Non Gatekeeper: $3,032.71
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $745.46
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $745.46
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $745.46
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $745.46
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $745.46
  • Cigna — PPO: $3,032.71
  • Coventry — First Health PPO: $2,854.32
  • Coventry — Medicare Advantage: $246.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT pelvis w con $1,601.25 $1,601.25 $181.36 – $1,521.18
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $1,329.03
  • Aetna — Non Gatekeeper: $1,361.06
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $963.59
  • Cigna — PPO: $1,361.06
  • Coventry — First Health PPO: $1,281
  • Coventry — Medicare Advantage: $181.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $246.25 – $841.59
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $841.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $841.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $841.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $841.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $841.59
  • Coventry — Medicare Advantage: $246.25
  • Humana — Medicare Advantage: $246.25
  • Humana — Veteran Services Project Hero: $246.25
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI hip/knee/ankle wo LT $2,631.30 $2,631.30 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI hip/knee/ankle wo RT $2,631.30 $2,631.30 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT abdomen pelvis w con $3,200 $3,200 $363.83 – $3,040
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $2,656
  • Aetna — Non Gatekeeper: $2,720
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $963.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $963.59
  • Cigna — PPO: $2,720
  • Coventry — First Health PPO: $2,560
  • Coventry — Medicare Advantage: $363.83
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US abdomen complete $911.40 $911.40 $108.33 – $865.83
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $756.46
  • Aetna — Non Gatekeeper: $774.69
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $352.02
  • Cigna — PPO: $774.69
  • Coventry — First Health PPO: $729.12
  • Coventry — Medicare Advantage: $108.33
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB >= 14 weeks fetus $547.05 $547.05 $108.33 – $519.69
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $454.05
  • Aetna — Non Gatekeeper: $464.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $372.96
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $372.96
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $372.96
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $372.96
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $372.96
  • Cigna — PPO: $464.99
  • Coventry — First Health PPO: $437.64
  • Coventry — Medicare Advantage: $108.33
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US transvaginal $753.90 $753.90 $108.33 – $716.20
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $625.73
  • Aetna — Non Gatekeeper: $640.81
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $352.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $352.02
  • Cigna — PPO: $640.81
  • Coventry — First Health PPO: $603.12
  • Coventry — Medicare Advantage: $108.33
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $508.22
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $508.22
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM diagnostic mammo unilat LT $383.77 $383.77 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM diagnostic mammo unilat RT $383.77 $383.77 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM diagnostic mammo BI $498.75 $498.75 $299.25 – $508.22
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Gatekeeper: $413.96
  • Aetna — Non Gatekeeper: $423.93
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $508.22
  • Cigna — PPO: $423.93
  • Coventry — First Health PPO: $399
  • Coventry — PPO: $369.07
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM screening mammo BI $337.85 $337.85 $202.71 – $508.22
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Gatekeeper: $280.41
  • Aetna — Non Gatekeeper: $287.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $508.22
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $508.22
  • Cigna — PPO: $287.17
  • Coventry — First Health PPO: $270.28
  • Coventry — PPO: $250

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance 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 $43.53
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $43.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $43.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $43.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $43.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $43.53
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (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: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $3,276.74 – $3,904.67
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $3,904.67
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $3,904.67
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $3,904.67
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $3,904.67
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $3,904.67
  • Coventry — Medicare Advantage: $3,276.74
  • Humana — Medicare Advantage: $3,276.74
  • Humana — Veteran Services Project Hero: $3,276.74
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $2,102.36 – $7,730.43
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,102.36
  • Coventry — Medicare Advantage: $7,730.43
  • Humana — Medicare Advantage: $7,730.43
  • Humana — Veteran Services Project Hero: $7,730.43
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $2,102.36 – $24,992.44
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,102.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,102.36
  • Coventry — Medicare Advantage: $24,992.44
  • Humana — Medicare Advantage: $24,992.44
  • Humana — Veteran Services Project Hero: $24,992.44
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: PSG OVER 6 Y/O $3,843 $3,843 $1,036.47 – $3,650.85
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $3,189.69
  • Aetna — Non Gatekeeper: $3,266.55
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,676.05
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,676.05
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,676.05
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,676.05
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,676.05
  • Cigna — PPO: $3,266.55
  • Coventry — First Health PPO: $3,074.40
  • Coventry — Medicare Advantage: $1,036.47

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance 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 $127.87 – $191.72
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $136.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $182.58
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $127.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $155.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $191.72
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercise $164 $164 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercise COTA $164 $164 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 $127.87 – $191.72
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $136.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $182.58
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $127.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $155.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $191.72
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Physical Therapy Low Comp $247.80 $247.80 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 $127.87 – $191.72
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $136.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $182.58
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $127.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $155.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $191.72
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Evaluation Moderate Complex $247.80 $247.80 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 $127.87 – $191.72
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $136.53
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $182.58
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $127.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $155.17
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $191.72
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Evaluation High Complete $247.80 $247.80 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychtx Pt &Family 30 Mins $188 $188 $112.80 – $178.60
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $156.04
  • Aetna — Non Gatekeeper: $159.80
  • Cigna — PPO: $159.80
  • Coventry — First Health PPO: $150.40
  • Coventry — Medicare Advantage: $163.68
  • Coventry — PPO: $139.12
  • Healthcare Highways — Sync PPO: $112.80
  • Humana — Medicare Advantage: $163.68
  • Humana — PPO: $178.60
  • Humana — Veteran Services Project Hero: $163.68
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychtx Pt &Family 45 Min $251 $251 $150.60 – $238.45
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $208.33
  • Aetna — Non Gatekeeper: $213.35
  • Cigna — PPO: $213.35
  • Coventry — First Health PPO: $200.80
  • Coventry — Medicare Advantage: $163.68
  • Coventry — PPO: $185.74
  • Healthcare Highways — Sync PPO: $150.60
  • Humana — Medicare Advantage: $163.68
  • Humana — PPO: $238.45
  • Humana — Veteran Services Project Hero: $163.68
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychtx Pt &Family 45 Mins $375 $375 $163.68 – $356.25
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
  • Aetna — Gatekeeper: $311.25
  • Aetna — Non Gatekeeper: $318.75
  • Cigna — PPO: $318.75
  • Coventry — First Health PPO: $300
  • Coventry — Medicare Advantage: $163.68
  • Coventry — PPO: $277.50
  • Healthcare Highways — Sync PPO: $225
  • Humana — Medicare Advantage: $163.68
  • Humana — PPO: $356.25
  • Humana — Veteran Services Project Hero: $163.68
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx W/O Pt 50 Min $302.85 $302.85 $163.68 – $874.64
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $251.36
  • Aetna — Non Gatekeeper: $257.42
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $622.88
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $832.96
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $583.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $707.89
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $874.64
  • Cigna — PPO: $257.42
  • Coventry — First Health PPO: $242.28
  • Coventry — Medicare Advantage: $163.68
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx W/ Pt 50 Min $394.05 $394.05 $163.68 – $874.64
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $327.06
  • Aetna — Non Gatekeeper: $334.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $622.88
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $832.96
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $583.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $707.89
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $874.64
  • Cigna — PPO: $334.94
  • Coventry — First Health PPO: $315.24
  • Coventry — Medicare Advantage: $163.68
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy $74.40 $74.40 $44.64 – $546.34
Group psychotherapy: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $61.75
  • Aetna — Non Gatekeeper: $63.24
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $389.08
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $520.30
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $364.40
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $442.18
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $546.34
  • Cigna — PPO: $63.24
  • Coventry — First Health PPO: $59.52
  • Coventry — Medicare Advantage: $94.24

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 Not listed in the file $3,901.10 – $10,670.04
Removal of breast growth (open surgery): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $7,598.66
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $10,161.47
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $7,116.68
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $8,635.75
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $10,670.04
  • Coventry — Medicare Advantage: $3,901.10
  • Humana — Medicare Advantage: $3,901.10
  • Humana — Veteran Services Project Hero: $3,901.10
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $8,308.63 – $13,108.16
Total hip replacement: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $8,871.34
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $11,863.38
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $8,308.63
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10,082.12
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $12,457.13
  • Coventry — Medicare Advantage: $13,108.16
  • Humana — Medicare Advantage: $13,108.16
  • Humana — Veteran Services Project Hero: $13,108.16
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $13,108.16 – $64,573.80
Total knee replacement: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $45,986.20
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $61,495.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $43,069.32
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $52,262.54
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $64,573.80
  • Coventry — Medicare Advantage: $13,108.16
  • Humana — Medicare Advantage: $13,108.16
  • Humana — Veteran Services Project Hero: $13,108.16
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 $12,857.19 – $19,276.77
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $13,727.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $18,357.97
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $12,857.19
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $15,601.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $19,276.77
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (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 Not listed in the file $3,305.47 – $19,276.77
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $13,727.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $18,357.97
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $12,857.19
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $15,601.57
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $19,276.77
  • Coventry — Medicare Advantage: $3,305.47
  • Humana — Medicare Advantage: $3,305.47
  • Humana — Veteran Services Project Hero: $3,305.47
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $6,026.62 – $14,405.12
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $10,258.60
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $13,718.52
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $9,607.90
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $11,658.72
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $14,405.12
  • Coventry — Medicare Advantage: $6,026.62
  • Humana — Medicare Advantage: $6,026.62
  • Humana — Veteran Services Project Hero: $6,026.62
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file Not listed in the file $955.15 – $2,139.16
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,139.16
  • Coventry — Medicare Advantage: $955.15
  • Humana — Medicare Advantage: $955.15
  • Humana — Veteran Services Project Hero: $955.15
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $955.15 – $2,139.16
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,139.16
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,139.16
  • Coventry — Medicare Advantage: $955.15
  • Humana — Medicare Advantage: $955.15
  • Humana — Veteran Services Project Hero: $955.15
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $928.81 – $2,227.94
Colonoscopy (diagnostic): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,227.94
  • Coventry — Medicare Advantage: $928.81
  • Humana — Medicare Advantage: $928.81
  • Humana — Veteran Services Project Hero: $928.81
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $1,201.20 – $2,227.94
Colonoscopy with biopsy: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,227.94
  • Coventry — Medicare Advantage: $1,201.20
  • Humana — Medicare Advantage: $1,201.20
  • Humana — Veteran Services Project Hero: $1,201.20
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $1,201.20 – $8,120.58
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $5,783.07
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $7,733.52
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $5,416.25
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $6,572.36
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $8,120.58
  • Coventry — Medicare Advantage: $1,201.20
  • Humana — Medicare Advantage: $1,201.20
  • Humana — Veteran Services Project Hero: $1,201.20
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $1,201.20 – $1,836.83
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $1,836.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $1,836.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $1,836.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $1,836.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $1,836.83
  • Coventry — Medicare Advantage: $1,201.20
  • Humana — Medicare Advantage: $1,201.20
  • Humana — Veteran Services Project Hero: $1,201.20
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $928.81 – $2,227.94
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,227.94
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,227.94
  • Coventry — Medicare Advantage: $928.81
  • Humana — Medicare Advantage: $928.81
  • Humana — Veteran Services Project Hero: $928.81
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $5,943.79 – $26,955.89
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $19,196.63
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $25,671.08
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $17,978.99
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $21,816.64
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $26,955.89
  • Coventry — Medicare Advantage: $5,943.79
  • Humana — Medicare Advantage: $5,943.79
  • Humana — Veteran Services Project Hero: $5,943.79
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $3,595.25 – $19,394.02
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $13,811.44
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $18,469.63
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $12,935.39
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $15,696.47
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $19,394.02
  • Coventry — Medicare Advantage: $3,595.25
  • Humana — Medicare Advantage: $3,595.25
  • Humana — Veteran Services Project Hero: $3,595.25
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $2,086.93 – $10,206.11
Prostate biopsy: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $7,268.28
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $9,719.66
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $6,807.26
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $8,260.28
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $10,206.11
  • Coventry — Medicare Advantage: $2,086.93
  • Humana — Medicare Advantage: $2,086.93
  • Humana — Veteran Services Project Hero: $2,086.93
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $10,606.50 – $39,604.02
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $28,203.98
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $37,716.35
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $26,415.02
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $32,053.34
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $39,604.02
  • Coventry — Medicare Advantage: $10,606.50
  • Humana — Medicare Advantage: $10,606.50
  • Humana — Veteran Services Project Hero: $10,606.50
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $3,239.17 – $18,434.23
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $13,127.93
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $17,555.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $12,295.23
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $14,919.66
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $18,434.23
  • Coventry — Medicare Advantage: $3,239.17
  • Humana — Medicare Advantage: $3,239.17
  • Humana — Veteran Services Project Hero: $3,239.17
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: ESI IL Lumbar/Sacral PF $287 $287 $172.20 – $3,934.66
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $238.21
  • Aetna — Non Gatekeeper: $243.95
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,802.06
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $3,747.12
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,624.33
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $3,184.50
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $3,934.66
  • Cigna — PPO: $243.95
  • Coventry — First Health PPO: $229.60
  • Coventry — Medicare Advantage: $705.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: ESI IL Lumbar/Sacral TC $1,970 $1,970 $705.51 – $3,934.66
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — Gatekeeper: $1,635.10
  • Aetna — Non Gatekeeper: $1,674.50
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,802.06
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $3,747.12
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $2,624.33
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $3,184.50
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $3,934.66
  • Cigna — PPO: $1,674.50
  • Coventry — First Health PPO: $1,576
  • Coventry — Medicare Advantage: $705.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: DSNRB Lumbar/Sacral PF $287 $287 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $906.99 – $6,422.81
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $4,574
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $6,116.67
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $4,283.87
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $5,198.27
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $6,422.81
  • Coventry — Medicare Advantage: $906.99
  • Humana — Medicare Advantage: $906.99
  • Humana — Veteran Services Project Hero: $906.99
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: ESI TF Lum Init Lvl BILAT PF $480 $480 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: ESI TF Lum Init Lvl BILAT TC $3,830 $3,830 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 Not listed in the file $1,989.40 – $13,296.86
Carpal tunnel release: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $9,469.35
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $12,663.09
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $8,868.72
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10,761.76
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $13,296.86
  • Coventry — Medicare Advantage: $1,989.40
  • Humana — Medicare Advantage: $1,989.40
  • Humana — Veteran Services Project Hero: $1,989.40
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $558.89 – $2,969.97
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $2,115.06
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $2,828.41
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $1,980.91
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $2,403.73
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $2,969.97
  • Coventry — Medicare Advantage: $558.89
  • Humana — Medicare Advantage: $558.89
  • Humana — Veteran Services Project Hero: $558.89
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 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 Not listed in the file $2,323.51 – $13,292.13
Cataract removal with lens implant: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $9,465.98
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $12,658.58
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $8,865.56
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $10,757.93
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $13,292.13
  • Coventry — Medicare Advantage: $2,323.51
  • Humana — Medicare Advantage: $2,323.51
  • Humana — Veteran Services Project Hero: $2,323.51
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility 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 12 insurance plan rates
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — Sync PPO: 60% (a percentage in the contract, not a dollar amount)
  • Humana — PPO: 95% (a percentage in the contract, not a dollar amount)
  • Oklahoma Health Network (OHN) — PPO: 70% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan PPO: 90% (a percentage in the contract, not a dollar amount)
  • Phcs — Multiplan Savility 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 $6,423 – $9,630
Vaginal delivery after a previous C-section, with care before and after: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $6,858
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $9,171
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $6,423
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $7,794
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $9,630
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)
  • Cigna — PPO: 85% (a percentage in the contract, not a dollar amount)
  • Coventry — First Health PPO: 80% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 74% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 Not listed in the file $91,058.92 – $222,281.14
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $158,348.83
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $211,698.59
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $148,174.76
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $179,941.42
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $222,281.14
  • Coventry — Medicare Advantage: $91,058.92
  • Humana — Medicare Advantage: $91,058.92
  • Humana — Veteran Services Project Hero: $91,058.92
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (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 $62,624.41 – $93,944.65
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $66,924.37
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $89,472.05
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $62,624.41
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $76,050.24
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $93,944.65
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 Not listed in the file $17,789.85 – $48,068.57
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $34,243.13
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $45,780.08
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $32,042.97
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $38,912.55
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $48,068.57
  • Coventry — Medicare Advantage: $17,789.85
  • Humana — Medicare Advantage: $17,789.85
  • Humana — Veteran Services Project Hero: $17,789.85
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (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 Not listed in the file $22,336.61 – $53,621.15
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $38,198.68
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $51,068.31
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $35,744.38
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $43,407.49
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $53,621.15
  • Coventry — Medicare Advantage: $22,336.61
  • Humana — Medicare Advantage: $22,336.61
  • Humana — Veteran Services Project Hero: $22,336.61
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (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 Not listed in the file $11,309.83 – $25,142.23
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield Of Oklahoma — Blue Advantage: $17,910.84
  • Blue Cross Blue Shield Of Oklahoma — Blue Choice: $23,945.23
  • Blue Cross Blue Shield Of Oklahoma — Blue Lincs: $16,760.05
  • Blue Cross Blue Shield Of Oklahoma — Blue Preferred: $20,353.18
  • Blue Cross Blue Shield Of Oklahoma — Blue Traditional: $25,142.23
  • Coventry — Medicare Advantage: $11,309.83
  • Humana — Medicare Advantage: $11,309.83
  • Humana — Veteran Services Project Hero: $11,309.83
  • Aetna — Gatekeeper: 83% (a percentage in the contract, not a dollar amount)
  • Aetna — Non Gatekeeper: 85% (a percentage in the contract, not a dollar amount)

Source: Jackson County Memorial Hospital Authority’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 December 31, 2025; retrieved November 1, 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
Address1200 East Pecan St, Altus, OK 73521
CountyJackson County
StateOklahoma
Phone(580) 379‑5500
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number370022
Name in Medicare recordsJACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(580) 379‑5000[4]
Name on the hospital’s websiteJackson County Memorial Hospital
Official websitejcmh.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 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 2026-10-30.

  1. Jackson County Memorial Hospital — jcmh.com
  2. Food and Nutrition Services - Jackson County Memorial Hospital — jcmh.com
  3. Women's Imaging - Jackson County Memorial Hospital — jcmh.com
  4. Cancer Centers of Southwest Oklahoma - Jackson County Memorial Hospital — jcmh.com
  5. Women's Center - Jackson County Memorial Hospital — jcmh.com
  6. Imaging Services - Jackson County Memorial Hospital — jcmh.com