Does Jefferson County Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Jefferson County Hospital. In a medical emergency, call 911.

Where is Jefferson County Hospital?

Intersection Hyws 81 & 70, Waurika, OK 73573, in Jefferson County, Oklahoma.

What is the phone number of Jefferson County Hospital?

(580) 228-2344, as listed by Medicare (CMS).

What is the Medicare star rating of Jefferson County Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Jefferson County Hospital — Phone, Address & ER

Quick answers

Does Jefferson County Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Jefferson County Hospital. In a medical emergency, call 911.
Where is Jefferson County Hospital?: Intersection Hyws 81 & 70, Waurika, OK 73573, in Jefferson County, Oklahoma.
What is the phone number of Jefferson County Hospital?: (580) 228-2344, as listed by Medicare (CMS).
What is the Medicare star rating of Jefferson County Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][6]

Emergency medicine
Skilled nursing / transitional care (swing bed)
Inpatient rehabilitation
Outpatient rehabilitation
Physical therapy
Radiology / imaging
Laboratory services
Wound care
Rural health clinic (Waurika Family Care)

Conditions treated^[6]

Heart attack (post-acute recovery)
Congestive heart failure (post-acute care)
Stroke (post-acute recovery)
Parkinson's disease
Hip fracture (post-acute recovery)
Compound fractures (post-acute recovery)
COPD
Pneumonia
Pressure injuries
Diabetic wounds
Venous stasis wounds
Amputation fold wounds
Injury-related wounds

Treatments^[5][6]

Skilled nursing care
Short-term post-acute rehabilitation
Physical therapy
Wound vac therapy
Antibiotic therapy for wounds
Certified wound nurse care and patient education

Programs and centers^[5][6]

Medically Complex Transitional Care (swing bed) program
Skilled Nursing program

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Front doors of the hospital are closed at 10:00 p.m^[4]
Patient portal	MyCare Patient Portal

Recognition^[5]

Critical Access Hospital

Doctors and clinicians (61)

61 doctors and other clinicians list Jefferson County Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 37 more: the button below opens the full list.

Other emergency rooms nearby

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

Duncan Regional Hospital, Inc26 mi · Duncan, OK · Acute Care Hospital
Clay County Memorial Hospital27 mi · Henrietta, TX · Critical Access Hospital
Mercy Hospital Healdton, Inc.27 mi · Healdton, OK · Critical Access Hospital
Nocona General Hospital29 mi · Nocona, TX · Acute Care Hospital
United Regional Health Care System35 mi · Wichita Falls, TX · Acute Care Hospital

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

Other hospitals near Waurika

Red River Hospital35 mi · Wichita Falls, TX · Psychiatric Hospital
Sage Specialty Hospital of Wichita Falls35 mi · Wichita Falls, TX · Long-Term Acute Care Hospital

Hospitals in Jefferson 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

Temple Manor Nursing Home17 mi · Temple, OK · 5 of 5 stars
Meridian Nursing Home18 mi · Comanche, OK · 5 of 5 stars
Wilkins Health & Rehabilitation Community24 mi · Duncan, OK · 5 of 5 stars

All nursing homes 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

Comanche School Health Center15 mi · Comanche, OK · Community health center
Comanche Community Health Center16 mi · Comanche, OK · Community health center

Clinics and urgent care

Jefferson County Hospital D/B/A Waurika Family Care0.0 mi · Waurika, OK · Rural health clinic
Jefferson County Hospital D/B/A Ryan Family Care9.4 mi · Ryan, OK · Rural health clinic
Jefferson County Hospital D/B/A Comanche Family Care13 mi · Comanche, OK · Rural health clinic

Pharmacies

Highway 81 Pharmacy, LLC0.0 mi · Waurika, OK · Pharmacy

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 Jefferson County Hospital 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.

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)	81 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Oklahoma Best hospitals in Oklahoma

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Jefferson County Hospital 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONTINENCE LEVEL III	$208	$73	$87.36 – $195.52
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $176.80 Cigna — PPO/POS: $187.20 Coventry — PPO: $176.80 First Health — PPO: $187.20 Friday Health Plan — PPO: $104 Healthcare Highways — Logix PPO: $135.20 Healthcare Highways — Sync PPO: $91.52 HealthSmart — PPO: $195.52 Humana Military Tricare — All Plans: $112.32 Medica — PPO: $87.36
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OSTOMY CARE LEVEL III	$218	$76.51	$91.56 – $204.92
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $185.30 Cigna — PPO/POS: $196.20 Coventry — PPO: $185.30 First Health — PPO: $196.20 Friday Health Plan — PPO: $109 Healthcare Highways — Logix PPO: $141.70 Healthcare Highways — Sync PPO: $95.92 HealthSmart — PPO: $204.92 Humana Military Tricare — All Plans: $117.72 Medica — PPO: $91.56
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT CARE LEVEL 3	$218	$76.51	$91.56 – $204.92
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $185.30 Cigna — PPO/POS: $196.20 Coventry — PPO: $185.30 First Health — PPO: $196.20 Friday Health Plan — PPO: $109 Healthcare Highways — Logix PPO: $141.70 Healthcare Highways — Sync PPO: $95.92 HealthSmart — PPO: $204.92 Humana Military Tricare — All Plans: $117.72 Medica — PPO: $91.56
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONTINENCE LEVEL IV	$277	$97.22	$116.34 – $260.38
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $235.45 Cigna — PPO/POS: $249.30 Coventry — PPO: $235.45 First Health — PPO: $249.30 Friday Health Plan — PPO: $138.50 Healthcare Highways — Logix PPO: $180.05 Healthcare Highways — Sync PPO: $121.88 HealthSmart — PPO: $260.38 Humana Military Tricare — All Plans: $149.58 Medica — PPO: $116.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OSTOMY CARE LEVEL IV	$291	$102.14	$122.22 – $273.54
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $247.35 Cigna — PPO/POS: $261.90 Coventry — PPO: $247.35 First Health — PPO: $261.90 Friday Health Plan — PPO: $145.50 Healthcare Highways — Logix PPO: $189.15 Healthcare Highways — Sync PPO: $128.04 HealthSmart — PPO: $273.54 Humana Military Tricare — All Plans: $157.14 Medica — PPO: $122.22
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT CARE LEVEL 4	$291	$102.14	$122.22 – $273.54
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — All Plans: $247.35 Cigna — PPO/POS: $261.90 Coventry — PPO: $247.35 First Health — PPO: $261.90 Friday Health Plan — PPO: $145.50 Healthcare Highways — Logix PPO: $189.15 Healthcare Highways — Sync PPO: $128.04 HealthSmart — PPO: $273.54 Humana Military Tricare — All Plans: $157.14 Medica — PPO: $122.22
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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E.R. CARE UNIT LEVEL III	$846	$296.94	$355.32 – $795.24
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — All Plans: $719.10 Cigna — PPO/POS: $761.40 Coventry — PPO: $719.10 First Health — PPO: $761.40 Friday Health Plan — PPO: $493.38 Healthcare Highways — Logix PPO: $549.90 Healthcare Highways — Sync PPO: $372.24 HealthSmart — PPO: $795.24 Humana Military Tricare — All Plans: $456.84 Medica — PPO: $355.32
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E.R. CARE UNIT LEVEL IV	$1,172	$411.37	$492.24 – $1,101.68
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — All Plans: $996.20 Cigna — PPO/POS: $1,054.80 Coventry — PPO: $996.20 First Health — PPO: $1,054.80 Friday Health Plan — PPO: $683.51 Healthcare Highways — Logix PPO: $761.80 Healthcare Highways — Sync PPO: $515.68 HealthSmart — PPO: $1,101.68 Humana Military Tricare — All Plans: $632.88 Medica — PPO: $492.24
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E.R. CARE UNIT LEVEL V	$1,580	$554.58	$663.60 – $1,485.20
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — All Plans: $1,343 Cigna — PPO/POS: $1,422 Coventry — PPO: $1,343 First Health — PPO: $1,422 Friday Health Plan — PPO: $921.45 Healthcare Highways — Logix PPO: $1,027 Healthcare Highways — Sync PPO: $695.20 HealthSmart — PPO: $1,485.20 Humana Military Tricare — All Plans: $853.20 Medica — PPO: $663.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TEST 4	$55	$35.75	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$90.09	$31.62	$5.08 – $84.68
Basic metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Plans: $76.57 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $81.08 Coventry — PPO: $76.57 First Health — PPO: $81.08 Friday Health Plan — PPO: $52.54
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP W/ADJUSTED CALCIUM	$45	$15.79	$6.34 – $42.30
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Plans: $38.25 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $40.50 Coventry — PPO: $38.25 First Health — PPO: $40.50 Friday Health Plan — PPO: $26.24
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$120.54	$42.30	$6.34 – $113.30
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — All Plans: $102.45 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $108.48 Coventry — PPO: $102.45 First Health — PPO: $108.48 Friday Health Plan — PPO: $70.29
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$339.99	$119.33	$28.69 – $319.59
Obstetric blood test panel: 10 of 19 insurance plan rates Aetna — All Plans: $288.99 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $305.99 Coventry — PPO: $288.99 First Health — PPO: $305.99 Friday Health Plan — PPO: $198.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$74.34	$26.09	$8.03 – $69.87
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna — All Plans: $63.18 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $66.90 Coventry — PPO: $63.18 First Health — PPO: $66.90 Friday Health Plan — PPO: $43.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL - BASIC	$84	$29.48	$8.03 – $78.96
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna — All Plans: $71.40 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $75.60 Coventry — PPO: $71.40 First Health — PPO: $75.60 Friday Health Plan — PPO: $48.98
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$292	$102.49	$5.21 – $274.48
Kidney function panel: 10 of 19 insurance plan rates Aetna — All Plans: $248.20 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $262.80 Coventry — PPO: $248.20 First Health — PPO: $262.80 Friday Health Plan — PPO: $170.29
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$175	$61.42	$4.90 – $164.50
Liver function panel: 10 of 19 insurance plan rates Aetna — All Plans: $148.75 BCBS - OK — Blue Advantage HMO: $41.91 BCBS - OK — Blue Choice PPO: $41.91 BCBS - OK — Blue Lincs HMO: $41.91 BCBS - OK — Blue Preferred: $41.91 BCBS - OK — Blue Traditional PPO: $41.91 Cigna — PPO/POS: $157.50 Coventry — PPO: $148.75 First Health — PPO: $157.50 Friday Health Plan — PPO: $102.06
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE	$58.59	$20.56	$1.90 – $55.07
Urine test (automated, with microscope): 10 of 19 insurance plan rates Aetna — All Plans: $49.80 BCBS - OK — Blue Advantage HMO: $12.24 BCBS - OK — Blue Choice PPO: $12.24 BCBS - OK — Blue Lincs HMO: $12.24 BCBS - OK — Blue Preferred: $12.24 BCBS - OK — Blue Traditional PPO: $12.24 Cigna — PPO/POS: $52.73 Coventry — PPO: $49.80 First Health — PPO: $52.73 Friday Health Plan — PPO: $34.16
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE ALB/PROT DIPSTICK	$33	$11.58	$2.09 – $31.02
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $28.05 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $29.70 Coventry — PPO: $28.05 First Health — PPO: $29.70 Friday Health Plan — PPO: $19.24
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE BLOOD DIPSTICK	$33	$11.58	$2.09 – $31.02
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $28.05 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $29.70 Coventry — PPO: $28.05 First Health — PPO: $29.70 Friday Health Plan — PPO: $19.24
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ALBUMIN URINE	$40	$14.04	$1.35 – $37.60
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $34 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $36 Coventry — PPO: $34 First Health — PPO: $36 Friday Health Plan — PPO: $23.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BILIRUBIN URINE	$53.66	$18.83	$1.35 – $50.44
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $45.61 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $48.29 Coventry — PPO: $45.61 First Health — PPO: $48.29 Friday Health Plan — PPO: $31.29
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD URINE	$53.66	$18.83	$1.35 – $50.44
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — All Plans: $45.61 BCBS - OK — Blue Advantage HMO: $8.63 BCBS - OK — Blue Choice PPO: $8.63 BCBS - OK — Blue Lincs HMO: $8.63 BCBS - OK — Blue Preferred: $8.63 BCBS - OK — Blue Traditional PPO: $8.63 Cigna — PPO/POS: $48.29 Coventry — PPO: $45.61 First Health — PPO: $48.29 Friday Health Plan — PPO: $31.29
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA - TOTAL - DIAGNOSTIC	$100	$35.10	$11.03 – $94
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates Aetna — All Plans: $85 BCBS - OK — Blue Advantage HMO: $38.68 BCBS - OK — Blue Choice PPO: $38.68 BCBS - OK — Blue Lincs HMO: $38.68 BCBS - OK — Blue Preferred: $38.68 BCBS - OK — Blue Traditional PPO: $38.68 Cigna — PPO/POS: $90 Coventry — PPO: $85 First Health — PPO: $90 Friday Health Plan — PPO: $58.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$132.41	$46.47	$10.08 – $124.46
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna — All Plans: $112.54 BCBS - OK — Blue Advantage HMO: $63.12 BCBS - OK — Blue Choice PPO: $63.12 BCBS - OK — Blue Lincs HMO: $63.12 BCBS - OK — Blue Preferred: $63.12 BCBS - OK — Blue Traditional PPO: $63.12 Cigna — PPO/POS: $119.16 Coventry — PPO: $112.54 First Health — PPO: $119.16 Friday Health Plan — PPO: $77.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH NEONATAL (CH)	$41	$14.39	$10.08 – $63.12
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna — All Plans: $34.85 BCBS - OK — Blue Advantage HMO: $63.12 BCBS - OK — Blue Choice PPO: $63.12 BCBS - OK — Blue Lincs HMO: $63.12 BCBS - OK — Blue Preferred: $63.12 BCBS - OK — Blue Traditional PPO: $63.12 Cigna — PPO/POS: $36.90 Coventry — PPO: $34.85 First Health — PPO: $36.90 Friday Health Plan — PPO: $23.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH AUTO DIFF	$70	$24.57	$4.66 – $65.80
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates Aetna — All Plans: $59.50 BCBS - OK — Blue Advantage HMO: $28.46 BCBS - OK — Blue Choice PPO: $28.46 BCBS - OK — Blue Lincs HMO: $28.46 BCBS - OK — Blue Preferred: $28.46 BCBS - OK — Blue Traditional PPO: $28.46 Cigna — PPO/POS: $63 Coventry — PPO: $59.50 First Health — PPO: $63 Friday Health Plan — PPO: $40.82
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH NO DIFFERENTIAL	$59.54	$20.89	$3.88 – $55.96
Complete blood count (CBC), automated: 10 of 19 insurance plan rates Aetna — All Plans: $50.60 BCBS - OK — Blue Advantage HMO: $28.46 BCBS - OK — Blue Choice PPO: $28.46 BCBS - OK — Blue Lincs HMO: $28.46 BCBS - OK — Blue Preferred: $28.46 BCBS - OK — Blue Traditional PPO: $28.46 Cigna — PPO/POS: $53.58 Coventry — PPO: $50.60 First Health — PPO: $53.58 Friday Health Plan — PPO: $34.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$66	$23.16	$2.57 – $62.04
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates Aetna — All Plans: $56.10 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $59.40 Coventry — PPO: $56.10 First Health — PPO: $59.40 Friday Health Plan — PPO: $38.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME AND PTT	$195	$68.44	$3.61 – $183.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Plans: $165.75 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $175.50 Coventry — PPO: $165.75 First Health — PPO: $175.50 Friday Health Plan — PPO: $113.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT(PARTIAL THROMBOPLAST TIME)	$126	$44.22	$3.61 – $118.44
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Plans: $107.10 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $113.40 Coventry — PPO: $107.10 First Health — PPO: $113.40 Friday Health Plan — PPO: $73.48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$16	$5.61	$3.61 – $15.12
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — All Plans: $13.60 BCBS - OK — Blue Advantage HMO: $15.12 BCBS - OK — Blue Choice PPO: $15.12 BCBS - OK — Blue Lincs HMO: $15.12 BCBS - OK — Blue Preferred: $15.12 BCBS - OK — Blue Traditional PPO: $15.12 Cigna — PPO/POS: $14.40 Coventry — PPO: $13.60 First Health — PPO: $14.40 Friday Health Plan — PPO: $9.33

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEAD WITHOUT CONTRAST-CT	$3,190	$1,119.69	$437.58 – $2,998.60
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates Aetna — All Plans: $2,711.50 BCBS - OK — Blue Advantage HMO: $437.58 BCBS - OK — Blue Choice PPO: $597.43 BCBS - OK — Blue Lincs HMO: $460.65 BCBS - OK — Blue Preferred: $460.65 BCBS - OK — Blue Traditional PPO: $687.03 Cigna — PPO/POS: $2,871 Coventry — PPO: $2,711.50 First Health — PPO: $2,871 Friday Health Plan — PPO: $1,860.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$1,553.60 – $2,439.26
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $1,553.60 BCBS - OK — Blue Choice PPO: $2,121.16 BCBS - OK — Blue Lincs HMO: $1,635.52 BCBS - OK — Blue Preferred: $1,635.52 BCBS - OK — Blue Traditional PPO: $2,439.26 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST SPECIAL VIEWS - XRAY	$369	$129.51	$84.89 – $346.86
Chest X-ray, 2 views: 10 of 19 insurance plan rates Aetna — All Plans: $313.65 BCBS - OK — Blue Advantage HMO: $84.89 BCBS - OK — Blue Choice PPO: $84.89 BCBS - OK — Blue Lincs HMO: $84.89 BCBS - OK — Blue Preferred: $84.89 BCBS - OK — Blue Traditional PPO: $84.89 Cigna — PPO/POS: $332.10 Coventry — PPO: $313.65 First Health — PPO: $332.10 Friday Health Plan — PPO: $215.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS PA & LAT -XRAY	$484	$169.88	$84.89 – $454.96
Chest X-ray, 2 views: 10 of 19 insurance plan rates Aetna — All Plans: $411.40 BCBS - OK — Blue Advantage HMO: $84.89 BCBS - OK — Blue Choice PPO: $84.89 BCBS - OK — Blue Lincs HMO: $84.89 BCBS - OK — Blue Preferred: $84.89 BCBS - OK — Blue Traditional PPO: $84.89 Cigna — PPO/POS: $435.60 Coventry — PPO: $411.40 First Health — PPO: $435.60 Friday Health Plan — PPO: $282.26
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE W/ OBLIQUES-XRAY	$698	$244.99	$84.89 – $656.12
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates Aetna — All Plans: $593.30 BCBS - OK — Blue Advantage HMO: $84.89 BCBS - OK — Blue Choice PPO: $84.89 BCBS - OK — Blue Lincs HMO: $84.89 BCBS - OK — Blue Preferred: $84.89 BCBS - OK — Blue Traditional PPO: $84.89 Cigna — PPO/POS: $628.20 Coventry — PPO: $593.30 First Health — PPO: $628.20 Friday Health Plan — PPO: $407.07
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$876.63 – $1,376.37
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $876.63 BCBS - OK — Blue Choice PPO: $1,196.88 BCBS - OK — Blue Lincs HMO: $922.85 BCBS - OK — Blue Preferred: $922.85 BCBS - OK — Blue Traditional PPO: $1,376.37 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PELVIS WITH CONTRAST-CT	$3,100	$1,088.10	$1,133.17 – $2,914
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates Aetna — All Plans: $2,635 BCBS - OK — Blue Advantage HMO: $1,133.17 BCBS - OK — Blue Choice PPO: $1,547.15 BCBS - OK — Blue Lincs HMO: $1,192.93 BCBS - OK — Blue Preferred: $1,192.93 BCBS - OK — Blue Traditional PPO: $1,779.16 Cigna — PPO/POS: $2,790 Coventry — PPO: $2,635 First Health — PPO: $2,790 Friday Health Plan — PPO: $1,807.92
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	$989.67 – $1,553.85
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $989.67 BCBS - OK — Blue Choice PPO: $1,351.21 BCBS - OK — Blue Lincs HMO: $1,041.85 BCBS - OK — Blue Preferred: $1,041.85 BCBS - OK — Blue Traditional PPO: $1,553.85 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABD & PELVIS WITH CONTRAST	$4,709	$1,652.85	$1,133.17 – $4,426.46
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna — All Plans: $4,002.65 BCBS - OK — Blue Advantage HMO: $1,133.17 BCBS - OK — Blue Choice PPO: $1,547.15 BCBS - OK — Blue Lincs HMO: $1,192.93 BCBS - OK — Blue Preferred: $1,192.93 BCBS - OK — Blue Traditional PPO: $1,779.16 Cigna — PPO/POS: $4,238.10 Coventry — PPO: $4,002.65 First Health — PPO: $4,238.10 Friday Health Plan — PPO: $2,746.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APPENDICITIS SCAN	$5,093	$1,787.64	$1,133.17 – $4,787.42
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna — All Plans: $4,329.05 BCBS - OK — Blue Advantage HMO: $1,133.17 BCBS - OK — Blue Choice PPO: $1,547.15 BCBS - OK — Blue Lincs HMO: $1,192.93 BCBS - OK — Blue Preferred: $1,192.93 BCBS - OK — Blue Traditional PPO: $1,779.16 Cigna — PPO/POS: $4,583.70 Coventry — PPO: $4,329.05 First Health — PPO: $4,583.70 Friday Health Plan — PPO: $2,970.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABDOMEN STUDY-US	$1,097	$385.04	$413.95 – $1,031.18
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates Aetna — All Plans: $932.45 BCBS - OK — Blue Advantage HMO: $413.95 BCBS - OK — Blue Choice PPO: $565.17 BCBS - OK — Blue Lincs HMO: $435.78 BCBS - OK — Blue Preferred: $435.78 BCBS - OK — Blue Traditional PPO: $649.93 Cigna — PPO/POS: $987.30 Coventry — PPO: $932.45 First Health — PPO: $987.30 Friday Health Plan — PPO: $639.77
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULT-PREGNANT UTERUS > 14 WKS	$654	$229.55	$274.68 – $614.76
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates Aetna — All Plans: $555.90 BCBS - OK — Blue Advantage HMO: $316.69 BCBS - OK — Blue Choice PPO: $316.69 BCBS - OK — Blue Lincs HMO: $316.69 BCBS - OK — Blue Preferred: $316.69 BCBS - OK — Blue Traditional PPO: $316.69 Cigna — PPO/POS: $588.60 Coventry — PPO: $555.90 First Health — PPO: $588.60 Friday Health Plan — PPO: $381.41
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND- TRANSVAGINAL NONOB	$937	$328.88	$393.54 – $880.78
Transvaginal ultrasound: 10 of 19 insurance plan rates Aetna — All Plans: $796.45 BCBS - OK — Blue Advantage HMO: $413.95 BCBS - OK — Blue Choice PPO: $565.17 BCBS - OK — Blue Lincs HMO: $435.78 BCBS - OK — Blue Preferred: $435.78 BCBS - OK — Blue Traditional PPO: $649.93 Cigna — PPO/POS: $843.30 Coventry — PPO: $796.45 First Health — PPO: $843.30 Friday Health Plan — PPO: $546.45
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	$597.66 – $938.37
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $597.66 BCBS - OK — Blue Choice PPO: $816 BCBS - OK — Blue Lincs HMO: $629.18 BCBS - OK — Blue Preferred: $629.18 BCBS - OK — Blue Traditional PPO: $938.37 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$597.66 – $938.37
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $597.66 BCBS - OK — Blue Choice PPO: $816 BCBS - OK — Blue Lincs HMO: $629.18 BCBS - OK — Blue Preferred: $629.18 BCBS - OK — Blue Traditional PPO: $938.37 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$597.66 – $938.37
Screening mammogram, both breasts: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $597.66 BCBS - OK — Blue Choice PPO: $816 BCBS - OK — Blue Lincs HMO: $629.18 BCBS - OK — Blue Preferred: $629.18 BCBS - OK — Blue Traditional PPO: $938.37 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$36.97
Electrocardiogram (ECG/EKG) with reading: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $36.97 BCBS - OK — Blue Choice PPO: $36.97 BCBS - OK — Blue Lincs HMO: $36.97 BCBS - OK — Blue Preferred: $36.97 BCBS - OK — Blue Traditional PPO: $36.97 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$4,591.79 – $7,209.44
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $4,591.79 BCBS - OK — Blue Choice PPO: $6,269.27 BCBS - OK — Blue Lincs HMO: $4,833.93 BCBS - OK — Blue Preferred: $4,833.93 BCBS - OK — Blue Traditional PPO: $7,209.44 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$2,472.32 – $3,881.72
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,472.32 BCBS - OK — Blue Choice PPO: $3,375.51 BCBS - OK — Blue Lincs HMO: $2,602.69 BCBS - OK — Blue Preferred: $2,602.69 BCBS - OK — Blue Traditional PPO: $3,881.72 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$24,645.60 – $38,695.35
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $24,645.60 BCBS - OK — Blue Choice PPO: $33,649.15 BCBS - OK — Blue Lincs HMO: $25,945.21 BCBS - OK — Blue Preferred: $25,945.21 BCBS - OK — Blue Traditional PPO: $38,695.35 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$3,146.98 – $4,940.98
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $3,146.98 BCBS - OK — Blue Choice PPO: $4,296.63 BCBS - OK — Blue Lincs HMO: $3,312.92 BCBS - OK — Blue Preferred: $3,312.92 BCBS - OK — Blue Traditional PPO: $4,940.98 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY (SLEEP STUDY)	$3,997	$2,598.05	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DEVELOPMENTAL EXER 15 MIN OT	$159	$103.35	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXERCISE 15 MIN - ATTENDED -OT	$159	$103.35	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - LOW COMPLEXITY	$224	$145.60	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - MODERATE COMPLEXITY	$275	$178.75	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$100.57 – $157.90
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $100.57 BCBS - OK — Blue Choice PPO: $137.31 BCBS - OK — Blue Lincs HMO: $105.87 BCBS - OK — Blue Preferred: $105.87 BCBS - OK — Blue Traditional PPO: $157.90 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - HIGH COMPLEXITY	$327	$212.55	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	Not listed in the file
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	Not listed in the file
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	Not listed in the file
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$458.84 – $720.41
Family psychotherapy, without the patient: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $458.84 BCBS - OK — Blue Choice PPO: $626.46 BCBS - OK — Blue Lincs HMO: $483.03 BCBS - OK — Blue Preferred: $483.03 BCBS - OK — Blue Traditional PPO: $720.41 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$458.84 – $720.41
Family psychotherapy, with the patient: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $458.84 BCBS - OK — Blue Choice PPO: $626.46 BCBS - OK — Blue Lincs HMO: $483.03 BCBS - OK — Blue Preferred: $483.03 BCBS - OK — Blue Traditional PPO: $720.41 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$286.60 – $449.98
Group psychotherapy: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $286.60 BCBS - OK — Blue Choice PPO: $391.30 BCBS - OK — Blue Lincs HMO: $301.71 BCBS - OK — Blue Preferred: $301.71 BCBS - OK — Blue Traditional PPO: $449.98 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$5,597.62 – $8,788.66
Removal of breast growth (open surgery): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $5,597.62 BCBS - OK — Blue Choice PPO: $7,642.54 BCBS - OK — Blue Lincs HMO: $5,892.79 BCBS - OK — Blue Preferred: $5,892.79 BCBS - OK — Blue Traditional PPO: $8,788.66 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$33,876.08 – $53,187.86
Total hip replacement: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $33,876.08 BCBS - OK — Blue Choice PPO: $46,251.71 BCBS - OK — Blue Lincs HMO: $35,662.42 BCBS - OK — Blue Preferred: $35,662.42 BCBS - OK — Blue Traditional PPO: $53,187.86 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$33,876.08 – $53,187.86
Total knee replacement: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $33,876.08 BCBS - OK — Blue Choice PPO: $46,251.71 BCBS - OK — Blue Lincs HMO: $35,662.42 BCBS - OK — Blue Preferred: $35,662.42 BCBS - OK — Blue Traditional PPO: $53,187.86 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$10,112.79 – $15,877.80
Shoulder arthroscopy: shaving of shoulder bone: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $10,112.79 BCBS - OK — Blue Choice PPO: $13,807.20 BCBS - OK — Blue Lincs HMO: $10,646.05 BCBS - OK — Blue Preferred: $10,646.05 BCBS - OK — Blue Traditional PPO: $15,877.80 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$10,112.79 – $15,877.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $10,112.79 BCBS - OK — Blue Choice PPO: $13,807.20 BCBS - OK — Blue Lincs HMO: $10,646.05 BCBS - OK — Blue Preferred: $10,646.05 BCBS - OK — Blue Traditional PPO: $15,877.80 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$7,557.06 – $11,865.12
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $7,557.06 BCBS - OK — Blue Choice PPO: $10,317.80 BCBS - OK — Blue Lincs HMO: $7,955.55 BCBS - OK — Blue Preferred: $7,955.55 BCBS - OK — Blue Traditional PPO: $11,865.12 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$2,302	$808	$966.84 – $3,949.64
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates Aetna — All Plans: $1,956.70 BCBS - OK — Blue Advantage HMO: $2,515.58 BCBS - OK — Blue Choice PPO: $3,434.57 BCBS - OK — Blue Lincs HMO: $2,648.23 BCBS - OK — Blue Preferred: $2,648.23 BCBS - OK — Blue Traditional PPO: $3,949.64 Cigna — PPO/POS: $2,071.80 Coventry — PPO: $1,956.70 First Health — PPO: $2,071.80 Friday Health Plan — PPO: $1,342.52
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/BIOPSY	$1,989	$698.13	$835.38 – $3,949.64
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates Aetna — All Plans: $1,690.65 BCBS - OK — Blue Advantage HMO: $2,515.58 BCBS - OK — Blue Choice PPO: $3,434.57 BCBS - OK — Blue Lincs HMO: $2,648.23 BCBS - OK — Blue Preferred: $2,648.23 BCBS - OK — Blue Traditional PPO: $3,949.64 Cigna — PPO/POS: $1,790.10 Coventry — PPO: $1,690.65 First Health — PPO: $1,790.10 Friday Health Plan — PPO: $1,159.98
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	$2,619.99 – $4,113.57
Colonoscopy (diagnostic): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,619.99 BCBS - OK — Blue Choice PPO: $3,577.12 BCBS - OK — Blue Lincs HMO: $2,758.14 BCBS - OK — Blue Preferred: $2,758.14 BCBS - OK — Blue Traditional PPO: $4,113.57 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$2,619.99 – $4,113.57
Colonoscopy with biopsy: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,619.99 BCBS - OK — Blue Choice PPO: $3,577.12 BCBS - OK — Blue Lincs HMO: $2,758.14 BCBS - OK — Blue Preferred: $2,758.14 BCBS - OK — Blue Traditional PPO: $4,113.57 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$4,260.15 – $6,688.74
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $4,260.15 BCBS - OK — Blue Choice PPO: $5,816.47 BCBS - OK — Blue Lincs HMO: $4,484.80 BCBS - OK — Blue Preferred: $4,484.80 BCBS - OK — Blue Traditional PPO: $6,688.74 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$2,160.05 – $3,391.43
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,160.05 BCBS - OK — Blue Choice PPO: $2,949.16 BCBS - OK — Blue Lincs HMO: $2,273.95 BCBS - OK — Blue Preferred: $2,273.95 BCBS - OK — Blue Traditional PPO: $3,391.43 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$2,619.99 – $4,113.57
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,619.99 BCBS - OK — Blue Choice PPO: $3,577.12 BCBS - OK — Blue Lincs HMO: $2,758.14 BCBS - OK — Blue Preferred: $2,758.14 BCBS - OK — Blue Traditional PPO: $4,113.57 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$14,141.34 – $22,202.91
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $14,141.34 BCBS - OK — Blue Choice PPO: $19,307.46 BCBS - OK — Blue Lincs HMO: $14,887.03 BCBS - OK — Blue Preferred: $14,887.03 BCBS - OK — Blue Traditional PPO: $22,202.91 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$10,174.31 – $15,974.39
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $10,174.31 BCBS - OK — Blue Choice PPO: $13,891.19 BCBS - OK — Blue Lincs HMO: $10,710.81 BCBS - OK — Blue Preferred: $10,710.81 BCBS - OK — Blue Traditional PPO: $15,974.39 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$5,354.23 – $8,406.52
Prostate biopsy: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $5,354.23 BCBS - OK — Blue Choice PPO: $7,310.23 BCBS - OK — Blue Lincs HMO: $5,636.56 BCBS - OK — Blue Preferred: $5,636.56 BCBS - OK — Blue Traditional PPO: $8,406.52 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$20,776.67 – $32,620.85
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $20,776.67 BCBS - OK — Blue Choice PPO: $28,366.81 BCBS - OK — Blue Lincs HMO: $21,872.25 BCBS - OK — Blue Preferred: $21,872.25 BCBS - OK — Blue Traditional PPO: $32,620.85 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$9,670.79 – $15,183.83
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $9,670.79 BCBS - OK — Blue Choice PPO: $13,203.73 BCBS - OK — Blue Lincs HMO: $10,180.75 BCBS - OK — Blue Preferred: $10,180.75 BCBS - OK — Blue Traditional PPO: $15,183.83 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$2,064.16 – $3,240.88
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $2,064.16 BCBS - OK — Blue Choice PPO: $2,818.24 BCBS - OK — Blue Lincs HMO: $2,173.01 BCBS - OK — Blue Preferred: $2,173.01 BCBS - OK — Blue Traditional PPO: $3,240.88 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
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	$3,369.47 – $5,290.31
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $3,369.47 BCBS - OK — Blue Choice PPO: $4,600.41 BCBS - OK — Blue Lincs HMO: $3,547.15 BCBS - OK — Blue Preferred: $3,547.15 BCBS - OK — Blue Traditional PPO: $5,290.31 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)
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	$6,975.65 – $10,952.27
Carpal tunnel release: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $6,975.65 BCBS - OK — Blue Choice PPO: $9,524 BCBS - OK — Blue Lincs HMO: $7,343.49 BCBS - OK — Blue Preferred: $7,343.49 BCBS - OK — Blue Traditional PPO: $10,952.27 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$1,558.07 – $2,446.28
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $1,558.07 BCBS - OK — Blue Choice PPO: $2,127.26 BCBS - OK — Blue Lincs HMO: $1,640.23 BCBS - OK — Blue Preferred: $1,640.23 BCBS - OK — Blue Traditional PPO: $2,446.28 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (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	$6,973.18 – $10,948.39
Cataract removal with lens implant: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $6,973.18 BCBS - OK — Blue Choice PPO: $9,520.63 BCBS - OK — Blue Lincs HMO: $7,340.89 BCBS - OK — Blue Preferred: $7,340.89 BCBS - OK — Blue Traditional PPO: $10,948.39 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 58.32% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (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 15 insurance plan rates Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount) Healthcare Highways — Logix PPO: 65% (a percentage in the contract, not a dollar amount) Healthcare Highways — Sync PPO: 44% (a percentage in the contract, not a dollar amount) HealthSmart — PPO: 94% (a percentage in the contract, not a dollar amount) Humana Military Tricare — All Plans: 54% (a percentage in the contract, not a dollar amount) Medica — PPO: 42% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$5,052 – $7,932
Vaginal delivery after a previous C-section, with care before and after: 10 of 20 insurance plan rates BCBS - OK — Blue Advantage HMO: $5,052 BCBS - OK — Blue Choice PPO: $6,897.60 BCBS - OK — Blue Lincs HMO: $5,318.40 BCBS - OK — Blue Preferred: $5,318.40 BCBS - OK — Blue Traditional PPO: $7,932 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount) Coventry — PPO: 85% (a percentage in the contract, not a dollar amount) First Health — PPO: 90% (a percentage in the contract, not a dollar amount) Friday Health Plan — PPO: 50% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$2,486.25	$3,825 – $241,404.66
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $164,524.40 BCBS - OK — Blue Choice PPO: $209,916.19 BCBS - OK — Blue Lincs HMO: $173,181.38 BCBS - OK — Blue Preferred: $173,181.38 BCBS - OK — Blue Traditional PPO: $241,404.66 Friday Health Plan — PPO: $7,076.25 Humana Military Tricare — All Plans: $3,825 Medica — PPO: $5,355 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC	Not listed in the file	Not listed in the file	$62,034.41 – $91,022.34
Spinal fusion (not neck), without major complications: rates for 5 insurance plans BCBS - OK — Blue Advantage HMO: $62,034.41 BCBS - OK — Blue Choice PPO: $79,149.52 BCBS - OK — Blue Lincs HMO: $65,298.55 BCBS - OK — Blue Preferred: $65,298.55 BCBS - OK — Blue Traditional PPO: $91,022.34
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$2,486.25	$3,825 – $43,973.19
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $29,969.02 BCBS - OK — Blue Choice PPO: $38,237.39 BCBS - OK — Blue Lincs HMO: $31,545.94 BCBS - OK — Blue Preferred: $31,545.94 BCBS - OK — Blue Traditional PPO: $43,973.19 Friday Health Plan — PPO: $7,076.25 Humana Military Tricare — All Plans: $3,825 Medica — PPO: $5,355 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	$2,486.25	$3,825 – $58,792.93
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $40,069.11 BCBS - OK — Blue Choice PPO: $51,124.07 BCBS - OK — Blue Lincs HMO: $42,177.48 BCBS - OK — Blue Preferred: $42,177.48 BCBS - OK — Blue Traditional PPO: $58,792.93 Friday Health Plan — PPO: $7,076.25 Humana Military Tricare — All Plans: $3,825 Medica — PPO: $5,355 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	$2,486.25	$3,825 – $26,207.08
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates BCBS - OK — Blue Advantage HMO: $17,860.90 BCBS - OK — Blue Choice PPO: $22,788.67 BCBS - OK — Blue Lincs HMO: $18,800.71 BCBS - OK — Blue Preferred: $18,800.71 BCBS - OK — Blue Traditional PPO: $26,207.08 Friday Health Plan — PPO: $7,076.25 Humana Military Tricare — All Plans: $3,825 Medica — PPO: $5,355 Aetna — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — PPO/POS: 90% (a percentage in the contract, not a dollar amount)

Source: Jefferson County Hospital’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 14, 2026; retrieved November 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 type	Critical Access Hospital
Address	Intersection Hyws 81 & 70, Waurika, OK 73573
County	Jefferson County
State	Oklahoma
Phone	(580) 228‑2344
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	371311
Name in Medicare records	JEFFERSON COUNTY HOSPITAL
Profile level	Medicare data + hospital website
Official website	duncanregional.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Jefferson County Hospital (DRH Health) — duncanregional.com
Jefferson County Hospital | DRH Health — duncanregional.com
Skilled Nursing | DRH Health — duncanregional.com

Jefferson County Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[5][6]

Conditions treated^[6]

Treatments^[5][6]

Programs and centers^[5][6]

Emergency care (hospital website)^[5]

Visiting and practical information

Recognition^[5]

Doctors and clinicians (61)

Main specialties

Doctors with a page on this site (61)

Other emergency rooms nearby

Other hospitals near Waurika

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Jefferson County Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[5][6]

Conditions treated[6]

Treatments[5][6]

Programs and centers[5][6]

Emergency care (hospital website)[5]

Visiting and practical information

Recognition[5]

Doctors and clinicians (61)

Main specialties

Doctors with a page on this site (61)

Other emergency rooms nearby

Other hospitals near Waurika

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[5][6]

Conditions treated^[6]

Treatments^[5][6]

Programs and centers^[5][6]

Emergency care (hospital website)^[5]

Recognition^[5]