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Critical Access Hospital

Newman Memorial Hospital

Shattuck, Oklahoma · Ellis County · Emergency services listed

Summary

Newman Memorial Hospital is a critical access hospital in Shattuck, Oklahoma. Medicare data lists emergency services. Its official website lists 23 services, specialties and programs. Medicare lists 44 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(580) 938‑2551 Directions Website Medicare profile
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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
Not ratedNot rated by CMSMedicare rating
25Beds (hospital website)
44Doctors and clinicians
23Services listed

Quick answers

Does Newman Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Newman Memorial Hospital. In a medical emergency, call 911.
Where is Newman Memorial Hospital?
905 South Main Street, Shattuck, OK 73858, in Ellis County, Oklahoma.
What is the phone number of Newman Memorial Hospital?
(580) 938-2551, as listed by Medicare (CMS).
What is the Medicare star rating of Newman Memorial 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[6][15]

Treatments[6][12]

Procedures[9][10][11][17]

Programs and centers[6][7][8][14][16]

  • Swing Bed Program
  • Senior Life Solutions
  • Medicare wellness visits
  • Group therapy for seniors
  • In-patient care

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Doctors and clinicians (44)

44 doctors and other clinicians list Newman Memorial 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

Doctors with a page on this site (44)

And 20 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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 →

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.

Clinics and urgent care

Pharmacies

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 Newman Memorial 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.

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.

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in OklahomaBest hospitals in Oklahoma

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as Newman Memorial 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HP OFFICE/OUTPT VISIT NEW LEVL III $140 $112 $66.78 – $140
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — Default: $66.78
  • Blue Cross Blue Shield of OK — All Plans: $140
  • Cigna — Default: $77.28
  • HealthChoice - Healthaxis LLC — Default: $140
  • Medicaid Oklahoma — Default: $95.84
  • Medicare A OK JH — Default: $77.68
  • Medicare B OK JH — Default: $107.89
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HP H AND P OP NEW PT LEVEL 3 $258 $206.40 $77.68 – $170.94
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — Default: $123.07
  • Blue Cross Blue Shield of OK — All Plans: $258
  • Cigna — Default: $142.42
  • HealthChoice - Healthaxis LLC — Default: $170.94
  • Medicaid Oklahoma — Default: $95.84
  • Medicare A OK JH — Default: $77.68
  • Medicare B OK JH — Default: $107.89
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC FACLTY OP NEW LEVEL 3 $364.05 $291.24 $107.89 – $200.96
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • Aetna — Default: $173.65
  • Cigna — Default: $200.96
  • HealthChoice - Healthaxis LLC — Default: $170.94
  • Medicare A OK JH — Default: $171.25
  • Medicare B OK JH — Default: $107.89
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HP OFFICE/OUTPT VISIT NEW LEVL IV $388 $310.40 $127.08 – $256.97
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Default: $185.08
  • Blue Cross Blue Shield of OK — All Plans: $388
  • Cigna — Default: $214.18
  • HealthChoice - Healthaxis LLC — Default: $256.97
  • Medicaid Oklahoma — Default: $144.29
  • Medicare A OK JH — Default: $127.08
  • Medicare B OK JH — Default: $163.41
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HP OP NEW PT LEVEL IV $388 $310.40 $127.08 – $256.97
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Default: $185.08
  • Blue Cross Blue Shield of OK — All Plans: $388
  • Cigna — Default: $214.18
  • HealthChoice - Healthaxis LLC — Default: $256.97
  • Medicaid Oklahoma — Default: $144.29
  • Medicare A OK JH — Default: $127.08
  • Medicare B OK JH — Default: $163.41
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HP H AND P OP NEW PT LEVEL 4 $338 $270.40 $127.08 – $256.97
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Default: $161.23
  • Blue Cross Blue Shield of OK — All Plans: $338
  • Cigna — Default: $186.58
  • HealthChoice - Healthaxis LLC — Default: $256.97
  • Medicaid Oklahoma — Default: $144.29
  • Medicare A OK JH — Default: $127.08
  • Medicare B OK JH — Default: $163.41
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HP OFFICE/OUTPT VISIT NEW LEVEL V $511 $408.80 $173.87 – $339.58
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — Default: $243.75
  • Blue Cross Blue Shield of OK — All Plans: $511
  • Cigna — Default: $282.07
  • HealthChoice - Healthaxis LLC — Default: $339.58
  • Medicaid Oklahoma — Default: $190.74
  • Medicare A OK JH — Default: $173.87
  • Medicare B OK JH — Default: $218.14
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier 25 In the file: HP OFFICE/OUTPT VISIT NEW LEVEL V,Significant separately identifable evaluation and management service by the same physician on the same day $511 $408.80 $173.87 – $339.58
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — Default: $243.75
  • Blue Cross Blue Shield of OK — All Plans: $511
  • Cigna — Default: $282.07
  • HealthChoice - Healthaxis LLC — Default: $339.58
  • Medicaid Oklahoma — Default: $190.74
  • Medicare A OK JH — Default: $173.87
  • Medicare B OK JH — Default: $218.14
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HP OFFICE OUTPT VISIT EST LEVL III $756.27 $605.02 $62.66 – $417.46
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — Default: $360.74
  • Blue Cross Blue Shield of OK — All Plans: $756.27
  • Cigna — Default: $417.46
  • HealthChoice - Healthaxis LLC — Default: $139.60
  • Medicaid Oklahoma — Default: $78.26
  • Medicare A OK JH — Default: $62.66
  • Medicare B OK JH — Default: $87.51
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC FACLTY OP EST PT LEVEL 3 $184.71 $147.77 $86.89 – $139.60
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Aetna — Default: $88.11
  • Cigna — Default: $101.96
  • HealthChoice - Healthaxis LLC — Default: $139.60
  • Medicare A OK JH — Default: $86.89
  • Medicare B OK JH — Default: $87.51
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 25 In the file: HP OFFICE OUTPT VISIT EST LEVL III,Significant separately identifable evaluation and management service by the same physician on the same da $756.27 $605.02 $62.66 – $417.46
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — Default: $360.74
  • Blue Cross Blue Shield of OK — All Plans: $756.27
  • Cigna — Default: $417.46
  • HealthChoice - Healthaxis LLC — Default: $139.60
  • Medicaid Oklahoma — Default: $78.26
  • Medicare A OK JH — Default: $62.66
  • Medicare B OK JH — Default: $87.51
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HP OFFICE/OUTPT VISIT EST LEVEL IV $1,069.38 $855.50 $92.17 – $590.30
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Aetna — Default: $510.09
  • Blue Cross Blue Shield of OK — All Plans: $1,069.38
  • Cigna — Default: $590.30
  • HealthChoice - Healthaxis LLC — Default: $196.78
  • Medicaid Oklahoma — Default: $110.42
  • Medicare A OK JH — Default: $92.17
  • Medicare B OK JH — Default: $124.87
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC FACLTY OP EST PT LEVEL 4 $272.43 $217.94 $124.87 – $196.78
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Aetna — Default: $129.95
  • Cigna — Default: $150.38
  • HealthChoice - Healthaxis LLC — Default: $196.78
  • Medicare A OK JH — Default: $128.15
  • Medicare B OK JH — Default: $124.87
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · modifier 25 In the file: HP OFFICE/OUTPT VISIT EST LEVEL IV,Significant separately identifable evaluation and management service by the same physician on the same da $1,069.38 $855.50 $92.17 – $590.30
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Aetna — Default: $510.09
  • Blue Cross Blue Shield of OK — All Plans: $1,069.38
  • Cigna — Default: $590.30
  • HealthChoice - Healthaxis LLC — Default: $196.78
  • Medicaid Oklahoma — Default: $110.42
  • Medicare A OK JH — Default: $92.17
  • Medicare B OK JH — Default: $124.87
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED EMERGENT LEVEL III $759 $607.20 $65.64 – $600
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Default: $600
  • Cigna — Default: $418.97
  • HealthChoice - Healthaxis LLC — Default: $415.34
  • Medicaid Oklahoma — Default: $245.82
  • Medicare A OK JH — Default: $357.03
  • Medicare B OK JH — Default: $65.64
  • United Healthcare — Default: $531.30
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HP EMERGENCY DEPT VISIT LEVEL 3 $196 $156.80 $65.64 – $196
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Default: $93.49
  • Blue Cross Blue Shield of OK — All Plans: $196
  • Cigna — Default: $108.19
  • HealthChoice - Healthaxis LLC — Default: $196
  • Medicaid Oklahoma — Default: $196
  • Medicare A OK JH — Default: $75.49
  • Medicare B OK JH — Default: $65.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: HC ED EMERGENT LEVEL III,Significant separately identifable evaluation and management service by the same physician on the same day $759 $607.20 $65.64 – $600
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Default: $600
  • Cigna — Default: $418.97
  • HealthChoice - Healthaxis LLC — Default: $415.34
  • Medicaid Oklahoma — Default: $245.82
  • Medicare A OK JH — Default: $357.03
  • Medicare B OK JH — Default: $65.64
  • United Healthcare — Default: $531.30
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED EMERGENT LEVEL IV $1,193 $954.40 $111.74 – $835.10
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Default: $600
  • Cigna — Default: $658.54
  • HealthChoice - Healthaxis LLC — Default: $638.73
  • Medicaid Oklahoma — Default: $375.75
  • Medicare A OK JH — Default: $561.19
  • Medicare B OK JH — Default: $111.74
  • United Healthcare — Default: $835.10
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HP EMERGENCY DEPT VISIT LEVEL 4 $370 $296 $111.74 – $370
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Default: $176.49
  • Blue Cross Blue Shield of OK — All Plans: $370
  • Cigna — Default: $204.24
  • HealthChoice - Healthaxis LLC — Default: $370
  • Medicaid Oklahoma — Default: $370
  • Medicare A OK JH — Default: $128.50
  • Medicare B OK JH — Default: $111.74
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: HC ED EMERGENT LEVEL IV,Significant separately identifable evaluation and management service by the same physician on the same day $1,193 $954.40 $111.74 – $835.10
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Default: $600
  • Cigna — Default: $658.54
  • HealthChoice - Healthaxis LLC — Default: $638.73
  • Medicaid Oklahoma — Default: $375.75
  • Medicare A OK JH — Default: $561.19
  • Medicare B OK JH — Default: $111.74
  • United Healthcare — Default: $835.10
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED EMERGENT LEVEL V $1,738 $1,390.40 $162.14 – $1,216.60
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Default: $600
  • Cigna — Default: $959.38
  • HealthChoice - Healthaxis LLC — Default: $919.65
  • Medicaid Oklahoma — Default: $536.28
  • Medicare A OK JH — Default: $817.56
  • Medicare B OK JH — Default: $162.14
  • United Healthcare — Default: $1,216.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HP EMERGENCY DEPT VISIT LEVEL 5 $545 $436 $162.14 – $545
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Default: $259.96
  • Blue Cross Blue Shield of OK — All Plans: $545
  • Cigna — Default: $300.84
  • HealthChoice - Healthaxis LLC — Default: $545
  • Medicaid Oklahoma — Default: $536.28
  • Medicare A OK JH — Default: $186.46
  • Medicare B OK JH — Default: $162.14
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: HC ED EMERGENT LEVEL V,Significant separately identifable evaluation and management service by the same physician on the same day $1,738 $1,390.40 $162.14 – $1,216.60
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Default: $600
  • Cigna — Default: $959.38
  • HealthChoice - Healthaxis LLC — Default: $919.65
  • Medicaid Oklahoma — Default: $536.28
  • Medicare A OK JH — Default: $817.56
  • Medicare B OK JH — Default: $162.14
  • United Healthcare — Default: $1,216.60

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: LCHG BASIC METABOLIC PANEL (CA TOTAL) $77 $61.60 $4.18 – $36.22
Basic metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Default: $6.26
  • Cigna — Default: $5.50
  • HealthChoice - Healthaxis LLC — Default: $11.42
  • Medicaid Oklahoma — Default: $7.53
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $8.29
  • United Healthcare — Default: $4.18
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: LCHG BASIC METABOLIC PANEL (CA TOTAL),Repeat Clinical Diagnostic Lab Test $77 $61.60 $4.18 – $36.22
Basic metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Default: $6.26
  • Cigna — Default: $5.50
  • HealthChoice - Healthaxis LLC — Default: $11.42
  • Medicaid Oklahoma — Default: $7.53
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $8.29
  • United Healthcare — Default: $4.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: LCHG COMPREHENSIVE METABOLIC PANEL $77 $61.60 $5.22 – $36.22
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Default: $7.81
  • Cigna — Default: $6.86
  • HealthChoice - Healthaxis LLC — Default: $14.26
  • Medicaid Oklahoma — Default: $9.39
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $10.35
  • United Healthcare — Default: $5.22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: LCHG COMPREHENSIVE METABOLIC PANEL,Repeat Clinical Diagnostic Lab Test $77 $61.60 $5.22 – $36.22
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Default: $7.81
  • Cigna — Default: $6.86
  • HealthChoice - Healthaxis LLC — Default: $14.26
  • Medicaid Oklahoma — Default: $9.39
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $10.35
  • United Healthcare — Default: $5.22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91,XE In the file: LCHG COMPREHENSIVE METABOLIC PANEL,Repeat Clinical Diagnostic Lab Test, Separate Encounter A service that is distinct because it occurred du $77 $61.60 $5.22 – $36.22
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Default: $7.81
  • Cigna — Default: $6.86
  • HealthChoice - Healthaxis LLC — Default: $14.26
  • Medicaid Oklahoma — Default: $9.39
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $10.35
  • United Healthcare — Default: $5.22
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LCHG LIPID PROFILE $77 $61.60 $6.61 – $36.22
Cholesterol panel (lipid panel): rates for 7 insurance plans
  • Aetna — Default: $9.91
  • Cigna — Default: $8.70
  • HealthChoice - Healthaxis LLC — Default: $18.08
  • Medicaid Oklahoma — Default: $11.91
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $13.12
  • United Healthcare — Default: $6.61
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier XE In the file: LCHG LIPID PROFILE,Separate Encounter A service that is distinct because it occurred during a separate encounter $77 $61.60 $6.61 – $36.22
Cholesterol panel (lipid panel): rates for 7 insurance plans
  • Aetna — Default: $9.91
  • Cigna — Default: $8.70
  • HealthChoice - Healthaxis LLC — Default: $18.08
  • Medicaid Oklahoma — Default: $11.91
  • Medicare A OK JH — Default: $36.22
  • Medicare B OK JH — Default: $13.12
  • United Healthcare — Default: $6.61
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: LCHG RENAL FUNCTION PANEL $87 $69.60 $4.29 – $40.92
Kidney function panel: rates for 7 insurance plans
  • Aetna — Default: $6.42
  • Cigna — Default: $5.64
  • HealthChoice - Healthaxis LLC — Default: $11.72
  • Medicaid Oklahoma — Default: $7.72
  • Medicare A OK JH — Default: $40.92
  • Medicare B OK JH — Default: $8.51
  • United Healthcare — Default: $4.29
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LCHG HEPATIC FUNCTION PANEL $87 $69.60 $4.04 – $40.92
Liver function panel: rates for 7 insurance plans
  • Aetna — Default: $6.05
  • Cigna — Default: $5.31
  • HealthChoice - Healthaxis LLC — Default: $11.03
  • Medicaid Oklahoma — Default: $7.27
  • Medicare A OK JH — Default: $40.92
  • Medicare B OK JH — Default: $8.01
  • United Healthcare — Default: $4.04
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: LCHG URINALYSIS ROUTINE AUTO W MICROSCOPIC $23 $18.40 $1.57 – $10.82
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna — Default: $2.35
  • Cigna — Default: $2.06
  • HealthChoice - Healthaxis LLC — Default: $4.28
  • Medicaid Oklahoma — Default: $2.82
  • Medicare A OK JH — Default: $10.82
  • Medicare B OK JH — Default: $3.11
  • United Healthcare — Default: $1.57
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 59 In the file: LCHG URINALYSIS ROUTINE AUTO W MICROSCOPIC,Distinct Procedural Service $23 $18.40 $1.57 – $10.82
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna — Default: $2.35
  • Cigna — Default: $2.06
  • HealthChoice - Healthaxis LLC — Default: $4.28
  • Medicaid Oklahoma — Default: $2.82
  • Medicare A OK JH — Default: $10.82
  • Medicare B OK JH — Default: $3.11
  • United Healthcare — Default: $1.57
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 90 In the file: LCHG URINALYSIS ROUTINE AUTO W MICROSCOPIC,Reference Outside Laboratory $23 $18.40 $1.57 – $10.82
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna — Default: $2.35
  • Cigna — Default: $2.06
  • HealthChoice - Healthaxis LLC — Default: $4.28
  • Medicaid Oklahoma — Default: $2.82
  • Medicare A OK JH — Default: $10.82
  • Medicare B OK JH — Default: $3.11
  • United Healthcare — Default: $1.57
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: LCHG URINALYSIS DIPSTICK AUTO $18 $14.40 $1.11 – $8.47
Urine test (automated, without microscope): rates for 7 insurance plans
  • Aetna — Default: $1.67
  • Cigna — Default: $1.46
  • HealthChoice - Healthaxis LLC — Default: $3.04
  • Medicaid Oklahoma — Default: $2
  • Medicare A OK JH — Default: $8.47
  • Medicare B OK JH — Default: $2.20
  • United Healthcare — Default: $1.11
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 59 In the file: LCHG URINALYSIS DIPSTICK AUTO,Distinct Procedural Service $18 $14.40 $1.11 – $8.47
Urine test (automated, without microscope): rates for 7 insurance plans
  • Aetna — Default: $1.67
  • Cigna — Default: $1.46
  • HealthChoice - Healthaxis LLC — Default: $3.04
  • Medicaid Oklahoma — Default: $2
  • Medicare A OK JH — Default: $8.47
  • Medicare B OK JH — Default: $2.20
  • United Healthcare — Default: $1.11
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier XU In the file: LCHG URINALYSIS DIPSTICK AUTO,Unusual NonOverlapping Service the use of a service that is distinct because it does not overlap usual compone $18 $14.40 $1.11 – $8.47
Urine test (automated, without microscope): rates for 7 insurance plans
  • Aetna — Default: $1.67
  • Cigna — Default: $1.46
  • HealthChoice - Healthaxis LLC — Default: $3.04
  • Medicaid Oklahoma — Default: $2
  • Medicare A OK JH — Default: $8.47
  • Medicare B OK JH — Default: $2.20
  • United Healthcare — Default: $1.11
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: LCHG PSA TOTAL $157 $125.60 $9.08 – $73.85
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Aetna — Default: $13.61
  • Cigna — Default: $11.95
  • HealthChoice - Healthaxis LLC — Default: $24.83
  • Medicaid Oklahoma — Default: $16.36
  • Medicare A OK JH — Default: $73.85
  • Medicare B OK JH — Default: $18.02
  • United Healthcare — Default: $9.08
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: LCHG PROSTATE SPECIFIC ANTIGEN DIAG $81 $64.80 $9.08 – $38.10
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Aetna — Default: $13.61
  • Cigna — Default: $11.95
  • HealthChoice - Healthaxis LLC — Default: $24.83
  • Medicaid Oklahoma — Default: $16.36
  • Medicare A OK JH — Default: $38.10
  • Medicare B OK JH — Default: $18.02
  • United Healthcare — Default: $9.08
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: LCHG PSA TOTAL,Reference Outside Laboratory $157 $125.60 $9.08 – $73.85
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Aetna — Default: $13.61
  • Cigna — Default: $11.95
  • HealthChoice - Healthaxis LLC — Default: $24.83
  • Medicaid Oklahoma — Default: $16.36
  • Medicare A OK JH — Default: $73.85
  • Medicare B OK JH — Default: $18.02
  • United Healthcare — Default: $9.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: LCHG TSH $116 $92.80 $8.30 – $54.57
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Aetna — Default: $12.43
  • Cigna — Default: $10.92
  • HealthChoice - Healthaxis LLC — Default: $22.68
  • Medicaid Oklahoma — Default: $14.94
  • Medicare A OK JH — Default: $54.57
  • Medicare B OK JH — Default: $16.46
  • United Healthcare — Default: $8.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 90 In the file: LCHG TSH,Reference Outside Laboratory $116 $92.80 $8.30 – $54.57
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Aetna — Default: $12.43
  • Cigna — Default: $10.92
  • HealthChoice - Healthaxis LLC — Default: $22.68
  • Medicaid Oklahoma — Default: $14.94
  • Medicare A OK JH — Default: $54.57
  • Medicare B OK JH — Default: $16.46
  • United Healthcare — Default: $8.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: LCHG CBC W AUTO DIFFERENTIAL $53 $42.40 $3.84 – $24.93
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna — Default: $5.75
  • Cigna — Default: $5.05
  • HealthChoice - Healthaxis LLC — Default: $10.49
  • Medicaid Oklahoma — Default: $6.91
  • Medicare A OK JH — Default: $24.93
  • Medicare B OK JH — Default: $7.61
  • United Healthcare — Default: $3.84
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: LCHG CBC W AUTO DIFFERENTIAL I $50 $40 $3.84 – $23.52
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna — Default: $5.75
  • Cigna — Default: $5.05
  • HealthChoice - Healthaxis LLC — Default: $10.49
  • Medicaid Oklahoma — Default: $6.91
  • Medicare A OK JH — Default: $23.52
  • Medicare B OK JH — Default: $7.61
  • United Healthcare — Default: $3.84
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 91 In the file: LCHG CBC W AUTO DIFFERENTIAL,Repeat Clinical Diagnostic Lab Test $53 $42.40 $3.84 – $24.93
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna — Default: $5.75
  • Cigna — Default: $5.05
  • HealthChoice - Healthaxis LLC — Default: $10.49
  • Medicaid Oklahoma — Default: $6.91
  • Medicare A OK JH — Default: $24.93
  • Medicare B OK JH — Default: $7.61
  • United Healthcare — Default: $3.84
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: LCHG CBC W/O AUTO DIFFERENTIAL $60 $48 $3.19 – $28.22
Complete blood count (CBC), automated: rates for 7 insurance plans
  • Aetna — Default: $4.79
  • Cigna — Default: $4.21
  • HealthChoice - Healthaxis LLC — Default: $8.73
  • Medicaid Oklahoma — Default: $5.75
  • Medicare A OK JH — Default: $28.22
  • Medicare B OK JH — Default: $6.34
  • United Healthcare — Default: $3.19
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: LCHG CBC W/O AUTO DIFFERENTIAL,Repeat Clinical Diagnostic Lab Test $60 $48 $3.19 – $28.22
Complete blood count (CBC), automated: rates for 7 insurance plans
  • Aetna — Default: $4.79
  • Cigna — Default: $4.21
  • HealthChoice - Healthaxis LLC — Default: $8.73
  • Medicaid Oklahoma — Default: $5.75
  • Medicare A OK JH — Default: $28.22
  • Medicare B OK JH — Default: $6.34
  • United Healthcare — Default: $3.19
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: LCHG PT-INR $29 $23.20 $1.94 – $13.64
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Aetna — Default: $3.17
  • Cigna — Default: $2.79
  • HealthChoice - Healthaxis LLC — Default: $5.79
  • Medicaid Oklahoma — Default: $3.82
  • Medicare A OK JH — Default: $13.64
  • Medicare B OK JH — Default: $4.20
  • United Healthcare — Default: $1.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 91,XE In the file: LCHG PT-INR,Repeat Clinical Diagnostic Lab Test, Separate Encounter A service that is distinct because it occurred during a separate encount $29 $23.20 $1.94 – $13.64
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Aetna — Default: $3.17
  • Cigna — Default: $2.79
  • HealthChoice - Healthaxis LLC — Default: $5.79
  • Medicaid Oklahoma — Default: $3.82
  • Medicare A OK JH — Default: $13.64
  • Medicare B OK JH — Default: $4.20
  • United Healthcare — Default: $1.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier GA In the file: LCHG PT-INR,Waiver of Liability Statement on file $29 $23.20 $1.94 – $13.64
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Aetna — Default: $3.17
  • Cigna — Default: $2.79
  • HealthChoice - Healthaxis LLC — Default: $5.79
  • Medicaid Oklahoma — Default: $3.82
  • Medicare A OK JH — Default: $13.64
  • Medicare B OK JH — Default: $4.20
  • United Healthcare — Default: $1.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: LCHG PTT $33 $26.40 $2.97 – $15.52
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • Aetna — Default: $4.45
  • Cigna — Default: $3.91
  • HealthChoice - Healthaxis LLC — Default: $8.11
  • Medicaid Oklahoma — Default: $5.35
  • Medicare A OK JH — Default: $15.52
  • Medicare B OK JH — Default: $5.89
  • United Healthcare — Default: $2.97
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier GZ In the file: LCHG PTT,expects Medicare to deny a service or item $33 $26.40 $2.97 – $15.52
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • Aetna — Default: $4.45
  • Cigna — Default: $3.91
  • HealthChoice - Healthaxis LLC — Default: $8.11
  • Medicaid Oklahoma — Default: $5.35
  • Medicare A OK JH — Default: $15.52
  • Medicare B OK JH — Default: $5.89
  • United Healthcare — Default: $2.97

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 In the file: HC CT HEAD NON CONTRAST $651 $520.80 $55.30 – $455.70
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — Default: $82.83
  • Cigna — Default: $359.35
  • HealthChoice - Healthaxis LLC — Default: $292.44
  • Medicaid Oklahoma — Default: $55.30
  • Medicare A OK JH — Default: $306.23
  • Medicare B OK JH — Default: $95.92
  • United Healthcare — Default: $455.70
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: HC CT HEAD NON CONTRAST,Technical Component $651 $520.80 $55.30 – $455.70
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — Default: $82.83
  • Cigna — Default: $359.35
  • HealthChoice - Healthaxis LLC — Default: $292.44
  • Medicaid Oklahoma — Default: $55.30
  • Medicare A OK JH — Default: $306.23
  • Medicare B OK JH — Default: $58.71
  • United Healthcare — Default: $455.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI BRAIN WITH & WITHOUT CONTRAST $2,305 $1,844 $174.52 – $1,613.50
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • Aetna — Default: $354.64
  • Cigna — Default: $1,272.36
  • HealthChoice - Healthaxis LLC — Default: $982.11
  • Medicaid Oklahoma — Default: $174.52
  • Medicare A OK JH — Default: $1,084.27
  • Medicare B OK JH — Default: $284.60
  • United Healthcare — Default: $1,613.50
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: HC MRI BRAIN WITH & WITHOUT CONTRAST,Technical Component $2,305 $1,844 $174.52 – $1,613.50
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • Aetna — Default: $354.64
  • Cigna — Default: $1,272.36
  • HealthChoice - Healthaxis LLC — Default: $982.11
  • Medicaid Oklahoma — Default: $174.52
  • Medicare A OK JH — Default: $1,084.27
  • Medicare B OK JH — Default: $185.21
  • United Healthcare — Default: $1,613.50
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC XRAY CHEST 2 VIEWS $223 $178.40 $15.99 – $198.11
Chest X-ray, 2 views: rates for 7 insurance plans
  • Aetna — Default: $15.99
  • Cigna — Default: $123.10
  • HealthChoice - Healthaxis LLC — Default: $198.11
  • Medicaid Oklahoma — Default: $18.87
  • Medicare A OK JH — Default: $104.90
  • Medicare B OK JH — Default: $29.60
  • United Healthcare — Default: $156.10
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: HC XRAY CHEST 2 VIEWS,Technical Component $223 $178.40 $15.99 – $198.11
Chest X-ray, 2 views: rates for 7 insurance plans
  • Aetna — Default: $15.99
  • Cigna — Default: $123.10
  • HealthChoice - Healthaxis LLC — Default: $198.11
  • Medicaid Oklahoma — Default: $18.87
  • Medicare A OK JH — Default: $104.90
  • Medicare B OK JH — Default: $20.13
  • United Healthcare — Default: $156.10
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC LUMBAR SPINE 4+ VW $401 $320.80 $25.95 – $280.70
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Aetna — Default: $25.95
  • Cigna — Default: $221.35
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $31.82
  • Medicare A OK JH — Default: $188.63
  • Medicare B OK JH — Default: $47.53
  • United Healthcare — Default: $280.70
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: HC LUMBAR SPINE 4+ VW,Technical Component $401 $320.80 $25.95 – $280.70
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Aetna — Default: $25.95
  • Cigna — Default: $221.35
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $31.82
  • Medicare A OK JH — Default: $188.63
  • Medicare B OK JH — Default: $35.62
  • United Healthcare — Default: $280.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI SPINE LUMBAR NON CONTRAST $1,302 $1,041.60 $100.61 – $911.40
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • Aetna — Default: $202.58
  • Cigna — Default: $718.70
  • HealthChoice - Healthaxis LLC — Default: $664.73
  • Medicaid Oklahoma — Default: $100.61
  • Medicare A OK JH — Default: $612.46
  • Medicare B OK JH — Default: $172.45
  • United Healthcare — Default: $911.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: HC MRI SPINE LUMBAR NON CONTRAST,Technical Component $1,302 $1,041.60 $100.61 – $911.40
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • Aetna — Default: $202.58
  • Cigna — Default: $718.70
  • HealthChoice - Healthaxis LLC — Default: $664.73
  • Medicaid Oklahoma — Default: $100.61
  • Medicare A OK JH — Default: $612.46
  • Medicare B OK JH — Default: $107.78
  • United Healthcare — Default: $911.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS WITH IV CONTRAST $1,575 $1,260 $157.95 – $1,102.50
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Default: $205.07
  • Cigna — Default: $869.40
  • HealthChoice - Healthaxis LLC — Default: $489.56
  • Medicaid Oklahoma — Default: $157.95
  • Medicare A OK JH — Default: $740.88
  • Medicare B OK JH — Default: $201.21
  • United Healthcare — Default: $1,102.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI LOWER EXT ANY JOINT NON CONTRAST $1,469 $1,175.20 $115.42 – $1,028.30
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
  • Aetna — Default: $228.33
  • Cigna — Default: $810.89
  • HealthChoice - Healthaxis LLC — Default: $543.87
  • Medicaid Oklahoma — Default: $115.42
  • Medicare A OK JH — Default: $691.02
  • Medicare B OK JH — Default: $183.17
  • United Healthcare — Default: $1,028.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: HC MRI LOWER EXT ANY JOINT NON CONTRAST,Left side of body $1,469 $1,175.20 $115.42 – $1,028.30
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
  • Aetna — Default: $228.33
  • Cigna — Default: $810.89
  • HealthChoice - Healthaxis LLC — Default: $543.87
  • Medicaid Oklahoma — Default: $115.42
  • Medicare A OK JH — Default: $691.02
  • Medicare B OK JH — Default: $183.17
  • United Healthcare — Default: $1,028.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT,TC In the file: HC MRI LOWER EXT ANY JOINT NON CONTRAST,Left side of body, Technical Component $1,469 $1,175.20 $115.42 – $1,028.30
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
  • Aetna — Default: $228.33
  • Cigna — Default: $810.89
  • HealthChoice - Healthaxis LLC — Default: $543.87
  • Medicaid Oklahoma — Default: $115.42
  • Medicare A OK JH — Default: $691.02
  • Medicare B OK JH — Default: $123.86
  • United Healthcare — Default: $1,028.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN PELVIS W CONTRAST $1,725 $1,380 $178.32 – $1,207.50
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Default: $268.81
  • Cigna — Default: $952.20
  • HealthChoice - Healthaxis LLC — Default: $803.54
  • Medicaid Oklahoma — Default: $178.32
  • Medicare A OK JH — Default: $811.44
  • Medicare B OK JH — Default: $268.49
  • United Healthcare — Default: $1,207.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: HC CT ABDOMEN PELVIS W CONTRAST,Technical Component $1,725 $1,380 $178.32 – $1,207.50
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Default: $268.81
  • Cigna — Default: $952.20
  • HealthChoice - Healthaxis LLC — Default: $803.54
  • Medicaid Oklahoma — Default: $178.32
  • Medicare A OK JH — Default: $811.44
  • Medicare B OK JH — Default: $189.34
  • United Healthcare — Default: $1,207.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN COMPLETE $615 $492 $60.56 – $430.50
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • Aetna — Default: $60.56
  • Cigna — Default: $339.48
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $62.56
  • Medicare A OK JH — Default: $289.30
  • Medicare B OK JH — Default: $102.51
  • United Healthcare — Default: $430.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier TC In the file: HC US ABDOMEN COMPLETE,Technical Component $615 $492 $60.56 – $430.50
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • Aetna — Default: $60.56
  • Cigna — Default: $339.48
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $62.56
  • Medicare A OK JH — Default: $289.30
  • Medicare B OK JH — Default: $67.15
  • United Healthcare — Default: $430.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB 14+ WKS SINGLE GEST $577 $461.60 $66.59 – $403.90
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — Default: $66.59
  • Cigna — Default: $318.50
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $94.14
  • Medicare A OK JH — Default: $271.42
  • Medicare B OK JH — Default: $122.10
  • United Healthcare — Default: $403.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier TC In the file: HC US OB 14+ WKS SINGLE GEST,Technical Component $577 $461.60 $66.59 – $403.90
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — Default: $66.59
  • Cigna — Default: $318.50
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $94.14
  • Medicare A OK JH — Default: $271.42
  • Medicare B OK JH — Default: $77.67
  • United Healthcare — Default: $403.90
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON OB $615 $492 $65.28 – $430.50
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — Default: $65.28
  • Cigna — Default: $339.48
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $68.76
  • Medicare A OK JH — Default: $289.30
  • Medicare B OK JH — Default: $105.01
  • United Healthcare — Default: $430.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier TC In the file: HC US TRANSVAGINAL NON OB,Technical Component $615 $492 $65.28 – $430.50
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — Default: $65.28
  • Cigna — Default: $339.48
  • HealthChoice - Healthaxis LLC — Default: $239.27
  • Medicaid Oklahoma — Default: $68.76
  • Medicare A OK JH — Default: $289.30
  • Medicare B OK JH — Default: $74.46
  • United Healthcare — Default: $430.50
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MAMM SCREEN BILAT INCLUDES CAD/AI $786 $628.80 $72.62 – $550.20
Screening mammogram, both breasts: rates for 7 insurance plans
  • Aetna — Default: $72.62
  • Cigna — Default: $433.87
  • HealthChoice - Healthaxis LLC — Default: $225.30
  • Medicaid Oklahoma — Default: $74.72
  • Medicare A OK JH — Default: $79.76
  • Medicare B OK JH — Default: $112.90
  • United Healthcare — Default: $550.20
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MAMM SCREEN UNILAT INCLUDES CAD/AI $786 $628.80 $72.62 – $550.20
Screening mammogram, both breasts: rates for 7 insurance plans
  • Aetna — Default: $72.62
  • Cigna — Default: $433.87
  • HealthChoice - Healthaxis LLC — Default: $225.30
  • Medicaid Oklahoma — Default: $74.72
  • Medicare A OK JH — Default: $79.76
  • Medicare B OK JH — Default: $112.90
  • United Healthcare — Default: $550.20
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier TC In the file: HC MAMM SCREEN BILAT INCLUDES CAD/AI,Technical Component $786 $628.80 $72.62 – $550.20
Screening mammogram, both breasts: rates for 7 insurance plans
  • Aetna — Default: $72.62
  • Cigna — Default: $433.87
  • HealthChoice - Healthaxis LLC — Default: $225.30
  • Medicaid Oklahoma — Default: $74.72
  • Medicare A OK JH — Default: $79.76
  • Medicare B OK JH — Default: $79.76
  • United Healthcare — Default: $550.20

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOMN 4 OR MORE >=6YRS $4,670 $3,736 $597.13 – $3,269
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • Aetna — Default: $2,227.59
  • Cigna — Default: $2,577.84
  • HealthChoice - Healthaxis LLC — Default: $2,034.78
  • Medicare A OK JH — Default: $2,196.77
  • Medicare B OK JH — Default: $597.13
  • United Healthcare — Default: $3,269
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $3,935.58 $3,148.46 $597.13 – $2,754.91
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • Aetna — Default: $1,877.27
  • Cigna — Default: $2,172.44
  • HealthChoice - Healthaxis LLC — Default: $2,034.78
  • Medicare A OK JH — Default: $1,851.30
  • Medicare B OK JH — Default: $597.13
  • United Healthcare — Default: $2,754.91
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier TC In the file: HC POLYSOMN 4 OR MORE >=6YRS,Technical Component $4,670 $3,736 $484.36 – $3,269
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • Aetna — Default: $2,227.59
  • Cigna — Default: $2,577.84
  • HealthChoice - Healthaxis LLC — Default: $2,034.78
  • Medicare A OK JH — Default: $2,196.77
  • Medicare B OK JH — Default: $484.36
  • United Healthcare — Default: $3,269

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THER EXERCISE EA 15 MIN PT $145 $116 $25.48 – $101.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Aetna — Default: $69.16
  • Cigna — Default: $80.04
  • HealthChoice - Healthaxis LLC — Default: $45.39
  • Medicaid Oklahoma — Default: $25.48
  • Medicare A OK JH — Default: $68.21
  • Medicare B OK JH — Default: $26.97
  • United Healthcare — Default: $101.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THER EXERCISE EA 15 MIN OT $145 $116 $25.48 – $101.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Aetna — Default: $69.16
  • Cigna — Default: $80.04
  • HealthChoice - Healthaxis LLC — Default: $45.39
  • Medicaid Oklahoma — Default: $25.48
  • Medicare A OK JH — Default: $68.21
  • Medicare B OK JH — Default: $26.97
  • United Healthcare — Default: $101.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: HC THER EXERCISE EA 15 MIN PT,Services delivered under an outpatient physical therapy plan of care $145 $116 $25.48 – $101.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Aetna — Default: $69.16
  • Cigna — Default: $80.04
  • HealthChoice - Healthaxis LLC — Default: $45.39
  • Medicaid Oklahoma — Default: $25.48
  • Medicare A OK JH — Default: $68.21
  • Medicare B OK JH — Default: $26.97
  • United Healthcare — Default: $101.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEXITY $190 $152 $86.75 – $154.55
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Aetna — Default: $90.63
  • Cigna — Default: $104.88
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $89.38
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $133
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: HC PT EVAL LOW COMPLEXITY,Services delivered under an outpatient physical therapy plan of care $190 $152 $86.75 – $154.55
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Aetna — Default: $90.63
  • Cigna — Default: $104.88
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $89.38
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $133
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP,XU In the file: HC PT EVAL LOW COMPLEXITY,Services delivered under an outpatient physical therapy plan of care, Unusual Non Overlapping Service the use of a $190 $152 $86.75 – $154.55
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Aetna — Default: $90.63
  • Cigna — Default: $104.88
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $89.38
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $133
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEXITY $217 $173.60 $86.75 – $154.55
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Aetna — Default: $103.51
  • Cigna — Default: $119.78
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $102.08
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $151.90
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: HC PT EVAL MOD COMPLEXITY,Services delivered under an outpatient physical therapy plan of care $217 $173.60 $86.75 – $154.55
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Aetna — Default: $103.51
  • Cigna — Default: $119.78
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $102.08
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $151.90
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEXITY $244 $195.20 $86.75 – $170.80
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Aetna — Default: $116.39
  • Cigna — Default: $134.69
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $114.78
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $170.80
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: HC PT EVAL HIGH COMPLEXITY,Services delivered under an outpatient physical therapy plan of care $244 $195.20 $86.75 – $170.80
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Aetna — Default: $116.39
  • Cigna — Default: $134.69
  • HealthChoice - Healthaxis LLC — Default: $154.55
  • Medicaid Oklahoma — Default: $86.75
  • Medicare A OK JH — Default: $114.78
  • Medicare B OK JH — Default: $91
  • United Healthcare — Default: $170.80
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 30 MIN $610 $488 $81.88 – $336.72
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • Aetna — Default: $290.97
  • Cigna — Default: $336.72
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $286.94
  • Medicare B OK JH — Default: $81.88
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · modifier XU In the file: HC PSYCHOTHERAPY W PT 30 MIN,Unusual NonOverlapping Service the use of a service that is distinct because it does not overlap usual componen $610 $488 $81.88 – $336.72
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • Aetna — Default: $290.97
  • Cigna — Default: $336.72
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $286.94
  • Medicare B OK JH — Default: $81.88
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 45 MIN $755 $604 $108.56 – $416.76
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • Aetna — Default: $360.14
  • Cigna — Default: $416.76
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $355.15
  • Medicare B OK JH — Default: $108.56
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · modifier XU In the file: HC PSYCHOTHERAPY W PT 45 MIN,Unusual NonOverlapping Service the use of a service that is distinct because it does not overlap usual componen $755 $604 $108.56 – $416.76
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • Aetna — Default: $360.14
  • Cigna — Default: $416.76
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $355.15
  • Medicare B OK JH — Default: $108.56
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 60 MIN $770 $616 $159.32 – $425.04
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • Aetna — Default: $367.29
  • Cigna — Default: $425.04
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $362.21
  • Medicare B OK JH — Default: $159.32
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · modifier XU In the file: HC PSYCHOTHERAPY W PT 60 MIN,Unusual NonOverlapping Service the use of a service that is distinct because it does not overlap usual componen $770 $616 $159.32 – $425.04
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • Aetna — Default: $367.29
  • Cigna — Default: $425.04
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $362.21
  • Medicare B OK JH — Default: $159.32
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC FAMILY PSYCHOTHERAPY WO PT 50 MIN $805 $644 $102.15 – $444.36
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Aetna — Default: $383.98
  • Cigna — Default: $444.36
  • Medicare A OK JH — Default: $378.67
  • Medicare B OK JH — Default: $102.15
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC FAMILY PSYCHOTHERAPY W PT 50 MIN $845 $676 $105.82 – $466.44
Family psychotherapy, with the patient: rates for 5 insurance plans
  • Aetna — Default: $403.06
  • Cigna — Default: $466.44
  • HealthChoice - Healthaxis LLC — Default: $321.34
  • Medicare A OK JH — Default: $397.49
  • Medicare B OK JH — Default: $105.82
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC IOP GROUP PSYCHOTHERAPY SESSION $735 $588 $28.91 – $405.72
Group psychotherapy: rates for 5 insurance plans
  • Aetna — Default: $350.60
  • Cigna — Default: $405.72
  • HealthChoice - Healthaxis LLC — Default: $185
  • Medicare A OK JH — Default: $345.74
  • Medicare B OK JH — Default: $28.91

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: HP ARTHROPLASTY TOTAL HIP $3,889.44 $3,111.55 $1,068.48 – $3,889.44
Total hip replacement: rates for 7 insurance plans
  • Aetna — Default: $1,855.26
  • Blue Cross Blue Shield of OK — All Plans: $3,889.44
  • Cigna — Default: $2,146.97
  • HealthChoice - Healthaxis LLC — Default: $3,889.44
  • Medicaid Oklahoma — Default: $3,889.44
  • Medicare A OK JH — Default: $1,228.75
  • Medicare B OK JH — Default: $1,068.48
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT In the file: HP ARTHROPLASTY TOTAL HIP,Left side of body $3,889.44 $3,111.55 $1,068.48 – $3,889.44
Total hip replacement: rates for 7 insurance plans
  • Aetna — Default: $1,855.26
  • Blue Cross Blue Shield of OK — All Plans: $3,889.44
  • Cigna — Default: $2,146.97
  • HealthChoice - Healthaxis LLC — Default: $3,889.44
  • Medicaid Oklahoma — Default: $3,889.44
  • Medicare A OK JH — Default: $1,228.75
  • Medicare B OK JH — Default: $1,068.48
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT,TC In the file: HP ARTHROPLASTY TOTAL HIP,Left side of body, Technical Component $3,889.44 $3,111.55 $1,068.48 – $3,889.44
Total hip replacement: rates for 7 insurance plans
  • Aetna — Default: $1,855.26
  • Blue Cross Blue Shield of OK — All Plans: $3,889.44
  • Cigna — Default: $2,146.97
  • HealthChoice - Healthaxis LLC — Default: $3,889.44
  • Medicaid Oklahoma — Default: $3,889.44
  • Medicare A OK JH — Default: $1,228.75
  • Medicare B OK JH — Default: $1,068.48
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: HP ARTHROPLASTY TOTAL KNEE $3,983.55 $3,186.84 $1,066.26 – $3,983.55
Total knee replacement: rates for 7 insurance plans
  • Aetna — Default: $1,900.15
  • Blue Cross Blue Shield of OK — All Plans: $3,983.55
  • Cigna — Default: $2,198.92
  • HealthChoice - Healthaxis LLC — Default: $3,983.55
  • Medicaid Oklahoma — Default: $3,983.55
  • Medicare A OK JH — Default: $1,226.20
  • Medicare B OK JH — Default: $1,066.26
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier 50 In the file: HP ARTHROPLASTY TOTAL KNEE,Bilateral Procedure $7,967.10 $6,373.68 $1,599.39 – $7,967.10
Total knee replacement: rates for 7 insurance plans
  • Aetna — Default: $2,500
  • Blue Cross Blue Shield of OK — All Plans: $7,967.10
  • Cigna — Default: $4,397.84
  • HealthChoice - Healthaxis LLC — Default: $7,967.10
  • Medicaid Oklahoma — Default: $7,967.10
  • Medicare A OK JH — Default: $1,839.29
  • Medicare B OK JH — Default: $1,599.39
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier LT In the file: HP ARTHROPLASTY TOTAL KNEE,Left side of body $3,983.55 $3,186.84 $1,066.26 – $3,983.55
Total knee replacement: rates for 7 insurance plans
  • Aetna — Default: $1,900.15
  • Blue Cross Blue Shield of OK — All Plans: $3,983.55
  • Cigna — Default: $2,198.92
  • HealthChoice - Healthaxis LLC — Default: $3,983.55
  • Medicaid Oklahoma — Default: $3,983.55
  • Medicare A OK JH — Default: $1,226.20
  • Medicare B OK JH — Default: $1,066.26
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: HP ARTHROSCOPY SHLDR DCMPRN SBCRML $835.17 $668.14 $137.26 – $461.01
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — Default: $398.38
  • Blue Cross Blue Shield of OK — All Plans: $835.17
  • Cigna — Default: $461.01
  • HealthChoice - Healthaxis LLC — Default: $246.59
  • Medicaid Oklahoma — Default: $147.48
  • Medicare A OK JH — Default: $157.85
  • Medicare B OK JH — Default: $137.26
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier RT In the file: HP ARTHROSCOPY SHLDR DCMPRN SBCRML,Right side of body $835.17 $668.14 $137.26 – $461.01
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — Default: $398.38
  • Blue Cross Blue Shield of OK — All Plans: $835.17
  • Cigna — Default: $461.01
  • HealthChoice - Healthaxis LLC — Default: $246.59
  • Medicaid Oklahoma — Default: $147.48
  • Medicare A OK JH — Default: $157.85
  • Medicare B OK JH — Default: $137.26
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: HP MENISCECTOMY MEDIAL OR LAT KNEE $2,158.64 $1,726.91 $470 – $2,158.64
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Default: $1,029.67
  • Blue Cross Blue Shield of OK — All Plans: $2,158.64
  • Cigna — Default: $1,191.57
  • HealthChoice - Healthaxis LLC — Default: $2,158.64
  • Medicaid Oklahoma — Default: $2,158.64
  • Medicare A OK JH — Default: $540.50
  • Medicare B OK JH — Default: $470
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT In the file: HP MENISCECTOMY MEDIAL OR LAT KNEE,Left side of body $2,158.64 $1,726.91 $470 – $2,158.64
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Default: $1,029.67
  • Blue Cross Blue Shield of OK — All Plans: $2,158.64
  • Cigna — Default: $1,191.57
  • HealthChoice - Healthaxis LLC — Default: $2,158.64
  • Medicaid Oklahoma — Default: $2,158.64
  • Medicare A OK JH — Default: $540.50
  • Medicare B OK JH — Default: $470
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT,TC In the file: HP MENISCECTOMY MEDIAL OR LAT KNEE,Left side of body, Technical Component $2,158.64 $1,726.91 $470 – $2,158.64
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Default: $1,029.67
  • Blue Cross Blue Shield of OK — All Plans: $2,158.64
  • Cigna — Default: $1,191.57
  • HealthChoice - Healthaxis LLC — Default: $2,158.64
  • Medicaid Oklahoma — Default: $2,158.64
  • Medicare A OK JH — Default: $540.50
  • Medicare B OK JH — Default: $470
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: HP REMV TONSILS AND ADENOIDS UNDER 12 YRS $890.52 $712.42 $240.44 – $890.52
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — Default: $424.78
  • Blue Cross Blue Shield of OK — All Plans: $890.52
  • Cigna — Default: $491.57
  • HealthChoice - Healthaxis LLC — Default: $890.52
  • Medicaid Oklahoma — Default: $890.52
  • Medicare A OK JH — Default: $276.51
  • Medicare B OK JH — Default: $240.44
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HP COLONOSCOPY FLEX WITH BIOPSY $1,280.10 $1,024.08 $190.97 – $1,280.10
Colonoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Default: $610.61
  • Blue Cross Blue Shield of OK — All Plans: $1,280.10
  • Cigna — Default: $706.62
  • HealthChoice - Healthaxis LLC — Default: $1,280.10
  • Medicaid Oklahoma — Default: $1,077.58
  • Medicare A OK JH — Default: $190.97
  • Medicare B OK JH — Default: $430.60
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier XS In the file: HP COLONOSCOPY FLEX WITH BIOPSY,Separate Structure A service that is distinct because it was performed on a separate organ structure $1,280.10 $1,024.08 $190.97 – $1,280.10
Colonoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Default: $610.61
  • Blue Cross Blue Shield of OK — All Plans: $1,280.10
  • Cigna — Default: $706.62
  • HealthChoice - Healthaxis LLC — Default: $1,280.10
  • Medicaid Oklahoma — Default: $1,077.58
  • Medicare A OK JH — Default: $190.97
  • Medicare B OK JH — Default: $430.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HP COLONOSCOPY FLEX W REMV LES SNARE $1,349.22 $1,079.38 $240.63 – $1,349.22
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Aetna — Default: $643.58
  • Blue Cross Blue Shield of OK — All Plans: $1,349.22
  • Cigna — Default: $744.77
  • HealthChoice - Healthaxis LLC — Default: $1,349.22
  • Medicaid Oklahoma — Default: $1,077.58
  • Medicare A OK JH — Default: $240.63
  • Medicare B OK JH — Default: $451.26
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: HP LAPAROSCOPIC CHOLECYSTECTOMY $2,005.14 $1,604.11 $578.66 – $2,005.14
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Aetna — Default: $956.45
  • Blue Cross Blue Shield of OK — All Plans: $2,005.14
  • Cigna — Default: $1,106.84
  • HealthChoice - Healthaxis LLC — Default: $2,005.14
  • Medicaid Oklahoma — Default: $2,005.14
  • Medicare A OK JH — Default: $665.46
  • Medicare B OK JH — Default: $578.66
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HP INJ EPIDURAL LUMBAR SACRAL W IMG $761.55 $609.24 $96.10 – $761.55
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • Aetna — Default: $363.26
  • Blue Cross Blue Shield of OK — All Plans: $761.55
  • Cigna — Default: $420.38
  • HealthChoice - Healthaxis LLC — Default: $761.55
  • Medicaid Oklahoma — Default: $635.65
  • Medicare A OK JH — Default: $96.10
  • Medicare B OK JH — Default: $244.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier RT In the file: HP INJ EPIDURAL LUMBAR SACRAL W IMG,Right side of body $761.55 $609.24 $96.10 – $761.55
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • Aetna — Default: $363.26
  • Blue Cross Blue Shield of OK — All Plans: $761.55
  • Cigna — Default: $420.38
  • HealthChoice - Healthaxis LLC — Default: $761.55
  • Medicaid Oklahoma — Default: $635.65
  • Medicare A OK JH — Default: $96.10
  • Medicare B OK JH — Default: $244.63
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HP INJ TRANSFOR EPID LUM/SAC SNGL $728.34 $582.67 $106.89 – $728.34
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Aetna — Default: $347.42
  • Blue Cross Blue Shield of OK — All Plans: $728.34
  • Cigna — Default: $402.04
  • HealthChoice - Healthaxis LLC — Default: $728.34
  • Medicaid Oklahoma — Default: $728.34
  • Medicare A OK JH — Default: $106.89
  • Medicare B OK JH — Default: $237.63
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier RT In the file: HP INJ TRANSFOR EPID LUM/SAC SNGL,Right side of body $728.34 $582.67 $106.89 – $728.34
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Aetna — Default: $347.42
  • Blue Cross Blue Shield of OK — All Plans: $728.34
  • Cigna — Default: $402.04
  • HealthChoice - Healthaxis LLC — Default: $728.34
  • Medicaid Oklahoma — Default: $728.34
  • Medicare A OK JH — Default: $106.89
  • Medicare B OK JH — Default: $237.63
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HP CARPAL TUNNEL RELEASE UNILAT $1,350.12 $1,080.10 $435.61 – $1,350.12
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Default: $644.01
  • Blue Cross Blue Shield of OK — All Plans: $1,350.12
  • Cigna — Default: $745.27
  • HealthChoice - Healthaxis LLC — Default: $1,350.12
  • Medicaid Oklahoma — Default: $1,350.12
  • Medicare A OK JH — Default: $441.12
  • Medicare B OK JH — Default: $435.61
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier 51,RT In the file: HP CARPAL TUNNEL RELEASE UNILAT,Multiple procedures, Right side of body $1,350.12 $1,080.10 $435.61 – $1,350.12
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Default: $644.01
  • Blue Cross Blue Shield of OK — All Plans: $1,350.12
  • Cigna — Default: $745.27
  • HealthChoice - Healthaxis LLC — Default: $1,350.12
  • Medicaid Oklahoma — Default: $1,350.12
  • Medicare A OK JH — Default: $441.12
  • Medicare B OK JH — Default: $435.61
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier LT In the file: HP CARPAL TUNNEL RELEASE UNILAT,Left side of body $1,350.12 $1,080.10 $435.61 – $1,350.12
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Default: $644.01
  • Blue Cross Blue Shield of OK — All Plans: $1,350.12
  • Cigna — Default: $745.27
  • HealthChoice - Healthaxis LLC — Default: $1,350.12
  • Medicaid Oklahoma — Default: $1,350.12
  • Medicare A OK JH — Default: $441.12
  • Medicare B OK JH — Default: $435.61

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without MCC $68,077.15 $54,461.72 $1,750 – $47,654
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans
  • Aetna — Default: $1,750
  • Blue Cross Blue Shield of OK — All Plans: $13,862.42
  • Cigna — Default: $37,578.59
  • Medicaid Oklahoma — Default: $9,928.32
  • Medicare A OK JH — Default: $2,407.86
  • United Healthcare — Default: $47,654

Source: Newman Memorial Hospital’s standard charges file (newmanmemorialhospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 10, 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 typeCritical Access Hospital
Address905 South Main Street, Shattuck, OK 73858
CountyEllis County
StateOklahoma
Phone(580) 938‑2551
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number371336
Name in Medicare recordsNEWMAN MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitenewmanmemorialhospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Newman Memorial Hospital Shattuck OK — newmanmemorialhospital.org
  2. Emergency Room Shattuck OK — newmanmemorialhospital.org
  3. Newman Memorial Hospital Services — newmanmemorialhospital.org
  4. Swing Bed Program at Newman Memorial Hospital — newmanmemorialhospital.org
  5. Medicare Wellness Visit Shattuck OK | Newman Memorial Hospital — newmanmemorialhospital.org
  6. Surgical Services at Newman Memorial Hospital — newmanmemorialhospital.org
  7. Heart and Lung Diagnostic Tests at Newman Memorial Hospital — newmanmemorialhospital.org
  8. Radiology Shattuck OK | Newman Memorial Hospital — newmanmemorialhospital.org
  9. Physical Therapy Shattuck | Newman Memorial Hospital — newmanmemorialhospital.org
  10. In-Patient Care at Newman Memorial Hospital — newmanmemorialhospital.org
  11. Orthopedic Doctors Shattuck OK | Newman Memorial Hospital — newmanmemorialhospital.org
  12. Group Therapy for Seniors | Newman Memorial Hospital — newmanmemorialhospital.org
  13. 24/7 Laboratory Services at Newman Memorial Hospital — newmanmemorialhospital.org