Oklahoma · 924 published self-pay prices, from $1.20 to $22,652.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 924 published items.
| Item | Cash price | Setting |
|---|---|---|
| ACETAMINOPHEN 10 MG/ML IV SOLN | $20.87 | Outpatient |
| ACETAMINOPHEN 120 MG RE SUPP | $4.23 | Outpatient |
| ACETAMINOPHEN 160 MG/5ML PO SUSP | $4.23 | Outpatient |
| ACETAMINOPHEN 325 MG PO TABS | $4.23 | Outpatient |
| ACETAMINOPHEN 325 MG RE SUPP | $4.23 | Outpatient |
| ACETAMINOPHEN 500 MG PO TABS | $4.23 | Outpatient |
| ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN | $4.23 | Outpatient |
| ACETAMINOPHEN-CODEINE 300-30 MG PO TABS | $4.23 | Outpatient |
| ACETYLCYSTEINE 20 % IN SOLN | $32.96 | Outpatient |
| ACETYLCYSTEINE 200 MG/ML IV SOLN | $484 | Outpatient |
| ACYCLOVIR 200 MG PO CAPS | $4.94 | Outpatient |
| ADENOSINE 3 MG/ML IV SOLN - SSM SO | $28.21 | Outpatient |
| ALBUMIN HUMAN 25 % IV SOLN | $120 | Outpatient |
| ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU | $4.23 | Outpatient |
| ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU | $5.92 | Outpatient |
| ALBUTEROL SULFATE 2 MG/5ML PO SYRP | $4.23 | Outpatient |
| ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS | $147 | Outpatient |
| ALLOPURINOL 100 MG PO TABS | $4.23 | Outpatient |
| ALPRAZOLAM 0.5 MG PO TBDP | $6.50 | Outpatient |
| ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE) | $22,652 | Outpatient |
| ALTEPLASE 1 MG/ML IV BOLUS FOR MYOCARDIAL INFARCTION | $3,299 | Outpatient |
| ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL | $22,652 | Outpatient |
| ALTEPLASE 100 MG IV SOLR | $22,652 | Outpatient |
| ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL | $22,652 | Outpatient |
| ALTEPLASE 2 MG IJ SOLR | $454 | Outpatient |
| ALTEPLASE 50 MG IV SOLR | $11,326 | Outpatient |
| ALUM - MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP | $2.15 | Outpatient |
| ALUMINUM-MAGNESIUM-SIMETHICONE 200-200-20 MG/5ML PO SUSP | $2.15 | Outpatient |
| AMIODARONE 150 MG IN 100 ML PREMIX | $89.25 | Outpatient |
| AMIODARONE 360 MG IN 200 ML PREMIX | $119 | Outpatient |
| AMIODARONE HCL 200 MG PO TABS | $4.23 | Outpatient |
| AMIODARONE HCL 50 MG/ML IV SOLN - SSM SO | $12.68 | Outpatient |
| AMITRIPTYLINE HCL 10 MG PO TABS | $4.23 | Outpatient |
| AMITRIPTYLINE HCL 25 MG PO TABS | $4.23 | Outpatient |
| AMLODIPINE BESYLATE 10 MG PO TABS | $4.23 | Outpatient |
| AMLODIPINE BESYLATE 5 MG PO TABS | $4.23 | Outpatient |
| AMOXICILLIN 200 MG/5ML PO SUSR | $13.91 | Outpatient |
| AMOXICILLIN 250 MG PO CAPS | $4.23 | Outpatient |
| AMOXICILLIN 400 MG/5ML PO SUSR | $14.76 | Outpatient |
| AMOXICILLIN 500 MG PO CAPS | $4.23 | Outpatient |
| AMOXICILLIN 875 MG PO TABS | $4.23 | Outpatient |
| AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR | $51.74 | Outpatient |
| AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR | $75.40 | Outpatient |
| AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS | $11.38 | Outpatient |
| AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS | $15.15 | Outpatient |
| AMPICILLIN-SULBACTAM SODIUM 1-0.5 GM IJ SOLR | $13.26 | Outpatient |
| AMPICILLIN-SULBACTAM SODIUM 2-1 GM IJ SOLR | $33.02 | Outpatient |
| APIXABAN 5 MG PO TABS | $33.80 | Outpatient |
| ARFORMOTEROL TARTRATE 15 MCG/2ML IN NEBU | $65.91 | Outpatient |
| ARTIFICIAL TEARS OPHTHALMIC SOLN (SO) | $3.58 | Outpatient |
| ASPIRIN 325 MG PO TABS | $4.23 | Outpatient |
| ASPIRIN 81 MG PO CHEW | $4.23 | Outpatient |
| ASPIRIN 81 MG PO TBEC | $4.23 | Outpatient |
| ATENOLOL 25 MG PO TABS | $4.23 | Outpatient |
| ATORVASTATIN CALCIUM 20 MG PO TABS | $4.23 | Outpatient |
| ATROPINE SULFATE 0.1MG/ML IJ SOSY SSM SO | $26.46 | Outpatient |
| ATROPINE SULFATE 0.4 MG/ML IJ SOLN SSM SO | $30.94 | Outpatient |
| AZITHROMYCIN 200 MG/5ML PO SUSR | $74.82 | Outpatient |
| AZITHROMYCIN 500 MG IV SOLR | $19.18 | Outpatient |
| AZITHROMYCIN 500 MG PO TABS | $20.15 | Outpatient |
| AZTREONAM 1 G IJ SOLR | $70.33 | Outpatient |
| BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OP OINT | $56.03 | Outpatient |
| BECLOMETHASONE DIPROP HFA (QVAR REDIHALER) 80 MCG/ACT IN AERB | $737 | Outpatient |
| BENAZEPRIL HCL 10 MG PO TABS | $4.23 | Outpatient |
| BENZONATATE 100 MG PO CAPS | $4.23 | Outpatient |
| BIOTENE DRY MOUTH MT LIQD | $12.22 | Outpatient |
| BISACODYL 10 MG RE SUPP | $4.23 | Outpatient |
| BUDESONIDE 0.5 MG/2ML IN SUSP | $23.79 | Outpatient |
| BUMETANIDE 0.25 MG/ML IJ SOLN | $12.68 | Outpatient |
| BUMETANIDE 1 MG PO TABS | $4.88 | Outpatient |
| CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS | $4.68 | Outpatient |
| CALCIUM CARBONATE 1250 (500 CA) MG PO CHEW | $4.23 | Outpatient |
| CALCIUM CARBONATE ANTACID 500 MG PO CHEW SSM SO | $4.23 | Outpatient |
| CALCIUM CARBONATE-VITAMIN D 250-125 MG-UNIT PO TABS (SO) | $4.23 | Outpatient |
| CALCIUM CHLORIDE 10 % IV SOLN | $44.07 | Outpatient |
| CALCIUM GLUCONATE 10 % IV SOLN | $25.81 | Outpatient |
| CARVEDILOL 3.125 MG PO TABS | $7.09 | Outpatient |
| CEFAZOLIN SODIUM 1 GM IJ SOLR | $12.68 | Outpatient |
| CEFDINIR 250 MG/5ML PO SUSR | $273 | Outpatient |
| CEFDINIR 300 MG PO CAPS | $12.42 | Outpatient |
| CEFEPIME HCL 1 GM IJ SOLR | $15.73 | Outpatient |
| CEFEPIME HCL 2 G IV SOLR | $25.87 | Outpatient |
| CEFTAZIDIME 1 GM IJ SOLR | $12.68 | Outpatient |
| CEFTRIAXONE SODIUM 1 GM IJ SOLR | $98.67 | Outpatient |
| CEFUROXIME AXETIL 250 MG PO TABS | $12.61 | Outpatient |
| CEPHALEXIN 125 MG/5ML PO SUSR | $66.37 | Outpatient |
| CEPHALEXIN 250 MG PO CAPS | $4.23 | Outpatient |
| CEPHALEXIN 250 MG/5ML PO SUSR | $61.82 | Outpatient |
| CETIRIZINE HCL 10 MG PO TABS | $4.23 | Outpatient |
| CETIRIZINE HCL 5 MG/5ML PO SOLN | $9.23 | Outpatient |
| CHARCOAL ACTIVATED PO LIQD | $63.64 | Outpatient |
| CHLORDIAZEPOXIDE HCL 5 MG PO CAPS | $4.23 | Outpatient |
| CIPROFLOXACIN 200 MG IN 100 ML PREMIX | $12.68 | Outpatient |
| CIPROFLOXACIN 400 MG IN 200 ML PREMIX | $12.68 | Outpatient |
| CIPROFLOXACIN HCL 500 MG PO TABS | $16.06 | Outpatient |
| CITALOPRAM HYDROBROMIDE 10 MG PO TABS | $8.00 | Outpatient |
| CLARITHROMYCIN 500 MG PO TABS | $18.14 | Outpatient |
| CLINDAMYCIN HCL 300 MG PO CAPS | $4.94 | Outpatient |
| CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR | $81.38 | Outpatient |
| CLINDAMYCIN PHOSPHATE 1 % EX GEL | $51.48 | Outpatient |
| CLINDAMYCIN PHOSPHATE 150 MG/ML IJ SOLN - SSM SO | $12.68 | Outpatient |
| CLINDAMYCIN PHOSPHATE 600 MG IN 50 ML DEX5W PREMIX | $27.50 | Outpatient |
| CLINIMIX/DEXTROSE (5/15) 5 % IV SOLN | $32.50 | Outpatient |
| CLONAZEPAM 2 MG PO TABS | $4.62 | Outpatient |
| CLONIDINE 0.1 MG/24HR TD PTWK | $91.78 | Outpatient |
| CLONIDINE HCL 0.1 MG PO TABS | $4.23 | Outpatient |
| CLOPIDOGREL BISULFATE 75 MG PO TABS | $13.26 | Outpatient |
| COLLAGENASE 250 UNIT/GM EX OINT | $778 | Outpatient |
| CROTALIDAE POLYVAL IMMUNE FAB IV SOLR | $8,232 | Outpatient |
| CYCLOBENZAPRINE HCL 5 MG PO TABS | $4.81 | Outpatient |
| CYCLOPENTOLATE HCL 1 % OP SOLN | $36.08 | Outpatient |
| DAPTOMYCIN 500 MG IV SOLR | $49.47 | Outpatient |
| DENOSUMAB 60 MG/ML SC SOSY | $4,598 | Outpatient |
| DEXAMETHASONE 0.5 MG/5ML PO ELIX | $2.15 | Outpatient |
| DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN SSM SO | $13.52 | Outpatient |
| DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN SSM SO | $12.68 | Outpatient |
| DEXTROMETHORPHAN-GUAIFENESIN 5-100 MG/5ML PO LIQD | $7.41 | Outpatient |
| DEXTROSE 5 % IV SOLN | $32.50 | Outpatient |
| DEXTROSE 50 % IV SOLN | $32.50 | Outpatient |
| DEXTROSE IN LACTATED RINGERS 5 % IV SOLN | $32.50 | Outpatient |
| DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN | $32.50 | Outpatient |
| DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN | $32.50 | Outpatient |
| DIAZEPAM 10 MG RE GEL | $576 | Outpatient |
| DIAZEPAM 5 MG PO TABS | $4.23 | Outpatient |
| DIAZEPAM 5 MG/ML IJ SOLN | $63.38 | Outpatient |
| DICLOXACILLIN SODIUM 250 MG PO CAPS | $5.46 | Outpatient |
| DIGOXIN 0.25 MG/ML IJ SOLN | $14.17 | Outpatient |
| DIGOXIN 125 MCG PO TABS | $5.14 | Outpatient |
| DILTIAZEM HCL 5 MG/ML IV SOLN - SSM SO | $12.68 | Outpatient |
| DILTIAZEM HCL 60 MG PO TABS | $4.23 | Outpatient |
| DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 | $4.23 | Outpatient |
| DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD | $4.23 | Outpatient |
| DIPHENHYDRAMINE HCL 25 MG PO CAPS | $4.23 | Outpatient |
| DIPHENHYDRAMINE HCL 25 MG PO TABS | $4.23 | Outpatient |
| DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN | $12.68 | Outpatient |
| DOCUSATE SODIUM 100 MG PO CAPS | $4.23 | Outpatient |
| DOCUSATE SODIUM 50 MG/5ML PO LIQD | $6.89 | Outpatient |
| DOPAMINE 1.6 MG/ML PREMIX | $59.02 | Outpatient |
| DOPAMINE HCL 40 MG/ML IV SOLN | $12.68 | Outpatient |
| DOXYCYCLINE HYCLATE 100 MG PO CAPS | $6.89 | Outpatient |
| ENALAPRILAT 1.25 MG/ML IV INJ | $13.72 | Outpatient |
| ENEMA 7-19 GM/118ML RE ENEM | $3.77 | Outpatient |
| ENOXAPARIN SODIUM 100 MG/ML IJ SOSY | $40.24 | Outpatient |
| ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY | $12.68 | Outpatient |
| ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY | $22.04 | Outpatient |
| ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY | $38.42 | Outpatient |
| ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY | $44.01 | Outpatient |
| EPINEPHRINE 0.15 MG/0.3ML IJ SOAJ | $402 | Outpatient |
| EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ | $402 | Outpatient |
| EPINEPHRINE 1 MG/10 ML IV SSM SO | $32.18 | Outpatient |
| EPINEPHRINE HCL 1 MG/ML IJ SOLN - SSM SO | $37.57 | Outpatient |
| EPOETIN ALFA 10000 UNIT/ML IJ SOLN | $688 | Outpatient |
| ERTAPENEM SODIUM 1 G IJ SOLR | $206 | Outpatient |
| ERYTHROMYCIN 5 MG/GM OP OINT | $25.09 | Outpatient |
| ESMOLOL HCL 100 MG/10ML IV SOLN | $18.92 | Outpatient |
| ETOMIDATE 2 MG/ML IV SOLN | $20.61 | Outpatient |
| FAMOTIDINE 10 MG/ML IV SOLN SSM SO | $12.68 | Outpatient |
| FAMOTIDINE 20 MG PO TABS | $4.23 | Outpatient |
| FENTANYL CITRATE 0.05 MG/ML IJ SOLN SSM SO | $12.68 | Outpatient |
| FERROUS SULFATE 325 (65 FE) MG PO TABS SSM SO | $4.23 | Outpatient |
| FEXOFENADINE HCL 60 MG PO TABS | $4.23 | Outpatient |
| FLEET ENEMA RE ENEM | $3.77 | Outpatient |
| FLEET PEDIATRIC 3.5-9.5 GM/59ML RE ENEM | $5.20 | Outpatient |
| FLORAJEN ACIDOPHILUS PO CAPS | $4.23 | Outpatient |
| FLUCONAZOLE 100 MG PO TABS | $25.42 | Outpatient |
| FLUCONAZOLE 200 MG IN NS 100 ML PREMIX | $15.47 | Outpatient |
| FLUMAZENIL 0.1 MG/ML IV SOLN - SSM SO | $18.27 | Outpatient |
| FLUOXETINE HCL 20 MG PO CAPS | $4.23 | Outpatient |
| FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO | $705 | Outpatient |
| FOLIC ACID 1 MG PO TABS | $4.23 | Outpatient |
| FOLIC ACID 5 MG/ML IJ SOLN | $93.86 | Outpatient |
| FUROSEMIDE 10 MG/ML IJ SOLN | $12.68 | Outpatient |
| FUROSEMIDE 20 MG PO TABS | $4.23 | Outpatient |
| FUROSEMIDE 40 MG PO TABS | $4.23 | Outpatient |
| GABAPENTIN 100 MG PO CAPS | $4.23 | Outpatient |
| GABAPENTIN 300 MG PO CAPS | $5.14 | Outpatient |
| GLIPIZIDE 5 MG PO TABS | $4.23 | Outpatient |
| GLIPIZIDE ER 5 MG PO TB24 | $4.23 | Outpatient |
| GLUCAGON (RDNA) 1 MG IJ KIT | $921 | Outpatient |
| GLUCAGON 1 MG IJ SOLR SSM SO | $721 | Outpatient |
| GLUCOSE 40 % PO GEL | $8.45 | Outpatient |
| GLYCERIN (LAXATIVE) 1.2 G RE SUPP | $4.23 | Outpatient |
| GLYCERIN (LAXATIVE) 2 G RE SUPP | $4.23 | Outpatient |
| GUAIFENESIN 100 MG/5ML PO LIQD | $6.63 | Outpatient |
| GUAIFENESIN ER 600 MG PO TB12 | $4.23 | Outpatient |
| GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN | $4.23 | Outpatient |
| HALOPERIDOL LACTATE 5 MG/ML IJ SOLN | $15.47 | Outpatient |
| HC 0.9 SODIUM CHLOR 1000ML BOTTLE | $9.75 | Outpatient |
| HC 18G IV CATH | $13.00 | Outpatient |
| HC ACROMIOCLAVICULAR JOINTS BILATERAL | $182 | Outpatient |
| HC ADH DERMABOND TOP SKIN | $29.25 | Outpatient |
| HC AIRWAY RESIST BY OSCILLOMETRY | $280 | Outpatient |
| HC AMBUL SERV ALS LEVEL 1 EMERG TRANSPRT | $507 | Outpatient |
| HC AMBUL SERV BLS EMER TRANSPRT | $439 | Outpatient |
| HC AMBUL SERV BLS NON EMER TRANSPRT | $266 | Outpatient |
| HC AMBUL SERV CAR RACES UP TO 4 HRS | $104 | Outpatient |
| HC AMBUL SERV GROUND MILEAGE PER MILE | $9.75 | Outpatient |
| HC AMBUL SERV RODEO EACH ADDL HR | $19.50 | Outpatient |
| HC AMBUL SERV RODEO UP TO 4HRS | $78.00 | Outpatient |
| HC ANKLE 2 VW | $110 | Outpatient |
| HC ANKLE 3+ VW | $127 | Outpatient |
| HC APPLIC UNNA BOOT | $97.50 | Outpatient |
| HC ARM SLING | $13.00 | Outpatient |
| HC BAG URINE | $6.50 | Outpatient |
| HC BAG URINE LEG DISPOSABLE | $6.50 | Outpatient |
| HC BANDAGE ELASTIC SURE WRAP 3IN | $3.25 | Outpatient |
| HC BANDAGE ELASTIC SURE WRAP 4IN | $3.25 | Outpatient |
| HC BANDAGE ELASTIC SURE WRAP 6IN | $3.25 | Outpatient |
| HC BANDAGE GAUZE BULKEE II | $3.25 | Outpatient |
| HC BANDAGE KLING 6IN | $3.25 | Outpatient |
| HC BLADE STERILE KNIFE | $3.93 | Outpatient |
| HC BOOT UNNA | $29.25 | Outpatient |
| HC BOOT WALKING | $42.25 | Outpatient |
| HC BRACE KNEE HINGED | $58.50 | Outpatient |
| HC BRONCHODILATOR PRE/POST TEST | $546 | Outpatient |
| HC BUCKET ENEMA | $6.50 | Outpatient |
| HC BULB SYRINGE | $4.23 | Outpatient |
| HC CALCIUM ALGINATE 12 IN | $42.25 | Outpatient |
| HC CALCIUM ALGINATE 4X4 | $22.75 | Outpatient |
| HC CAST PADDING 4X4 | $6.50 | Outpatient |
| HC CAST PLASTER 2IN TO 6IN | $19.50 | Outpatient |
| HC CATH ANCHOR DEVICE | $13.00 | Outpatient |
| HC CATH FOLE CARS COUDE LTX 2 WAY 16FR 5CC | $16.25 | Outpatient |
| HC CATH FOLEY 10FR 3ML PED | $9.91 | Outpatient |
| HC CATH FOLEY 8FR 3ML PED | $22.75 | Outpatient |
| HC CATH FOLEY SILICONE METER | $35.75 | Outpatient |
| HC CATH IV 20G X 1IN | $13.00 | Outpatient |
| HC CATH IV 22G X 1IN | $13.00 | Outpatient |
| HC CATH IV 24G | $13.00 | Outpatient |
| HC CATH PICC W STABILIZATION DEVICE | $26.00 | Outpatient |
| HC CATH STRAIGHT URETHRAL | $3.25 | Outpatient |
| HC CATH TUBE HOLDER | $3.25 | Outpatient |
| HC CERVICAL SPINE 2 OR 3 VW | $146 | Outpatient |
| HC CERVICAL SPINE MIN 4+ VW | $218 | Outpatient |
| HC CHEST WALL MANIPULATION INIT | $526 | Outpatient |
| HC CHEST WALL MANIPULATION SUBSEQ | $280 | Outpatient |
| HC COBAN | $6.89 | Outpatient |
| HC COLLAR CERV MED | $13.00 | Outpatient |
| HC COLLAR CERV XSM PED | $13.00 | Outpatient |
| HC COLLAR PHILADELPHIA | $32.50 | Outpatient |
| HC COLLECTION URINE SPECIMEN | $19.50 | Outpatient |
| HC COVER BLOOD PRESSURE CUFF | $12.80 | Outpatient |
| HC CREAM ANTIFUNGAL TOPICAL | $22.75 | Outpatient |
| HC CREAM MOISTURE BARRIER | $19.50 | Outpatient |
| HC CT ABDOMEN NON IV CONTRAST | $376 | Outpatient |
| HC CT ABDOMEN PELVIS W CONTRAST | $1,037 | Outpatient |
| HC CT ABDOMEN PELVIS WO CONTRAST | $660 | Outpatient |
| HC CT ABDOMEN PELVIS WWO CONTRAST | $1,037 | Outpatient |
| HC CT ABDOMEN WITH IV CONTRAST | $644 | Outpatient |
| HC CT ANGIO ABD AORTA BIL LOW EXT W/WO | $845 | Outpatient |
| HC CT ANGIO ABDOMEN PELVIS W WO CON | $1,743 | Outpatient |
| HC CT ANGIO ABDOMEN W/WO CONTRAST | $734 | Outpatient |
| HC CT ANGIO CHEST W CONTRAST | $734 | Outpatient |
| HC CT ANGIO HEAD WITH AND WITHOUT CONTRAST | $734 | Outpatient |
| HC CT ANGIO NECK | $734 | Outpatient |
| HC CT CERVICAL SPINE NON CONTRAST | $376 | Outpatient |
| HC CT CHEST LOW DOSE FOR LUNG CA SCREEN | $376 | Outpatient |
| HC CT CHEST NON CONTRAST | $376 | Outpatient |
| HC CT CHEST WITH & WITHOUT CONTRAST | $708 | Outpatient |
| HC CT CHEST WITH CONTRAST | $644 | Outpatient |
| HC CT HEAD NON CONTRAST | $376 | Outpatient |
| HC CT HEAD WITH & WITHOUT CONTRAST | $708 | Outpatient |
| HC CT HEAD WITH CONTRAST | $644 | Outpatient |
| HC CT LOWER EXTREMITY NON CONTRAST | $376 | Outpatient |
| HC CT LOWER EXTREMITY WITH CONTRAST | $1,287 | Outpatient |
| HC CT LOWER EXTREMITY WITH & WITHOUT CONTRAST | $708 | Outpatient |
| HC CT LUMBAR SPINE NON CONTRAST | $376 | Outpatient |
| HC CT PELVIS WO CONTRAST | $376 | Outpatient |
| HC CT SCREEN CARDIAC SCORING | $65.00 | Outpatient |
| HC CT SINUS FACIAL BONES NON CONTRAST | $376 | Outpatient |
| HC CT SOFT TISSUE NECK NON CONTRAST | $376 | Outpatient |
| HC CT SOFT TISSUE NECK WITH & WITHOUT CONTRAST | $708 | Outpatient |
| HC CT SOFT TISSUE NECK WITH CONTRAST | $644 | Outpatient |
| HC CT THORACIC SPINE NON CONTRAST | $376 | Outpatient |
| HC CT UPPER EXTREMITY NON CONTRAST | $376 | Outpatient |
| HC DEBRID NON SELECT WO ANS PER SESSION | $185 | Outpatient |
| HC DEBRID OF NAIL(S) 1-5 | $39.00 | Outpatient |
| HC DEBRID SELECTIVE 1ST 20SQ CM OR LESS | $143 | Outpatient |
| HC DEBRID SELECTIVE EA ADDL 20SQ CM | $143 | Outpatient |
| HC DEBRID SUBQ EA ADD 20 CM | $335 | Outpatient |
| HC DEBRIDE SUBQ TISSUE 1ST 20 CM OR LESS | $335 | Outpatient |
| HC DEMO AND/OR EVAL PT USE AEROSOL DEVICE | $374 | Outpatient |
| HC DRESSING TRANSPARENT OPSITE 2X3 | $1.40 | Outpatient |
| HC DRESSING TRANSPARENT OPSITE 4X5 | $3.25 | Outpatient |
| HC DRSG BIOPATCH | $22.55 | Outpatient |
| HC DRSG GAUZE 4 X 4 STERILE TUB | $3.25 | Outpatient |
| HC DRSG SACRAL 6 X 6.5 | $48.75 | Outpatient |
| HC DRSG SILVERLON ISLAND 4X10 | $71.50 | Outpatient |
| HC DUPLEX ARTERY OR BYPASS LE BILAT | $322 | Outpatient |
| HC DUPLEX CAROTID BILAT | $322 | Outpatient |
| HC DUPLEX VEIN EXTREM BILAT | $322 | Outpatient |
| HC DUPLEX VEIN EXTREM UNILAT | $202 | Outpatient |
| HC ED APPLIC SPLINT SHORT ARM STATIC | $91.00 | Outpatient |
| HC ED APPLIC SPLINT SHORT LEG | $101 | Outpatient |
| HC ED CARDIOPULMONARY RESUSCITATION | $214 | Outpatient |
| HC ED CRITICAL CARE E/M 30-74 MIN | $630 | Outpatient |
| HC ED EMERGENT LEVEL I | $81.25 | Outpatient |
| HC ED EMERGENT LEVEL II | $117 | Outpatient |
| HC ED EMERGENT LEVEL III | $198 | Outpatient |
| HC ED EMERGENT LEVEL IV | $306 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Oklahoma or browse all procedures.