▸ Hospital · OK · CCN 370001
Hillcrest Medical Center
1120 SOUTH UTICA, TULSA, OK, 74104
447 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Procedures tracked
101
of 209 target codes
Payers
30
with negotiated rates
Rates published
16,560
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychotherapy 30 minutes | CPT | 90832 | 34 | $974 | $292.2 | $243.5 | $505.51 | $974 |
| Psychotherapy 45 minutes | CPT | 90834 | 10 | $1,309 | $392.7 | $327.25 | $327.25 | $574.65 |
| Psychotherapy 60 minutes | CPT | 90837 | 34 | $1,643 | $492.9 | $410.75 | $852.72 | $1,643 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 32 | $1,514 | $454.2 | $348.22 | $859.95 | $1,514 |
| ED visit level 2 | CPT | 99282 | 9 | $1,815 | $544.5 | $417.45 | $417.45 | $941.99 |
| ED visit level 3 | CPT | 99283 | 9 | $2,601 | $780.3 | $598.23 | $598.23 | $1,349.92 |
| ED visit level 4 | CPT | 99284 | 32 | $3,881 | $1,164.3 | $892.63 | $2,204.41 | $3,881 |
| ED visit level 5 | CPT | 99285 | 32 | $5,428 | $1,628.4 | $1,248.44 | $3,083.1 | $5,428 |
| Critical care, first hour | CPT | 99291 | 9 | $7,480 | $2,244 | $1,720.4 | $1,720.4 | $3,882.12 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $5,464 | $1,639.2 | $1,366 | $2,109.1 | $5,464 |
| CT head with contrast | CPT | 70460 | 15 | $5,551 | $1,665.3 | $1,387.75 | $2,142.69 | $5,551 |
| CT head with and without contrast | CPT | 70470 | 15 | $6,671 | $2,001.3 | $1,667.75 | $2,575.01 | $6,671 |
| CT neck with contrast | CPT | 70491 | 15 | $4,412 | $1,323.6 | $1,103 | $1,703.03 | $4,412 |
| MRI brain without contrast | CPT | 70551 | 15 | $4,143 | $1,242.9 | $1,035.75 | $1,599.2 | $4,143 |
| MRI brain with contrast | CPT | 70552 | 15 | $4,556 | $1,366.8 | $1,139 | $1,758.62 | $4,556 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $5,684 | $1,705.2 | $1,421 | $2,194.02 | $5,684 |
| Chest X-ray single view | CPT | 71045 | 34 | $861 | $258.3 | $215.25 | $446.86 | $861 |
| Chest X-ray 2 views | CPT | 71046 | 34 | $1,468 | $440.4 | $367 | $761.89 | $1,468 |
| Chest X-ray 3 views | CPT | 71047 | 34 | $1,616 | $484.8 | $404 | $838.7 | $1,616 |
| CT chest without contrast | CPT | 71250 | 15 | $3,127 | $938.1 | $781.75 | $1,207.02 | $3,127 |
| CT chest with contrast | CPT | 71260 | 15 | $4,062 | $1,218.6 | $1,015.5 | $1,567.93 | $4,062 |
| CT chest with and without contrast | CPT | 71270 | 15 | $4,428 | $1,328.4 | $1,107 | $1,709.21 | $4,428 |
| MRI chest without contrast | CPT | 71550 | 15 | $6,629 | $1,988.7 | $1,657.25 | $2,558.79 | $6,629 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $6,289 | $1,886.7 | $1,572.25 | $2,427.55 | $6,289 |
| Lumbosacral spine X-ray | CPT | 72100 | 34 | $1,468 | $440.4 | $367 | $761.89 | $1,468 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $4,951 | $1,485.3 | $1,237.75 | $1,911.09 | $4,951 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $3,872 | $1,161.6 | $968 | $1,494.59 | $3,872 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $3,847 | $1,154.1 | $961.75 | $1,484.94 | $3,847 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $4,181 | $1,254.3 | $1,045.25 | $1,613.87 | $4,181 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $4,543 | $1,362.9 | $1,135.75 | $1,753.6 | $4,543 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $4,600 | $1,380 | $1,150 | $1,775.6 | $4,600 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $6,132 | $1,839.6 | $1,533 | $2,366.95 | $6,132 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $6,940 | $2,082 | $1,735 | $2,678.84 | $6,940 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $7,306 | $2,191.8 | $1,826.5 | $2,820.12 | $7,306 |
| CT pelvis without contrast | CPT | 72192 | 15 | $2,736 | $820.8 | $684 | $1,056.1 | $2,736 |
| CT pelvis with contrast | CPT | 72193 | 15 | $3,890 | $1,167 | $972.5 | $1,501.54 | $3,890 |
| Shoulder X-ray | CPT | 73030 | 34 | $1,926 | $577.8 | $321 | $845.51 | $1,926 |
| Humerus X-ray | CPT | 73060 | 34 | $2,143.5 | $643.05 | $357.25 | $941 | $2,143.5 |
| Hand X-ray 3 views | CPT | 73130 | 34 | $2,335.5 | $700.65 | $389.25 | $1,025.28 | $2,335.5 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $6,958.5 | $2,087.55 | $1,159.75 | $1,790.65 | $6,958.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $5,821 | $1,746.3 | $1,455.25 | $2,246.91 | $5,821 |
| Knee X-ray 1-2 views | CPT | 73560 | 34 | $1,974 | $592.2 | $329 | $866.59 | $1,974 |
| Ankle X-ray 3 views | CPT | 73610 | 34 | $2,287.5 | $686.25 | $381.25 | $1,004.21 | $2,287.5 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $8,572.5 | $2,571.75 | $1,428.75 | $2,205.99 | $8,572.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $10,856 | $3,256.65 | $1,809.25 | $2,793.48 | $10,856 |
| CT abdomen without contrast | CPT | 74150 | 15 | $3,378 | $1,013.4 | $844.5 | $1,303.91 | $3,378 |
| CT abdomen with contrast | CPT | 74160 | 15 | $3,730 | $1,119 | $932.5 | $1,439.78 | $3,730 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $4,915 | $1,474.5 | $1,228.75 | $1,897.19 | $4,915 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $6,794 | $2,038.2 | $1,698.5 | $2,622.48 | $6,794 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $7,616 | $2,284.8 | $1,904 | $2,939.78 | $7,616 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $9,298 | $2,789.4 | $2,324.5 | $3,589.03 | $9,298 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $4,495 | $1,348.5 | $1,123.75 | $1,735.07 | $4,495 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $6,692 | $2,007.6 | $1,673 | $2,583.11 | $6,692 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $2,701 | $810.3 | $675.25 | $1,042.59 | $2,701 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $2,078 | $623.4 | $519.5 | $802.11 | $2,078 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $2,601 | $780.3 | $650.25 | $1,003.99 | $2,601 |
| Obstetric ultrasound first trimester | CPT | 76801 | 34 | $1,928 | $578.4 | $482 | $1,000.63 | $1,928 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 34 | $2,519 | $755.7 | $629.75 | $1,307.36 | $2,519 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 34 | $3,373 | $1,011.9 | $843.25 | $1,750.59 | $3,373 |
| Transvaginal ultrasound | CPT | 76830 | 34 | $2,070 | $621 | $517.5 | $1,074.33 | $2,070 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $2,388 | $716.4 | $597 | $921.77 | $2,388 |
| Scrotal ultrasound | CPT | 76870 | 19 | $2,041 | $612.3 | $510.25 | $787.83 | $2,041 |
| Diagnostic mammography unilateral | CPT | 77065 | 32 | $951 | $285.3 | $237.75 | $540.17 | $951 |
| Diagnostic mammography bilateral | CPT | 77066 | 32 | $1,249 | $374.7 | $312.25 | $709.43 | $1,249 |
| Screening mammography bilateral | CPT | 77067 | 32 | $1,136 | $340.8 | $284 | $645.25 | $1,136 |
| EKG tracing only | CPT | 93005 | 34 | $980 | $294 | $245 | $508.62 | $980 |
| Transthoracic echocardiogram complete | CPT | 93306 | 34 | $5,400 | $1,620 | $1,350 | $2,802.6 | $5,400 |
| Transthoracic echocardiogram | CPT | 93307 | 34 | $2,715 | $814.5 | $678.75 | $1,409.09 | $2,715 |
| Stress echocardiogram | CPT | 93350 | 34 | $6,076 | $1,822.8 | $1,519 | $3,153.44 | $6,076 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 32 | $657 | $197.1 | $164.25 | $373.18 | $657 |
| General health panel | CPT | 80050 | 37 | $992 | $297.6 | $248 | $505.43 | $992 |
| Electrolyte panel | CPT | 80051 | 32 | $496 | $148.8 | $124 | $281.73 | $496 |
| Comprehensive metabolic panel | CPT | 80053 | 32 | $703 | $210.9 | $175.75 | $399.3 | $703 |
| Lipid panel | CPT | 80061 | 32 | $585 | $175.5 | $146.25 | $332.28 | $585 |
| Renal function panel | CPT | 80069 | 32 | $661 | $198.3 | $165.25 | $375.45 | $661 |
| Hepatic function panel | CPT | 80076 | 32 | $296 | $88.8 | $74 | $168.13 | $296 |
| Urinalysis non-automated | CPT | 81002 | 32 | $232 | $69.6 | $58 | $131.78 | $232 |
| Urinalysis automated | CPT | 81003 | 32 | $208 | $62.4 | $52 | $118.14 | $208 |
| Glucose quantitative | CPT | 82947 | 32 | $356 | $106.8 | $89 | $202.21 | $356 |
| Hemoglobin A1c | CPT | 83036 | 32 | $461 | $138.3 | $8 | $73.63 | $461 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 32 | $992 | $297.6 | $248 | $563.46 | $992 |
| Complete blood count with automated differential | CPT | 85025 | 32 | $617 | $185.1 | $154.25 | $350.46 | $617 |
| Complete blood count without differential | CPT | 85027 | 32 | $435 | $130.5 | $108.75 | $247.08 | $435 |
| Urine culture bacterial | CPT | 87086 | 32 | $242 | $72.6 | $60.5 | $137.46 | $242 |
| Urine culture identification | CPT | 87088 | 32 | $249 | $74.7 | $62.25 | $141.43 | $249 |
| Tissue exam by pathologist level IV | CPT | 88305 | 32 | $1,300 | $390 | $325 | $738.4 | $1,300 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 34 | $767 | $230.1 | $191.75 | $398.07 | $767 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 32 | $996 | $298.8 | $249 | $448.2 | $996 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | $5,666 | $1,699.8 | $1,416.5 | $2,187.08 | $5,666 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $5,731 | $1,719.3 | $1,432.75 | $2,212.17 | $5,731 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $3,382 | $1,014.6 | $845.5 | $1,305.45 | $3,382 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | $3,609 | $1,082.7 | $902.25 | $1,393.07 | $3,609 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | $4,748 | $1,424.4 | $1,187 | $1,832.73 | $4,748 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | $5,803 | $1,740.9 | $1,450.75 | $2,239.96 | $5,803 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | $5,803 | $1,740.9 | $1,450.75 | $2,239.96 | $5,803 |
| surgery | ||||||||
| PCI single major coronary artery | CPT | 92920 | 32 | $21,868 | $6,560.4 | $5,467 | $12,421 | $21,868 |
| PCI with drug-eluting stent | CPT | 92928 | 32 | $31,722 | $9,516.6 | $7,930.5 | $18,018 | $31,722 |
| PCI bypass graft | CPT | 92937 | 32 | $31,722 | $9,516.6 | $7,930.5 | $18,018 | $31,722 |
| Left heart catheterization | CPT | 93452 | 34 | $10,732 | $3,219.6 | $2,683 | $5,247.95 | $10,732 |
| Coronary angiography with cath | CPT | 93455 | 34 | $23,300 | $6,990 | $5,825 | $11,394 | $23,300 |
| Coronary angiography with bypass cath | CPT | 93458 | 34 | $25,251 | $7,575.3 | $6,312.75 | $12,348 | $25,251 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Oscar Health | 101 | $678.75 |
| lucent health [6000] | 101 | $812.5 |
| hooray health [8000] | 101 | $812.5 |
| osma health network [2345] | 101 | $812.5 |
| black lung [6055] | 101 | $812.5 |
| healthcare highways [2210] | 101 | $1,052.05 |
| oncology patient assistance programs [2295] | 101 | $812.5 |
| web tpa [2115] | 98 | $1,004.21 |
| medica [2910] | 97 | $1,917.28 |
| Multiplan | 97 | $1,401.37 |
| pending ssi [1616] | 97 | $3,375.5 |
| the kempton group administrators [2905] | 97 | $1,518.98 |
| resource one administrators [2815] | 97 | $1,302.95 |
| umr - ardent employee [2036] | 90 | $862.83 |
| healthscope benefits [2290] | 90 | $862.83 |
| pba [1775] | 64 | $897.36 |
| national association of letter carriers [1695] | 64 | $897.36 |
| mutual of omaha [1685] | 50 | $1,180.35 |
| allied benefit systems inc [1030] | 50 | $1,180.35 |
| allied national global care [1035] | 50 | $1,180.35 |
| employee benefit management services [2445] | 50 | $1,001.93 |
| healthcost solutions [2415] | 50 | $1,180.35 |
| Healthfirst | 50 | $1,180.35 |
| hometown health [2155] | 50 | $1,180.35 |
| mayo clinic health solutions [2280] | 50 | $1,180.35 |
| administrative concepts [1005] | 50 | $1,180.35 |
| new era life insurance company [1705] | 50 | $1,180.35 |
| pan american life insurance co [1770] | 50 | $1,180.35 |
| phcs [1780] | 50 | $1,089.19 |
| planned administrators inc [2360] | 50 | $1,180.35 |