▸ Hospital · OK · CCN 370015
Hillcrest Hospital Pryor
111 N. BAILEY, PRYOR, OK, 74361
21 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Procedures tracked
88
of 209 target codes
Payers
29
with negotiated rates
Rates published
14,205
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 22 | $581 | $174.3 | $133.63 | $377.65 | $581 |
| ED visit level 2 | CPT | 99282 | 7 | $982 | $294.6 | $225.86 | $225.86 | $225.86 |
| ED visit level 3 | CPT | 99283 | 7 | $1,617 | $485.1 | $371.91 | $371.91 | $371.91 |
| ED visit level 4 | CPT | 99284 | 22 | $2,911 | $873.3 | $669.53 | $1,892.15 | $2,911 |
| ED visit level 5 | CPT | 99285 | 22 | $4,515 | $1,354.5 | $1,038.45 | $2,934.75 | $4,515 |
| Critical care, first hour | CPT | 99291 | 7 | $3,071 | $921.3 | $706.33 | $706.33 | $706.33 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 22 | $2,590 | $777 | $647.5 | $1,683.5 | $2,590 |
| CT head with contrast | CPT | 70460 | 22 | $3,713 | $1,113.9 | $928.25 | $2,413.45 | $3,713 |
| CT head with and without contrast | CPT | 70470 | 22 | $3,524 | $1,057.2 | $881 | $2,290.6 | $3,524 |
| CT neck with contrast | CPT | 70491 | 22 | $3,135 | $940.5 | $783.75 | $2,037.75 | $3,135 |
| MRI brain without contrast | CPT | 70551 | 22 | $4,381 | $1,314.3 | $1,095.25 | $2,847.65 | $4,381 |
| MRI brain with contrast | CPT | 70552 | 22 | $4,467 | $1,340.1 | $1,116.75 | $2,903.55 | $4,467 |
| MRI brain with and without contrast | CPT | 70553 | 22 | $4,814 | $1,444.2 | $1,203.5 | $3,129.1 | $4,814 |
| Chest X-ray single view | CPT | 71045 | 26 | $590 | $177 | $147.5 | $315.65 | $590 |
| Chest X-ray 2 views | CPT | 71046 | 26 | $590 | $177 | $147.5 | $315.65 | $590 |
| Chest X-ray 3 views | CPT | 71047 | 26 | $728 | $218.4 | $182 | $389.48 | $728 |
| CT chest without contrast | CPT | 71250 | 22 | $5,090 | $1,527 | $1,272.5 | $3,308.5 | $5,090 |
| CT chest with contrast | CPT | 71260 | 22 | $4,339 | $1,301.7 | $1,084.75 | $2,820.35 | $4,339 |
| CT chest with and without contrast | CPT | 71270 | 22 | $4,310 | $1,293 | $1,077.5 | $2,801.5 | $4,310 |
| MRI chest without contrast | CPT | 71550 | 22 | $2,312 | $693.6 | $578 | $1,502.8 | $2,312 |
| Lumbosacral spine X-ray | CPT | 72100 | 26 | $600 | $180 | $150 | $321 | $600 |
| CT cervical spine without contrast | CPT | 72125 | 22 | $3,909 | $1,172.7 | $977.25 | $2,540.85 | $3,909 |
| CT thoracic spine without contrast | CPT | 72128 | 22 | $4,910 | $1,473 | $1,227.5 | $3,191.5 | $4,910 |
| CT lumbar spine without contrast | CPT | 72131 | 22 | $3,760 | $1,128 | $940 | $2,444 | $3,760 |
| MRI cervical spine without contrast | CPT | 72141 | 22 | $4,251 | $1,275.3 | $1,062.75 | $2,763.15 | $4,251 |
| MRI thoracic spine without contrast | CPT | 72146 | 22 | $3,398 | $1,019.4 | $849.5 | $2,208.7 | $3,398 |
| MRI lumbar spine without contrast | CPT | 72148 | 22 | $2,468 | $740.4 | $617 | $1,604.2 | $2,468 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 22 | $4,077 | $1,223.1 | $1,019.25 | $2,650.05 | $4,077 |
| MRI cervical spine with and without contrast | CPT | 72156 | 22 | $5,143 | $1,542.9 | $1,285.75 | $3,342.95 | $5,143 |
| MRI lumbar spine with contrast | CPT | 72158 | 22 | $4,703 | $1,410.9 | $1,175.75 | $3,056.95 | $4,703 |
| CT pelvis without contrast | CPT | 72192 | 22 | $2,313 | $693.9 | $578.25 | $1,503.45 | $2,313 |
| CT pelvis with contrast | CPT | 72193 | 22 | $4,246 | $1,273.8 | $1,061.5 | $2,759.9 | $4,246 |
| Shoulder X-ray | CPT | 73030 | 26 | $910.5 | $273.15 | $151.75 | $394.55 | $910.5 |
| Humerus X-ray | CPT | 73060 | 26 | $1,113 | $333.9 | $185.5 | $482.3 | $1,113 |
| Hand X-ray 3 views | CPT | 73130 | 26 | $1,272 | $381.6 | $212 | $551.2 | $1,272 |
| MRI upper extremity joint without contrast | CPT | 73221 | 22 | $8,389.5 | $2,516.85 | $1,398.25 | $3,635.45 | $8,389.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 22 | $6,768 | $2,030.4 | $1,692 | $4,399.2 | $6,768 |
| Knee X-ray 1-2 views | CPT | 73560 | 26 | $655.5 | $196.65 | $109.25 | $284.05 | $655.5 |
| Ankle X-ray 3 views | CPT | 73610 | 26 | $1,023 | $306.9 | $170.5 | $443.3 | $1,023 |
| MRI lower extremity joint without contrast | CPT | 73721 | 22 | $4,501.5 | $1,350.45 | $750.25 | $1,950.65 | $4,501.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 22 | $3,631 | $1,089.3 | $907.75 | $2,360.15 | $3,631 |
| CT abdomen without contrast | CPT | 74150 | 22 | $4,078 | $1,223.4 | $1,019.5 | $2,650.7 | $4,078 |
| CT abdomen with contrast | CPT | 74160 | 22 | $3,141 | $942.3 | $785.25 | $2,041.65 | $3,141 |
| CT abdomen with and without contrast | CPT | 74170 | 22 | $4,935 | $1,480.5 | $1,233.75 | $3,207.75 | $4,935 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 22 | $5,593 | $1,677.9 | $1,398.25 | $3,635.45 | $5,593 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 22 | $9,845 | $2,953.5 | $2,461.25 | $6,399.25 | $9,845 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 22 | $13,535 | $4,060.5 | $3,383.75 | $8,797.75 | $13,535 |
| MRI abdomen without contrast | CPT | 74181 | 22 | $3,208 | $962.4 | $802 | $2,085.2 | $3,208 |
| MRI abdomen with and without contrast | CPT | 74183 | 22 | $3,883 | $1,164.9 | $970.75 | $2,523.95 | $3,883 |
| Abdominal ultrasound complete | CPT | 76700 | 26 | $1,832 | $549.6 | $458 | $980.12 | $1,832 |
| Abdominal ultrasound limited | CPT | 76705 | 26 | $1,892 | $567.6 | $473 | $1,012.22 | $1,892 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 26 | $2,128 | $638.4 | $532 | $1,138.48 | $2,128 |
| Obstetric ultrasound first trimester | CPT | 76801 | 26 | $971 | $291.3 | $242.75 | $519.49 | $971 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 26 | $1,325 | $397.5 | $331.25 | $708.88 | $1,325 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 26 | $1,913 | $573.9 | $478.25 | $1,023.46 | $1,913 |
| Transvaginal ultrasound | CPT | 76830 | 26 | $1,187 | $356.1 | $296.75 | $635.05 | $1,187 |
| Pelvic ultrasound complete | CPT | 76856 | 26 | $2,090 | $627 | $522.5 | $1,118.15 | $2,090 |
| Scrotal ultrasound | CPT | 76870 | 26 | $1,919 | $575.7 | $479.75 | $1,026.67 | $1,919 |
| Diagnostic mammography unilateral | CPT | 77065 | 22 | $733 | $219.9 | $183.25 | $476.45 | $733 |
| Diagnostic mammography bilateral | CPT | 77066 | 22 | $977 | $293.1 | $244.25 | $635.05 | $977 |
| Screening mammography bilateral | CPT | 77067 | 22 | $888 | $266.4 | $222 | $577.2 | $888 |
| EKG tracing only | CPT | 93005 | 26 | $429 | $128.7 | $107.25 | $229.52 | $429 |
| Transthoracic echocardiogram complete | CPT | 93306 | 26 | $3,478 | $1,043.4 | $869.5 | $1,860.73 | $3,478 |
| Transthoracic echocardiogram | CPT | 93307 | 26 | $1,605 | $481.5 | $401.25 | $858.68 | $1,605 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 22 | $228 | $68.4 | $57 | $148.2 | $228 |
| General health panel | CPT | 80050 | 25 | $877 | $263.1 | $219.25 | $543.74 | $877 |
| Electrolyte panel | CPT | 80051 | 22 | $268 | $80.4 | $67 | $174.2 | $268 |
| Comprehensive metabolic panel | CPT | 80053 | 22 | $176 | $52.8 | $44 | $114.4 | $176 |
| Lipid panel | CPT | 80061 | 22 | $357 | $107.1 | $89.25 | $232.05 | $357 |
| Renal function panel | CPT | 80069 | 22 | $353 | $105.9 | $88.25 | $229.45 | $353 |
| Hepatic function panel | CPT | 80076 | 22 | $216 | $64.8 | $54 | $140.4 | $216 |
| Urinalysis non-automated | CPT | 81002 | 22 | $16 | $4.8 | $4 | $10.4 | $16 |
| Urinalysis automated | CPT | 81003 | 22 | $108 | $32.4 | $27 | $70.2 | $108 |
| Glucose quantitative | CPT | 82947 | 22 | $126 | $37.8 | $31.5 | $81.9 | $126 |
| Hemoglobin A1c | CPT | 83036 | 22 | $152 | $45.6 | $8 | $35 | $152 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 22 | $576 | $172.8 | $144 | $374.4 | $576 |
| Complete blood count with automated differential | CPT | 85025 | 22 | $239 | $71.7 | $59.75 | $155.35 | $239 |
| Complete blood count without differential | CPT | 85027 | 22 | $178 | $53.4 | $44.5 | $115.7 | $178 |
| Urine culture bacterial | CPT | 87086 | 22 | $161 | $48.3 | $40.25 | $104.65 | $161 |
| Tissue exam by pathologist level IV | CPT | 88305 | 22 | $1,352 | $405.6 | $338 | $878.8 | $1,352 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 26 | $712 | $213.6 | $178 | $320.4 | $712 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 20 | $3,933 | $1,179.9 | $983.25 | $2,556.45 | $3,933 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 20 | $4,457 | $1,337.1 | $1,114.25 | $2,897.05 | $4,457 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 20 | $1,245 | $373.5 | $311.25 | $809.25 | $1,245 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 20 | $2,547 | $764.1 | $636.75 | $1,655.55 | $2,547 |
| Colonoscopy diagnostic | CPT | 45378 | 20 | $3,968 | $1,190.4 | $992 | $2,579.2 | $3,968 |
| Colonoscopy with biopsy | CPT | 45380 | 20 | $4,366 | $1,309.8 | $1,091.5 | $2,837.9 | $4,366 |
| Colonoscopy with polyp removal | CPT | 45385 | 20 | $3,119 | $935.7 | $779.75 | $2,027.35 | $3,119 |
Payer mix (top 29)
| Payer | Codes covered | Median rate |
|---|---|---|
| black lung [6055] | 88 | $501.13 |
| osma health network [2345] | 88 | $501.13 |
| healthcare highways [2210] | 88 | $980.25 |
| Oscar Health | 88 | $473 |
| lucent health [6000] | 88 | $501.13 |
| hooray health [8000] | 88 | $501.13 |
| oncology patient assistance programs [2295] | 88 | $501.13 |
| web tpa [2115] | 85 | $1,358.5 |
| beacon health options behavioral health [2890] | 85 | $1,295.8 |
| Cigna | 85 | $1,720.07 |
| First Health | 85 | $859.23 |
| global health [1430] | 85 | $1,295.8 |
| healthpartners [1500] | 85 | $1,720.07 |
| medica [2910] | 85 | $1,542.42 |
| Multiplan | 85 | $1,542.42 |
| pba [1775] | 85 | $1,720.07 |
| pending ssi [1616] | 85 | $2,090 |
| resource one administrators [2815] | 85 | $1,358.5 |
| the kempton group administrators [2905] | 85 | $940.5 |
| universal fidelity [2085] | 85 | $1,358.5 |
| umr - ardent employee [2036] | 78 | $581.98 |
| healthscope benefits [2290] | 78 | $581.98 |
| Meritain Health | 22 | $426.27 |
| coresource [1315] | 22 | $426.27 |
| Aetna | 22 | $426.27 |
| allied benefit systems inc [1030] | 22 | $426.27 |
| nomi health [7090] | 1 | $219.69 |
| devoted health inc [7095] | 1 | $350.8 |
| triwest [3750] | 1 | $438.5 |