▸ Hospital · OK · CCN 370039
Hillcrest Hospital Claremore
1202 N. MUSKOGEE PLACE, CLAREMORE, OK, 74017
41 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Procedures tracked
96
of 209 target codes
Payers
30
with negotiated rates
Rates published
13,355
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 | 24 | $638 | $191.4 | $146.74 | $251.37 | $497.64 |
| ED visit level 2 | CPT | 99282 | 8 | $1,387 | $416.1 | $319.01 | $319.01 | $466.45 |
| ED visit level 3 | CPT | 99283 | 8 | $2,321 | $696.3 | $533.83 | $533.83 | $780.55 |
| ED visit level 4 | CPT | 99284 | 24 | $3,461 | $1,038.3 | $796.03 | $1,363.63 | $2,699.58 |
| ED visit level 5 | CPT | 99285 | 24 | $5,348 | $1,604.4 | $1,230.04 | $2,107.11 | $4,171.44 |
| Critical care, first hour | CPT | 99291 | 8 | $7,000 | $2,100 | $1,610 | $1,610 | $2,354.1 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 16 | $4,124 | $1,237.2 | $1,031 | $1,617.85 | $2,330.06 |
| CT head with contrast | CPT | 70460 | 16 | $4,614 | $1,384.2 | $1,153.5 | $1,810.07 | $2,606.91 |
| CT head with and without contrast | CPT | 70470 | 16 | $5,385 | $1,615.5 | $1,346.25 | $2,112.54 | $3,042.53 |
| CT neck with contrast | CPT | 70491 | 16 | $5,737 | $1,721.1 | $1,434.25 | $2,250.63 | $3,241.41 |
| MRI brain without contrast | CPT | 70551 | 16 | $3,519 | $1,055.7 | $879.75 | $1,380.5 | $1,988.24 |
| MRI brain with contrast | CPT | 70552 | 16 | $4,048 | $1,214.4 | $1,012 | $1,588.03 | $2,287.12 |
| MRI brain with and without contrast | CPT | 70553 | 16 | $4,795 | $1,438.5 | $1,198.75 | $1,881.08 | $2,709.18 |
| Chest X-ray single view | CPT | 71045 | 25 | $1,659 | $497.7 | $414.75 | $653.65 | $1,294.02 |
| Chest X-ray 2 views | CPT | 71046 | 25 | $1,867 | $560.1 | $466.75 | $735.6 | $1,456.26 |
| Chest X-ray 3 views | CPT | 71047 | 25 | $2,028 | $608.4 | $507 | $799.03 | $1,581.84 |
| CT chest without contrast | CPT | 71250 | 16 | $3,120 | $936 | $780 | $1,223.98 | $1,762.8 |
| CT chest with contrast | CPT | 71260 | 16 | $3,486 | $1,045.8 | $871.5 | $1,367.56 | $1,969.59 |
| CT chest with and without contrast | CPT | 71270 | 16 | $5,052 | $1,515.6 | $1,263 | $1,981.9 | $2,854.38 |
| Lumbosacral spine X-ray | CPT | 72100 | 25 | $2,935 | $880.5 | $733.75 | $1,156.39 | $2,289.3 |
| CT cervical spine without contrast | CPT | 72125 | 16 | $4,588 | $1,376.4 | $1,147 | $1,799.87 | $2,592.22 |
| CT thoracic spine without contrast | CPT | 72128 | 16 | $2,267 | $680.1 | $566.75 | $889.34 | $1,280.86 |
| CT lumbar spine without contrast | CPT | 72131 | 16 | $3,416 | $1,024.8 | $854 | $1,340.1 | $1,930.04 |
| MRI cervical spine without contrast | CPT | 72141 | 16 | $3,747 | $1,124.1 | $936.75 | $1,469.95 | $2,117.06 |
| MRI thoracic spine without contrast | CPT | 72146 | 16 | $3,197 | $959.1 | $799.25 | $1,254.18 | $1,806.31 |
| MRI lumbar spine without contrast | CPT | 72148 | 16 | $3,797 | $1,139.1 | $949.25 | $1,489.56 | $2,145.31 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 16 | $4,268 | $1,280.4 | $1,067 | $1,674.34 | $2,411.42 |
| MRI cervical spine with and without contrast | CPT | 72156 | 16 | $4,428 | $1,328.4 | $1,107 | $1,737.1 | $2,501.82 |
| MRI lumbar spine with contrast | CPT | 72158 | 16 | $4,658 | $1,397.4 | $1,164.5 | $1,827.33 | $2,631.77 |
| CT pelvis without contrast | CPT | 72192 | 16 | $3,230 | $969 | $807.5 | $1,267.13 | $1,824.95 |
| CT pelvis with contrast | CPT | 72193 | 16 | $3,556 | $1,066.8 | $889 | $1,395.02 | $2,009.14 |
| Shoulder X-ray | CPT | 73030 | 25 | $3,349.5 | $1,004.85 | $558.25 | $1,186.84 | $2,612.61 |
| Humerus X-ray | CPT | 73060 | 25 | $2,367 | $710.1 | $394.5 | $838.71 | $1,846.26 |
| Hand X-ray 3 views | CPT | 73130 | 25 | $3,124.5 | $937.35 | $520.75 | $1,107.12 | $2,437.11 |
| MRI upper extremity joint without contrast | CPT | 73221 | 16 | $7,138.5 | $2,141.55 | $1,189.75 | $1,875.05 | $4,033.25 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 16 | $5,342 | $1,602.6 | $1,335.5 | $2,095.67 | $3,018.23 |
| Knee X-ray 1-2 views | CPT | 73560 | 25 | $2,979 | $893.7 | $496.5 | $1,055.56 | $2,323.62 |
| Ankle X-ray 3 views | CPT | 73610 | 25 | $3,403.5 | $1,021.05 | $567.25 | $1,205.98 | $2,654.73 |
| MRI lower extremity joint without contrast | CPT | 73721 | 16 | $6,519 | $1,955.7 | $1,086.5 | $1,712.32 | $3,683.24 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 16 | $5,214 | $1,564.2 | $1,303.5 | $2,045.45 | $2,945.91 |
| CT abdomen without contrast | CPT | 74150 | 16 | $3,044 | $913.2 | $761 | $1,194.16 | $1,719.86 |
| CT abdomen with contrast | CPT | 74160 | 16 | $3,417 | $1,025.1 | $854.25 | $1,340.49 | $1,930.61 |
| CT abdomen with and without contrast | CPT | 74170 | 16 | $4,268 | $1,280.4 | $1,067 | $1,674.34 | $2,411.42 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 16 | $7,362 | $2,208.6 | $1,840.5 | $2,888.11 | $4,159.53 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 16 | $8,353 | $2,505.9 | $2,088.25 | $3,276.88 | $4,719.45 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 16 | $9,203 | $2,760.9 | $2,300.75 | $3,610.34 | $5,199.7 |
| MRI abdomen without contrast | CPT | 74181 | 16 | $3,476 | $1,042.8 | $869 | $1,363.63 | $1,963.94 |
| MRI abdomen with and without contrast | CPT | 74183 | 16 | $4,302 | $1,290.6 | $1,075.5 | $1,687.67 | $2,430.63 |
| Abdominal ultrasound complete | CPT | 76700 | 17 | $4,884 | $1,465.2 | $1,221 | $1,924.3 | $2,759.46 |
| Abdominal ultrasound limited | CPT | 76705 | 17 | $4,119 | $1,235.7 | $1,029.75 | $1,622.89 | $2,327.24 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 17 | $4,126 | $1,237.8 | $1,031.5 | $1,625.64 | $2,331.19 |
| Obstetric ultrasound first trimester | CPT | 76801 | 25 | $4,893 | $1,467.9 | $1,223.25 | $1,927.84 | $3,816.54 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 25 | $6,597 | $1,979.1 | $1,649.25 | $2,599.22 | $5,145.66 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 25 | $752 | $225.6 | $188 | $296.29 | $586.56 |
| Transvaginal ultrasound | CPT | 76830 | 25 | $3,641 | $1,092.3 | $910.25 | $1,434.55 | $2,839.98 |
| Pelvic ultrasound complete | CPT | 76856 | 17 | $4,303 | $1,290.9 | $1,075.75 | $1,695.38 | $2,431.2 |
| Scrotal ultrasound | CPT | 76870 | 17 | $3,998 | $1,199.4 | $999.5 | $1,575.21 | $2,258.87 |
| Diagnostic mammography unilateral | CPT | 77065 | 24 | $1,606 | $481.8 | $401.5 | $632.76 | $1,252.68 |
| Diagnostic mammography bilateral | CPT | 77066 | 24 | $2,141 | $642.3 | $535.25 | $843.55 | $1,669.98 |
| Screening mammography bilateral | CPT | 77067 | 24 | $1,946 | $583.8 | $486.5 | $766.72 | $1,517.88 |
| EKG tracing only | CPT | 93005 | 25 | $522 | $156.6 | $130.5 | $205.67 | $407.16 |
| Transthoracic echocardiogram complete | CPT | 93306 | 25 | $5,773 | $1,731.9 | $1,443.25 | $2,274.56 | $4,502.94 |
| Transthoracic echocardiogram | CPT | 93307 | 25 | $2,715 | $814.5 | $678.75 | $1,069.71 | $2,117.7 |
| Stress echocardiogram | CPT | 93350 | 25 | $3,483 | $1,044.9 | $870.75 | $1,372.3 | $2,716.74 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 24 | $312 | $93.6 | $78 | $122.93 | $243.36 |
| General health panel | CPT | 80050 | 29 | $865 | $259.5 | $216.25 | $340.81 | $674.7 |
| Electrolyte panel | CPT | 80051 | 24 | $32 | $9.6 | $8 | $12.61 | $24.96 |
| Comprehensive metabolic panel | CPT | 80053 | 24 | $424 | $127.2 | $106 | $167.06 | $330.72 |
| Lipid panel | CPT | 80061 | 24 | $309 | $92.7 | $77.25 | $121.75 | $241.02 |
| Renal function panel | CPT | 80069 | 24 | $415 | $124.5 | $103.75 | $163.51 | $323.7 |
| Hepatic function panel | CPT | 80076 | 24 | $216 | $64.8 | $54 | $85.1 | $168.48 |
| Urinalysis non-automated | CPT | 81002 | 24 | $16 | $4.8 | $4 | $6.3 | $12.48 |
| Urinalysis automated | CPT | 81003 | 24 | $149 | $44.7 | $37.25 | $58.71 | $116.22 |
| Glucose quantitative | CPT | 82947 | 24 | $109 | $32.7 | $27.25 | $42.95 | $85.02 |
| Hemoglobin A1c | CPT | 83036 | 24 | $199 | $59.7 | $8 | $37.36 | $155.22 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 24 | $308 | $92.4 | $77 | $121.35 | $240.24 |
| Complete blood count with automated differential | CPT | 85025 | 24 | $332 | $99.6 | $83 | $130.81 | $258.96 |
| Complete blood count without differential | CPT | 85027 | 24 | $258 | $77.4 | $64.5 | $101.65 | $201.24 |
| Urine culture bacterial | CPT | 87086 | 24 | $259 | $77.7 | $64.75 | $102.05 | $202.02 |
| Urine culture identification | CPT | 87088 | 24 | $35 | $10.5 | $8.75 | $13.79 | $27.3 |
| Tissue exam by pathologist level IV | CPT | 88305 | 24 | $1,696 | $508.8 | $424 | $668.22 | $1,322.88 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 25 | $749 | $224.7 | $187.25 | $295.11 | $584.22 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 25 | $712 | $213.6 | $178 | $280.53 | $555.36 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 14 | $8,808 | $2,642.4 | $2,202 | $3,470.35 | $4,976.52 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 14 | $9,979 | $2,993.7 | $2,494.75 | $3,931.73 | $5,638.14 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | $2,322 | $696.6 | $580.5 | $914.87 | $1,311.93 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 14 | $4,748 | $1,424.4 | $1,187 | $1,870.71 | $2,682.62 |
| Colonoscopy diagnostic | CPT | 45378 | 14 | $10,570 | $3,171 | $2,642.5 | $4,164.58 | $5,972.05 |
| Colonoscopy with biopsy | CPT | 45380 | 14 | $15,119 | $4,535.7 | $3,779.75 | $5,956.89 | $8,542.24 |
| Colonoscopy with polyp removal | CPT | 45385 | 14 | $11,630 | $3,489 | $2,907.5 | $4,582.22 | $6,570.95 |
| surgery | ||||||||
| PCI single major coronary artery | CPT | 92920 | 24 | $32,055 | $9,616.5 | $8,013.75 | $12,630 | $25,003 |
| PCI with drug-eluting stent | CPT | 92928 | 24 | $32,055 | $9,616.5 | $8,013.75 | $12,630 | $25,003 |
| PCI bypass graft | CPT | 92937 | 24 | $32,055 | $9,616.5 | $8,013.75 | $12,630 | $25,003 |
| Left heart catheterization | CPT | 93452 | 25 | $10,412 | $3,123.6 | $2,603 | $4,102.33 | $8,121.36 |
| Coronary angiography with cath | CPT | 93455 | 25 | $11,136 | $3,340.8 | $2,784 | $4,387.58 | $8,686.08 |
| Coronary angiography with bypass cath | CPT | 93458 | 25 | $21,738 | $6,521.4 | $5,434.5 | $8,564.77 | $16,956 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 96 | $1,352.06 |
| lucent health [6000] | 96 | $861.63 |
| hooray health [8000] | 96 | $861.63 |
| black lung [6055] | 96 | $861.63 |
| osma health network [2345] | 96 | $861.63 |
| Oscar Health | 96 | $850.88 |
| healthcare highways [2210] | 96 | $1,259.62 |
| oncology patient assistance programs [2295] | 96 | $861.63 |
| the kempton group administrators [2905] | 93 | $1,564.2 |
| beacon health options behavioral health [2890] | 93 | $1,494.68 |
| web tpa [2115] | 93 | $1,369.54 |
| medica [2910] | 93 | $1,963.94 |
| pba [1775] | 93 | $1,731.05 |
| resource one administrators [2815] | 93 | $1,369.54 |
| healthscope benefits [2290] | 86 | $1,026.32 |
| umr - ardent employee [2036] | 86 | $1,026.32 |
| healthcost solutions [2415] | 48 | $1,487.07 |
| employee benefit management services [2445] | 48 | $1,391.75 |
| universal fidelity [2085] | 48 | $1,487.07 |
| trustmark [2030] | 48 | $1,487.07 |
| planned administrators inc [2360] | 48 | $1,487.07 |
| hometown health [2155] | 48 | $1,487.07 |
| mayo clinic health solutions [2280] | 48 | $1,487.07 |
| Healthfirst | 48 | $1,487.07 |
| Aetna | 27 | $1,339.72 |
| triwest [3750] | 1 | $432.5 |
| preferred community care [1825] | 1 | $389.25 |
| nomi health [7090] | 1 | $216.68 |
| devoted health inc [7095] | 1 | $346 |
| consociate care [6085] | 1 | $432.5 |