▸ Hospital · OK · CCN 370183

Hillcrest Hospital Henryetta

DEWEY BARTLETT & MAIN, HENRYETTA, OK, 74437

15 bedsAcute Care Hospitals4

Compliance grade

100/100

Rates published

14,980

last crawl 2026-05-24

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OK hospitals JSON

Source MRF: https://cdn.ardenthealthservices.com/price-transparency/20-1026264_Hillcrest-Hospital-Henryetta_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	24	$555	$166.5	$127.65	$444	$555
ED visit level 2	CPT	99282	2	$1,109	$332.7	$255.07	$255.07	$255.07
ED visit level 3	CPT	99283	2	$1,653	$495.9	$380.19	$380.19	$380.19
ED visit level 4	CPT	99284	24	$2,377	$713.1	$546.71	$1,901.6	$2,377
ED visit level 5	CPT	99285	24	$3,052	$915.6	$701.96	$2,441.6	$3,052
Critical care, first hour	CPT	99291	2	$4,111	$1,233.3	$945.53	$945.53	$945.53
imaging
CT head without contrast	CPT	70450	12	$3,556	$1,066.8	$889	$2,076.71	$3,556
CT head with contrast	CPT	70460	12	$716	$214.8	$179	$418.15	$716
CT head with and without contrast	CPT	70470	12	$4,652	$1,395.6	$1,163	$2,716.77	$4,652
CT neck with contrast	CPT	70491	12	$3,853	$1,155.9	$963.25	$2,250.15	$3,853
MRI brain without contrast	CPT	70551	12	$3,524	$1,057.2	$881	$2,058.02	$3,524
MRI brain with contrast	CPT	70552	12	$3,889	$1,166.7	$972.25	$2,271.18	$3,889
MRI brain with and without contrast	CPT	70553	12	$4,699	$1,409.7	$1,174.75	$2,744.22	$4,699
Chest X-ray single view	CPT	71045	27	$393	$117.9	$98.25	$314.4	$393
Chest X-ray 2 views	CPT	71046	27	$590	$177	$147.5	$472	$590
Chest X-ray 3 views	CPT	71047	27	$649	$194.7	$162.25	$519.2	$649
CT chest without contrast	CPT	71250	12	$3,258	$977.4	$814.5	$1,902.67	$3,258
CT chest with contrast	CPT	71260	12	$3,989	$1,196.7	$997.25	$2,329.58	$3,989
CT chest with and without contrast	CPT	71270	12	$4,624	$1,387.2	$1,156	$2,700.42	$4,624
Lumbosacral spine X-ray	CPT	72100	27	$1,101	$330.3	$275.25	$880.8	$1,101
CT cervical spine without contrast	CPT	72125	12	$3,514	$1,054.2	$878.5	$2,052.18	$3,514
CT thoracic spine without contrast	CPT	72128	12	$3,012	$903.6	$753	$1,759.01	$3,012
CT lumbar spine without contrast	CPT	72131	12	$3,486	$1,045.8	$871.5	$2,035.83	$3,486
MRI cervical spine without contrast	CPT	72141	12	$3,957	$1,187.1	$989.25	$2,310.89	$3,957
MRI thoracic spine without contrast	CPT	72146	12	$5,261	$1,578.3	$1,315.25	$3,072.43	$5,261
MRI lumbar spine without contrast	CPT	72148	12	$5,146	$1,543.8	$1,286.5	$3,005.27	$5,146
MRI lumbar spine with and without contrast	CPT	72149	12	$5,661	$1,698.3	$1,415.25	$3,306.03	$5,661
MRI cervical spine with and without contrast	CPT	72156	12	$6,011	$1,803.3	$1,502.75	$3,510.43	$6,011
MRI lumbar spine with contrast	CPT	72158	12	$5,781	$1,734.3	$1,445.25	$3,376.11	$5,781
CT pelvis without contrast	CPT	72192	12	$2,235	$670.5	$558.75	$1,305.24	$2,235
CT pelvis with contrast	CPT	72193	12	$3,303	$990.9	$825.75	$1,928.95	$3,303
Shoulder X-ray	CPT	73030	27	$1,392	$417.6	$232	$798.08	$1,392
Humerus X-ray	CPT	73060	27	$1,321.5	$396.45	$220.25	$757.66	$1,321.5
Hand X-ray 3 views	CPT	73130	27	$1,488	$446.4	$248	$853.12	$1,488
MRI upper extremity joint without contrast	CPT	73221	12	$8,325	$2,497.5	$1,387.5	$4,251.3	$8,325
MRI upper extremity joint with and without contrast	CPT	73223	12	$5,661	$1,698.3	$1,415.25	$3,306.03	$5,661
Knee X-ray 1-2 views	CPT	73560	27	$1,345.5	$403.65	$224.25	$771.42	$1,345.5
Ankle X-ray 3 views	CPT	73610	27	$1,497	$449.1	$249.5	$858.28	$1,497
MRI lower extremity joint without contrast	CPT	73721	12	$7,903.5	$2,371.05	$1,317.25	$4,036.06	$7,903.5
MRI lower extremity joint with and without contrast	CPT	73723	12	$6,230	$1,869	$1,557.5	$3,638.32	$6,230
CT abdomen without contrast	CPT	74150	12	$3,142	$942.6	$785.5	$1,834.93	$3,142
CT abdomen with contrast	CPT	74160	12	$3,892	$1,167.6	$973	$2,272.93	$3,892
CT abdomen with and without contrast	CPT	74170	12	$3,920	$1,176	$980	$2,289.28	$3,920
CT abdomen and pelvis without contrast	CPT	74176	12	$2,931	$879.3	$732.75	$1,711.71	$2,931
CT abdomen and pelvis with contrast	CPT	74177	12	$4,337	$1,301.1	$1,084.25	$2,532.81	$4,337
CT abdomen and pelvis with and without contrast	CPT	74178	12	$4,778	$1,433.4	$1,194.5	$2,790.35	$4,778
Abdominal ultrasound complete	CPT	76700	15	$1,598	$479.4	$399.5	$875.7	$1,598
Abdominal ultrasound limited	CPT	76705	15	$1,268	$380.4	$317	$694.86	$1,268
Retroperitoneal ultrasound complete	CPT	76770	15	$1,604	$481.2	$401	$878.99	$1,604
Obstetric ultrasound first trimester	CPT	76801	27	$1,233	$369.9	$308.25	$986.4	$1,233
Obstetric ultrasound after first trimester	CPT	76805	27	$1,573	$471.9	$393.25	$1,258.4	$1,573
Obstetric ultrasound with fetal anatomy	CPT	76811	27	$1,913	$573.9	$478.25	$1,530.4	$1,913
Transvaginal ultrasound	CPT	76830	27	$1,728	$518.4	$432	$1,382.4	$1,728
Pelvic ultrasound complete	CPT	76856	15	$1,542	$462.6	$385.5	$845.02	$1,542
Scrotal ultrasound	CPT	76870	15	$1,150	$345	$287.5	$630.2	$1,150
Diagnostic mammography unilateral	CPT	77065	24	$969	$290.7	$242.25	$775.2	$969
Screening mammography bilateral	CPT	77067	24	$397	$119.1	$99.25	$317.6	$397
EKG tracing only	CPT	93005	27	$390	$117	$97.5	$312	$390
Transthoracic echocardiogram complete	CPT	93306	27	$3,395	$1,018.5	$848.75	$2,716	$3,395
Transthoracic echocardiogram	CPT	93307	27	$2,433	$729.9	$608.25	$1,946.4	$2,433
lab
Basic metabolic panel (BMP)	CPT	80048	24	$277	$83.1	$69.25	$221.6	$277
General health panel	CPT	80050	24	$924	$277.2	$231	$739.2	$924
Electrolyte panel	CPT	80051	24	$202	$60.6	$50.5	$161.6	$202
Comprehensive metabolic panel	CPT	80053	24	$363	$108.9	$90.75	$290.4	$363
Lipid panel	CPT	80061	24	$365	$109.5	$91.25	$292	$365
Renal function panel	CPT	80069	24	$265	$79.5	$66.25	$212	$265
Hepatic function panel	CPT	80076	24	$208	$62.4	$52	$166.4	$208
Urinalysis non-automated	CPT	81002	24	$16	$4.8	$4	$12.8	$16
Urinalysis automated	CPT	81003	24	$12	$3.6	$3	$9.6	$12
Glucose quantitative	CPT	82947	24	$134	$40.2	$33.5	$107.2	$134
Hemoglobin A1c	CPT	83036	24	$197	$59.1	$8	$40.63	$197
Thyroid stimulating hormone (TSH)	CPT	84443	24	$324	$97.2	$81	$259.2	$324
Complete blood count with automated differential	CPT	85025	24	$226	$67.8	$56.5	$180.8	$226
Complete blood count without differential	CPT	85027	24	$108	$32.4	$27	$86.4	$108
Urine culture bacterial	CPT	87086	24	$440	$132	$110	$352	$440
Urine culture identification	CPT	87088	24	$207	$62.1	$51.75	$165.6	$207
Tissue exam by pathologist level IV	CPT	88305	24	$203	$60.9	$50.75	$162.4	$203
office
Office visit, established patient, 5 min	CPT	99211	27	$406	$121.8	$101.5	$324.8	$406
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	$4,267	$1,280.1	$1,066.75	$2,491.93	$4,267
Upper GI endoscopy with biopsy	CPT	43239	12	$4,694	$1,408.2	$1,173.5	$2,741.3	$4,694
Sigmoidoscopy diagnostic	CPT	45330	12	$2,688	$806.4	$672	$1,569.79	$2,688
Sigmoidoscopy with biopsy	CPT	45331	12	$2,957	$887.1	$739.25	$1,726.89	$2,957
Colonoscopy diagnostic	CPT	45378	12	$10,620	$3,186	$2,655	$6,202.08	$10,620
Colonoscopy with biopsy	CPT	45380	12	$11,684	$3,505.2	$2,921	$6,823.46	$11,684
Colonoscopy with polyp removal	CPT	45385	12	$10,834	$3,250.2	$2,708.5	$6,327.06	$10,834

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 27)

Payer	Codes covered	Median rate
lucent health [6000]	85	$401
black lung [6055]	85	$401
healthcare solutions [1485]	82	$1,182.86
healthpartners [1500]	82	$912.97
healthsmart [1505]	82	$1,416.1
national association of letter carriers [1695]	82	$912.97
Multiplan	82	$895.98
First Health	82	$758.13
Cigna	82	$912.97
pending ssi [1616]	82	$1,666
global health [1430]	82	$1,032.92
pba [1775]	82	$912.97
trustmark [2030]	39	$507.4
allied benefit systems inc [1030]	39	$507.4
allied national global care [1035]	39	$507.4
community care [1290]	39	$472
fmh benefit services [1390]	39	$472
gilsbar [1425]	39	$507.4
group resources [1455]	39	$472
Health Net	39	$507.4
pan american life insurance co [1770]	39	$507.4
phcs [1780]	39	$492.35
administrative concepts [1005]	39	$507.4
new era life insurance company [1705]	39	$507.4
Meritain Health	22	$556.65
coresource [1315]	22	$556.65
Aetna	22	$556.65

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