▸ Hospital · OK · CCN 370215

OKLAHOMA HEART HOSPITAL

4050 W MEMORIAL ROAD, OKLAHOMA CITY, OK, 73120-

97 bedsAcute Care Hospitals5

Compliance grade

100/100

Rates published

7,938

last crawl 2026-05-23

Procedures tracked

115

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OK hospitals JSON

Source MRF: https://www.okheart.com/wp-content/uploads/price-transparency/261131647-1841442274_Oklahoma-Heart-Hospital-South-LLC_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	23	$602.8	$210.98	$75.93	$319.48	$4,733.08
ED visit level 2	CPT	99282	23	$1,105.5	$386.92	$138.27	$585.92	$4,733.08
ED visit level 3	CPT	99283	23	$1,353	$473.55	$245.82	$832	$4,733.08
ED visit level 4	CPT	99284	23	$1,463	$512.05	$365.75	$950.95	$4,733.08
ED visit level 5	CPT	99285	25	$1,789.81	$12,800	$25	$1,100.74	$14,802
Critical care, first hour	CPT	99291	23	$2,037.42	$713.1	$509.36	$1,212.27	$1,986.12
imaging
CT head without contrast	CPT	70450	25	$2,114.22	$739.98	$25	$103.57	$1,902.8
CT head with contrast	CPT	70460	23	$2,525.88	$884.06	$79.02	$337.39	$2,273.29
CT head with and without contrast	CPT	70470	25	$1,229.82	$430.44	$94.13	$308.28	$1,106.84
CT neck with contrast	CPT	70491	25	$874.06	$305.92	$98.72	$402.07	$786.65
MRI brain without contrast	CPT	70551	25	$2,361.46	$826.51	$25	$232.92	$2,125.31
MRI brain with contrast	CPT	70552	23	$2,796.21	$978.67	$154.55	$1,094.53	$2,516.59
MRI brain with and without contrast	CPT	70553	25	$2,361.46	$826.51	$174.52	$1,086.27	$2,125.31
Chest X-ray single view	CPT	71045	25	$213.42	$13,064	$14.01	$88.91	$53,535
Chest X-ray 2 views	CPT	71046	25	$213.42	$697.66	$18.87	$83.7	$209.25
Chest X-ray 3 views	CPT	71047	25	$228.54	$79.99	$23.45	$88.91	$209.25
CT chest without contrast	CPT	71250	25	$1,563.9	$547.36	$68.25	$414.82	$1,407.51
CT chest with contrast	CPT	71260	25	$1,563.9	$547.36	$157.95	$600.19	$1,407.51
CT chest with and without contrast	CPT	71270	25	$1,563.9	$547.36	$113.56	$650.04	$1,407.51
MRI chest without contrast	CPT	71550	23	$1,082.09	$378.73	$194.87	$637.94	$1,433.65
MRI chest with contrast	CPT	71551	23	$1,250.96	$437.84	$240.63	$813.12	$1,884.88
MRI chest with and without contrast	CPT	71552	23	$1,654.51	$579.08	$288.11	$992.71	$1,489.06
Lumbosacral spine X-ray	CPT	72100	25	$307.59	$107.66	$23.45	$103.57	$276.83
CT cervical spine without contrast	CPT	72125	25	$1,233.67	$431.78	$69.06	$540.37	$1,110.3
CT thoracic spine without contrast	CPT	72128	25	$1,233.67	$431.78	$68.79	$540.37	$1,110.3
CT lumbar spine without contrast	CPT	72131	25	$633.63	$221.77	$94.14	$291.47	$570.27
MRI cervical spine without contrast	CPT	72141	25	$2,067.24	$723.53	$100.07	$617.6	$1,860.52
MRI thoracic spine without contrast	CPT	72146	25	$2,092.39	$732.34	$100.34	$617.6	$1,883.15
MRI lumbar spine without contrast	CPT	72148	25	$2,081.85	$728.65	$100.61	$617.6	$1,873.67
MRI lumbar spine with and without contrast	CPT	72149	23	$1,250.96	$437.84	$153.74	$617.6	$1,125.86
MRI cervical spine with and without contrast	CPT	72156	25	$1,654.51	$579.08	$175.06	$617.6	$1,489.06
MRI lumbar spine with contrast	CPT	72158	25	$2,082.15	$728.75	$174.52	$617.6	$1,873.94
CT pelvis without contrast	CPT	72192	25	$1,791.09	$626.88	$67.98	$447.77	$1,611.98
CT pelvis with contrast	CPT	72193	23	$2,096.08	$733.63	$157.95	$798.34	$1,886.47
Shoulder X-ray	CPT	73030	25	$228.54	$79.99	$20.75	$86.21	$209.25
Humerus X-ray	CPT	73060	25	$228.54	$79.99	$19.68	$86.21	$209.25
Hand X-ray 3 views	CPT	73130	25	$228.54	$79.99	$23.45	$86.21	$209.25
MRI upper extremity joint without contrast	CPT	73221	25	$1,801.98	$630.69	$115.69	$697.23	$1,621.78
MRI upper extremity joint with and without contrast	CPT	73223	25	$1,654.51	$579.08	$233.35	$697.23	$1,489.06
Knee X-ray 1-2 views	CPT	73560	25	$228.54	$79.99	$21.02	$86.21	$209.25
Ankle X-ray 3 views	CPT	73610	25	$279.02	$97.66	$22.64	$86.21	$251.12
MRI lower extremity joint without contrast	CPT	73721	25	$1,801.98	$630.69	$115.42	$697.23	$1,621.78
MRI lower extremity joint with and without contrast	CPT	73723	23	$1,654.51	$579.08	$232.54	$697.23	$1,489.06
CT abdomen without contrast	CPT	74150	25	$1,808.27	$632.89	$66.9	$452.07	$1,627.44
CT abdomen with contrast	CPT	74160	25	$2,053.12	$718.59	$157.95	$600.19	$1,847.81
CT abdomen with and without contrast	CPT	74170	25	$3,092	$1,082.2	$143.01	$798.34	$2,782.8
CT abdomen and pelvis without contrast	CPT	74176	25	$3,024.82	$1,058.69	$25	$229.48	$2,722.34
CT abdomen and pelvis with contrast	CPT	74177	25	$3,825.4	$1,338.89	$178.32	$798.34	$3,442.86
CT abdomen and pelvis with and without contrast	CPT	74178	25	$3,134.52	$1,097.08	$201.24	$798.34	$2,821.07
MRI abdomen without contrast	CPT	74181	25	$1,607	$562.45	$105.19	$721.29	$1,636.08
MRI abdomen with and without contrast	CPT	74183	25	$1,654.51	$579.08	$193.41	$978.46	$1,636.08
Abdominal ultrasound complete	CPT	76700	25	$484.93	$169.73	$62.56	$223.07	$436.44
Abdominal ultrasound limited	CPT	76705	25	$484.93	$169.73	$47.74	$223.07	$436.44
Retroperitoneal ultrasound complete	CPT	76770	23	$811.14	$283.9	$59.05	$298.57	$730.03
Pelvic ultrasound complete	CPT	76856	23	$307.29	$107.55	$58.51	$193.59	$291.63
Scrotal ultrasound	CPT	76870	25	$307.29	$107.55	$56.35	$144.43	$291.63
EKG complete	CPT	93000	23	$131.5	$46.02	$12.12	$60.49	$118.35
EKG tracing only	CPT	93005	25	$149.46	$201.82	$5.1	$70	$209.25
EKG interpretation only	CPT	93010	24	$74.4	$26.04	$7.01	$34.97	$66.96
Transthoracic echocardiogram complete	CPT	93306	25	$2,254.56	$792.26	$25	$735.74	$2,029.1
Transthoracic echocardiogram	CPT	93307	22	$2,254.56	$789.1	$214.86	$1,063.79	$2,029.1
Stress echocardiogram	CPT	93350	25	$2,254.56	$789.1	$391.16	$977.91	$2,029.1
inpatient
Intracranial hemorrhage/CVA w CC	MS-DRG	065	25	—	$7,862.13	$25	$8,850.23	$19,811
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	25	—	$8,853.94	$25	$5,947.44	$11,773
Respiratory infections & inflammations w MCC	MS-DRG	177	23	—	$11,435	$25	$11,649	$19,495
COPD w MCC	MS-DRG	190	23	—	$9,561.51	$25	$7,792.09	$13,818
COPD w/o CC/MCC	MS-DRG	192	23	—	$12,667	$25	$4,785.93	$8,008.9
Simple pneumonia & pleurisy w CC	MS-DRG	194	23	—	$6,152.67	$25	$6,007.76	$10,054
AMI discharged alive w MCC	MS-DRG	280	25	—	$13,501	$25	$13,940	$26,217
AMI discharged alive w CC	MS-DRG	281	25	—	$10,357	$25	$7,986.98	$16,637
AMI discharged alive w/o CC/MCC	MS-DRG	282	25	—	$11,101	$25	$6,334.36	$14,575
Heart failure & shock w MCC	MS-DRG	291	25	—	$8,422.66	$25	$11,156	$20,914
Heart failure & shock w CC	MS-DRG	292	25	—	$5,421.73	$25	$7,377.81	$13,944
Cardiac arrhythmia w MCC	MS-DRG	308	25	—	$9,026.06	$25	$10,547	$22,835
Cardiac arrhythmia w CC	MS-DRG	309	25	—	$4,707.75	$25	$6,393.23	$11,747
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	25	—	$4,757.34	$25	$4,905.88	$8,173
GI hemorrhage w CC	MS-DRG	378	23	—	$12,819	$25	$7,310.84	$12,234
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	23	—	$10,872	$25	$5,811.7	$9,725.45
Kidney/UTI w MCC	MS-DRG	689	23	—	$7,489.93	$25	$8,162.09	$14,475
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	23	—	$19,189	$25	$14,481	$35,023
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	23	—	$11,223	$25	$8,458.09	$20,262
lab
Basic metabolic panel (BMP)	CPT	80048	25	$82	$235.34	$7.53	$53	$320.12
Electrolyte panel	CPT	80051	25	$41	$14.35	$6.24	$22.96	$40.89
Comprehensive metabolic panel	CPT	80053	25	$205.39	$179.94	$9.39	$40.89	$184.85
Lipid panel	CPT	80061	25	$51	$157.75	$11.91	$33.15	$90
Renal function panel	CPT	80069	25	$151	$52.85	$7.72	$40.89	$135.9
Hepatic function panel	CPT	80076	25	$156	$54.6	$7.27	$40.89	$140.4
Urinalysis non-automated	CPT	81002	25	$25.64	$8.97	$3.1	$8.42	$23.08
Urinalysis automated	CPT	81003	25	$22	$455.71	$2	$15.18	$209.25
Glucose quantitative	CPT	82947	25	$52	$15,619	$3.5	$26.28	$14,802
Hemoglobin A1c	CPT	83036	25	$100	$189.04	$8.64	$37.74	$90
Thyroid stimulating hormone (TSH)	CPT	84443	25	$154	$226.24	$14.94	$61.58	$138.6
Complete blood count with automated differential	CPT	85025	25	$38	$165.94	$6.91	$25.38	$90
Complete blood count without differential	CPT	85027	25	$38	$9,290.86	$5.75	$27.77	$53,535
Urine culture bacterial	CPT	87086	25	$30	$286.16	$7.18	$20.7	$90
Urine culture identification	CPT	87088	23	$81	$28.35	$7.2	$21	$72.9
Tissue exam by pathologist level IV	CPT	88305	25	$1,364	$2,798.28	$25	$88.42	$8,964.53
office
Office visit, new patient, 15-29 min	CPT	99202	25	$309.1	$108.18	$61.19	$171.55	$320.12
Office visit, new patient, 30-44 minutes	CPT	99203	25	$249.06	$87.17	$62.27	$141.49	$320.12
Office visit, new patient, 45-59 min	CPT	99204	25	$317.01	$156.97	$25	$128.05	$320.12
Office visit, new patient, 60-74 min	CPT	99205	25	$468.09	$163.83	$117.02	$234.05	$421.28
Office visit, established patient, 5 min	CPT	99211	25	$162.95	$57.03	$7.46	$88.29	$320.12
Office visit, established patient, 10-19 min	CPT	99212	25	$194.7	$68.14	$48.07	$128.05	$320.12
Office visit, established patient, 20-29 minutes	CPT	99213	25	$249.06	$87.17	$62.27	$141.49	$320.12
Office visit, established patient, 30-39 minutes	CPT	99214	25	$317.01	$110.95	$25	$128.05	$320.12
Office visit, established patient, 40-54 min	CPT	99215	25	$468.09	$163.83	$117.02	$234.05	$421.28
preventive
Upper GI endoscopy diagnostic	CPT	43235	23	$2,135.1	$747.28	$533.78	$1,473.22	$2,180.78
Upper GI endoscopy with biopsy	CPT	43239	25	$1,495.18	$10,319	$25	$897.8	$2,180.78
surgery
Major small/large bowel procedures w CC	MS-DRG	330	23	—	$67,308	$25	$16,614	$29,905
PCI single major coronary artery	CPT	92920	25	$16,270	$12,191	$25	$5,814.84	$54,873
PCI with drug-eluting stent	CPT	92928	25	$32,362	$16,707	$25	$11,615	$55,318
PCI bypass graft	CPT	92937	25	$37,097	$12,984	$7,000	$22,206	$54,873
Left heart catheterization	CPT	93452	25	$13,631	$4,770.96	$506.41	$7,794.98	$14,802
Coronary angiography with cath	CPT	93455	25	$13,631	$6,322.18	$25	$3,312.15	$14,802
Coronary angiography with bypass cath	CPT	93458	25	$13,631	$6,096.55	$25	$3,312.15	$14,802

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 25)

Payer	Codes covered	Median rate
webtpa hobby lobby hch	115	$121.13
Ambetter	115	$236.17
Blue Cross Blue Shield	115	$617.6
Cigna	115	$246.01
community care	115	$414.82
the kempton group	115	$421.74
ufcw	115	$401.84
va ccn	115	$168.7
webtpa chickasaw nation hch	115	$107.41
Aetna	115	$138.44
healthcare highways	115	$137.12
healthscope	115	$332.3
Humana	115	$157.95
Medicare	115	$168.7
Medicare Advantage	115	$173.76
Multiplan	115	$205.69
Oscar Health	115	$332.3
phcs	115	$505.67
preferred community choice	115	$413.34
sana benefits	115	$401.84
global health	114	$689.1
First Health	105	$196.82
manhattan life	105	$328.79
UnitedHealthcare	96	$168.7
GEHA	95	$179.2

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