▸ Hospital · OK · CCN 370228
Bailey Medical Center, Llc
10502 NORTH 110TH EAST AVENUE, OWASSO, OK, 74055
41 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Procedures tracked
90
of 209 target codes
Payers
30
with negotiated rates
Rates published
23,045
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 | 37 | $927 | $278.1 | $213.21 | $630.36 | $927 |
| ED visit level 2 | CPT | 99282 | 9 | $1,715 | $514.5 | $394.45 | $394.45 | $872.94 |
| ED visit level 3 | CPT | 99283 | 9 | $2,504 | $751.2 | $575.92 | $575.92 | $1,274.54 |
| ED visit level 4 | CPT | 99284 | 37 | $3,617 | $1,085.1 | $831.91 | $2,459.56 | $3,617 |
| ED visit level 5 | CPT | 99285 | 37 | $4,705 | $1,411.5 | $1,082.15 | $3,199.4 | $4,705 |
| Critical care, first hour | CPT | 99291 | 9 | $6,167 | $1,850.1 | $1,418.41 | $1,418.41 | $3,139 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 16 | $4,761 | $1,428.3 | $1,190.25 | $1,309.28 | $4,761 |
| CT head with contrast | CPT | 70460 | 16 | $5,068 | $1,520.4 | $1,267 | $1,393.7 | $5,068 |
| CT head with and without contrast | CPT | 70470 | 16 | $5,776 | $1,732.8 | $1,444 | $1,588.4 | $5,776 |
| CT neck with contrast | CPT | 70491 | 16 | $4,935 | $1,480.5 | $1,233.75 | $1,357.13 | $4,935 |
| MRI brain without contrast | CPT | 70551 | 16 | $5,836 | $1,750.8 | $1,459 | $1,604.9 | $5,836 |
| MRI brain with contrast | CPT | 70552 | 16 | $6,258 | $1,877.4 | $1,564.5 | $1,720.95 | $6,258 |
| MRI brain with and without contrast | CPT | 70553 | 16 | $6,669 | $2,000.7 | $1,667.25 | $1,833.98 | $6,669 |
| Chest X-ray single view | CPT | 71045 | 40 | $958 | $287.4 | $239.5 | $487.62 | $958 |
| Chest X-ray 2 views | CPT | 71046 | 40 | $1,347 | $404.1 | $336.75 | $685.62 | $1,347 |
| CT chest without contrast | CPT | 71250 | 16 | $3,864 | $1,159.2 | $966 | $1,062.6 | $3,864 |
| CT chest with contrast | CPT | 71260 | 16 | $4,660 | $1,398 | $1,165 | $1,281.5 | $4,660 |
| CT chest with and without contrast | CPT | 71270 | 16 | $5,119 | $1,535.7 | $1,279.75 | $1,407.73 | $5,119 |
| MRI chest without contrast | CPT | 71550 | 16 | $4,028 | $1,208.4 | $1,007 | $1,107.7 | $4,028 |
| MRI chest with contrast | CPT | 71551 | 5 | $5,812 | $1,743.6 | $1,453 | $1,453 | $1,453 |
| Lumbosacral spine X-ray | CPT | 72100 | 40 | $1,120 | $336 | $280 | $570.08 | $1,120 |
| CT cervical spine without contrast | CPT | 72125 | 16 | $4,724 | $1,417.2 | $1,181 | $1,299.1 | $4,724 |
| CT thoracic spine without contrast | CPT | 72128 | 16 | $4,056 | $1,216.8 | $1,014 | $1,115.4 | $4,056 |
| CT lumbar spine without contrast | CPT | 72131 | 16 | $4,432 | $1,329.6 | $1,108 | $1,218.8 | $4,432 |
| MRI cervical spine without contrast | CPT | 72141 | 16 | $5,296 | $1,588.8 | $1,324 | $1,456.4 | $5,296 |
| MRI thoracic spine without contrast | CPT | 72146 | 16 | $4,688 | $1,406.4 | $1,172 | $1,289.2 | $4,688 |
| MRI lumbar spine without contrast | CPT | 72148 | 16 | $5,346 | $1,603.8 | $1,336.5 | $1,470.15 | $5,346 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 16 | $5,881 | $1,764.3 | $1,470.25 | $1,617.28 | $5,881 |
| MRI cervical spine with and without contrast | CPT | 72156 | 16 | $6,982 | $2,094.6 | $1,745.5 | $1,920.05 | $6,982 |
| MRI lumbar spine with contrast | CPT | 72158 | 16 | $6,966 | $2,089.8 | $1,741.5 | $1,915.65 | $6,966 |
| CT pelvis without contrast | CPT | 72192 | 16 | $4,112 | $1,233.6 | $1,028 | $1,130.8 | $4,112 |
| CT pelvis with contrast | CPT | 72193 | 16 | $4,632 | $1,389.6 | $1,158 | $1,273.8 | $4,632 |
| Shoulder X-ray | CPT | 73030 | 40 | $1,503 | $450.9 | $250.5 | $762.78 | $1,503 |
| Humerus X-ray | CPT | 73060 | 40 | $1,070 | $321 | $267.5 | $544.63 | $1,070 |
| Hand X-ray 3 views | CPT | 73130 | 40 | $1,798.5 | $539.55 | $299.75 | $912.74 | $1,798.5 |
| MRI upper extremity joint without contrast | CPT | 73221 | 16 | $7,804.5 | $2,341.35 | $1,300.75 | $2,106.05 | $7,804.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 16 | $6,779 | $2,033.7 | $1,694.75 | $1,864.23 | $6,779 |
| Knee X-ray 1-2 views | CPT | 73560 | 40 | $1,543.5 | $463.05 | $257.25 | $783.33 | $1,543.5 |
| Ankle X-ray 3 views | CPT | 73610 | 40 | $1,807.5 | $542.25 | $301.25 | $917.31 | $1,807.5 |
| MRI lower extremity joint without contrast | CPT | 73721 | 16 | $8,605.5 | $2,581.65 | $1,434.25 | $2,322.2 | $8,605.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 16 | $6,612 | $1,983.6 | $1,102 | $1,784.25 | $6,612 |
| CT abdomen without contrast | CPT | 74150 | 16 | $3,904 | $1,171.2 | $976 | $1,073.6 | $3,904 |
| CT abdomen with contrast | CPT | 74160 | 16 | $4,467 | $1,340.1 | $1,116.75 | $1,228.43 | $4,467 |
| CT abdomen with and without contrast | CPT | 74170 | 16 | $5,484 | $1,645.2 | $1,371 | $1,508.1 | $5,484 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 16 | $7,260 | $2,178 | $1,815 | $1,996.5 | $7,260 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 16 | $8,348 | $2,504.4 | $2,087 | $2,295.7 | $8,348 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 16 | $9,454 | $2,836.2 | $2,363.5 | $2,599.85 | $9,454 |
| MRI abdomen without contrast | CPT | 74181 | 16 | $4,944 | $1,483.2 | $1,236 | $1,359.6 | $4,944 |
| MRI abdomen with and without contrast | CPT | 74183 | 16 | $6,215 | $1,864.5 | $1,553.75 | $1,709.13 | $6,215 |
| Abdominal ultrasound complete | CPT | 76700 | 23 | $2,211 | $663.3 | $552.75 | $970.63 | $2,211 |
| Abdominal ultrasound limited | CPT | 76705 | 23 | $1,791 | $537.3 | $447.75 | $786.25 | $1,791 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 23 | $1,951 | $585.3 | $487.75 | $856.49 | $1,951 |
| Obstetric ultrasound first trimester | CPT | 76801 | 40 | $1,245 | $373.5 | $311.25 | $633.71 | $1,245 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 40 | $2,404 | $721.2 | $601 | $1,223.64 | $2,404 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 40 | $2,469 | $740.7 | $617.25 | $1,256.72 | $2,469 |
| Transvaginal ultrasound | CPT | 76830 | 40 | $1,566 | $469.8 | $391.5 | $797.09 | $1,566 |
| Pelvic ultrasound complete | CPT | 76856 | 23 | $1,956 | $586.8 | $489 | $858.68 | $1,956 |
| Scrotal ultrasound | CPT | 76870 | 23 | $1,718 | $515.4 | $429.5 | $754.2 | $1,718 |
| Diagnostic mammography unilateral | CPT | 77065 | 37 | $805 | $241.5 | $201.25 | $458.85 | $805 |
| Diagnostic mammography bilateral | CPT | 77066 | 37 | $1,002 | $300.6 | $250.5 | $571.14 | $1,002 |
| Screening mammography bilateral | CPT | 77067 | 37 | $874 | $262.2 | $218.5 | $498.18 | $874 |
| EKG tracing only | CPT | 93005 | 40 | $820 | $246 | $205 | $417.38 | $820 |
| Transthoracic echocardiogram complete | CPT | 93306 | 40 | $6,374 | $1,912.2 | $1,593.5 | $3,244.37 | $6,374 |
| Stress echocardiogram | CPT | 93350 | 40 | $5,623 | $1,686.9 | $1,405.75 | $2,862.11 | $5,623 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 37 | $684 | $205.2 | $171 | $465.12 | $684 |
| General health panel | CPT | 80050 | 41 | $1,706 | $511.8 | $426.5 | $868.35 | $1,706 |
| Electrolyte panel | CPT | 80051 | 37 | $526 | $157.8 | $131.5 | $357.68 | $526 |
| Comprehensive metabolic panel | CPT | 80053 | 37 | $820 | $246 | $205 | $557.6 | $820 |
| Lipid panel | CPT | 80061 | 37 | $697 | $209.1 | $174.25 | $473.96 | $697 |
| Renal function panel | CPT | 80069 | 37 | $777 | $233.1 | $194.25 | $528.36 | $777 |
| Hepatic function panel | CPT | 80076 | 37 | $438 | $131.4 | $109.5 | $297.84 | $438 |
| Urinalysis non-automated | CPT | 81002 | 37 | $159 | $47.7 | $39.75 | $108.12 | $159 |
| Urinalysis automated | CPT | 81003 | 37 | $208 | $62.4 | $52 | $141.44 | $208 |
| Glucose quantitative | CPT | 82947 | 37 | $306 | $91.8 | $76.5 | $208.08 | $306 |
| Hemoglobin A1c | CPT | 83036 | 37 | $370 | $111 | $8 | $62.25 | $370 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 37 | $794 | $238.2 | $198.5 | $539.92 | $794 |
| Complete blood count with automated differential | CPT | 85025 | 37 | $512 | $153.6 | $128 | $348.16 | $512 |
| Complete blood count without differential | CPT | 85027 | 37 | $353 | $105.9 | $88.25 | $240.04 | $353 |
| Urine culture bacterial | CPT | 87086 | 37 | $522 | $156.6 | $130.5 | $354.96 | $522 |
| Urine culture identification | CPT | 87088 | 37 | $168 | $50.4 | $42 | $114.24 | $168 |
| Tissue exam by pathologist level IV | CPT | 88305 | 37 | $897 | $269.1 | $224.25 | $609.96 | $897 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 40 | $939 | $281.7 | $234.75 | $477.95 | $939 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 36 | $1,210 | $363 | $302.5 | $650.98 | $1,210 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 37 | $3,706 | $1,111.8 | $926.5 | $2,520.08 | $3,706 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 37 | $5,439 | $1,631.7 | $1,359.75 | $3,698.52 | $5,439 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 37 | $3,369 | $1,010.7 | $842.25 | $2,290.92 | $3,369 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 37 | $2,942 | $882.6 | $735.5 | $2,000.56 | $2,942 |
| Colonoscopy diagnostic | CPT | 45378 | 37 | $4,660 | $1,398 | $1,165 | $3,168.8 | $4,660 |
| Colonoscopy with biopsy | CPT | 45380 | 37 | $4,943 | $1,482.9 | $1,235.75 | $3,361.24 | $4,943 |
| Colonoscopy with polyp removal | CPT | 45385 | 37 | $5,127 | $1,538.1 | $1,281.75 | $3,486.36 | $5,127 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| healthcare highways [2210] | 90 | $820.48 |
| osma health network [2345] | 90 | $783.71 |
| Oscar Health | 90 | $617.25 |
| oncology patient assistance programs [2295] | 90 | $783.71 |
| hooray health [8000] | 90 | $783.71 |
| web tpa [2115] | 86 | $683.23 |
| First Health | 86 | $891.83 |
| healthcare solutions [1485] | 86 | $1,798.64 |
| healthscope benefits [2290] | 86 | $835.26 |
| healthsmart [1505] | 86 | $2,682.18 |
| medica [2910] | 86 | $1,596.68 |
| Multiplan | 86 | $990.97 |
| pending ssi [1616] | 86 | $3,155.5 |
| resource one administrators [2815] | 86 | $867.77 |
| the kempton group administrators [2905] | 86 | $1,419.98 |
| umr - ardent employee [2036] | 86 | $835.26 |
| pba [1775] | 54 | $613.35 |
| Cigna | 54 | $613.35 |
| national association of letter carriers [1695] | 54 | $613.35 |
| healthpartners [1500] | 54 | $613.35 |
| universal fidelity [2085] | 47 | $860.59 |
| mutual of omaha [1685] | 47 | $860.59 |
| Healthfirst | 47 | $860.59 |
| planned administrators inc [2360] | 47 | $860.59 |
| hometown health [2155] | 47 | $860.59 |
| mayo clinic health solutions [2280] | 47 | $860.59 |
| trustmark [2030] | 47 | $860.59 |
| fmh benefit services [1390] | 47 | $829.11 |
| gilsbar [1425] | 47 | $860.59 |
| group resources [1455] | 47 | $829.11 |