▸ Hospital · OK · CCN 370234
Oklahoma Heart Hospital South, Llc
5200 EAST I-240 HWY, OKLAHOMA CITY, OK, 73135-
43 bedsAcute Care Hospitals5
Compliance grade
A
100/100
Procedures tracked
117
of 209 target codes
Payers
26
with negotiated rates
Rates published
8,312
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 24 | $602.8 | $210.98 | $75.93 | $283.32 | $2,377.83 |
| ED visit level 2 | CPT | 99282 | 24 | $1,105.5 | $386.92 | $138.27 | $519.59 | $2,377.83 |
| ED visit level 3 | CPT | 99283 | 24 | $1,353 | $473.55 | $245.82 | $811.8 | $2,377.83 |
| ED visit level 4 | CPT | 99284 | 24 | $1,463 | $512.05 | $365.75 | $950.95 | $2,709 |
| ED visit level 5 | CPT | 99285 | 26 | $1,789.81 | $626.43 | $447.45 | $1,073.89 | $5,055.42 |
| Critical care, first hour | CPT | 99291 | 24 | $2,037.42 | $713.1 | $509.36 | $1,190.97 | $1,986.12 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 26 | $2,114.22 | $777.78 | $25 | $102.62 | $1,902.8 |
| CT head with contrast | CPT | 70460 | 24 | $2,525.88 | $884.06 | $79.02 | $360.87 | $2,273.29 |
| CT head with and without contrast | CPT | 70470 | 26 | $1,229.82 | $430.44 | $94.13 | $360.87 | $1,106.84 |
| CT neck with contrast | CPT | 70491 | 26 | $874.06 | $305.92 | $98.72 | $402.07 | $786.65 |
| MRI brain without contrast | CPT | 70551 | 26 | $2,361.46 | $8,887.22 | $25 | $863.81 | $14,802 |
| MRI brain with contrast | CPT | 70552 | 24 | $2,796.21 | $978.67 | $154.55 | $1,281.25 | $2,516.59 |
| MRI brain with and without contrast | CPT | 70553 | 26 | $2,361.46 | $826.51 | $174.52 | $1,086.27 | $2,125.31 |
| Chest X-ray single view | CPT | 71045 | 26 | $213.42 | $5,034.09 | $14.01 | $96.96 | $8,608.8 |
| Chest X-ray 2 views | CPT | 71046 | 26 | $213.42 | $185.65 | $18.87 | $83.7 | $209.25 |
| Chest X-ray 3 views | CPT | 71047 | 26 | $228.54 | $79.99 | $23.45 | $96.96 | $209.25 |
| CT chest without contrast | CPT | 71250 | 26 | $1,563.9 | $547.36 | $68.25 | $390.98 | $1,407.51 |
| CT chest with contrast | CPT | 71260 | 26 | $1,563.9 | $547.36 | $157.95 | $421.74 | $1,407.51 |
| CT chest with and without contrast | CPT | 71270 | 26 | $1,563.9 | $547.36 | $113.56 | $505.49 | $1,407.51 |
| MRI chest without contrast | CPT | 71550 | 24 | $1,082.09 | $378.73 | $194.87 | $573.7 | $1,678.23 |
| MRI chest with contrast | CPT | 71551 | 24 | $1,250.96 | $437.84 | $240.63 | $788.1 | $1,884.88 |
| MRI chest with and without contrast | CPT | 71552 | 24 | $1,654.51 | $579.08 | $288.11 | $876.89 | $1,678.23 |
| Lumbosacral spine X-ray | CPT | 72100 | 26 | $307.59 | $107.66 | $23.45 | $100.55 | $276.83 |
| CT cervical spine without contrast | CPT | 72125 | 26 | $1,233.67 | $431.78 | $69.06 | $337.55 | $1,110.3 |
| CT thoracic spine without contrast | CPT | 72128 | 26 | $1,233.67 | $431.78 | $68.79 | $337.55 | $1,110.3 |
| CT lumbar spine without contrast | CPT | 72131 | 26 | $633.63 | $221.77 | $94.14 | $291.47 | $632.56 |
| MRI cervical spine without contrast | CPT | 72141 | 26 | $2,067.24 | $723.53 | $100.07 | $641.35 | $1,860.52 |
| MRI thoracic spine without contrast | CPT | 72146 | 26 | $2,092.39 | $732.34 | $100.34 | $711.65 | $1,883.15 |
| MRI lumbar spine without contrast | CPT | 72148 | 26 | $2,081.85 | $728.65 | $100.61 | $711.65 | $1,873.67 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 24 | $1,250.96 | $437.84 | $153.74 | $722.96 | $1,125.86 |
| MRI cervical spine with and without contrast | CPT | 72156 | 26 | $1,654.51 | $579.08 | $175.06 | $722.96 | $1,489.06 |
| MRI lumbar spine with contrast | CPT | 72158 | 26 | $2,082.15 | $728.75 | $174.52 | $722.96 | $1,873.94 |
| CT pelvis without contrast | CPT | 72192 | 26 | $1,791.09 | $626.88 | $67.98 | $414.82 | $1,611.98 |
| CT pelvis with contrast | CPT | 72193 | 24 | $2,096.08 | $733.63 | $157.95 | $934.53 | $1,886.47 |
| Shoulder X-ray | CPT | 73030 | 26 | $228.54 | $79.99 | $20.75 | $96.96 | $209.25 |
| Humerus X-ray | CPT | 73060 | 26 | $228.54 | $79.99 | $19.68 | $96.96 | $209.25 |
| Hand X-ray 3 views | CPT | 73130 | 26 | $228.54 | $79.99 | $23.45 | $96.96 | $209.25 |
| MRI upper extremity joint without contrast | CPT | 73221 | 26 | $1,801.98 | $630.69 | $115.69 | $636.53 | $1,621.78 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 26 | $1,654.51 | $579.08 | $233.35 | $761.07 | $1,489.06 |
| Knee X-ray 1-2 views | CPT | 73560 | 26 | $228.54 | $79.99 | $21.02 | $96.96 | $209.25 |
| Ankle X-ray 3 views | CPT | 73610 | 26 | $279.02 | $97.66 | $22.64 | $96.96 | $251.12 |
| MRI lower extremity joint without contrast | CPT | 73721 | 26 | $1,801.98 | $630.69 | $115.42 | $636.53 | $1,621.78 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 24 | $1,654.51 | $579.08 | $232.54 | $816.18 | $1,489.06 |
| CT abdomen without contrast | CPT | 74150 | 26 | $1,808.27 | $632.89 | $66.9 | $414.82 | $1,627.44 |
| CT abdomen with contrast | CPT | 74160 | 26 | $2,053.12 | $718.59 | $157.95 | $513.28 | $1,847.81 |
| CT abdomen with and without contrast | CPT | 74170 | 26 | $3,092 | $1,082.2 | $143.01 | $773 | $2,782.8 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 26 | $3,024.82 | $1,191.34 | $25 | $229.48 | $2,722.34 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 26 | $3,825.4 | $1,338.89 | $178.32 | $934.53 | $3,442.86 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 26 | $3,134.52 | $1,097.08 | $201.24 | $934.53 | $2,821.07 |
| MRI abdomen without contrast | CPT | 74181 | 26 | $1,607 | $562.45 | $105.19 | $703.36 | $1,915.2 |
| MRI abdomen with and without contrast | CPT | 74183 | 26 | $1,654.51 | $579.08 | $193.41 | $920.55 | $1,915.2 |
| Abdominal ultrasound complete | CPT | 76700 | 26 | $484.93 | $169.73 | $62.56 | $223.07 | $436.44 |
| Abdominal ultrasound limited | CPT | 76705 | 26 | $484.93 | $169.73 | $47.74 | $223.07 | $436.44 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 24 | $811.14 | $283.9 | $59.05 | $334.6 | $730.03 |
| Pelvic ultrasound complete | CPT | 76856 | 24 | $307.29 | $107.55 | $58.51 | $184.37 | $341.38 |
| Scrotal ultrasound | CPT | 76870 | 26 | $307.29 | $107.55 | $56.35 | $141.35 | $341.38 |
| EKG complete | CPT | 93000 | 24 | $131.5 | $46.02 | $12.12 | $60.49 | $118.35 |
| EKG tracing only | CPT | 93005 | 26 | $149.46 | $156.97 | $5.1 | $69.85 | $320.12 |
| EKG interpretation only | CPT | 93010 | 25 | $74.4 | $26.04 | $7.01 | $34.22 | $66.96 |
| Transthoracic echocardiogram complete | CPT | 93306 | 26 | $2,254.56 | $789.1 | $25 | $765.26 | $2,029.1 |
| Transthoracic echocardiogram | CPT | 93307 | 23 | $2,254.56 | $789.1 | $214.86 | $1,052.84 | $2,029.1 |
| Stress echocardiogram | CPT | 93350 | 26 | $2,254.56 | $789.1 | $391.16 | $923.14 | $2,029.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 25 | — | $31,386 | $25 | $13,943 | $33,103 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 23 | — | $12,958 | $25 | $10,675 | $19,215 |
| COPD w MCC | MS-DRG | 190 | 23 | — | $8,588.97 | $25 | $7,793.73 | $13,620 |
| COPD w CC | MS-DRG | 191 | 23 | — | $7,008.07 | $25 | $5,931.32 | $10,365 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 23 | — | $12,951 | $25 | $5,670.28 | $9,909.23 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 25 | — | $10,623 | $25 | $17,162 | $25,639 |
| AMI discharged alive w MCC | MS-DRG | 280 | 25 | — | $11,433 | $25 | $13,203 | $26,217 |
| AMI discharged alive w CC | MS-DRG | 281 | 25 | — | $8,782.36 | $25 | $7,564.66 | $16,637 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 25 | — | $8,645.04 | $25 | $5,951.48 | $11,705 |
| Heart failure & shock w MCC | MS-DRG | 291 | 25 | — | $8,006.19 | $25 | $10,566 | $20,914 |
| Heart failure & shock w CC | MS-DRG | 292 | 25 | — | $6,103.23 | $25 | $6,987.7 | $13,944 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 25 | — | $4,779.97 | $25 | $4,658.47 | $9,934 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 25 | — | $7,075.02 | $25 | $9,909.52 | $17,450 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 25 | — | $4,207.19 | $25 | $6,055.18 | $11,747 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 25 | — | $4,552.56 | $25 | $4,648.95 | $8,173 |
| GI hemorrhage w CC | MS-DRG | 378 | 23 | — | $9,157.33 | $25 | $6,900.18 | $12,059 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 23 | — | $18,400 | $25 | $5,325.47 | $9,585.85 |
| Kidney/UTI w MCC | MS-DRG | 689 | 23 | — | $11,198 | $25 | $7,926.05 | $14,267 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 23 | — | $10,623 | $25 | $5,695.61 | $9,953.5 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 23 | — | $14,197 | $25 | $13,667 | $23,885 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 23 | — | $7,157.24 | $25 | $7,952.06 | $19,740 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 26 | $82 | $5,826.57 | $7.53 | $53 | $14,802 |
| Electrolyte panel | CPT | 80051 | 26 | $41 | $14.35 | $6.24 | $20.5 | $47.87 |
| Comprehensive metabolic panel | CPT | 80053 | 26 | $205.39 | $193.94 | $9.39 | $47.87 | $184.85 |
| Lipid panel | CPT | 80061 | 26 | $51 | $847.21 | $11.91 | $32.13 | $90 |
| Renal function panel | CPT | 80069 | 26 | $151 | $52.85 | $7.72 | $47.87 | $135.9 |
| Hepatic function panel | CPT | 80076 | 26 | $156 | $54.6 | $7.27 | $47.87 | $140.4 |
| Urinalysis non-automated | CPT | 81002 | 26 | $25.64 | $8.97 | $3.1 | $9.85 | $23.08 |
| Urinalysis automated | CPT | 81003 | 26 | $22 | $276.61 | $2 | $15.18 | $511.43 |
| Glucose quantitative | CPT | 82947 | 26 | $52 | $217.95 | $3.5 | $23.09 | $90 |
| Hemoglobin A1c | CPT | 83036 | 26 | $100 | $287.8 | $8.64 | $56.74 | $141.84 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 26 | $154 | $290.54 | $14.94 | $69 | $138.6 |
| Complete blood count with automated differential | CPT | 85025 | 26 | $38 | $214.91 | $6.91 | $32.51 | $209.25 |
| Complete blood count without differential | CPT | 85027 | 26 | $38 | $5,971.35 | $5.75 | $32.51 | $14,802 |
| Urine culture bacterial | CPT | 87086 | 26 | $30 | $233.41 | $7.18 | $34.46 | $320.12 |
| Urine culture identification | CPT | 87088 | 24 | $81 | $28.35 | $7.2 | $21 | $72.9 |
| Tissue exam by pathologist level IV | CPT | 88305 | 26 | $1,364 | $1,734.05 | $25 | $90.63 | $4,776.68 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 26 | $309.1 | $108.18 | $39.74 | $154.55 | $320.12 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 26 | $249.06 | $87.17 | $62.27 | $136.02 | $320.12 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 26 | $317.01 | $156.97 | $25 | $128.05 | $320.12 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 26 | $468.09 | $163.83 | $117.02 | $217.66 | $421.28 |
| Office visit, established patient, 5 min | CPT | 99211 | 26 | $162.95 | $57.03 | $3.82 | $82.49 | $320.12 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 26 | $194.7 | $68.14 | $30.01 | $128.05 | $320.12 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 26 | $249.06 | $87.17 | $55.6 | $136.02 | $320.12 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 26 | $317.01 | $110.95 | $25 | $128.05 | $320.12 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 26 | $468.09 | $163.83 | $117.02 | $217.66 | $421.28 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 26 | $2,135.1 | $17,288 | $25 | $898.48 | $2,180.78 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 24 | $1,495.18 | $523.31 | $373.8 | $1,031.67 | $2,180.78 |
| Colonoscopy with polyp removal | CPT | 45385 | 26 | — | $11,124 | $25 | $1,150.89 | $6,919.46 |
| surgery | ||||||||
| PCI single major coronary artery | CPT | 92920 | 26 | $16,270 | $12,484 | $25 | $5,726.52 | $58,610 |
| PCI with drug-eluting stent | CPT | 92928 | 26 | $32,362 | $17,980 | $25 | $11,269 | $58,610 |
| PCI bypass graft | CPT | 92937 | 26 | $37,097 | $12,984 | $7,000 | $20,877 | $58,610 |
| Left heart catheterization | CPT | 93452 | 26 | $13,631 | $4,770.96 | $506.41 | $7,224.59 | $14,802 |
| Coronary angiography with cath | CPT | 93455 | 26 | $13,631 | $5,946.97 | $25 | $3,312.15 | $14,802 |
| Coronary angiography with bypass cath | CPT | 93458 | 26 | $13,631 | $5,880.81 | $25 | $3,312.15 | $14,802 |
Payer mix (top 26)
| Payer | Codes covered | Median rate |
|---|---|---|
| webtpa hobby lobby hch | 117 | $121.13 |
| Ambetter | 117 | $286.4 |
| Blue Cross Blue Shield | 117 | $360.87 |
| Cigna | 117 | $273 |
| community care | 117 | $414.82 |
| sana benefits | 117 | $411.86 |
| the kempton group | 117 | $511.43 |
| ufcw | 117 | $411.86 |
| va ccn | 117 | $204.57 |
| webtpa chickasaw nation hch | 117 | $107.41 |
| Aetna | 117 | $144.29 |
| healthcare highways | 117 | $137.12 |
| healthscope | 117 | $373.12 |
| Humana | 117 | $168.7 |
| Medicare | 117 | $168.7 |
| Medicare Advantage | 117 | $210.71 |
| Multiplan | 117 | $205.69 |
| Oscar Health | 117 | $373.12 |
| phcs | 117 | $567.8 |
| preferred community choice | 117 | $458.13 |
| global health | 116 | $696.47 |
| First Health | 107 | $212.03 |
| manhattan life | 107 | $334.6 |
| UnitedHealthcare | 98 | $179.2 |
| GEHA | 97 | $179.2 |
| veterans eval services | 96 | $128.05 |