Jefferson County Hospital

Intersection Hyws 81 & 70, Waurika, OK 73573 · (580) 228-2344

Critical Access HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-03-14

1,174 price rows for 59 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$32

cash

$5 to $85

19 negotiated rates

$90

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines

$1,653

cash

$1,133 to $4,787

38 negotiated rates

$4,709

list

CT scan of the head, no contrast

CPT 70450

$1,120

cash

$438 to $2,999

19 negotiated rates

$3,190

list

CT scan of the pelvis, with contrast

CPT 72193

$1,088

cash

$1,133 to $2,914

19 negotiated rates

$3,100

list

Cataract surgery with lens implant

CPT 66984

—

cash

$6,973 to $10,948

5 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

$2,486

cash

$3,825 to $20,532

8 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines

$22

cash

$21 to $217

95 negotiated rates

$62

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$2,620 to $4,114

5 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$2,620 to $4,114

5 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$4,260 to $6,689

5 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

$25

cash

$5 to $66

19 negotiated rates

$70

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$16

cash

$6 to $113

38 negotiated rates

$45

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$598 to $938

5 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$37 to $37

5 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines

$122

cash

$146 to $343

56 negotiated rates

$348

list

Family psychotherapy with the patient

CPT 90847

—

cash

$459 to $720

5 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$459 to $720

5 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$14,141 to $22,203

5 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$22

cash

$21 to $217

76 negotiated rates

$62

list

Group psychotherapy

CPT 90853

—

cash

$287 to $450

5 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

$2,486

cash

$3,825 to $43,973

8 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

$2,486

cash

$3,825 to $17,692

8 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

$2,486

cash

$3,825 to $26,207

8 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$10,174 to $15,974

5 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$10,113 to $15,878

5 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$1,558 to $2,446

5 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$4,592 to $7,209

5 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$26

cash

$8 to $79

38 negotiated rates

$74

list

Liver function panel

CPT 80076

$61

cash

$5 to $165

19 negotiated rates

$175

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$1,554 to $2,439

5 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$990 to $1,554

5 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148

—

cash

$877 to $1,376

5 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$877 to $1,376

5 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

$2,486

cash

$3,825 to $58,793

8 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$3,369 to $5,290

5 negotiated rates

—

list

PSA test (prostate)

CPT 84153

$35

cash

$11 to $94

19 negotiated rates

$100

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines

cash

$4 to $183

76 negotiated rates

$16

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines

$103

cash

$101 to $158

5 negotiated rates

$159

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$230

cash

$275 to $615

19 negotiated rates

$654

list

Prostate biopsy

CPT 55700

—

cash

$5,354 to $8,407

5 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$20,777 to $32,621

5 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

$23

cash

$3 to $62

19 negotiated rates

$66

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$5,598 to $8,789

5 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$598 to $938

5 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$10,113 to $15,878

5 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

$2,598

cash

$3,147 to $4,941

5 negotiated rates

$3,997

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$62,034 to $91,022

5 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$2,064 to $3,241

5 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$2,064 to $3,241

5 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$14

cash

$10 to $124

38 negotiated rates

$41

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$7,557 to $11,865

5 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

$329

cash

$394 to $881

19 negotiated rates

$937

list

Ultrasound of the abdomen (complete)

CPT 76700

$385

cash

$414 to $1,031

19 negotiated rates

$1,097

list

Upper endoscopy (EGD)

CPT 43235

$808

cash

$967 to $3,950

19 negotiated rates

$2,302

list

Upper endoscopy with biopsy

CPT 43239

$698

cash

$835 to $3,950

19 negotiated rates

$1,989

list

Urinalysis with microscope

CPT 81001

$21

cash

$2 to $55

19 negotiated rates

$59

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$5,052 to $7,932

5 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

$2,486

cash

$3,825 to $14,838

8 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

$245

cash

$85 to $656

19 negotiated rates

$698

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://mrfs.hyvehealthcare.com/DuncanRegionalHealth/731008550_jefferson-county-hospital-ok_standardcharges.json
Jefferson County Hospital · discovered · json v3.0.0 · file dated 2026-03-14 · 84.2 MB · 1174 price rows read · read Oct 2026