Northwest Surgical Hospital

9204 North May Avenue, Oklahoma City, OK 73120 · (405) 848-1918

Acute Care HospitalsPhysicianOklahoma City, OK metro Website ↗

Price file

Prices published

File dated 2026-03-31

1,761 price rows for 66 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $15

$25

cash

$8 to $97

37 negotiated rates

$139

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,007

$1,007

cash

$464 to $1,587

29 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450 · metro median $302

$302

cash

$157 to $1,587

29 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $405

$506

cash

$265 to $1,587

26 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984 · metro median $6,659

$6,659

cash

$3,877 to $10,687

20 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$3,867 to $5,946

14 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $12,634

$19,784

cash

$1,586 to $16,333

17 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $105

$105

cash

$19 to $356

58 negotiated rates

$509

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $2,651

$2,683

cash

$1,073 to $4,876

20 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380 · metro median $3,332

$3,453

cash

$1,073 to $4,876

20 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385 · metro median $3,350

$3,453

cash

$2,004 to $4,876

20 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $15

$23

cash

$7 to $81

37 negotiated rates

$116

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $32

$32

cash

$10 to $530

37 negotiated rates

$757

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$103 to $505

26 negotiated rates

$722

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$21 to $347

8 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$252 to $252

1 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847 · metro median $223

$512

cash

$272 to $435

6 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846 · metro median $266

$512

cash

$272 to $435

5 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $8,812

$17,443

cash

$4,866 to $13,841

20 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $105

$105

cash

$33 to $356

37 negotiated rates

$509

list

Group psychotherapy

CPT 90853 · metro median $146

$293

cash

$162 to $271

6 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $37,000

$39,801

cash

$1,586 to $37,253

14 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $8,447

$16,086

cash

$1,586 to $13,769

17 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $18,625

$25,601

cash

$1,586 to $19,485

17 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $7,525

$10,331

cash

$4,402 to $9,638

20 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $7,482

$9,441

cash

$4,402 to $9,580

20 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $1,587

$1,587

cash

$924 to $4,876

20 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $7,387

$9,354

cash

$1,880 to $8,086

8 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $25

$40

cash

$13 to $36

23 negotiated rates

—

list

Liver function panel

CPT 80076 · metro median $25

$25

cash

$8 to $24

23 negotiated rates

—

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,007

$1,007

cash

$542 to $1,864

56 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $701

$688

cash

$343 to $1,864

56 negotiated rates

—

list

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

CPT 72148 · metro median $688

$688

cash

$343 to $1,864

49 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $688

$688

cash

$343 to $1,864

56 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $29,451

$50,374

cash

$1,674 to $41,556

17 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,838

$2,552

cash

$881 to $3,945

30 negotiated rates

$5,577

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$156 to $156

1 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$234 to $234

1 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$310 to $310

1 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · metro median $55

$55

cash

$17 to $112

37 negotiated rates

$160

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines · metro median $8

$18

cash

$6 to $69

79 negotiated rates

$99

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$39 to $173

46 negotiated rates

$247

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $302

$302

cash

$157 to $810

22 negotiated rates

$1,157

list

Prostate biopsy

CPT 55700

—

cash

$877 to $5,072

30 negotiated rates

$5,553

list

Prostate removal (laparoscopic)

CPT 55866 · metro median $20,603

$30,670

cash

$4,866 to $19,681

20 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $9

$13

cash

$4 to $11

23 negotiated rates

—

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $166

$512

cash

$281 to $281

1 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $196

$512

cash

$281 to $281

1 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $266

$512

cash

$281 to $281

1 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $6,175

$11,297

cash

$3,319 to $6,510

20 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$103 to $245

16 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$2,527 to $9,580

19 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,228

$2,478

cash

$477 to $2,826

10 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,165

$2,552

cash

$1,224 to $3,945

20 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $930

$2,037

cash

$881 to $3,945

30 negotiated rates

$5,577

list

TSH test (thyroid)

CPT 84443 · metro median $30

$50

cash

$16 to $45

23 negotiated rates

—

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $4,368

$17,081

cash

$3,867 to $10,057

20 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $302

$302

cash

$157 to $1,290

22 negotiated rates

$1,843

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $302

$302

cash

$157 to $1,700

22 negotiated rates

$2,429

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,090

$2,617

cash

$1,030 to $3,945

20 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,199

$2,617

cash

$1,030 to $4,876

20 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $8

$10

cash

$3 to $183

37 negotiated rates

$261

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,995 to $5,946

19 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $10,293

$13,911

cash

$1,586 to $11,134

14 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$3,675 to $5,946

14 negotiated rates

—

list

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

CPT 72110 · metro median $186

$302

cash

$31 to $919

27 negotiated rates

$1,313

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/USPI/731612939_tpg-hospital-llc_standardcharges.csv
Northwest Surgical Hospital · parsed · tall v3.0.0 · file dated 2026-03-31 · 81.8 MB · 1761 price rows read · read Nov 2026