Oklahoma Surgical Hospital, LLC

2408 East 81St Street, Suite 300, Tulsa, OK 74137 · (918) 477-5000

Acute Care HospitalsPhysicianCMS rating 5/5Tulsa, OK metro Website ↗

Price file

Prices published

File dated 2025-10-31

1,322 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$4 to $75

22 negotiated rates

$55

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$275 to $597

9 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$101 to $329

10 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$169 to $501

10 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,169 to $5,155

11 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,961 to $2,961

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$4,893 to $9,640

12 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$15 to $217

11 negotiated rates

$217

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$586 to $1,461

42 negotiated rates

$1,733

list

Colonoscopy with biopsy

CPT 45380

—

cash

$640 to $1,772

42 negotiated rates

$2,278

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$640 to $3,149

42 negotiated rates

$2,278

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$3 to $50

12 negotiated rates

$50

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$4 to $68

11 negotiated rates

$68

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$154 to $379

9 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$16 to $38

6 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$156 to $156

1 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$109 to $339

12 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$105 to $339

12 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$1,465 to $10,453

42 negotiated rates

$11,480

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$15 to $112

10 negotiated rates

—

list

Group psychotherapy

CPT 90853

—

cash

$26 to $212

12 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$10,197 to $20,090

13 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,220 to $8,314

12 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$6,483 to $12,772

12 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$1,200 to $7,521

42 negotiated rates

$7,054

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,200 to $7,475

42 negotiated rates

$6,421

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$522 to $1,152

11 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$1,920 to $5,062

11 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$6 to $60

11 negotiated rates

$86

list

Liver function panel

CPT 80076

—

cash

$3 to $49

11 negotiated rates

$49

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$340 to $903

10 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$230 to $590

10 negotiated rates

—

list

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

CPT 72148

—

cash

$224 to $590

10 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$224 to $590

10 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$9,975 to $25,225

13 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$400 to $2,491

42 negotiated rates

$1,842

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$89 to $89

1 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$144 to $144

1 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$197 to $197

1 negotiated rates

—

list

PSA test (prostate)

CPT 84153

—

cash

$8 to $119

22 negotiated rates

$119

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$3 to $54

24 negotiated rates

$54

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$30 to $67

4 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$101 to $324

14 negotiated rates

—

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$101 to $101

1 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$122 to $122

1 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$640 to $3,958

14 negotiated rates

$4,019

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,465 to $15,646

42 negotiated rates

$19,850

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$2 to $36

24 negotiated rates

$36

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$73 to $248

7 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$97 to $248

7 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$143 to $248

7 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$1,170 to $7,500

42 negotiated rates

$7,164

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$125 to $307

9 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,170 to $7,500

30 negotiated rates

$10,178

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$800 to $1,750

14 negotiated rates

$2,500

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$400 to $1,526

28 negotiated rates

$1,418

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$400 to $1,526

28 negotiated rates

$1,418

list

TSH test (thyroid)

CPT 84443

—

cash

$7 to $108

22 negotiated rates

$108

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$1,170 to $8,890

42 negotiated rates

$11,538

list

Transvaginal ultrasound

CPT 76830

—

cash

$101 to $171

9 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$101 to $171

9 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$400 to $1,409

42 negotiated rates

$1,783

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$603 to $1,461

42 negotiated rates

$1,783

list

Urinalysis with microscope

CPT 81001

—

cash

$1 to $13

10 negotiated rates

—

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,213 to $3,734

6 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,447 to $6,790

12 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,667 to $2,667

1 negotiated rates

—

list

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

CPT 72110

—

cash

$60 to $171

9 negotiated rates

—

list

Source files

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

https://oklahomasurgicalhospital.pt.panaceainc.com/MRFDownload/oklahomasurgicalhospital/oklahomasurgicalhospital
Oklahoma Surgical Hospital · parsed · tall v3.0.0 · file dated 2025-10-31 · 5.8 MB · 1322 price rows read · read Nov 2026