Oklahoma Surgical Hospital

Oklahoma Surgical Hospital
2408 E 81st St
# 300
Tulsa, Oklahoma 74137

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All Cash Prices

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Left Heart Catheterization for Diagnosis (93452)
$3,805.58
(mrf)
Abdominal Ultrasound - Pregnant Uterus (Greater or Equal to 14 Weeks 0 Days) - Single or First Fetus (76805)
$143.05
(mrf)
Automated Urinalysis - 81002
$5.05
(mrf)
Urinalysis with Microscopic Examination (Manual) - 81000
$5.00
(mrf)
Cardiac Catheterization with Major Cardiothoracic Procedures and Complications (216)
$90,967.07
(mrf)
Spinal Fusion (Except Cervical) Without Major Complications (460)
$35,874.49
(mrf)
Cervical Spinal Fusion Without Comorbid Conditions or Major Complications (473)
$22,758.07
(mrf)
Major Joint Replacement or Reattachment of Lower Extremity Without Major Complications (470) - AKA Total Knee or Hip Replacement or Total Knee or Hip Arthroplasty
$17,830.36
(mrf)
Cervical Spine Fusion (22551)
$16,468.83
(mrf)
Hip or Knee Replacement (27447)
$16,468.83
(mrf)
Endoscopic Surgical Removal of Prostate and Surrounding Lymph Nodes (55866) - AKA Transurethral Resection of the Prostate or TURP
$12,880.76
(mrf)
Uterine and Adnexa Procedures for Non-Malignancy Without Major Complications (743)
$10,403.46
(mrf)
Arthroscopy Knee with ACL (29888)
$8,952.04
(mrf)
Arthroscopic Rotator Cuff Repair (29827)
$8,952.04
(mrf)
Hip Arthroscopy - Surgical (29862)
$8,952.04
(mrf)
Mastectomy Procedures (19303)
$8,159.99
(mrf)
Tonsil and Adenoid Removal in Patients Younger Than Age 12 (42820) - AKA Tonsillectomy
$7,327.96
(mrf)
Endoscopic Removal of Gallbladder (47562)
$7,220.11
(mrf)
Open Removal of Breast Growth (19120)
$4,769.71
(mrf)
Partial Mastectomy (19301)
$4,769.71
(mrf)
Groin Hernia Repair in Patients Age 5 Years or Older (49505)
$4,329.16
(mrf)
Correction of Hallux Valgus (Bunionectomy) with Sesamoidectomy (28295)
$4,050.33
(mrf)
Short Leg Cast (24925)
$4,050.33
(mrf)
Arthroscopic Removal of Knee Cartilage (29881)
$4,050.33
(mrf)
Cystourethroscopy with Removal of Foreign Body, Calculus, or Ureteral Stent from Urethra or Bladder (Separate Procedure) (52310)
$2,548.71
(mrf)
Prostate Gland Biopsy (55700)
$2,548.71
(mrf)
Carpal Tunnel Release (64721)
$2,416.03
(mrf)
Breast Repair and/or Reconstruction Procedures (19318)
$2,110.00
(mrf)
Introduction or Removal Procedures on the Forearm and Wrist (25259)
$2,011.13
(mrf)
Closed Treatment of Nasal Bone Fracture (21315)
$1,908.32
(mrf)
Endoscopic Biopsy of Large Bowel (45380)
$1,476.65
(mrf)
Removal of Large Bowel Polyps or Growths with Endoscope (45385)
$1,476.65
(mrf)
Endoscopic Diagnostic Examination of Large Bowel (45378)
$1,143.65
(mrf)
Injections into Lower or Sacral Spine Nerve Root with Imaging Guidance (64483)
$1,140.56
(mrf)
Injection into Spinal Canal of Lower Back or Sacrum with Imaging Guidance (62322)
$1,140.56
(mrf)
Endoscopic Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel (43235) - AKA Upper GI
$1,134.30
(mrf)
Endoscopic Biopsy of Esophagus, Stomach, and/or Upper Small Bowel (43239)
$1,134.30
(mrf)
Sleep Study (95810)
$1,100.00
(mrf)
Injection into Spinal Canal of Lower Back or Sacrum with Imaging Guidance (62323)
$865.35
(mrf)
Brain MRI Scan - Before and After Contrast (70553)
$575.00
(mrf)
Cervical Spine MRI Without Contrast (72141)
$400.00
(mrf)
MRI Scan of Lower Spinal Canal (72148)
$400.00
(mrf)
MRI of Upper Extremity (73221)
$400.00
(mrf)
MRI Scan of Leg Joint (73721)
$400.00
(mrf)
Corticosteroid Injection with Ultrasound Guidance (20526)
$370.62
(mrf)
Application of Short Leg Cast (Below Knee to Toes) (29425)
$336.05
(mrf)
Pelvic CT Scan - With Contrast (72193)
$325.00
(mrf)
Abdomen and Pelvis CT Scan - With Contrast (74177)
$325.00
(mrf)
Head or Brain CT Scan - Without Contrast (70450)
$250.00
(mrf)
Cast Application (29085)
$197.17
(mrf)
Abdominal Ultrasound (76700)
$150.00
(mrf)
Pelvic Ultrasound through Vagina (76830)
$150.00
(mrf)
Knee Radiologic Examination (73564)
$137.57
(mrf)
Chest X-ray - Two Views (71046)
$113.71
(mrf)
Lower Back X-Ray - Minimum Four Views (72110)
$70.00
(mrf)
Ankle Radiologic Examination (73610)
$70.00
(mrf)
Foot X-ray Examination (73630)
$70.00
(mrf)
Physical Therapy with Therapeutic Exercise (97110)
$39.52
(mrf)
Prostate Specific Antigen (PSA) Test - 84153
$26.67
(mrf)
Prostate Specific Antigen (PSA) Test - 84154
$26.67
(mrf)
Thyroid Stimulating Hormone (TSH) Test - 84443
$24.36
(mrf)
Lipid Panel - 80061
$19.42
(mrf)
Comprehensive Metabolic Panel (CMP) - 80053
$15.31
(mrf)
Kidney Function Panel - 80069
$12.59
(mrf)
Basic Metabolic Panel (80048)
$12.27
(mrf)
Liver Function Panel - 80076
$11.85
(mrf)
Complete Blood Count (CBC) with Differential - 85025
$11.27
(mrf)
Complete Blood Count (CBC) - Automated (85027)
$9.38
(mrf)
Coagulation Assessment Blood Test (85730)
$8.71
(mrf)
Clotting Time Test (85610)
$6.22
(mrf)
Urinalysis with Microscopic Examination (Manual) - 81001
$4.60
(mrf)
Automated Urinalysis - 81003
$3.26
(mrf)
Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complication or Comorbidity (MCC) (247) - AKA Cardiac Catheterization or Cardiac Cath
$16,943.58
(mrf)
Arthroscopy (509)
$14,264.24
(mrf)
Appendectomy without Complicated Principal Diagnosis without Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) (343)
$9,454.38
(mrf)

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Oklahoma Surgical Hospital

All Cash Prices

Left Heart Catheterization for Diagnosis (93452)

Abdominal Ultrasound - Pregnant Uterus (Greater or Equal to 14 Weeks 0 Days) - Single or First Fetus (76805)

Automated Urinalysis - 81002

Urinalysis with Microscopic Examination (Manual) - 81000

Cardiac Catheterization with Major Cardiothoracic Procedures and Complications (216)

Spinal Fusion (Except Cervical) Without Major Complications (460)

Cervical Spinal Fusion Without Comorbid Conditions or Major Complications (473)

Major Joint Replacement or Reattachment of Lower Extremity Without Major Complications (470) - AKA Total Knee or Hip Replacement or Total Knee or Hip Arthroplasty

Cervical Spine Fusion (22551)

Hip or Knee Replacement (27447)

Endoscopic Surgical Removal of Prostate and Surrounding Lymph Nodes (55866) - AKA Transurethral Resection of the Prostate or TURP

Uterine and Adnexa Procedures for Non-Malignancy Without Major Complications (743)

Arthroscopy Knee with ACL (29888)

Arthroscopic Rotator Cuff Repair (29827)

Hip Arthroscopy - Surgical (29862)

Mastectomy Procedures (19303)

Tonsil and Adenoid Removal in Patients Younger Than Age 12 (42820) - AKA Tonsillectomy

Endoscopic Removal of Gallbladder (47562)

Open Removal of Breast Growth (19120)

Partial Mastectomy (19301)

Groin Hernia Repair in Patients Age 5 Years or Older (49505)

Correction of Hallux Valgus (Bunionectomy) with Sesamoidectomy (28295)

Short Leg Cast (24925)

Arthroscopic Removal of Knee Cartilage (29881)

Cystourethroscopy with Removal of Foreign Body, Calculus, or Ureteral Stent from Urethra or Bladder (Separate Procedure) (52310)

Prostate Gland Biopsy (55700)

Carpal Tunnel Release (64721)

Breast Repair and/or Reconstruction Procedures (19318)

Introduction or Removal Procedures on the Forearm and Wrist (25259)

Closed Treatment of Nasal Bone Fracture (21315)

Endoscopic Biopsy of Large Bowel (45380)

Removal of Large Bowel Polyps or Growths with Endoscope (45385)

Endoscopic Diagnostic Examination of Large Bowel (45378)

Injections into Lower or Sacral Spine Nerve Root with Imaging Guidance (64483)

Injection into Spinal Canal of Lower Back or Sacrum with Imaging Guidance (62322)

Endoscopic Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel (43235) - AKA Upper GI

Endoscopic Biopsy of Esophagus, Stomach, and/or Upper Small Bowel (43239)

Sleep Study (95810)

Injection into Spinal Canal of Lower Back or Sacrum with Imaging Guidance (62323)

Brain MRI Scan - Before and After Contrast (70553)

Cervical Spine MRI Without Contrast (72141)

MRI Scan of Lower Spinal Canal (72148)

MRI of Upper Extremity (73221)

MRI Scan of Leg Joint (73721)

Corticosteroid Injection with Ultrasound Guidance (20526)

Application of Short Leg Cast (Below Knee to Toes) (29425)

Pelvic CT Scan - With Contrast (72193)

Abdomen and Pelvis CT Scan - With Contrast (74177)

Head or Brain CT Scan - Without Contrast (70450)

Cast Application (29085)

Abdominal Ultrasound (76700)

Pelvic Ultrasound through Vagina (76830)

Knee Radiologic Examination (73564)

Chest X-ray - Two Views (71046)

Lower Back X-Ray - Minimum Four Views (72110)

Ankle Radiologic Examination (73610)

Foot X-ray Examination (73630)

Physical Therapy with Therapeutic Exercise (97110)

Prostate Specific Antigen (PSA) Test - 84153

Prostate Specific Antigen (PSA) Test - 84154

Thyroid Stimulating Hormone (TSH) Test - 84443

Lipid Panel - 80061

Comprehensive Metabolic Panel (CMP) - 80053

Kidney Function Panel - 80069

Basic Metabolic Panel (80048)

Liver Function Panel - 80076

Complete Blood Count (CBC) with Differential - 85025

Complete Blood Count (CBC) - Automated (85027)

Coagulation Assessment Blood Test (85730)

Clotting Time Test (85610)

Urinalysis with Microscopic Examination (Manual) - 81001

Automated Urinalysis - 81003

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complication or Comorbidity (MCC) (247) - AKA Cardiac Catheterization or Cardiac Cath

Arthroscopy (509)

Appendectomy without Complicated Principal Diagnosis without Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) (343)

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