FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY (Fairview, OK) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
97110	HC THER EXERCISE EA 15 MIN PT	—	$96	—	—	5
97116	HC GAIT TRAINING EA 15 MIN PT	—	$80	—	—	5
85025	LCHG CBC W AUTO DIFFERENTIAL	—	$49	—	—	5
85027	LCHG CBC W/O AUTO DIFFERENTIAL	—	$45	—	—	5
85379	LCHG D-DIMER QUANTITATIVE	—	$150	—	—	5
83970	LCHG PTH INTACT	—	$259	—	—	5
84100	LCHG PHOSPHORUS BLOOD	—	$45	—	—	5
84144	LCHG PROGESTERONE	—	$60	—	—	5
84146	LCHG PROLACTIN	—	$132	—	—	5
11980	PR IMPLANT,HORMONE,SUBCUTANEOUS	—	$375	—	—	5
12001	HC ED RPR SCLP/TRNK/EXTRM SMPL <= 2.5CM	—	$283	—	—	5
12011	HC ED RPR FACE EAR SMPL <=2.5CM	—	$339	—	—	5
17000	PR DESTROY PREMALIG LESION, 1ST LESION	—	$94	—	—	5
17003	PR DESTROY PREMALIG LESION, 2-14	—	$24	—	—	5
17110	PR DESTRUCT BENIGN LESION, 1-14	—	$102	—	—	5
20610	PR DRAIN/INJECT LARGE JOINT/BURSA	—	$165	—	—	5
29540	HC ED STRAPPING ANKLE/FOOT	—	$120	—	—	5
29826	SHAVING OF SHOULDER BONE, ENDOSCOPE	—	$0	—	—	0
29881	REMOVAL OF KNEE CARTILAGE, ENDOSCOPE	—	$0	—	—	0
36415	LCHG BLOOD DRAW	—	$13	—	—	4
36430	LCHG TRANSFUSION SERVICE FEE	—	$955	—	—	5
42820	REMOVAL OF TONSILS AND ADENOIDS YOUNGER THAN 12	—	$0	—	—	0
43235	DIAGNOSTIC EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL ENDOSCOPE	—	$0	—	—	3
43239	BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL, ENDOSCOPE	—	$5,107	—	—	5
45378	DIAGNOSIC EXAM OF LARGE BOWEL, ENDOSCOPE	—	$0	—	—	3
45380	BIOPSY OF LARGE BOWEL, ENDOSCOPE	—	$4,688	—	—	5
45385	REMOVAL OF POLYPS OR GROWTHS LARGE BOWEL, ENDOSCOPE	—	$4,757	—	—	5
45391	ULTRASOUND EXAMINATION OF LOWER LARGE BOWEL, ENDOSCOPE	—	$0	—	—	1
47562	REMOVAL OF GALLBLADDER, ENDOSCOPE	—	$0	—	—	0
49505	REPAIR OF GROIN HERNIA PATIENT 5 OR OLDER	—	$0	—	—	0
51702	HC ED INSERT CATH TEMP INDWELL BLADDER SMPL	—	$219	—	—	5
55700	BIOPSY OF PROSTATE GLAND	—	$0	—	—	0
55866	REMOVAL OF PROSTATE AND LYMPH NODES, ENDOSCOPE	—	$0	—	—	0
59400	ROUTINE OBSTETRIC CARE FOR VAG DELIVERY, INCLUDING PRE-AND POST-DELIVERY CARE	—	$0	—	—	0
59510	ROUTINE OBSTETRIC CARE FOR CESAREAN DELIVERY, INCLUDING PRE-AND POST-DELIVERY CARE	—	$0	—	—	1
59610	ROUTINE OBSTETRIC CARE FOR VAG DELIVERY AFTER PRIOR CESAREAN DELIERY INCLUDING PRE-AND POST-DELIVERY	—	$0	—	—	0
62322	INJ OF SUB INTO SPINAL CANAL USING GUIDANCE	—	$0	—	—	0
64483	INJ OF ANESTHETIC INTO SPINE USING IMAGING GUIDANCE	—	$0	—	—	0
66821	REMOVAL OF RECURRING CATARACT IN LENS CAPSULE	—	$0	—	—	3
70450	HC CT HEAD NON CONTRAST	—	$1,746	—	—	5
70486	HC CT SINUS FACIAL BONES NON CONTRAST	—	$1,746	—	—	5
70553	HC MRI BRAIN WITH & WITHOUT CONTRAST	—	$3,427	—	—	5
71045	HC XRAY CHEST 1 VIEW	—	$121	—	—	5
71046	HC XRAY CHEST 2 VIEWS	—	$223	—	—	5
71100	HC RIBS UNILATERAL 2 VW	—	$325	—	—	5
71250	HC CT CHEST NON CONTRAST	—	$1,746	—	—	5
71260	HC CT CHEST WITH CONTRAST	—	$2,695	—	—	5
71275	HC CT ANGIO CHEST W/WO CONTRAST	—	$3,007	—	—	5
72040	HC CERVICAL SPINE 2 OR 3 VW	—	$325	—	—	5
72072	HC THORACIC SPINE 3 VW	—	$325	—	—	5

Showing top 50 of 275 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.