BROOKHAVEN HOSPITAL, LLC (Tulsa, OK) prices

45 CFR § 180 compliance

F · 50

This hospital published little of what § 180 requires.

●Machine-readable file published: assessment threshold met

●Gross / standard charges: assessment threshold met

○Discounted cash price: below assessment threshold

○Payer-specific negotiated rates: below assessment threshold

○Min / max negotiated charges: below assessment threshold

●Free, public, no login required: assessment threshold met

Procedures listed

3,100

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

File last updated: 2026-08-01 (per the hospital's file)

Retrieved: 2026-11-06

Most expensive procedures (gross)

2502772

—

INVEGA SUSTENNA 234 MG/INJ

Gross

$4,068

50458056401

—

INVEGA SUST INJ 156MG/ML

Gross

$4,068

9180900

—

COMP PSYCHOLOGICAL ASSESS

Gross

$4,050

9180950

—

PSYCH CONSULT OTHER>4 HRS

Gross

$4,050

9180750

—

PSYCH TESTING NE BATTERY

Gross

$4,039

2501011

—

ARISTADA ER 662MG INJ

Gross

$2,902

65757040203

—

ARISTADA ER 662MG (aripiprazole lauroxil) IM suspensionextended rel syring

Gross

$2,902

5005883

—

NEUROPSYCH.EVALUATION 7HR

Gross

$2,718

1002500

—

NRI/2 BED

Gross

$2,600

1003001

—

NRI BEHAVIORAL R/B

Gross

$2,600

5505883

—

NEUROPSYCH EVAL

Gross

$2,571

2502771

—

INVEGA SUSTENNA 156 MG/ML

Gross

$2,333

9180850

—

PSYCH CONSULT OTHER<4 HRS

Gross

$2,030

1001001

—

PSTAY/2 BED

Gross

$1,600

1004001

—

TLC R/B PROGRAM

Gross

$1,600

1004002

—

RESIDENTIAL R/B PROGRAM

Gross

$1,600

5006883

—

NEUROPSYCH TESTING

Gross

$1,366

2501006

—

ZYPREXA REL INJ 300MG

Gross

$1,339

2506298

—

FORTEO 750MCG/3ML

Gross

$1,113

2503792

—

GOLYTELY SOL 4000 ML

Gross

$1,072

2503854

—

RISPERDAL INJ 50 MG/2ML

Gross

$906

2500481

—

XIIDRA 5% OPHTH DROPS

Gross

$874

24208091105

—

XIIDRA 5% OPHTH (lifitegrast) dropperette

Gross

$874

2506192

—

REGRANEX GEL 0.01%

Gross

$830

9180700

—

PSYCH TESTING ASSESSMENT

Gross

$827

3000590

—

HEAVY METALS PROFILE 1

Gross

$821

9180200

—

PSYCH TESTING-ADMIT-BEH

Gross

$742

9180650

—

PSYCH TESTING-ABS-RC:2

Gross

$742

3003520

—

PROGRAF LEVEL

Gross

$730

2503700

—

RISPERDAL INJ 37.5 MG/2

Gross

$680

2506327

—

MEGACE ES 625MG/5ML SUS

Gross

$669

3007902

—

HEP C VIRAL RNA GENO 1 NS5A DRUG RESISTANT

Gross

$653

2506402

—

ADVAIR DISK MIS 500/50

Gross

$536

3007535

—

HIV QT PCR (HIV 1 RNA PCR)

Gross

$516

2503853

—

RISPERDAL INJ 25MG/2ML

Gross

$453

3007901

—

HIV GENOTYPE SEQUENCEING

Gross

$450

5005881

—

MMPI-2

Gross

$440

5005882

—

NEUROPSYCH. EVAL. 1 HR.

Gross

$439

9180550

—

PSYCH TESTING-HRC20

Gross

$430

9180600

—

PSYCH TESTING-BNCE

Gross

$430

9180800

—

CLINICAL FILE REVIEW

Gross

$430

3006235

—

EXTRACTABLE NUCL ANTIGEN

Gross

$424

2507446

—

VICTOZA INJ 18MG/3ML

Gross

$412

00480366719

—

VICTOZA 18MG/3ML SUBQ PEN (LIRAGLUTIDE)

Gross

$412

2506246

—

ADVAIR DISK NR MIS 250/50

Gross

$406

3004403

—

TESTOSTERONE LEVEL

Gross

$402

2507519

—

NAYZILAM 5MG/0.1ML SOLN

Gross

$379

50474050015

—

NAYZILAM 5MG/0.1ML SOLN

Gross

$379

2507098

—

SYMBICORT 160/4.5MCG

Gross

$371

2506667

—

XIBROM SOL 0.09%

Gross

$348

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
2502772	INVEGA SUSTENNA 234 MG/INJ	$4,068	—	—	—	0
50458056401	INVEGA SUST INJ 156MG/ML	$4,068	—	—	—	0
9180900	COMP PSYCHOLOGICAL ASSESS	$4,050	—	—	—	0
9180950	PSYCH CONSULT OTHER>4 HRS	$4,050	—	—	—	0
9180750	PSYCH TESTING NE BATTERY	$4,039	—	—	—	0
2501011	ARISTADA ER 662MG INJ	$2,902	—	—	—	0
65757040203	ARISTADA ER 662MG (aripiprazole lauroxil) IM suspensionextended rel syring	$2,902	—	—	—	0
5005883	NEUROPSYCH.EVALUATION 7HR	$2,718	—	—	—	0
1002500	NRI/2 BED	$2,600	—	—	—	8
1003001	NRI BEHAVIORAL R/B	$2,600	—	—	—	22
5505883	NEUROPSYCH EVAL	$2,571	—	—	—	0
2502771	INVEGA SUSTENNA 156 MG/ML	$2,333	—	—	—	0
9180850	PSYCH CONSULT OTHER<4 HRS	$2,030	—	—	—	0
1001001	PSTAY/2 BED	$1,600	—	—	—	8
1004001	TLC R/B PROGRAM	$1,600	—	—	—	8
1004002	RESIDENTIAL R/B PROGRAM	$1,600	—	—	—	22
5006883	NEUROPSYCH TESTING	$1,366	—	—	—	0
2501006	ZYPREXA REL INJ 300MG	$1,339	—	—	—	0
2506298	FORTEO 750MCG/3ML	$1,113	—	—	—	0
2503792	GOLYTELY SOL 4000 ML	$1,072	—	—	—	0
2503854	RISPERDAL INJ 50 MG/2ML	$906	—	—	—	0
2500481	XIIDRA 5% OPHTH DROPS	$874	—	—	—	0
24208091105	XIIDRA 5% OPHTH (lifitegrast) dropperette	$874	—	—	—	0
2506192	REGRANEX GEL 0.01%	$830	—	—	—	0
9180700	PSYCH TESTING ASSESSMENT	$827	—	—	—	0
3000590	HEAVY METALS PROFILE 1	$821	—	—	—	0
9180200	PSYCH TESTING-ADMIT-BEH	$742	—	—	—	0
9180650	PSYCH TESTING-ABS-RC:2	$742	—	—	—	0
3003520	PROGRAF LEVEL	$730	—	—	—	0
2503700	RISPERDAL INJ 37.5 MG/2	$680	—	—	—	0
2506327	MEGACE ES 625MG/5ML SUS	$669	—	—	—	0
3007902	HEP C VIRAL RNA GENO 1 NS5A DRUG RESISTANT	$653	—	—	—	0
2506402	ADVAIR DISK MIS 500/50	$536	—	—	—	0
3007535	HIV QT PCR (HIV 1 RNA PCR)	$516	—	—	—	0
2503853	RISPERDAL INJ 25MG/2ML	$453	—	—	—	0
3007901	HIV GENOTYPE SEQUENCEING	$450	—	—	—	0
5005881	MMPI-2	$440	—	—	—	0
5005882	NEUROPSYCH. EVAL. 1 HR.	$439	—	—	—	0
9180550	PSYCH TESTING-HRC20	$430	—	—	—	0
9180600	PSYCH TESTING-BNCE	$430	—	—	—	0
9180800	CLINICAL FILE REVIEW	$430	—	—	—	0
3006235	EXTRACTABLE NUCL ANTIGEN	$424	—	—	—	0
2507446	VICTOZA INJ 18MG/3ML	$412	—	—	—	0
00480366719	VICTOZA 18MG/3ML SUBQ PEN (LIRAGLUTIDE)	$412	—	—	—	0
2506246	ADVAIR DISK NR MIS 250/50	$406	—	—	—	0
3004403	TESTOSTERONE LEVEL	$402	—	—	—	0
2507519	NAYZILAM 5MG/0.1ML SOLN	$379	—	—	—	0
50474050015	NAYZILAM 5MG/0.1ML SOLN	$379	—	—	—	0
2507098	SYMBICORT 160/4.5MCG	$371	—	—	—	0
2506667	XIBROM SOL 0.09%	$348	—	—	—	0

Showing top 50 of 3,100 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.