Alliancehealth Seminole

Seminole, OK

Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $1,279.30 $2,326 12.7×
MRI brain without contrast (70551) $1,134.98 $2,063.60 4.9×
MRI brain with contrast (70552) $1,927.75 $3,505 5.7×
MRI brain without and with contrast (70553) $1,945.90 $3,538 5.8×
X-ray lower spine, 4+ views (72110) $452.32 $822.40 4.5×
MRI lumbar spine without contrast (72148) $1,629.65 $2,963 7.1×
CT pelvis with contrast (72193) $1,230.90 $2,238 7.3×
MRI lower-extremity joint without contrast (73721) $1,416.80 $2,576 6.2×
CT abdomen and pelvis with contrast (74177) $2,621.85 $4,767 7.8×
Ultrasound, abdomen complete (76700) $629.20 $1,144 6.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $601.70 $1,094 6.0×
Ultrasound, transvaginal (76830) $533.50 $970 5.3×
Mammography, one breast (diagnostic) (77065) $159.50 $290 1.9×
Mammography, both breasts (diagnostic) (77066) $319.55 $581 2.9×
Mammography, screening (bilateral) (77067) $212.30 $386 2.3×
Basic metabolic panel (80048) $85.25 $155 10.1×
Comprehensive metabolic panel (80053) $109.45 $199 10.4×
Obstetric panel (80055) $358.60 $652 7.5×
Lipid panel (80061) $77 $140 5.8×
Renal function panel (80069) $112.20 $204 12.9×
Hepatic function panel (80076) $100.65 $183 12.3×
Urinalysis, non-automated, without microscopy (81002) $33.55 $61 9.6×
PSA, total (84153) $89.10 $162 4.8×
Thyroid stimulating hormone (TSH) (84443) $69.85 $127 4.2×
CBC with automated differential (85025) $114.68 $208.50 14.8×
CBC, automated (85027) $62.15 $113 9.6×
Prothrombin time (PT) (85610) $46.20 $84 10.8×
Partial thromboplastin time (PTT) (85730) $48.40 $88 8.1×
Left heart catheterization (93452) $8,844 $16,080 2.8×
Sleep study (attended polysomnography) (95810) $3,476 $6,320 4.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $81.40 $148 2.8×
Office visit, new patient (low complexity, ~30 min) (99203) $197.45 $359 1.5×
Office visit, new patient (moderate complexity, ~45 min) (99204) $254.10 $462 2.0×
Office visit, new patient (high complexity, ~60 min) (99205) $376.20 $684 2.9×

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