Cleveland Area Hospital

Cleveland, OK · Critical Access Hospital

Posts prices for 37 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) $1,460.76 $1,825.95 14.5×
MRI brain without contrast (70551) $2,111.09 $2,638.86 9.2×
MRI brain with contrast (70552) $1,992.46 $2,490.57 5.9×
MRI brain without and with contrast (70553) $2,786.77 $3,483.46 8.3×
X-ray lower spine, 4+ views (72110) $495.22 $619.03 4.9×
MRI lumbar spine without contrast (72148) $1,978.42 $2,473.03 8.6×
CT pelvis with contrast (72193) $1,694.02 $2,117.52 10.0×
MRI lower-extremity joint without contrast (73721) $1,978.42 $2,473.03 8.6×
CT abdomen and pelvis with contrast (74177) $2,767.76 $3,459.70 8.2×
Ultrasound, abdomen complete (76700) $653.62 $817.02 6.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $645.60 $807 6.4×
Ultrasound, transvaginal (76830) $627.89 $784.86 6.2×
Mammography, one breast (diagnostic) (77065) $168.92 $211.15 2.0×
Mammography, both breasts (diagnostic) (77066) $491.93 $614.91 4.4×
Mammography, screening (bilateral) (77067) $370.80 $463.50 4.1×
Basic metabolic panel (80048) $68.54 $85.68 8.1×
Comprehensive metabolic panel (80053) $82.42 $103.02 7.8×
Obstetric panel (80055) $760 $950 15.9×
Lipid panel (80061) $106.30 $132.87 7.9×
Renal function panel (80069) $83.20 $104 9.6×
Hepatic function panel (80076) $67.39 $84.24 8.2×
Urinalysis, non-automated, with microscopy (81000) $31.20 $39 7.8×
PSA, total (84153) $148.10 $185.12 8.1×
Thyroid stimulating hormone (TSH) (84443) $128.48 $160.60 7.6×
CBC with automated differential (85025) $61.80 $77.25 8.0×
CBC, automated (85027) $48.80 $61 7.5×
Prothrombin time (PT) (85610) $41.40 $51.75 9.7×
Partial thromboplastin time (PTT) (85730) $48 $60 8.0×
Electrocardiogram (ECG), complete (93000) $112 $140 2.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $88.17 $110.21 3.0×
Office visit, new patient (low complexity, ~30 min) (99203) $212.80 $266 1.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $318.40 $398 2.5×
Office visit, new patient (high complexity, ~60 min) (99205) $406.40 $508 3.2×
Office consultation (low complexity, ~30 min) (99243) $258.40 $323 2.0×
Office consultation (moderate complexity, ~40 min) (99244) $382.40 $478 3.0×
Preventive visit, new patient (age 18–39) (99385) $248.80 $311
Preventive visit, new patient (age 40–64) (99386) $288.80 $361

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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