Home › Hospitals › Holdenville General Hospital Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) —
$765
—
Upper GI endoscopy (EGD), diagnostic (43235) —
$253
—
Upper GI endoscopy (EGD) with biopsy (43239) —
$1,768
—
Diagnostic colonoscopy (45378) —
$383
—
Colonoscopy with biopsy (45380) —
$415
—
Colonoscopy with lesion removal (45385) —
$524
—
Laparoscopic gallbladder removal (47562) —
$1,250
—
Inguinal hernia repair (age 5+) (49505) —
$821
—
After-cataract laser surgery (YAG capsulotomy) (66821) —
$883
—
CT head/brain without contrast (70450) —
$1,008
—
MRI brain without contrast (70551) —
$1,379
—
MRI brain with contrast (70552) —
$1,539
—
MRI brain without and with contrast (70553) —
$1,751
—
X-ray lower spine, 4+ views (72110) —
$297
—
MRI lumbar spine without contrast (72148) —
$1,379
—
CT pelvis with contrast (72193) —
$1,167
—
MRI lower-extremity joint without contrast (73721) —
$1,379
—
CT abdomen and pelvis with contrast (74177) —
$1,167
—
Ultrasound, abdomen complete (76700) —
$519
—
Ultrasound, pregnant uterus (≥14 weeks) (76805) —
$424
—
Basic metabolic panel (80048) —
$93
—
Comprehensive metabolic panel (80053) —
$127
—
Lipid panel (80061) —
$96
—
Renal function panel (80069) —
$140
—
Hepatic function panel (80076) —
$126
—
PSA, total (84153) —
$157
—
Thyroid stimulating hormone (TSH) (84443) —
$139
—
CBC with automated differential (85025) —
$54
—
CBC, automated (85027) —
$54
—
Prothrombin time (PT) (85610) —
$24
—
Partial thromboplastin time (PTT) (85730) —
$77
—
Physical therapy, therapeutic exercise (per 15 min) (97110) —
$92
—
Office visit, new patient (low complexity, ~30 min) (99203) —
$147
—
Office visit, new patient (moderate complexity, ~45 min) (99204) —
$220.50
—
Office visit, new patient (high complexity, ~60 min) (99205) —
$278.25
—
Preventive visit, new patient (age 18–39) (99385) —
$136.50
—
Preventive visit, new patient (age 40–64) (99386) —
$178.50
—
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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