Jefferson County Hospital

Waurika, OK · Critical Access Hospital

Posts prices for 24 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $808 $2,302 0.9×
Upper GI endoscopy (EGD) with biopsy (43239) $698.13 $1,989 0.8×
CT head/brain without contrast (70450) $1,119.69 $3,190 11.1×
X-ray lower spine, 4+ views (72110) $244.99 $698 2.4×
CT pelvis with contrast (72193) $1,088.10 $3,100 6.4×
CT abdomen and pelvis with contrast (74177) $1,720.24 $4,901 5.1×
Ultrasound, abdomen complete (76700) $385.04 $1,097 3.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $229.55 $654 2.3×
Ultrasound, transvaginal (76830) $328.88 $937 3.3×
Basic metabolic panel (80048) $31.62 $90.09 3.7×
Comprehensive metabolic panel (80053) $29.04 $82.77 2.8×
Obstetric panel (80055) $119.33 $339.99 2.5×
Lipid panel (80061) $27.78 $79.17 2.1×
Renal function panel (80069) $102.49 $292 11.8×
Hepatic function panel (80076) $61.42 $175 7.5×
Urinalysis, non-automated, without microscopy (81002) $11.58 $33 3.3×
PSA, total (84153) $35.10 $100 1.9×
Thyroid stimulating hormone (TSH) (84443) $30.43 $86.70 1.8×
CBC with automated differential (85025) $24.57 $70 3.2×
CBC, automated (85027) $20.89 $59.54 3.2×
Prothrombin time (PT) (85610) $23.16 $66 5.4×
Partial thromboplastin time (PTT) (85730) $46.89 $133.60 7.8×
Sleep study (attended polysomnography) (95810) $2,598.05 $3,997 3.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $103.35 $159 3.6×

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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