Northeastern Health System
Tahlequah, OK
Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,084.50 | $1,446 | 1.2× |
| Diagnostic colonoscopy (45378) | $1,599 | $2,132 | 1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,083.75 | $1,445 | 1.3× |
| CT head/brain without contrast (70450) | $782.25 | $1,043 | 7.8× |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$1,397.25–$2,450.25 | $1,863–$3,267 | varies |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$1,473–$2,994.75 | $1,964–$3,993 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$2,651.25–$2,994.75 | $3,535–$3,993 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$192.75–$193.50 | $257–$258 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$2,450.25–$2,994.75 | $3,267–$3,993 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$303.75–$1,118.25 | $405–$1,491 | varies |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$2,186.25–$2,450.25 | $2,915–$3,267 | varies |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$1,961.25–$2,733.75 | $2,615–$3,645 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$405.75–$406.50 | $541–$542 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$260.25–$261 | $347–$348 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$183.75–$184.50 | $245–$246 | varies |
| Mammography, one breast (diagnostic) (77065) | $144.75 | $193 | 1.7× |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$139.50–$221.25 | $186–$295 | varies |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$62.25–$180.75 | $83–$241 | varies |
| Basic metabolic panel (80048) | $56.25 | $75 | 6.6× |
| Comprehensive metabolic panel (80053) | $81 | $108 | 7.7× |
| Lipid panel (80061) | $51.75 | $69 | 3.9× |
| Renal function panel (80069) | $54 | $72 | 6.2× |
| Hepatic function panel (80076) | $81 | $108 | 9.9× |
| Urinalysis, non-automated, with microscopy (81000) | $12 | $16 | 3.0× |
| PSA, total (84153) range across 2 matching MRF lines |
$47.25–$49.50 | $63–$66 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$55.50–$63.75 | $74–$85 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$44.25–$166.50 | $59–$222 | varies |
| CBC, automated (85027) | $28.50 | $38 | 4.4× |
| Prothrombin time (PT) (85610) range across 5 matching MRF lines |
$8.05–$23.25 | $10.73–$31 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$11.27–$27 | $15.03–$36 | varies |
| Left heart catheterization (93452) | $4,381.50 | $5,842 | 1.4× |
| Sleep study (attended polysomnography) (95810) | $4,369.50 | $5,826 | 5.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$45–$87.75 | $60–$117 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$84.75–$111.75 | $113–$149 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$111.75–$121.50 | $149–$162 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$111.75–$154.50 | $149–$206 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 289 codes with posted prices and Medicare benchmarks
- Lab & pathology: 635 codes with posted prices and Medicare benchmarks
- Visits & medical services: 200 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 462 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 49 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 11.7 MB) ↓ — captured 2026-07-29
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.