Pushmataha County Town of Antlers Hospital
Antlers, OK
Posts prices for 16 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | — | $1,306 | — |
| X-ray lower spine, 4+ views (72110) | — | $386.25 | — |
| CT pelvis with contrast (72193) | $1,029.50 | $2,059 | 6.1× |
| CT abdomen and pelvis with contrast (74177) | $1,522 | $3,044 | 4.5× |
| Ultrasound, abdomen complete (76700) | — | $619 | — |
| Basic metabolic panel (80048) | — | $124 | — |
| Comprehensive metabolic panel (80053) | $137.50 | $275 | 13.0× |
| Lipid panel (80061) | $76.50 | $153 | 5.7× |
| Renal function panel (80069) | $77.25 | $154.50 | 8.9× |
| Hepatic function panel (80076) | $78.50 | $157 | 9.6× |
| Urinalysis, non-automated, without microscopy (81002) | — | $22.66 | — |
| PSA, total (84153) | $73.65 | $147.29 | 4.0× |
| Thyroid stimulating hormone (TSH) (84443) | $56.50 | $113 | 3.4× |
| CBC with automated differential (85025) | $30 | $60 | 3.9× |
| Prothrombin time (PT) (85610) | — | $56.65 | — |
| Partial thromboplastin time (PTT) (85730) | — | $56.65 | — |
More prices at this hospital
- Imaging: 123 codes with posted prices and Medicare benchmarks
- Lab & pathology: 400 codes with posted prices and Medicare benchmarks
- Visits & medical services: 36 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 23 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 4 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 297.5 KB) ↓ — captured 2026-07-29
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