Wagoner Community Hospital

Wagoner, OK

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
CT head/brain without contrast (70450) $390 $780 3.9×
MRI brain without contrast (70551) $930.50 $1,861 4.1×
MRI brain without and with contrast (70553) $1,569.50 $3,139 4.7×
X-ray lower spine, 4+ views (72110) $152.50 $305 1.5×
MRI lumbar spine without contrast (72148) $930.50 $1,861 4.1×
MRI lower-extremity joint without contrast (73721) $930.50 $1,861 4.1×
CT abdomen and pelvis with contrast (74177) $1,220 $2,440 3.6×
Ultrasound, abdomen complete (76700) $236 $472 2.3×
Ultrasound, transvaginal (76830) $236 $472 2.3×
Mammography, one breast (diagnostic) (77065) $122.50 $245 1.4×
Mammography, both breasts (diagnostic) (77066) $132 $264 1.2×
Mammography, screening (bilateral) (77067) $146 $292 1.6×
Basic metabolic panel (80048) $28.80 $57.60 3.4×
Comprehensive metabolic panel (80053) $35.99 $71.98 3.4×
Lipid panel (80061) $86.80 $173.60 6.5×
Renal function panel (80069) $59.50 $119 6.9×
Hepatic function panel (80076) $50 $100 6.1×
Thyroid stimulating hormone (TSH) (84443) $57.23 $114.45 3.4×
CBC with automated differential (85025) $26.65 $53.30 3.4×
CBC, automated (85027) $35.09 $70.18 5.4×
Prothrombin time (PT) (85610) $35.50 $71 8.3×
Partial thromboplastin time (PTT) (85730) $32.50 $65 5.4×
Sleep study (attended polysomnography) (95810) $1,250 $2,500 1.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $67 $134 2.3×

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