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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| Procedure | Posted cash | Posted gross | × 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) range across 5 matching MRF lines |
$142.50–$152.50 | $285–$305 | varies |
| 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) range across 2 matching MRF lines |
$129–$135 | $258–$270 | varies |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$146–$292 | $292–$584 | varies |
| Basic metabolic panel (80048) | $28.80 | $57.60 | 3.4× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$35.98–$36 | $71.95–$72 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$45.60–$128 | $91.20–$256 | varies |
| 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) range across 6 matching MRF lines |
$26.48–$27 | $52.95–$54 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$22.18–$48 | $44.35–$96 | varies |
| 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) range across 5 matching MRF lines |
$15–$67 | $30–$134 | 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: 115 codes with posted prices and Medicare benchmarks
- Lab & pathology: 228 codes with posted prices and Medicare benchmarks
- Visits & medical services: 38 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 36 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 8 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.7 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.