Top 40 services provided by CHOCTAW REGIONAL MEDICAL CENTER
Services CPT Price Est. Cash Price
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $2,185.00 $852.15
CT scan of the head or brain without contrast or dye 70450 $1,390.00 $542.10
MRI scan of the brain with and without contrast 70553 $2,363.00 $921.57
MRI scan of the brain with and without contrast 70553 $3,264.00 $1,272.96
X-ray of the lower spine with 4 or more views 72110 $442.00 $172.38
X-ray of the lower spine with 4 or more views 72110 $264.00 $102.96
CT scan of the pelvis with contrast or dye 72193 $1,142.00 $445.38
CT scan of the pelvis with contrast or dye 72193 $1,941.00 $756.99
CT scan of the abdomen with contrast or dye 74160 $2,355.00 $918.45
CT scan of the abdomen with contrast or dye 74160 $1,860.00 $725.40
Ultrasound of the abdomen 76700 $631.00 $246.09
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $377.00 $147.03
Basic Metabolic Panel 80048 $436.59 $170.27
Basic Metabolic Panel 80048 $139.00 $54.21
Comprehensive Metabolic Panel 80053 $233.00 $90.87
Comprehensive Metabolic Panel 80053 $118.00 $46.02
Lipid Panel 80061 $79.00 $30.81
Lipid Panel 80061 $87.00 $33.93
Lipid Panel 80061 $303.00 $118.17
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $67.00 $26.13
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $67.00 $26.13
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $46.00 $17.94
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $46.00 $17.94
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $47.00 $18.33
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $58.43 $22.79
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $74.00 $28.86
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $189.00 $73.71
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $63.95 $24.94
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $268.00 $104.52
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $162.00 $63.18
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $181.00 $70.59
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $268.00 $104.52
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $107.00 $41.73
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $141.00 $54.99
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $71.00 $27.69
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $46.00 $17.94
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $30.00 $11.70
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $89.00 $34.71
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $120.00 $46.80
Physical therapy evaluation session for 20 minutes 97161 $301.32 $117.51
Emergency department visit facility fees for a visit of moderate severity 99283 $690.00 $269.10
Emergency department visit facility fees for a visit of high to moderate severity 99284 $920.00 $358.80