Choctaw Memorial Hospital prices. From its own published file.

Choctaw Memorial Hospital in Hugo, OK publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,439prices published

Apr 2026file last updated

$1,502cash price for ct abdomen and pelvis with contrast (list $3,004)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$174	$348	$136–$300
Emergency visit, high (level 4) `99284`	$279	$557	$208–$300
Emergency visit, highest (level 5) `99285`	$412	$824	$286–$300
Comprehensive metabolic panel `80053`	$88.00	$176	$7.80–$13.29
Basic metabolic panel `80048`	$62.00	$124	$8.46–$10.65
Complete blood count (CBC) `85025`	$30.00	$60.00	$7.77–$9.77
Blood draw (venipuncture) `36415`	$5.00	$10.00	$2.70–$8.57
Urinalysis `81001`	$21.00	$42.00	$3.17–$3.99
Troponin (heart test) `84484`	$60.50	$121	$12.38–$12.47
EKG tracing `93005`	$82.00	$164	$6.04–$50.00
Chest X-ray, 2 views `71046`	$106	$211	$45.54–$55.00
CT head without contrast `70450`	$790	$1,580	$149–$275
CT abdomen and pelvis with contrast `74177`	$1,502	$3,004	$275–$428
Ultrasound, abdomen `76700`	$310	$619	$80.00–$159
IV push, single drug `96374`	$270	$540	$59.63–$59.63
IV fluids, first hour `96360`	$270	$540	$52.24–$52.24
Ketorolac injection, 15 mg `J1885`	$10.50	$21.00	—
Ondansetron injection `J2405`	$4.00	$8.00	—
Colonoscopy, diagnostic `45378`	$983	$1,965	$234–$234
Upper GI endoscopy with biopsy `43239`	$1,500	$3,000	$175–$175

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Choctaw Memorial Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.