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Harmon Memorial Hospital prices. From its own published file.

Harmon Memorial Hospital in Hollis, 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.

10,806prices published
Dec 2025file last updated
$850cash price for emergency visit, moderate (level 3) (list $850)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$850$850$604–$723
Emergency visit, high (level 4)
99284
$1,055$1,055$749–$897
Emergency visit, highest (level 5)
99285
$1,513$1,513$1,074–$1,286
Comprehensive metabolic panel
80053
$31.68$31.68$22.49–$49.37
Basic metabolic panel
80048
$25.38$25.38$18.01–$49.37
Complete blood count (CBC)
85025
$23.31$23.31$16.55–$33.51
Blood draw (venipuncture)
36415
$9.00$9.00$6.39–$7.65
Urinalysis
81001
$9.51$9.51$6.75–$14.43
Troponin (heart test)
84484
$37.41$37.41$26.56–$45.57
EKG tracing
93005
$165$165$43.53–$140
Chest X-ray, 2 views
71046
$325$325$99.99–$276
CT head without contrast
70450
$2,314$2,314$360–$1,967
CT abdomen and pelvis with contrast
74177
$3,200$3,200$360–$2,720
MRI lower back without contrast
72148
——$470–$745
Ultrasound, abdomen
76700
——$352–$352
IV push, single drug
96374
$551$551$391–$468
IV fluids, first hour
96360
$551$551$314–$468
Ketorolac injection, 15 mg
J1885
$35.13$35.13$0.86–$34.87
Ondansetron injection
J2405
$37.14$37.14$0.86–$31.56
Colonoscopy, diagnostic
45378
——$2,228–$2,228
Upper GI endoscopy with biopsy
43239
——$2,139–$2,139
Knee arthroscopy
29881
——$9,909–$9,909

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: Harmon Memorial Hospital price transparency page.

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