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Oklahoma Spine Hospital LLC prices. From its own published file.

Oklahoma Spine Hospital LLC in Kansas City, 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.

1,272prices published
Apr 2026file last updated
$460cash price for ct abdomen and pelvis with contrast (list $2,413)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$116$350$65.64–$350
Emergency visit, high (level 4)
99284
$150$460$112–$532
Emergency visit, highest (level 5)
99285
$193$580$162–$766
Comprehensive metabolic panel
80053
$20.00$101$5.23–$13.20
Basic metabolic panel
80048
$15.00$81.20$4.19–$10.58
Complete blood count (CBC)
85025
$15.00$74.62$3.85–$9.71
Blood draw (venipuncture)
36415
$3.50$21.00$1.08–$9.15
Urinalysis
81001
$5.00$30.45$1.57–$3.96
Troponin (heart test)
84484
$20.00$94.50$4.87–$15.59
EKG tracing
93005
$25.00$112$5.31–$101
Chest X-ray, 2 views
71046
$115$272$18.71–$176
CT head without contrast
70450
$140$1,019$58.73–$266
CT abdomen and pelvis with contrast
74177
$460$2,413$195–$1,207
MRI lower back without contrast
72148
$315$1,921$108–$604
IV push, single drug
96374
$50.00$196$33.58–$369
IV fluids, first hour
96360
$305$433$29.79–$369
Ketorolac injection, 15 mg
J1885
$0.85$30.00$0.30–$388
Ondansetron injection
J2405
$2.00$5.00$0.09–$2.50

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: Oklahoma Spine Hospital LLC price transparency page.

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