Henryetta, OK
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 21, 2026 | Aug 2, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see AHS Henryetta Hospital, LLC’s price for it.
The codes AHS Henryetta Hospital, LLC has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Potassium chloride injection, 2 mEq per mLHCPCS J3480 | $56 | $54 | $17 | 32% | 9,100 | $13 | $88 |
| Magnesium sulfate injection 50%HCPCS J3475 | $57 | $54 | $17 | 31% | 700 | $16 | $88 |
| Observation care, per hourHCPCS G0378 | $48 | $37 | $19 | 52% | 272 | $0 | $60 |
| Hemoglobin A1c blood testCPT 83036 | $41 | $84 | $66 | 78% | 4–40 | $8 | $197 |
| Bilateral screening mammogram with computer-aided detectionCPT 77067 | $318 | $292 | $73 | 25% | 2–20 | $99 | $397 |
| Complete blood count with automated differentialCPT 85025 | $181 | $166 | $41 | 25% | 1–10 | $57 | $226 |
| Comprehensive metabolic blood panelCPT 80053 | $290 | $267 | $66 | 25% | 1–10 | $91 | $363 |
| Lipid panel blood testCPT 80061 | $292 | $269 | $67 | 25% | 1–10 | $91 | $365 |
| Electrocardiogram (ECG) heart rhythm tracingCPT 93005 | $312 | $271 | $79 | 29% | 1–10 | $98 | $390 |
| Thyroid stimulating hormone blood testCPT 84443 | $259 | $239 | $59 | 25% | 1–10 | $81 | $324 |
EIN: 20-1026264
Last updated: Mar 21, 2026
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Hospital ID: 5a9536ddfc4ca879f7c7ce4f208ab6e918dcf5580ccb75e8dc8bf9ff4f071350