AHS Southcrest Hospital, LLC
Tulsa, OK
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Mar 31, 2026 | Yes |
Example procedure pricing
- MRI brain w/ contrast β CPT 70553$1.7k
- Upper GI endoscopy β CPT 43239$1.4k
- Colonoscopy β CPT 45378$1.6k
- Colonoscopy with biopsy β CPT 45380$2.0k
- Screening mammogram β CPT 77067$507
- CT scan, abdomen and pelvis β CPT 74177$2.8k
- Coronary stent placement β CPT 92928$11.8k
- Cardiac catheterization β CPT 93458$9.2k
- MRI, knee β CPT 73721$2.6k
- MRI, lumbar spine β CPT 72148$1.4k
- Chest X-ray β CPT 71046$410
- Emergency dept visit, level 4 β CPT 99284$1.7k
- Pacemaker insertion β CPT 33208$18.0k
- Outpatient clinic visit, level 1 β HCPCS G0463$454
EIN: 45-2711804
Last updated: Mar 31, 2026
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Hospital ID: 12529023920da9b77aae31b7761daf54f1a149b5e39053550ecce0c63f8c129f