ALLIANCEHEALTH PONCA CITY

Acute Care Hospitals

2 out of 5 (CMS)

1900 NORTH 14TH STREET

PONCA CITY, OK, 74601

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(580) 765-3321

Emergency Services: Yes

Voluntary non-profit - Other

Procedure Prices at ALLIANCEHEALTH PONCA CITY

COLLECTION VENIPUNCTURE

CPT 36415

$7.3

Mechanical Traction

CPT 97012

$24.53

Therapeutic Exercises

CPT 97110

$32.08

Therapeutic Activities

CPT 97530

$32.08

EKG Tracing

CPT 93005

$63.05

Screening Mammogram (bilateral)

CPT 77067

$65.93

COMPLETE BLOOD CT W/AUTO DIFF

CPT 85025

$65.93

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$71.6

Diagnostic Mammogram (unilateral)

CPT 77065

$78.7

ER Visit — Low-Moderate Complexity

CPT 99283

$95.24

Diagnostic Mammogram (bilateral)

CPT 77066

$97.68

Abdominal Ultrasound

CPT 76700

$127.87

OB Ultrasound

CPT 76805

$127.87

Chest X-Ray (2 views)

CPT 71046

$134.98

Abdominal Ultrasound — Limited

CPT 76705

$135.09

Chest X-Ray (1 view)

CPT 71045

$139.86

ER Visit — Moderate Complexity

CPT 99284

$159.29

Retroperitoneal Ultrasound

CPT 76770

$220.45

ER Visit — High Complexity

CPT 99285

$246.86

Echocardiogram w/ Doppler

CPT 93306

$305.25

RADS TRANSFORMINAL INJ SING

CPT 64483

$392.04

MRI Brain w/o Contrast

CPT 70551

$417.8

MRI Joint of Lower Extremity

CPT 73721

$459.54

CT Chest

CPT 71250

$552.78

MRI Brain w/ Contrast

CPT 70553

$647.13

Cataract Surgery

CPT 66984

$1,091.85

CT Abdomen & Pelvis

CPT 74177

$1,095.79

Cataract Surgery — Complex

CPT 66982

$1,174.38

Colonoscopy

CPT 45378

$1,767.89

Upper GI Endoscopy w/ Biopsy

CPT 43239

$1,773.96

Colonoscopy w/ Biopsy

CPT 45380

$2,061.89

Laparoscopic Hernia Repair

CPT 49650

$2,382.03

Knee Arthroscopy

CPT 29881

$2,389.24

Inguinal Hernia Repair

CPT 49505

$2,466.09

Recurrent Inguinal Hernia Repair

CPT 49520

$2,517.36

Laparoscopic Cholecystectomy

CPT 47562

$5,916.83

Sho arthrs srg rt8tr cuf rpr

CPT 29827

$6,528.24

Compare Prices Nearby

Blood Draw prices in OK →Physical Therapy prices in OK →EKG / ECG prices in OK →Mammogram prices in OK →Blood Panel prices in OK →ER Visit prices in OK →Ultrasound prices in OK →OB Ultrasound prices in OK →X-Ray prices in OK →Heart Ultrasound prices in OK →Epidural Steroid Injection prices in OK →MRI prices in OK →CT Scan prices in OK →Cataract Surgery prices in OK →Colonoscopy prices in OK →Upper Endoscopy prices in OK →Hernia Surgery prices in OK →Knee Arthroscopy prices in OK →Gallbladder Surgery prices in OK →

Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.