Had Bob Kime, 67, not opened the Tulsa World paper June 13, 2013, and noticed an ad that read, “for many people the first symptom of heart disease is a heart attack,” he may not have thought of his own heart health. The ad featured a new promotion available at Oklahoma Heart Institute to have a state-of-the-art cardiac CT scan for $499 with no physician referral necessary. “I thought that’s $499 and I called,” says Bob of picking of the phone to schedule his scan.