Visits & medical services prices at Arbuckle Memorial Hospital Authority
Sulphur, OK · every code in this section with a posted price and a Medicare benchmark.
117 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$18–$384 | $22–$480 | varies |
| Analyze Pacemaker System (93724) | $11 | $14 | 0.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $48 | $60 | 3.3× |
| Assessment of aphasia per hr (96105) | $79 | $99 | 0.8× |
| Behavral qualit analys voice (92524) | $180 | $225 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$31–$541 | $39–$676 | varies |
| Canalith repositioning proc (95992) | $72 | $90 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $541 | $676 | 2.6× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$274–$596 | $343–$745 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$189–$210 | $236–$262 | varies |
| Cbt 1st hour (94644) | $384 | $480 | 3.0× |
| Chest Wall Manipulation (94668) | $230 | $288 | 1.8× |
| Color/duplex Doppler, complete (93975) | $516 | $645 | 2.2× |
| Color/duplex Doppler, limited (93976) | $304 | $380 | 3.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $56 | $70 | 1.7× |
| Continuous Pulse Ox (94762) | $240 | $300 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $327 | $409 | 1.6× |
| Cpt initial (94667) | $230 | $288 | 1.8× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$640–$1,600 | $800–$2,000 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$97–$716 | $121–$895 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $393 | $491 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $222 | $278 | 2.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $696 | $870 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$222–$696 | $278–$870 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $890 | $1,112 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$315–$445 | $394–$556 | varies |
| Duplex up extrem art bilat (93930) | $696 | $870 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $696 | $870 | 6.9× |
| Echo Heart Xthoracic,Limited (93308) | $42 | $53 | 0.2× |
| EEG awake and asleep (95819) | $163 | $204 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) | $36 | $45 | 2.4× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$53–$120 | $66–$150 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$38–$600 | $48–$750 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$71–$880 | $89–$1,100 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$109–$1,040 | $136–$1,300 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$25–$400 | $31–$500 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$171–$1,360 | $214–$1,700 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $190 | $237 | 1.5× |
| Evaluate Speech Production (92522) | $168 | $210 | 1.5× |
| Evaluate Swallowing Function (92610) | $149 | $186 | 1.8× |
| Evaluation of speech fluency (92521) | $212 | $265 | 1.6× |
| Extracranial Bilat Study (93880) | $393 | $491 | 1.7× |
| Extracranial Uni/Ltd Study (93882) | $242 | $302 | 2.4× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $132 | $165 | 0.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $134 | $168 | 0.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $198 | $247 | 0.9× |
| Group Therapeutic Procedures (97150) | $35 | $44 | 1.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$200–$252 | $250–$315 | varies |
| Hubbard tank 15 min (97036) | $50 | $63 | 1.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 5 matching MRF lines |
$2–$9 | $2–$11 | varies |
| Immunization administration (90471) range across 10 matching MRF lines |
$2–$38 | $3–$47 | varies |
| Iontophoresis 15 min (97033) | $64 | $80 | 3.4× |
| Irrig Drug Delivery Device (96523) | $112 | $140 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$52–$64 | $65–$80 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $66 | $83 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $54 | $68 | 1.2× |
| IV push initial (96374) | $367 | $459 | 1.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $114 | $142 | 2.0× |
| Mechanical chest wall oscillation per session (94669) | $368 | $460 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $178 | $222 | 1.9× |
| Multiple Family Group Psychotherapy (90849) | $35 | $44 | 0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$40–$716 | $50–$895 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$60–$716 | $75–$895 | varies |
| Neuromuscular Reeducation (97112) | $56 | $70 | 1.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $40 | $50 | 2.9× |
| Oral Function Therapy (92526) | $166 | $207 | 2.0× |
| Oral Speech Device Eval (92597) | $141 | $176 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $64 | $80 | 1.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$22–$56 | $27–$70 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $40 | $50 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $36 | $45 | 2.6× |
| Ot manual therapy 15 min (97140) | $51 | $64 | 1.8× |
| Ot paraffin bath (97018) | $36 | $45 | 6.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $58 | $72 | 1.4× |
| Phlebotomy therapeutic (99195) | $218 | $273 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,160 | $2,700 | 2.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$6–$20 | $8–$25 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$26–$38 | $32–$47 | varies |
| Psychoanalysis (90845) | $106 | $133 | 0.6× |
| Pt Eval High Complex (97163) | $128 | $160 | 1.3× |
| Pt eval low complex 20 min (97161) | $128 | $160 | 1.3× |
| Pt Eval Mod Complex (97162) | $128 | $160 | 1.3× |
| Pt gait training 15 min (97116) | $50 | $63 | 1.7× |
| Pt mechanical traction (97012) | $36 | $45 | 2.5× |
| Pt Re-Eval Est Plan Care (97164) | $112 | $140 | 1.7× |
| Pulmonary service/procedure (94799) | $285 | $356 | 2.3× |
| Pulmonary Stress Testing (94618) | $230 | $288 | 1.8× |
| Respiratory flow volume loop (94375) | $21 | $26 | 0.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 5 matching MRF lines |
$34–$114 | $42–$142 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$40–$716 | $50–$895 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $20 | $25 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $134 | $167 | 1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $101 | $126 | 2.1× |
| Self Care Mngment Training (97535) | $59 | $74 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $53 | $66 | 0.9× |
| Speech sound lang comprehen (92523) | $360 | $450 | 1.6× |
| Spirometry (94010) range across 5 matching MRF lines |
$28–$285 | $35–$356 | varies |
| Standardized Cognitive Performance Testing (96125) | $222 | $278 | 2.2× |
| Stress Tte Only (93350) | $222 | $278 | 0.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $45 | $56 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $210 | $263 | 2.0× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$27–$35 | $34–$44 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$16–$48 | $20–$60 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $407 | $509 | 2.0× |
| Therapeutic Activities (97530) | $60 | $75 | 1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $50 | $63 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27 | $34 | 0.7× |
| Tte w/doppler, complete (93306) | $1,050 | $1,312 | 2.0× |
| Tte W/O Doppler Complete (93307) | $834 | $1,042 | 3.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $152 | $190 | 2.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $45 | $56 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$36–$48 | $45–$60 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $768 | $960 | 6.0× |
| Vent Mgmt Inpat Init Day (94002) | $640 | $800 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $640 | $800 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $54 | $67 | 1.7× |
| Whirlpool Therapy (97022) | $32 | $40 | 2.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.