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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $240 $300 1.1×
Assessment of aphasia (96105) $79 $99 0.8×
Behavioral and qualitative analysis of voice and resonance (92524) $180 $225 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $74 $92 0.2×
Canalith Repositioning (95992) $72 $90 1.8×
Cardiac Stress Tst,Tracing Only (93017) $541 $676 2.6×
Cardiopulmonary resuscitation (92950) $377 $471 1.8×
Cardioversion (92960) $199.50 $249 0.3×
Cbt 1st hour (94644) $384 $480 3.0×
Color/duplex Doppler, complete (93975) $516 $645 2.2×
Color/duplex Doppler, limited (93976) $304 $380 3.0×
Cpap initiation and management (94660) $327 $409 1.6×
Cpt initial (94667) $230 $288 1.8×
Critical care (99291) $1,200 $1,500 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $120 $150 0.6×
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) $459 $574 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $696 $870 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $696 $870 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $380 $475 3.8×
Duplex scan extracranial art compl bi study (93880) $393 $491 1.7×
Echo Heart Xthoracic,Limited (93308) $42 $53 0.2×
EEG awake asleep (95819) $163 $204 0.8×
EKG (93005) $86.50 $108 1.5×
EKG rhythm strip (93041) $104 $130 1.8×
Ep Analyze Pacer Sys (93724) $11 $14 0.0×
Er level 1 (99281) $34 $42 0.4×
Er level ii (99282) $319 $399 2.2×
Er level iii (99283) $520 $650 2.0×
Er level IV (99284) $574.50 $718 1.4×
Er level v (99285) $765.50 $957 1.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $190 $237 1.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $141 $176 2.0×
Evaluation of speech fluency (92521) $212 $265 1.6×
Evaluation of speech sound production (92522) $168 $210 1.5×
Evaluation of swallowing function (92610) $149 $186 1.8×
Evaluation with prescription of speech-generating alternative (92607) $134 $167 1.1×
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×
Flow volume loop (94375) $21 $26 0.1×
Group Therapeutic Procedures (97150) $35 $44 1.9×
Holter Monitor Recording (93225) $226 $282.50 1.8×
Hydrotherapy (97036) $50 $63 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $2 $3 0.0×
Immunization Admin (90471) $3.50 $4.50 0.1×
Immunotherapy, 2+ Injections (95117) $32 $39.50 0.7×
Injection intra arterial (96373) $31 $39 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $112 $140 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $55 $69 0.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $66 $83 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $407 $509 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $54 $68 1.2×
IV push initial (96374) $367 $459 1.8×
Laryngoscopic Sensory Test (92614) $132 $165 0.9×
Manual therapy 15 min (97140) $51 $64 1.8×
Massage 15 min (97124) $45 $56 1.5×
Maximum voluntary ventilation (94200) $114 $142 2.0×
Mechanical chest wall oscillation (94669) $368 $460 1.7×
Mechanical traction (97012) $36 $45 2.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $178 $222 1.9×
Multiple Family Group Psychotherapy (90849) $35 $44 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $378 $472.50 2.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $388 $485 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $768 $960 6.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $240 $300 1.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $40 $50 2.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $64 $80 1.4×
Osteopathic manipulative tx 1-2 body regions (98925) $39 $48.50 1.9×
Osteopathic manipulative tx 3-4 body regions (98926) $40 $50 1.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $56 $70 1.7×
Ot Contrast Bath Ea 15 Min (97034) $36 $45 2.6×
Ot Prosthetic Training, Each 15 Min (97761) $58 $72 1.4×
Ot Range Motion Measure,Each Extrem (95851) $20 $25 0.8×
Paraffin bath (97018) $36 $45 6.0×
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) $17 $21 0.4×
Psychoanalysis (90845) $106 $133 0.6×
Pt Electric Current Therapy (97033) $64 $80 3.4×
Pt Electrical Stimulation (97032) $36 $45 2.4×
Pt eval high complex 45 min (97163) $128 $160 1.3×
Pt eval low complex 20 min (97161) $128 $160 1.3×
Pt Gait Training Therapy (97116) $50 $63 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $56 $70 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $128 $160 1.3×
Pt re-evaluation (97164) $112 $140 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $59 $74 1.8×
Pt Ultrasound Therapy (97035) $48 $60 3.3×
Pt Whirlpool Therapy (97022) $32 $40 2.0×
Pulmonary stress testing (94618) $230 $288 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $378 $472.50 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $230 $288 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $101 $126 2.1×
Sensory Integration Ea 15 Min (97533) $53 $66 0.9×
Smoking cessation > 10 min (99407) $50 $63 1.4×
Speech group therapy (92508) $45 $56 1.9×
Speech sound lang comprehen (92523) $360 $450 1.6×
Spirometry (94010) $62 $77 0.3×
Standardized Cognitive Performance Testing (96125) $222 $278 2.2×
Stress echo (93350) $222 $278 0.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $210 $263 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $28 $35 0.4×
Therapeutic Activities (97530) $60 $75 1.7×
Therapeutic phlebotomy (99195) $218 $273 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $34 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,050 $1,312 2.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $834 $1,042 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $152 $190 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $166 $207 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $42 $52.50 0.9×
Unlisted pulmonary service/procedure (94799) $285 $356 2.3×
Vasc Duplex Extrem Venous,Bilat (93970) $890 $1,112 3.9×
Vasc Duplex Scan Extracranial,Limited (93882) $242 $302 2.4×
Ventilation assist & mgmt inpatient 1st 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×