Visits & medical services prices at Ascension St. John Broken Arrow

Broken Arrow, OK · every code in this section with a posted price and a Medicare benchmark.

81 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $29.05 $78.50 2.0×
Behavral qualit analys voice (92524) $64.57 $174.50 0.6×
Cardiac Stress Tst,Tracing Only (93017) $365.84 $988.75 1.8×
Chemo Anti-Neopl Sq/Im (96401) $65.86 $178 1.0×
Chemo Ia Push (96420) $110.35 $298.25 0.3×
Chemo IV infusion addl hr (96415) $71.78 $194 1.0×
Chemo IV push addl drug (96411) $76.87 $207.75 1.1×
Chemother Prolong Infuse W/Pump (96416) $187.13 $505.75 0.6×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $161.88 $437.50 0.5×
Chemotherapy Into Cns (96450) $248.18 $670.75 0.8×
Chemotherapy Intracavitary (96440) $359.27 $971 1.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $156.60 $423.25 0.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $246.51 $666.25 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $123.95 $335 0.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $132.65 $358.50 0.4×
Color/duplex Doppler, complete (93975) $444.65 $1,201.75 1.9×
Color/duplex Doppler, limited (93976) $348.91 $943 3.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $42.55 $115 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $188.52 $509.50 0.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $163.45 $441.75 1.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $319.22 $862.75 3.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $395.99 $1,070.25 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $294.43 $795.75 2.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $407.46 $1,101.25 1.8×
Dup-scan xtr veins unilateral/limited study (93971) $385.36 $1,041.50 3.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $734.64 $1,985.50 3.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $367.32 $992.75 3.7×
Duplex Scan Hemodialysis Access (93990) $256.04 $692 2.5×
Duplex up extrem art bilat (93930) $358.35 $968.50 1.6×
Duplex up extrem art unilat/ltd (93931) $280.83 $759 2.8×
ECG/monitoring and analysis (93271) $176.86 $478 1.9×
Echo Congenital Complete (93303) $890.41 $2,406.50 1.7×
Echo Heart Xthoracic,Limited (93308) $375.46 $1,014.75 1.6×
Echo transesophageal (93312) $847.95 $2,291.75 1.6×
Echo Transesophageal - Congenital Tee Complete (93315) $855.35 $2,311.75 1.6×
Electrical Stimulation Ea 15 Min (97032) $25.07 $67.75 1.7×
Electrocardiogram Tracing (93005) $68.82 $186 1.2×
Evaluate Speech Production (92522) $68.64 $185.50 0.6×
Evaluation of speech fluency (92521) $76.41 $206.50 0.6×
External ECG rec>48hr<7d recording (93242) $19.06 $51.50 0.5×
External ECG rec>7d<15d recording (93246) $31.36 $84.75 0.9×
External Ecg Scanning Analysis Report (93226) $196.10 $530 3.5×
Extracranial Bilat Study (93880) $347.52 $939.25 1.5×
Extracranial Uni/Ltd Study (93882) $251.05 $678.50 2.5×
F-up/limited tthrc echo congenital car anomaly (93304) $314.69 $850.50 0.6×
Group Therapeutic Procedures (97150) $32.75 $88.50 1.8×
Holter monitor recording (93225) $121.18 $327.50 0.9×
Insert/Place Heart Catheter (93503) $1,373.35 $3,711.75 0.9×
Intracranial Complete Study (93886) $336.61 $909.75 1.5×
Iontophoresis 15 min (97033) $32.38 $87.50 1.7×
Irrig Drug Delivery Device (96523) $100.36 $271.25 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $278.24 $752 1.3×
Neuromuscular Reeducation (97112) $31.17 $84.25 1.0×
Ot eval high complexity (97167) $74.56 $201.50 0.7×
Ot Eval Low Complex (97165) $74.56 $201.50 0.7×
Ot Eval Moderate Complexity (97166) $74.56 $201.50 0.7×
Ot manual therapy 15 min (97140) $33.95 $91.75 1.2×
Ot Re-Eval Est Plan Care (97168) $38.30 $103.50 0.6×
Pt Eval High Complex (97163) $74.56 $201.50 0.8×
Pt eval low complex 20 min (97161) $74.56 $201.50 0.8×
Pt Eval Mod Complex (97162) $74.56 $201.50 0.8×
Pt gait training 15 min (97116) $30.43 $82.25 1.0×
Pt Re-Eval Est Plan Care (97164) $40.89 $110.50 0.6×
Remote 30 Day Ecg Rev/Report (93270) $120.81 $326.50 3.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $29.14 $78.75 0.5×
Self Care Mngment Training (97535) $42.55 $115 1.3×
Sensory Integration Ea 15 Min (97533) $29.42 $79.50 0.5×
Speech sound lang comprehen (92523) $142.36 $384.75 0.6×
Stress Tte Only (93350) $640.10 $1,730 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $27.38 $74 1.2×
Ther Ivntj Ea Addl 15 Min (97130) $27.38 $74 1.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $19.61 $53 0.7×
Therapeutic Activities (97530) $34.50 $93.25 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $238.37 $644.25 2.4×
Tte w/doppler, complete (93306) $856.37 $2,314.50 1.6×
Tte W/O Doppler Complete (93307) $535.39 $1,447 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $66.05 $178.50 0.9×
Upr/L Xtremity Art 2 Levels (93922) $194.71 $526.25 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $280.46 $758 1.4×
Vasopneumatic device (97016) $21.55 $58.25 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $29.60 $80 1.0×