Procedures & surgery prices at Atoka County Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $572 $1,431 0.7×
Acne surgery (10040) $165 $413 0.9×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $82–$240 $206–$600 varies
Anoscopy W/Rmvl Foreign Body (46608) $100 $250 0.1×
Anoscopy; with biopsy, single or multiple (46606) $90 $225 0.1×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $80 $200 0.1×
Application Finger Splint Dynamic (29131) $87 $219 1.5×
Application finger splint static (29130)
range across 3 matching MRF lines		 $39–$68 $98–$171 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $21–$120 $52–$300 varies
Application Long Leg Splint (29505) $150 $374 1.0×
Application Short Arm Splint Dynamic (29126) $127 $317 1.0×
Application short arm splint forearm-hand static (29125) $103 $257 0.8×
Application short leg splint calf foot (29515) $127 $318 0.8×
Apply Short Leg Cast (29405) $21 $52 0.1×
Arterial puncture (36600) $103 $258 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $140 $350 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $160 $400 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $21–$271 $52–$678 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $220 $550 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $21–$100 $52–$250 varies
Aspirate pleura w/ imaging (32555) $572 $1,431 0.9×
Aspirate/Inj Ganglion Cyst (20612) $21 $52 0.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $21–$177 $52–$443 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $160–$368 $400–$920 varies
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $6 $7 0.0×
Bx breast needle core w/o imaging guidance spx (19100) $52 $129 0.0×
Bx Cervix (57500) $149 $372 0.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $161 $403 0.5×
Chest tube placement (32551) $480 $1,200 0.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $21 $52 0.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $260 $650 1.1×
Cltx dstl fibular fx lat malls w/manj (27788) $21 $52 0.1×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $4 $4 0.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $21 $52 0.1×
Collect Blood From Catheter Venous Nos (36592) $53 $133 0.4×
Collection of venous blood by venipuncture (36415) $10 $25 1.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $200 $499 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $82 $206 0.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $84 $210 0.3×
Colposcopy cervix vag eltrd conization cervix (57461) $503 $1,258 0.2×
Colposcopy entire vagina w/cervix if present (57420) $116 $291 0.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $168 $419 0.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $763 $1,908 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $811 $2,028 0.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $360 $899 0.1×
Cryotherapy Co2 Slush Liquid N2 Acne (17340)
range across 3 matching MRF lines		 $77–$854 $193–$2,134 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $100 $250 0.1×
Debride nail 1-5 (11720) $8 $21 0.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $136 $340 0.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $21–$212 $52–$530 varies
Destruct B9 Lesion 1-14 (17110) $8 $21 0.0×
Destruction Benign Lesions 15/> (17111) $189 $473 1.0×
Destruction Premalignant Lesion 15/> (17004) $259 $647 0.7×
Destruction premalignant lesion 1st (17000) $106 $265 0.5×
Diagnostic sigmoidoscopy (45330) $255 $638 0.3×
Dilate Urethra Stricture (53600) $2 $2 0.0×
Dilation Cervical Canal (57800) $80 $201 0.0×
Drain/inj small joint/bursa w/us (20604) $120 $300 0.4×
Drainage of hematoma/fluid (10140) $82 $205 0.1×
Dstrj lesion anus simple surg excision (46922) $626 $1,566 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $596 $1,489 0.3×
Egd cautery tumor polyp (43250) $678 $1,694 0.4×
Egd dilation gastric/duodenal stricture (43245) $616 $1,540 0.3×
Egd place gastrostomy tube (43246) $904 $2,259 0.5×
Egd Varices Ligation (43244) $1,000 $2,500 0.5×
Endocervical curettage (57505) $112 $279 0.1×
Endometrial Biopsy (58100) $41 $103 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $199 $497 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $170 $425 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $339 $847 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $385 $962 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $202 $506 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $248 $619 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $122 $304 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $329 $823 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $411 $1,028 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $71 $178 0.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $92 $230 0.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $215 $537 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $309 $772 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $344 $861 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $479 $1,198 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $436 $1,089 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $242 $604 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $350 $876 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $401 $1,002 0.6×
Excision H/P/P/U Complex Repair (11471) $843 $2,106 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $705 $1,762 0.3×
Excision Hidradenitis Axillary Complex Repair (11451) $817 $2,043 0.3×
Excision Hidradenitis Inguinal Complex Repair (11463) $817 $2,042 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $654 $1,634 0.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $447 $1,118 0.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $731 $1,828 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $282 $705 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $328 $821 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $362 $906 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $485 $1,213 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $41 $103 0.0×
Excision of pilonidal cyst or sinus; simple (11770) $290 $725 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $911 $2,277 0.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $709 $1,773 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $103 $258 0.1×
Hysteroscopy Biopsy (58558) $632 $1,580 0.2×
Hysteroscopy Dx Sep Proc (58555) $416 $1,039 0.1×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $21–$199 $52–$497 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $22–$333 $55–$833 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $2–$21 $5–$52 varies
Injection single tendon origin/insertion (20551) $21 $52 0.1×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $21–$76 $52–$190 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $21–$87 $52–$218 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $21–$106 $52–$266 varies
Injection, intralesional; up to and including 7 lesions (11900) $21 $52 0.1×
Insert non-tunnel cv cath (36556) $560 $1,400 0.2×
Insert Temp Bladder Cath (51702) $120 $300 0.9×
Insert tunneled cv cath (36561) $1,441 $3,603 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $80 $200 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $103 $257 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,441 $3,603 0.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $19–$440 $46–$1,100 varies
N Block Inj Plantar Digit (64455) $21 $52 0.1×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $5 $5 0.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $22 $54 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $42–$70 $106–$174 varies
Removal Implant Superficial Separate Procedure (20670) $21 $52 0.0×
Removal sweat gland lesion (11450) $666 $1,664 0.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $3 $3 0.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $21 $52 0.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $21 $52 0.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $292 $730 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $206–$260 $515–$650 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $440 $1,100 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $312 $780 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $250 $625 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $326 $815 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $396 $990 1.0×
Spinal puncture lumbar diagnostic (62270) $323 $807 0.5×
Strapping Unna Boot (29580) $90 $225 0.6×
Subcutaneous Hormone Pellet Implantation (11980)
range across 3 matching MRF lines		 $120–$220 $300–$550 varies
Treat humerus fracture (24500) $50 $56 0.2×
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) $2 $2 0.0×
Windowing of cast (29730) $21 $52 0.1×

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.