Visits & medical services prices at Carnegie Tri-county Municipal Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $366.43 $610.71 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $58.80 $98 4.1×
Assessment of aphasia per hr (96105) $85.20 $142 0.9×
Behavral qualit analys voice (92524) $285.64 $476.06 2.6×
Canalith repositioning proc (95992) $55.20 $92 1.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$164.35–$512.23 $853.72–$921.95 varies
Cbt 1st hour (94644) $217.99 $363.32 1.7×
Chest Wall Manipulation (94668) $126 $210 1.0×
Color/duplex Doppler, complete (93975) $1,265.13 $2,108.55 5.5×
Color/duplex Doppler, limited (93976) $475.04 $791.73 4.7×
Continuous Pulse Ox (94762) $214.28 $357.13 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$647.56–$1,572.01 $1,079.27–$2,620.01 varies
Cpt initial (94667) $131.40 $219 1.0×
Critical care first hour (99291)
range across 2 matching MRF lines
$192.07–$961.80 $1,086.25–$1,603 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$30.23–$552.14 $186.34–$920.23 varies
Developmental tst admin phys/qhp 1st hour (96112) $305.40 $509 2.5×
Dialysis One Evaluation (90945) $1,367.40 $2,279 3.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $224.40 $374 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$676.80–$1,139.39 $1,128–$1,898.98 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $493.80 $823 4.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $676.80 $1,128 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $493.80 $823 4.9×
Duplex up extrem art bilat (93930) $615 $1,025 2.7×
Duplex up extrem art unilat/ltd (93931) $493.80 $823 4.9×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$52.80–$436.29 $88–$727.15 varies
Emergency Dept Visit Level 2 (99282) $38.99 $202.40 0.3×
Emergency Dept Visit Level 3 (99283) $66.98 $303.30 0.3×
Emergency Dept Visit Level 4 (99284) $114.02 $575.80 0.3×
Er level 1 (99281) $10.62 $103.80 0.1×
Er level v (99285) $165.45 $850.30 0.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $259.80 $433 2.1×
Evaluate pt use of inhaler (94664) $442.18 $736.96 2.1×
Evaluate Speech Production (92522) $438.90 $731.50 3.9×
Evaluate Swallowing Function (92610) $259.46 $432.44 3.1×
Evaluation of speech fluency (92521) $157.20 $262 1.2×
Extracranial Bilat Study (93880) $550.80 $918 2.4×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $151.78 $252.96 1.0×
Flexible endoscopic eval swallow c/v rec (92612) $345.60 $576 1.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $227.83 $379.72 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $994.65 $1,657.75 1.5×
Immunization administration (90471)
range across 2 matching MRF lines
$69–$128.68 $115–$214.46 varies
Iontophoresis 15 min (97033) $36.45 $60.75 1.9×
Irrig Drug Delivery Device (96523) $67.20 $112 1.2×
IV infusion hydration each additional hour (96361) $48.60 $81 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $250.80 $418 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $89.40 $149 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $48.60 $81 1.1×
IV push initial (96374) $217.80 $363 1.1×
Laryngeal Function Studies (92520) $249.60 $416 2.0×
Low frequency non-thermal us (97610)
range across 2 matching MRF lines
$15.08–$541.74 $802.88–$902.90 varies
Mechanical chest wall oscillation per session (94669) $288.05 $480.08 1.4×
Motion Fluoroscopy/Swallow (92611) $514.24 $857.06 5.6×
Nasopharyngoscopy (92511) $265.20 $442 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$1,119.21 $660.88–$1,865.35 2.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$1,119.21 $663.48–$1,865.35 2.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$20.68–$286.05 $80.46–$476.75 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$22.65–$580.20 $95.84–$967 varies
Neuromuscular Reeducation (97112) $86.40 $144 2.6×
Oral Function Therapy (92526) $190.60 $317.67 2.3×
Ot eval high complexity (97167) $223.15 $371.92 2.2×
Ot Eval Low Complex (97165) $223.15 $371.92 2.2×
Ot Eval Moderate Complexity (97166) $223.15 $371.92 2.2×
Ot manual therapy 15 min (97140) $142.09 $236.82 5.1×
Ot paraffin bath (97018) $25.20 $42 4.2×
Ot Re-Eval Est Plan Care (97168) $153.10 $255.16 2.2×
Phlebotomy therapeutic (99195) $252.69 $421.15 2.0×
Psychiatric diagnostic evaluation (90791) $136.24 $605 0.8×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$92.86–$276.55 $191.81–$460.92 varies
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines
$92.86–$235.70 $165–$392.84 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$92.86–$271.25 $191.81–$452.09 varies
Pt gait training 15 min (97116) $40.20 $67 1.4×
Pt Re-Eval Est Plan Care (97164)
range across 3 matching MRF lines
$62.40–$129.85 $104–$216.41 varies
Remote 30 Day Ecg Tech Supp (93229) $436.29 $727.15 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$120.50–$314.48 $200.83–$524.14 varies
Self Care Mngment Training (97535) $83.90 $139.84 2.6×
Sensory Integration Ea 15 Min (97533) $104.66 $174.44 1.7×
Speech sound lang comprehen (92523) $372.48 $620.80 1.6×
Standardized Cognitive Performance Testing (96125) $490.10 $816.84 4.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $64.06 $106.76 2.9×
Ther Ivntj Ea Addl 15 Min (97130) $67.41 $112.35 3.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $39 $65 1.3×
Ther/Proph/Diag Inj Ia (96373) $505.66 $842.76 2.5×
Ther/Proph/Diag Inj Sc/Im (96372) $76.20 $127 1.1×
Ther/Proph/Diag Iv Inf Init (96365) $250.80 $418 1.2×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$55.20–$97.73 $92–$162.88 varies
Tte w/doppler, complete (93306) $738.60 $1,231 1.4×
Tte W/O Doppler Complete (93307) $554.40 $924 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $237.05 $395.09 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $124.80 $208 5.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $76.20 $127 1.7×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$308.40–$349.20 $514–$582 varies
Vent Mgmt Inpat Init Day (94002) $2,350.95 $3,918.25 4.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,336.13 $2,226.88 2.2×
Whirlpool Therapy (97022) $51 $85 3.2×

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.