Visits & medical services prices at Choctaw Memorial Hospital
Hugo, OK · every code in this section with a posted price and a Medicare benchmark.
78 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) | $243.50 | $487 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $20 | $40 | 1.4× |
| Cardiopulmonary resuscitation (92950) | $348.50 | $697 | 1.7× |
| Cardioversion (92960) | $722.50 | $1,445 | 1.1× |
| Cbt 1st hour (94644) | $150.50 | $301 | 1.2× |
| Chest Wall Manipulation (94668) | $82 | $164 | 0.6× |
| Continuous Pulse Ox (94762) | $191 | $382 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $243.50 | $487 | 1.2× |
| Cpt initial (94667) | $150.50 | $301 | 1.2× |
| Critical care first hour (99291) | $1,031 | $2,062 | 1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | $230 | $460 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $684 | $1,368 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $342.50 | $685 | 3.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $684 | $1,368 | 3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $342.50 | $685 | 3.4× |
| Duplex up extrem art bilat (93930) | $570 | $1,140 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $285.50 | $571 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $29.50 | $59 | 2.0× |
| Electrocardiogram Tracing (93005) | $82 | $164 | 1.4× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$109.50–$235 | $219–$470 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$174–$369.50 | $348–$739 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$278.50–$516.50 | $557–$1,033 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$65–$176 | $130–$352 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$412–$801 | $824–$1,602 | varies |
| Evaluate pt use of inhaler (94664) | $243.50 | $487 | 1.2× |
| Evaluate Speech Production (92522) | $172 | $344 | 1.5× |
| Evaluate Swallowing Function (92610) | $130 | $260 | 1.5× |
| Extracranial Bilat Study (93880) | $724.50 | $1,449 | 3.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $302.50 | $605 | 1.5× |
| Group Therapeutic Procedures (97150) | $27.50 | $55 | 1.5× |
| Immunization administration (90471) | $80 | $160 | 1.2× |
| Iontophoresis 15 min (97033) | $48.50 | $97 | 2.5× |
| Irrig Drug Delivery Device (96523) | $85.50 | $171 | 1.5× |
| IV infusion hydration each additional hour (96361) | $52.50 | $105 | 1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $270 | $540 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $80 | $160 | 1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $52.50 | $105 | 1.2× |
| IV push initial (96374) | $270 | $540 | 1.3× |
| Mechanical chest wall oscillation per session (94669) | $243.50 | $487 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $230 | $460 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $439 | $878 | 1.1× |
| Neuromuscular Reeducation (97112) | $51.50 | $103 | 1.6× |
| Oral Function Therapy (92526) | $135 | $270 | 1.6× |
| Ot eval high complexity (97167) | $246.50 | $493 | 2.5× |
| Ot Eval Low Complex (97165) | $131 | $262 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $196.50 | $393 | 2.0× |
| Ot manual therapy 15 min (97140) | $46.50 | $93 | 1.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $51.50 | $103 | 1.3× |
| Ot Re-Eval Est Plan Care (97168) | $81 | $162 | 1.2× |
| Phlebotomy therapeutic (99195) | $121.50 | $243 | 0.9× |
| Pt Eval High Complex (97163) | $217.50 | $435 | 2.2× |
| Pt eval low complex 20 min (97161) | $117.50 | $235 | 1.2× |
| Pt Eval Mod Complex (97162) | $167.50 | $335 | 1.7× |
| Pt gait training 15 min (97116) | $44 | $88 | 1.5× |
| Pt mechanical traction (97012) | $25 | $50 | 1.7× |
| Pt Re-Eval Est Plan Care (97164) | $78.50 | $157 | 1.2× |
| Pulmonary service/procedure (94799) | $191 | $382 | 1.5× |
| Pulmonary Stress Testing (94618) | $120 | $240 | 0.9× |
| Self Care Mngment Training (97535) | $49.50 | $99 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $91.50 | $183 | 1.5× |
| Speech sound lang comprehen (92523) | $352.50 | $705 | 1.6× |
| Spirometry (94010) | $191 | $382 | 0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $37.50 | $75 | 1.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $34.50 | $69 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $40.50 | $81 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $270 | $540 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $80 | $160 | 1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $270 | $540 | 1.3× |
| Therapeutic Activities (97530) | $53.50 | $107 | 1.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 4 matching MRF lines |
$38–$89.50 | $76–$179 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $38 | $76 | 1.1× |
| Tte w/doppler, complete (93306) | $1,050 | $2,100 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $125.50 | $251 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $66 | $132 | 1.5× |
| Vent Mgmt Inpat Init Day (94002) | $636 | $1,272 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $636 | $1,272 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $47.50 | $95 | 1.5× |
| Whirlpool Therapy (97022) | $35 | $70 | 2.2× |
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.