Visits & medical services prices at Cleveland Area Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $162.40 $203 1.7×
Airway inhalation treatment (94640) $200 $250 0.9×
Assessment of aphasia (96105) $303.20 $379 3.1×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $51.97 $64.96 1.4×
Behav assmt w/score & docd/stand instrument (96127) $8.80 $11 0.2×
Behavioral and qualitative analysis of voice and resonance (92524) $232.13 $290.16 2.1×
Biofeedback training any modality (90901) $49.60 $62 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $691.97 $864.96 1.9×
Canalith Repositioning (95992) $159.94 $199.92 3.9×
Cardiopulmonary resuscitation (92950) $811.84 $1,014.80 3.9×
Cardioversion (92960) $1,049.20 $1,311.50 1.7×
Caregiver training 1st 30 min (97550) $200.80 $251 3.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $96.30 $120.37 3.7×
Cbt 1st hour (94644) $178.08 $222.60 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $254.40 $318 3.7×
Color/duplex Doppler, complete (93975) $824 $1,030 3.6×
Color/duplex Doppler, limited (93976) $509.23 $636.54 5.1×
Cpap initiation and management (94660) $298.96 $373.70 1.4×
Cpt initial (94667) $167.52 $209.40 1.3×
Critical care (99291) $1,401.60 $1,752 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $226.40 $283 1.2×
Demo &/or eval,pt use,aerosol device (94664) $171.36 $214.20 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $664.14 $830.18 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $822.35 $1,027.94 3.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $628.71 $785.89 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $344.80 $431 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $633.22 $791.52 6.3×
Duplex scan extracranial art compl bi study (93880) $1,110.75 $1,388.44 4.8×
Echo Heart Xthoracic,Limited (93308) $807.05 $1,008.81 3.5×
EKG (93005) $165.65 $207.06 2.9×
Er level 1 (99281) $137.60 $172 1.7×
Er level ii (99282) $227.42 $284.28 1.5×
Er level iii (99283) $388.80 $486 1.5×
Er level IV (99284) $622.20 $777.75 1.6×
Er level v (99285) $883.71 $1,104.64 1.5×
Evaluation of speech fluency (92521) $274.56 $343.20 2.1×
Evaluation of speech sound production (92522) $277.69 $347.11 2.5×
Evaluation of swallowing function (92610) $240.78 $300.98 2.8×
External Ecg Scanning Analysis Report (93226) $313.60 $392 5.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $992 $1,240 5.0×
Flow volume loop (94375) $404.58 $505.73 1.9×
Fluorescein angioscopy (92230) $204.80 $256 0.6×
Holter Monitor Recording (93225) $323.20 $404 2.5×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $37.60 $47 0.5×
Immunization Admin (90471) $31.20 $39 0.5×
Immunotherapy, 2+ Injections (95117) $78.40 $98 1.7×
Initial normal newborn care, same day discharge (99463) $249.20 $311.50 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $204 $255 3.6×
IV infusion hydration each additional hour (96361) $101.13 $126.42 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $252.40 $315.50 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $158.40 $198 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $481.93 $602.41 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $162.77 $203.46 3.6×
IV push initial (96374) $303.23 $379.04 1.5×
Low frequency non-thermal us (97610) $71.20 $89 0.4×
Manual therapy 15 min (97140) $101.18 $126.48 3.7×
Massage 15 min (97124) $86.30 $107.87 2.9×
Mechanical chest wall oscillation (94669) $109.50 $136.87 0.5×
Mechanical traction (97012) $64 $80 4.5×
Methacholine challenge (94070) $768 $960 2.1×
New patient problem focused exam of visual system (92002) $172.80 $216 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $477.96 $597.45 3.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $498.40 $623 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $130 $162.50 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $137.61 $172.01 3.0×
Osteopathic manipulative tx 1-2 body regions (98925) $72.80 $91 3.5×
Osteopathic manipulative tx 3-4 body regions (98926) $102.40 $128 4.9×
Osteopathic manipulative tx 5-6 body regions (98927) $134.40 $168 6.5×
Osteopathic manipulative tx 7-8 body regions (98928) $164.80 $206 7.9×
Osteopathic manipulative tx 9-10 body regions (98929) $195.20 $244 9.4×
Ot Contrast Bath Ea 15 Min (97034) $66.40 $83 4.7×
Ot eval high complex 60 min (97167) $266.02 $332.52 2.6×
Ot eval low complex 30 min (97165) $266.83 $333.54 2.7×
Ot eval mod complex 45 min (97166) $266.02 $332.52 2.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $155.58 $194.48 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $82.37 $102.96 2.0×
Ot re-eval est plan care (97168) $168 $210 2.5×
Paraffin bath (97018) $20.80 $26 3.5×
Plethysmography (94726) $386.32 $482.90 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $22.40 $28 0.5×
Pt Aquatic Therapy/Exercises (97113) $140.28 $175.35 3.8×
Pt Electric Current Therapy (97033) $76.12 $95.15 4.0×
Pt Electrical Stimulation (97032) $57.20 $71.50 3.9×
Pt eval high complex 45 min (97163) $327.95 $409.94 3.4×
Pt eval low complex 20 min (97161) $303.55 $379.44 3.1×
Pt Gait Training Therapy (97116) $116.18 $145.23 4.0×
Pt group caregiver training (97552) $79.81 $99.76 3.6×
Pt Infrared Therapy (97026) $53.60 $67 8.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $103 $128.75 3.1×
Pt Physical Performance Test (97750) $92.80 $116 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $327.95 $409.94 3.4×
Pt re-evaluation (97164) $209.30 $261.62 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $101.20 $126.50 3.1×
Pt Ultrasound Therapy (97035) $54.40 $68 3.8×
Pt Whirlpool Therapy (97022) $76.80 $96 4.9×
Pt-focused hlth risk assmt (96160) $4.80 $6 0.1×
Pulm Funct Test Oscillometry (94728) $436.72 $545.90 3.5×
Pulmonary stress testing (94618) $142.26 $177.82 1.1×
Pure Tone Audiometry, Air (92552) $104.38 $130.48 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $308 $385 1.6×
Rt Chest Wall Manipulation,Subsequent (94668) $125.25 $156.56 1.0×
Sensory Integration Ea 15 Min (97533) $150.69 $188.36 2.5×
Smoking cessation > 10 min (99407) $125.20 $156.50 3.5×
Speech sound lang comprehen (92523) $547.46 $684.32 2.4×
Spirometry (94010) $240 $300 1.2×
Standardized Cognitive Performance Testing (96125) $340 $425 3.3×
Temp transcutaneous pacing (92953) $1,073.60 $1,342 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $113.52 $141.90 5.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $81.60 $102 3.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $244.80 $306 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $126.62 $158.28 1.8×
Therapeutic Activities (97530) $109.89 $137.36 3.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $64 $80 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,257.28 $1,571.60 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $226.40 $283 3.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $247.20 $309 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $146.57 $183.21 3.3×
Ultraviolet Therapy (97028) $32.80 $41 3.9×
Vasc Duplex Extrem Venous,Bilat (93970) $873.12 $1,091.40 3.8×
Vasopneumatic device (97016) $45.60 $57 3.8×
Ventilation assist & mgmt inpatient 1st day (94002) $434.03 $542.54 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $370.80 $463.50 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $134.91 $168.64 4.3×