Visits & medical services prices at Coal County General Hospital, Inc.

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $441 $588 2.1×
Behav assmt w/score & docd/stand instrument (96127) $206.25 $275 5.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $607.50 $810 1.7×
Cardiopulmonary resuscitation (92950) $607.50 $810 2.9×
Care mgmt svc bhvl hlth cond (99484) $206.25 $275 5.7×
Cbt 1st hour (94644) $47.24 $62.98 0.4×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $206.25 $275 2.1×
Cpt initial (94667) $52.18 $69.57 0.4×
Critical care (99291) $1,415.25 $1,887 1.8×
Demo &/or eval,pt use,aerosol device (94664) $38.93 $51.90 0.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $637.50 $850 2.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $468.75 $625 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $450 $600 4.5×
Duplex scan extracranial art compl bi study (93880) $529.50 $706 2.3×
Echo Transthoracic - Congenital Tte Limited (93304) $1,155.75 $1,541 2.2×
EKG (93005) $132.75 $177 2.3×
Er level 1 (99281) $152.25 $203 1.9×
Er level ii (99282) $244.12 $325.50 1.7×
Er level iii (99283) $391.50 $522 1.5×
Er level IV (99284) $630.75 $841 1.6×
Er level v (99285) $919.12 $1,225.50 1.6×
Evaluation of speech fluency (92521) $261 $348 2.0×
Evaluation of speech sound production (92522) $223.50 $298 2.0×
Evaluation of swallowing function (92610) $92.15 $122.87 1.1×
Group Therapeutic Procedures (97150) $42.75 $57 2.4×
Immunization Admin (90471) $142.50 $190 2.1×
IV infusion hydration each additional hour (96361) $109.50 $146 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $298.50 $398 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $140.25 $187 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $304.12 $405.50 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $115.50 $154 2.6×
IV push initial (96374) $289.12 $385.50 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $233.62 $311.50 1.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $60.73 $80.97 0.5×
Nrpsyc tst eval phys/qhp 1st (96132) $206.25 $275 0.6×
Ot eval high complex 60 min (97167) $206.25 $275 2.1×
Ot eval low complex 30 min (97165) $168.75 $225 1.7×
Ot eval mod complex 45 min (97166) $183.75 $245 1.8×
Ot re-eval est plan care (97168) $131.25 $175 1.9×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $206.25 $275 0.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $101.25 $135 0.8×
Pt eval high complex 45 min (97163) $206.25 $275 2.1×
Pt eval low complex 20 min (97161) $168.75 $225 1.7×
Pt Gait Training Therapy (97116) $64.50 $86 2.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $68.62 $91.50 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $183.75 $245 1.9×
Pt re-evaluation (97164) $131.25 $175 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $65.25 $87 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $80.99 $107.98 0.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $206.25 $275 1.0×
Speech sound lang comprehen (92523) $455.25 $607 2.0×
Spirometry (94010) $332.25 $443 1.6×
Standardized Cognitive Performance Testing (96125) $285 $380 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $142.50 $190 2.1×
Therapeutic Activities (97530) $78.75 $105 2.2×
Therapeutic phlebotomy (99195) $450 $600 3.5×
Trans Care Mgmt 14 Day Disch (99495) $206.25 $275 1.6×
Trans Care Mgmt 7 Day Disch (99496) $206.25 $275 1.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,110 $1,480 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $192 $256 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $100.12 $133.50 2.2×
Tympanometry (92567) $80.25 $107 2.2×
Vasc Duplex Extrem Venous,Bilat (93970) $637.50 $850 2.8×
Ventilation assist & mgmt inpatient 1st day (94002) $210.24 $280.32 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $147.94 $197.25 0.2×