Supplies, drugs & other prices at Drumright Regional Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $23.40 $39 0.5×
Admin pneumococcal vaccine (G0009) $23.40 $39 0.5×
Amalgam 4 or > surfaces perm (D2161) $175.80 $293 0.3×
Arthro/shoul surg; w/spacer (C9781)
unusually low: confirm this is the full procedure
$4,800 $8,000 0.4×
Brief chkin, 5-10, non-e/m (G2251) $59.40 $99 4.2×
Ca screen;flexi sigmoidscope (G0104) $568.50 $947.50 0.6×
Catheterize for urine spec (P9612) $109.80 $183 11.8×
Colon ca scrn not hi rsk ind (G0121) $1,067.10 $1,778.50 1.2×
Colorectal scrn; hi risk ind (G0105) $1,002 $1,670 1.1×
Crown porc fused to titanium (D2753) $1,018.20 $1,697 1.6×
Dental prophylaxis adult (D1110) $146.40 $244 1.1×
Depression screen annual (G0444) $18 $30 0.5×
Direct refer hospital observ (G0379) $729.60 $1,216 1.3×
Drug test def 1-7 classes (G0480) $136.50 $227.50 1.2×
Drug test def 15-21 classes (G0482) $590.40 $984 3.0×
Drug test def 22+ classes (G0483) $1,048.80 $1,748 4.2×
Drug test def 8-14 classes (G0481) $361.20 $602 2.3×
Ekg tracing for initial prev (G0404) $94.80 $158 3.4×
Extraction erupted tooth/exr (D7140) $1,356.60 $2,261 2.2×
Facility svs dental rehab (G0330) $1,909.80 $3,183 0.6×
Initial foot exam pt lops (G0245) $54 $90 0.4×
Initial preventive exam (G0402) $201 $335 1.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $337.20 $562 0.8×
Oth resp proc, indiv (G0238) $45.60 $76 1.6×
Periodontal scaling & root (D4341) $1,069.20 $1,782 1.7×
Periodontal scaling 1-3teeth (D4342) $1,069.20 $1,782 1.7×
Ppps, initial visit (G0438) $227.40 $379 1.3×
Ppps, subseq visit (G0439) $192.60 $321 1.4×
Prefab stnlss steel crown pe (D2931) $760.80 $1,268 1.2×
Psa screening (G0103) $24.60 $41 1.3×
Scaling gingiv inflammation (D4346) $1,069.20 $1,782 1.7×
Therapeutic procd strg endur (G0237) $45.60 $76 1.6×
Trim nail(s) (G0127) $13.80 $23 0.2×