Visits & medical services prices at Fairview Regional Medical Center Authority

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $52.80 $88 0.3×
Debridement Open Wound 20 Sq Cm< (97597) $128.40 $214 0.7×
EKG (93005) $126.60 $211 2.2×
Er level ii (99282) $214.20 $357 1.5×
Er level iii (99283) $259.20 $432 1.0×
Er level IV (99284) $469.80 $783 1.2×
Er level v (99285) $734.40 $1,224 1.3×
Immunization Admin (90471) $48 $80 0.7×
IV infusion hydration each additional hour (96361) $43.80 $73 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $123.60 $206 0.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $234 $390 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $36 $60 0.8×
IV push initial (96374) $93.60 $156 0.5×
Manual therapy 15 min (97140) $51 $85 1.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $73.20 $122 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $132.60 $221 1.1×
Pt eval low complex 20 min (97161) $105 $175 1.1×
Pt Gait Training Therapy (97116) $48 $80 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $136.80 $228 1.4×
Pt Ultrasound Therapy (97035) $32.40 $54 2.3×
Sleep study unattended (95806) $232.80 $388 1.1×
Spirometry (94010) $10.20 $17 0.0×
Ther/Proph/Diag Inj Sc/Im (96372) $68.40 $114 1.0×
Therapeutic Activities (97530) $49.20 $82 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,626 $2,710 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $190.20 $317 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $84.60 $141 1.9×