Supplies, drugs & other prices at Harmon Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $1,213.80 $1,213.80 2.9×
Admin hepatitis b vaccine (G0010) $40 $40 0.9×
Admin influenza virus vac (G0008) $46 $46 1.0×
Admin pneumococcal vaccine (G0009) $40 $40 0.9×
Catheterize for urine spec (P9612) $9 $9 1.0×
Covid-19 lab test non-cdc (U0002) $154 $154 3.0×
Direct refer hospital observ (G0379) $667 $667 1.2×
Drug test def 1-7 classes (G0480) $49 $49 0.4×
Elec stim other than wound (G0283) $39.60 $39.60 3.1×
Hospital outpt clinic visit (G0463) $263.11 $263.11 2.1×
Prostate biopsy, any mthd (G0416) $567 $567 1.6×
Psa screening (G0103) $57.93 $57.93 3.0×
Screen cerv/vag thin layer (G0123) $79.83 $79.83 3.9×
Screen pap by tech w md supv (P3000) $45.36 $45.36 2.4×
Trauma respons w/hosp criti (G0390) $2,566.92 $2,566.92 2.0×
Wet mounts/ w preparations (Q0111) $17.46 $17.46 0.9×