Visits & medical services prices at Harmon Memorial Hospital
Hollis, OK · every code in this section with a posted price and a Medicare benchmark.
73 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Airway inhalation treatment (94640) | $551.82 | $551.82 | 2.6× |
| Biofeedback training any modality (90901) | $115.35 | $115.35 | 2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $759.21 | $759.21 | 2.1× |
| Canalith Repositioning (95992) | $130.98 | $130.98 | 3.2× |
| Cardiopulmonary resuscitation (92950) | $683.60 | $683.60 | 3.3× |
| Cardioversion (92960) | $1,609.20 | $1,609.20 | 2.5× |
| Caregiver training 1st 30 min (97550) | $149.64 | $149.64 | 2.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $74.85 | $74.85 | 2.9× |
| Cbt 1st hour (94644) | $327.06 | $327.06 | 2.6× |
| Chemother, IV infusion, 1 hr (96413) | $896.70 | $896.70 | 2.8× |
| Chemother, IV infusion, ea add hr (96415) | $312 | $312 | 4.5× |
| Cpap initiation and management (94660) | $442 | $442 | 2.1× |
| Cpt initial (94667) | $327.06 | $327.06 | 2.6× |
| Critical care (99291) | $1,999.74 | $1,999.74 | 2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $531.56 | $531.56 | 2.8× |
| Demo &/or eval,pt use,aerosol device (94664) | $252 | $252 | 1.2× |
| EKG (93005) | $165.03 | $165.03 | 2.9× |
| Er level 1 (99281) | $280 | $280 | 3.5× |
| Er level ii (99282) | $500 | $500 | 3.4× |
| Er level iii (99283) | $850 | $850 | 3.2× |
| Er level IV (99284) | $1,055.25 | $1,055.25 | 2.6× |
| Er level v (99285) | $1,513.38 | $1,513.38 | 2.6× |
| Flow volume loop (94375) | $759.21 | $759.21 | 3.7× |
| Group Therapeutic Procedures (97150) | $53.43 | $53.43 | 3.0× |
| Immunization Admin (90471) | $100.48 | $100.48 | 1.5× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) | $165.03 | $165.03 | 2.9× |
| IV infusion hydration each additional hour (96361) | $264 | $264 | 5.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $551.16 | $551.16 | 2.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) | $175.74 | $175.74 | 2.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $497.13 | $497.13 | 2.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $128.04 | $128.04 | 2.8× |
| IV push initial (96374) | $551.16 | $551.16 | 2.7× |
| Manual therapy 15 min (97140) | $219 | $219 | 7.9× |
| Massage 15 min (97124) | $83.91 | $83.91 | 2.8× |
| Mechanical traction (97012) | $44.31 | $44.31 | 3.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $77.73 | $77.73 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $84.12 | $84.12 | 0.2× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) | $414.99 | $414.99 | 3.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) | $140.43 | $140.43 | 3.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $43.83 | $43.83 | 3.1× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) | $149.76 | $149.76 | 3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $120.27 | $120.27 | 3.0× |
| Paraffin bath (97018) | $17.04 | $17.04 | 2.8× |
| Pt Aquatic Therapy/Exercises (97113) | $111.39 | $111.39 | 3.0× |
| Pt Electric Current Therapy (97033) | $59.79 | $59.79 | 3.1× |
| Pt Electrical Stimulation (97032) | $43.35 | $43.35 | 2.9× |
| Pt eval high complex 45 min (97163) | $247.80 | $247.80 | 2.5× |
| Pt eval low complex 20 min (97161) | $247.80 | $247.80 | 2.5× |
| Pt Gait Training Therapy (97116) | $163 | $163 | 5.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $164 | $164 | 5.0× |
| Pt Physical Performance Test (97750) | $100.47 | $100.47 | 3.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) | $247.80 | $247.80 | 2.5× |
| Pt re-evaluation (97164) | $169.41 | $169.41 | 2.5× |
| Pt Ultrasound Therapy (97035) | $41.91 | $41.91 | 2.9× |
| Pt Whirlpool Therapy (97022) | $51 | $51 | 3.2× |
| Pulm function test by gas (94727) | $414.99 | $414.99 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $155.54 | $155.54 | 0.8× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $327.06 | $327.06 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $146.91 | $146.91 | 2.4× |
| Spirometry (94010) | $414.99 | $414.99 | 2.0× |
| Subcut infusion, therap/proph/diagnost,ea add hour (96370) | $131.32 | $131.32 | 2.9× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) | $397.14 | $397.14 | 1.9× |
| Surfactant Admin Thru Tube (94610) | $551.82 | $551.82 | 2.6× |
| Temp transcutaneous pacing (92953) | $1,609.20 | $1,609.20 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $181.38 | $181.38 | 2.6× |
| Therapeutic Activities (97530) | $157 | $157 | 4.5× |
| Therapeutic phlebotomy (99195) | $234.15 | $234.15 | 1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $134 | $134 | 3.0× |
| Vasopneumatic device (97016) | $35.79 | $35.79 | 3.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) | $1,393.44 | $1,393.44 | 2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,393.44 | $1,393.44 | 2.3× |
| Vital capacity total (94150) | $269.85 | $269.85 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $96.06 | $96.06 | 3.1× |