Visits & medical services prices at Haskell Regional Hospital, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $38 $38 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $77–$89 $77–$89 varies
Assessment of aphasia per hr (96105) $395 $395 4.1×
Behavral qualit analys voice (92524) $184 $184 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $338 $338 0.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $1,000–$1,122 $1,000–$1,122 varies
Cardioversion (92960) $1,213 $1,213 1.9×
Care mgmt services behavioral hlth cond 20 mins (99484) $99 $99 2.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $12 $12 0.3×
Cbt 1st hour (94644) $255 $255 2.0×
Chest Wall Manipulation (94668) $331 $331 2.6×
Chron Care Mgmt Srvc 20 Min (99490) $99 $99 1.0×
Color/duplex Doppler, complete (93975) $1,009 $1,009 4.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $90 $90 2.8×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $330 $330 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $788 $788 3.7×
Cpt initial (94667) $1,282 $1,282 10.0×
Critical care first hour (99291)
range across 3 matching MRF lines		 $532–$2,800 $532–$2,800 varies
Debridement Open Wound 20 Sq Cm< (97597) $193 $193 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $497 $497 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $568 $568 5.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $783 $783 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $737 $737 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $908 $908 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $599 $599 6.0×
Duplex up extrem art bilat (93930) $726 $726 3.2×
Duplex up extrem art unilat/ltd (93931) $568 $568 5.6×
Echo Heart Xthoracic,Limited (93308) $1,145.40 $1,145.40 5.0×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $85–$119 $85–$119 varies
Electrocardiogram Tracing (93005) $21 $21 0.4×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines		 $360–$500 $360–$500 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines		 $540–$800 $540–$800 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines		 $800–$1,100 $800–$1,100 varies
Er level 1 (99281)
range across 3 matching MRF lines		 $270–$400 $270–$400 varies
Er level v (99285)
range across 3 matching MRF lines		 $1,200–$1,400 $1,200–$1,400 varies
Evaluate pt use of inhaler (94664) $178 $178 0.8×
Evaluate Speech Production (92522) $184 $184 1.6×
Evaluate Swallowing Function (92610) $291 $291 3.4×
Evaluation of speech fluency (92521) $184 $184 1.4×
Extracranial Bilat Study (93880) $803 $803 3.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $63 $63 0.9×
Immunization administration (90471) $100 $100 1.4×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines		 $86–$97 $86–$97 varies
Irrig Drug Delivery Device (96523) $154 $154 2.7×
IV infusion hydration each additional hour (96361) $38 $38 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $68 $68 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $174 $174 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines		 $47–$150 $47–$150 varies
IV push initial (96374) $475 $475 2.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $80 $80 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $94 $94 2.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $44 $44 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $200 $200 1.0×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $99–$106 $99–$106 varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $354.30 $354.30 2.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $297.15 $297.15 2.3×
Ophth medical xm&eval intermediate estab pt (92012) $209.80 $209.80 1.6×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $201.70 $201.70 1.6×
Oral Function Therapy (92526) $254 $254 3.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $34 $34 0.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $67.11 $67.11 3.2×
Ot Contrast Bath Ea 15 Min (97034) $90 $90 6.4×
Ot eval high complexity (97167) $266 $266 2.6×
Ot Eval Low Complex (97165) $266 $266 2.6×
Ot Eval Moderate Complexity (97166) $266 $266 2.6×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines		 $46–$106 $46–$106 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines		 $52–$76 $52–$76 varies
Ot Prosthetic Training, Each 15 Min (97761) $30 $30 0.7×
Ot Re-Eval Est Plan Care (97168) $153 $153 2.2×
Phlebotomy therapeutic (99195) $243 $243 1.9×
Physical Performance Test (97750) $11 $11 0.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $80 $80 1.8×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $99 $99 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $80 $80 1.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $80 $80 1.8×
Psych diag eval w/med srvcs (90792) $299 $299 1.8×
Psychiatric diagnostic evaluation (90791) $268 $268 1.6×
Pt Eval High Complex (97163) $306 $306 3.1×
Pt eval low complex 20 min (97161) $306 $306 3.1×
Pt Eval Mod Complex (97162) $306 $306 3.1×
Pt gait training 15 min (97116)
range across 2 matching MRF lines		 $88–$258 $88–$258 varies
Pt mechanical traction (97012) $46 $46 3.2×
Pt Re-Eval Est Plan Care (97164) $148 $148 2.2×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $66 $66 1.8×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $95.15 $95.15 2.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $303.50 $303.50 2.4×
Respiratory flow volume loop (94375) $255 $255 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $154 $154 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $65 $65 0.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $92 $92 3.5×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $93–$106 $93–$106 varies
Sensory Integration Ea 15 Min (97533) $103 $103 1.7×
Speech sound lang comprehen (92523) $184 $184 0.8×
Spirometry (94010) $61.55 $61.55 0.3×
Subcutaneous Infusion Each Additional Hour (96370) $103 $103 2.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $450 $450 2.2×
Subq Infusion Additional Pump Infusion Site (96371) $154 $154 2.2×
Temp transcutaneous pacing (92953) $1,213 $1,213 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines		 $81–$106 $81–$106 varies
Ther/Proph/Diag Inj Ia (96373) $454 $454 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $50 $50 0.7×
Ther/Proph/Diag Iv Inf Init (96365) $172 $172 0.8×
Therapeutic Activities (97530)
range across 3 matching MRF lines		 $106–$248 $106–$248 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $75 $75 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50 $50 1.4×
Trans Care Mgmt 14 Day Disch (99495) $388.35 $388.35 3.0×
Trans Care Mgmt 7 Day Disch (99496) $526.05 $526.05 4.1×
Tte w/doppler, complete (93306) $1,577 $1,577 3.0×
Tte W/O Doppler Complete (93307) $1,434 $1,434 6.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $154 $154 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $49 $49 1.1×
Upr/L Xtremity Art 2 Levels (93922) $410 $410 3.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $685 $685 3.3×
Vasopneumatic device (97016) $101 $101 8.4×
Vent Mgmt Inpat Init Day (94002) $1,297 $1,297 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,161 $1,161 2.0×
Vital capacity, total (94150) $254 $254 2.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines		 $80–$100 $80–$100 varies
Whirlpool Therapy (97022) $80 $80 5.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.