Visits & medical services prices at Hillcrest Hospital South

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,657.20 $15,524 0.6×
Airway Inhalation Treatment (94640) $172.20 $574 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $31.80 $106 2.2×
Application Modality 1/> Areas Infrared (97026) $8.70 $29 1.3×
Assessment of aphasia per hr (96105) $334.80 $1,116 3.4×
Biofeedback training any modality (90901) $222 $740 5.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $303 $1,010 0.8×
Canalith repositioning proc (95992) $116.10 $387 2.8×
Cardiac Stress Tst,Tracing Only (93017) $368.40 $1,228 1.8×
Cardiopulmonary exercise testing (94621) $297.60 $992 0.8×
Cardiopulmonary resuscitation (92950) $623.40 $2,078 3.0×
Cardioversion (92960) $2,791.20 $9,304 4.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,811.60 $19,372 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,045.40 $16,818 1.6×
Cbt 1st hour (94644) $199.20 $664 1.6×
Chemo Anti-Neopl Sq/Im (96401) $78 $260 1.1×
Chemo IV infusion addl hr (96415) $201.30 $671 2.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $412.80 $1,376 1.3×
Chest Wall Manipulation (94668) $151.80 $506 1.2×
Color/duplex Doppler, complete (93975) $555.30 $1,851 2.4×
Color/duplex Doppler, limited (93976) $439.50 $1,465 4.4×
Coronary Art/Grft Angio S&I (93455) $4,655.70 $15,519 1.5×
Coronary Artery Angio S&I (93454) $4,059 $13,530 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $317.70 $1,059 1.5×
Cpt initial (94667) $172.20 $574 1.3×
Critical care first hour (99291) $1,812 $6,040 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $762.90 $2,543 4.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $482.10 $1,607 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $149.40 $498 1.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $537.90 $1,793 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $449.70 $1,499 4.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$644.70–$967.05 $2,149–$3,223.50 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$460.50–$690.75 $1,535–$2,302.50 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $239.10 $797 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $117 $390 1.2×
Duplex up extrem art bilat (93930) $513.90 $1,713 2.2×
Duplex up extrem art unilat/ltd (93931) $461.10 $1,537 4.6×
Echo Congenital Complete (93303) $1,171.80 $3,906 2.2×
Echo Heart Xthoracic,Limited (93308) $361.80 $1,206 1.6×
Echo transesophag montr cardiac pump functj (93318) $952.20 $3,174 1.8×
Echo transesophageal (93312) $1,020 $3,400 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $946.50 $3,155 1.8×
Eeg 41-60 Minutes (95812) $813.90 $2,713 3.9×
EEG awake and asleep (95819) $477.90 $1,593 2.3×
EEG awake drowsy (95816) $531 $1,770 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $599.70 $1,999 2.9×
EEG extended monitoring 61-119 minutes (95813) $913.50 $3,045 4.4×
Eeg Sleep Only (95822) $616.50 $2,055 3.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,439.40 $4,798 6.9×
EEG wo vid ea 12-26hr unmntr (95708) $1,583.70 $5,279 4.4×
Electrical Stimulation Ea 15 Min (97032) $46.80 $156 3.2×
Electrocardiogram Tracing (93005) $152.40 $508 2.7×
Electrophysiology Evaluation (93642) $1,145.70 $3,819 1.0×
Emergency Dept Visit Level 2 (99282) $438.60 $1,462 3.0×
Emergency Dept Visit Level 3 (99283) $630.30 $2,101 2.4×
Emergency Dept Visit Level 4 (99284) $940.20 $3,134 2.3×
Endomyocardial Biopsy (93505) $1,830.30 $6,101 0.6×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$11,560.50 $38,535 0.5×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$11,560.50 $38,535 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,762.70 $19,209 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,408.40 $28,028 1.1×
Er level 1 (99281) $550.80 $1,836 6.8×
Er level v (99285) $1,315.20 $4,384 2.3×
Esophageal Capsule Endoscopy (91111) $751.50 $2,505 0.9×
Evaluate pt use of inhaler (94664) $252 $840 1.2×
Evaluate Speech Production (92522) $152.10 $507 1.4×
Evaluate Swallowing Function (92610) $144.30 $481 1.7×
External Ecg Scanning Analysis Report (93226) $127.80 $426 2.3×
Extracranial Bilat Study (93880) $274.80 $916 1.2×
Extracranial Uni/Ltd Study (93882) $550.50 $1,835 5.5×
F-up/limited tthrc echo congenital car anomaly (93304) $657.60 $2,192 1.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $900.60 $3,002 1.1×
Gi tract capsule endoscopy (91110) $751.50 $2,505 0.9×
Group Therapeutic Procedures (97150) $21.90 $73 1.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,632.40 $22,108 2.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $621 $2,070 0.9×
Holter monitor recording (93225) $260.70 $869 2.0×
Icd Device Progr Eval Mult (93284) $39.90 $133 1.1×
Immunization administration (90471) $62.10 $207 0.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $570 $1,900 1.6×
Insert/Place Heart Catheter (93503) $734.10 $2,447 0.5×
Intraventricular pacing (93612) $7,239.30 $24,131 1.0×
Iontophoresis 15 min (97033) $90.90 $303 4.8×
Irrig Drug Delivery Device (96523) $75 $250 1.3×
IV infusion hydration each additional hour (96361) $124.80 $416 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $277.50 $925 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $123.60 $412 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $181.20 $604 4.0×
IV push initial (96374) $151.20 $504 0.7×
L Hrt Art/Grft Angio (93459) $6,237.30 $20,791 2.0×
Low frequency non-thermal us (97610) $193.50 $645 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $459.60 $1,532 2.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $79.50 $265 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $54.90 $183 1.5×
Methacholine challenge (94070) $506.10 $1,687 1.4×
Motion Fluoroscopy/Swallow (92611) $184.20 $614 2.0×
Multiple Sleep Latency Test (95805) $1,101.60 $3,672 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $532.80 $1,776 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $587.10 $1,957 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $759.30 $2,531 3.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $642.60 $2,142 1.6×
Nerve Conduction Studies 11-12 Studies (95912) $804.30 $2,681 2.2×
Nerve conduction studies 13 or more studies (95913) $884.10 $2,947 2.5×
Nerve Conduction Studies 3-4 Studies (95908) $382.20 $1,274 1.8×
Nerve conduction studies 5-6 studies (95909) $420 $1,400 2.0×
Nerve conduction studies 7-8 studies (95910) $461.70 $1,539 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $730.80 $2,436 2.0×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$37.50–$56.10 $125–$187 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $214.20 $714 0.6×
Oral Function Therapy (92526) $101.10 $337 1.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $60.60 $202 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $56.40 $188 1.2×
Ot Contrast Bath Ea 15 Min (97034) $51.60 $172 3.7×
Ot eval high complexity (97167) $123.30 $411 1.2×
Ot Eval Low Complex (97165) $102 $340 1.0×
Ot Eval Moderate Complexity (97166) $112.20 $374 1.1×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$58.80–$76.20 $196–$254 varies
Ot paraffin bath (97018) $32.40 $108 5.4×
Ot Re-Eval Est Plan Care (97168) $65.10 $217 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $165.60 $552 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $103.80 $346 0.8×
Peripheral arterial disease rehab per session (93668) $112.20 $374 2.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $16,856.10 $56,187 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,173.60 $13,912 0.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $6,338.10 $21,127 0.6×
Phlebotomy therapeutic (99195) $123.30 $411 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $190.20 $634 3.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $219.90 $733 3.9×
Physical Performance Test (97750) $61.50 $205 1.8×
Plethysmography (94726) $227.40 $758 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,663.10 $8,877 3.2×
Polysom <6 yrs 4/> paramtrs (95782) $1,101.60 $3,672 1.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,053 $3,510 1.3×
Prq Card Angio/Athrect 1 Art (92924) $7,956.90 $26,523 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $6,338.10 $21,127 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,338.10 $21,127 0.4×
Prq Revasc Byp Graft 1 Vsl (92937) $6,338.10 $21,127 0.6×
Prq trl rvs ch occ ant&rtrgr (92945) $10,614.90 $35,383 1.0×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $10,127.40 $33,758 0.9×
Pt Eval High Complex (97163) $98.10 $327 1.0×
Pt eval low complex 20 min (97161) $81.30 $271 0.8×
Pt Eval Mod Complex (97162) $89.40 $298 0.9×
Pt gait training 15 min (97116) $43.20 $144 1.5×
Pt mechanical traction (97012) $82.80 $276 5.8×
Pt Re-Eval Est Plan Care (97164) $30.30 $101 0.4×
Pulmonary Stress Testing (94618) $294.60 $982 2.3×
R Hrt Art/Grft Angio (93457) $7,521.60 $25,072 2.4×
R hrt coronary artery angio (93456) $6,328.80 $21,096 2.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,688.50 $12,295 1.2×
Remote 30 Day Ecg Rev/Report (93270) $412.20 $1,374 11.5×
Respiratory flow volume loop (94375) $241.20 $804 1.2×
Right Heart Cath (93451) $3,263.10 $10,877 1.0×
Right ventricular recording (93603) $2,373.60 $7,912 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $263.10 $877 1.4×
Self Care Mngment Training (97535) $66.30 $221 2.0×
Sensory Integration Ea 15 Min (97533) $54.30 $181 0.9×
Sleep study unattended (95806) $475.20 $1,584 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $144 $480 0.7×
Speech sound lang comprehen (92523) $238.20 $794 1.1×
Spirometry (94010) $175.50 $585 0.8×
Standardized Cognitive Performance Testing (96125) $138.60 $462 1.3×
Stress Tte Only (93350) $946.50 $3,155 1.8×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $309.60 $1,032 1.5×
Surfactant Admin Thru Tube (94610) $435 $1,450 2.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $42.30 $141 1.9×
Ther Ivntj Ea Addl 15 Min (97130) $42.30 $141 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $28.80 $96 1.0×
Ther/Proph/Diag Inj Ia (96373) $126 $420 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $61.20 $204 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $282.60 $942 1.4×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$54.60–$65.40 $182–$218 varies
Tte w/doppler, complete (93306) $1,100.40 $3,668 2.1×
Tte W/O Doppler Complete (93307) $594 $1,980 2.6×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$11,560.50 $38,535 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $136.50 $455 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $134.40 $448 3.0×
Unlisted cardiovascular service/procedure (93799) $145.20 $484 1.2×
Upr/L Xtremity Art 2 Levels (93922) $192.90 $643 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $746.70 $2,489 3.6×
Veeg 2-12 hr intmt mntr (95712) $1,495.20 $4,984 4.2×
Veeg 2-12 hr unmonitored (95711) $1,427.70 $4,759 6.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,382.40 $4,608 3.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,570.80 $5,236 4.4×
Veeg ea 12-26hr cont mntr (95716) $1,008.60 $3,362 1.2×
Vent Mgmt Inpat Init Day (94002) $1,037.40 $3,458 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $372.60 $1,242 0.6×
Vital capacity, total (94150) $78 $260 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $70.20 $234 2.3×

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.