Supplies, drugs & other prices at Hillcrest Medical Center
Tulsa, OK · every code in this section with a posted price and a Medicare benchmark.
92 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $34.50 | $115 | 1.0× |
| 2d tee w or w/o fol w/con,in (C8925) | $787.20 | $2,624 | 1.0× |
| 2d tte w or w/o fol w/con,co (C8923) | $772.80 | $2,576 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $558.60 | $1,862 | 1.7× |
| Adm tocilizu covid-19 1st (M0249) | $468.60 | $1,562 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $468.60 | $1,562 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $6.90 | $23 | 0.2× |
| Admin influenza virus vac (G0008) | $49.50 | $165 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $49.50 | $165 | 1.1× |
| Ca screen;flexi sigmoidscope (G0104) | $939.60 | $3,132 | 1.1× |
| Catheterize for urine spec (P9612) | $31.80 | $106 | 3.4× |
| Chemo extend iv infus w/pump (G0498) | $835.80 | $2,786 | 2.6× |
| Colon ca scrn not hi rsk ind (G0121) | $1,424.40 | $4,748 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,424.40 | $4,748 | 1.6× |
| Covid-19 lab test non-cdc (U0002) | $59.10 | $197 | 1.2× |
| Diab manage trn per indiv (G0108) | $132.90 | $443 | 2.4× |
| Diab manage trn ind/group (G0109) | $59.40 | $198 | 3.7× |
| Direct refer hospital observ (G0379) | $769.80 | $2,566 | 1.3× |
| Drug test def 1-7 classes (G0480) | $285.90 | $953 | 2.5× |
| Elec stim other than wound (G0283) | $120.30 | $401 | 9.5× |
| Elec stim unattend for press (G0281) | $134.40 | $448 | 11.5× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,158.30 | $3,861 | 1.0× |
| Group mnt 2 or more 30 mins (G0271) | $108.30 | $361 | 6.4× |
| Hbot, full body chamber, 30m (G0277) | $174.90 | $583 | 1.3× |
| Home sleep test/type 2 porta (G0398) | $626.70 | $2,089 | 3.0× |
| Home sleep test/type 3 porta (G0399) | $413.10 | $1,377 | 2.0× |
| Home sleep test/type 4 porta (G0400) | $892.20 | $2,974 | 4.3× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$298.80–$645 | $996–$2,150 | varies |
| Inj for sacroiliac jt anesth (G0260) | $918.90 | $3,063 | 1.4× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $7,895.40 | $26,318 | 1.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $34,409.40 | $114,698 | 1.1× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $8,757 | $29,190 | 1.1× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $8,757 | $29,190 | 1.1× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $24,477.90 | $81,593 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $30,587.10 | $101,957 | 1.0× |
| Mnt subs tx for change dx (G0270) | $108.30 | $361 | 3.4× |
| Mra w/cont, abd (C8900) | $1,364.40 | $4,548 | 4.1× |
| Mra w/cont, chest (C8909) | $1,399.80 | $4,666 | 4.2× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$2,330.10–$3,495.15 | $7,767–$11,650.50 | varies |
| Mra w/cont, pelvis (C8918) | $1,544.10 | $5,147 | 4.6× |
| Mra w/o cont, abd (C8901) | $1,240.20 | $4,134 | 5.4× |
| Mra w/o cont, chest (C8910) | $1,379.70 | $4,599 | 6.0× |
| Mra w/o cont, lwr ext (C8913) | $610.20 | $2,034 | 2.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,848.90 | $6,163 | 5.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,539.30 | $5,131 | 4.6× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$2,559.60–$3,839.40 | $8,532–$12,798 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,704.90 | $5,683 | 5.1× |
| Mri w/cont, breast, bi (C8906) | $1,419.60 | $4,732 | 4.2× |
| Mri w/o fol w/cont, breast, (C8908) | $1,689.90 | $5,633 | 5.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,349.10 | $4,497 | 4.0× |
| Neuro csf prion prtn qual (0035U) | $580.80 | $1,936 | 1.1× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) | $3,382.20 | $11,274 | 1.1× |
| Oth resp proc, indiv (G0238) | $27.30 | $91 | 1.0× |
| Pathogen test for platelets (P9100) | $93.90 | $313 | 1.7× |
| Perc d-e cor revasc chro sin (C9607) | $10,881.90 | $36,273 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $12,090.90 | $40,303 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $12,090.90 | $40,303 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $12,090.90 | $40,303 | 1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,671.70 | $32,239 | 1.4× |
| Perq Sacral Augmt Unilat Inj (0200T) | $9,671.70 | $32,239 | 1.4× |
| Place device/marker, non pro (C9728) | $1,340.10 | $4,467 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $1,556.40 | $5,188 | 4.5× |
| Psa screening (G0103) | $22.20 | $74 | 1.1× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $855.60 | $2,852 | 1.0× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $855.60 | $2,852 | 1.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $648 | $2,160 | 0.9× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $1,851.90 | $6,173 | 0.9× |
| Removal Ss Dfb Electrode (0573T) | $3,472.20 | $11,574 | 1.0× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $621 | $2,070 | 1.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $3,472.20 | $11,574 | 1.0× |
| Revasc intra lithotrip-ather (C9766) | $11,340.30 | $37,801 | 0.6× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$11,340.30–$17,010.45 | $37,801–$56,701.50 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$5,597.70–$8,396.55 | $18,659–$27,988.50 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $19,953.30 | $66,511 | 1.1× |
| Revasc lithotr-ather tib/per (C9774) | $18,139.20 | $60,464 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $18,139.20 | $60,464 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $11,340.30 | $37,801 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $18,139.20 | $60,464 | 1.0× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $24,477.90 | $81,593 | 1.1× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,595.20 | $11,984 | 1.0× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $3,595.20 | $11,984 | 1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,472.20 | $11,574 | 1.0× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $21,414 | $71,380 | 1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $18,194.10 | $60,647 | 1.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $19,254.90 | $64,183 | 1.0× |
| Therapeutic procd strg endur (G0237) | $27.30 | $91 | 1.0× |
| Trauma respons w/hosp criti (G0390) | $1,877.70 | $6,259 | 1.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $5,535.30 | $18,451 | 1.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $25,425.60 | $84,752 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,781.40 | $5,938 | 2.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,616.40 | $5,388 | 2.4× |
| Vasc emb/occ w/prs cath (C9797) | $16,908.30 | $56,361 | 1.0× |
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.