Visits & medical services prices at Holdenville General Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $128
Airway inhalation treatment (94640) $450
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $650
Canalith Repositioning (95992) $189
Cardiopulmonary resuscitation (92950) $1,187
Cardioversion (92960) $290
Cbt 1st hour (94644) $300
Color/duplex Doppler, complete (93975) $530
Cpap initiation and management (94660) $450
Cpt initial (94667) $300
Critical care (99291) $970.50
Debridement Open Wound 20 Sq Cm< (97597) $60
Demo &/or eval,pt use,aerosol device (94664) $450
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $964
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $668
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $668
Dup-scan xtr veins unilateral/limited study (93971) $637
Duplex scan extracranial art compl bi study (93880) $672
EKG (93005) $128
EKG rhythm strip (93041) $128
Er level 1 (99281) $151
Er level ii (99282) $395
Er level iii (99283) $594
Er level IV (99284) $887
Er level v (99285) $1,322
Evaluation of swallowing function (92610) $148
External ECG rec>48hr<7d recording (93242) $84
External ECG rec>7d<15d recording (93246) $138
Group Therapeutic Procedures (97150) $41
Hemodialysis (90935) $1,071
Immunization Admin (90471) $98.50
Injection intra arterial (96373) $461
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $124
IV infusion hydration each additional hour (96361) $108
IV infusion hydration initial 31 min-1 hour (96360) $456
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $150
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $458.50
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $102.50
IV push initial (96374) $458.50
Manual therapy 15 min (97140) $88
Massage 15 min (97124) $80
Mechanical chest wall oscillation (94669) $450
Mechanical traction (97012) $57
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $697
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $46
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $50
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $530
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $350
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $113
Osteopathic manipulative tx 1-2 body regions (98925) $53.50
Ot eval high complex 60 min (97167) $179
Ot eval low complex 30 min (97165) $179
Ot eval mod complex 45 min (97166) $179
Ot re-eval est plan care (97168) $117
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $450
Pt Electric Current Therapy (97033) $88
Pt Electrical Stimulation (97032) $80
Pt eval high complex 45 min (97163) $189
Pt eval low complex 20 min (97161) $189
Pt Gait Training Therapy (97116) $85
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $96
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $189
Pt re-evaluation (97164) $123
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $103
Pt Ultrasound Therapy (97035) $67
Pulmonary stress testing (94618) $300
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $87
Rt Chest Wall Manipulation,Subsequent (94668) $300
Speech sound lang comprehen (92523) $377
Spirometry (94010) $335
Temp transcutaneous pacing (92953) $1,310
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $78.50
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $58
Ther/Proph/Diag Inj Sc/Im (96372) $149
Therapeutic Activities (97530) $101
Therapeutic phlebotomy (99195) $175
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,167
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $138
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $148
Tx/Pro/Dx Inj New Drug Addon (96375) $137
Vasc Duplex Extrem Venous,Bilat (93970) $796
Ventilation assist & mgmt inpatient 1st day (94002) $1,400
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $700
Wheelchair Mgmt Ea 15 Min (97542) $90