Supplies, drugs & other prices at INTEGRIS Baptist Medical Center, Inc

Oklahoma City, 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
3D cntr simula trgt lvr les (0944T) $3,793.80 $18,969 16.5×
Adm tocilizu covid-19 1st (M0249) $403 $2,015 1.0×
Adm tocilizu covid-19 2nd (M0250) $403 $2,015 1.0×
Autolog prp not diab ulcer (G0460) $1,409.60 $7,048 0.7×
Catheterize for urine spec (P9612) $44.40 $222 4.8×
Demonstrate use home inr mon (G0248) $191.40 $957 1.5×
Diab manage trn per indiv (G0108) $47.20 $236 0.8×
Direct refer hospital observ (G0379) $153.80 $769 0.3×
Drug test def 1-7 classes (G0480) $59.60 $298 0.5×
Ephys eval ccm-d ld 1st impl (0930T) $1,097.20 $5,486 0.9×
Ephys eval ccm-d ld separate (0931T) $432.20 $2,161 0.4×
Group mnt 2 or more 30 mins (G0271) $16.80 $84 1.0×
Hbot, full body chamber, 30m (G0277) $470.80 $2,354 3.6×
Insertion of substernal implantable defibrillator electrode (0572T) $6,059.20 $30,296 0.8×
Insertion perm ccm-d system pulse generator only (0916T)
unusually low: confirm this is the full procedure
$6,479.20 $32,396 0.3×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T)
likely a partial charge, not the full procedure
$1,571.60 $7,858 0.2×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T)
likely a partial charge, not the full procedure
$1,620 $8,100 0.2×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T)
unusually low: confirm this is the full procedure
$10,267.20 $51,336 0.3×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $18,297.60 $91,488 0.6×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $6,410.20 $32,051 0.8×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $6,410.20 $32,051 0.8×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $19,052 $95,260 0.9×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $22,535 $112,675 0.7×
Instill pharm renal pelvis (C9789) $1,179.80 $5,899 1.0×
Interro Device Evaluation Cardiac Modulj System (0418T) $96.80 $484 2.7×
Intrav inf, mon anti, fir do (M0235) $403 $2,015 1.0×
Intrav inf, mon anti, sec do (M0236) $403 $2,015 1.0×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $510.40 $2,552 2.2×
Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without… (0992T) $952 $4,760 4.1×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $156.40 $782 0.6×
Oth resp proc, group (G0239) $43.80 $219 1.2×
Perc d-e cor revasc chro sin (C9607) $10,499.40 $52,497 0.6×
Perc d-e cor revasc t cabg s (C9604) $7,661 $38,305 0.7×
Perc d-e cor stent ather s (C9602) $10,579.40 $52,897 0.6×
Perc drug-el cor stent sing (C9600) $9,031 $45,155 0.8×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
likely a partial charge, not the full procedure
$3,225.80 $16,129 0.3×
Place device/marker, non pro (C9728) $975.40 $4,877 0.7×
Pre 3d mdl w/ccta and/or mri (C9793) $1,553.80 $7,769 1.9×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $96.80 $484 2.7×
Prolonged iv inf, req pump (C8957) $265.80 $1,329 1.3×
Prostate biopsy, any mthd (G0416) $245.40 $1,227 0.7×
Psa screening (G0103) $70.20 $351 3.6×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $475.20 $2,376 0.5×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $475.20 $2,376 0.5×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $151.80 $759 0.7×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,361.20 $6,806 0.7×
Relocation skin pocket implanted ccm-d pg (0925T) $891.80 $4,459 0.4×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $2,503.20 $12,516 0.7×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $2,503.20 $12,516 0.7×
Removal perm ccm-d system pulse generator only (0919T) $1,252.80 $6,264 0.3×
Repos Cardiac Modulj Transvenous Electrode (0415T) $529 $2,645 0.9×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,800.80 $14,004 0.8×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,123 $5,615 1.9×
Revasc lith-sten-ath tib/per (C9775) $13,148.80 $65,744 0.7×
Revasc lithotr-ather tib/per (C9774) $13,148.80 $65,744 0.7×
Revasc lithotr-stent tib/per (C9773) $12,628.20 $63,141 0.7×
Revasc lithotrip tibi/perone (C9772) $7,894.80 $39,474 0.7×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $19,052 $95,260 0.9×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $1,252.80 $6,264 0.3×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $1,252.80 $6,264 0.3×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $1,252.80 $6,264 0.3×
Rmvl substernal implantable defibrillator eltrd (0573T) $2,800.80 $14,004 0.8×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,800.80 $14,004 0.8×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T)
unusually low: confirm this is the full procedure
$6,953.60 $34,768 0.3×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $16,811.40 $84,057 0.8×
Sim ang w/prs cath rad emb (C8004)
likely a partial charge, not the full procedure
$460 $2,300 0.0×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $3,720.20 $18,601 1.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $13,842.20 $69,211 0.7×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
likely a partial charge, not the full procedure
$4,304.80 $21,524 0.2×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
likely a partial charge, not the full procedure
$3,418.80 $17,094 0.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
likely a partial charge, not the full procedure
$3,702.20 $18,511 0.2×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,775.40 $23,877 1.6×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,775.40 $23,877 1.6×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $5,921.40 $29,607 1.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
unusually low: confirm this is the full procedure
$6,479.20 $32,396 0.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure
$6,189.40 $30,947 0.3×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure
$6,189.40 $30,947 0.3×
Therapeutic procd strg endur (G0237) $44.60 $223 1.6×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T)
unusually low: confirm this is the full procedure
$8,745.40 $43,727 0.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,240 $21,200 0.8×
Transcatheter renal sympath denervation unilat (0338T) $4,240 $21,200 0.8×
Trauma respons w/hosp criti (G0390) $7,000 $35,000 5.5×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$8,105.70 $40,528.50 0.5×
Vasc emb/occ w/prs cath (C9797) $9,293.20 $46,466 0.5×