Visits & medical services prices at INTEGRIS Baptist Medical Center, Inc

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
likely a partial charge, not the full procedure
$1,936.20 $9,681 0.3×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $21.20 $106 0.8×
Airway inhalation treatment (94640) $137.40 $687 0.7×
Analyze Neurostim Complex (95972) $139.40 $697 1.5×
Anogenital exam, child (99170) $83.40 $417 0.4×
Appl on-body injector for timed subq injection (96377) $51.60 $258 1.1×
Assessment of aphasia (96105) $94.40 $472 1.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $63.60 $318 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $77.40 $387 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $318.20 $1,591 0.9×
Canalith Repositioning (95992) $49.80 $249 1.2×
Capsule endoscopy (91110) $1,229.80 $6,149 1.4×
Cardiac Stress Tst,Tracing Only (93017) $488.80 $2,444 2.4×
Cardiopulmonary exercise testing (94621) $339.80 $1,699 0.9×
Cardiopulmonary resuscitation (92950) $212 $1,060 1.0×
Cardioversion (92960) $992.60 $4,963 1.6×
Cardioversion internal (92961) $802.20 $4,011 1.3×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $5,031.40 $25,157 1.6×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $5,311.60 $26,558 1.7×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
likely a partial charge, not the full procedure
$4,908.80 $24,544 0.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $6,549.80 $32,749 2.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,968.80 $29,844 1.9×
Cbt 1st hour (94644) $77.60 $388 0.6×
Chemo Hormon Antineopl Sq/Im (96402) $59.20 $296 0.9×
Chemo IV push addl drug (96411) $106.60 $533 1.5×
Chemo Iv Push Sngl Drug (96409) $153 $765 0.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $498.40 $2,492 1.6×
Chemother, IV infusion, 1 hr (96413) $189.80 $949 0.6×
Chemother, IV infusion, ea add hr (96415) $103.60 $518 1.5×
Chemother,Ia Push Technique (96420) $136.20 $681 0.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $66.40 $332 1.0×
Chemotherapy, unspecified procedure (96549) $7.40 $37 0.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $136 $680 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $114.80 $574 1.7×
Color/duplex Doppler, complete (93975) $645.80 $3,229 2.8×
Color/duplex Doppler, limited (93976) $299.20 $1,496 3.0×
Coronary artery angio s&i (93454) $5,003 $25,015 1.6×
Cpap initiation and management (94660) $219.20 $1,096 1.0×
Cpt initial (94667) $101.80 $509 0.8×
Critical care (99291) $1,377.40 $6,887 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $380 $1,900 2.0×
Demo &/or eval,pt use,aerosol device (94664) $147 $735 0.7×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $229.20 $1,146 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $211.80 $1,059 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $575.60 $2,878 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $400.80 $2,004 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $439.60 $2,198 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $337.40 $1,687 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $392.40 $1,962 3.9×
Duplex hemodialysis access (93990) $99 $495 1.0×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $454 $2,270 2.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $307.80 $1,539 3.1×
Duplex scan extracranial art compl bi study (93880) $702.20 $3,511 3.1×
Echo Heart Xthoracic,Limited (93308) $409.80 $2,049 1.8×
Echo transesophageal (93312) $1,043.40 $5,217 2.0×
Echo Transesophageal - Congenital Tee Complete (93315) $499.60 $2,498 1.0×
Echo Transthoracic - Congenital Tte Complete (93303) $878 $4,390 1.7×
Echo Transthoracic - Congenital Tte Limited (93304) $422.40 $2,112 0.8×
EEG awake asleep (95819) $495.60 $2,478 2.4×
EEG awake drowsy (95816) $415.80 $2,079 2.0×
EEG cerebral death evaluation (95824) $228.40 $1,142 0.6×
EEG coma or sleep only (95822) $438.80 $2,194 2.1×
EEG cont rec w/video by tech min 8 channels (95700) $167.80 $839 0.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $465.80 $2,329 2.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $173 $865 0.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,473.80 $7,369 4.1×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $950.60 $4,753 2.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $173 $865 0.8×
EKG (93005) $133 $665 2.3×
Elec alys implt cplx cn npgt prgrmg (95977) $94.20 $471 1.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $34.80 $174 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $314.30 $1,571.50 1.5×
EMG four extremities (95864) $214.80 $1,074 1.7×
EMG one extremity (95860) $85.20 $426 0.7×
EMG three extremities (95863) $153.20 $766 1.2×
EMG two extremities (95861) $131.80 $659 1.0×
Endomyocardial biopsy (93505) $2,207.20 $11,036 0.7×
Ep & ablate supravent arrhyt (93653) $13,223.20 $66,116 0.5×
Ep & ablate ventric tachy (93654) $14,690.60 $73,453 0.6×
Ep Analyze Pacer Sys (93724) $540 $2,700 1.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,656.20 $23,281 0.6×
Ep Electrophysiologic F/U Study (93624)
likely a partial charge, not the full procedure
$1,854 $9,270 0.2×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $450.80 $2,254 0.4×
Er level 1 (99281) $141.60 $708 1.7×
Er level ii (99282) $239 $1,195 1.6×
Er level iii (99283) $392.40 $1,962 1.5×
Er level IV (99284) $626.60 $3,133 1.6×
Er level v (99285) $723.80 $3,619 1.3×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $480.80 $2,404 1.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $59.60 $298 0.8×
Evaluation of speech fluency (92521) $45.60 $228 0.3×
Evaluation of speech sound production (92522) $38 $190 0.3×
Evaluation of swallowing function (92610) $75 $375 0.9×
Evaluation with prescription of speech-generating alternative (92607) $77 $385 0.6×
Exhaled Air Analysis (94690) $48.40 $242 0.9×
External ECG rec>48hr<7d recording (93242) $62 $310 1.7×
External ECG rec>7d<15d recording (93246) $62 $310 1.7×
External Ecg Scanning Analysis Report (93226) $95 $475 1.7×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $32 $160 0.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $470.60 $2,353 1.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $740.80 $3,704 0.9×
Group Therapeutic Procedures (97150) $22.40 $112 1.2×
Hemodialysis (90935) $344.20 $1,721 0.5×
Holter Monitor Recording (93225) $58.40 $292 0.5×
Immunization Admin (90471) $62.80 $314 0.9×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $428.80 $2,144 1.2×
Ins swan ganz bedside (93503) $625.80 $3,129 0.4×
Interrogation of vad (93750) $389.20 $1,946 4.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $47 $235 0.8×
IV infusion hydration each additional hour (96361) $92.80 $464 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $164.30 $821.50 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $89.40 $447 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $172.90 $864.50 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $104.10 $520.50 2.3×
IV push initial (96374) $112.60 $563 0.6×
Liver elastography w/o imag w/i&r (91200) $103.40 $517 0.8×
Manual therapy 15 min (97140) $52 $260 1.9×
Massage 15 min (97124) $47.80 $239 1.6×
Mechanical chest wall oscillation (94669) $147 $735 0.7×
Mechanical traction (97012) $53.60 $268 3.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30.80 $154 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $40.20 $201 1.1×
Methacholine challenge (94070) $177.20 $886 0.5×
Mnt Group Ea 30 Min (97804) $20.60 $103 1.2×
Motility study esophagus (91010) $448 $2,240 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $119 $595 1.3×
Multiple sleep latency test (95805) $960.80 $4,804 1.2×
Neg press wnd tx </=50 sq cm (97607) $245.40 $1,227 0.6×
Neg press wound tx >50 cm (97608) $271.80 $1,359 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $186.60 $933 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $245.40 $1,227 0.6×
Nerve conduction studies 13/> studies (95913) $292.20 $1,461 0.8×
Nerve Conduction Studies 3-4 Studies (95908) $150.80 $754 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $262.60 $1,313 0.7×
Nerve conduction studies; 1-2 studies (95907) $112.80 $564 0.5×
Nerve conduction studies; 11-12 studies (95912) $264.20 $1,321 0.7×
Nerve conduction studies; 5-6 studies (95909) $180 $900 0.9×
Nerve conduction studies; 7-8 studies (95910) $233 $1,165 0.6×
Neuromuscular junction test (95937) $81 $405 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $386.60 $1,933 3.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $348 $1,740 1.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $101.20 $506 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $52 $260 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $25.40 $127 0.8×
Ot Contrast Bath Ea 15 Min (97034) $22 $110 1.6×
Ot eval high complex 60 min (97167) $117 $585 1.2×
Ot eval low complex 30 min (97165) $90.20 $451 0.9×
Ot eval mod complex 45 min (97166) $103.60 $518 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $40.20 $201 0.8×
Ot Prosthetic Training, Each 15 Min (97761) $35.20 $176 0.9×
Ot re-eval est plan care (97168) $55 $275 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $137.20 $686 1.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $80.20 $401 0.6×
Paraffin bath (97018) $32 $160 5.3×
Peripheral arterial disease rehab per session (93668) $87 $435 1.5×
Perq Transcath Cls Mitral (93590)
likely a partial charge, not the full procedure
$3,980 $19,900 0.2×
Perq transcath cls paravalvr leak 1 aortic valve (93591)
likely a partial charge, not the full procedure
$3,980 $19,900 0.2×
Phy/qhp op pulm rhb w/mntr (94626) $64 $320 1.1×
Phy/qhp op pulm rhb w/o mntr (94625) $64 $320 1.1×
Plethysmography (94726) $147.40 $737 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,016.40 $10,082 2.4×
Polysom <6 yrs 4/> paramtrs (95782) $1,369 $6,845 1.7×
Prq balloon valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,522.60 $12,613 0.5×
Prq Balloon Valvuloplasty Mitral Valve (92987)
likely a partial charge, not the full procedure
$3,326.40 $16,632 0.3×
Prq card revasc chronic 1vsl (92943)
unusually low: confirm this is the full procedure
$4,839.80 $24,199 0.4×
Prq Card Stent W/Angio 1 Vsl (92928) $8,745.40 $43,727 0.8×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$5,181.80 $25,909 0.3×
Prq revasc byp graft 1 vsl (92937) $6,902 $34,510 0.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$4,714.40 $23,572 0.3×
Prq tcat plmt ntrac st 2+les (92930) $9,687 $48,435 0.5×
Prq trl rvs ch occ ant&rtrgr (92945) $7,806.40 $39,032 0.7×
Prq trluml coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$3,868 $19,340 0.3×
Prq trluml coronary angioplasty one art/branch (92920) $3,225.80 $16,129 0.6×
Pt Aquatic Therapy/Exercises (97113) $42.60 $213 1.1×
Pt Electric Current Therapy (97033) $68.20 $341 3.6×
Pt Electrical Stimulation (97032) $30.80 $154 2.1×
Pt eval high complex 45 min (97163) $117 $585 1.2×
Pt eval low complex 20 min (97161) $90.20 $451 0.9×
Pt Gait Training Therapy (97116) $47 $235 1.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $54 $270 1.6×
Pt Physical Performance Test (97750) $38.80 $194 1.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $103.60 $518 1.1×
Pt re-evaluation (97164) $55 $275 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $41.40 $207 1.3×
Pt Ultrasound Therapy (97035) $36.60 $183 2.5×
Pt Whirlpool Therapy (97022) $66.20 $331 4.2×
Pulm function test by gas (94727) $188.40 $942 0.9×
Pulmonary stress testing (94618) $62.40 $312 0.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $6,068.40 $30,342 1.9×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $6,935 $34,675 2.2×
R hrt art/grft angio (93457) $6,280.20 $31,401 2.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $7,750.40 $38,752 2.5×
Refill/Maint Pump/Resvr Syst (96522) $111.60 $558 0.5×
Refill/maint, portable pump (96521) $111.40 $557 0.5×
Right heart cath (93451) $4,797.20 $23,986 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $143.40 $717 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $83.40 $417 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $26.80 $134 0.6×
Sc Ther Infusion Reset Pump (96371) $102.40 $512 1.5×
Sensory Integration Ea 15 Min (97533) $64.40 $322 1.1×
Short-latency somatosens ep std lwr limbs (95926) $252.40 $1,262 1.2×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $267.40 $1,337 1.3×
Short-latency somatosens ep std upr limbs (95925) $258 $1,290 1.2×
Sleep study attended (95807) $451 $2,255 1.3×
Sleep study unattended (95806) $319.40 $1,597 1.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $300.80 $1,504 1.4×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $50 $250 0.9×
Smoking cessation > 10 min (99407) $58.20 $291 1.6×
Speech group therapy (92508) $24.20 $121 1.0×
Speech sound lang comprehen (92523) $92.40 $462 0.4×
Spirometry (94010) $168 $840 0.8×
Standardized Cognitive Performance Testing (96125) $58.40 $292 0.6×
Stress Tte Complete (93351) $636.20 $3,181 1.2×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $29 $145 0.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $124 $620 0.6×
Surfactant Admin Thru Tube (94610) $123.60 $618 0.6×
Temp transcutaneous pacing (92953) $404.80 $2,024 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $37.80 $189 1.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $37.80 $189 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $41.80 $209 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $58.20 $291 0.8×
Therapeutic Activities (97530) $36.80 $184 1.0×
Therapeutic phlebotomy (99195) $102.60 $513 0.8×
Tilt Table Eval (93660) $1,398.80 $6,994 3.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $58.20 $291 1.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $207.80 $1,039 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,265.20 $6,326 2.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $364.80 $1,824 1.6×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$12,123.20 $60,616 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $91.80 $459 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $63.60 $318 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $84 $420 1.9×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,224.60 $6,123 2.3×
Unlisted noninvasive vascular diagnostic study (93998) $102.80 $514 3.7×
Unlisted pulmonary service/procedure (94799) $259.30 $1,296.50 2.1×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$3,063 $15,315 0.3×
Vasc Duplex Extrem Venous,Bilat (93970) $864.10 $4,320.50 3.8×
Vasc Duplex Scan Extracranial,Limited (93882) $133.60 $668 1.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $318.80 $1,594 1.5×
Vasopneumatic device (97016) $57.80 $289 4.8×
Veeg by tech 2-12 hours unmonitored (95711) $173 $865 0.8×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,473.80 $7,369 4.1×
Veeg by tech 2-12 hr intermittent monitoring (95712) $167.80 $839 0.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,473.80 $7,369 4.1×
Veeg Ea 12-26 Hr Unmntr (95714) $1,473.80 $7,369 4.1×
Ventilation assist & mgmt inpatient 1st day (94002) $780.70 $3,903.50 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,025.20 $5,126 1.7×
Visual Evoked Potential Test (95930) $224.60 $1,123 1.1×
Vital capacity total (94150) $129 $645 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $20.40 $102 0.7×