Supplies, drugs & other prices at INTEGRIS Southwest Medical Center
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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (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× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,097.20 | $5,486 | 0.9× |
| Electrophysiologic eval ccm-d leads 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× |
| N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) | $952 | $4,760 | 4.1× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $151.80 | $759 | 0.7× |
| 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× |
| 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 perm ccm-d system pulse generator only (0919T) | $1,252.80 | $6,264 | 0.3× |
| Removal Ss Dfb Electrode (0573T) | $2,800.80 | $14,004 | 0.8× |
| 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 Car Modulj Tranvns Elt (0413T) | $2,503.20 | $12,516 | 0.7× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $2,503.20 | $12,516 | 0.7× |
| 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 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) range across 3 matching MRF lines |
$3,000–$8,000 | $15,000–$40,000 | varies |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$6,429–$9,782.40 | $32,145–$48,912 | varies |
| Vasc emb/occ w/prs cath (C9797) | $9,293.20 | $46,466 | 0.5× |
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.