Supplies, drugs & other prices at Memorial Health
Lawton, OK · every code in this section with a posted price and a Medicare benchmark.
48 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $142.65 | $114.12 | 3.2× |
| Admin pneumococcal vaccine (G0009) | $142.65 | $114.12 | 3.2× |
| Catheterize for urine spec (P9612) | $135.23 | $108.18 | 14.5× |
| Covid-19 lab test non-cdc (U0002) | $390.79 | $312.63 | 7.6× |
| Direct refer hospital observ (G0379) | $424.14 | $339.32 | 0.7× |
| Drug test def 1-7 classes (G0480) | $255.53 | $204.42 | 2.2× |
| Drug test def 15-21 classes (G0482) | $443.79 | $355.03 | 2.2× |
| Drug test def 22+ classes (G0483) | $551.39 | $441.11 | 2.2× |
| Drug test def 8-14 classes (G0481) | $349.68 | $279.74 | 2.2× |
| Elec stim other than wound (G0283) | $134.20 | $107.36 | 10.6× |
| Elec stim unattend for press (G0281) | $134.20 | $107.36 | 11.5× |
| Hbot, full body chamber, 30m (G0277) | $1,152.18 | $921.74 | 8.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,578.99 | $1,263.19 | 2.3× |
| Mra w/cont, abd (C8900) | $3,756.95 | $3,005.56 | 11.2× |
| Mra w/cont, chest (C8909) | $3,756.95 | $3,005.56 | 11.2× |
| Mra w/o cont, abd (C8901) | $3,302.04 | $2,641.63 | 14.4× |
| Mra w/o cont, chest (C8910) | $3,302.04 | $2,641.63 | 14.4× |
| Mra w/o fol w/cont, abd (C8902) | $4,482.35 | $3,585.88 | 13.4× |
| Mra w/o fol w/cont, chest (C8911) | $4,482.35 | $3,585.88 | 13.4× |
| Mri w/cont, breast, bi (C8906) | $3,756.95 | $3,005.56 | 11.2× |
| Mri w/o fol w/cont, breast, (C8908) | $4,482.35 | $3,585.88 | 13.4× |
| Pathogen test for platelets (P9100) | $199.60 | $159.68 | 3.5× |
| Perc d-e cor revasc chro sin (C9607) | $48,069.71 | $38,455.77 | 2.7× |
| Perc d-e cor revasc t cabg s (C9604) | $25,021.93 | $20,017.54 | 2.3× |
| Perc d-e cor stent ather s (C9602) | $48,069.71 | $38,455.77 | 2.7× |
| Perc drug-el cor stent sing (C9600) | $40,102.58 | $32,082.06 | 3.6× |
| Ppps, initial visit (G0438) | $861.79 | $689.43 | 4.9× |
| Ppps, subseq visit (G0439) | $574.56 | $459.65 | 4.2× |
| Prolonged iv inf, req pump (C8957) | $711.31 | $569.05 | 3.5× |
| Psa screening (G0103) | $223.16 | $178.53 | 11.6× |
| Revasc intra lithotrip-ather (C9766) | $39,091.31 | $31,273.05 | 2.2× |
| Revasc intra lithotrip-stent (C9765) | $39,091.31 | $31,273.05 | 2.2× |
| Revasc intravasc lithotripsy (C9764) | $19,544.35 | $15,635.48 | 1.8× |
| Revasc lith-sten-ath tib/per (C9775) | $63,376.33 | $50,701.06 | 3.6× |
| Revasc lithotr-ather tib/per (C9774) | $63,376.33 | $50,701.06 | 3.6× |
| Revasc lithotr-stent tib/per (C9773) | $63,376.33 | $50,701.06 | 3.6× |
| Revasc lithotrip tibi/perone (C9772) | $39,621.79 | $31,697.43 | 3.6× |
| Revasc lithotrip-stent-ather (C9767) | $62,887 | $50,309.60 | 3.6× |
| Scr c/v cyto, automated sys (G0147) | $63.86 | $51.09 | 3.4× |
| Scr c/v cyto, autosys, rescr (G0148) | $63.86 | $51.09 | 2.0× |
| Scr c/v cyto,thinlayer,rescr (G0144) | $63.86 | $51.09 | 1.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $63.86 | $51.09 | 2.4× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $63.86 | $51.09 | 2.4× |
| Screen cerv/vag thin layer (G0123) | $63.86 | $51.09 | 3.2× |
| Screen pap by tech w md supv (P3000) | $63.86 | $51.09 | 3.4× |
| Tomosynthesis, mammo (G0279) | $484.95 | $387.96 | 38.2× |
| Trauma respons w/hosp criti (G0390) | $3,150.29 | $2,520.23 | 2.5× |
| Unsched dialysis esrd pt hos (G0257) | $2,610.35 | $2,088.28 | 4.0× |