Visits & medical services prices at Memorial Health

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $21,758.53 $17,406.82 2.9×
Administration of prolonged chemotherapy into artery (96425) $1,222.43 $977.94 3.8×
Advance care planning first 30 mins (99497) $278.65 $222.92 2.9×
Airway inhalation treatment (94640) $305.58 $244.46 1.5×
Ambulatory Bp Analysis (93788) $43.86 $35.09 0.3×
Ambulatory Bp Recording (93786) $374.08 $299.26 2.9×
Appl on-body injector for timed subq injection (96377) $70.25 $56.20 1.6×
Assessment of aphasia (96105) $282 $225.60 2.9×
Behavioral and qualitative analysis of voice and resonance (92524) $377.59 $302.07 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $593.65 $474.92 1.7×
Capsule endoscopy (91110) $798.79 $639.03 0.9×
Car seat/bed test 60 min (94780) $114.73 $91.78 3.2×
Cardiac Stress Tst,Tracing Only (93017) $706.05 $564.84 3.4×
Cardiopulmonary resuscitation (92950) $1,433.55 $1,146.84 6.9×
Cardioversion (92960) $1,213.64 $970.92 1.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $10,218.82 $8,175.06 3.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $18,619.80 $14,895.84 6.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $30,096.24 $24,076.99 9.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $27,691.70 $22,153.36 8.9×
Cbt 1st hour (94644) $444.34 $355.47 3.5×
Chemo Hormon Antineopl Sq/Im (96402) $428.18 $342.54 6.2×
Chemo inj subarach/intravent (96542) $704.29 $563.43 2.2×
Chemo IV push addl drug (96411) $454.88 $363.90 6.6×
Chemo Iv Push Sngl Drug (96409) $493.53 $394.82 1.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,240 $992 3.9×
Chemother, IV infusion, 1 hr (96413) $1,277.76 $1,022.20 4.0×
Chemother, IV infusion, ea add hr (96415) $1,315.51 $1,052.41 19.0×
Chemother,ia infusn tech,<1 hr (96422) $1,378.17 $1,102.54 4.3×
Chemother,Ia Push Technique (96420) $476.54 $381.24 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $465.41 $372.33 6.7×
Chemotherapy admn intraarterial infusion ea hr (96423) $1,277.76 $1,022.20 28.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,277.76 $1,022.20 18.5×
Circadian respiratry pattern rec 12-24 hr infant (94772) $2,938 $2,350.40 8.2×
Coronary artery angio s&i (93454) $9,467.09 $7,573.67 3.0×
Cpap initiation and management (94660) $912.24 $729.79 4.3×
Cpt initial (94667) $237.08 $189.66 1.9×
Critical care (99291) $2,422.06 $1,937.65 3.0×
Debridement Open Wound 20 Sq Cm< (97597) $888.71 $710.97 4.6×
Demo &/or eval,pt use,aerosol device (94664) $286.25 $229 1.4×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,705.45 $1,364.36 4.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,081.91 $865.53 4.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $908.04 $726.43 9.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,081.91 $865.53 4.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $908.04 $726.43 9.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,081.91 $865.53 10.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $814.48 $651.58 3.5×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $391.70 $313.36 3.9×
Duplex scan extracranial art compl bi study (93880) $1,059.08 $847.26 4.6×
Echo Heart Xthoracic,Limited (93308) $618.23 $494.58 2.7×
Echo transesophageal (93312) $2,734.28 $2,187.42 5.2×
EEG awake asleep (95819) $1,160.95 $928.76 5.6×
EEG awake drowsy (95816) $929.11 $743.29 4.5×
EEG cerebral death evaluation (95824) $1,108.26 $886.61 3.1×
EEG coma or sleep only (95822) $929.11 $743.29 4.5×
EEG cont rec w/video by tech min 8 channels (95700) $984.24 $787.39 4.7×
Eeg Extended Monitoring 61-119 Minutes (95813) $955.45 $764.36 4.6×
EKG (93005) $324.91 $259.93 5.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $20.60 $16.48 0.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $955.45 $764.36 4.6×
EMG one extremity (95860) $321.40 $257.12 2.5×
EMG two extremities (95861) $519.86 $415.89 4.1×
Ep & ablate supravent arrhyt (93653) $44,007.10 $35,205.68 1.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $21,758.53 $17,406.82 2.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $21,758.53 $17,406.82 2.9×
Er level 1 (99281) $289.76 $231.81 3.6×
Er level ii (99282) $410.98 $328.78 2.8×
Er level iii (99283) $711.31 $569.05 2.7×
Er level IV (99284) $1,406.88 $1,125.50 3.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $318.40 $254.72 4.5×
Evaluation of speech fluency (92521) $460.14 $368.11 3.5×
Evaluation of speech sound production (92522) $377.59 $302.07 3.4×
Evaluation of swallowing function (92610) $533.91 $427.13 6.3×
Evaluation with prescription of speech-generating alternative (92607) $692.30 $553.84 5.7×
External ECG rec>48hr<7d recording (93242) $133.49 $106.79 3.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $219.55 $175.64 1.7×
External ECG rec>7d<15d recording (93246) $84.28 $67.42 2.3×
External ECG rec>7d<15d scanning alys w/report (93247) $1,252.29 $1,001.83 9.8×
External Ecg Scanning Analysis Report (93226) $374.08 $299.26 6.6×
Fluorescein&icg angrph multiframe img i&r uni/bi (92242) $1,382.28 $1,105.82 6.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,700.20 $1,360.16 4.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $924 $739.20 4.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,704.31 $1,363.45 2.1×
Gi wireless capsule measure (91112) $698.14 $558.51 0.8×
Group Therapeutic Procedures (97150) $195.44 $156.35 10.8×
Holter Monitor Recording (93225) $1,458.66 $1,166.93 11.4×
Icd Device Interrogate (93289) $307.33 $245.86 8.6×
Immunization Admin (90471) $110.60 $88.48 1.6×
Ins swan ganz bedside (93503) $2,313.16 $1,850.53 1.5×
Interrog dev eval icpms phys/qhp in person (93290) $149.25 $119.40 4.2×
Interrog dev eval scrms phys/qhp in person (93291) $189.66 $151.73 6.8×
Interrogate subq defib (93261) $165.69 $132.55 4.6×
Interrogation of vad (93750) $672.68 $538.14 7.4×
Intralesional Chemo Admin,8+ Lesn (96406) $805.41 $644.33 3.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $259.93 $207.94 4.6×
IV infusion hydration each additional hour (96361) $470.42 $376.34 10.4×
IV infusion hydration initial 31 min-1 hour (96360) $456.11 $364.89 2.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $470.42 $376.34 6.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $484.74 $387.79 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $470.42 $376.34 10.4×
IV push initial (96374) $446.79 $357.43 2.2×
Maintenance of spinal canal or brain drug infusion pump (95990) $1,375.24 $1,100.19 4.3×
Manual therapy 15 min (97140) $252.02 $201.62 9.1×
Massage 15 min (97124) $159.89 $127.91 5.4×
Measurement of heart blood flow and respiration (93701) $136.98 $109.58 1.1×
Mechanical chest wall oscillation (94669) $169.48 $135.58 0.8×
Mechanical traction (97012) $138.41 $110.72 9.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.71 $53.37 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.71 $53.37 1.8×
Motility study esophagus (91010) $1,704.31 $1,363.45 4.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $908.04 $726.43 9.9×
Multiple sleep latency test (95805) $2,861.18 $2,288.94 3.5×
Neg press wnd tx </=50 sq cm (97607) $1,180.28 $944.22 3.0×
Neg press wound tx >50 cm (97608) $1,180.28 $944.22 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $336.34 $269.08 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $649.24 $519.39 1.7×
Newborn resuscitation (99465) $2,444.90 $1,955.92 3.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $579.59 $463.67 4.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $725.35 $580.28 3.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $131.52 $105.21 2.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $298.04 $238.43 9.3×
Ot Contrast Bath Ea 15 Min (97034) $113.20 $90.56 8.1×
Ot eval high complex 60 min (97167) $547.84 $438.26 5.4×
Ot eval low complex 30 min (97165) $354.75 $283.80 3.5×
Ot eval mod complex 45 min (97166) $444.34 $355.47 4.4×
Ot Prosthetic Training, Each 15 Min (97761) $214.87 $171.90 5.3×
Ot re-eval est plan care (97168) $174.06 $139.24 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $258.86 $207.09 2.1×
Paraffin bath (97018) $113.20 $90.56 18.8×
Peripheral arterial disease rehab per session (93668) $208.98 $167.18 3.7×
Perq Transcath Cls Mitral (93590) $87,482.04 $69,985.63 5.0×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $87,482.04 $69,985.63 5.0×
Plethysmography (94726) $746.45 $597.16 2.1×
Pm device eval in person (93288) $475.96 $380.77 13.3×
Pm device progr eval dual (93280) $338.95 $271.16 9.4×
Pm device progr eval multi (93281) $361.79 $289.43 10.1×
Pm device progr eval sngl (93279) $268.68 $214.94 7.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,317.25 $3,453.80 5.2×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $475.96 $380.77 13.3×
Programming of dual lead implantable defibrillator system (93283) $405.71 $324.57 11.3×
Programming of single lead implantable defibrillator system (93282) $328.43 $262.74 9.2×
Prq balloon valvuloplasty aortic valve (92986) $13,480.49 $10,784.39 2.5×
Prq card revasc chronic 1vsl (92943) $48,069.71 $38,455.77 4.3×
Prq Card Stent W/Angio 1 Vsl (92928) $25,021.93 $20,017.54 2.3×
Prq Card Stent/Ath/Angio (92933) $48,069.71 $38,455.77 2.7×
Prq revasc byp graft 1 vsl (92937) $48,069.71 $38,455.77 4.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $23,049.49 $18,439.59 2.1×
Prq trluml coronary angioplasty one art/branch (92920) $23,683.55 $18,946.84 4.3×
Pt Aquatic Therapy/Exercises (97113) $184.40 $147.52 5.0×
Pt Electric Current Therapy (97033) $205.30 $164.24 10.8×
Pt Electrical Stimulation (97032) $138.09 $110.47 9.4×
Pt eval high complex 45 min (97163) $431.76 $345.41 4.4×
Pt eval low complex 20 min (97161) $296.80 $237.44 3.0×
Pt Gait Training Therapy (97116) $258.16 $206.53 8.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $208.11 $166.49 6.4×
Pt Physical Performance Test (97750) $355.18 $284.14 10.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $360.10 $288.08 3.7×
Pt re-evaluation (97164) $198.43 $158.74 2.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $281.18 $224.94 8.7×
Pt Ultrasound Therapy (97035) $157.84 $126.27 11.0×
Pt Whirlpool Therapy (97022) $138.09 $110.47 8.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $13,968.78 $11,175.02 4.5×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $16,211.74 $12,969.39 5.2×
R hrt art/grft angio (93457) $19,592.85 $15,674.28 6.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $16,959.96 $13,567.97 5.4×
Refill/Maint Pump/Resvr Syst (96522) $755.23 $604.18 3.7×
Refill/maint, portable pump (96521) $711.31 $569.05 3.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $135.65 $108.52 3.8×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,582.50 $1,266 5.4×
Right heart cath (93451) $11,692.48 $9,353.98 3.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $284.25 $227.40 1.5×
Rt Chest Wall Manipulation,Subsequent (94668) $205.48 $164.38 1.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $343.32 $274.66 7.2×
Sc Ther Infusion Reset Pump (96371) $63.36 $50.69 0.9×
Sensory Integration Ea 15 Min (97533) $245.32 $196.26 4.0×
Sleep study unattended (95806) $2,381.66 $1,905.33 11.5×
Smoking cessation > 10 min (99407) $100.52 $80.42 2.8×
Speech group therapy (92508) $195.44 $156.35 8.1×
Speech sound lang comprehen (92523) $779.83 $623.86 3.4×
Spirometry (94010) $312.60 $250.08 1.5×
Stress echo (93350) $2,075.82 $1,660.66 3.9×
Stress Tte Complete (93351) $3,036.81 $2,429.45 5.8×
Surfactant Admin Thru Tube (94610) $781.56 $625.25 3.7×
Temp transcutaneous pacing (92953) $1,063.36 $850.69 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $96.95 $77.56 4.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $92.66 $74.13 4.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $452.61 $362.08 4.4×
Ther/Proph/Diag Inj Sc/Im (96372) $140.50 $112.40 2.0×
Therapeutic Activities (97530) $247.63 $198.10 7.1×
Therapeutic phlebotomy (99195) $467.56 $374.04 3.7×
Tilt Table Eval (93660) $1,696.66 $1,357.33 4.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $100.52 $80.42 2.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,804.96 $2,243.97 5.3×
Tx atrial fib pulm vein isol (93656) $44,007.10 $35,205.68 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $382 $305.60 5.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $625.18 $500.14 7.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $446.79 $357.43 9.9×
Unlisted Cardiovascular Service/Procedure (93799) $1,831.91 $1,465.53 14.8×
Unlisted pulmonary service/procedure (94799) $266.94 $213.55 2.2×
Vasc Duplex Extrem Venous,Bilat (93970) $1,628.16 $1,302.53 7.1×
Vasc Duplex Scan Extracranial,Limited (93882) $864.13 $691.30 8.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $669.16 $535.33 3.2×
Vasopneumatic device (97016) $138.09 $110.47 11.5×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,815.45 $1,452.36 5.1×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $3,423.49 $2,738.79 4.1×
Ventilation assist & mgmt inpatient 1st day (94002) $1,210.14 $968.11 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,477.09 $3,581.67 7.5×
Wheelchair Mgmt Ea 15 Min (97542) $281.18 $224.94 9.1×