Visits & medical services prices at Newman Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $487.73 $609.66 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $718.40 $898 2.0×
Cardiac Stress Tst,Tracing Only (93017) $718.40 $898 3.5×
Cardiopulmonary resuscitation (92950) $1,711.20 $2,139 8.2×
Cbt 1st hour (94644) $487.73 $609.66 3.8×
Color/duplex Doppler, complete (93975) $650.40 $813 2.8×
Cpap initiation and management (94660) $152 $190 0.7×
Cpt initial (94667) $292.10 $365.13 2.3×
Critical care (99291) $1,303.60 $1,629.50 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $457.80 $572.25 2.4×
Demo &/or eval,pt use,aerosol device (94664) $487.73 $609.66 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $596 $745 2.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $350.40 $438 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $480 $600 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $299.20 $374 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $282.40 $353 2.8×
Duplex scan extracranial art compl bi study (93880) $470.40 $588 2.0×
EKG (93005) $160 $200 2.8×
Er level 1 (99281) $115.20 $144 1.4×
Er level ii (99282) $348 $435 2.4×
Er level iii (99283) $607.20 $759 2.3×
Er level IV (99284) $625.20 $781.50 1.6×
Er level v (99285) $913.20 $1,141.50 1.6×
Evaluation of swallowing function (92610) $223.20 $279 2.6×
External ECG rec>48hr<7d recording (93242) $240 $300 6.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $560 $700 4.4×
External ECG rec>7d<15d recording (93246) $273.60 $342 7.6×
External ECG rec>7d<15d scanning alys w/report (93247) $600 $750 4.7×
External Ecg Scanning Analysis Report (93226) $192 $240 3.4×
Flow volume loop (94375) $717.74 $897.18 3.5×
Group Therapeutic Procedures (97150) $72.40 $90.50 4.0×
Holter Monitor Recording (93225) $304 $380 2.4×
Immunization Admin (90471) $151.20 $189 2.2×
Immunotherapy, 2+ Injections (95117) $101.69 $127.11 2.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $260.83 $326.04 4.6×
IV infusion hydration each additional hour (96361) $166.40 $208 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $472 $590 2.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $336.80 $421 4.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $472 $590 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $166.40 $208 3.7×
IV push initial (96374) $472 $590 2.3×
Manual therapy 15 min (97140) $120 $150 4.3×
Maximum voluntary ventilation (94200) $139.87 $174.84 2.5×
Mechanical chest wall oscillation (94669) $487.73 $609.66 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $83.20 $104 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,051.40 $1,314.25 5.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,051.40 $1,314.25 2.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $200.80 $251 1.6×
Ot eval high complex 60 min (97167) $212 $265 2.1×
Ot eval low complex 30 min (97165) $168.80 $211 1.7×
Ot eval mod complex 45 min (97166) $190.40 $238 1.9×
Ot re-eval est plan care (97168) $168.80 $211 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,211.20 $4,014 3.9×
Pt eval high complex 45 min (97163) $195.20 $244 2.0×
Pt eval low complex 20 min (97161) $152 $190 1.6×
Pt Gait Training Therapy (97116) $115.20 $144 4.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $120 $150 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $173.60 $217 1.8×
Pt re-evaluation (97164) $120 $150 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $168.80 $211 5.2×
Pt Ultrasound Therapy (97035) $109.60 $137 7.6×
Pulm Funct Test Oscillometry (94728) $357.19 $446.49 2.9×
Pulmonary stress testing (94618) $292.10 $365.13 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $1,051.40 $1,314.25 5.4×
Rt Chest Wall Manipulation,Subsequent (94668) $292.10 $365.13 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $260 $325 1.3×
Speech sound lang comprehen (92523) $223.20 $279 1.0×
Spirometry (94010) $357.19 $446.49 1.7×
Temp transcutaneous pacing (92953) $1,403.20 $1,754 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $96 $120 1.4×
Therapeutic Activities (97530) $120 $150 3.4×
Therapeutic phlebotomy (99195) $232 $290 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,417.60 $1,772 2.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,004 $1,255 4.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $223.20 $279 2.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $223.20 $279 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $96 $120 2.1×
Unlisted pulmonary service/procedure (94799) $180.80 $226 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $454.40 $568 2.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,285.60 $1,607 2.2×
Xtrnl mobile cv telemetry w/technical support (93229) $1,440 $1,800 4.0×