Supplies, drugs & other prices at Northeastern Health System
Tahlequah, OK · every code in this section with a posted price and a Medicare benchmark.
49 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $69.75 | $93 | 1.9× |
| 2d tee w or w/o fol w/con,in (C8925) | $1,483.50 | $1,978 | 2.0× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,483.50 | $1,978 | 2.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $551.50 | $1,103 | 1.6× |
| Admin influenza virus vac (G0008) | $17 | $34 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $25.50 | $34 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $888.50 | $1,777 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $193.50 | $258 | 3.8× |
| Direct refer hospital observ (G0379) | $31 | $62 | 0.1× |
| Drug test def 1-7 classes (G0480) | $50.50 | $101 | 0.4× |
| Drug test def 15-21 classes (G0482) | $1,046.25 | $1,395 | 5.3× |
| Drug test def 22+ classes (G0483) | $1,638.75 | $2,185 | 6.6× |
| Drug test def 8-14 classes (G0481) | $465 | $930 | 3.0× |
| Elec stim other than wound (G0283) | $36.38 | $48.50 | 2.9× |
| Hbot, full body chamber, 30m (G0277) | $134 | $268 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $579.75 | $773 | 2.8× |
| Hospital outpt clinic visit (G0463) | $77.75 | $155.50 | 0.6× |
| Hpv combo assay ca screen (G0476) | $65.80 | $87.73 | 1.9× |
| Mra w/cont, chest (C8909) | $681.75 | $909 | 2.0× |
| Mra w/cont, lwr ext (C8912) | $1,050 | $1,400 | 3.1× |
| Mra w/o cont, chest (C8910) | $500.25 | $667 | 2.2× |
| Mra w/o cont, lwr ext (C8913) | $959.25 | $1,279 | 4.2× |
| Mra w/o fol w/cont, chest (C8911) | $681.75 | $909 | 2.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $681.75 | $909 | 2.0× |
| Non-ophthalmic fva (C9733) | $29,797.50 | $39,730 | 88.8× |
| Oral hiv-1/hiv-2 screen (G0435) | $33 | $66 | 2.8× |
| Perc d-e cor revasc chro sin (C9607) | $12,453 | $16,604 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $5,624 | $11,248 | 0.5× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,551 | $17,102 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $5,624 | $11,248 | 0.5× |
| Prostate biopsy, any mthd (G0416) | $440.25 | $587 | 1.3× |
| Psa screening (G0103) | $33 | $66 | 1.7× |
| Revasc intra lithotrip-ather (C9766) | $19,865 | $39,730 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $19,865 | $39,730 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $12,276.50 | $24,553 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $29,797.50 | $39,730 | 1.7× |
| Revasc lithotr-ather tib/per (C9774) | $29,797.50 | $39,730 | 1.7× |
| Revasc lithotrip tibi/perone (C9772) | $12,276.50 | $24,553 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $19,865 | $39,730 | 1.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $49.67 | $66.23 | 1.9× |
| Tee w or w/o fol w/cont, mon (C8927) | $1,483.50 | $1,978 | 2.0× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,483.50 | $1,978 | 2.0× |
| Tomosynthesis, mammo (G0279) | $93 | $186 | 7.3× |
| Trim nail(s) (G0127) | $97.50 | $130 | 1.7× |
| Tte w or w/o contr, cont ecg (C8930) | $989 | $1,978 | 1.3× |
| Tte w or w/o fol w/con,stres (C8928) | $1,483.50 | $1,978 | 2.0× |
| Tte w or w/o fol w/cont, com (C8921) | $1,483.50 | $1,978 | 2.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,483.50 | $1,978 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,273 | $2,546 | 1.7× |