Visits & medical services prices at Northeastern Health System
Tahlequah, OK · every code in this section with a posted price and a Medicare benchmark.
200 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$124.50–$369.75 | $166–$493 | varies |
| Airway resistance by oscillometry (94728) | $444.75 | $593 | 3.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$26.25–$40.50 | $35–$54 | varies |
| Assessment of aphasia per hr (96105) | $114 | $152 | 1.2× |
| Behavral qualit analys voice (92524) | $160.50 | $214 | 1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$25.50–$381.75 | $34–$509 | varies |
| Canalith repositioning proc (95992) | $43.50 | $58 | 1.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $695.25 | $927 | 3.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$513–$562.50 | $684–$750 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$446.25–$975 | $595–$1,300 | varies |
| Cardioversion elective internal (92961) | $642.75 | $857 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,419 | $5,892 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,381.50 | $5,842 | 1.4× |
| Cbt 1st hour (94644) | $83.25 | $111 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $144.75 | $193 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$72.75–$107.25 | $97–$143 | varies |
| Chemo IV infusion addl hr (96415) | $66 | $88 | 1.0× |
| Chemo IV push addl drug (96411) | $120.75 | $161 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $441.75 | $589 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $66 | $88 | 1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $441.75 | $589 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $240.75 | $321 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$47.25–$58.50 | $63–$78 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$323.25–$411.75 | $431–$549 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$267.75–$268.50 | $357–$358 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$208.50–$343.50 | $278–$458 | varies |
| Coronary Art/Grft Angio S&I (93455) | $4,381.50 | $5,842 | 1.4× |
| Coronary Artery Angio S&I (93454) | $4,381.50 | $5,842 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$136.50–$231 | $182–$308 | varies |
| Cpt initial (94667) | $72 | $96 | 0.6× |
| Critical care first hour (99291) | $1,125 | $1,500 | 1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$216.75–$322.50 | $289–$430 | varies |
| Dialysis One Evaluation (90945) | $643.50 | $858 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $386.25 | $515 | 1.7× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$201–$202.50 | $268–$270 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$887.25–$888.75 | $1,183–$1,185 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $744.75 | $993 | 7.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$887.25–$888.75 | $1,183–$1,185 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $742.50 | $990 | 7.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $216.75 | $289 | 0.9× |
| Duplex Scan Hemodialysis Access (93990) | $209.25 | $279 | 2.1× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$216–$249.75 | $288–$333 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$177–$177.75 | $236–$237 | varies |
| ECG/monitoring and analysis (93271) | $172.50 | $230 | 1.9× |
| Echo Congenital Complete (93303) | $1,483.50 | $1,978 | 2.8× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$827.25–$966 | $1,103–$1,288 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $1,483.50 | $1,978 | 2.8× |
| Echo transesophageal (93312) | $924 | $1,232 | 1.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,483.50 | $1,978 | 2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,483.50 | $1,978 | 2.8× |
| Eeg 41-60 Minutes (95812) | $519 | $692 | 2.5× |
| EEG awake and asleep (95819) | $519 | $692 | 2.5× |
| EEG awake drowsy (95816) | $354 | $472 | 1.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $258 | $344 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) | $519 | $692 | 2.5× |
| Eeg Sleep Only (95822) | $540 | $720 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $519 | $692 | 2.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $519 | $692 | 2.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $885.75 | $1,181 | 2.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $885.75 | $1,181 | 2.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $519 | $692 | 2.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $885.75 | $1,181 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$36–$44.25 | $48–$59 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$42–$193.50 | $56–$258 | varies |
| Emergency Dept Visit Level 2 (99282) | $225 | $300 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $360 | $480 | 1.4× |
| Emergency Dept Visit Level 4 (99284) | $585 | $780 | 1.5× |
| Endomyocardial Biopsy (93505) | $5,460.10 | $7,280.13 | 1.8× |
| Er level 1 (99281) | $141 | $188 | 1.7× |
| Er level v (99285) | $787.50 | $1,050 | 1.4× |
| Evaluate pt use of inhaler (94664) | $124.50 | $166 | 0.6× |
| Evaluate Speech Production (92522) | $148.50 | $198 | 1.3× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$105–$162 | $140–$216 | varies |
| Evaluation of speech fluency (92521) | $184.50 | $246 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $71.25 | $95 | 0.3× |
| External ECG rec>48hr<7d recording (93242) | $67.50 | $90 | 1.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $140.25 | $187 | 1.1× |
| External Ecg Scanning Analysis Report (93226) | $140.25 | $187 | 2.5× |
| Extracranial Bilat Study (93880) | $1,158.75 | $1,545 | 5.0× |
| Extracranial Uni/Ltd Study (93882) | $387 | $516 | 3.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,483.50 | $1,978 | 2.8× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $118.50 | $158 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $96.75 | $129 | 0.5× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $178.50 | $238 | 0.8× |
| Fluorescein angiography (92235) | $75 | $100 | 0.4× |
| Gi tract capsule endoscopy (91110) | $1,362 | $1,816 | 1.6× |
| Group Therapeutic Procedures (97150) | $32.25 | $43 | 1.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $4,419 | $5,892 | 1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $597 | $796 | 0.9× |
| Holter monitor recording (93225) | $259.50 | $346 | 2.0× |
| Icd Device Interrogate (93289) | $463.50 | $618 | 12.9× |
| Icd device progr eval dual (93283) | $540.75 | $721 | 15.1× |
| Icd Device Progr Eval Mult (93284) | $463.50 | $618 | 12.9× |
| Ilr Device Interrogate (93291) | $463.50 | $618 | 16.7× |
| Immunization administration (90471) range across 3 matching MRF lines |
$30–$111 | $40–$148 | varies |
| Insert/Place Heart Catheter (93503) | $1,526.25 | $2,035 | 1.0× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$35.25–$36 | $47–$48 | varies |
| Irrig Drug Delivery Device (96523) | $80.25 | $107 | 1.4× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$52.50–$60 | $70–$80 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $153 | $204 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $60 | $80 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$52.50–$60 | $70–$80 | varies |
| IV push initial (96374) | $193.50 | $258 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $4,381.50 | $5,842 | 1.4× |
| Laryngeal Function Studies (92520) | $71.25 | $95 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $291.75 | $389 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$108–$216.75 | $144–$289 | varies |
| Multiple Sleep Latency Test (95805) | $4,369.50 | $5,826 | 5.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$160.50–$641.25 | $214–$855 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$221.25–$641.25 | $295–$855 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$160.50–$322.50 | $214–$430 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$221.25–$322.50 | $295–$430 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $292.50 | $390 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$459–$459.75 | $612–$613 | varies |
| Nerve conduction studies 13 or more studies (95913) | $459 | $612 | 1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$291.75–$292.50 | $389–$390 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$450.75–$452.25 | $601–$603 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$459–$459.75 | $612–$613 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$459–$459.75 | $612–$613 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$46.50–$90.75 | $62–$121 | varies |
| Newborn resuscitation (99465) | $702.75 | $937 | 1.1× |
| Oral Function Therapy (92526) | $104.25 | $139 | 1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $75 | $100 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$52.50–$86.25 | $70–$115 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $47.25 | $63 | 2.3× |
| Ot eval high complexity (97167) | $128.25 | $171 | 1.3× |
| Ot Eval Low Complex (97165) | $93 | $124 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $112.50 | $150 | 1.1× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$43.50–$81 | $58–$108 | varies |
| Ot paraffin bath (97018) | $26.25 | $35 | 4.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $48 | $64 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $87.75 | $117 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $122.25 | $163 | 1.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $187.50 | $250 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $99 | $132 | 1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,588 | $8,784 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,882 | $13,176 | 0.9× |
| Phlebotomy therapeutic (99195) | $63.75 | $85 | 0.5× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$75–$75.75 | $100–$101 | varies |
| Plethysmography (94726) | $444.75 | $593 | 1.2× |
| Pm device eval in person (93288) | $405.75 | $541 | 11.3× |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$66–$463.50 | $88–$618 | varies |
| Pm device progr eval multi (93281) | $463.50 | $618 | 12.9× |
| Pm Device Progr Eval Sngl (93279) | $405.75 | $541 | 11.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,767.75 | $6,357 | 5.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,369.50 | $5,826 | 5.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,369.50 | $5,826 | 5.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $494.25 | $659 | 13.8× |
| Prq Card Angio/Athrect 1 Art (92924) | $12,291.75 | $16,389 | 1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,882 | $13,176 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) | $12,453 | $16,604 | 0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $9,882 | $13,176 | 0.9× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$128.25–$180 | $171–$240 | varies |
| Pt eval low complex 20 min (97161) | $87.75 | $117 | 0.9× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$112.50–$174 | $150–$232 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$40.50–$78 | $54–$104 | varies |
| Pt mechanical traction (97012) | $45.75 | $61 | 3.2× |
| Pt Re-Eval Est Plan Care (97164) | $87.75 | $117 | 1.3× |
| Pulm function test by gas (94727) | $250.50 | $334 | 1.2× |
| Pulmonary service/procedure (94799) | $34.50 | $46 | 0.3× |
| R Hrt Art/Grft Angio (93457) | $4,419 | $5,892 | 1.4× |
| R hrt coronary artery angio (93456) | $4,419 | $5,892 | 1.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$4,419–$5,021.25 | $5,892–$6,695 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $60 | $80 | 1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $66 | $88 | 1.2× |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$4,419–$5,137.50 | $5,892–$6,850 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$221.25–$322.50 | $295–$430 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $195 | $260 | 1.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $25.50 | $34 | 0.5× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$48.75–$94.50 | $65–$126 | varies |
| Sensory Integration Ea 15 Min (97533) | $80.25 | $107 | 1.3× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$562.50–$579.75 | $750–$773 | varies |
| Speech sound lang comprehen (92523) | $301.50 | $402 | 1.3× |
| Spirometry (94010) range across 2 matching MRF lines |
$104.25–$241.50 | $139–$322 | varies |
| Standardized Cognitive Performance Testing (96125) | $112.50 | $150 | 1.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$402–$1,483.50 | $536–$1,978 | varies |
| Temp transcutaneous pacing (92953) | $176.25 | $235 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$45–$162 | $60–$216 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$33.75–$42 | $45–$56 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$40.50–$72 | $54–$96 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $135.75 | $181 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$26.25–$60 | $35–$80 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $201 | $268 | 1.0× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$45.75–$93.75 | $61–$125 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $888.75 | $1,185 | 2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$51–$56.25 | $68–$75 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $44.25 | $59 | 1.2× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,483.50–$1,854 | $1,978–$2,472 | varies |
| Tte W/O Doppler Complete (93307) | $1,483.50 | $1,978 | 6.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$100.50–$219 | $134–$292 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $40.50 | $54 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$33.75–$111 | $45–$148 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $814.50 | $1,086 | 6.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $146.25 | $195 | 0.7× |
| Valvuloplasty aortic valve (92986) | $8,781 | $11,708 | 1.6× |
| Vasopneumatic device (97016) | $22.50 | $30 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $374.25 | $499 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $374.25 | $499 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$46.50–$83.25 | $62–$111 | varies |
| Whirlpool Therapy (97022) | $61.50 | $82 | 3.9× |
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.