Supplies, drugs & other prices at Oklahoma Heart Hospital, LLC

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

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

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ProcedureCash priceGross charge× Medicare
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,981.42 $5,661.21 1.1×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $8,862.37 $25,321.05 1.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,981.42 $5,661.21 1.1×
Admin influenza virus vac (G0008) $215.55 4.8×
Admin pneumococcal vaccine (G0009) $27.70 $79.15 0.6×
Ca screen;pelvic/breast exam (G0101) $61.25 $175 0.6×
Catheterize for urine spec (P9612) $54.04 $154.41 5.8×
Direct refer hospital observ (G0379) $6,615.39 11.6×
Electrophysiologic eval icds w/ss electrode (0577T) $1,094.13 $3,126.09 0.9×
Extrnl counterpulse, per tx (G0166) $107.03 $305.80 0.8×
Fecal blood scrn immunoassay (G0328) $10.50 $30 0.6×
Hospital outpt clinic visit (G0463) $348.74 2.7×
Initial preventive exam (G0402) $93.79 $267.96 0.7×
Inj for sacroiliac jt anesth (G0260) $635.60 $1,816 0.9×
Insertion of substernal implantable defibrillator electrode (0572T) $5,857.79 $16,736.54 0.7×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $7,916.27 $22,617.92 0.8×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $7,916.27 $22,617.92 0.8×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $6,036.80 $17,248 0.8×
Insertion wrls car stimulator lv pacg compl sys (0515T) $16,847.14 $48,134.70 0.8×
Insertion/replacement complete iims (0525T)
unusually low: confirm this is the full procedure
$7,693.70 $21,982 0.4×
Insertion/replacement iims implantable mntr only (0527T) $6,036.80 $17,248 0.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $23,176.15 $66,217.57 0.8×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $9,284.63 $26,527.52 1.2×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $9,284.63 $26,527.52 1.2×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $16,868.24 $48,194.96 0.8×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $22,683.99 $64,811.41 0.8×
Intens cardiac rehab no exer (G0423) $850.19 6.9×
Intens cardiac rehab w/exerc (G0422) $77.29 $220.83 0.6×
Interrog dev eval wcs ip (0521T) $29.21 $83.46 1.0×
Interrogation dev eval icds w/ss eltrd in person (0576T) $34.65 $99 1.0×
Non-cov surg proc,clin trial (G0293) $44.31 $126.60 1.2×
Perc d-e cor revasc chro sin (C9607) $19,995.31 1.1×
Perc d-e cor revasc t cabg s (C9604) $8,495.06 $24,271.61 0.8×
Perc d-e cor stent ather s (C9602) $13,451.12 $38,431.78 0.8×
Perc drug-el cor stent sing (C9600) $7,373 $21,065.71 0.7×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T)
unusually low: confirm this is the full procedure
$4,283.71 $12,239.18 0.3×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $20,687.69 1.9×
Ppps, initial visit (G0438) $70 $200 0.4×
Ppps, subseq visit (G0439) $57.75 $165 0.4×
Pre 3d mdl w/ccta and/or mri (C9793) $961.20 $2,746.29 1.2×
Prgrmg dev eval icds ss ip (0575T) $34.65 $99 1.0×
Prgrmg dev eval wcs ip (0522T) $37.68 $107.67 1.0×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $36.82 $105.21 1.0×
Psa screening (G0103) $51.10 $146 2.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $567 $1,620 0.8×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,953.56 $5,581.59 1.0×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $2,083.62 $5,953.20 1.0×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $2,083.62 $5,953.20 1.0×
Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) $34.65 $99 1.0×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $7,916.27 $22,617.92 0.8×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $7,916.27 $22,617.92 0.8×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,918.09 $11,194.54 1.1×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $3,918.09 $11,194.54 1.1×
Removal complete iims (0530T) $3,405.15 $9,729 0.9×
Removal iims electrode only (0531T) $3,405.15 $9,729 0.9×
Removal iims implt mntr only (0532T) $3,405.15 $9,729 0.9×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,773.79 $10,782.27 1.0×
Removal Pg Wcs Lv Pacing Both Components (0861T) $3,773.79 $10,782.27 1.0×
Repos Cardiac Modulj Transvenous Electrode (0415T) $616.83 $1,762.36 1.0×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $3,610.24 $10,314.96 1.0×
Revasc intra lithotrip-ather (C9766) $15,881.14 $45,374.70 0.9×
Revasc intra lithotrip-stent (C9765) $15,881.14 $45,374.70 0.9×
Revasc intravasc lithotripsy (C9764) $9,932.54 $28,378.68 0.9×
Revasc lith-sten-ath tib/per (C9775) $15,881.14 $45,374.70 0.9×
Revasc lithotr-ather tib/per (C9774) $15,881.14 $45,374.70 0.9×
Revasc lithotr-stent tib/per (C9773) $15,881.14 $45,374.70 0.9×
Revasc lithotrip tibi/perone (C9772) $9,932.54 $28,378.68 0.9×
Revasc lithotrip-stent-ather (C9767) $15,681.10 $44,803.14 0.9×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $16,868.24 $48,194.96 0.8×
Rmvl substernal implantable defibrillator eltrd (0573T) $3,610.24 $10,314.96 1.0×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $3,610.24 $10,314.96 1.0×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $16,252.54 $46,435.84 0.8×
Transcatheter Renal Sympath Denervation Bilat (0339T) $8,541.85 $24,405.30 1.6×
Transcatheter renal sympath denervation unilat (0338T) $5,694.57 $16,270.20 1.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,930.46 $31,229.89 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $10,930.46 $31,229.89 0.6×
Unsched dialysis esrd pt hos (G0257) $530.95 $1,517 0.8×
Visit to determ ldct elig (G0296) $70.35 $201 0.7×