Supplies, drugs & other prices at Oklahoma Heart Hospital South, 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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| Procedure | Posted cash | Posted gross | × 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) | $6,807.72 | — | 151.1× |
| 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) | $6,814.36 | — | 11.9× |
| 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) | $191.58 | — | 1.5× |
| Initial preventive exam (G0402) | $93.79 | $267.96 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$609.60–$635.60 | $1,741.71–$1,816 | varies |
| Insertion of substernal implantable defibrillator electrode (0572T) | $5,857.79 | $16,736.54 | 0.7× |
| 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 Electrode Only (0526T) | $6,036.80 | $17,248 | 0.8× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $6,036.80 | $17,248 | 0.8× |
| Insj Wcs Lv Eltrd Only (0516T) | $7,916.27 | $22,617.92 | 0.8× |
| Insj Wcs Lv Pg Compnt (0517T) | $7,916.27 | $22,617.92 | 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 Wrls Car Stimulator in Person (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) | $20,888.09 | — | 1.2× |
| 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) range across 2 matching MRF lines |
$6,250.93–$8,495.06 | $17,859.81–$24,271.61 | varies |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (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) | $22,435.02 | — | 2.0× |
| 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 scrms phys/qhp remote (0650T) | $36.82 | $105.21 | 1.0× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $37.68 | $107.67 | 1.0× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $34.65 | $99 | 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 pg wcs lv pacg battery component only (0862T) | $2,083.62 | $5,953.20 | 1.0× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $2,083.62 | $5,953.20 | 1.0× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $34.65 | $99 | 1.0× |
| 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 pg wcs lv pacing both components (0861T) | $3,773.79 | $10,782.27 | 1.0× |
| Removal Ss Dfb Electrode (0573T) | $3,610.24 | $10,314.96 | 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 & Rplcmt Pg Compnt Wcs (0519T) | $7,916.27 | $22,617.92 | 0.8× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,918.09 | $11,194.54 | 1.1× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $3,918.09 | $11,194.54 | 1.1× |
| Rmvl Pg Compnt Wcs (0518T) | $3,773.79 | $10,782.27 | 1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,610.24 | $10,314.96 | 1.0× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $7,916.27 | $22,617.92 | 0.8× |
| 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 Perip Athrc Brchiocph (0237T) | $10,930.46 | $31,229.89 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $10,930.46 | $31,229.89 | 0.6× |
| Unsched dialysis esrd pt hos (G0257) range across 4 matching MRF lines |
$530.95–$671.37 | $1,517–$1,918.21 | varies |
| Visit to determ ldct elig (G0296) | $70.35 | $201 | 0.7× |
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.