Visits & medical services prices at Oklahoma Spine Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$25–$290 $149–$551.88 varies
Analyze neurostim complex (95972) $130 $199 1.4×
Analyze Neurostim Simple (95971) $95 $567.15 1.0×
Cardiopulmonary resuscitation (92950) $285 $819 1.4×
Chest Wall Manipulation (94668) $25 $139 0.2×
Continuous Pulse Ox (94762) $135 $808 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $135 $791 0.6×
Cpt initial (94667) $25 $139 0.2×
Debridement Open Wound 20 Sq Cm< (97597) $90 $524 0.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $70 $403 0.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $70 $403 0.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $260 $1,547 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $125 $738 1.2×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$25–$27 $81–$143 varies
Emergency Dept Visit Level 2 (99282) $205 $230 1.4×
Emergency Dept Visit Level 3 (99283) $116 $350 0.4×
Emergency Dept Visit Level 4 (99284) $150 $460 0.4×
Er level 1 (99281) $115 $120 1.4×
Er level v (99285) $193 $580 0.3×
Evaluate pt use of inhaler (94664) $30 $159 0.1×
Immunization administration (90471) $95 $117 1.4×
Irrig Drug Delivery Device (96523) $80 $124 1.4×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$65–$67 $131 varies
IV infusion hydration initial 31 min-1 hour (96360) $305 $433 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $95 $184 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$6–$67 $135 varies
IV push initial (96374)
range across 3 matching MRF lines
$50–$305 $181–$433 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $15 $80 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25 $137 0.7×
Multiple Sleep Latency Test (95805) $370 $2,200 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$55–$265 $307–$358 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$90–$540 $524–$618 varies
Neuromuscular Reeducation (97112) $25 $148 0.8×
Ot manual therapy 15 min (97140) $25 $133 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,135 $4,500 1.4×
Pt Eval High Complex (97163) $55 $327.32 0.6×
Pt eval low complex 20 min (97161) $55 $327.32 0.6×
Pt Eval Mod Complex (97162) $55 $327.32 0.6×
Pt gait training 15 min (97116) $25 $126 0.9×
Pt Re-Eval Est Plan Care (97164) $40 $222.52 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $55 $307 0.3×
Self Care Mngment Training (97535) $30 $154 0.9×
Spin/Brain Pump Refil & Main (95991) $405 $785 1.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$95–$103 $128–$215 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$122–$305 $731 varies
Therapeutic Activities (97530) $30 $155 0.9×
Tte w/doppler, complete (93306) $405 $2,408 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$65–$67 $106–$196 varies
Vent Mgmt Inpat Init Day (94002) $180 $1,075 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $180 $1,075 0.3×

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.