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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $95 $537 0.5×
Analyze Neurostim Complex (95972) $130 $199 1.4×
Cardiopulmonary resuscitation (92950) $285 $819 1.4×
Cpap initiation and management (94660) $135 $791 0.6×
Cpt initial (94667) $25 $139 0.2×
Debridement Open Wound 20 Sq Cm< (97597) $90 $524 0.5×
Demo &/or eval,pt use,aerosol device (94664) $30 $159 0.1×
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 unilateral/limited study (93971) $125 $738 1.2×
EKG (93005) $26 $112 0.5×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $95 $567.15 1.0×
Er level 1 (99281) $115 $120 1.4×
Er level ii (99282) $205 $230 1.4×
Er level iii (99283) $116 $350 0.4×
Er level IV (99284) $150 $460 0.4×
Er level v (99285) $193 $580 0.3×
Immunization Admin (90471) $95 $117 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $80 $124 1.4×
IV infusion hydration each additional hour (96361) $66 $131 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $305 $433 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $95 $184 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $213.50 $731 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $36.50 $135 0.8×
IV push initial (96374) $60 $196 0.3×
Manual therapy 15 min (97140) $25 $133 0.9×
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) $265 $329 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $315 $571 0.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $135 $808 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,135 $4,500 1.4×
Pt eval high complex 45 min (97163) $55 $327.32 0.6×
Pt eval low complex 20 min (97161) $55 $327.32 0.6×
Pt Gait Training Therapy (97116) $25 $126 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $25 $148 0.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $55 $327.32 0.6×
Pt re-evaluation (97164) $40 $222.52 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $30 $154 0.9×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $405 $785 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $55 $307 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $25 $139 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $95 $196 1.4×
Therapeutic Activities (97530) $30 $155 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $405 $2,408 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $67 $131 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $260 $1,547 1.1×
Ventilation assist & mgmt inpatient 1st day (94002) $180 $1,075 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $180 $1,075 0.3×