Supplies, drugs & other prices at Oklahoma State University Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $764.40 $1,911 1.0×
2d tte w or w/o fol w/con,fu (C8924) $528 $1,320 1.6×
Admin hepatitis b vaccine (G0010) $6 $15 0.1×
Admin influenza virus vac (G0008) $66 $165 1.5×
Admin pneumococcal vaccine (G0009) $66 $165 1.5×
Catheterize for urine spec (P9612) $61.60 $154 6.6×
Covid-19 lab test non-cdc (U0002) $72 $180 1.4×
Diab manage trn per indiv (G0108) $154 $385 2.8×
Diab manage trn ind/group (G0109) $31.60 $79 2.0×
Direct refer hospital observ (G0379) $742 $1,855 1.3×
Drug test def 1-7 classes (G0480) $141 $352.50 1.2×
Drug test def 15-21 classes (G0482) $282 $705 1.4×
Drug test def 8-14 classes (G0481) $278 $695 1.8×
Elec stim other than wound (G0283) $37.20 $93 2.9×
Hbot, full body chamber, 30m (G0277) $492.40 $1,231 3.7×
Hep c screen high risk/other (G0472) $54.40 $136 1.2×
Hospital outpt clinic visit (G0463) $206.40 $516 1.6×
Mnt subs tx for change dx (G0270) $32 $80 1.0×
Mra w/cont, abd (C8900) $1,890.40 $4,726 5.6×
Mra w/cont, chest (C8909) $1,559.60 $3,899 4.6×
Mra w/cont, lwr ext (C8912) $1,890.40 $4,726 5.6×
Mra w/o cont, chest (C8910) $989.20 $2,473 4.3×
Mri w/o fol w/cont, breast, (C8908) $3,045.20 $7,613 9.1×
Mri w/o fol w/cont, brst, un (C8905) $2,030.40 $5,076 6.1×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $964.40 $2,411 1.8×
Non-ophthalmic fva (C9733) $506.27 $1,265.68 1.5×
Perc d-e cor revasc chro sin (C9607) $13,944 $34,860 0.8×
Perc d-e cor revasc t cabg s (C9604) $13,944 $34,860 1.3×
Perc d-e cor stent ather s (C9602) $21,254 $53,135 1.2×
Perc drug-el cor stent sing (C9600) $13,944 $34,860 1.3×
Perq Sacral Augmt Unilat Inj (0200T) $9,224.80 $23,062 1.3×
Psa screening (G0103) $89.60 $224 4.6×
Revasc intra lithotrip-ather (C9766) $22,990 $57,475 1.3×
Revasc intra lithotrip-stent (C9765) $22,990 $57,475 1.3×
Revasc intravasc lithotripsy (C9764) $14,378.40 $35,946 1.3×
Revasc lithotr-ather tib/per (C9774) $22,990 $57,475 1.3×
Revasc lithotr-stent tib/per (C9773) $22,990 $57,475 1.3×
Revasc lithotrip-stent-ather (C9767) $22,990 $57,475 1.3×
Therapeutic procd strg endur (G0237) $38 $95 1.4×
Tomosynthesis, mammo (G0279) $102.40 $256 8.1×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $15,059.60 $37,649 1.4×
Trluml peripheral atherectomy iliac artery ea (0238T) $22,954.80 $57,387 1.3×
Tte w or w/o contr, cont ecg (C8930) $979.60 $2,449 1.3×
Tte w or wo fol wcon,doppler (C8929) $1,148 $2,870 1.5×
Unsched dialysis esrd pt hos (G0257) $975 $2,437.50 1.5×