Supplies, drugs & other prices at OU Health University of Oklahoma Medical Center (Oklahoma City, OK)

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

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Procedure	Posted cash	Posted gross	× Medicare
2d tee w or w/o fol w/con,in (C8925) range across 4 matching MRF lines	$79.01–$843.50	$790.06–$8,435	varies
2d tte w or w/o fol w/con,co (C8923) range across 3 matching MRF lines	$79.01–$470.70	$790.06–$4,707	varies
2d tte w or w/o fol w/con,fu (C8924) range across 3 matching MRF lines	$35.71–$252.80	$357.13–$2,528	varies
Admin hepatitis b vaccine (G0010) range across 5 matching MRF lines	$4.61–$17.80	$46.14–$178	varies
Admin influenza virus vac (G0008) range across 5 matching MRF lines	$4.61–$14.50	$46.14–$145	varies
Admin pneumococcal vaccine (G0009) range across 5 matching MRF lines	$4.61–$20.90	$46.14–$209	varies
Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) range across 3 matching MRF lines	$47.40–$701.38	$474–$7,013.75	varies
Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) range across 3 matching MRF lines	$65.05–$258.20	$650.50–$2,582	varies
Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) range across 3 matching MRF lines	$65.05–$258.20	$650.50–$2,582	varies
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) range across 3 matching MRF lines	$3.73–$16	$37.29–$160	varies
Ca screen;flexi sigmoidscope (G0104) range across 3 matching MRF lines	$91.17–$413.20	$911.71–$4,132	varies
Catheterize for urine spec (P9612) range across 3 matching MRF lines	$1.10–$8.60	$9.09–$86	varies
Chemo extend iv infus w/pump (G0498) range across 4 matching MRF lines	$12.80–$133.50	$127.95–$1,335	varies
Colon ca scrn not hi rsk ind (G0121) range across 5 matching MRF lines	$91.17–$486.20	$911.71–$4,862	varies
Colorectal scrn; hi risk ind (G0105) range across 5 matching MRF lines	$91.17–$486.20	$911.71–$4,862	varies
Covid-19 lab test non-cdc (U0002)	$23	$230	0.4×
Crown resin-based indirect (D2710)	$184.82	$1,848.20	0.3×
Cyp2d6 3' gene dup/mlt (0076U) range across 5 matching MRF lines	$14.30–$56.40	$143–$564	varies
Cyp2d6 full gene sequence (0071U) range across 5 matching MRF lines	$18.30–$75	$183–$750	varies
Cyp2d6 gen com&slct rar vrnt (0070U) range across 5 matching MRF lines	$20.30–$84.50	$203–$845	varies
Dental unspec restorative pr (D2999)	$1,672.60	$16,726	2.7×
Depression screen annual (G0444) range across 3 matching MRF lines	$2.98–$12.50	$29.79–$125	varies
Diab manage trn per indiv (G0108) range across 3 matching MRF lines	$25.18–$50.35	$251.75–$503.50	varies
Diab manage trn ind/group (G0109) range across 3 matching MRF lines	$16.70–$101.50	$167–$1,015	varies
Direct refer hospital observ (G0379) range across 4 matching MRF lines	$61.31–$175.90	$613.10–$1,759	varies
Drug test def 1-7 classes (G0480) range across 15 matching MRF lines	$5.20–$57	$15–$570	varies
Drug test def 15-21 classes (G0482)	$18.30	$183	0.1×
Drug test def 8-14 classes (G0481)	$18.30	$183	0.1×
Drug test def simple all cl (G0659) range across 7 matching MRF lines	$6.21–$39.80	$62.14–$398	varies
Egd flexible transnasal dx w/collj spec br/wa (0652T) range across 3 matching MRF lines	$226.62–$661	$252.82–$6,610	varies
Egd flexible transnasal w/biopsy single/multiple (0653T) range across 4 matching MRF lines	$226.62–$727.10	$325.88–$7,271	varies
Egd flexible transnasal w/insj intral tube/cath (0654T) range across 2 matching MRF lines	$456.12–$1,330.30	$4,561.20–$13,303	varies
Ekg tracing for initial prev (G0404) range across 4 matching MRF lines	$2.45–$11.40	$24.49–$114	varies
Elec stim other than wound (G0283)	$33.60	$336	2.6×
Elec stim unattend for press (G0281)	$41.70	$417	3.6×
Esd endoscopy or colonoscopy (C9779) range across 3 matching MRF lines	$380.45–$1,135.40	$3,804.53–$11,354	varies
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) unusually low: confirm this is the full procedure	$2,446.50	$24,465	0.4×
Extraction erupted tooth/exr (D7140)	$1,157.90	$11,579	1.9×
Facility svs dental rehab (G0330)	$349.30	$3,493	0.1×
Fecal microbiota prep instil (G0455) range across 3 matching MRF lines	$91.17–$559.10	$911.71–$5,591	varies
Home sleep test/type 3 porta (G0399) range across 4 matching MRF lines	$8.62–$129.80	$86.16–$1,298	varies
Hospital outpt clinic visit (G0463) range across 17 matching MRF lines	$24.90–$189.80	$249–$1,898	varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 19 matching MRF lines	$5.40–$41.10	$54–$411	varies
Impact tooth remov comp bony (D7240)	$1,232.13	$12,321.34	2.0×
Impact tooth remov soft tiss (D7220)	$1,848.20	$18,482	3.0×
Initial preventive exam (G0402) range across 3 matching MRF lines	$12.89–$44	$128.87–$440	varies
Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines	$276–$552	$2,760–$5,520	varies
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) range across 3 matching MRF lines	$15.83–$303.40	$158.28–$3,034	varies
Insertion of sinus tarsi implant (0335T) range across 2 matching MRF lines	$2,808.73–$3,431.50	$28,087.34–$34,315	varies
Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure	$8,905.60	$89,056	0.4×
Insj perm ccm-d sys 1 transvns lead only (0917T) unusually low: confirm this is the full procedure	$3,283.50	$32,835	0.4×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) unusually low: confirm this is the full procedure	$3,283.50	$32,835	0.4×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure	$12,720.50	$127,205	0.4×
Interrog dev eval impl ccm-d system in person (0927T)	$14.80	$148	0.4×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 4 matching MRF lines	$15.20–$97.50	$152–$975	varies
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) range across 5 matching MRF lines	$50.34–$184.80	$503.40–$1,848	varies
Mra w/cont, abd (C8900) range across 2 matching MRF lines	$151–$895.40	$1,510–$8,954	varies
Mra w/cont, chest (C8909)	$133.60	$1,336	0.4×
Mra w/cont, pelvis (C8918)	$125.10	$1,251	0.4×
Mra w/o cont, abd (C8901)	$537.10	$5,371	2.3×
Mra w/o fol w/cont, abd (C8902)	$778.60	$7,786	2.3×
Mra w/o fol w/cont, chest (C8911)	$892.30	$8,923	2.7×
Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines	$492.10–$658.10	$4,921–$6,581	varies
Mri w/o fol w/cont, brst, un (C8905) range across 3 matching MRF lines	$35.71–$520	$357.13–$5,200	varies
Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) range across 3 matching MRF lines	$26.92–$426.90	$269.24–$4,269	varies
Neuro csf prion prtn qual (0035U) range across 6 matching MRF lines	$83.60–$237.50	$836–$2,375	varies
Njx bone sub matrl into subchondral bone defect (0707T)	$2,219.87	$22,198.67	0.7×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) range across 3 matching MRF lines	$17.20–$303.40	$172–$3,034	varies
Njx platelet plasma (0232T)	$2,808.73	$28,087.34	6.5×
No pt prsnt train initial 30 (G0541) range across 2 matching MRF lines	$4.99–$5.20	$49.85–$52	varies
Noninvasive prostate cancer estimation map (0898T) range across 2 matching MRF lines	$127.20–$403.80	$1,272–$4,038	varies
Obtaining screen pap smear (Q0091) range across 3 matching MRF lines	$2.45–$9.90	$24.49–$99	varies
Onc Merkel Cll Carc Srm Quan (0058U)	$94.60	$946	0.3×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) range across 3 matching MRF lines	$375.30–$520.70	$3,753–$5,207	varies
Ortho impl mvmt alys pair CT (0946T) range across 3 matching MRF lines	$10.63–$42.30	$106.34–$423	varies
Pathogen test for platelets (P9100) range across 5 matching MRF lines	$5.94–$44	$59.40–$440	varies
Pelvic ring fracture uni/bil (G0413) likely a partial charge, not the full procedure	$2,070.37	$20,703.66	0.3×
Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines	$1,795.67–$5,833.70	$17,956.72–$58,337	varies
Perc d-e cor revasc t cabg s (C9604) range across 4 matching MRF lines	$1,134.06–$5,303.40	$11,340.57–$53,034	varies
Perc d-e cor stent ather s (C9602) range across 4 matching MRF lines	$1,795.67–$5,303.40	$17,956.72–$53,034	varies
Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines	$1,134.06–$5,303.40	$11,340.57–$53,034	varies
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) unusually low: confirm this is the full procedure	$4,039	$40,390	0.3×
Perq Sacral Augmt Unilat Inj (0200T) range across 3 matching MRF lines	$151.70–$2,213	$1,517–$22,130	varies
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) range across 3 matching MRF lines	$570.15–$1,967.10	$5,701.52–$19,671	varies
Post 1 srfc resinbased cmpst (D2391)	$184.82	$1,848.20	0.3×
Post 2 srfc resinbased cmpst (D2392)	$184.82	$1,848.20	0.3×
Post 3 srfc resinbased cmpst (D2393)	$308.03	$3,080.33	0.5×
Ppps, initial visit (G0438)	$46.20	$462	0.3×
Ppps, subseq visit (G0439) range across 2 matching MRF lines	$46.20–$52.10	$462–$521	varies
Prefab stnlss steel crwn pri (D2930)	$308.03	$3,080.33	0.5×
Programming device eval impl ccm-d sys in person (0926T)	$14.80	$148	0.4×
Prolonged iv inf, req pump (C8957)	$121	$1,210	0.6×
Psa screening (G0103) range across 3 matching MRF lines	$1.93–$28.40	$19.31–$284	varies
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) range across 3 matching MRF lines	$95.05–$118.81	$950.50–$1,188.13	varies
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) range across 3 matching MRF lines	$95.05–$118.81	$950.50–$1,188.13	varies
Quan mr alys tiss composition w/MRI 1orgn (0649T) range across 3 matching MRF lines	$95.05–$118.81	$950.50–$1,188.13	varies
Quan mr alys tiss composition w/MRI mlt organs (0698T) range across 3 matching MRF lines	$95.05–$118.81	$950.50–$1,188.13	varies
Quan us tiss charac i&r w/o dx us same anat (0689T) range across 4 matching MRF lines	$8.81–$41.50	$88.05–$415	varies
Relocation skin pocket implanted ccm-d pg (0925T)	$725.80	$7,258	0.4×
Rem imp tooth w mucoper flp (D7210)	$590.03	$5,900.33	0.4×
Removal perm ccm-d system pulse generator only (0919T)	$1,443.90	$14,439	0.4×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T)	$245.30	$2,453	0.4×
Resin one surface-anterior (D2330)	$184.82	$1,848.20	0.3×
Revasc intra lithotrip-ather (C9766) range across 3 matching MRF lines	$1,795.67–$3,799.60	$17,956.72–$37,996	varies
Revasc intra lithotrip-stent (C9765) range across 3 matching MRF lines	$1,795.67–$3,568.30	$17,956.72–$35,683	varies
Revasc intravasc lithotripsy (C9764) range across 4 matching MRF lines	$1,134.06–$2,147.50	$11,340.57–$21,475	varies
Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure	$6,091.30	$60,913	0.3×
Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure	$6,091.30	$60,913	0.3×
Revasc lithotr-stent tib/per (C9773) range across 2 matching MRF lines	$5,527.30–$6,356.40	$55,273–$63,564	varies
Revasc lithotrip tibi/perone (C9772) likely a partial charge, not the full procedure	$3,323	$33,230	0.3×
Revasc lithotrip-stent-ather (C9767) range across 3 matching MRF lines	$1,795.67–$4,990.80	$17,956.72–$49,908	varies
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T)	$1,443.90	$14,439	0.4×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T)	$1,443.90	$14,439	0.4×
Rmvl perm ccm-d sys dual transvns leads only (0922T)	$1,443.90	$14,439	0.4×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure	$8,905.60	$89,056	0.4×
Sim ang w/prs cath rad emb (C8004) range across 3 matching MRF lines	$1,134.06–$3,559.80	$11,340.57–$35,598	varies
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure	$7,034.60	$70,346	0.4×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) range across 2 matching MRF lines	$2,320.67–$3,384.30	$23,206.69–$33,843	varies
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) range across 2 matching MRF lines	$2,320.67–$6,768.70	$23,206.69–$67,687	varies
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) range across 2 matching MRF lines	$2,320.67–$3,123.80	$23,206.69–$31,238	varies
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) range across 3 matching MRF lines	$99.01–$1,938.10	$990.07–$19,381	varies
Tee w or w/o fol w/cont,cong (C8926) range across 3 matching MRF lines	$79.01–$834.90	$790.06–$8,349	varies
Therapeutic procd strg endur (G0237) range across 3 matching MRF lines	$2.45–$20.20	$24.49–$202	varies
Tomosynthesis, mammo (G0279) range across 5 matching MRF lines	$1.97–$15.30	$19.65–$153	varies
Tpmt and Nudt15 Genotype (0034U) range across 5 matching MRF lines	$46.62–$294.60	$466.17–$2,946	varies
Transcatheter Renal Sympath Denervation Bilat (0339T) range across 3 matching MRF lines	$570.15–$2,184	$5,701.52–$21,840	varies
Trauma respons w/hosp criti (G0390) range across 6 matching MRF lines	$132.32–$5,648.80	$1,323.17–$56,488	varies
Trluml Perip Athrc Iliac Art (0238T) range across 3 matching MRF lines	$723.25–$2,282.10	$7,232.49–$22,821	varies
Tte w or w/o fol w/con,stres (C8928) range across 3 matching MRF lines	$79.01–$686.40	$790.06–$6,864	varies
Tte w or w/o fol w/cont, com (C8921) range across 5 matching MRF lines	$79.01–$910.70	$790.06–$9,107	varies
Tte w or w/o fol w/cont, f/u (C8922) range across 3 matching MRF lines	$79.01–$405.40	$790.06–$4,054	varies
Tte w or wo fol wcon,doppler (C8929) range across 3 matching MRF lines	$79.01–$671.20	$790.06–$6,712	varies
Unsched dialysis esrd pt hos (G0257) range across 4 matching MRF lines	$69.97–$244.20	$699.72–$2,442	varies
Vasc emb/occ w/prs cath (C9797) range across 3 matching MRF lines	$1,795.67–$6,382.20	$17,956.72–$63,822	varies
Visit to determ ldct elig (G0296)	$26.40	$264	0.3×
Wet mounts/ w preparations (Q0111) range across 3 matching MRF lines	$1.82–$7.40	$18.19–$74	varies

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.