Visits & medical services prices at Prague Regional Memorial Hospital
Prague, OK · every code in this section with a posted price and a Medicare benchmark.
115 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $63.77 | $300 | 0.7× |
| Airway Inhalation Treatment (94640) | $610.71 | $610.71 | 2.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $98 | $98 | 6.8× |
| Application Modality 1/> Areas Diathermy (97024) | $95 | $95 | 12.9× |
| Application Modality 1/> Areas Infrared (97026) | $76 | $76 | 11.4× |
| Assessment of aphasia per hr (96105) | $241 | $241 | 2.5× |
| Behavral qualit analys voice (92524) | $241 | $241 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $652 | $652 | 1.8× |
| Canalith repositioning proc (95992) | $226 | $226 | 5.5× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$164.35–$2,204 | $1,536–$2,204 | varies |
| Cardioversion (92960) | $91.10 | $291.86 | 0.1× |
| Cbt 1st hour (94644) | $363.32 | $363.32 | 2.8× |
| Chest Wall Manipulation (94668) | $300 | $300 | 2.3× |
| Color/duplex Doppler, complete (93975) | $1,541 | $1,541 | 6.7× |
| Color/duplex Doppler, limited (93976) | $939 | $939 | 9.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $73 | $73 | 2.3× |
| Continuous Pulse Ox (94762) | $357.13 | $357.13 | 2.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $2,620.01 | $2,620.01 | 12.4× |
| Cpt initial (94667) | $300 | $300 | 2.3× |
| Critical care first hour (99291) | $192.07 | $1,359 | 0.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$30.23–$917 | $186.34–$917 | varies |
| Dialysis One Evaluation (90945) | $1,800 | $1,800 | 4.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,439 | $1,439 | 6.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $650 | $650 | 6.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,150 | $1,150 | 5.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $907 | $907 | 9.0× |
| Duplex up extrem art bilat (93930) | $650 | $650 | 2.8× |
| Duplex up extrem art unilat/ltd (93931) | $686 | $686 | 6.8× |
| ECG/monitoring and analysis (93271) | $382 | $382 | 4.2× |
| Echo Heart Xthoracic,Limited (93308) | $770 | $770 | 3.4× |
| Electrical Stimulation Ea 15 Min (97032) | $73 | $73 | 5.0× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$277–$291 | $277–$291 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$38.99 | $214–$224 | 0.3× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$66.98 | $261–$294 | 0.3× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$114.02 | $396–$431 | 0.3× |
| Er level 1 (99281) range across 2 matching MRF lines |
$10.62 | $147–$154 | 0.1× |
| Er level v (99285) range across 2 matching MRF lines |
$165.45 | $595–$624 | 0.3× |
| Evaluate pt use of inhaler (94664) | $610.71 | $610.71 | 2.9× |
| Evaluate Speech Production (92522) | $241 | $241 | 2.2× |
| Evaluate Swallowing Function (92610) | $676 | $676 | 8.0× |
| Evaluation of speech fluency (92521) | $241 | $241 | 1.8× |
| External Ecg Scanning Analysis Report (93226) | $380 | $380 | 6.7× |
| Extracranial Bilat Study (93880) | $1,176 | $1,176 | 5.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $840 | $840 | 4.2× |
| Group Therapeutic Procedures (97150) | $177 | $177 | 9.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $3,000 | $3,000 | 4.5× |
| Holter monitor recording (93225) | $763 | $763 | 6.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $76 | $76 | 1.1× |
| Immunization administration (90471) range across 3 matching MRF lines |
$76–$137 | $76–$137 | varies |
| Iontophoresis 15 min (97033) | $89 | $89 | 4.7× |
| Irrig Drug Delivery Device (96523) | $198 | $198 | 3.5× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$74–$90 | $74–$90 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$214–$231 | $214–$231 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $201 | $201 | 2.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $74 | $74 | 1.6× |
| IV push initial (96374) | $160 | $160 | 0.8× |
| Mechanical chest wall oscillation per session (94669) | $957.50 | $957.50 | 4.5× |
| Motion Fluoroscopy/Swallow (92611) | $352 | $352 | 3.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,412 | $1,412 | 3.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,412 | $1,412 | 3.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$20.68–$733.60 | $80.46–$733.60 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$22.65–$1,412 | $95.84–$1,412 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$108–$136 | $108–$136 | varies |
| Oral Function Therapy (92526) | $228 | $228 | 2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $49 | $49 | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$60–$95 | $60–$95 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $97 | $97 | 4.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $145 | $145 | 7.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $76 | $76 | 5.4× |
| Ot eval high complexity (97167) | $325 | $325 | 3.2× |
| Ot Eval Low Complex (97165) | $275 | $275 | 2.7× |
| Ot Eval Moderate Complexity (97166) | $300 | $300 | 3.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$131–$141 | $131–$141 | varies |
| Ot paraffin bath (97018) | $76 | $76 | 12.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $73 | $73 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $275 | $275 | 4.0× |
| Phlebotomy therapeutic (99195) | $324 | $324 | 2.5× |
| Physical Performance Test (97750) | $73 | $73 | 2.2× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$136.24–$654 | $654 | varies |
| Pt Eval High Complex (97163) | $325 | $325 | 3.3× |
| Pt eval low complex 20 min (97161) | $275 | $275 | 2.8× |
| Pt Eval Mod Complex (97162) | $300 | $300 | 3.1× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$95–$100 | $95–$100 | varies |
| Pt mechanical traction (97012) | $84 | $84 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) | $275 | $275 | 4.1× |
| Pt ultraviolet (97028) | $89 | $89 | 10.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $401 | $401 | 11.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $727.15 | $727.15 | 2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $214 | $214 | 3.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$550–$917 | $535–$917 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$73–$259 | $73–$259 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$79–$84 | $79–$84 | varies |
| Speech sound lang comprehen (92523) | $241 | $241 | 1.1× |
| Spirometry (94010) | $490 | $490 | 2.4× |
| Standardized Cognitive Performance Testing (96125) | $241 | $241 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$228–$230 | $228–$230 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $228 | $228 | 10.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $95 | $95 | 2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $108 | $108 | 3.6× |
| Ther/Proph/Diag Inj Ia (96373) | $228 | $228 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $76 | $76 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $362 | $362 | 1.8× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$108–$117 | $108–$117 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $68 | $68 | 1.9× |
| Tte w/doppler, complete (93306) | $1,781 | $1,781 | 3.4× |
| Tte W/O Doppler Complete (93307) | $829 | $829 | 3.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $236 | $236 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $242 | $242 | 5.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $415 | $415 | 3.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $882 | $882 | 4.2× |
| Vasopneumatic device (97016) | $84 | $84 | 7.0× |
| Vent Mgmt Inpat Init Day (94002) | $3,918.25 | $3,918.25 | 6.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,226.88 | $2,226.88 | 3.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60 | $60 | 1.9× |
| Whirlpool Therapy (97022) | $95 | $95 | 6.1× |
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.