Visits & medical services prices at Pushmataha County Town of Antlers Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $37.50 $75 0.2×
Cardiopulmonary resuscitation (92950) $697
Cbt 1st hour (94644) $150.50 $301 1.2×
Cpap initiation and management (94660) $487
Cpt initial (94667) $150.50 $301 1.2×
Critical care (99291) $1,031 $2,062 1.3×
Demo &/or eval,pt use,aerosol device (94664) $115 $230 0.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $701.87 $1,403.74 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $342.50 $685 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,225.57
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $285.50 $571 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $342.50 $685 3.4×
Duplex scan extracranial art compl bi study (93880) $1,449
EKG (93005) $107 $214 1.9×
Er level 1 (99281) $90.13 $180.25 1.1×
Er level ii (99282) $109.50 $409.50 0.7×
Er level iii (99283) $312 $624 1.2×
Er level IV (99284) $600 $878.50 1.5×
Er level v (99285) $700 $1,112 1.2×
Immunization Admin (90471) $80 $160 1.2×
IV infusion hydration each additional hour (96361) $44.50 $89 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $159 $318 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $66 $132 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $517
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $59 $118 1.3×
IV push initial (96374) $159 $318 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $82 $164 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $66 $132 1.0×
Therapeutic phlebotomy (99195) $121.50 $243 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,050 $2,100 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $66 $132 1.5×
Unlisted pulmonary service/procedure (94799) $9.53 $17.51 0.1×
Vasc Duplex Extrem Venous,Bilat (93970) $693 $1,386 3.0×
Vasc Duplex Scan Extracranial,Limited (93882) $251.84 $503.67 2.5×
Ventilation assist & mgmt inpatient 1st day (94002) $636 $1,272 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $636 $1,272 1.1×