Supplies, drugs & other prices at Southwestern Medical Center

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

37 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,fu (C8924) $750.91 $1,877.28 2.2×
Admin influenza virus vac (G0008) $16.29 $40.72 0.4×
Admin pneumococcal vaccine (G0009) $16.29 $40.72 0.4×
Ca screen;flexi sigmoidscope (G0104) $1,137.28 $2,843.19 1.3×
Catheterize for urine spec (P9612) $156.56 $391.40 16.8×
Colon ca scrn not hi rsk ind (G0121) $1,902.18 $4,755.44 2.1×
Colorectal scrn; hi risk ind (G0105) $1,983.24 $4,958.11 2.2×
Covid-19 lab test non-cdc (U0002) $67.96 $169.90 1.3×
Diab manage trn per indiv (G0108) $88.20 $220.50 1.6×
Direct refer hospital observ (G0379) $33.26 $83.14 0.1×
Drug test def 1-7 classes (G0480) $47.68 $119.19 0.4×
Drug test def 15-21 classes (G0482) $47.68 $119.19 0.2×
Drug test def 22+ classes (G0483) $47.68 $119.19 0.2×
Drug test def 8-14 classes (G0481) $47.68 $119.19 0.3×
Elec stim other than wound (G0283) $114.49 $286.22 9.0×
Followup eval of foot pt lop (G0246) $157.05 $392.62 1.2×
Hbot, full body chamber, 30m (G0277) $537.89 $1,344.72 4.1×
Hospital outpt clinic visit (G0463) $270 $675 2.1×
Initial foot exam pt lops (G0245) $157.05 $392.62 1.2×
Inj for sacroiliac jt anesth (G0260) $1,324.03 $3,310.07 2.0×
Mra w/cont, abd (C8900) $1,903.12 $4,757.79 5.7×
Mra w/cont, chest (C8909) $2,275.48 $5,688.70 6.8×
Mra w/o cont, abd (C8901) $1,903.12 $4,757.79 8.3×
Mra w/o cont, chest (C8910) $2,275.48 $5,688.70 9.9×
Mra w/o cont, lwr ext (C8913) $1,842.37 $4,605.93 8.0×
Mra w/o fol w/cont, abd (C8902) $1,903.12 $4,757.79 5.7×
Mra w/o fol w/cont, chest (C8911) $2,549.89 $6,374.73 7.6×
Mra w/o fol w/cont, lwr ext (C8914) $2,037.85 $5,094.62 6.1×
Mra w/o fol w/cont, pelvis (C8920) $2,541.21 $6,353.03 7.6×
Mra, w/o dye, upper extr (C8935) $2,040.32 $5,100.81 8.9×
Mra, w/o&w/dye, upper extr (C8936) $2,618.90 $6,547.26 7.8×
Oral hiv-1/hiv-2 screen (G0435) $111.57 $278.93 9.3×
Pathogen test for platelets (P9100) $52.24 $130.59 0.9×
Prostate biopsy, any mthd (G0416) $437.60 $1,094 1.3×
Psa screening (G0103) $143.32 $358.31 7.4×
Routine footcare pt w lops (G0247) $118.20 $295.49 0.6×
Tte w or wo fol wcon,doppler (C8929) $1,642.35 $4,105.87 2.2×