Visits & medical services prices at Southwestern Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $297.68 $744.19 1.4×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$37.28–$1,180.57 $93.20–$2,951.42 varies
Airway resistance by oscillometry (94728) $144.93 $362.33 1.2×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $141.65 $354.12 1.1×
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$133.66–$144.31 $334.14–$360.77 varies
Analyze neurostim no prog (95970) $123.54 $308.86 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$85.81–$106.66 $214.52–$266.66 varies
Assessment of aphasia per hr (96105) $471.13 $1,177.83 4.8×
Behavral qualit analys voice (92524) $226.43 $566.08 2.1×
Biofeedback training any modality (90901)
range across 2 matching MRF lines
$57.47–$71.64 $143.67–$179.09 varies
Bioimpedance Cv Analysis (93701) $102.73 $256.82 0.8×
Blink reflex test (95933) $628.36 $1,570.89 11.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $354.12 $885.30 1.0×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$639.54 $1,598.86 0.1×
C motor evoked uppr limbs (95928) $398.66 $996.66 0.5×
C motor evoked upr&lwr limbs (95939) $226.90 $567.24 0.3×
Car seat/bed test 60 min (94780) $176.40 $441 4.9×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$462.04–$658.88 $1,155.11–$1,647.19 varies
Cardiopulmonary resuscitation (92950) $528.78 $1,321.95 2.5×
Cardioversion (92960)
range across 3 matching MRF lines
$736.46–$1,111.88 $1,841.14–$2,779.69 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,196.72 $17,991.81 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,342.86 $15,857.15 2.0×
Cbt 1st hour (94644) $246.02 $615.05 1.9×
Chemo Anti-Neopl Sq/Im (96401) $167.52 $418.79 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $167.52 $418.79 2.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $419.10 $1,047.75 1.3×
Chest Wall Manipulation (94668) $101.71 $254.27 0.8×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,122.04 $5,305.10 5.9×
Color/duplex Doppler, complete (93975) $541.80 $1,354.50 2.4×
Color/duplex Doppler, limited (93976) $295.49 $738.73 2.9×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 5 matching MRF lines
$38.97–$85.02 $97.42–$212.54 varies
Continuous Pulse Ox (94762) $200.76 $501.89 1.6×
Coronary Art/Grft Angio S&I (93455) $2,321.74 $5,804.34 0.7×
Coronary Artery Angio S&I (93454) $1,656.80 $4,141.99 0.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$165.38–$330.75 $413.44–$826.88 varies
Cpt initial (94667) $117.68 $294.21 0.9×
Critical care first hour (99291)
range across 2 matching MRF lines
$1,292.22–$1,356.83 $3,230.54–$3,392.07 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $398.66 $996.66 1.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$127.80–$190.59 $319.50–$476.48 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $409.97 $1,024.92 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $355.82 $889.56 3.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $295.49 $738.73 2.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $576.51 $1,441.28 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $339.30 $848.24 3.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $637.27 $1,593.17 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $562.05 $1,405.12 5.6×
Duplex Scan Hemodialysis Access (93990) $125.64 $314.09 1.2×
Duplex up extrem art bilat (93930) $432.28 $1,080.71 1.9×
Duplex up extrem art unilat/ltd (93931) $383.11 $957.77 3.8×
Echo Heart Xthoracic,Limited (93308) $750.91 $1,877.28 3.3×
Echo transesophageal (93312)
range across 2 matching MRF lines
$2,359.20–$2,477.16 $5,897.99–$6,192.89 varies
Eeg 41-60 Minutes (95812) $508.13 $1,270.32 2.4×
EEG awake and asleep (95819) $478.22 $1,195.54 2.3×
EEG awake drowsy (95816) $504.98 $1,262.45 2.4×
EEG cerebral death evaluation (95824) $943.84 $2,359.59 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $366.04 $915.11 1.8×
EEG extended monitoring 61-119 minutes (95813) $632.11 $1,580.28 3.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $366.04 $915.11 1.8×
EEG w/o vid 2-12hr cont mntr (95707) $366.04 $915.11 1.8×
EEG w/o vid ea 12-26hr intmt (95709) $702.56 $1,756.41 2.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $702.56 $1,756.41 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $366.04 $915.11 1.8×
EEG wo vid ea 12-26hr unmntr (95708) $702.56 $1,756.41 2.0×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$85.02–$124.10 $212.54–$310.24 varies
Electrocardiogram Tracing (93005) $192.86 $482.16 3.4×
Emergency Dept Visit Level 2 (99282) $392.78 $981.96 2.7×
Emergency Dept Visit Level 3 (99283) $785.57 $1,963.92 3.0×
Emergency Dept Visit Level 4 (99284) $987.84 $2,469.60 2.5×
Emg 3 Extremities (95863) $133.66 $334.14 1.1×
Emg 4 Extremities (95864) $175.20 $437.99 1.4×
Er level 1 (99281) $211.68 $529.20 2.6×
Er level v (99285) $1,152.48 $2,881.20 2.0×
Evaluate Speech Production (92522) $381.39 $953.47 3.4×
Evaluate Swallowing Function (92610) $173.18 $432.96 2.0×
Evaluation of speech fluency (92521) $192.46 $481.16 1.4×
External ECG rec>48hr<7d recording (93242) $79.80 $199.50 2.2×
External Ecg Scanning Analysis Report (93226) $181.98 $454.94 3.2×
Extracranial Bilat Study (93880) $903.42 $2,258.54 3.9×
Extracranial Uni/Ltd Study (93882) $368.64 $921.61 3.7×
Facial nerve function studies (92516) $148.57 $371.42 0.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $128.70 $321.76 0.2×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$80.69–$151.14 $201.72–$377.85 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,559.76 $18,899.39 2.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $713.98 $1,784.95 1.1×
Holter monitor recording (93225) $470 $1,174.99 3.7×
Immunization administration (90471)
range across 4 matching MRF lines
$16.29–$176.40 $40.72–$441 varies
Insert/Place Heart Catheter (93503) $1,309.44 $3,273.59 0.9×
Intracranial Complete Study (93886) $300.86 $752.16 1.3×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$94.07–$116.50 $235.18–$291.26 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$72.42–$100.07 $181.06–$250.17 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$53.39–$226.64 $133.47–$566.59 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$260.28–$280.91 $650.70–$702.27 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$103.84–$116.30 $259.59–$290.74 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 7 matching MRF lines
$53.39–$226.64 $133.47–$566.59 varies
IV push initial (96374)
range across 4 matching MRF lines
$202.35–$336 $505.88–$840 varies
L Hrt Art/Grft Angio (93459) $7,008.72 $17,521.81 2.2×
Lung Function Test (Mbc/Mvv) (94200) $210.87 $527.18 3.7×
Mechanical chest wall oscillation per session (94669) $111.83 $279.57 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.08 $82.69 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $88.20 $220.50 2.4×
Methacholine challenge (94070) $726.34 $1,815.85 2.0×
Motion Fluoroscopy/Swallow (92611) $411.70 $1,029.25 4.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $481.92 $1,204.80 1.1×
Multiple Sleep Latency Test (95805) $2,125.36 $5,313.39 2.6×
Muscle Test 2 Limbs (95861) $481.39 $1,203.47 3.8×
Muscle Test Nonparaspinal (95870) $137.92 $344.80 1.1×
Muscle Test One Limb (95860) $84.67 $211.67 0.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $74.53 $186.32 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $64.36 $160.91 0.3×
Needle electromyography larynx (95865) $129.93 $324.83 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $64.44 $161.09 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$573.67–$846.69 $1,434.18–$2,116.73 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $632.38 $1,580.94 1.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $367.43 $918.58 3.0×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$83.44–$103.91 $208.60–$259.77 varies
Newborn resuscitation (99465)
range across 2 matching MRF lines
$334.34–$1,300.95 $835.84–$3,252.38 varies
Oral Function Therapy (92526) $96.04 $240.09 1.1×
Oral Speech Device Eval (92597) $285.75 $714.38 4.0×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 4 matching MRF lines
$61.01–$75.18 $152.52–$187.94 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$74.78–$92.50 $186.96–$231.24 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$94.85–$117.29 $237.13–$293.23 varies
Ot eval high complexity (97167) $140.51 $351.28 1.4×
Ot Eval Low Complex (97165) $112.17 $280.43 1.1×
Ot Eval Moderate Complexity (97166) $125.95 $314.87 1.3×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$95.25–$118.47 $238.13–$296.17 varies
Ot paraffin bath (97018)
range across 4 matching MRF lines
$61.40–$134.29 $153.50–$335.72 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$39.75–$61.40 $99.38–$153.50 varies
Ot Re-Eval Est Plan Care (97168) $94.07 $235.18 1.4×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$4,527.91 $11,319.78 0.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,239.01 $23,097.52 1.7×
Phlebotomy therapeutic (99195) $515.77 $1,289.43 4.0×
Physical Performance Test (97750)
range across 2 matching MRF lines
$63.76–$93.07 $159.41–$232.68 varies
Plethysmography (94726) $315.80 $789.51 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,248.76 $8,121.90 3.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,258.90 $5,647.25 2.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,326.69 $3,316.72 1.6×
Prq Card Angio/Athrect 1 Art (92924) $18,717.64 $46,794.10 1.7×
Prq Card Stent W/Angio 1 Vsl (92928) $18,717.64 $46,794.10 1.7×
Prq Card Stent/Ath/Angio (92933) $29,939.70 $74,849.25 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $18,717.64 $46,794.10 1.7×
Psych diag eval w/med srvcs (90792) $304 $760 1.8×
Psychiatric diagnostic evaluation (90791) $304 $760 1.8×
Psychological tst eval svc phys/qhp first hour (96130) $598 $1,495 2.9×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $243.60 $609 1.9×
Psytx Crisis Initial 60 Min (90839) $304 $760 1.8×
Pt Eval High Complex (97163) $140.51 $351.28 1.4×
Pt eval low complex 20 min (97161) $112.17 $280.43 1.1×
Pt Eval Mod Complex (97162) $125.95 $314.87 1.3×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$35.03–$43.30 $87.57–$108.24 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$69.66–$85.81 $174.16–$214.52 varies
Pt Re-Eval Est Plan Care (97164) $94.07 $235.18 1.4×
Pulm function test by gas (94727) $171.33 $428.33 0.8×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$31.95–$271.58 $79.87–$678.95 varies
Pulmonary Stress Testing (94618) $224.72 $561.80 1.8×
R Hrt Art/Grft Angio (93457) $3,557.62 $8,894.04 1.1×
R hrt coronary artery angio (93456) $2,892.21 $7,230.53 0.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,325.72 $15,814.31 2.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$184.99–$346.16 $462.47–$865.39 varies
Refill/Maint Portable Pump (96521) $504 $1,260 2.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $70.84 $177.11 1.2×
Right Heart Cath (93451) $4,499.46 $11,248.64 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$84.14–$160.28 $210.35–$400.71 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $329.44 $823.59 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $196.80 $491.99 4.1×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$29.91–$77.14 $74.78–$192.86 varies
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$69.66–$92.10 $174.16–$230.25 varies
Short-latency somatosens ep std upr limbs (95925) $575.11 $1,437.78 2.8×
Sleep study unattended (95806) $223.33 $558.33 1.1×
Somatosensory Testing (95938) $472.31 $1,180.78 0.6×
Speech sound lang comprehen (92523) $253.48 $633.69 1.1×
Spin/Brain Pump Refil & Main (95991) $236.16 $590.39 0.8×
Spirometry (94010)
range across 2 matching MRF lines
$54.85–$184.25 $137.12–$460.62 varies
Ssep lower limbs (95926) $726.34 $1,815.85 3.5×
Standardized Cognitive Performance Testing (96125) $373.52 $933.80 3.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $42.12 $105.29 1.9×
Ther Ivntj Ea Addl 15 Min (97130) $42.12 $105.29 2.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 4 matching MRF lines
$64.94–$94.92 $162.35–$237.31 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$78.72–$96.43 $196.80–$241.07 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $250.72 $626.80 2.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$52.19–$168 $130.47–$420 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$210.69–$280.91 $526.72–$702.27 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$40.54–$50.38 $101.36–$125.95 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $28.20 $70.51 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.70 $76.76 0.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $118.61 $296.53 1.2×
Tte w/doppler, complete (93306) $1,642.35 $4,105.87 3.1×
Tte W/O Doppler Complete (93307) $910.44 $2,276.10 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $175.94 $439.85 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 5 matching MRF lines
$85.81–$342.82 $214.52–$857.05 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$53.39–$226.64 $133.47–$566.59 varies
Unlisted noninvasive vascular diagnostic study (93998) $203.74 $509.36 7.3×
Unlisted Special Dermatological Service/Px (96999) $168 $420 0.9×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$229.80–$361.76 $574.50–$904.40 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$231.52–$734.14 $578.81–$1,835.36 varies
Veeg 2-12 Hr Cont Mntr (95713) $702.56 $1,756.41 2.0×
Veeg 2-12 hr intmt mntr (95712) $366.04 $915.11 1.0×
Veeg 2-12 hr unmonitored (95711) $366.04 $915.11 1.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $702.56 $1,756.41 2.0×
Veeg Ea 12-26 Hr Unmntr (95714) $702.56 $1,756.41 2.0×
Veeg ea 12-26hr cont mntr (95716) $1,314.99 $3,287.48 1.6×
Vent Mgmt Inpat Init Day (94002) $2,544.85 $6,362.13 4.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,199.26 $5,498.15 3.7×
Visual Evoked Potential Test (95930) $728.47 $1,821.17 3.5×
Vital capacity, total (94150) $301.40 $753.50 2.4×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$38.97–$71.64 $97.42–$179.09 varies
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$88.56–$109.81 $221.39–$274.53 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.