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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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $297.68 $744.19 1.4×
Airway inhalation treatment (94640) $89.99 $224.98 0.4×
Ambulatory Bp Recording (93786) $141.65 $354.12 1.1×
Analyze Neurostim Complex (95972) $138.98 $347.46 1.5×
Analyze neurostim no prog (95970) $123.54 $308.86 1.0×
Assessment of aphasia (96105) $471.13 $1,177.83 4.8×
Behavioral and qualitative analysis of voice and resonance (92524) $226.43 $566.08 2.1×
Biofeedback training any modality (90901) $64.56 $161.38 1.6×
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) $560.46 $1,401.15 2.7×
Cardiopulmonary resuscitation (92950) $528.78 $1,321.95 2.5×
Cardioversion (92960) $864.08 $2,160.19 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $2,321.74 $5,804.34 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $2,892.21 $7,230.53 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,008.72 $17,521.81 2.2×
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 Hormon Antineopl Sq/Im (96402) $167.52 $418.79 2.4×
Chemother, IV infusion, 1 hr (96413) $419.10 $1,047.75 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $167.52 $418.79 2.4×
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×
Coronary artery angio s&i (93454) $1,656.80 $4,141.99 0.5×
Cortical mapping 1st hr (95961) $128.70 $321.76 0.2×
Cpap initiation and management (94660) $305.17 $762.93 1.4×
Cpt initial (94667) $117.68 $294.21 0.9×
Critical care (99291) $1,324.52 $3,311.30 1.7×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $398.66 $996.66 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $169.84 $424.59 0.9×
Dermatological procedure (96999) $168 $420 0.9×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $432.28 $1,080.71 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $383.11 $957.77 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $562.05 $1,405.12 5.6×
Duplex hemodialysis access (93990) $125.64 $314.09 1.2×
Duplex scan extracranial art compl bi study (93880) $903.42 $2,258.54 3.9×
Echo Heart Xthoracic,Limited (93308) $750.91 $1,877.28 3.3×
Echo transesophageal (93312) $2,418.18 $6,045.44 4.6×
EEG awake 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 by tech ea incr 12-26 hr intmt mntr (95709) $702.56 $1,756.41 2.0×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $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 w/o video by tech 2-12hr continuous r-t mntr (95707) $366.04 $915.11 1.8×
EKG (93005) $192.86 $482.16 3.4×
EKG rhythm strip (93041) $70.84 $177.11 1.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $508.13 $1,270.32 2.4×
EMG cranial nerve bilat (95868) $74.53 $186.32 0.4×
EMG cranial nerve unilat (95867) $64.36 $160.91 0.3×
EMG four extremities (95864) $175.20 $437.99 1.4×
EMG one extremity (95860) $84.67 $211.67 0.7×
EMG thoracic paraspinal (95869) $64.44 $161.09 0.3×
EMG three extremities (95863) $133.66 $334.14 1.1×
EMG two extremities (95861) $481.39 $1,203.47 3.8×
Er level 1 (99281) $211.68 $529.20 2.6×
Er level ii (99282) $392.78 $981.96 2.7×
Er level iii (99283) $785.57 $1,963.92 3.0×
Er level IV (99284) $987.84 $2,469.60 2.5×
Er level v (99285) $1,152.48 $2,881.20 2.0×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $285.75 $714.38 4.0×
Evaluation of speech fluency (92521) $192.46 $481.16 1.4×
Evaluation of speech sound production (92522) $381.39 $953.47 3.4×
Evaluation of swallowing function (92610) $173.18 $432.96 2.0×
Evaluation with prescription of speech-generating alternative (92607) $329.44 $823.59 2.7×
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×
Facial nerve function studies (92516) $148.57 $371.42 0.7×
Group Therapeutic Procedures (97150) $111 $277.49 6.2×
Hemodialysis (90935) $713.98 $1,784.95 1.1×
Holter Monitor Recording (93225) $470 $1,174.99 3.7×
Immunization Admin (90471) $71.76 $179.42 1.0×
Ins swan ganz bedside (93503) $1,309.44 $3,273.59 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $82.24 $205.60 1.4×
IV infusion hydration each additional hour (96361) $222.06 $555.15 4.9×
IV infusion hydration initial 31 min-1 hour (96360) $274.77 $686.93 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $105 $262.50 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $260.28 $650.70 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $105 $262.50 2.3×
IV push initial (96374) $243.46 $608.64 1.2×
Maintenance of spinal canal or brain drug infusion pump (95990) $265.58 $663.93 0.8×
Manual therapy 15 min (97140) $106.86 $267.15 3.9×
Massage 15 min (97124) $87.58 $218.94 2.9×
Maximum voluntary ventilation (94200) $210.87 $527.18 3.7×
Measurement of heart blood flow and respiration (93701) $102.73 $256.82 0.8×
Mechanical chest wall oscillation (94669) $111.83 $279.57 0.5×
Mechanical traction (97012) $77.74 $194.34 5.4×
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 Fluor Eval Swlng Funcj C/V Rec (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×
Needle electromyography larynx (95865) $129.93 $324.83 1.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $137.92 $344.80 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $710.18 $1,775.46 3.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $632.38 $1,580.94 1.6×
Neuromuscular junction test (95937) $367.43 $918.58 3.0×
Newborn resuscitation (99465) $817.64 $2,044.11 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $229.80 $574.50 1.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $547.95 $1,369.88 2.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $200.76 $501.89 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $83.64 $209.10 1.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $48.02 $120.05 1.5×
Ot Contrast Bath Ea 15 Min (97034) $106.07 $265.18 7.6×
Ot eval high complex 60 min (97167) $140.51 $351.28 1.4×
Ot eval low complex 30 min (97165) $112.17 $280.43 1.1×
Ot eval mod complex 45 min (97166) $125.95 $314.87 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $68.10 $170.23 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $49.40 $123.49 1.2×
Ot re-eval est plan care (97168) $94.07 $235.18 1.4×
Paraffin bath (97018) $83.84 $209.59 13.9×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$4,527.91 $11,319.78 0.3×
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 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×
Prq trluml coronary angio/atherect one art/brnch (92924) $18,717.64 $46,794.10 1.7×
Prq trluml coronary angioplasty one art/branch (92920) $9,239.01 $23,097.52 1.7×
Psych diag eval w/med srvcs (90792) $304 $760 1.8×
Psychiatric diagnostic evaluation (90791) $304 $760 1.8×
Psycl tst eval phys/qhp 1st (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 Aquatic Therapy/Exercises (97113) $79.93 $199.83 2.2×
Pt Electric Current Therapy (97033) $105.28 $263.22 5.5×
Pt Electrical Stimulation (97032) $100.02 $250.05 6.8×
Pt eval high complex 45 min (97163) $140.51 $351.28 1.4×
Pt eval low complex 20 min (97161) $112.17 $280.43 1.1×
Pt Gait Training Therapy (97116) $39.16 $97.90 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $93.68 $234.18 2.9×
Pt Physical Performance Test (97750) $78.42 $196.04 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $125.95 $314.87 1.3×
Pt re-evaluation (97164) $94.07 $235.18 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $45.26 $113.16 1.4×
Pt Ultrasound Therapy (97035) $96.24 $240.59 6.7×
Pt Whirlpool Therapy (97022) $99.18 $247.96 6.3×
Pulm Funct Test Oscillometry (94728) $144.93 $362.33 1.2×
Pulm function test by gas (94727) $171.33 $428.33 0.8×
Pulmonary stress testing (94618) $224.72 $561.80 1.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $6,325.72 $15,814.31 2.0×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,196.72 $17,991.81 2.3×
R hrt art/grft angio (93457) $3,557.62 $8,894.04 1.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $7,559.76 $18,899.39 2.4×
Refill/maint, portable pump (96521) $504 $1,260 2.5×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $236.16 $590.39 0.8×
Right heart cath (93451) $4,499.46 $11,248.64 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $99.56 $248.89 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $101.71 $254.27 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $196.80 $491.99 4.1×
Sensory Integration Ea 15 Min (97533) $85.81 $214.52 1.4×
Short-latency somatosens ep std lwr limbs (95926) $726.34 $1,815.85 3.5×
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×
Smoking cessation > 10 min (99407) $28.20 $70.51 0.8×
Somatosensory testing (95938) $472.31 $1,180.78 0.6×
Speech group therapy (92508) $257.41 $643.53 10.7×
Speech sound lang comprehen (92523) $253.48 $633.69 1.1×
Spirometry (94010) $119.55 $298.87 0.6×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $42.12 $105.29 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $250.72 $626.80 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $61.48 $153.69 0.9×
Therapeutic Activities (97530) $45.46 $113.66 1.3×
Therapeutic phlebotomy (99195) $515.77 $1,289.43 4.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.70 $76.76 0.9×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $300.86 $752.16 1.3×
Transcranial Doppler Limited (93888) $118.61 $296.53 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,642.35 $4,105.87 3.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $910.44 $2,276.10 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $175.94 $439.85 2.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $96.04 $240.09 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $105 $262.50 2.3×
Unlisted noninvasive vascular diagnostic study (93998) $203.74 $509.36 7.3×
Unlisted pulmonary service/procedure (94799) $63.14 $157.84 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $637.27 $1,593.17 2.8×
Vasc Duplex Scan Extracranial,Limited (93882) $368.64 $921.61 3.7×
Veeg by tech 2-12 hours unmonitored (95711) $366.04 $915.11 1.8×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $702.56 $1,756.41 2.0×
Veeg by tech 2-12 hr intermittent monitoring (95712) $366.04 $915.11 1.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,314.99 $3,287.48 1.6×
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×
Ventilation assist & mgmt inpatient 1st 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) $52.74 $131.86 1.7×