Supplies, drugs & other prices at St. Mary's Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $18 $45 0.5×
2d tte w or w/o fol w/con,co (C8923) $1,023.80 $2,559.50 1.4×
2d tte w or w/o fol w/con,fu (C8924) $1,023.80 $2,559.50 3.1×
Admin hepatitis b vaccine (G0010) $63.20 $158 1.4×
Admin influenza virus vac (G0008) $161.20 $403 3.6×
Admin pneumococcal vaccine (G0009) $141.40 $353.50 3.1×
Alcohol/subs interv 15-30mn (G0396) $112 $280 3.1×
Alcohol/subs interv >30 min (G0397) $168 $420 1.0×
Covid-19 lab test non-cdc (U0002) $26.40 $66 0.5×
Diab manage trn per indiv (G0108) $91.40 $228.50 1.6×
Diab manage trn ind/group (G0109) $59.20 $148 3.7×
Direct refer hospital observ (G0379) $762.80 $1,907 1.3×
Drug test def 1-7 classes (G0480) $227.20 $568 2.0×
Eia hiv-1/hiv-2 screen (G0432) $86.40 $216 4.4×
Elec stim other than wound (G0283) $121 $302.50 9.5×
Elec stim unattend for press (G0281) $25.20 $63 2.2×
Group mnt 2 or more 30 mins (G0271) $57.60 $144 3.4×
Hbot, full body chamber, 30m (G0277) $1,104 $2,760 8.3×
Home sleep test/type 2 porta (G0398) $375.20 $938 1.8×
Home sleep test/type 3 porta (G0399) $375.20 $938 1.8×
Home sleep test/type 4 porta (G0400) $375.20 $938 1.8×
Hospital outpt clinic visit (G0463) $276 $690 2.2×
Inj for sacroiliac jt anesth (G0260) $1,239.60 $3,099 1.8×
Mnt subs tx for change dx (G0270) $90.40 $226 2.8×
Mra w/cont, abd (C8900) $4,862 $12,155 14.5×
Mra w/cont, chest (C8909) $3,477.60 $8,694 10.4×
Mra w/cont, lwr ext (C8912) $5,379.20 $13,448 16.0×
Mra w/cont, pelvis (C8918) $3,126.20 $7,815.50 9.3×
Mra w/o cont, abd (C8901) $2,866.40 $7,166 12.5×
Mra w/o cont, chest (C8910) $3,102.40 $7,756 13.5×
Mra w/o cont, lwr ext (C8913) $4,894.40 $12,236 21.3×
Mra w/o cont, pelvis (C8919) $3,102.40 $7,756 13.5×
Mra w/o fol w/cont, abd (C8902) $3,611 $9,027.50 10.8×
Mra w/o fol w/cont, chest (C8911) $4,423.20 $11,058 13.2×
Mra w/o fol w/cont, lwr ext (C8914) $6,454 $16,135 19.2×
Mra w/o fol w/cont, pelvis (C8920) $4,423.20 $11,058 13.2×
Mra, w/dye, upper extremity (C8934) $4,423.20 $11,058 13.2×
Mra, w/o dye, upper extr (C8935) $4,423.20 $11,058 19.3×
Mra, w/o&w/dye, upper extr (C8936) $4,423.20 $11,058 13.2×
Mri w/cont, breast, uni (C8903) $1,331.60 $3,329 7.9×
Mri w/o fol w/cont, breast, (C8908) $3,638.80 $9,097 10.8×
Mri w/o fol w/cont, brst, un (C8905) $1,649.60 $4,124 4.9×
Oth resp proc, group (G0239) $72.40 $181 2.0×
Oth resp proc, indiv (G0238) $113.40 $283.50 4.1×
Perc d-e cor revasc t cabg s (C9604) $23,709.20 $59,273 2.1×
Perc drug-el cor stent sing (C9600) $20,363.60 $50,909 1.8×
Perq Sacral Augmt Bilat Inj (0201T) $14,359.20 $35,898 2.1×
Perq Sacral Augmt Unilat Inj (0200T) $7,956.60 $19,891.50 1.1×
Prostate biopsy, any mthd (G0416) $796.80 $1,992 2.3×
Psa screening (G0103) $130 $325 6.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $33,561.60 $83,904 1.8×
Therapeutic procd strg endur (G0237) $116.80 $292 4.2×
Tomosynthesis, mammo (G0279) $130 $325 10.2×
Trauma respons w/hosp criti (G0390) $3,566.40 $8,916 2.8×
Tte w or w/o fol w/cont, com (C8921) $1,556.80 $3,892 2.1×
Tte w or w/o fol w/cont, f/u (C8922) $1,053.20 $2,633 1.4×
Tte w or wo fol wcon,doppler (C8929) $2,239.40 $5,598.50 3.0×
Unsched dialysis esrd pt hos (G0257) $1,190.60 $2,976.50 1.8×