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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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $18 $45 0.5×
2d tte w or w/o fol w/con,co (C8923)
range across 2 matching MRF lines
$994.40–$1,053.20 $2,486–$2,633 varies
2d tte w or w/o fol w/con,fu (C8924)
range across 2 matching MRF lines
$994.40–$1,053.20 $2,486–$2,633 varies
Admin hepatitis b vaccine (G0010) $63.20 $158 1.4×
Admin influenza virus vac (G0008) $161.20 $403 3.6×
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$21.60–$261.20 $54–$653 varies
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)
range across 4 matching MRF lines
$90.40–$92.40 $226–$231 varies
Diab manage trn ind/group (G0109)
range across 4 matching MRF lines
$59.20–$60.40 $148–$151 varies
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)
range across 12 matching MRF lines
$46.80–$146.80 $117–$367 varies
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)
range across 51 matching MRF lines
$90.80–$603.60 $227–$1,509 varies
Inj for sacroiliac jt anesth (G0260)
range across 5 matching MRF lines
$538.40–$1,549.60 $1,346–$3,874 varies
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)
range across 2 matching MRF lines
$2,775.60–$3,476.80 $6,939–$8,692 varies
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)
range across 2 matching MRF lines
$2,775.60–$4,446.40 $6,939–$11,116 varies
Mra w/o fol w/cont, chest (C8911) $4,423.20 $11,058 13.2×
Mra w/o fol w/cont, lwr ext (C8914)
range across 3 matching MRF lines
$6,454–$6,454.80 $16,135–$16,137 varies
Mra w/o fol w/cont, pelvis (C8920) $4,423.20 $11,058 13.2×
Mra, w/dye, upper extremity (C8934)
range across 3 matching MRF lines
$4,423.20–$6,634.40 $11,058–$16,586 varies
Mra, w/o dye, upper extr (C8935)
range across 3 matching MRF lines
$4,423.20–$6,634.40 $11,058–$16,586 varies
Mra, w/o&w/dye, upper extr (C8936)
range across 3 matching MRF lines
$4,423.20–$6,634.40 $11,058–$16,586 varies
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)
range across 2 matching MRF lines
$64–$80.80 $160–$202 varies
Oth resp proc, indiv (G0238)
range across 2 matching MRF lines
$110–$116.80 $275–$292 varies
Perc d-e cor revasc t cabg s (C9604)
range across 4 matching MRF lines
$23,709.20–$24,359.20 $59,273–$60,898 varies
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)
range across 2 matching MRF lines
$1,554–$14,359.20 $3,885–$35,898 varies
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$532–$1,061.60 $1,330–$2,654 varies
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)
range across 3 matching MRF lines
$80.80–$190.80 $202–$477 varies
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)
range across 2 matching MRF lines
$1,556.80–$2,922 $3,892–$7,305 varies
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines
$1,178.40–$1,202.80 $2,946–$3,007 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.