Supplies, drugs & other prices at Stillwater Medical-blackwell
Blackwell, OK · every code in this section with a posted price and a Medicare benchmark.
33 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,360 | $1,700 | 4.1× |
| Admin pneumococcal vaccine (G0009) | $98.40 | $123 | 2.2× |
| Brief alcohol misuse counsel (G0443) | $129.60 | $162 | 1.3× |
| Chemo extend iv infus w/pump (G0498) | $826.40 | $1,033 | 2.6× |
| Direct refer hospital observ (G0379) | $1,268 | $1,585 | 2.2× |
| Drug test def 1-7 classes (G0480) | $312 | $390 | 2.7× |
| Elec stim other than wound (G0283) | $136.80 | $171 | 10.8× |
| Elec stim unattend for press (G0281) | $58.40 | $73 | 5.0× |
| Extrnl counterpulse, per tx (G0166) | $436.80 | $546 | 3.4× |
| Group train w/o patient (G0543) | $23.20 | $29 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $1,119.20 | $1,399 | 8.5× |
| Home sleep test/type 2 porta (G0398) | $336 | $420 | 1.6× |
| Home sleep test/type 3 porta (G0399) | $373.60 | $467 | 1.8× |
| Home sleep test/type 4 porta (G0400) | $336 | $420 | 1.6× |
| Hospital outpt clinic visit (G0463) | $272 | $340 | 2.1× |
| Inj for sacroiliac jt anesth (G0260) | $2,255.20 | $2,819 | 3.3× |
| Mnt subs tx for change dx (G0270) | $55.20 | $69 | 1.7× |
| No pt prsnt train initial 30 (G0541) | $100.80 | $126 | 3.6× |
| Oth resp proc, group (G0239) | $86.40 | $108 | 2.4× |
| Oth resp proc, indiv (G0238) | $66.40 | $83 | 2.4× |
| Perc d-e cor revasc chro sin (C9607) | $30,844 | $38,555 | 1.7× |
| Perc d-e cor revasc t cabg s (C9604) | $29,302.40 | $36,628 | 2.6× |
| Perc d-e cor stent ather s (C9602) | $39,716.80 | $49,646 | 2.3× |
| Perc drug-el cor stent sing (C9600) | $29,302.40 | $36,628 | 2.6× |
| Prolonged iv inf, req pump (C8957) | $718.40 | $898 | 3.5× |
| Psa screening (G0103) | $161.60 | $202 | 8.4× |
| Revasc intra lithotrip-ather (C9766) | $29,405.60 | $36,757 | 1.7× |
| Revasc intra lithotrip-stent (C9765) | $29,405.60 | $36,757 | 1.7× |
| Revasc intravasc lithotripsy (C9764) | $21,066.40 | $26,333 | 1.9× |
| Revasc lithotrip-stent-ather (C9767) | $31,081.60 | $38,852 | 1.8× |
| Therapeutic procd strg endur (G0237) | $81.20 | $101.50 | 2.9× |
| Trauma respons w/hosp criti (G0390) | $2,009.60 | $2,512 | 1.6× |
| Tte w or wo fol wcon,doppler (C8929) | $2,660 | $3,325 | 3.5× |