Visits & medical services prices at Stillwater Medical-blackwell

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $20,013.60 $25,017 2.7×
Advncd Care Plan 30 Min (99497) $177.60 $222 1.8×
Airway Inhalation Treatment (94640)
range across 11 matching MRF lines		 $358.40–$443.20 $448–$554 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $132 $165 9.2×
Application on-body injector (96377) $120.80 $151 2.7×
Assessment of aphasia per hr (96105) $513.60 $642 5.3×
Behavral qualit analys voice (92524) $361.60 $452 3.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $145.60 $182 1.8×
Bfb training ea addl 15 min (90913) $80.80 $101 2.5×
Biofeedback training any modality (90901) $128 $160 3.1×
Bioimpedance Cv Analysis (93701)
range across 2 matching MRF lines		 $49.60–$220.80 $62–$276 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $815.20 $1,019 2.3×
Canalith repositioning proc (95992) $80 $100 2.0×
Cardiac Stress Tst,Tracing Only (93017) $1,299.20 $1,624 6.3×
Cardiopulmonary exercise testing (94621) $784.80 $981 2.2×
Cardiopulmonary resuscitation (92950) $2,644.80 $3,306 12.7×
Cardioversion (92960) $2,713.60 $3,392 4.3×
Cardioversion elective internal (92961) $2,856 $3,570 4.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $59.20 $74 2.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $14,638.40 $18,298 4.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,624 $19,530 5.0×
Cbt 1st hour (94644) $268.80 $336 2.1×
Chemo Anti-Neopl Sq/Im (96401) $248.80 $311 3.6×
Chemo Hormon Antineopl Sq/Im (96402) $188.80 $236 2.7×
Chemo IV infusion addl hr (96415) $283.20 $354 4.1×
Chemo IV push addl drug (96411) $200.80 $251 2.9×
Chemother Prolong Infuse W/Pump (96416) $785.60 $982 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $170.40 $213 2.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $809.60 $1,012 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $800.80 $1,001 2.5×
Chest Wall Manipulation (94668) $836 $1,045 6.5×
Color/duplex Doppler, complete (93975) $1,663.20 $2,079 7.2×
Color/duplex Doppler, limited (93976) $1,063.20 $1,329 10.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $124.80 $156 3.9×
Continuous Pulse Ox (94762) $336 $420 2.7×
Coronary Art/Grft Angio S&I (93455) $12,703.20 $15,879 4.1×
Coronary Artery Angio S&I (93454) $13,085.60 $16,357 4.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $745.60 $932 3.5×
Cpt initial (94667) $836 $1,045 6.5×
Critical care first hour (99291)
range across 3 matching MRF lines		 $481.60–$3,986.40 $602–$4,983 varies
Debridement Open Wound 20 Sq Cm< (97597) $466.40 $583 2.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $689.60 $862 3.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,672 $2,090 7.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $993.60 $1,242 9.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,744 $2,180 7.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,357.60 $1,697 13.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $520 $650 2.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $336.80 $421 3.3×
Duplex Scan Hemodialysis Access (93990) $640 $800 6.4×
Duplex up extrem art bilat (93930) $1,056 $1,320 4.6×
Duplex up extrem art unilat/ltd (93931) $889.60 $1,112 8.8×
ECG/monitoring and analysis (93271) $624 $780 6.8×
Echo Congenital Complete (93303) $2,363.20 $2,954 4.5×
Echo Heart Xthoracic,Limited (93308) $1,239.20 $1,549 5.4×
Echo transesophag montr cardiac pump functj (93318) $2,371.20 $2,964 4.5×
Echo transesophageal (93312) $2,913.60 $3,642 5.5×
Eeg 41-60 Minutes (95812) $3,191.20 $3,989 15.4×
EEG awake and asleep (95819) $2,268 $2,835 10.9×
EEG awake drowsy (95816) $1,995.20 $2,494 9.6×
EEG extended monitoring 61-119 minutes (95813) $3,628 $4,535 17.5×
Eeg Sleep Only (95822) $1,312 $1,640 6.3×
EEG w/o vid 2-12hr cont mntr (95707) $2,100 $2,625 10.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,995.20 $2,494 9.6×
Electrical Stimulation Ea 15 Min (97032) $111.20 $139 7.6×
Electrocardiogram Tracing (93005) $440 $550 7.8×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $96–$862.40 $120–$1,078 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $138.40–$1,452 $173–$1,815 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $281.60–$2,359.20 $352–$2,949 varies
Ep & ablate supravent arrhyt (93653) $54,291.20 $67,864 2.2×
Ep & ablate ventric tachy (93654) $39,828 $49,785 1.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $15,567.20 $19,459 2.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $15,567.20 $19,459 2.1×
Er level 1 (99281)
range across 2 matching MRF lines		 $72–$499.20 $90–$624 varies
Er level v (99285)
range across 2 matching MRF lines		 $399.20–$2,925.60 $499–$3,657 varies
Evaluate pt use of inhaler (94664) $443.20 $554 2.1×
Evaluate Speech Production (92522) $318.40 $398 2.8×
Evaluate Swallowing Function (92610) $384.80 $481 4.5×
Evaluation of speech fluency (92521) $334.40 $418 2.5×
External ECG rec>48hr<7d recording (93242) $806.40 $1,008 22.4×
External ECG rec>7d<15d recording (93246) $806.40 $1,008 22.4×
External Ecg Scanning Analysis Report (93226) $808 $1,010 14.2×
Extracranial Bilat Study (93880) $1,614.40 $2,018 7.0×
Extracranial Uni/Ltd Study (93882) $424 $530 4.2×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $235.20 $294 1.6×
Flexible endoscopic eval swallow c/v rec (92612) $1,328.80 $1,661 6.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $330.40 $413 1.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,234.40 $1,543 3.4×
Group Therapeutic Procedures (97150) $108 $135 6.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $17,652.80 $22,066 5.7×
Holter monitor recording (93225) $996 $1,245 7.8×
Hubbard tank 15 min (97036) $106.40 $133 3.1×
Icd Device Interrogate (93289) $156 $195 4.3×
Icd device progr eval dual (93283) $156 $195 4.3×
Icd Device Progr Eval Mult (93284) $104 $130 2.9×
Icm Device Eval (93290) $144 $180 4.0×
Ilr Device Eval Progr (93285) $156 $195 4.3×
Ilr Device Interrogate (93291) $156 $195 5.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $100.80 $126 1.5×
Immunization administration (90471) $156.80 $196 2.3×
Insert/Place Heart Catheter (93503) $7,000.80 $8,751 4.6×
Iontophoresis 15 min (97033) $146.40 $183 7.7×
Irrig Drug Delivery Device (96523) $204.80 $256 3.6×
IV infusion hydration each additional hour (96361) $333.60 $417 7.4×
IV infusion hydration initial 31 min-1 hour (96360) $533.60 $667 2.6×
IV infusion ther proph addl sequential to 1 hr (96367) $291.20 $364 4.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $359.20 $449 8.0×
IV push initial (96374) $478.40 $598 2.3×
L Hrt Art/Grft Angio (93459) $15,624 $19,530 5.0×
Lwr Xtr Vasc Stdy Bilat (93924) $824.80 $1,031 4.0×
Mechanical chest wall oscillation per session (94669) $443.20 $554 2.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $77.60 $97 2.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $181.60 $227 4.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $68.80 $86 4.0×
Motion Fluoroscopy/Swallow (92611) $527.20 $659 5.8×
Multiple Sleep Latency Test (95805) $2,869.60 $3,587 3.5×
Nasopharyngoscopy (92511) $2,856 $3,570 14.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,040 $1,300 2.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,040 $1,300 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $663.20 $829 3.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $863.20 $1,079 2.2×
Neurobehavioral Status Exam (96116) $526.40 $658 2.5×
Neuromuscular Reeducation (97112) $136 $170 4.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $708.80 $886 2.0×
Oral Function Therapy (92526) $244 $305 2.9×
Oral Speech Device Eval (92597) $434.40 $543 6.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $122.40 $153 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $171.20 $214 3.7×
Ot eval high complexity (97167) $333.60 $417 3.3×
Ot Eval Low Complex (97165) $294.40 $368 2.9×
Ot Eval Moderate Complexity (97166) $327.20 $409 3.3×
Ot manual therapy 15 min (97140) $184.80 $231 6.7×
Ot paraffin bath (97018) $86.40 $108 14.4×
Ot Prosthetic Training, Each 15 Min (97761) $127.20 $159 3.1×
Ot Re-Eval Est Plan Care (97168) $176 $220 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $330.40 $413 2.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $277.60 $347 2.2×
Peripheral arterial disease rehab per session (93668) $145.60 $182 2.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $29,302.40 $36,628 5.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $30,844 $38,555 2.8×
Phlebotomy therapeutic (99195) $332.80 $416 2.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $218.40 $273 3.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $218.40 $273 3.8×
Physical Performance Test (97750) $142.40 $178 4.2×
Plethysmography (94726) $648 $810 1.8×
Pm device eval in person (93288) $109.60 $137 3.1×
Pm device progr eval dual (93280) $200.80 $251 5.6×
Pm device progr eval multi (93281) $156 $195 4.3×
Pm Device Progr Eval Sngl (93279) $156 $195 4.3×
Pm/Icd Remote Tech Serv (93296)
range across 2 matching MRF lines		 $104–$109.60 $130–$137 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,697.60 $8,372 8.1×
Polysom <6 yrs 4/> paramtrs (95782) $2,415.20 $3,019 2.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,570.40 $3,213 3.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $156 $195 4.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $80 $100 1.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $80 $100 1.8×
Prq Card Angio/Athrect 1 Art (92924) $30,844 $38,555 2.8×
Prq Card Stent W/Angio 1 Vsl (92928) $30,844 $38,555 2.8×
Prq Card Stent/Ath/Angio (92933) $30,844 $38,555 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $29,302.40 $36,628 2.6×
Pt Eval High Complex (97163) $337.60 $422 3.4×
Pt eval low complex 20 min (97161) $307.20 $384 3.1×
Pt Eval Mod Complex (97162) $326.40 $408 3.3×
Pt gait training 15 min (97116) $136 $170 4.7×
Pt group caregiver training (97552) $25.60 $32 1.2×
Pt mechanical traction (97012) $124 $155 8.6×
Pt Re-Eval Est Plan Care (97164) $212 $265 3.1×
Pulmonary Stress Testing (94618) $602.40 $753 4.7×
R Hrt Art/Grft Angio (93457) $15,054.40 $18,818 4.8×
R hrt coronary artery angio (93456) $14,448 $18,060 4.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $13,509.60 $16,887 4.3×
Remote 30 Day Ecg Rev/Report (93270) $302.40 $378 8.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $224 $280 3.9×
Right Heart Cath (93451) $12,862.40 $16,078 4.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $1,037.60 $1,297 5.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $432.80 $541 3.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $156.80 $196 3.3×
Self Care Mngment Training (97535) $147.20 $184 4.5×
Sensory Integration Ea 15 Min (97533) $144.80 $181 2.4×
Sleep study attended (95807) $1,680 $2,100 4.7×
Sleep study unattended (95806) $656.80 $821 3.2×
Slp caregiver training 1st 30 min (97550) $109.60 $137 2.1×
Slp Stdy Unatnd W/Anal (95801) $336 $420 5.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $652.80 $816 3.1×
Speech sound lang comprehen (92523) $563.20 $704 2.5×
Spirometry (94010)
range across 4 matching MRF lines		 $40–$336 $50–$420 varies
Standardized Cognitive Performance Testing (96125) $432 $540 4.2×
Stress Tte Only (93350) $2,210.40 $2,763 4.2×
Temp transcutaneous pacing (92953) $2,168.80 $2,711 3.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $100 $125 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $83.20 $104 4.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $150.40 $188 4.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $108.80 $136 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $323.20 $404 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $200 $250 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $690.40 $863 3.4×
Therapeutic Activities (97530) $141.60 $177 4.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,501.60 $3,127 7.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $96 $120 2.7×
Trans Care Mgmt 7 Day Disch (99496) $280 $350 2.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293)
range across 2 matching MRF lines		 $60.80–$166.40 $76–$208 varies
Tte w/doppler, complete (93306) $2,858.40 $3,573 5.4×
Tx atrial fib pulm vein isol (93656) $54,291.20 $67,864 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines		 $267.20–$281.60 $334–$352 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $124 $155 5.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $256.80 $321 5.7×
Tympanometry (92567) $279.20 $349 7.8×
Unlisted cardiovascular service/procedure (93799) $1,376.80 $1,721 11.1×
Upr/L Xtremity Art 2 Levels (93922) $940 $1,175 7.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,102.40 $1,378 5.3×
Vasopneumatic device (97016) $106.40 $133 8.9×
Vent Mgmt Inpat Init Day (94002) $1,400 $1,750 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,342.40 $1,678 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $103.20 $129 3.3×
Whirlpool Therapy (97022) $124.80 $156 7.9×

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.