Visits & medical services prices at Stillwater Medical - Perry

Perry, 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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $20,013.60 $25,017 2.7×
Advance care planning first 30 mins (99497) $177.60 $222 1.8×
Airway inhalation treatment (94640) $443.20 $554 2.1×
Appl on-body injector for timed subq injection (96377) $120.80 $151 2.7×
Assessment of aphasia (96105) $513.60 $642 5.3×
Behavioral and qualitative analysis of voice and resonance (92524) $361.60 $452 3.3×
Bfb training 1st 15 min (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×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $815.20 $1,019 2.3×
Canalith Repositioning (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 internal (92961) $2,856 $3,570 4.5×
Caregiver training 1st 30 min (97550) $109.60 $137 2.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $59.20 $74 2.3×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $12,703.20 $15,879 4.1×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $14,448 $18,060 4.6×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $15,624 $19,530 5.0×
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 Hormon Antineopl Sq/Im (96402) $188.80 $236 2.7×
Chemo IV push addl drug (96411) $200.80 $251 2.9×
Chemo Iv Push Sngl Drug (96409) $800.80 $1,001 2.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $785.60 $982 2.5×
Chemother, IV infusion, 1 hr (96413) $809.60 $1,012 2.5×
Chemother, IV infusion, ea add hr (96415) $283.20 $354 4.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $248.80 $311 3.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $170.40 $213 2.5×
Color/duplex Doppler, complete (93975) $1,663.20 $2,079 7.2×
Color/duplex Doppler, limited (93976) $1,063.20 $1,329 10.6×
Coronary artery angio s&i (93454) $13,085.60 $16,357 4.2×
Cpap initiation and management (94660) $745.60 $932 3.5×
Cpt initial (94667) $836 $1,045 6.5×
Critical care (99291) $481.60 $602 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $466.40 $583 2.4×
Demo &/or eval,pt use,aerosol device (94664) $443.20 $554 2.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,056 $1,320 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $889.60 $1,112 8.8×
Dup-scan xtr veins unilateral/limited study (93971) $1,357.60 $1,697 13.5×
Duplex hemodialysis access (93990) $640 $800 6.4×
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 extracranial art compl bi study (93880) $1,614.40 $2,018 7.0×
Echo Heart Xthoracic,Limited (93308) $1,239.20 $1,549 5.4×
Echo transesophageal (93312) $2,913.60 $3,642 5.5×
Echo Transthoracic - Congenital Tte Complete (93303) $2,363.20 $2,954 4.5×
EEG awake asleep (95819) $2,268 $2,835 10.9×
EEG awake drowsy (95816) $1,995.20 $2,494 9.6×
EEG coma or sleep only (95822) $1,312 $1,640 6.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $3,628 $4,535 17.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,995.20 $2,494 9.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $2,100 $2,625 10.1×
EKG (93005) $440 $550 7.8×
EKG rhythm strip (93041) $224 $280 3.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,191.20 $3,989 15.4×
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) $285.60 $357 3.5×
Er level ii (99282) $479.20 $599 3.2×
Er level iii (99283) $795.20 $994 3.0×
Er level IV (99284) $1,320.40 $1,650.50 3.3×
Er level v (99285) $1,662.40 $2,078 2.9×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $434.40 $543 6.1×
Evaluation of speech fluency (92521) $334.40 $418 2.5×
Evaluation of speech sound production (92522) $318.40 $398 2.8×
Evaluation of swallowing function (92610) $384.80 $481 4.5×
Evaluation with prescription of speech-generating alternative (92607) $432.80 $541 3.5×
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×
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×
Holter Monitor Recording (93225) $996 $1,245 7.8×
Hydrotherapy (97036) $106.40 $133 3.1×
Icd Device Interrogate (93289) $156 $195 4.3×
Ilr Device Eval Progr (93285) $156 $195 4.3×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $100.80 $126 1.5×
Immunization Admin (90471) $156.80 $196 2.3×
Immunotherapy, 2+ Injections (95117) $80 $100 1.8×
Ins swan ganz bedside (93503) $7,000.80 $8,751 4.6×
Interrog dev eval icpms phys/qhp in person (93290) $144 $180 4.0×
Interrog dev eval scrms phys/qhp in person (93291) $156 $195 5.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $291.20 $364 4.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $690.40 $863 3.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $359.20 $449 8.0×
IV push initial (96374) $478.40 $598 2.3×
Laryngoscopic Sensory Test (92614) $235.20 $294 1.6×
Manual therapy 15 min (97140) $184.80 $231 6.7×
Massage 15 min (97124) $108.80 $136 3.7×
Measurement of heart blood flow and respiration (93701) $135.20 $169 1.1×
Mechanical chest wall oscillation (94669) $443.20 $554 2.1×
Mechanical traction (97012) $124 $155 8.6×
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×
Mnt Group Ea 30 Min (97804) $68.80 $86 4.0×
Motion Fluor Eval Swlng Funcj C/V Rec (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 press wnd tx </=50 sq cm (97607) $1,040 $1,300 2.7×
Neg press wound tx >50 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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $940 $1,175 7.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,102.40 $1,378 5.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $336 $420 2.7×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $708.80 $886 2.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $171.20 $214 3.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $124.80 $156 3.9×
Ot eval high complex 60 min (97167) $333.60 $417 3.3×
Ot eval low complex 30 min (97165) $294.40 $368 2.9×
Ot eval mod complex 45 min (97166) $327.20 $409 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $122.40 $153 2.4×
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×
Paraffin bath (97018) $86.40 $108 14.4×
Peripheral arterial disease rehab per session (93668) $145.60 $182 2.6×
Phy/qhp op pulm rhb w/mntr (94626) $218.40 $273 3.8×
Phy/qhp op pulm rhb w/o mntr (94625) $218.40 $273 3.8×
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) $106.80 $133.50 3.0×
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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $104 $130 2.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $80 $100 1.8×
Programming of dual lead implantable defibrillator system (93283) $156 $195 4.3×
Programming of single lead implantable defibrillator system (93282) $156 $195 4.3×
Prq card revasc chronic 1vsl (92943) $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×
Prq trluml coronary angio/atherect one art/brnch (92924) $30,844 $38,555 2.8×
Prq trluml coronary angioplasty one art/branch (92920) $29,302.40 $36,628 5.4×
Pt Aquatic Therapy/Exercises (97113) $150.40 $188 4.1×
Pt Electric Current Therapy (97033) $146.40 $183 7.7×
Pt Electrical Stimulation (97032) $111.20 $139 7.6×
Pt eval high complex 45 min (97163) $337.60 $422 3.4×
Pt eval low complex 20 min (97161) $307.20 $384 3.1×
Pt Gait Training Therapy (97116) $136 $170 4.7×
Pt group caregiver training (97552) $25.60 $32 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $136 $170 4.2×
Pt Physical Performance Test (97750) $142.40 $178 4.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $326.40 $408 3.3×
Pt re-evaluation (97164) $212 $265 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $147.20 $184 4.5×
Pt Ultrasound Therapy (97035) $132 $165 9.2×
Pt Whirlpool Therapy (97022) $124.80 $156 7.9×
Pulmonary stress testing (94618) $602.40 $753 4.7×
R & l hrt cath w/njx l ventriculog img s&i (93453) $13,509.60 $16,887 4.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $14,638.40 $18,298 4.7×
R hrt art/grft angio (93457) $15,054.40 $18,818 4.8×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $17,652.80 $22,066 5.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $302.40 $378 8.4×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $836 $1,045 6.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $156.80 $196 3.3×
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 Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $652.80 $816 3.1×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $336 $420 5.9×
Speech group therapy (92508) $124 $155 5.2×
Speech sound lang comprehen (92523) $563.20 $704 2.5×
Spirometry (94010) $268 $335 1.3×
Standardized Cognitive Performance Testing (96125) $432 $540 4.2×
Stress echo (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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $83.20 $104 4.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $323.20 $404 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $200 $250 2.9×
Therapeutic Activities (97530) $141.60 $177 4.0×
Therapeutic phlebotomy (99195) $332.80 $416 2.6×
Tilt Table Eval (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) $113.60 $142 3.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (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) $267.20 $334 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $244 $305 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $256.80 $321 5.7×
Tympanometry (92567) $279.20 $349 7.8×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $2,371.20 $2,964 4.5×
Unlisted Cardiovascular Service/Procedure (93799) $1,376.80 $1,721 11.1×
Vasc Duplex Extrem Venous,Bilat (93970) $1,744 $2,180 7.6×
Vasc Duplex Scan Extracranial,Limited (93882) $424 $530 4.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $824.80 $1,031 4.0×
Vasopneumatic device (97016) $106.40 $133 8.9×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $624 $780 6.8×