Visits & medical services prices at Tulsa Spine & Specialty Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $132 $528 0.6×
Analyze neurostim complex (95972) $84.63 $338.53 0.9×
Analyze Neurostim Simple (95971) $84.63 $338.53 0.9×
Continuous Pulse Ox (94762) $103.68 $414.72 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $89 $355.99 0.4×
Critical care first hour (99291) $453.75 $1,815 0.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $159.50 $638 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $77.25 $309 0.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $188.40 $753.60 0.8×
Dup-scan xtr veins unilateral/limited study (93971) $156.77 $627.10 1.6×
Duplex up extrem art bilat (93930) $157 $628 0.7×
Echo transesophag montr cardiac pump functj (93318) $460.25 $1,841 0.9×
Electrocardiogram Tracing (93005) $100 $400 1.8×
Emergency Dept Visit Level 2 (99282) $107.47 $429.88 0.7×
Emergency Dept Visit Level 3 (99283) $169.12 $676.49 0.6×
Emergency Dept Visit Level 4 (99284) $271.99 $1,087.96 0.7×
Er level 1 (99281) $62.44 $249.77 0.8×
Er level v (99285) $401.86 $1,607.45 0.7×
Evaluate pt use of inhaler (94664) $145.20 $580.80 0.7×
Extracranial Bilat Study (93880) $180.51 $722.06 0.8×
Group Therapeutic Procedures (97150) $46.75 $187 2.6×
Immunization administration (90471) $53.50 $214 0.8×
IV infusion hydration each additional hour (96361) $28.32 $113.30 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $134.20 $536.80 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $43.17 $172.70 0.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $28.32 $113.30 0.6×
IV push initial (96374) $146.85 $587.40 0.7×
Multiple Sleep Latency Test (95805) $637.50 $2,550 0.8×
Neuromuscular Reeducation (97112) $29.77 $119.07 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $36.75 $147 0.7×
Ot manual therapy 15 min (97140) $32.39 $129.57 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,541.75 $6,167 1.9×
Polysom <6 yrs 4/> paramtrs (95782) $692 $2,768 0.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $761.25 $3,045 0.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $629 $2,516 0.8×
Pt Eval High Complex (97163) $63 $252 0.6×
Pt eval low complex 20 min (97161) $63 $252 0.6×
Pt Eval Mod Complex (97162) $63 $252 0.6×
Pt gait training 15 min (97116) $24.40 $97.61 0.8×
Pt Re-Eval Est Plan Care (97164) $49.50 $198 0.7×
Self Care Mngment Training (97535) $28.47 $113.88 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $94.25 $377 0.5×
Spin/Brain Pump Refil & Main (95991) $165.25 $661 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $44.82 $179.30 0.6×
Ther/Proph/Diag Iv Inf Init (96365) $146.85 $587.40 0.7×
Therapeutic Activities (97530) $28.47 $113.88 0.8×
Tte w/doppler, complete (93306) $342.75 $1,371 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $28.32 $113.30 0.6×
Upr/L Xtremity Art 2 Levels (93922) $78.50 $314 0.6×
Vent Mgmt Inpat Init Day (94002) $160.50 $641.99 0.3×