Visits & medical services prices at Wagoner Community Hospital (Wagoner, OK)

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

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Procedure	Posted cash	Posted gross	× Medicare
Airway Inhalation Treatment (94640) range across 3 matching MRF lines	$185.50–$210	$371–$420	varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines	$266.50–$280	$533–$560	varies
Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines	$267.50–$280	$535–$560	varies
Color/duplex Doppler, complete (93975)	$331.50	$663	1.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925)	$331.50	$663	1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)	$236	$472	2.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines	$197–$331.50	$394–$663	varies
Dup-scan xtr veins unilateral/limited study (93971)	$236	$472	2.3×
Electrocardiogram Tracing (93005)	$98.50	$197	1.7×
Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines	$127.50–$140	$255–$280	varies
Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines	$225–$246.50	$450–$493	varies
Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines	$375–$400	$750–$800	varies
Er level 1 (99281) range across 3 matching MRF lines	$12.50–$86	$25–$172	varies
Er level v (99285) range across 2 matching MRF lines	$555–$586	$1,110–$1,172	varies
Extracranial Bilat Study (93880)	$331.50	$663	1.4×
Immunization administration (90471) range across 15 matching MRF lines	$41–$72.50	$82–$145	varies
IV infusion hydration each additional hour (96361) range across 4 matching MRF lines	$41–$46.50	$82–$93	varies
IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines	$122–$215	$244–$430	varies
IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines	$67–$72.50	$134–$145	varies
IV infusion therapy prophylaxis/dx ea hour (96366)	$52	$104	1.2×
IV push initial (96374) range across 4 matching MRF lines	$122–$215	$244–$430	varies
Multiple Sleep Latency Test (95805)	$1,250	$2,500	1.5×
Nerve conduction studies 13 or more studies (95913)	$294	$588	0.8×
Nerve conduction studies 5-6 studies (95909)	$190	$380	0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines	$116.50–$131	$233–$262	varies
Phlebotomy therapeutic (99195)	$75	$150	0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)	$1,250	$2,500	1.5×
Pt eval low complex 20 min (97161)	$137	$274	1.4×
Pt Eval Mod Complex (97162)	$137	$274	1.4×
Sleep study unattended (95806)	$200	$400	1.0×
Spirometry (94010) range across 5 matching MRF lines	$30.50–$280	$61–$560	varies
Temp transcutaneous pacing (92953) range across 2 matching MRF lines	$529–$576.50	$1,058–$1,153	varies
Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines	$55–$72.50	$110–$145	varies
Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines	$103.50–$215	$207–$430	varies
Tte w/doppler, complete (93306) range across 2 matching MRF lines	$739.50–$845	$1,479–$1,690	varies
Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines	$41–$46.50	$82–$93	varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines	$197–$225	$394–$450	varies
Vent Mgmt Inpat Init Day (94002)	$518	$1,036	0.9×

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.