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Patient Price Information List
Disclaimer: Wagoner Community Hospital determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.
Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.
Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.
Wagoner Community Hospital Patient Information Price List
LOCAL MARKET HOSPITALS
In order to present a meaningful comparison, Wagoner Community Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Wagoner Community Hospital's charges are displayed and compared with the local market charge, consisting of the following hospitals:
Hillcrest Hospital Pryor
Pryor
OK
Hillcrest Hospital South
Tulsa
OK
Northeastern Health System
Tahlequah
OK
Saint Francis Hospital
Tulsa
OK
Saint Francis Hospital Muskogee
Muskogee
OK
Saint John Broken Arrow
Broken Arrow
OK
Wagoner Community Hospital Patient Information Price List
INPATIENT ROOM AND BOARD DAILY CHARGES
INPATIENT ROOM AND BOARD DAILY CHARGES
Description
Variance
Private Room
Private Room
4% higher than market
Semi-Private Room
Semi-Private Room
7% lower than market
Intensive Care Unit
Intensive Care Unit
6% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT EMERGENCY DEPARTMENT CHARGES
OUTPATIENT EMERGENCY DEPARTMENT CHARGES
Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.
Description
Variance
Emergency department visit, self limited or minor problem [CPT 99281]
Emergency department visit, self limited or minor problem [CPT 99281]
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor.
54% lower than market
Emergency department visit, low to moderately severe problem [CPT 99282]
Emergency department visit, low to moderately severe problem [CPT 99282]
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity.
54% lower than market
Emergency department visit, moderately severe problem [CPT 99283]
Emergency department visit, moderately severe problem [CPT 99283]
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.
50% lower than market
Emergency department visit, problem of high severity [CPT 99284]
Emergency department visit, problem of high severity [CPT 99284]
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician or other qualified health care professionals but do not pose an immediate significant threat to life or physiologic function.
47% lower than market
Emergency department visit, problem with significant threat to life or function [CPT 99285]
Emergency department visit, problem with significant threat to life or function [CPT 99285]
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.
47% lower than market
Critical care delivery critically ill or injured patient [CPT 99292]
Critical care delivery critically ill or injured patient [CPT 99292]
Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes
68% lower than market
Critical care delivery critically ill or injured patient, first 30-74 minutes [CPT 99291]
Critical care delivery critically ill or injured patient, first 30-74 minutes [CPT 99291]
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
44% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT PHYSICAL THERAPY CHARGES
OUTPATIENT PHYSICAL THERAPY CHARGES
The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.
Description
Variance
Application of electrical stimulation to 1 or more areas, each 15 minutes [CPT 97032]
Application of electrical stimulation to 1 or more areas, each 15 minutes [CPT 97032]
Electrical stimulation involves the use of a transcutaneous electrical nerve stimulation device (TENS), functional electrical stimulation device (FES), or a neuromuscular electrical stimulation device (NMES). The physical therapist or other physical therapy aid places the electrodes of the selected device over the region to be stimulated. The electrical impulse is set to the desired strength and the control unit is turned on. Electrical impulses are transmitted to the skin. The electrical stimulation device causes the muscles to contract. The muscle contraction stimulates both muscle and nerve tissues to relieve pain and promote healing. Electrical stimulation may be provided as a supervised modality that does not require direct (one-on-one) patient contact or it may be provided under constant attendance with direct (one-on-one) patient contact.
4% higher than market
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes [CPT 97110]
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes [CPT 97110]
Therapeutic exercise is the application of careful, graduated force to the body to increase strength, endurance, range of motion, and flexibility. Increased muscle strength is achieved by the deliberate overloading of a targeted muscle or muscle group and improved endurance is achieved by raising the intensity of the strengthening exercise to the targeted area(s) over a prolonged period of time. To maintain range of motion (ROM) and flexibility requires the careful movement and stretching of contractile and non-contractile tissue that may tighten with injury or neurological disease, causing weakness and/or spasticity. Therapeutic exercise can increase blood flow to the targeted area, reduce pain and inflammation, reduce the risk of blood clots from venous stasis, decrease muscle atrophy and improve coordination and motor control. Therapeutic exercise may be prescribed following acute illness or injury and for chronic conditions that affect physical activity or function.
9% higher than market
Evaluation of physical therapy, typically 45 minutes [CPT 97163]
Evaluation of physical therapy, typically 45 minutes [CPT 97163]
A physical therapy evaluation or re-evaluation is performed. The physical therapist takes a history of the current complaint including onset of symptoms, comorbidities, changes since the onset, treatment received for the symptoms or condition, medications prescribed for it, and any other medications the patient is taking. A physical examination of body systems is done to assess physical structure and function, any activities or movements that exacerbate the symptoms, limit activity, or restrict participation in movement, as well as anything that helps to relieve the symptoms. The evaluation may involve provocative maneuvers or positions that increase symptoms; tests for joint flexibility and muscle strength; assessments of general mobility, posture, and core strength; evaluation of muscle tone; and tests for restrictions of movement caused by myofascial disorders. Following the history and physical, the therapist determines the patient's clinical presentation characteristics, provides a detailed explanation of the condition, identifies physical therapy treatment options, and explains how often and how long physical therapy modalities should be applied. The physical therapist will then develop a plan of care with clinical decision making based on patient assessment and/or measurable functional outcome. The plan of care may include both physical therapy in the clinic and exercises or changes in the home environment. Upon re-evaluation, the established care plan is reviewed and an interim history is taken requiring the use of standardized tests and measures. The patient's response to treatment is evaluated and the plan of care is revised based on the patient's measurable response.
7% higher than market
Re-evaluation of physical therapy, typically 20 minutes [CPT 97164]
Re-evaluation of physical therapy, typically 20 minutes [CPT 97164]
A physical therapy evaluation or re-evaluation is performed. The physical therapist takes a history of the current complaint including onset of symptoms, comorbidities, changes since the onset, treatment received for the symptoms or condition, medications prescribed for it, and any other medications the patient is taking. A physical examination of body systems is done to assess physical structure and function, any activities or movements that exacerbate the symptoms, limit activity, or restrict participation in movement, as well as anything that helps to relieve the symptoms. The evaluation may involve provocative maneuvers or positions that increase symptoms; tests for joint flexibility and muscle strength; assessments of general mobility, posture, and core strength; evaluation of muscle tone; and tests for restrictions of movement caused by myofascial disorders. Following the history and physical, the therapist determines the patient's clinical presentation characteristics, provides a detailed explanation of the condition, identifies physical therapy treatment options, and explains how often and how long physical therapy modalities should be applied. The physical therapist will then develop a plan of care with clinical decision making based on patient assessment and/or measurable functional outcome. The plan of care may include both physical therapy in the clinic and exercises or changes in the home environment. Upon re-evaluation, the established care plan is reviewed and an interim history is taken requiring the use of standardized tests and measures. The patient's response to treatment is evaluated and the plan of care is revised based on the patient's measurable response.
9% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT CLINIC CHARGES
OUTPATIENT CLINIC CHARGES
Description
Variance
Hospital outpt clinic visit [HCPCS G0463]
Hospital outpt clinic visit [HCPCS G0463]
Hospital outpatient clinic visit for assessment and management of a patient
14% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT OCCUPATIONAL THERAPY CHARGES
OUTPATIENT OCCUPATIONAL THERAPY CHARGES
The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.
Description
Variance
Application of hot wax bath to 1 or more areas [CPT 97018]
Application of hot wax bath to 1 or more areas [CPT 97018]
A paraffin bath may be used on small, irregular surfaces such as the wrists, hands, and feet to treat acute or chronic pain and stiffness. Paraffin is a mineral wax derived from petroleum with a low melting point, which allows extended contact with the skin without the risk of thermal injury. Paraffin is melted in a small tub and the extremity is immersed in the liquid. The moist heat from the wax increases blood flow to the area and relaxes muscle tissue. Paraffin bath treatments may be used prior to exercise to reduce joint stiffness and increase range of motion. This treatment modality is helpful for patients with osteoarthritis, rheumatoid conditions, fibromyalgia, and scleroderma. Paraffin baths may also be prescribed for bursitis, tendonitis, and muscle sprains or strains.
33% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT PULMONARY THERAPY CHARGES
OUTPATIENT PULMONARY THERAPY CHARGES
The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.
Description
Variance
Initiation and management of continued pressured respiratory assistance by mask or breathing tube [CPT 94660]
Initiation and management of continued pressured respiratory assistance by mask or breathing tube [CPT 94660]
Continuous positive airway pressure (CPAP) ventilation is used primarily to treat sleep apnea. It may also be prescribed to treat preterm infants whose lungs have not fully developed. CPAP uses a mask or other breathing device that fits over the nose and mouth which is connected via a tube to a CPAP device. The CPAP machine delivers an air mixture at a continuous low level of pressure. The continuous positive airway pressure keeps the airways open and prevents mechanical obstruction of the flow of air caused by relaxation and collapse of airway structures during sleep. This code is used for initial set-up and management. A durable medical device provider delivers the CPAP device and other required equipment to the home or a residential facility. The device is set up and programmed to the settings indicated by the written prescription obtained from the physician or other qualified health care professional. The patient or caregiver is instructed on correct use of the CPAP and then is asked to demonstrate understanding by placing the mask over the mouth and nose and turning on the machine.
20% lower than market
Pulmonary rehab w exer [HCPCS G0424]
Pulmonary rehab w exer [HCPCS G0424]
52% lower than market
Routine electrocardiogram (EKG) with tracing using at least 12 leads [CPT 93005]
Routine electrocardiogram (EKG) with tracing using at least 12 leads [CPT 93005]
An ECG is used to evaluate the electrical activity of the heart. The test is performed with the patient lying prone on the exam table. Small plastic patches are attached at specific locations on the chest, abdomen, arms, and/or legs. Leads (wires) from the ECG tracing device are then attached to the patches. A tracing is obtained of the electrical signals from the heart. Electrical activity begins in the sinoatrial node which generates an electrical stimulus at regular intervals, usually 60 to 100 times per minute. This stimulus travels through the conduction pathways to the sinoatrial node causing the atria to contract. The stimulus then travels along the bundle of His which divides into right and left pathways providing electrical stimulation of the ventricles causing them to contract. Each contraction of the ventricles represents one heart beat. The ECG tracing includes the following elements: P wave, QRS complex, ST segment, and T wave. The P wave, a small upward notch in the tracing, indicates electrical stimulation of the atria. This is followed by the QRS complex which indicates the ventricles are electrically stimulated to contract. The short flat ST segment follows and indicates the time between the end of the ventricular contraction and the T wave. The T wave represents the recovery period of the ventricles. The physician reviews, interprets, and provides a written report of the ECG recording taking care to note any abnormalities.
32% lower than market
Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration [CPT 94060]
Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration [CPT 94060]
Spirometry with bronchodilation responsiveness is a pulmonary function test that is used to help diagnose the cause of shortness of breath and to monitor existing pulmonary disease, such as chronic bronchitis, emphysema, pulmonary fibrosis, chronic obstructive pulmonary disease (COPD), and asthma. The test is first performed without administration of a bronchodilator. A spirometry device consisting of a mouthpiece and tubing connected to a machine that records and displays results is used to perform the test. The patient inhales deeply and then exhales through the mouthpiece. Inhalation and exhalation measurements are first taken with the patient breathing normally. The patient is then instructed to perform rapid, forceful inhalation and exhalation. The spirometer records the volume of air inhaled, exhaled, and the length of time each breath takes. A bronchodilator medication is administered and the test is repeated. The test results are displayed on a graph that the physician reviews and interprets in a written report.
8% higher than market
Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring [CPT 93017]
Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring [CPT 93017]
An ECG is used to evaluate the electrical activity of the heart using treadmill, bicycle exercise, and/or pharmacologically induced stress. Small plastic patches are attached at specific locations on the chest, abdomen, arms, and/or legs. Leads (wires) from the stress ECG device are then attached to the patches. A baseline ECG is obtained. The exercise portion of the study is then initiated. Heart rate and blood pressure are monitored. Staged stress protocol is used and the patient's response to stress is monitored as the stress ECG is recorded. Unless contraindicated, exercise or pharmacological stress continues until the patient is unable to continue or until the target heart rate is achieved. Upon completion of the study, the stress ECG is reviewed and a written interpretation of findings is provided.
42% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT LABORATORY AND PATHOLOGY CHARGES
OUTPATIENT LABORATORY AND PATHOLOGY CHARGES
The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.
Description
Variance
Albumin (protein) level [CPT 82040]
Albumin (protein) level [CPT 82040]
A blood test is performed to measure albumin levels in serum, plasma, or whole blood. Albumin is a plasma protein responsible for regulating the colloidal osmotic pressure of blood. It is capable of binding water, electrolytes (sodium, potassium, calcium), fatty acids, hormones, bilirubin, and drugs/medications. Albumin levels are used to assess nutritional status. A blood sample is obtained by separately reportable venipuncture. The plasma, serum or whole blood is tested using spectrophotometry or quantitative nephelometry.
68% lower than market
Bacterial blood culture [CPT 87040]
Bacterial blood culture [CPT 87040]
A blood sample is drawn and placed in a medium conducive to the growth of bacteria. Any bacteria present in the blood sample will then reveal themselves.
38% lower than market
Bacterial urine culture [CPT 87088]
Bacterial urine culture [CPT 87088]
48% lower than market
Bacterial colony count, urine [CPT 87086]
Bacterial colony count, urine [CPT 87086]
"A laboratory test is performed to determine the presence or absence of bacterial colonies in urine and provide a colony count. Bacteria in urine may indicate an acute or chronic urinary tract infection (UTI) including pyelonephritis, cystitis, urethritis, or acute urethral syndrome. A urine sample is obtained by clean catch, mid-stream void or catheterization. Using a calibrated loop, the urine specimen is inoculated onto agar plates and incubated. Quantitative colony counts are determined and potential pathogens are identified. A colony count 10,000 cfu/mL is reported as ""organism present"" and may indicate an infection. Comingled flora of the urethra and mixed organisms in the colony counts are reported as ""mixed flora"" and most often represent contamination."
51% lower than market
Blood group typing (ABO) [CPT 86900]
Blood group typing (ABO) [CPT 86900]
A blood specimen is tested to determine blood type (ABO) or Rh(D). Blood is grouped using an ABO blood typing system which identifies four blood types: type A, B, AB, or O. The blood sample is mixed with antibodies against Type A and B blood and then checked to determine if the blood cells agglutinate, or stick together. Type A blood has anti-B antibodies; type B blood has anti-A antibodies; type O blood has antibodies to both A and B; and type AB blood does not have anti-A or anti-B antibodies. Type A blood agglutinates when type B antibodies are introduced. Type B blood agglutinates when type A antibodies are introduced. Type O blood agglutinates when type A or B antibodies are introduced. Type AB blood does not agglutinate when type A or B antibodies are introduced. The blood is then back typed. Blood serum is mixed with blood that is known to be type A or B.
62% lower than market
Blood typing for Rh (D) antigen [CPT 86901]
Blood typing for Rh (D) antigen [CPT 86901]
A blood specimen is tested to determine blood type (ABO) or Rh(D). In Rh(D), blood is tested for Rh factor, which is an antigen on red blood cells. Blood is Rh+ if the antigen is present or Rh- if the antigen is absent. Blood is tested by mixing the blood sample with antibodies against Rh factor and then checking for agglutination. If agglutination occurs, the blood is Rh+. If the blood does not agglutinate, it is Rh-.
76% lower than market
Blood creatinine level [CPT 82565]
Blood creatinine level [CPT 82565]
A blood sample is taken to measure creatinine levels. Creatinine is a waste product produced by the muscles in the breakdown of creatine, which is a compound used by the muscles to create energy for contraction. The waste product, creatinine, is excreted by the kidneys and blood levels provide a good measurement of renal function. Creatinine may be checked to screen for or monitor treatment of renal disease. Creatinine levels may also be monitored in patients with acute or chronic illnesses that may impair renal function and in patients on medications that affect renal function. Creatinine is measured using spectrophotometry.
63% lower than market
Blood test, basic group of blood chemicals (Calcium, total) [CPT 80048]
Blood test, basic group of blood chemicals (Calcium, total) [CPT 80048]
A basic metabolic blood panel is obtained that includes ionized calcium levels along with carbon dioxide (bicarbonate) (CO2), chloride, creatinine, glucose, potassium, sodium, and urea nitrogen (BUN). A basic metabolic panel with measurement of ionized calcium may be used to screen for or monitor overall metabolic function or identify imbalances. Ionized or free calcium flows freely in the blood, is not attached to any proteins, and represents the amount of calcium available to support metabolic processes such as heart function, muscle contraction, nerve function, and blood clotting. Total carbon dioxide (bicarbonate) (CO2) level is composed of CO2, bicarbonate (HCO3-), and carbonic acid (H2CO3) with the primary constituent being bicarbonate, a negatively charged electrolyte that works in conjunction with other electrolytes, such as potassium, sodium, and chloride, to maintain proper acid-base balance and electrical neutrality at the cellular level. Chloride is also a negatively charged electrolyte that helps regulate body fluid and maintain proper acid-base balance. Creatinine is a waste product excreted by the kidneys that is produced in the muscles while breaking down creatine, a compound used by the muscles to create energy. Blood levels of creatinine provide a good measurement of renal function. Glucose is a simple sugar and the main source of energy for the body, regulated by insulin. When more glucose is available than is required, it is stored in the liver as glycogen or stored in adipose tissue as fat. Glucose measurement determines whether the glucose/insulin metabolic process is functioning properly. Both potassium and sodium are positively charged electrolytes that work in conjunction with other electrolytes to regulate body fluid, stimulate muscle contraction, and maintain proper acid-base balance and both are essential for maintaining normal metabolic processes. Urea is a waste product produced in the liver by the breakdown of protein from a sequence of chemical reactions referred to as the urea or Krebs-Henseleit cycle. Urea is taken up by the kidneys and excreted in the urine. Blood urea nitrogen, BUN, is a measure of renal function, and helps monitor renal disease and the effectiveness of dialysis.
71% lower than market
Blood test, clotting time [CPT 85610]
Blood test, clotting time [CPT 85610]
Prothrombin time (PT) measures how long it takes for blood to clot. Prothrombin, also called factor II, is one of the clotting factors made by the liver and adequate levels of vitamin K are needed for the liver to produce sufficient prothrombin. Prothrombin time is used to help identify the cause of abnormal bleeding or bruising; to check whether blood thinning medication, such as warfarin (Coumadin), is working; to check for low levels of blood clotting factors I, II, V, VII, and X; to check for low levels of vitamin K; to check liver function, to see how quickly the body is using up its clotting factors. The test is performed using electromagnetic mechanical clot detection. If prothrombin time is elevated and the patient is not on a blood thinning medication, a second prothrombin time using substitution plasma fractions, also referred to as a prothrombin time mixing study, may be performed. This is performed by mixing patient plasma with normal plasma using a 1:1 mix. The mixture is incubated and the clotting time is again measured. If the result does not correct, it may be indicative that the patient has an inhibitor, such as lupus anticoagulant. If the result does correct, the patient may have a coagulation factor deficiency.
44% lower than market
Blood test, comprehensive group of blood chemicals [CPT 80053]
Blood test, comprehensive group of blood chemicals [CPT 80053]
A comprehensive metabolic panel is obtained that includes albumin, bilirubin, total calcium, carbon dioxide, chloride, creatinine, glucose, alkaline phosphatase, potassium, total protein, sodium, alanine amino transferase (ALT) (SGPT), aspartate amino transferase (AST) (SGOT), and urea nitrogen (BUN). This test is used to evaluate electrolytes and fluid balance as well as liver and kidney function. It is also used to help rule out conditions such as diabetes. Tests related to electrolytes and fluid balance include: carbon dioxide, chloride, potassium, and sodium. Tests specific to liver function include: albumin, bilirubin, alkaline phosphatase, ALT, AST, and total protein. Tests specific to kidney function include: BUN and creatinine. Calcium is needed to support metabolic processes such as heart function, muscle contraction, nerve function, and blood clotting. Glucose is the main source of energy for the body and is regulated by insulin. Glucose measurement determines whether the glucose/insulin metabolic process is functioning properly.
65% lower than market
Blood test, lipids (cholesterol and triglycerides) [CPT 80061]
Blood test, lipids (cholesterol and triglycerides) [CPT 80061]
"A lipid panel is obtained to assess the risk for cardiovascular disease and to monitor appropriate treatment. Lipids are comprised of cholesterol, protein, and triglycerides. They are stored in cells and circulate in the blood. Lipids are important for cell health and as an energy source. A lipid panel should include a measurement of triglycerides and total serum cholesterol and then calculate to find the measurement of high density lipoprotein (HDL-C), low density lipoprotein (LDL-C) and very low density lipoprotein (VLDL-C). HDL contains the highest ratio of cholesterol and is often referred to as ""good cholesterol"" because it is capable of transporting excess cholesterol in the blood to the liver for removal. LDL contains the highest ratio of protein and is considered ""bad cholesterol"" because it transports and deposits cholesterol in the walls of blood vessels. VLDL contains the highest ratio of triglycerides and high levels are also considered ""bad"" because it converts to LDL after depositing triglyceride molecules in the walls of blood vessels. A blood sample is obtained by separately reportable venipuncture or finger stick. Serum/plasma is tested using quantitative enzymatic method."
18% higher than market
Blood test, thyroid stimulating hormone (TSH) [CPT 84443]
Blood test, thyroid stimulating hormone (TSH) [CPT 84443]
A blood test is performed to determine levels of thyroid stimulating hormone (TSH). TSH is produced in the pituitary and helps to regulate two other thyroid hormones, triiodothyronine (T3) and thyroxin (T4), which in turn help regulate the body's metabolic processes. TSH levels are tested to determine whether the thyroid is functioning properly. Patients with symptoms of weight gain, tiredness, dry skin, constipation, or menstrual irregularities may have an underactive thyroid (hypothyroidism). Patients with symptoms of weight loss, rapid heart rate, nervousness, diarrhea, feeling of being too hot, or menstrual irregularities may have an overactive thyroid (hypothyroidism). TSH levels are also periodically tested in individuals on thyroid medications. The test is performed by electrochemiluminescent immunoassay.
59% lower than market
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count [CPT 85025]
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count [CPT 85025]
An automated complete blood count (CBC) is performed with or without automated differential white blood cell (WBC) count. A CBC is used as a screening test to evaluate overall health and symptoms such as fatigue, bruising, bleeding, and inflammation, or to help diagnose infection. A CBC includes measurement of hemoglobin (Hgb) and hematocrit (Hct), red blood cell (RBC) count, white blood cell (WBC) count with or without differential, and platelet count. Hgb measures the amount of oxygen-carrying protein in the blood. Hct refers to the volume of red blood cells (erythrocytes) in a given volume of blood and is usually expressed as a percentage of total blood volume. RBC count is the number of red blood cells (erythrocytes) in a specific volume of blood. WBC count is the number of white blood cells (leukocytes) in a specific volume of blood. There are five types of WBCs: neutrophils, eosinophils, basophils, monocytes, and lymphocytes. If a differential is performed, each of the five types is counted separately. Platelet count is the number of platelets (thrombocytes) in the blood. Platelets are responsible for blood clotting. The CBC is performed with an automated blood cell counting instrument that can also be programmed to provide an automated WBC differential count.
69% lower than market
Complete blood cell count (red cells, white blood cell, platelets), automated test [CPT 85027]
Complete blood cell count (red cells, white blood cell, platelets), automated test [CPT 85027]
An automated complete blood count (CBC) is performed with or without automated differential white blood cell (WBC) count. A CBC is used as a screening test to evaluate overall health and symptoms such as fatigue, bruising, bleeding, and inflammation, or to help diagnose infection. A CBC includes measurement of hemoglobin (Hgb) and hematocrit (Hct), red blood cell (RBC) count, white blood cell (WBC) count with or without differential, and platelet count. Hgb measures the amount of oxygen-carrying protein in the blood. Hct refers to the volume of red blood cells (erythrocytes) in a given volume of blood and is usually expressed as a percentage of total blood volume. RBC count is the number of red blood cells (erythrocytes) in a specific volume of blood. WBC count is the number of white blood cells (leukocytes) in a specific volume of blood. There are five types of WBCs: neutrophils, eosinophils, basophils, monocytes, and lymphocytes. If a differential is performed, each of the five types is counted separately. Platelet count is the number of platelets (thrombocytes) in the blood. Platelets are responsible for blood clotting. The CBC is performed with an automated blood cell counting instrument that can also be programmed to provide an automated WBC differential count.
22% lower than market
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen [CPT 87635]
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen [CPT 87635]
65% higher than market
Creatine kinase (cardiac enzyme) level, total [CPT 82550]
Creatine kinase (cardiac enzyme) level, total [CPT 82550]
Creatine kinase (CK) also known as, creatine phosphokinase (CPK), is an enzyme found in the heart, brain, skeletal muscle and certain other tissue. The subtypes are known as CK-MM found primarily in skeletal and heart muscle, CK-MB found in heart muscle and CK-BB located in the brain. CK circulating in blood rarely contains CK-BB but is largely comprised of CK-MM or CK-MB. Levels may be elevated following heart muscle damage (heart attack/myocardial infarction) and skeletal muscle injury (trauma, vigorous exercise). Statin drugs that lower cholesterol level and alcohol intake may cause elevated CK blood levels. A blood test is performed to measure total creatine kinase (CK) levels. A blood specimen is obtained by separately reportable venipuncture. Serum or plasma is tested using quantitative enzymatic methodology.
57% lower than market
Creatine kinase (cardiac enzyme) level, MB fraction only [CPT 82553]
Creatine kinase (cardiac enzyme) level, MB fraction only [CPT 82553]
Creatine kinase (CK) also known as, creatine phosphokinase (CPK), is an enzyme found in the heart, brain, skeletal muscle and certain other tissue. The subtypes are known as CK-MM found primarily in skeletal and heart muscle, CK-MB found in heart muscle and CK-BB located in the brain. CK circulating in blood rarely contains CK-BB but is largely comprised of CK-MM or CK-MB. Levels may be elevated following heart muscle damage (heart attack/myocardial infarction) and skeletal muscle injury (trauma, vigorous exercise). Statin drugs that lower cholesterol level and alcohol intake may cause elevated CK blood levels. Only creatine kinase (CK) MB fraction is measured. Testing for this isoenzyme can help identify heart muscle damage following a heart attack (myocardial infarction). A blood test is obtained by separately reportable venipuncture. Serum is tested using chemiluminescent immunoassay.
41% lower than market
Creatinine level to test for kidney function or muscle injury [CPT 82570]
Creatinine level to test for kidney function or muscle injury [CPT 82570]
A sample other than blood is taken to measure creatinine levels. Creatinine is a waste product produced by the muscles in the breakdown of creatine, which is a compound used by the muscles to create energy for contraction. The waste product, creatinine, is excreted by the kidneys and blood levels provide a good measurement of renal function. Creatinine may be checked to screen for or monitor treatment of renal disease. Creatinine levels may also be monitored in patients with acute or chronic illnesses that may impair renal function and in patients on medications that affect renal function. Creatinine clearance, also known as urea or urea nitrogen clearance tests both blood and urine samples for a calculation of creatinine content adjusted for urine volume and physical size as a general indicator of glomerular filtration function.
27% lower than market
Cyanocobalamin (vitamin B-12) level [CPT 82607]
Cyanocobalamin (vitamin B-12) level [CPT 82607]
Cyanocobalamin is a vitamer of the B-12 vitamin family and plays an important role in metabolism, red blood cell production and nervous system function. Blood levels of cyanocobalamin are measured. Blood levels may be reduced with pernicious and other forms of anemia, and in individuals who follow a strict vegan diet, have chronic infections (such as HIV) and during pregnancy. A blood sample is obtained by separately reportable venipuncture. Serum is tested using quantitative chemiluminescent immunoassay.
37% lower than market
Detection test by nucleic acid for multiple types influenza virus [CPT 87502]
Detection test by nucleic acid for multiple types influenza virus [CPT 87502]
27% lower than market
Evaluation of fine needle aspirate with interpretation and report [CPT 88173]
Evaluation of fine needle aspirate with interpretation and report [CPT 88173]
20% lower than market
Ferritin (blood protein) level [CPT 82728]
Ferritin (blood protein) level [CPT 82728]
A blood test is performed to measure ferritin levels. Ferritin is an intracellular protein that stores iron and releases it into circulation in a controlled manner to protect the body against iron overload and iron deficiency. Ferritin levels may be obtained to evaluate for elevated levels caused by excess storage diseases such as hemochromatosis and following multiple transfusions. Levels may also be obtained to evaluate for decreased levels due to iron deficiency. A blood sample is obtained by separately reportable venipuncture. Serum is tested using quantitative chemiluminescent immunoassay.
43% lower than market
Folic acid level, serum [CPT 82746]
Folic acid level, serum [CPT 82746]
A blood test is performed to measure folic acid (folate) levels in serum or red blood cells (RBC). Folic acid (folate) may also be referred to as Vitamin B9 and is essential for the growth, division and repair of cells, especially fetal growth during pregnancy and in early infancy. It is also necessary for the production of healthy red blood cells and to prevent anemia at all ages. The test may be used to diagnose anemia or certain neuropathies and to monitor the effectiveness of treatment for these conditions. A blood sample is obtained by separately reportable venipuncture.
41% lower than market
Hemoglobin A1C level [CPT 83036]
Hemoglobin A1C level [CPT 83036]
A blood test is performed to measure glycosylated hemoglobin (HbA1C) levels. Plasma glucose binds to hemoglobin and the HbA1C test measures the average plasma glucose concentration over the life of red blood cells (approximately 90-120 days). HbA1C levels may be used as a diagnostic reference for patients with suspected diabetes mellitus (DM) and to monitor blood glucose control in patients with known DM. HbA1C levels should be monitored at least every 6 months in patients with DM and more frequently when the level is >7.0%. A blood sample is obtained by separately reportable venipuncture. Whole blood is tested using quantitative high performance liquid chromatography/boronate affinity.
44% lower than market
Irradiation of blood product, each unit [CPT 86945]
Irradiation of blood product, each unit [CPT 86945]
26% lower than market
Iron binding capacity [CPT 83550]
Iron binding capacity [CPT 83550]
A blood test is performed to measure the iron binding capacity of transferrin. Transferrin, a protein found in circulating blood is responsible for carrying iron molecules. This test measures the ability of transferrin to carry iron. A blood sample is obtained by separately reportable venipuncture. Serum or plasma is tested using quantitative spectrophotometry/calculation.
34% lower than market
Iron level [CPT 83540]
Iron level [CPT 83540]
A blood, urine or liver test is performed to measure iron levels. Iron (Fe) is an essential element that circulates in the blood attached to the protein transferrin. Iron is necessary component of hemoglobin, found in red blood cells (RBCs) and myoglobin found in muscle cells. Low iron levels may cause a decrease in red blood cells and iron deficiency anemia. High iron levels may be caused by excessive intake of iron supplements or a hereditary genetic condition such as hemochromatosis from a mutation of the RGMc gene or HAMP gene. A blood sample is obtained by separately reportable venipuncture. Serum or plasma is tested using quantitative spectrophotometry. A random voided or 24 hour urine specimen is obtained and tested using quantitative inductively coupled plasma/emission spectrometry. Patient should wait 2-4 days after receiving iodine or gadolinium contrast media to collect a urine specimen. A liver sample is obtained by a separately reportable procedure. Liver tissue is tested using quantitative inductively coupled plasma-mass spectrometry.
63% lower than market
Kidney function blood test panel [CPT 80069]
Kidney function blood test panel [CPT 80069]
A renal panel is obtained for routine health screening and to monitor conditions such as diabetes, renal disease, liver disease, nutritional disorders, thyroid and parathyroid function, and interventional drug therapies. Tests in a renal panel include glucose or blood sugar; electrolytes and minerals as sodium, potassium, chloride, total calcium, and phosphorus; the waste products blood urea nitrogen (BUN) and creatinine; a protein called albumin; and bicarbonate (carbon dioxide, CO2) responsible for acid base balance. Glucose is the main source of energy for the body and is regulated by insulin. High levels may indicate diabetes or impaired kidney function. Sodium is found primarily outside cells and maintains water balance in the tissues, as well as nerve and muscle function. Potassium is primarily found inside cells and affects heart rhythm, cell metabolism, and muscle function. Chloride moves freely in and out of cells to regulate fluid levels and help maintain electrical neutrality. Calcium is needed to support metabolic processes, heart and nerve function, muscle contraction, and blood clotting. Phosphorus is essential for energy production, nerve and muscle function, and bone growth. Blood urea nitrogen (BUN) and creatinine are waste products from tissue breakdown that circulate in the blood and are filtered out by the kidneys. Albumin, a protein made by the liver, helps to nourish tissue and transport hormones, vitamins, drugs, and calcium throughout the body. Bicarbonate (HCO3) may also be referred to as carbon dioxide (CO2) maintains body pH or the acid/base balance. A specimen is obtained by separately reportable venipuncture. Serum/plasma is tested using quantitative chemiluminescent immunoassay or quantitative enzyme-linked immunosorbent assay.
48% lower than market
Lactic acid level [CPT 83605]
Lactic acid level [CPT 83605]
A blood or body fluid test is performed to measure lactate (lactic acid) levels. Lactic acid is produced primarily by muscle tissue and red blood cells in the body. Elevated levels may be caused by strenuous exercise, heart failure, severe infection (sepsis), shock states (cardiogenic, hypovolemic) and liver disease. A blood sample is obtained by separately reportable venipuncture. Cerebral spinal fluid (CSF) is obtained by lumbar puncture (spinal tap). Other body fluids may also be collected and tested. Plasma, CSF, and other body fluids are tested using enzymatic methodology.
27% lower than market
Lipase (fat enzyme) level [CPT 83690]
Lipase (fat enzyme) level [CPT 83690]
A test is performed on blood and body fluids to measure lipase levels. Lipase is an enzyme released by the pancreas into the small intestine and is essential for the digestion of dietary fats. Elevated levels may result from small bowel obstruction, celiac disease, cholecystitis, duodenal ulcer, severe gastroenteritis, macrolipasemia, pancreatitis, and pancreatic tumors. The test may be ordered when there is a family history of lipoprotein lipase deficiency. A blood sample is obtained by separately reportable venipuncture. Other body fluids collected by other methods. Blood and other body fluids are tested using quantitative enzymatic methodology.
68% lower than market
Liver function blood test panel [CPT 80076]
Liver function blood test panel [CPT 80076]
A hepatic function panel is obtained to diagnose acute and chronic liver disease, inflammation, or scarring and to monitor hepatic function while taking certain medications. Tests in a hepatic function panel should include albumin (ALB), total and direct bilirubin, alkaline phosphatase (ALP), total protein (TP), alanine aminotransferase (ALT, SGPT), and aspartate aminotransferase (AST, SGOT). Albumin (ALB) is a protein made by the liver that helps to nourish tissue and transport hormones, vitamins, drugs, and calcium throughout the body. Bilirubin, a waste product from the breakdown of red blood cells, is removed by the liver in a conjugated state. Bilirubin is measured as total (all the bilirubin circulating in the blood) and direct (the conjugated amount only) to determine how well the liver is performing. Alkaline phosphatase (ALP) is an enzyme produced by the liver and other organs of the body. In the liver, cells along the bile duct produce ALP. Blockage of these ducts can cause elevated levels of ALP, whereas cirrhosis, cancer, and toxic drugs will decrease ALP levels. Circulating blood proteins include albumin (60% of total) and globulins (40% of total). By measuring total protein (TP) and albumin (ALB), the albumin/globulin (A/G) ratio can be determined and monitored. TP may decrease with malnutrition, congestive heart failure, hepatic disease, and renal disease and increase with inflammation and dehydration. Alanine aminotransferase (ALT, SGPT) is an enzyme produced primarily in the liver and kidneys. In healthy individuals ALT is normally low. ALT is released when the liver is damaged, especially with exposure to toxic substances such as drugs and alcohol. Aspartate aminotransferase (AST, SGOT) is an enzyme produced by the liver, heart, kidneys, and muscles. In healthy individuals AST is normally low. An AST/ALT ratio is often performed to determine if elevated levels are due to liver injury or damage to the heart or skeletal muscles. A specimen is obtained by separately reportable venipuncture. Serum/plasma is tested using quantitative enzymatic method or quantitative spectrophotometry.
38% lower than market
Magnesium level [CPT 83735]
Magnesium level [CPT 83735]
A blood, urine, or fecal test is performed to measure magnesium levels. Magnesium is an essential dietary mineral responsible for enzyme function, energy production, and contraction and relaxation of muscle fibers. Decreased levels may result from severe burns, metabolic disorders, certain medications, and low blood calcium levels. A blood sample is obtained by separately reportable venipuncture. Red blood cells (RBCs) are tested using quantitative inductively coupled plasma-mass spectrometry. Serum/plasma is tested using quantitative spectrophotometry. A 24-hour voided urine specimen is tested using quantitative spectrophotometry. A random or 24-hour fecal sample is tested using quantitative spectrophotometry.
36% lower than market
Measurement C-reactive protein for detection of infection or inflammation [CPT 86140]
Measurement C-reactive protein for detection of infection or inflammation [CPT 86140]
A blood test is performed to measure C-reactive protein (CRP) levels. This standard test has a wide value range. CRP is an acute phase protein, synthesized by the liver and released in response to inflammation and infection. The test is not diagnostic for any specific disease or condition but can be used as a marker to monitor the body's response to treatment(s) or to evaluate the need for further testing. Elevation of CRP levels may be found during pregnancy, with the use of oral contraceptives, or hormone replacement therapy. Diseases/conditions that cause an elevation of CRP include: lymphoma, arteritis/vasculitis, osteomyelitis, inflammatory bowel disease, rheumatoid arthritis, pelvic inflammatory disease (PID), systemic lupus erythematosus (SLE), acute infections, burns, surgical procedures, and organ transplants. A blood sample is obtained by separately reportable venipuncture. Serum in neonates is tested using immunoassay. Serum/plasma in all other patients is tested using quantitative immunoturbidimetric method.
65% lower than market
Measurement of complement (immune system proteins), antigen, [CPT 86160]
Measurement of complement (immune system proteins), antigen, [CPT 86160]
A blood test is performed to measure complement antigen levels. Complement factors help to clear immune complexes from the blood. Proteins are activated in response to the immune complex and generate peptides that bind the complexes and complement receptors. The cell membrane breaks apart and an attack complex is formed. A blood sample is obtained by separately reportable venipuncture. Complements are tested in serum or plasma samples, using specified methods, particularly quantitative radial immunodiffusion. Report for each complement component tested: 2-9 (2 being the most common inherited complement deficiency), 3A (the most abundant of all complement components), 4A, and 1Q; complement factor B and Bb; and C1-esterase inhibitor.
5% lower than market
Measurement of antibody for assessment of autoimmune disorder, titer [CPT 86039]
Measurement of antibody for assessment of autoimmune disorder, titer [CPT 86039]
14% lower than market
PSA (prostate specific antigen) measurement, total [CPT 84153]
PSA (prostate specific antigen) measurement, total [CPT 84153]
Prostate specific antigen (PSA) is measured. PSA is a protein produced by normal prostate cells found in serum and exists in both free form and complexed with other proteins. Total PSA is measured ad the total amount of both free and complexed forms. Total PSA levels are higher in men with benign prostatic hyperplasia (BPH), acute bacterial prostatitis, or prostate cancer. Total PSA is used to screen for prostate cancer and evaluate the response to treatment in those with prostate cancer, but cannot be used by itself to definitively diagnose prostate cancer.
30% lower than market
PSA (prostate specific antigen) measurement, free [CPT 84154]
PSA (prostate specific antigen) measurement, free [CPT 84154]
Prostate specific antigen (PSA) is measured. PSA is a protein produced by normal prostate cells found in serum and exists in both free form and complexed with other proteins. In 84154, free PSA is measured, often in conjunction with total PSA, to provide an indirect measurement of complexed PSA.
18% lower than market
Parathormone (parathyroid hormone) level [CPT 83970]
Parathormone (parathyroid hormone) level [CPT 83970]
A blood or tissue test is performed to measure parathormone (parathyroid hormone, parathyrin) levels. Parathyroid hormone (PTH) is produced by chief cells in the parathyroid gland. The hormone helps to regulate blood calcium levels, absorption/excretion of phosphate by the kidneys and in Vitamin D synthesis in the body. Elevated levels (hyperparathyroidism) may be caused by parathyroid gland tumors or chronic renal failure. Decreased levels (hypoparathyroidism) may result from inadvertent removal (during thyroid gland surgery), autoimmune disorders or genetic inborn errors of metabolism. A blood sample is obtained by separately reportable venipuncture. Parathyroid gland tissue is obtained by separately reportable fine needle aspirate. Serum/plasma or tissue sample are tested using quantitative electrochemiluminescent immunoassay. Plasma is tested for parathyroid hormone, CAP (Cyclase Activating Parathyroid Hormone) using immunoradiometric assay.
16% lower than market
Coagulation assessment blood test, plasma or whole blood [CPT 85730]
Coagulation assessment blood test, plasma or whole blood [CPT 85730]
This test may also be referred to as an activated PTT or aPTT. PTT may be performed to diagnose the cause of bleeding or as a screening test prior to surgery to rule-out coagulation defects. A silica and synthetic phospholipid PTT reagent is mixed with the patient plasma. The silica provides a negatively-charged particulate surface that activates the contact pathway for coagulation. Clot formation is initiated by adding calcium chloride to the mixture. Clotting time is measured photo-optically.
56% lower than market
Pathology examination of tissue using a microscope, intermediate complexity [CPT 88305]
Pathology examination of tissue using a microscope, intermediate complexity [CPT 88305]
Tissue removed during a surgical procedure, such as a biopsy, excision, or resection, is examined macroscopically (gross or visual examination) and then under a microscope. The cells, tissues, or organ are transported from the surgical suite to the pathologist. The pathologist first visually examines the specimen and notes any defining characteristics. The specimen is then prepared for microscopic evaluation. The physician carefully analyzes the specimens to help establish a diagnosis, identify the presence or absence of malignant neoplasm, identify the exact type malignancy if present, examine the margins of the specimen to determine whether or not the entire diseased area was removed. A written report of findings is then prepared and a copy sent to the treating physician. Pathology services are reported based on the type of tissue examined, whether or not the tissue is expected to be normal or diseased, the difficulty of the pathology exam, and the time required to complete the exam.
52% lower than market
Pathology examination of tissue using a microscope, moderately low complexity [CPT 88304]
Pathology examination of tissue using a microscope, moderately low complexity [CPT 88304]
Tissue removed during a surgical procedure, such as a biopsy, excision, or resection, is examined macroscopically (gross or visual examination) and then under a microscope. The cells, tissues, or organ are transported from the surgical suite to the pathologist. The pathologist first visually examines the specimen and notes any defining characteristics. The specimen is then prepared for microscopic evaluation. The physician carefully analyzes the specimens to help establish a diagnosis, identify the presence or absence of malignant neoplasm, identify the exact type malignancy if present, examine the margins of the specimen to determine whether or not the entire diseased area was removed. A written report of findings is then prepared and a copy sent to the treating physician. Pathology services are reported based on the type of tissue examined, whether or not the tissue is expected to be normal or diseased, the difficulty of the pathology exam, and the time required to complete the exam.
62% lower than market
Phosphate level [CPT 84100]
Phosphate level [CPT 84100]
A blood or urine test is performed to measure inorganic phosphorus (phosphate) levels. Phosphate is an intracellular anion, found primarily in bone and soft tissue. It plays an important role in cellular energy (nerve and muscle function) and the building/repair of bone and teeth. Decreased levels are most often caused by malnutrition and lead to muscle and neurological dysfunction. Elevated levels may be due to kidney or parathyroid gland problems. A blood sample is obtained by separately reportable venipuncture. Serum/plasma is tested using quantitative spectrophotometry.
71% lower than market
Psa screening [HCPCS G0103]
Psa screening [HCPCS G0103]
Prostate cancer screening; prostate specific antigen test (psa)
12% lower than market
Screening test for autoimmune disorder [CPT 86038]
Screening test for autoimmune disorder [CPT 86038]
A blood sample is obtained to screen for the presence of antinuclear antibodies (ANA) or to measure the concentration of antinuclear antibody in the blood, which is referred to as an ANA titer. Antinuclear antibodies are auto-antibodies that bind to structures within the nucleus of cells. Auto-antibodies are a type of antibody that is directed against the body's own tissues. The presence and concentration of antinuclear antibodies may indicate one of several autoimmune disorders that cause inflammation of body tissues including systemic lupus erythematosus, Sjorgren's syndrome, rheumatoid arthritis, polymyositis, scleroderma, Hashimoto's thyroiditis, juvenile diabetes mellitus, Addison disease, vitiligo, pernicious anemia, glomerulonephritis, and pulmonary fibrosis. When testing for antinuclear antibodies, the specimen is typically screened first using an enzyme-linked immunosorbent assay (ELISA) If the screening test is positive, that is if antinuclear antibodies are detected, a titer is then obtained. An antinuclear antibody titer is performed by diluting the blood sample with increasing amounts of a saline solution and retesting until antinuclear antibodies are no longer detectable. ANA titer is expressed as 1:10, 1:20, 1:40, 1:80, etc, with the 1 indicating 1 part blood and the second number indicating the parts of saline solution. A higher second number indicates a higher concentration of antinuclear antibodies in the blood.
5% lower than market
Screening test for pathogenic organisms [CPT 87081]
Screening test for pathogenic organisms [CPT 87081]
This test is performed when a specific pathogen is suspected. A blood sample is taken and placed in a medium conducive to the growth of the suspected pathogen. Any colonies that grow in the medium are then examined.
25% lower than market
Special Gram or Giemsa stain for microorganism [CPT 87205]
Special Gram or Giemsa stain for microorganism [CPT 87205]
A laboratory test is performed to identify bacteria, fungi, or cell types in pus, normally sterile body fluid(s), or aspirated material using Gram or Giemsa stain technique. Gram staining is a differential technique used to classify bacteria into gram positive (Gram +) or gram negative (Gram -) groups. Gram + bacteria have a thick layer of peptidoglycan in the cell wall which stains purple. Giemsa technique is used in cytogenetics for chromosome staining; in histopathology to detect trichomonas, some spirochetes, protozoans, malaria, and other parasites; and as a stain for peripheral blood and bone marrow to differentiate cells types such as erythrocytes, platelets, lymphocyte cytoplasm, monocyte cytoplasm, and leukocyte nuclear chromatin. A drop of suspended culture or cell material is applied in a thin layer to a slide using an inoculation hook and fixed with heat. The material is stained and the slide is examined under a microscope. The bacteria, fungi, or cells are identified, counted, and a written report of the findings is made.
18% lower than market
Special stained specimen slides to identify organisms including interpretation and report [CPT 88312]
Special stained specimen slides to identify organisms including interpretation and report [CPT 88312]
39% lower than market
Stool analysis for blood, by peroxidase activity [CPT 82272]
Stool analysis for blood, by peroxidase activity [CPT 82272]
A fecal (stool) sample is obtained for colorectal neoplasm screening and tested for the presence of occult (hidden) blood by peroxidase activity. This test is also referred to as a fecal occult blood test (FOBT). Occult blood in a stool specimen is present in amounts too small to see with the naked eye, but becomes visible when chemical tests are performed. Guaiac is one type of chemical (reagent) test that can be performed to identify the presence of blood in the stool. If the test is performed in an office or hospital, the physician may obtain the sample during a rectal exam. If the test is performed at home, the patient is provided with a stool collection kit consisting of three cards or a single triple card. The patient obtains three consecutive stool specimens per the kit instructions. The stool specimens are then returned to the physician office or mailed to a laboratory. All three specimens are then tested using a chemical reagent for the presence of occult blood. A few drops of the chemical reagent are applied to each stool specimen. If blood is present, a color change will be detected on the card.
67% lower than market
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution [CPT 87186]
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution [CPT 87186]
A study is performed to determine the effectiveness of a specific antibiotic agent to a specific bacteria. The test is performed in an agar solution.
67% lower than market
Testosterone (hormone) level, total [CPT 84403]
Testosterone (hormone) level, total [CPT 84403]
A urine test is performed to measure total testosterone level. Testosterone is an androgen hormone secreted in the testes of men, ovaries of women, and the adrenal glands of both sexes. Testosterone helps promote protein synthesis and supports the growth of cells and tissue. This test is often performed in conjunction with sex hormone binding globulin. A blood sample is obtained by separately reportable venipuncture. Serum/plasma of adult males is tested using quantitative electrochemiluminescent immunoassay with the value derived from a mathematical expression using sex hormone binding globulin (SHBG). Serum/plasma of adult males may also be tested using quantitative equilibrium dialysis/high performance liquid chromatography-tandem mass spectrometry. Serum/plasma of children and adult females is tested using quantitative high performance liquid chromatography-tandem mass spectrometry/electrochemiluminescent immunoassay with the value also derived from a mathematical expression using sex hormone binding globulin (SHBG).
47% lower than market
Thyroxine (thyroid chemical), free [CPT 84439]
Thyroxine (thyroid chemical), free [CPT 84439]
A blood sample is obtained and levels of total thyroxin, thyroxine requiring elution as for testing in neonates or free thyroxine are evaluated. Thyroxine, also referred to as T4, is tested to determine whether the thyroid is functioning properly and is used to aid in the diagnosis of overactive (hyperthyroidism) or underactive (hypothyroidism) thyroid function. In free thyroxine levels are tested. Free thyroxine is the amount of active thyroxine in the blood. Free thyroxine levels are considered to be a more accurate indicator of thyroid function. All thyroxine tests use electrochemiluminescent immunoassay methodology.
67% lower than market
Total protein level, urine [CPT 84156]
Total protein level, urine [CPT 84156]
A urine test is performed to measure total protein levels. Protein is not normally found in urine and usually indicates damage or disease in the kidneys. Elevated levels are often present in patients with diabetes, hypertension, and multiple myeloma. A 24-hour or random urine sample is obtained and tested using quantitative spectrophotometry.
56% lower than market
Troponin (protein) analysis, quantitative [CPT 84484]
Troponin (protein) analysis, quantitative [CPT 84484]
A blood test is performed to measure troponin levels. Troponins are regulatory proteins that facilitate contraction of skeletal and smooth muscle by forming calcium bonds. Troponin T binds to tropomyosin to form a complex. Troponin I binds to actin and holds the Troponin T-tropomyosin complex together. Elevation of troponins, coupled with cardiac symptoms such as chest pain are considered diagnostic for cardiac injury. This test is commonly ordered in the Emergency Department when a patient presents with possible myocardial infarction, and is then repeated at 6 hour intervals. It may be ordered with other tests that assess cardiac biomarkers such as CK, CK-MB, and myoglobin. A blood sample is obtained by separately reportable venipuncture. Serum/plasma is tested for Troponin T using quantitative electrochemiluminescent immunoassay. Serum is tested for Troponin I using chemiluminescent immunoassay.
46% lower than market
Urea nitrogen level to assess kidney function, quantitative [CPT 84520]
Urea nitrogen level to assess kidney function, quantitative [CPT 84520]
A blood sample is obtained to measure total (quantitative) urea nitrogen (BUN) level. Urea is a waste product produced in the liver by the breakdown of protein from a sequence of chemical reactions referred to as the urea or Krebs-Henseleit cycle. Urea then enters the bloodstream, is taken up by the kidneys and excreted in the urine. Blood BUN is measured to evaluate renal function, to monitor patients with renal disease, and to evaluate effectiveness of dialysis. BUN may also be measured in patients with acute or chronic illnesses that affect renal function. BUN is measured using spectrophotometry.
59% lower than market
Uric acid level, blood [CPT 84550]
Uric acid level, blood [CPT 84550]
A blood test is performed to measure uric acid levels. Uric acid forms from the natural breakdown of body cells and the food we ingest. Uric acid is normally filtered by the kidneys and excreted in urine. Elevated blood levels may result from kidney disease, certain cancers and/or cancer therapies, hemolytic or sickle cell anemia, heart failure, cirrhosis, lead poisoning, and low levels of thyroid or parathyroid hormones. Levels may be decreased in Wilson's disease, poor dietary intake of protein, and with the use of certain drugs. A blood sample is obtained by separately reportable venipuncture. Serum/plasma is tested using quantitative spectrophotometry.
68% lower than market
Manual urinalysis test with examination using microscope, automated [CPT 81001]
Manual urinalysis test with examination using microscope, automated [CPT 81001]
A urinalysis is performed by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, and/or urobilinogen. Urinalysis can quickly screen for conditions that do not immediately produce symptoms such as diabetes mellitus, kidney disease, or urinary tract infection. A dip stick allows qualitative and semi-quantitative analysis using a paper or plastic stick with color strips for each agent being tested. The stick is dipped in the urine specimen and the color strips are then compared to a color chart to determine the presence or absence and/or a rough estimate of the concentration of each agent tested. Reagent tablets use an absorbent mat with a few drops of urine placed on the mat followed by a reagent tablet. A drop of distilled, deionized water is then placed on the tablet and the color change is observed. Bilirubin is a byproduct of the breakdown of red blood cells by the liver. Normally bilirubin is excreted through the bowel, but in patients with liver disease, bilirubin is filtered by the kidneys and excreted in the urine. Glucose is a sugar that is normally filtered by the glomerulus and excreted only in small quantities in the urine. Excess sugar in the urine (glycosuria) is indicative of diabetes mellitus. The peroxidase activity of erythrocytes is used to detect hemoglobin in the urine which may be indicative of hematuria, myoglobinuria, or hemoglobinuria. Ketones in the urine are the result of diabetic ketoacidosis or calorie deprivation (starvation). A leukocyte esterase test identifies the presence of white blood cells in the urine. The presence of nitrites in the urine is indicative of bacteria. The pH identifies the acid-base levels in the urine. The presence of excessive amounts of protein (proteinuria) may be indicative of nephrotic syndrome. Specific gravity measures urine density and is indicative of the kidneys' ability to concentrate and dilute urine. Following dip stick or reagent testing, the urine sample may be examined under a microscope. The urine sample is placed in a test tube and centrifuged. The sediment is resuspended. A drop of the resuspended sediment is then placed on a glass slide, cover-slipped, and examined under a microscope for crystals, casts, squamous cells, blood (white, red) cells, and bacteria.
76% lower than market
Automated urinalysis test [CPT 81003]
Automated urinalysis test [CPT 81003]
A urinalysis is performed by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, and/or urobilinogen. Urinalysis can quickly screen for conditions that do not immediately produce symptoms such as diabetes mellitus, kidney disease, or urinary tract infection. A dip stick allows qualitative and semi-quantitative analysis using a paper or plastic stick with color strips for each agent being tested. The stick is dipped in the urine specimen and the color strips are then compared to a color chart to determine the presence or absence and/or a rough estimate of the concentration of each agent tested. Reagent tablets use an absorbent mat with a few drops of urine placed on the mat followed by a reagent tablet. A drop of distilled, deionized water is then placed on the tablet and the color change is observed. Bilirubin is a byproduct of the breakdown of red blood cells by the liver. Normally bilirubin is excreted through the bowel, but in patients with liver disease, bilirubin is filtered by the kidneys and excreted in the urine. Glucose is a sugar that is normally filtered by the glomerulus and excreted only in small quantities in the urine. Excess sugar in the urine (glycosuria) is indicative of diabetes mellitus. The peroxidase activity of erythrocytes is used to detect hemoglobin in the urine which may be indicative of hematuria, myoglobinuria, or hemoglobinuria. Ketones in the urine are the result of diabetic ketoacidosis or calorie deprivation (starvation). A leukocyte esterase test identifies the presence of white blood cells in the urine. The presence of nitrites in the urine is indicative of bacteria. The pH identifies the acid-base levels in the urine. The presence of excessive amounts of protein (proteinuria) may be indicative of nephrotic syndrome. Specific gravity measures urine density and is indicative of the kidneys' ability to concentrate and dilute urine. Following dip stick or reagent testing, the urine sample may be examined under a microscope. The urine sample is placed in a test tube and centrifuged. The sediment is resuspended. A drop of the resuspended sediment is then placed on a glass slide, cover-slipped, and examined under a microscope for crystals, casts, squamous cells, blood (white, red) cells, and bacteria.
77% lower than market
Urine microalbumin (protein) level [CPT 82043]
Urine microalbumin (protein) level [CPT 82043]
A test on urine is used to measure microalbumin levels and is routinely performed annually on diabetic patients with stable blood glucose levels to assess for early onset nephropathy. The quantitative test, which measures the actual amount of microalbumin present in the urine, may be performed on a random urine sample, with a notation of total volume and voiding time, or a 24-hour urine sample using immunoturbidimetric technique. The semi-quantitative test identifies the presence of elevated microalbumin levels in the urine within a general range and involves a chemical dipstick placed into the urine sample which reacts and changes color when albumin is present.
75% lower than market
Vitamin D-3 level [CPT 82306]
Vitamin D-3 level [CPT 82306]
Blood levels of 25-hydroxyvitamin D are used to primarily to determine whether a deficiency of Vitamin D or abnormal metabolism of calcium is the cause of bone weakness or malformation. Vitamin D is a fat soluble vitamin that is absorbed from the intestine like fat, and 25-hydroxyvitamin D levels are also evaluated in individuals with conditions or diseases that interfere with fat absorption, such as cystic fibrosis, Crohn's disease, or in patients who have undergone gastric bypass surgery. A blood sample is obtained. Levels of 25-hydroxyvitamin D3 and 25-hydroxyvitamin D2 are evaluated using chemiluminescent immunoassay. The test results may be the sum of Vitamin D3 and D2 or the results may include fractions of D3 and D2 as well as the sum of these values.
46% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT MEDICINE CHARGES
OUTPATIENT MEDICINE CHARGES
Description
Variance
Administration of vaccine [CPT 90472]
Administration of vaccine [CPT 90472]
71% lower than market
Application of blood vessel compression or decompression device to 1 or more areas [CPT 97016]
Application of blood vessel compression or decompression device to 1 or more areas [CPT 97016]
26% lower than market
Application of mechanical traction to 1 or more areas [CPT 97012]
Application of mechanical traction to 1 or more areas [CPT 97012]
9% lower than market
Application of medication through skin using electrical current, each 15 minutes [CPT 97033]
Application of medication through skin using electrical current, each 15 minutes [CPT 97033]
57% lower than market
Application of whirlpool therapy to 1 or more areas [CPT 97022]
Application of whirlpool therapy to 1 or more areas [CPT 97022]
Approximately equal to market
Attempt to restart heart and lungs [CPT 92950]
Attempt to restart heart and lungs [CPT 92950]
Cardiopulmonary resuscitation (CPR) is a manual attempt at restarting a patient's heart and lungs when cardiopulmonary arrest occurs. Typically led by a health care provided certified in CPR, the lungs are filled with air by holding the nose and breathing through the mouth or performed with a ventilating bag. Chest compressions are also performed at intervals, alternating with the air in the lungs. A defibrillator may be used to shock the heart into starting.
50% lower than market
Removal of tissue from wounds per session, first 20 sq cms or less [CPT 97597]
Removal of tissue from wounds per session, first 20 sq cms or less [CPT 97597]
42% lower than market
Removal of tissue from wounds per session, each additional 20 sq cm [CPT 97598]
Removal of tissue from wounds per session, each additional 20 sq cm [CPT 97598]
59% lower than market
Diagnostic test for sleep disorder [CPT 95805]
Diagnostic test for sleep disorder [CPT 95805]
26% lower than market
Dialysis procedure including one evaluation [CPT 90945]
Dialysis procedure including one evaluation [CPT 90945]
36% lower than market
Examination of the nose and throat using an endoscope [CPT 92511]
Examination of the nose and throat using an endoscope [CPT 92511]
7% higher than market
Vaccine for Haemophilus influenzae B (4 dose schedule) injection into muscle [CPT 90648]
Vaccine for Haemophilus influenzae B (4 dose schedule) injection into muscle [CPT 90648]
61% lower than market
Hemodialysis procedure with one physician evaluation [CPT 90935]
Hemodialysis procedure with one physician evaluation [CPT 90935]
53% lower than market
Hydration infusion into a vein [CPT 96361]
Hydration infusion into a vein [CPT 96361]
An intravenous infusion is administered for hydration. An intravenous line is placed into a vein, usually in the arm, and fluid is administered to provide additional fluid levels and electrolytes to counteract the effects of dehydration or supplement deficient oral fluid intake. The physician provides direct supervision of the fluid administration and is immediately available to intervene should complications arise. The physician provides periodic assessments of the patient and documentation of the patient's response to treatment. Use 96360 for the initial 31 minutes to one hour of hydration. Use 96361 for each additional hour.
50% lower than market
Hydration infusion into a vein 31 minutes to 1 hour [CPT 96360]
Hydration infusion into a vein 31 minutes to 1 hour [CPT 96360]
An intravenous infusion is administered for hydration. An intravenous line is placed into a vein, usually in the arm, and fluid is administered to provide additional fluid levels and electrolytes to counteract the effects of dehydration or supplement deficient oral fluid intake. The physician provides direct supervision of the fluid administration and is immediately available to intervene should complications arise. The physician provides periodic assessments of the patient and documentation of the patient's response to treatment.
3% lower than market
Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour [CPT 96367]
Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour [CPT 96367]
An intravenous infusion of a specified substance or drug is administered for therapy, prophylaxis, or diagnosis. An intravenous line is placed into a vein, usually in the arm, and the specified substance or drug is administered. The physician provides direct supervision of the administration and is immediately available to intervene should complications arise. The physician provides periodic assessments of the patient and documentation of the patient's response to treatment.
23% lower than market
Infusion into a vein for therapy, prevention, or diagnosis [CPT 96366]
Infusion into a vein for therapy, prevention, or diagnosis [CPT 96366]
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
51% lower than market
Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour [CPT 96365]
Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour [CPT 96365]
An intravenous infusion of a specified substance or drug is administered for therapy, prophylaxis, or diagnosis. An intravenous line is placed into a vein, usually in the arm, and the specified substance or drug is administered. The physician provides direct supervision of the administration and is immediately available to intervene should complications arise. The physician provides periodic assessments of the patient and documentation of the patient's response to treatment.
23% lower than market
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention [CPT 96372]
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention [CPT 96372]
A subcutaneous or intramuscular injection of a therapeutic, prophylactic, or diagnostic substance or drug is given. A subcutaneous injection is administered just under the skin in the fatty tissue of the abdomen, upper arm, upper leg, or buttocks. The skin is cleansed. A two-inch fold of skin is pinched between the thumb and forefinger. The needle is inserted completely under the skin at a 45 to 90 degree angle using a quick, sharp thrust. The plunger is retracted to check for blood. If blood is present, a new site is selected. If no blood is present, the medication is injected slowly into the tissue. The needle is withdrawn and mild pressure is applied. An intramuscular injection is administered in a similar fashion deep into muscle tissue, differing only in the sites of administration and the angle of needle insertion. Common sites include the gluteal muscles of the buttocks, the vastus lateralis muscle of the thigh, or the deltoid muscle of the upper arm. The angle of insertion is 90 degrees. Intramuscular administration provides rapid systemic absorption and can be used for administration of relatively large doses of medication.
2% higher than market
Injection of drug or substance into a vein for therapy, diagnosis, or prevention, in a facility [CPT 96376]
Injection of drug or substance into a vein for therapy, diagnosis, or prevention, in a facility [CPT 96376]
A therapeutic, prophylactic, or diagnostic injection is administered by intravenous push (IVP) technique. The specified substance or drug is injected using a syringe directly into an injection site of an existing intravenous line or intermittent infusion set (saline lock). The injection is given over a short period of time, usually less than 15 minutes.
62% lower than market
Irrigation of implanted venous access drug delivery device [CPT 96523]
Irrigation of implanted venous access drug delivery device [CPT 96523]
Approximately equal to market
Moderate sedation services by physician also performing a procedure, additional 15 minutes [CPT 99153]
Moderate sedation services by physician also performing a procedure, additional 15 minutes [CPT 99153]
69% lower than market
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes [CPT 99152]
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes [CPT 99152]
54% lower than market
Multiple measurements of oxygen saturation in blood using ear or finger device [CPT 94761]
Multiple measurements of oxygen saturation in blood using ear or finger device [CPT 94761]
38% lower than market
Negative pressure wound therapy, surface area greater than 50 square centimeters, per session [CPT 97606]
Negative pressure wound therapy, surface area greater than 50 square centimeters, per session [CPT 97606]
68% lower than market
Peripheral arterial disease (PAD) rehabilitation per session [CPT 93668]
Peripheral arterial disease (PAD) rehabilitation per session [CPT 93668]
21% lower than market
Physical performance test or measurement with report, each 15 minutes [CPT 97750]
Physical performance test or measurement with report, each 15 minutes [CPT 97750]
33% lower than market
Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube [CPT 95811]
Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube [CPT 95811]
Polysomnography is performed with sleep staging by a sleep technologist. Sleep studies are performed to evaluate and diagnose a variety of sleep disorders including sleep apnea, narcolepsy, insomnia, sleep walking, restless leg syndrome, and other periodic movements during sleep. The patient presents to the sleep study center in the evening. Sleep staging is accomplished using electroencephalography (EEG), electro-oculogram (EOG), and electromyogram (EMG). EEG is performed using one to four electrodes attached to the scalp. Electrodes are attached around the eyes and an EOG performed to monitor eye movement. A submental EMG is performed by placing an electrode under the chin to record muscle tone. One or more additional parameters of sleep are recorded and analyzed including: heart rate and rhythm; airflow; ventilation and respiratory effort; gas exchange by oximetry, transcutaneous monitoring, or end tidal gas analysis; extremity muscle activity or motor activity-movement; extended EEG monitoring; penile tumescence; gastroesophageal reflux; continuous blood pressure monitoring; snoring; and/or body position. The room is darkened and brain activity, eye and muscle movement are recorded. Other parameters of sleep are monitored and recorded as needed. The physician analyzes the recorded data obtained during the polysomnography and provides a written interpretation of the test results. If CPAP is performed a nasal mask is applied to the nose to keep the airway open during inhalation. If bi-level ventilation is performed, a ventilator is used to augment respiration while still allowing spontaneous unassisted respiration.
59% lower than market
Sleep monitoring of patient (6 years or older) in sleep lab [CPT 95810]
Sleep monitoring of patient (6 years or older) in sleep lab [CPT 95810]
56% lower than market
Therapeutic massage to 1 or more areas, each 15 minutes [CPT 97124]
Therapeutic massage to 1 or more areas, each 15 minutes [CPT 97124]
8% higher than market
Therapeutic procedures in a group setting [CPT 97150]
Therapeutic procedures in a group setting [CPT 97150]
29% lower than market
Therapeutic removal of whole blood to correct blood level imbalance [CPT 99195]
Therapeutic removal of whole blood to correct blood level imbalance [CPT 99195]
14% lower than market
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older [CPT 90732]
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older [CPT 90732]
Unlike immune globulins which provide short-term, passive immunity, a vaccine provides active, long-term immunity by exposing the recipient's immune system to altered versions of specific viruses or bacteria that induce the immune system to produce its own antibodies against the invading micro-organism. The body then remembers how to make antibodies when exposed to the antigen again. The pneumococcal bacteria exist in many people's noses and throats without causing disease, but when it invades the body, it can cause pneumococcal pneumonia, bacteremia, and meningitis. Children under five, the elderly, and the immune suppressed are most susceptible. Pneumococcal disease is the leading cause of death from vaccine-preventable disease in the U.S.
70% lower than market
Vaccine for influenza for injection into muscle, split virus, preservation free [CPT 90662]
Vaccine for influenza for injection into muscle, split virus, preservation free [CPT 90662]
High dose flu shot preservative free
53% lower than market
Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older [CPT 90714]
Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older [CPT 90714]
60% lower than market
Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion [CPT 96368]
Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion [CPT 96368]
An intravenous infusion of a specified substance or drug is administered for therapy, prophylaxis, or diagnosis. An intravenous line is placed into a vein, usually in the arm, and the specified substance or drug is administered. The physician provides direct supervision of the administration and is immediately available to intervene should complications arise. The physician provides periodic assessments of the patient and documentation of the patient's response to treatment.
65% lower than market
Ventilation assistance and management, hospital inpatient or observation, each subsequent day [CPT 94003]
Ventilation assistance and management, hospital inpatient or observation, each subsequent day [CPT 94003]
1% lower than market
Ventilation assistance and management, hospital inpatient or observation, initial day [CPT 94002]
Ventilation assistance and management, hospital inpatient or observation, initial day [CPT 94002]
54% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT OBSERVATION CHARGES
OUTPATIENT OBSERVATION CHARGES
Description
Variance
Hospital observation per hr [HCPCS G0378]
Hospital observation per hr [HCPCS G0378]
Hospital observation service, per hour
63% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT OTHER CHARGES
OUTPATIENT OTHER CHARGES
Description
Variance
Locm 200-299mg/ml iodine,1ml [HCPCS Q9966]
Locm 200-299mg/ml iodine,1ml [HCPCS Q9966]
8% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES
OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES
Description
Variance
Drugs unclassified injection [HCPCS J3490]
Drugs unclassified injection [HCPCS J3490]
50% lower than market
Injection of different drug or substance into a vein for therapy, diagnosis, or prevention [CPT 96375]
Injection of different drug or substance into a vein for therapy, diagnosis, or prevention [CPT 96375]
A therapeutic, prophylactic, or diagnostic injection is administered by intravenous push (IVP) technique. The specified substance or drug is injected using a syringe directly into an injection site of an existing intravenous line or intermittent infusion set (saline lock). The injection is given over a short period of time, usually less than 15 minutes.
57% lower than market
Fentanyl citrate injection [HCPCS J3010]
Fentanyl citrate injection [HCPCS J3010]
Injection, fentanyl citrate, 0.1 mg
52% lower than market
Furosemide injection [HCPCS J1940]
Furosemide injection [HCPCS J1940]
Injection, furosemide, up to 20 mg
43% lower than market
Ketorolac tromethamine inj [HCPCS J1885]
Ketorolac tromethamine inj [HCPCS J1885]
Injection, ketorolac tromethamine, per 15 mg
Approximately equal to market
Inj magnesium sulfate [HCPCS J3475]
Inj magnesium sulfate [HCPCS J3475]
Injection, magnesium sulfate, per 500 mg
25% lower than market
Inj midazolam hydrochloride [HCPCS J2250]
Inj midazolam hydrochloride [HCPCS J2250]
Injection, midazolam hydrochloride, per 1 mg
5% higher than market
Morphine sulfate injection [HCPCS J2270]
Morphine sulfate injection [HCPCS J2270]
Injection, morphine sulfate, up to 10 mg
12% lower than market
Promethazine hcl injection [HCPCS J2550]
Promethazine hcl injection [HCPCS J2550]
Injection, promethazine hcl, up to 50 mg
9% higher than market
Aminophyllin 250 mg inj [HCPCS J0280]
Aminophyllin 250 mg inj [HCPCS J0280]
16% lower than market
Butorphanol tartrate 1 mg [HCPCS J0595]
Butorphanol tartrate 1 mg [HCPCS J0595]
16% lower than market
Denosumab injection [HCPCS J0897]
Denosumab injection [HCPCS J0897]
26% lower than market
Glucagon hydrochloride/1 mg [HCPCS J1610]
Glucagon hydrochloride/1 mg [HCPCS J1610]
51% lower than market
Insulin injection [HCPCS J1815]
Insulin injection [HCPCS J1815]
81% lower than market
Mannitol injection [HCPCS J2150]
Mannitol injection [HCPCS J2150]
41% lower than market
Meperidine hydrochl /100 mg [HCPCS J2175]
Meperidine hydrochl /100 mg [HCPCS J2175]
64% lower than market
Methylprednisolone injection [HCPCS J2920]
Methylprednisolone injection [HCPCS J2920]
44% lower than market
Injection, pegfilgrastim 6mg [HCPCS J2505]
Injection, pegfilgrastim 6mg [HCPCS J2505]
56% lower than market
Na ferric gluconate complex [HCPCS J2916]
Na ferric gluconate complex [HCPCS J2916]
3% lower than market
Vaccine for tetanus, diphtheria toxoids and acellular pertussis (whooping cough) for injection into muscle, patient 7 years or older [CPT 90715]
Vaccine for tetanus, diphtheria toxoids and acellular pertussis (whooping cough) for injection into muscle, patient 7 years or older [CPT 90715]
Toxoids provide long lasting immunity by stimulating the body's own defense system to make antibodies that destroy specific toxins produced by bacteria. Vaccines also provide active, long-term immunity by exposing the recipient's immune system to altered versions of specific viruses or bacteria that induce the immune system to produce its own antibodies against the invading micro-organism. The body then remembers how to make antibodies when exposed to these same agents again. The toxoid vaccine is an inactivated poison, called a toxin, produced by culturing the bacteria in a liquid medium, then purifying and inactivating the poison produced by the bacteria. Since toxoids are not a live vaccine, booster doses are recommended because immunity will decline over time. These tetanus toxoid combinations are formulations for adults and those over 7 years of age, given by intramuscular injection.
31% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT PROSTHETIC PROCEDURES CHARGES
OUTPATIENT PROSTHETIC PROCEDURES CHARGES
Description
Variance
Prosthetic implant nos [HCPCS L8699]
Prosthetic implant nos [HCPCS L8699]
66% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT RESPIRATORY THERAPY CHARGES
OUTPATIENT RESPIRATORY THERAPY CHARGES
The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.
Description
Variance
Measurement of oxygen saturation in blood using ear or finger device [CPT 94760]
Measurement of oxygen saturation in blood using ear or finger device [CPT 94760]
Ear or pulse oximetry measures the percentage of hemoglobin (Hb) that is saturated with oxygen and is used to monitor oxygen saturation of blood and detect lower than normal levels of oxygen in the blood. Oximeters also record pulse rate and provide a graphical display of blood flow past the probe. A probe is attached to the patient's ear lobe or finger. The probe is connected to a computerized unit. A light source from the probe is emitted at two wavelengths. The light is partially absorbed by Hb in amounts that differ based on whether the Hb is saturated or desaturated with oxygen. The absorption of the two wavelengths is then computed by the oximeter processer and the percentage of oxygenated Hb is displayed. The oximeter can be programmed to sound an audible alarm when the oxygen saturation of blood falls below a certain level.
34% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT SUPPLIES CHARGES
OUTPATIENT SUPPLIES CHARGES
Description
Variance
Tc99m tetrofosmin [HCPCS A9502]
Tc99m tetrofosmin [HCPCS A9502]
58% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT SURGICAL SERVICES CHARGES
OUTPATIENT SURGICAL SERVICES CHARGES
Description
Variance
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) [CPT 15271]
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) [CPT 15271]
33% lower than market
Application of vein wound compression system lower leg below knee including ankle and foot [CPT 29581]
Application of vein wound compression system lower leg below knee including ankle and foot [CPT 29581]
44% lower than market
Aspiration of abscess, blood accumulation, blister, or cyst [CPT 10160]
Aspiration of abscess, blood accumulation, blister, or cyst [CPT 10160]
4% lower than market
Biopsy of the large bowel using an endoscope (colonoscopy) [CPT 45380]
Biopsy of the large bowel using an endoscope (colonoscopy) [CPT 45380]
A flexible colonoscopy is performed with single or multiple biopsies. The colonoscope is inserted into the rectum and advanced through the colon to the cecum or a point within the terminal ileum, using air insufflation to separate the mucosal folds for better visualization. Mucosal surfaces of the colon are inspected and any abnormalities are noted. The endoscope is then withdrawn and mucosal surfaces are again inspected for ulcerations, varices, bleeding sites, lesions, strictures, or other abnormalities. Any suspect site(s) to be biopsied is identified and biopsy forceps are placed through the biopsy channel in the endoscope. The forceps are opened, the tissue is spiked, and the forceps are closed. The biopsied tissue is then removed through the endoscope. One or more tissue samples may be obtained and are sent for separately reportable laboratory analysis.
77% lower than market
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope [CPT 43239]
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope [CPT 43239]
An upper gastrointestinal (UGI) endoscopic examination, also referred to as an esophagogastroduodenoscopy (EGD), is performed on the esophagus, stomach, duodenum and/or jejunum with biopsy(s). The mouth and throat are numbed using an anesthetic spray. A hollow mouthpiece is placed in the mouth. The flexible fiberoptic endoscope is then inserted and advanced as it is swallowed by the patient. Once the endoscope has been advanced beyond the cricopharyngeal region, it is guided using direct visualization. The esophagus is inspected and any abnormalities are noted. The endoscope is then advanced beyond the gastroesophageal junction into the stomach and the stomach is insufflated with air. The cardia, fundus, greater and lesser curvature, and antrum are inspected and any abnormalities are noted. The tip of the endoscope is then advanced through the pylorus and into the duodenum and/or jejunum where mucosal surfaces are inspected for any abnormalities. Single or multiple samples of suspect tissue are taken through the scope. The endoscope is withdrawn and mucosal surfaces are again inspected for ulcerations, varices, bleeding sites, lesions, strictures, or other abnormalities.
76% lower than market
Closed treatment of broken nasal bone, without stabilization [CPT 21315]
Closed treatment of broken nasal bone, without stabilization [CPT 21315]
1% higher than market
Closed treatment of shoulder dislocation with manipulation [CPT 23650]
Closed treatment of shoulder dislocation with manipulation [CPT 23650]
13% lower than market
Closed treatment of shoulder dislocation with manipulation under anesthesia [CPT 23655]
Closed treatment of shoulder dislocation with manipulation under anesthesia [CPT 23655]
10% higher than market
Diagnostic examination of the colon (large bowel) using an endoscope(colonoscopy); high risk [CPT 45378]
Diagnostic examination of the colon (large bowel) using an endoscope(colonoscopy); high risk [CPT 45378]
A flexible colonoscopy is performed with or without collection of specimens by brushing or washing. The colonoscope is inserted into the rectum and advanced through the colon to the cecum or a point within the terminal ileum, using air insufflation to separate the mucosal folds for better visualization. Mucosal surfaces of the colon are inspected and any abnormalities are noted. The endoscope is then withdrawn as mucosal surfaces are again inspected for ulcerations, varices, bleeding sites, lesions, strictures, or other abnormalities. Cytology (cell) samples may be obtained using a brush introduced through the endoscope. Alternatively, sterile water may be introduced to wash the mucosal lining and the fluid aspirated to obtain cell samples. Cytology samples are sent for separately reportable laboratory analysis.
75% lower than market
Control of nose bleed and insertion of packing [CPT 30905]
Control of nose bleed and insertion of packing [CPT 30905]
31% lower than market
Declotting infusion of implanted central venous access device or catheter [CPT 36593]
Declotting infusion of implanted central venous access device or catheter [CPT 36593]
6% lower than market
Destruction of skin growth [CPT 17000]
Destruction of skin growth [CPT 17000]
Procedure performed in the clinic to destroy a lesion of the skin
12% lower than market
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope [CPT 43235]
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope [CPT 43235]
A diagnostic upper gastrointestinal (UGI) endoscopic examination is performed of the esophagus, stomach, duodenum and/or jejunum with or without collection of specimens by brushing or washing. This procedure may also be referred to as an esophagogastroduodenoscopy (EGD). The mouth and throat are numbed using an anesthetic spray. A hollow mouthpiece is placed in the mouth. The flexible fiberoptic endoscope is then inserted and advanced as it is swallowed by the patient. Once the endoscope has been advanced beyond the cricopharyngeal region, it is guided using direct visualization. The esophagus is inspected and any abnormalities are noted. The endoscope is then advanced beyond the gastroesophageal junction into the stomach and the stomach is insufflated with air. The cardia, fundus, greater and lesser curvature, and antrum of the stomach are inspected and any abnormalities are noted. The tip of the endoscope is then advanced through the pylorus and into the duodenum and/or jejunum. Mucosal surfaces of the duodenum and/or jejunum are inspected and any abnormalities are noted. The endoscope is then withdrawn and mucosal surfaces are again inspected for ulcerations, varices, bleeding sites, lesions, strictures, or other abnormalities. Cytology samples may be obtained by cell brushing or washing.
78% lower than market
Drainage of abscess, cyst, or blood accumulation of dental bone [CPT 41800]
Drainage of abscess, cyst, or blood accumulation of dental bone [CPT 41800]
12% lower than market
Drainage of finger abscess, uncomplicated [CPT 26010]
Drainage of finger abscess, uncomplicated [CPT 26010]
8% lower than market
Drainage of fluid from abdominal cavity using imaging guidance [CPT 49083]
Drainage of fluid from abdominal cavity using imaging guidance [CPT 49083]
25% lower than market
Dressing change and/or removal of burn tissue (less than 5% total body surface) [CPT 16020]
Dressing change and/or removal of burn tissue (less than 5% total body surface) [CPT 16020]
18% lower than market
Fluid collection drainage of the abdominal region by catheter using imaging guidance, accessed through the skin [CPT 49406]
Fluid collection drainage of the abdominal region by catheter using imaging guidance, accessed through the skin [CPT 49406]
22% lower than market
Fusion of sacroiliac joint obtaining bone graft open procedure [CPT 27280]
Fusion of sacroiliac joint obtaining bone graft open procedure [CPT 27280]
29% lower than market
Removal of gallbladder using an endoscope [CPT 47562]
Removal of gallbladder using an endoscope [CPT 47562]
The gallbladder is removed by laparoscopic technique. A small portal incision is made at the navel and a trocar is inserted. The scope and video camera are then inserted at this site. The abdomen is inflated with carbon dioxide. Two to three additional abdominal portal incisions are made and trocars are inserted for placing surgical instruments. The gallbladder is identified. If the gallbladder is distended, a needle may be used to drain bile from the gallbladder. Grasper clamps are applied. The Hartmann's pouch is identified and retracted, exposing the triangle of Calot. The cystic artery and cystic duct are identified. The cystic duct is dissected free and transected. The cystic artery is dissected free, ligated, and doubly divided. Electrocautery is used to dissect the gallbladder off the liver bed. The gallbladder is placed in an extraction sac and removed from the abdomen through one of the small incisions.
89% lower than market
Hbot, full body chamber, 30m [HCPCS G0277]
Hbot, full body chamber, 30m [HCPCS G0277]
74% lower than market
Injection of drug into erectile tissue at sides and back of penis [CPT 54220]
Injection of drug into erectile tissue at sides and back of penis [CPT 54220]
10% lower than market
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level [CPT 64483]
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level [CPT 64483]
85% lower than market
Injection of substance into spinal canal of lower back or sacrum [CPT 62322]
Injection of substance into spinal canal of lower back or sacrum [CPT 62322]
45% lower than market
Injections of trigger points in 1 or 2 muscles [CPT 20552]
Injections of trigger points in 1 or 2 muscles [CPT 20552]
29% lower than market
Insertion of peripherally inserted central venous catheter for infusion (PICC), patient 5 years or older [CPT 36569]
Insertion of peripherally inserted central venous catheter for infusion (PICC), patient 5 years or older [CPT 36569]
A peripherally inserted central venous catheter (PICC) is similar to an intravenous line and is used for the delivery of medication or fluids over a prolonged period of time. Ultrasound is used as needed to identify a suitable large vein in the arm. Typically, one of the deeper veins located above the elbow is used, such as the basilic, cephalic, or brachial vein. The planned inserted site is cleansed with bactericidal solution. A tourniquet is placed on the arm and a local anesthetic injected at the planned insertion site. There are two techniques for insertion. Using a peel-away cannula technique, a cannula with a stylet is inserted into the selected vein. The stylet is removed. The PICC line is advanced through the cannula into the vein and advanced into the brachiocephalic vein, subclavian vein, or superior vena cava. Using a Seldinger technique, the skin and vein are punctured with a needle. A guidewire is inserted through the needle and advanced several centimeters. An introducer sheath and dilator are advanced over the guidewire and the guidewire and dilator removed. The PICC line is then advanced through the introducer sheath and into the brachiocephalic vein, subclavian vein, or superior vena cava. Separately reportable radiographs check placement. The PICC is secured with sutures and a dressing applied over the insertion site in the arm.
23% lower than market
Insertion of indwelling bladder catheter, simple [CPT 51702]
Insertion of indwelling bladder catheter, simple [CPT 51702]
A temporary indwelling catheter is inserted into the bladder. This may be referred to as Foley catheterization. A catheter kit is prepared. The urethra is cleansed with antiseptic solution. A sterile Foley catheter is inserted through the urethra into the bladder. The balloon is then inflated with about 10 cc of water to keep it in place. The catheter is attached to a sterile drainage bag and urine is continuously drained from the bladder.
30% lower than market
Insertion of needle into vein for collection of blood sample [CPT 36415]
Insertion of needle into vein for collection of blood sample [CPT 36415]
An appropriate vein is selected, usually one of the larger anecubital veins such as the median cubital, basilic, or cehalic veins. A tourniquet is placed above the planned puncture site. The site is disinfected with an alcohol pad. A needle is attached to a hub and the vein is punctured. A Vacuainer tube is attached to the hub and the blood specimen is collected. The Vacutainer tube is removed. Depending on the specific blood tests required, multiple Vacutainers may be filled from the same punchture site.
63% lower than market
Insertion of indwelling bladder catheter, complicated [CPT 51703]
Insertion of indwelling bladder catheter, complicated [CPT 51703]
23% lower than market
Insertion of central venous catheter for infusion, patient 5 years or older, not tunneled [CPT 36556]
Insertion of central venous catheter for infusion, patient 5 years or older, not tunneled [CPT 36556]
14% lower than market
Removal of one knee cartilage using an endoscope [CPT 29881]
Removal of one knee cartilage using an endoscope [CPT 29881]
87% lower than market
Injections of lower or sacral spine facet joint using imaging guidance, single level [CPT 64493]
Injections of lower or sacral spine facet joint using imaging guidance, single level [CPT 64493]
15% lower than market
Needle biopsy of kidney, accessed through the skin [CPT 50200]
Needle biopsy of kidney, accessed through the skin [CPT 50200]
15% lower than market
Needle biopsy of liver, accessed through the skin [CPT 47000]
Needle biopsy of liver, accessed through the skin [CPT 47000]
6% higher than market
Needle biopsy of lung or chest tissue, accessed through the skin
Needle biopsy of lung or chest tissue, accessed through the skin
19% lower than market
Removal of 1 or more breast growth, open procedure [CPT 19120]
Removal of 1 or more breast growth, open procedure [CPT 19120]
91% lower than market
Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare [CPT 45385]
Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare [CPT 45385]
A flexible colonoscopy is performed with removal of tumors, polyps, or other lesions by hot biopsy forceps or snare technique. The colonoscope is inserted into the rectum and advanced through the colon to the cecum or a point within the terminal ileum, using air insufflation to separate the mucosal folds for better visualization. Mucosal surfaces of the colon are inspected and any abnormalities are noted. The tumor, polyp, or other lesion is identified. Hot biopsy method uses insulated monopolar forceps to remove and electrocoagulate (cauterize) tissue simultaneously. Hot biopsy forceps are used primarily for removal of small polyps and treatment of vascular ectasias. A wire snare loop is placed around the lesion. The loop is heated to shave off and cauterize the lesion. Lesions may be removed en bloc with one placement of the snare or in a piecemeal fashion which requires multiple applications of the snare. The endoscope is withdrawn and mucosal surfaces are again inspected for ulcerations, bleeding sites, lesions, strictures, or other abnormalities.
85% lower than market
Removal of fluid from chest cavity [CPT 32554]
Removal of fluid from chest cavity [CPT 32554]
7% lower than market
Removal of fluid from chest cavity with imaging guidance [CPT 32555]
Removal of fluid from chest cavity with imaging guidance [CPT 32555]
22% lower than market
Removal of foreign body of foot tissue, accessed beneath the skin [CPT 28190]
Removal of foreign body of foot tissue, accessed beneath the skin [CPT 28190]
6% lower than market
Repair of groin hernia patient age 5 years or older [CPT 49505]
Repair of groin hernia patient age 5 years or older [CPT 49505]
An initial inguinal hernia repair is performed on a patient who is five years or older. An inguinal hernia is a condition where structures protrude through a weakness in the abdominal wall in the groin area. Incarcerated hernia tissue cannot be pushed back into its normal position. Strangulated hernias are those in which circulation is compromised. An incision is made over the internal ring. The skin, fat, and subcutaneous fascia are incised down to the aponeurosis of the external oblique muscle. The external ring is identified and the external oblique aponeurosis is slit. The internal ring is opened and the inguinal canal is exposed. In males, the spermatic cord and its covering are mobilized and the covering is removed. The hernia sac is dissected free into the retroperitoneum, opened, and inspected for the presence of bowel or bladder wall. Any bowel or bladder content is reduced (pushed back into the abdominal cavity) and the hernia sac is transected and inverted into the abdominal cavity. A mesh plug may be placed to reinforce the repair. In women, the sac is inspected for the ovary. If the ovary is present, it is returned to the abdomen. The sac is then resected together with the round ligament. The internal ring is closed and the posterior wall of the inguinal canal is repaired.
89% lower than market
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes [CPT 12015]
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes [CPT 12015]
31% lower than market
Shaving of shoulder bone using an endoscope [CPT 29826]
Shaving of shoulder bone using an endoscope [CPT 29826]
92% lower than market
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs [CPT 12001]
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs [CPT 12001]
Simple repair of superficial wounds of the scalp, neck, axillae, external genitalia, trunk, and/or extremities is performed. The wound is cleansed and a local anesthetic is administered. The wound is inspected and determined to be superficial involving only the epidermis, dermis, or subcutaneous tissue without involvement of deeper tissues and without heavy contamination. A simple, one-layer closure using sutures, staples, or tissue adhesive is performed. Alternatively, chemical cautery or electrocautery may be used to treat the wound without closure.
32% lower than market
Incision of nasal (sphenoid) sinus [CPT 31050]
Incision of nasal (sphenoid) sinus [CPT 31050]
22% lower than market
Spinal tap for diagnosis [CPT 62270]
Spinal tap for diagnosis [CPT 62270]
11% higher than market
Infusion of drug into a vein to dissolve blood clot obstructing blood flow to brain [CPT 37195]
Infusion of drug into a vein to dissolve blood clot obstructing blood flow to brain [CPT 37195]
4% higher than market
Transfusion of blood or blood products [CPT 36430]
Transfusion of blood or blood products [CPT 36430]
Blood and blood components include whole blood, platelets, packed red blood cells, and plasma products. Transfusions are performed to replace blood that is lost or depleted due to an injury, surgery, sickle cell disease, or treatment for a malignant neoplasm. Red blood cells are given to increase the number of blood cells that transport oxygen and nutrients throughout the body, platelets to control bleeding and improve blood clotting, and plasma to replace total blood volume and provide blood factors that improve blood clotting. The skin is prepped over the planned transfusion site and an intravenous line inserted. Any medication ordered by the physician is administered prior to the transfusion. The blood and/or blood components are administered. The patient is monitored during the transfusion for any signs of adverse reaction.
38% lower than market
Treatment of hip dislocation [CPT 27250]
Treatment of hip dislocation [CPT 27250]
3% higher than market
Widening of nasal passage [CPT 30465]
Widening of nasal passage [CPT 30465]
18% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT VISION CHARGES
OUTPATIENT VISION CHARGES
Description
Variance
Amniotic membrane [HCPCS V2790]
Amniotic membrane [HCPCS V2790]
38% lower than market
Wagoner Community Hospital Patient Information Price List
OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES
OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES
The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.
Description
Variance
Bone density measurement of the core or central skeleton (e.g., hips, pelvis, spine) [CPT 77080]
Bone density measurement of the core or central skeleton (e.g., hips, pelvis, spine) [CPT 77080]
These codes report dual-energy x-ray absorptiometry (DXA) for bone density study. Measuring bone mass or bone mineral density (BMD) is done to diagnose for bone disease, evaluate bone disease progression, or monitor the results of treatment, particularly for osteoporosis, which puts a bone at higher risk of fracture. The radiation dose of DXA is around 1/30th of that in a standard chest x-ray. DXA involves aiming two x-ray beams of different energy levels at the bones in alternate pulses. Soft tissue absorption is subtracted out, and the BMD is determined by the bone's absorption of each beam in the projected area. The DXA scan measurement is then compared to a same sex standard of bone density at age 30, since the maximum BMD occurs at age 30 in both males and females. The difference between the measured BMD and the sex-matched, average 30-year-old standard is known as the T score. A T score between -1.0 and -2.4 diagnoses osteopenia, while a T score of -2.5 or less indicates osteoporosis.
44% lower than market
Ultrasound of one breast, limited [CPT 76642]
Ultrasound of one breast, limited [CPT 76642]
A real time ultrasound of the right or left breast is performed with image documentation, including the axillary area, when performed. Breast ultrasound is used to help diagnose breast abnormalities detected during a physical exam or on mammography. Ultrasound imaging can identify masses as solid or fluid-filled and can show additional structural features of the abnormal area and surrounding tissues. The patient is placed supine with the arm raised above the head on the side being examined. Acoustic coupling gel is applied to the breast and the transducer is pressed firmly against the skin of the breast. The transducer is then swept back and forth over the area of the abnormality and images are obtained. The ultrasonic wave pulses directed at the breast are imaged by recording the ultrasound echoes. Any abnormalities are evaluated to identify characteristics that might provide a definitive diagnosis. The physician reviews the ultrasound images of the breast and provides a written interpretation.
51% lower than market
CT scan of abdomen and pelvis with contrast [CPT 74177]
CT scan of abdomen and pelvis with contrast [CPT 74177]
Computerized tomography, also referred to as a CT scan, uses special x-ray equipment and computer technology to produce multiple cross-sectional images of the abdomen and pelvis. The patient is positioned on the CT examination table. An initial pass is made through the CT scanner to determine the starting position of the scans. The CT scan is then performed. As the table moves slowly through the scanner, numerous x-ray beams and electronic x-ray detectors rotate around the abdomen and pelvis. The amount of radiation being absorbed is measured. As the beams and detectors rotate around the body, the table is moved through the scanner. A computer program processes the data which is then displayed on the monitor as two-dimensional cross-sectional images of the abdomen or pelvis. The physician reviews the data and images as they are obtained and may request additional sections to provide more detail on areas of interest.
44% lower than market
CT scan of abdomen and pelvis before and after contrast [CPT 74178]
CT scan of abdomen and pelvis before and after contrast [CPT 74178]
Computerized tomography, also referred to as a CT scan, uses special x-ray equipment and computer technology to produce multiple cross-sectional images of the abdomen and pelvis. The patient is positioned on the CT examination table. An initial pass is made through the CT scanner to determine the starting position of the scans. The CT scan is then performed. As the table moves slowly through the scanner, numerous x-ray beams and electronic x-ray detectors rotate around the abdomen and pelvis. The amount of radiation being absorbed is measured. As the beams and detectors rotate around the body, the table is moved through the scanner. A computer program processes the data which is then displayed on the monitor as two-dimensional cross-sectional images of the abdomen or pelvis. The physician reviews the data and images as they are obtained and may request additional sections to provide more detail on areas of interest.
50% lower than market
CT scan of abdomen and pelvis [CPT 74176]
CT scan of abdomen and pelvis [CPT 74176]
Computerized tomography, also referred to as a CT scan, uses special x-ray equipment and computer technology to produce multiple cross-sectional images of the abdomen and pelvis. The patient is positioned on the CT examination table. An initial pass is made through the CT scanner to determine the starting position of the scans. The CT scan is then performed. As the table moves slowly through the scanner, numerous x-ray beams and electronic x-ray detectors rotate around the abdomen and pelvis. The amount of radiation being absorbed is measured. As the beams and detectors rotate around the body, the table is moved through the scanner. A computer program processes the data which is then displayed on the monitor as two-dimensional cross-sectional images of the abdomen or pelvis. The physician reviews the data and images as they are obtained and may request additional sections to provide more detail on areas of interest.
59% lower than market
Diagnostic CT scan of chest with contrast [CPT 71260]
Diagnostic CT scan of chest with contrast [CPT 71260]
Diagnostic computed tomography (CT) is done on the thorax. CT uses multiple, narrow x-ray beams aimed around a single rotational axis, taking a series of 2D images of the target structure from multiple angles. Contrast material is used to enhance the images. Computer software processes the data and reconstructs a 3D image. Thin, cross-sectional 2D and 3D slices are then produced of the targeted organ or area. The patient is placed inside the CT scanner on the table and images are obtained of the thorax to look for problems or disease in the lungs, heart, esophagus, soft tissue, or major blood vessels of the chest, such as the aorta. The physician reviews the images to look for suspected disease such as infection, lung cancer, pulmonary embolism, aneurysms, and metastatic cancer to the chest from other areas.
39% lower than market
Diagnostic CT scan of chest [CPT 71250]
Diagnostic CT scan of chest [CPT 71250]
Diagnostic computed tomography (CT) is done on the thorax. CT uses multiple, narrow x-ray beams aimed around a single rotational axis, taking a series of 2D images of the target structure from multiple angles. Contrast material is used to enhance the images. Computer software processes the data and reconstructs a 3D image. Thin, cross-sectional 2D and 3D slices are then produced of the targeted organ or area. The patient is placed inside the CT scanner on the table and images are obtained of the thorax to look for problems or disease in the lungs, heart, esophagus, soft tissue, or major blood vessels of the chest, such as the aorta. The physician reviews the images to look for suspected disease such as infection, lung cancer, pulmonary embolism, aneurysms, and metastatic cancer to the chest from other areas.
64% lower than market
CT scan of face [CPT 70486]
CT scan of face [CPT 70486]
Computerized tomography, also referred to as a CT scan, uses special x-ray equipment and computer technology to produce multiple cross-sectional images of the region being studied. In this study, CT scan of the maxillofacial area is obtained. The maxillofacial area includes the forehead (frontal bone), sinuses, nose and nasal bones, jaw (maxilla and mandible). The only facial region not included in this study is the orbit. The patient is positioned on the CT examination table. An initial pass is made through the CT scanner to determine the starting position of the scans, after which the CT scan is performed. As the table moves slowly through the scanner, numerous x-ray beams and electronic x-ray detectors rotate around the body region being examined. The amount of radiation being absorbed is measured. As the beams and detectors rotate around the body, the table is moved through the scanner. A computer program processes the data and renders the data in two-dimensional cross-sectional images of the body region being examined. This data is displayed on a monitor. The physician reviews the data as it is being obtained and may request additional sections to provide more detail of areas of interest.
60% lower than market
CT scan head or brain before and after contrast [CPT 70470]
CT scan head or brain before and after contrast [CPT 70470]
Computerized tomography, also referred to as a CT scan, uses special x-ray equipment and computer technology to produce multiple cross-sectional images of the region being studied. In this study, CT scan of the head or brain is performed. The patient is positioned on the CT examination table. An initial pass is made through the CT scanner to determine the starting position of the scans after which the CT scan is performed. As the table moves slowly through the scanner, numerous x-ray beams and electronic x-ray detectors rotate around the body region being examined. The amount of radiation being absorbed is measured. As the beams and detectors rotate around the body, the table is moved through the scanner. A computer program processes the data and renders the data in two-dimensional cross-sectional images of the body region being examined. This data is displayed on a monitor. The physician reviews the data as it is being obtained and may request additional sections to provide more detail of areas of interest.
40% lower than market
CT scan head or brain [CPT 70450]
CT scan head or brain [CPT 70450]
Computerized tomography, also referred to as a CT scan, uses special x-ray equipment and computer technology to produce multiple cross-sectional images of the region being studied. In this study, CT scan of the head or brain is performed. The patient is positioned on the CT examination table. An initial pass is made through the CT scanner to determine the starting position of the scans after which the CT scan is performed. As the table moves slowly through the scanner, numerous x-ray beams and electronic x-ray detectors rotate around the body region being examined. The amount of radiation being absorbed is measured. As the beams and detectors rotate around the body, the table is moved through the scanner. A computer program processes the data and renders the data in two-dimensional cross-sectional images of the body region being examined. This data is displayed on a monitor. The physician reviews the data as it is being obtained and may request additional sections to provide more detail of areas of interest.
67% lower than market
CT scan pelvis with contrast [CPT 72193]
CT scan pelvis with contrast [CPT 72193]
Diagnostic computed tomography (CT) is done on the pelvis to provide detailed visualization of the organs and structures within or near the pelvis, such as kidneys, bladder, prostate, uterus, cervix, vagina, lymph nodes, and pelvic bones. CT uses multiple, narrow x-ray beams aimed around a single rotational axis, taking a series of 2D images of the target structure from multiple angles. Contrast material is used to enhance the images. Computer software processes the data and produces several images of thin, cross-sectional 2D slices of the targeted organ or area. Three-dimensional models of organs within the pelvis can be created by stacking multiple, individual 2D slices together. The patient is placed inside the CT scanner on the table and images are obtained of the pelvis area. The physician reviews the images to gather information for specified purposes such as diagnosing or monitoring cancer, evaluating the pelvic bones for fractures or other injury following trauma, locating abscesses or masses found during physical exam, finding the cause of pelvic pain, providing more detailed information before surgery, and evaluating the patient after surgery.
29% lower than market
CT scan of abdominal aorta and both leg arteries with contrast [CPT 75635]
CT scan of abdominal aorta and both leg arteries with contrast [CPT 75635]
A computed tomographic angiography (CTA) of the abdominal aorta with bilateral iliofemoral lower extremity run-off is performed with contrast material including image postprocessing. Noncontrast images may also be obtained and are included when performed. CTA provides images of the blood vessels using a combination of computed tomography (CT) and angiography with contrast material. When angiography is performed using CT, multiple images are obtained and processed on a computer to create detailed, two-dimensional, cross-sectional views of the blood vessels. These images are then displayed on a computer monitor. The patient is positioned on the CT table. An intravenous line is inserted into a blood vessel, usually in the arm or hand. Non-contrast images may be obtained. A small dose of contrast is injected and test images are obtained to verify correct positioning. The CTA is then performed. Contrast is injected at a controlled rate and the CT table moves through the CT machine as the scanning is performed. After completion of the CTA, the radiologist reviews and interprets the CTA images of the abdominal aorta with bilateral iliofemoral lower extremity runoff.
41% lower than market
CT scan of upper spine [CPT 72125]
CT scan of upper spine [CPT 72125]
Diagnostic computed tomography (CT) is done on the cervical spine. CT uses multiple, narrow x-ray beams aimed around a single rotational axis, taking a series of 2D images of the target structure from multiple angles. Contrast material is used to enhance the images. Computer software processes the data and produces several images of thin, cross-sectional 2D slices of the targeted organ or area. Three-dimensional models of the spine can be created by stacking multiple, individual 2D slices together. The patient is placed inside the CT scanner on the table and images are obtained of the cervical spine.
67% lower than market
CT scan of lower spine [CPT 72131]
CT scan of lower spine [CPT 72131]
Diagnostic computed tomography (CT) is done on the lumbar spine. CT uses multiple, narrow x-ray beams aimed around a single rotational axis, taking a series of 2D images of the target structure from multiple angles. Contrast material is used to enhance the images. Computer software processes the data and produces several images of thin, cross-sectional 2D slices of the targeted organ or area. Three-dimensional models of the spine can be created by stacking multiple, individual 2D slices together. The patient is placed inside the CT scanner on the table and images are obtained of the lumbar spine. The physician reviews the images to look for suspected problems with the spine such as bone disease, and evaluate for fractures or other injuries as well as birth defects of the spine in children.
67% lower than market
X-ray of chest, 2 views [CPT 71046]
X-ray of chest, 2 views [CPT 71046]
A radiologic examination of the chest is performed. Chest radiographs (X-rays) provide images of the heart, lungs, bronchi, major blood vessels (aorta, vena cava, pulmonary vessels), and bones, (sternum, ribs, clavicle, scapula, spine). The most common views are frontal (also referred to as anteroposterior or AP), posteroanterior (PA), and lateral. To obtain a frontal view, the patient is positioned facing the x-ray machine. A PA view is obtained with the patient's back toward the x-ray machine. For a lateral view, the patient is positioned with side of the chest toward the machine. Other views that may be obtained include apical lordotic, oblique, and lateral decubitus. An apical lordotic image provides better visualization of the apical (top) regions of the lungs. The patient is positioned with the back arched so that the tops of the lungs can be x-rayed. Oblique views may be obtained to evaluate a pulmonary or mediastinal mass or opacity or to provide additional images of the heart and great vessels. There are four positions used for oblique views including right and left anterior oblique, and right and left posterior oblique. Anterior oblique views are obtained with the patient standing and the chest rotated 45 degrees. The arm closest to the x-ray cassette is flexed with the hand resting on the hip. The opposite arm is raised as high as possible. The part of the chest farthest away from the x-ray cassette is the area being studied. Posterior oblique views are typically obtained only when the patient is too ill to stand or lay prone for anterior oblique views. A lateral decubitus view is obtained with the patient lying on the side; the patient's head rests on one arm, and the other arm is raised over the head with the elbow bent. Images are recorded on hard copy film or stored electronically as digital images. The physician reviews the images, notes any abnormalities, and provides a written interpretation of the findings.
54% lower than market
X-ray of chest, 1 view [CPT 71045]
X-ray of chest, 1 view [CPT 71045]
A radiologic examination of the chest is performed. Chest radiographs (X-rays) provide images of the heart, lungs, bronchi, major blood vessels (aorta, vena cava, pulmonary vessels), and bones, (sternum, ribs, clavicle, scapula, spine). The most common views are frontal (also referred to as anteroposterior or AP), posteroanterior (PA), and lateral. To obtain a frontal view, the patient is positioned facing the x-ray machine. A PA view is obtained with the patient's back toward the x-ray machine. For a lateral view, the patient is positioned with side of the chest toward the machine. Other views that may be obtained include apical lordotic, oblique, and lateral decubitus. An apical lordotic image provides better visualization of the apical (top) regions of the lungs. The patient is positioned with the back arched so that the tops of the lungs can be x-rayed. Oblique views may be obtained to evaluate a pulmonary or mediastinal mass or opacity or to provide additional images of the heart and great vessels. There are four positions used for oblique views including right and left anterior oblique, and right and left posterior oblique. Anterior oblique views are obtained with the patient standing and the chest rotated 45 degrees. The arm closest to the x-ray cassette is flexed with the hand resting on the hip. The opposite arm is raised as high as possible. The part of the chest farthest away from the x-ray cassette is the area being studied. Posterior oblique views are typically obtained only when the patient is too ill to stand or lay prone for anterior oblique views. A lateral decubitus view is obtained with the patient lying on the side; the patient's head rests on one arm, and the other arm is raised over the head with the elbow bent. Images are recorded on hard copy film or stored electronically as digital images. The physician reviews the images, notes any abnormalities, and provides a written interpretation of the findings.
43% lower than market
Ultrasound study of arteries of both arms and legs, complete [CPT 93923]
Ultrasound study of arteries of both arms and legs, complete [CPT 93923]
58% lower than market
Diagnostic mammography of both breasts [CPT 77066]
Diagnostic mammography of both breasts [CPT 77066]
These codes report diagnostic mammography of one breast or both breasts with computer-aided lesion detection (CAD), when performed. Mammography is the radiographic imaging of the breast using low-dose ionizing radiation. The x-rays used in mammography have a longer wavelength that those typically used for bone imaging. The test is done to detect tumors or cysts in women who have symptoms of breast disease or a palpable mass. The breast is compressed between planes on a machine dedicated strictly to mammography. This evens out the dense tissue and holds the breast still for a better quality image. Computer-aided detection uses algorithm analysis of the image data obtained from the mammographic films, with or without digitization of the radiographic images. The mammographic picture of the breast is used by scanning the x-ray film with a laser beam, usually converting the scanned image of the analog film into digital data for the computer first, then employing a methodical, step-by-step pattern of analyzing the data on video display for unusual or suspicious areas.
40% lower than market
Diagnostic mammography of one breast [CPT 77065]
Diagnostic mammography of one breast [CPT 77065]
These codes report diagnostic mammography of one breast or both breasts with computer-aided lesion detection (CAD), when performed. Mammography is the radiographic imaging of the breast using low-dose ionizing radiation. The x-rays used in mammography have a longer wavelength that those typically used for bone imaging. The test is done to detect tumors or cysts in women who have symptoms of breast disease or a palpable mass. The breast is compressed between planes on a machine dedicated strictly to mammography. This evens out the dense tissue and holds the breast still for a better quality image. Computer-aided detection uses algorithm analysis of the image data obtained from the mammographic films, with or without digitization of the radiographic images. The mammographic picture of the breast is used by scanning the x-ray film with a laser beam, usually converting the scanned image of the analog film into digital data for the computer first, then employing a methodical, step-by-step pattern of analyzing the data on video display for unusual or suspicious areas.
33% lower than market
Imaging guidance for procedure, up to 1 hour [CPT 76000]
Imaging guidance for procedure, up to 1 hour [CPT 76000]
52% lower than market
Complete X-ray study of abdomen with single X-ray of chest [CPT 74022]
Complete X-ray study of abdomen with single X-ray of chest [CPT 74022]
A radiologic examination of the abdomen images the internal organs, soft tissue (muscle, fat), and supporting skeleton. X-ray imaging uses indirect ionizing radiation to take pictures of non-uniform material, such as human tissue, because of its different density and composition, which allows some of the x-rays to be absorbed and some to pass through and be captured. This produces a 2D image of the structures. The radiographs may be taken to look for size, shape, and position of organs, pattern of air (bowel gas), obstruction, foreign objects, and calcification in the gallbladder, urinary tract, and aorta. A radiologic examination of the abdomen may be ordered to diagnose abdominal distention and pain, vomiting, diarrhea or constipation, and traumatic injury; it may also be obtained as a screening exam or scout film prior to other imagining procedures.
58% lower than market
X-ray of abdomen, 2 views [CPT 74019]
X-ray of abdomen, 2 views [CPT 74019]
A radiologic examination of the abdomen images the internal organs, soft tissue (muscle, fat), and supporting skeleton. X-ray imaging uses indirect ionizing radiation to take pictures of non-uniform material, such as human tissue, because of its different density and composition, which allows some of the x-rays to be absorbed and some to pass through and be captured. This produces a 2D image of the structures. The radiographs may be taken to look for size, shape, and position of organs, pattern of air (bowel gas), obstruction, foreign objects, and calcification in the gallbladder, urinary tract, and aorta. A radiologic examination of the abdomen may be ordered to diagnose abdominal distention and pain, vomiting, diarrhea or constipation, and traumatic injury; it may also be obtained as a screening exam or scout film prior to other imagining procedures. Common views of the abdomen include front to back anteroposterior (AP) with the patient lying supine or standing erect, back to front posteroanterior (PA) with the patient lying prone, lateral with the patient lying on the side, lateral decubitus anteroposterior (side lying, front to back view), lateral dorsal decubitus (lying supine, side view), oblique (anterior or posterior rotation), and coned (small collimated) views which may be used to localize and differentiate lesions, calcifications, or herniations.
60% lower than market
X-ray of abdomen, 1 view [CPT 74018]
X-ray of abdomen, 1 view [CPT 74018]
A radiologic examination of the abdomen images the internal organs, soft tissue (muscle, fat), and supporting skeleton. X-ray imaging uses indirect ionizing radiation to take pictures of non-uniform material, such as human tissue, because of its different density and composition, which allows some of the x-rays to be absorbed and some to pass through and be captured. This produces a 2D image of the structures. The radiographs may be taken to look for size, shape, and position of organs, pattern of air (bowel gas), obstruction, foreign objects, and calcification in the gallbladder, urinary tract, and aorta. A radiologic examination of the abdomen may be ordered to diagnose abdominal distention and pain, vomiting, diarrhea or constipation, and traumatic injury; it may also be obtained as a screening exam or scout film prior to other imagining procedures. Common views of the abdomen include front to back anteroposterior (AP) with the patient lying supine or standing erect, back to front posteroanterior (PA) with the patient lying prone, lateral with the patient lying on the side, lateral decubitus anteroposterior (side lying, front to back view), lateral dorsal decubitus (lying supine, side view), oblique (anterior or posterior rotation), and coned (small collimated) views which may be used to localize and differentiate lesions, calcifications, or herniations.
44% lower than market
MRI scan of arm joint [CPT 73221]
MRI scan of arm joint [CPT 73221]
Magnetic resonance imaging is done on a joint of the upper or lower arm. Magnetic resonance is a noninvasive, non-radiating imaging technique that uses the magnetic properties of hydrogen atoms in the body. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which processes the signals and converts the data into tomographic, 3D images with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. Small coils that help transmit and receive the radiowaves may be placed around the joint. MRI scans on joints of the upper extremity are often done for injury, trauma, unexplained pain, redness, or swelling, and freezing of a joint with loss of motion. MRI scans provide clear images of areas that may be difficult to see on CT.
42% lower than market
MRI scan of brain before and after contrast [CPT 70553]
MRI scan of brain before and after contrast [CPT 70553]
Magnetic resonance imaging is done on the brain. MRI is a noninvasive, non-radiating imaging technique that uses the magnetic properties of hydrogen atoms in the body. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which processes the signals and converts the data into tomographic, 3D images with very high resolution. MRI of the brain provides reliable information for diagnosing the presence, location, and extent of tumors, cysts, or other masses; swelling and infection; vascular disorders or malformations, such as aneurysms and intracranial hemorrhage; disease of the pituitary gland; stroke; developmental and structural anomalies of the brain; hydrocephalus; and chronic conditions and diseases affecting the central nervous system such as headaches and multiple sclerosis.
14% lower than market
MRI scan of leg joint [CPT 73721]
MRI scan of leg joint [CPT 73721]
Magnetic resonance imaging is done on a joint of the upper or lower leg. Magnetic resonance is a noninvasive, non-radiating imaging technique that uses the magnetic properties of hydrogen atoms in the body. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which processes the signals and converts the data into tomographic, 3D images with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. Small coils that help transmit and receive the radiowaves may be placed around the joint. MRI scans on joints of the lower extremity are often done for injury, trauma, unexplained pain, redness, or swelling, and freezing of a joint with loss of motion. MRI scans provide clear images of areas that may be difficult to see on CT. The physician reviews the images to look for information that may correlate to the patient's signs or symptoms. MRI provides reliable information on the presence and extent of tumors, masses, or lesions within the joint; infection, inflammation, and swelling of soft tissue; muscle atrophy and other anomalous muscular development; and joint effusion and vascular necrosis.
32% lower than market
MRI scan of upper spinal canal [CPT 72141]
MRI scan of upper spinal canal [CPT 72141]
Magnetic resonance imaging (MRI) is done on the cervical spinal canal and contents. MRI is a noninvasive, non-radiating imaging technique that uses the magnetic properties of nuclei within hydrogen atoms of the body. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which records the images. The computer processes the signals and converts the data into tomographic, 3D, sectional images in slices with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. MRI scans of the spine are often done when conservative treatment of back/neck pain is unsuccessful and more aggressive treatments are considered or following surgery.
36% lower than market
MRI scan of lower spinal canal [CPT 72148]
MRI scan of lower spinal canal [CPT 72148]
Magnetic resonance imaging (MRI) is done on the lumbar spinal canal and contents. MRI is a noninvasive, non-radiating imaging technique that uses the magnetic properties of nuclei within hydrogen atoms of the body. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which records the images. The computer processes the signals and coverts the data into tomographic, 3D, sectional images in slices with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. MRI scans of the spine are often done when conservative treatment of back pain is unsuccessful and more aggressive treatments are considered or following surgery. The physician reviews the images to look for specific information that may correlate to the patient's symptoms, such as abnormal spinal alignment; disease or injury of vertebral bodies; intervertebral disc herniation, degeneration, or dehydration; the size of the spinal canal to accommodate the cord and nerve roots; pinched or inflamed nerves; or any changes since surgery.
34% lower than market
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies [CPT 78452]
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies [CPT 78452]
Myocardial perfusion imaging is a nuclear medicine procedure used to evaluate the heart muscle and blood flow to the heart. An intravenous line is inserted into a vein in the hand or arm. ECG leads are placed and a blood pressure cuff is placed on the arm. The patient lies flat on a table in the procedure room for myocardial perfusion imaging performed at rest. For a stress study, the patient is either on a treadmill or bike or an injection of a pharmacologic agent is administered to stress the heart. A radionuclide, also called a tracer, is injected into the intravenous line and allowed to circulate. The radionuclide localizes in healthy heart tissue. Ischemic heart tissue does not absorb the radionuclide. Images of the heart and great vessels are obtained using single photon emission computed tomography (SPECT). When SPECT images are obtained, the scanner rotates around the body to obtain images in multiple planes. The physician evaluates heart wall motion to determine how effective the heart muscle is in pumping blood through the heart and to the peripheral vascular system. Ejection fraction, which is the percentage of blood pumped out of the heart to the peripheral vascular system, is measured using either a first pass or gated technique. In a first pass technique, images are obtained as the blood circulates through the heart during the first pass of the radionuclide. In a gated technique, a series of images are obtained between heart beats. Using electrical signals from the heart, the camera captures a series of images as the heart rests, creating very sharp, high resolution images. Additional images are obtained as needed. The physician reviews the images, calculates the ejection fraction and quantifies other parameters of heart function based on the distribution of the radionuclide. The physician then provides a written report of findings.
35% lower than market
Screening mammography of both breasts [CPT 77067]
Screening mammography of both breasts [CPT 77067]
Bilateral screening mammography is done with computer-aided lesion detection (CAD), when performed. Mammography is the radiographic imaging of the breast using low-dose ionizing radiation. The x-rays used in mammography have a longer wavelength than those typically used for bone imaging. A screening mammogram is done on asymptomatic women for early breast cancer detection when there are no known palpable masses. This is done on both breasts with two views taken on each side. The breast is compressed between planes on a machine dedicated strictly to mammography. This evens out the dense tissue and holds the breast still for a better quality image. Computer-aided detection uses algorithm analysis of the image data obtained from the mammographic films, with or without digitization of the radiographic images. The mammographic picture of the breast is used by scanning the x-ray film with a laser beam, usually converting the scanned image of the analog film into digital data for the computer first, then employing a methodical, step-by-step pattern of analyzing the data on video display for unusual or suspicious areas.
36% higher than market
Screening digital tomography of both breasts [CPT 77063]
Screening digital tomography of both breasts [CPT 77063]
Digital screening mammogram
33% lower than market
Ultrasound of abdomen, complete [CPT 76700]
Ultrasound of abdomen, complete [CPT 76700]
A real time abdominal ultrasound is performed with image documentation. The patient is placed supine. Acoustic coupling gel is applied to the skin of the abdomen. The transducer is pressed firmly against the skin and swept back and forth over the abdomen and images obtained. The ultrasonic wave pulses directed at the abdomen are imaged by recording the ultrasound echoes. Any abnormalities are evaluated to identify characteristics that might provide a definitive diagnosis. The physician reviews the ultrasound images of the abdomen and provides a written interpretation.
54% lower than market
Ultrasound of abdomen, limited [CPT 76705]
Ultrasound of abdomen, limited [CPT 76705]
A real time abdominal ultrasound is performed with image documentation. The patient is placed supine. Acoustic coupling gel is applied to the skin of the abdomen. The transducer is pressed firmly against the skin and swept back and forth over the abdomen and images obtained. The ultrasonic wave pulses directed at the abdomen are imaged by recording the ultrasound echoes. Any abnormalities are evaluated to identify characteristics that might provide a definitive diagnosis. The physician reviews the ultrasound images of the abdomen and provides a written interpretation.
39% lower than market
Ultrasound behind abdominal cavity [CPT 76770]
Ultrasound behind abdominal cavity [CPT 76770]
A real time retroperitoneal ultrasound is performed with image documentation. The patient is placed supine. Acoustic coupling gel is applied to the skin of the abdomen. The transducer is pressed firmly against the skin and swept back and forth over the abdomen and images obtained of the retroperitoneal area. The ultrasonic wave pulses directed at the retroperitoneum are imaged by recording the ultrasound echoes. Any abnormalities are evaluated to identify characteristics that might provide a definitive diagnosis. The physician reviews the ultrasound images of the retroperitoneum and provides a written interpretation.
45% lower than market
Ultrasound behind abdominal cavity, limited [CPT 76775]
Ultrasound behind abdominal cavity, limited [CPT 76775]
A real time retroperitoneal ultrasound is performed with image documentation. The patient is placed supine. Acoustic coupling gel is applied to the skin of the abdomen. The transducer is pressed firmly against the skin and swept back and forth over the abdomen and images obtained of the retroperitoneal area. The ultrasonic wave pulses directed at the retroperitoneum are imaged by recording the ultrasound echoes. Any abnormalities are evaluated to identify characteristics that might provide a definitive diagnosis. The physician reviews the ultrasound images of the retroperitoneum and provides a written interpretation.
23% lower than market
Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck [CPT 93880]
Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck [CPT 93880]
A vascular ultrasound study is performed to evaluate the extracranial arteries which include the common carotid and external carotid arteries. A duplex scan uses both B-mode and Doppler studies. A clear gel is placed on the skin over the arteries to be studied. A B-mode transducer is placed on the skin and real-time images of the artery are obtained. A Doppler probe within the B-mode transducer provides information on pattern and direction of blood flow in the artery. The B-mode transducer produces ultrasonic sound waves that move through the skin and bounce off the arteries when the probe is placed over the arteries at various locations and angles. The Doppler probe produces sound waves that bounce off blood cells moving within the artery. The reflected sound waves are sent to an amplifier that makes the sound waves audible. The pitch of the sound waves changes if there is reduced blood flow, or ceases altogether if a vessel is completely obstructed. A computer converts the sound waves to images that are overlaid with colors to produce video images showing the speed and direction of blood flow as well as any obstruction. Spectral Doppler analysis is performed to provide information on anatomy and hemodynamic function, including information on the presence of narrowing and plaque formation within the arteries. The physician reviews the duplex scan and provides a written interpretation of findings.
39% lower than market
Ultrasound of head and neck [CPT 76536]
Ultrasound of head and neck [CPT 76536]
An ultrasound examination of soft tissues of the head and neck is performed with image documentation. The thyroid, parathyroid, or parotid glands and surrounding soft tissue may be examined. Ultrasound visualizes the body internally using sound waves far above human perception bounce off interior anatomical structures. As the sound waves pass through different densities of tissue, they are reflected back to the receiving unit at varying speeds and converted into pictures displayed on screen. A linear scanner or mechanical sector scanner is used to evaluate the shape, size, border, internal architecture, distal enhancement, color flow, and echogenicity of the soft tissue structures of the head and neck as well as any lesions or masses. The echogenicity is compared to that of the surrounding muscle tissue. The physician reviews the images and provides a written interpretation.
37% lower than market
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function [CPT 93306]
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function [CPT 93306]
The physician performs complete transthoracic real-time echocardiography with image documentation (2-D) including M-mode recording, if performed, with spectral Doppler and color flow Doppler echocardiography. Cardiac structure and dynamics are evaluated using a series of real-time tomographic images with multiple views recorded digitally or on videotape. Time-motion (M-mode) recordings are made as needed to allow dimensional measurement. Blood flow and velocity patterns within the heart, across valves and within the great vessels are evaluated by color flow Doppler. Normal blood flow patterns through these regions have a characteristic pattern defined by direction, velocity, duration, and timing throughout the cardiac cycle. Spectral Doppler by pulsed or continuous wave technique is used to evaluate antegrade flow through inflow and outflow tracts and cardiac valves. Multiple transducer positions or orientations may be required. The physician reviews the echocardiography images and orders additional images as needed to allow evaluation of any abnormalities. Digital or videotaped images are then reviewed by the physician. Abnormalities of cardiac structure or dynamics are noted. The extent of the abnormalities is evaluated and quantified. Any previous cardiac studies are compared to the current study and any quantitative or qualitative changes are identified. The physician provides an interpretation of the echocardiography with a written report of findings.
35% lower than market
Ultrasound pelvis through vagina [CPT 76830]
Ultrasound pelvis through vagina [CPT 76830]
A transvaginal ultrasound is performed to evaluate the non-pregnant uterus and other pelvic structures. Conditions that may be evaluated by transvaginal ultrasound include infertility, abnormal bleeding, unexplained pain, congenital anomalies of the ovaries and uterus, ovarian cysts and tumors, pelvic inflammatory disease, bladder abnormalities, and intrauterine device (IUD) location. The patient is asked to empty the bladder and then lies back with the feet in stirrups. A protective cover is placed over the transducer and acoustic coupling gel is applied. The transducer is inserted into the vagina. Images of the uterus, ovaries, and surrounding pelvic structures are obtained from different orientations of the transducer. The ultrasonic wave pulses directed at the pelvic structures are imaged by recording the ultrasound echoes. The uterus is examined and endometrial thickness is determined. The ovaries are examined and any ovarian masses are carefully evaluated. The bladder and other pelvic structures are examined and any abnormalities are noted. The physician reviews the transvaginal ultrasound images and provides a written interpretation.
23% lower than market
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus [CPT 76805]
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus [CPT 76805]
A real time transabdominal obstetrical ultrasound is performed with image documentation to evaluate the fetus and the pregnant uterus and surrounding pelvic structures of the mother after the first trimester, which is defined as a gestation period equal to or greater than 14 weeks 0 days. Obstetric ultrasound is performed to establish viability of the fetus; to determine whether a multiple gestation exists; to determine fetal age using fetal measurements; to evaluate the position of the fetus and placenta; to survey fetal anatomy including intracranial, spinal, abdominal, and heart with four chamber evaluation; to identify umbilical cord insertion site; to evaluate amniotic fluid volume; and to evaluate the maternal uterus and adnexa if visible. The mother presents with a full bladder. Acoustic coupling gel is applied to the skin of the lower abdomen. The transducer is pressed firmly against the skin and swept back and forth over the lower abdomen and images obtained of the pregnant uterus, surrounding pelvic structures, and fetus. The ultrasonic wave pulses directed at the fetus, pregnant uterus, and surrounding pelvic structures of the mother are imaged by recording the ultrasound echoes. Any abnormalities are evaluated. The physician reviews the ultrasound images of the fetus, pregnant uterus, and maternal pelvic structures, and provides a written interpretation.
28% lower than market
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers [CPT 93971]
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers [CPT 93971]
A vascular ultrasound study is performed to evaluate veins in the extremities. A duplex scan uses both B-mode and Doppler studies. A clear gel is placed on the skin of the extremity over the region to be studied. A B-mode transducer is placed on the skin and real-time images of the veins are obtained. A Doppler probe within the B-mode transducer provides information on the pattern and direction of blood flow in the veins. The B-mode transducer produces ultrasonic sound waves that move through the skin and bounce off the veins when the probe is moved over the region being studied. The Doppler probe produces sound waves that bounce off blood cells moving within the veins. The reflected sound waves are sent to an amplifier that makes the sound waves audible. The pitch of the sound waves changes if there is reduced blood flow, or ceases altogether if a vessel is completely obstructed. A computer converts the sound waves to images that are overlaid with colors to produce video images showing the speed and direction of blood flow as well as any obstruction. Spectral Doppler analysis is performed to provide information on anatomy and hemodynamic function. The duplex scan may include a baseline evaluation followed by additional scans obtained with compression or using other maneuvers that alter blood flow. The physician reviews the duplex scan and provides a written interpretation of findings.
58% lower than market
Ultrasound study of arteries and arterial grafts of both legs [CPT 93925]
Ultrasound study of arteries and arterial grafts of both legs [CPT 93925]
A vascular ultrasound study is performed to evaluate the lower extremity arteries or arterial bypass grafts. A duplex scan uses both B-mode and Doppler studies. A clear gel is placed on the skin of the lower extremity over the region to be studied. A B-mode transducer is placed on the skin and real-time images of the arteries or arterial bypass grafts are obtained. A Doppler probe within the B-mode transducer provides information on the pattern and direction of blood flow in the artery. The B-mode transducer produces ultrasonic sound waves that move through the skin and bounce off the arteries when the probe is moved over the region being studied. The Doppler probe produces sound waves that bounce off blood cells moving within the artery. The reflected sound waves are sent to an amplifier that makes the sound waves audible. The pitch of the sound waves changes if there is reduced blood flow, or ceases altogether if a vessel is completely obstructed. A computer converts the sound waves to images that are overlaid with colors to produce video images showing the speed and direction of blood flow as well as any obstruction. Spectral Doppler analysis is performed to provide information on anatomy and hemodynamic function, including information on the presence of narrowing and plaque formation within the arteries. The physician reviews the duplex scan and provides a written interpretation of findings.
50% lower than market
Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow [CPT 93975]
Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow [CPT 93975]
24% lower than market
X-ray of ankle, minimum of 3 views [CPT 73610]
X-ray of ankle, minimum of 3 views [CPT 73610]
A radiologic examination of the ankle images the bones of the distal lower extremities including the tibia, fibula, and talus. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for the cause of pain, limping, or swelling, or conditions such as fractures, dislocations, deformities, degenerative disease, osteomyelitis, arthritis, foreign body, and cysts or tumors. Ankle x-rays may also be used to determine whether there is satisfactory alignment of lower extremity bones following fracture treatment. Standard views of the ankle include front to back anteroposterior (AP), lateral (side), oblique (semi-prone position with body and leg partially rotated), and stress study with traction placed on the joint manually.
39% lower than market
X-ray of foot, 2 views [CPT 73620]
X-ray of foot, 2 views [CPT 73620]
A radiologic examination of the foot images the bones of the distal lower extremity and may include the tibia, fibula, talus, calcaneus, cuboid, navicular, cuneiform, metatarsals, and phalanges. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for the cause of pain, limping, or swelling, or conditions such as fractures, dislocations, deformities, degenerative disease, osteomyelitis, arthritis, foreign body, and cysts or tumors. Foot x-rays may also be used to determine whether there is satisfactory alignment of foot bones following fracture treatment. Standard views of the foot include top to bottom dorsal planter (DP), lateral (side), oblique (semi-prone position with body and leg partially rotated), and stress study with traction placed on the joint manually.
57% lower than market
X-ray of foot, minimum of 3 views [CPT 73630]
X-ray of foot, minimum of 3 views [CPT 73630]
A radiologic examination of the foot images the bones of the distal lower extremity and may include the tibia, fibula, talus, calcaneus, cuboid, navicular, cuneiform, metatarsals, and phalanges. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for the cause of pain, limping, or swelling, or conditions such as fractures, dislocations, deformities, degenerative disease, osteomyelitis, arthritis, foreign body, and cysts or tumors. Foot x-rays may also be used to determine whether there is satisfactory alignment of foot bones following fracture treatment. Standard views of the foot include top to bottom dorsal planter (DP), lateral (side), oblique (semi-prone position with body and leg partially rotated), and stress study with traction placed on the joint manually.
61% lower than market
X-ray of hand, minimum of 3 views [CPT 73130]
X-ray of hand, minimum of 3 views [CPT 73130]
A radiologic examination of the hand is done. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for conditions such as fractures, dislocations, deformities, degenerative bone conditions, osteomyelitis, arthritis, foreign body, or tumors. Hand x-rays are also used to help determine the 'bone age' of children and assess whether any nutritional or metabolic disorders may be interfering with proper development. The posteroanterior projection is taken with the palm down flat and may show not only the metacarpals, phalanges, and interphalangeal joints, but the carpal bones, radius, and ulna as well. Lateral views may be taken with the hand placed upright, resting upon the ulnar side of the palm and little finger with the thumb on top, ideally with the fingers supported by a sponge and splayed to avoid overlap. Oblique views can be obtained with the hand placed palm down and rolled slightly to the outside with the fingertips still touching the film surface. The beam is angled perpendicular to the cassette for oblique projections and aimed at the middle finger metacarpophalangeal joint.
62% lower than market
X-ray of hip with pelvis, 2-3 views [CPT 73502]
X-ray of hip with pelvis, 2-3 views [CPT 73502]
A radiologic examination of the hip is done on either the left or the right side, which may also include the pelvis. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for conditions such as fractures, dislocations, deformities, degenerative bone conditions, osteomyelitis, arthritis, foreign body, infection, or tumor. Hip standard views that are taken most frequently include the front to back anteroposterior view taken with the patient lying supine and the legs straight, rotated slightly inward; the lateral ‘frog-leg’ view, taken with the hips flexed and abducted and the knees flexed with the soles of the feet placed together; a cross table view with the unaffected hip and knee flexed at a 90 degree angle out of the way and the beam aimed perpendicular to the long axis of the femur on the affected side. Another type of lateral view is taken with the hip flexed 45 degrees and abducted 45 degrees and the beam aimed perpendicular to the table.
51% lower than market
X-ray of knee, 1 or 2 views [CPT 73560]
X-ray of knee, 1 or 2 views [CPT 73560]
A radiologic examination of the knee images the femur, tibia, fibula, patella, and soft tissue. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for the cause of pain, limping, or swelling, or conditions such as fractures, dislocations, deformities, degenerative disease, osteomyelitis, arthritis, foreign body, and cysts or tumors. Knee x-rays may also be used to determine whether there is satisfactory alignment of lower extremity bones following fracture treatment. Standard views of the knee include front to back anteroposterior (AP), lateral (side), and back to front posteroanterior (PA) with variations in the flexion of the joint, and weight bearing and non-weight bearing postures.
53% lower than market
X-ray of knee, 3 views [CPT 73562]
X-ray of knee, 3 views [CPT 73562]
A radiologic examination of the knee images the femur, tibia, fibula, patella, and soft tissue. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for the cause of pain, limping, or swelling, or conditions such as fractures, dislocations, deformities, degenerative disease, osteomyelitis, arthritis, foreign body, and cysts or tumors. Knee x-rays may also be used to determine whether there is satisfactory alignment of lower extremity bones following fracture treatment. Standard views of the knee include front to back anteroposterior (AP), lateral (side), and back to front posteroanterior (PA) with variations in the flexion of the joint, and weight bearing and non-weight bearing postures.
36% lower than market
X-ray of lower leg, 2 views [CPT 73590]
X-ray of lower leg, 2 views [CPT 73590]
A radiologic examination of the tibia and fibula images the bones of the distal lower extremities and may include the knee and ankle joints. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for the cause of pain, limping, or swelling, or conditions such as fractures, dislocations, deformities, degenerative disease, osteomyelitis, arthritis, foreign body, and cysts or tumors. Tibia and fibula x-rays may also be used to determine whether there is satisfactory alignment of lower extremity bones following fracture treatment. Standard views of the tibia and fibula include front to back anteroposterior (AP) and lateral (side).
54% lower than market
X-ray of lower and sacral spine, 2 or 3 views [CPT 72100]
X-ray of lower and sacral spine, 2 or 3 views [CPT 72100]
A radiologic exam is done of the lumbosacral spine. Frontal, posteroanterior, and lateral views are the most common projections taken. X-ray uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures.
36% lower than market
X-ray of lower and sacral spine, minimum of 4 views [CPT 72110]
X-ray of lower and sacral spine, minimum of 4 views [CPT 72110]
A radiologic exam is done of the lumbosacral spine. Frontal, posteroanterior, and lateral views are the most common projections taken. X-ray uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures.
58% lower than market
X-ray of spine of neck, 2 or 3 views [CPT 72040]
X-ray of spine of neck, 2 or 3 views [CPT 72040]
A radiologic exam is done of the cervical spine. Anteroposterior and lateral views are the most common projections taken. X-ray uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures.
40% lower than market
X-ray of shoulder, minimum of 2 views [CPT 73030]
X-ray of shoulder, minimum of 2 views [CPT 73030]
A radiologic examination of the shoulder is done. The shoulder is the junction of the humeral head and the glenoid of the scapula. Standard views include the anteroposterior (AP) view and the lateral 'Y' view, named because of the Y shape formed by the scapula when looking at it from the side. An axial view can also be obtained for further assessment when the patient is able to hold the arm in abduction. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures.
29% lower than market
X-ray of upper arm, minimum of 2 views [CPT 73060]
X-ray of upper arm, minimum of 2 views [CPT 73060]
A radiologic examination of the humerus is done with a minimum of 2 views taken. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The surgical neck of the humerus is the most common site of fracture. Shaft fractures are often associated with some kind of pathological lesion. X-rays of the humerus can be taken to detect deformities or lesions in the upper arm, such as cysts, tumors, late stage infection, or other diseases as well as a broken bone. The standard views of the humerus include the front to back anteroposterior view and the side, or lateral view.
57% lower than market
X-ray of wrist, minimum of 3 views [CPT 73110]
X-ray of wrist, minimum of 3 views [CPT 73110]
A radiologic examination of the wrist is done. X-ray imaging uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. The radiographs may be taken to look for conditions such as fractures, dislocations, deformities, arthritis, foreign body, infection, or tumor. Wrist standard views include the front to back anteroposterior (AP) or back to front posteroanterior (PA) projection; the lateral view with the elbow flexed and the hand and wrist placed thumb up; and oblique views. Oblique views are obtained with the hand and wrist either supinated or pronated with the hand slightly flexed so the carpal target area lies flat, and then rotating the wrist 45 degrees externally or internally. A more specialized image may be obtained for assessing carpal tunnel. For the carpal tunnel view, the forearm is pronated with the palm down, and the wrist is hyperextended as far as possible by grasping the fingers with the opposite hand and gently hyperextending the joint until the metacarpals and fingers are in a near vertical position.
59% lower than market
X-ray of middle spine, 3 views [CPT 72072]
X-ray of middle spine, 3 views [CPT 72072]
A radiologic exam is done of the thoracic spine. X-ray uses indirect ionizing radiation to take pictures inside the body. X-rays work on non-uniform material, such as human tissue, because of the different density and composition of the object, which allows some of the x-rays to be absorbed and some to pass through and be captured behind the object on a detector. This produces a 2D image of the structures. X-rays are taken of the thoracic spine to evaluate for back pain or suspected disease or injury. Films are taken from differing views that commonly include anteroposterior, lateral, posteroanterior, and a swimmer's view for the upper thoracic spine in which the patient reaches up with one arm and down with the other as if taking a swimming stroke.
45% lower than market
X-ray of ribs on one side of body including the chest, minimum of 3 views [CPT 71101]
X-ray of ribs on one side of body including the chest, minimum of 3 views [CPT 71101]
Rib radiographs (x-rays) are typically obtained following trauma to the rib cage to determine if fractures or other internal injuries are present. The most common views of the ribs are anteroposterior (AP) (frontal) and oblique. There are four positions used for oblique views: right anterior oblique, left anterior oblique, right posterior oblique, and left posterior oblique. Anterior oblique views are obtained with the patient standing and the chest rotated 45 degrees. The arm closest to the x-ray cassette is flexed with the hand resting on the hip. The opposite arm is raised as high as possible. The part of the chest farthest away from the x-ray cassette is the area that is being studied. Posterior oblique views are typically obtained only when the patient is too ill to stand or lay prone for anterior oblique views.
54% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT CARDIOLOGY CHARGES
INPATIENT CARDIOLOGY CHARGES
Description
Variance
Abnormal or Irregular Heartbeat with complications
Abnormal or Irregular Heartbeat with complications
39% lower than market
Abnormal or Irregular Heartbeat without complications
Abnormal or Irregular Heartbeat without complications
17% lower than market
Acute myocardial infarction, discharged alive with major complications
Acute myocardial infarction, discharged alive with major complications
48% lower than market
Acute myocardial infarction, discharged alive without complications
Acute myocardial infarction, discharged alive without complications
76% lower than market
Angina pectoris
Angina pectoris
52% lower than market
Atherosclerosis with major complications
Atherosclerosis with major complications
56% lower than market
Atherosclerosis without major complications
Atherosclerosis without major complications
58% lower than market
Cardiac arrhythmia & conduction disorders with major complications
Cardiac arrhythmia & conduction disorders with major complications
66% lower than market
Heart Failure with complications
Heart Failure with complications
41% lower than market
Heart Failure with major complications
Heart Failure with major complications
45% lower than market
Heart failure & shock without complications
Heart failure & shock without complications
38% lower than market
Hypertension with major complications
Hypertension with major complications
59% lower than market
Hypertension without major complications
Hypertension without major complications
48% lower than market
Other circulatory system diagnoses with complications
Other circulatory system diagnoses with complications
44% lower than market
Other circulatory system diagnoses with major complications
Other circulatory system diagnoses with major complications
33% lower than market
Peripheral vascular disorders with complications
Peripheral vascular disorders with complications
61% lower than market
Peripheral vascular disorders without complications
Peripheral vascular disorders without complications
51% lower than market
Syncope & collapse
Syncope & collapse
73% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT GENERAL SURGERY CHARGES
INPATIENT GENERAL SURGERY CHARGES
Description
Variance
Anal & stomal procedures with complications
Anal & stomal procedures with complications
17% lower than market
Appendectomy with complicated diagnosis without complications
Appendectomy with complicated diagnosis without complications
45% lower than market
Extensive O.R. procedure unrelated to principal diagnosis with complications
Extensive O.R. procedure unrelated to principal diagnosis with complications
78% lower than market
Non-extensive O.R. procedure unrelated to principal diagnosis with complications
Non-extensive O.R. procedure unrelated to principal diagnosis with complications
80% lower than market
Other skin, subcutaneous tissue & breast procedure with major complications
Other skin, subcutaneous tissue & breast procedure with major complications
42% lower than market
Peritoneal adhesiolysis with complications
Peritoneal adhesiolysis with complications
58% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT GYNECOLOGY CHARGES
INPATIENT GYNECOLOGY CHARGES
Description
Variance
Female reproductive system reconstructive procedures
Female reproductive system reconstructive procedures
75% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT MEDICINE CHARGES
INPATIENT MEDICINE CHARGES
Description
Variance
Allergic reactions without major complications
Allergic reactions without major complications
49% lower than market
Anemia or other red blood cell disorders without complications
Anemia or other red blood cell disorders without complications
53% lower than market
Blood Infection with major complications
Blood Infection with major complications
58% lower than market
Blood infection without major complications
Blood infection without major complications
50% lower than market
Cellulitis with major complications
Cellulitis with major complications
59% lower than market
Cirrhosis & alcoholic hepatitis with complications
Cirrhosis & alcoholic hepatitis with complications
50% lower than market
Complications of treatment without complications
Complications of treatment without complications
80% lower than market
Diabetes with complications
Diabetes with complications
75% lower than market
Diabetes with major complications
Diabetes with major complications
66% lower than market
Diabetes without complications
Diabetes without complications
50% lower than market
Digestive System Bleeding with complications
Digestive System Bleeding with complications
73% lower than market
Disorders of liver except malig,cirr,alc hepa without complications
Disorders of liver except malig,cirr,alc hepa without complications
26% lower than market
Disorders of liver except malignancy with complications
Disorders of liver except malignancy with complications
60% lower than market
Disorders of liver except malignancy with major complications
Disorders of liver except malignancy with major complications
78% lower than market
Disorders of pancreas except malignancy with complications
Disorders of pancreas except malignancy with complications
48% lower than market
Disorders of pancreas except malignancy without complications
Disorders of pancreas except malignancy without complications
60% lower than market
Disorders of the biliary tract with complications
Disorders of the biliary tract with complications
37% lower than market
Disorders of the biliary tract with major complications
Disorders of the biliary tract with major complications
69% lower than market
Disorders of the biliary tract without complications
Disorders of the biliary tract without complications
77% lower than market
Drug poisoning without complications
Drug poisoning without complications
76% lower than market
Esophagitis, gastroent & misc digest disorders with major complications
Esophagitis, gastroent & misc digest disorders with major complications
21% lower than market
G.I. obstruction with complications
G.I. obstruction with complications
63% lower than market
G.I. obstruction with major complications
G.I. obstruction with major complications
64% lower than market
G.I. obstruction without complications
G.I. obstruction without complications
79% lower than market
General symptoms of illness such as fever, pain, shortness of breath
General symptoms of illness such as fever, pain, shortness of breath
61% lower than market
Infection of the skin
Infection of the skin
65% lower than market
Inflammatory bowel disease without complications
Inflammatory bowel disease without complications
65% lower than market
Minor skin disorders without major complications
Minor skin disorders without major complications
36% lower than market
Nutritional or Metabolic Disorders without major complications
Nutritional or Metabolic Disorders without major complications
61% lower than market
Other injury, poisoning & toxic effect diag without major complications
Other injury, poisoning & toxic effect diag without major complications
73% lower than market
Postoperative & post-traumatic infections without major complications
Postoperative & post-traumatic infections without major complications
71% lower than market
Red blood cell disorders with major complications
Red blood cell disorders with major complications
71% lower than market
Skin ulcers with complications
Skin ulcers with complications
48% lower than market
Stomach Disorder without complications
Stomach Disorder without complications
54% lower than market
Trauma to the skin, subcut tiss & breast without major complications
Trauma to the skin, subcut tiss & breast without major complications
8% higher than market
Wagoner Community Hospital Patient Information Price List
INPATIENT NEUROLOGY CHARGES
INPATIENT NEUROLOGY CHARGES
Description
Variance
Cranial & peripheral nerve disorders with major complications
Cranial & peripheral nerve disorders with major complications
43% lower than market
Cranial & peripheral nerve disorders without major complications
Cranial & peripheral nerve disorders without major complications
70% lower than market
Degenerative nervous system disorders without complications
Degenerative nervous system disorders without complications
77% lower than market
Nonspecific CVA & precerebral occlusion without infarct without major complications
Nonspecific CVA & precerebral occlusion without infarct without major complications
66% lower than market
Seizures without major complications
Seizures without major complications
52% lower than market
Stroke with complications
Stroke with complications
49% lower than market
Transient ischemia
Transient ischemia
76% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT ONCOLOGY CHARGES
INPATIENT ONCOLOGY CHARGES
Description
Variance
Malignancy of hepatobiliary system or pancreas with complications
Malignancy of hepatobiliary system or pancreas with complications
43% lower than market
Malignancy of hepatobiliary system or pancreas with major complications
Malignancy of hepatobiliary system or pancreas with major complications
60% lower than market
Malignancy, female reproductive system with complications
Malignancy, female reproductive system with complications
12% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT ORTHOPEDIC SURGERY CHARGES
INPATIENT ORTHOPEDIC SURGERY CHARGES
Description
Variance
Hip & femur procedures except major joint with complications
Hip & femur procedures except major joint with complications
55% lower than market
Other musculoskelet system & connective tissue O.R. procedure with complications
Other musculoskelet system & connective tissue O.R. procedure with complications
32% lower than market
Revision of hip or knee replacement with complications
Revision of hip or knee replacement with complications
61% lower than market
Spinal fusion other than the neck without major complications
Spinal fusion other than the neck without major complications
7% higher than market
Total Ankle Replacement
Total Ankle Replacement
61% lower than market
Total Knee or Hip Replacement
Total Knee or Hip Replacement
30% lower than market
Total Knee or Hip Revision
Total Knee or Hip Revision
76% lower than market
Total Shoulder Replacement
Total Shoulder Replacement
59% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT ORTHOPEDICS CHARGES
INPATIENT ORTHOPEDICS CHARGES
Description
Variance
Bone diseases & arthropathies without major complications
Bone diseases & arthropathies without major complications
61% lower than market
Fractures of hip & pelvis without major complications
Fractures of hip & pelvis without major complications
63% lower than market
Fractures of hip, pelvis & thigh without major complications
Fractures of hip, pelvis & thigh without major complications
32% lower than market
Medical back problems with major complications
Medical back problems with major complications
71% lower than market
Medical back problems without major complications
Medical back problems without major complications
70% lower than market
Osteomyelitis with complications
Osteomyelitis with complications
49% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT PSYCHIATRY CHARGES
INPATIENT PSYCHIATRY CHARGES
Description
Variance
Alcohol or Drug Abuse without rehab or major complications
Alcohol or Drug Abuse without rehab or major complications
58% lower than market
Depression
Depression
41% lower than market
Mental Illness
Mental Illness
39% lower than market
Mental disturbances and retardation
Mental disturbances and retardation
74% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT PULMONOLOGY CHARGES
INPATIENT PULMONOLOGY CHARGES
Description
Variance
Bronchitis & asthma with major complications
Bronchitis & asthma with major complications
14% lower than market
Chronic Lung Disease with complications
Chronic Lung Disease with complications
35% lower than market
Chronic Lung Disease with major complications
Chronic Lung Disease with major complications
35% lower than market
Chronic Lung Disease without complications
Chronic Lung Disease without complications
20% lower than market
Major chest trauma with complications
Major chest trauma with complications
48% lower than market
Other respiratory system diagnoses without major complications
Other respiratory system diagnoses without major complications
64% lower than market
Pleural effusion with complications
Pleural effusion with complications
68% lower than market
Pneumonia with complications
Pneumonia with complications
34% lower than market
Pneumonia with major complications
Pneumonia with major complications
41% lower than market
Pneumonia without complications
Pneumonia without complications
16% lower than market
Pneumothorax with complications
Pneumothorax with complications
18% lower than market
Pulmonary embolism without major complications
Pulmonary embolism without major complications
30% lower than market
Respiratory Failure
Respiratory Failure
48% lower than market
Respiratory infections and inflammations with major complications
Respiratory infections and inflammations with major complications
21% lower than market
Respiratory signs & symptoms
Respiratory signs & symptoms
50% lower than market
Wagoner Community Hospital Patient Information Price List
INPATIENT UROLOGY CHARGES
INPATIENT UROLOGY CHARGES
Description
Variance
Kidney & urinary Infection with major complications
Kidney & urinary Infection with major complications
35% lower than market
Kidney & urinary Infection without complications
Kidney & urinary Infection without complications
50% lower than market
Kidney failure with complications
Kidney failure with complications
57% lower than market
Kidney failure with major complications
Kidney failure with major complications
68% lower than market
Minor bladder procedures with complications
Minor bladder procedures with complications
78% lower than market
Minor bladder procedures without complications
Minor bladder procedures without complications
62% lower than market
Other kidney & urinary tract diagnoses with complications
Other kidney & urinary tract diagnoses with complications
59% lower than market
Other kidney & urinary tract diagnoses without complications
Other kidney & urinary tract diagnoses without complications
63% lower than market
Renal failure without complications
Renal failure without complications
64% lower than market
Transurethral prostatectomy with major complications
Transurethral prostatectomy with major complications
73% lower than market
Transurethral prostatectomy without complications
Transurethral prostatectomy without complications
70% lower than market
Wagoner Community Hospital Patient Information Price List
BILLING PROCESS AND INFORMATION
BILLING PROCESS AND INFORMATION
How You Can Help
Thank you for choosing Wagoner Community Hospital for your healthcare needs. We want to make understanding and paying your bill as easy as possible. Here are some ways you can help us as we work to make the billing process go smoothly.
• Please give us complete health insurance information.
In addition to your health insurance card, we may ask for a photo ID. If you have been seen at Wagoner Community Hospital, let us know if your personal information or insurance information has changed since your last visit.
• Please understand and follow the requirements of your health plan.
Be sure to know your benefits, obtain proper authorization for services and submit referral claim forms if necessary. Many insurance plans require patients to pay a co-payment or deductible amount. You are responsible for paying co-payments required by your insurance provider and Wagoner Community Hospital is responsible for collecting co-payments. Please come to your appointment prepared to make your co-payment.
• Please respond promptly to any requests from your insurance provider.
You may receive multiple bills from your hospital visit, including your family doctor, specialists, physicians that read x-rays, providers that give anesthesia, or physicians that interpret blood work. Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Wagoner Community Hospital indicating the bill is now your responsibility. All bills sent to you are due upon receipt.
Questions about Price and Billing Information
Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.
To ask questions or get more information about a bill for services you've received, please contact our Billing Department at 918-485-5514.
If you need more information about the price of a future service, please contact our Customer Service at 918-485-5514. A physician’s order or CPT code is strongly encouraged when you call to assist us in providing you with the most accurate estimate. You can obtain the CPT code from the ordering physician.
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