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Pushmataha County Town Of Antlers Hospital
Antlers, OK · CMS ID: 370083
This hospital has pricing data for 20 procedures.
Procedures (20)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
—
Gross Charge
$180
Medicare Rate
$24
No payer-negotiated rates available
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
—
Gross Charge
$49
Medicare Rate
$31
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$60
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$275
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$3,044
Medicare Rate
$280
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$2,642
Medicare Rate
$172
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$1,953
Medicare Rate
$156
No payer-negotiated rates available
ER Visit Level 3
99283Cash Price
(No Insurance)
—
Gross Charge
$348
Medicare Rate
$69
No payer-negotiated rates available
ER Visit Level 4
99284Cash Price
(No Insurance)
—
Gross Charge
$557
Medicare Rate
$117
No payer-negotiated rates available
ER Visit Level 5
99285Cash Price
(No Insurance)
—
Gross Charge
$824
Medicare Rate
$170
No payer-negotiated rates available
Ultrasound Abdomen
76700Cash Price
(No Insurance)
—
Gross Charge
$619
Medicare Rate
$107
No payer-negotiated rates available
Ultrasound Pelvis
76856Cash Price
(No Insurance)
—
Gross Charge
$474
Medicare Rate
$98
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$258
No payer-negotiated rates available
Cash Price
(No Insurance)
—
Gross Charge
$258
No payer-negotiated rates available
X-ray Shoulder 2 View Left
73030LTCash Price
(No Insurance)
—
Gross Charge
$268
No payer-negotiated rates available
X-ray Shoulder 2 View Right
73030RTCash Price
(No Insurance)
—
Gross Charge
$268
No payer-negotiated rates available