Hospital Charges

     

J.D. McCarty Center

     
Service CPT Code Charges Medicaid Rate
Physical Therapy Eval (1 Hour) 97163  $                       150.00  $                          90.21
Occupational Therapy Eval Low (30 Minutes) 97165  $                       150.00  $                          90.78
Occupational Therapy Eval High (1 Hour) 97167  $                       150.00  $                          97.78
Speech Therapy Eval  92523  $                       250.00  $                       205.39
Feeding and Swallowing Eval  92610  $                       150.00  $                          63.59
Physical Therapy (15 Minute Units) 97110  $                          50.00  $                          26.51
Occupational Therapy (15 Minute Units) 97530  $                          50.00  $                          33.03
Speech Therapy  92507  $                          84.00  $                          69.37
Feeding and Swallowing Therapy 92526  $                       120.00  $                          76.66
Neuro Clinic - New Patient (30 Minutes) 99203  $                       105.00 $                          75.28
Neuro Clinic - New Patient (45 Minutes) 99204 $                       150.00 $                       122.01
Neuro Clinic - New Patient (60+ Minutes) 99205 $                       225.00 $                       165.48
Neuro Clinic - Established Patient (15 Minutes) 99213 $                          75.00 $                          60.36
Neuro Clinic - Established patient (25 Minutes) 99214 $                       105.00 $                          88.66
Neuro Clinic - Established Patient (40+ Minutes) 99215 $                       150.00 $                       131.44
Inpatient Room and Board    $                    1,500.00 $                    1,065.67
                   
Self Pay : Self pay rates negotiable based on JDMC policy number 6065.6 available after listed charges
                   
All patients and families have the right to receive a Good Faith Estimate for the total expected cost of any 

 items or services. For more information please contact the billing office at 405-307-2800.

Download machine-readable CSV of Hospital Charges