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Pam Specialty Hospital of Tulsa

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Pam Specialty Hospital of Tulsa. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN372018

Procedures & prices

Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
Cash
— self-pay price (no insurance)
Gross
— chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
Negotiated range
— min–max of rates the hospital negotiated with insurers
Payers
— number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
  • Injection, Garamycin, Gentamicin, Up To 80 Mg
    DrugHCPCS J1580Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Insulin, Per 5 Units
    DrugHCPCS J1815Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Phenytoin Sodium, Per 50 Mg
    DrugHCPCS J1165Hospital-published line item
    $11
    cash
    Gross $11
  • Atropine Sulfate Injection
    DrugHCPCS J0461Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Dexamethasone Sodium Phosphate, 1 Mg
    DrugHCPCS J1100Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Hydromorphone, Up To 4 Mg
    DrugHCPCS J1170Hospital-published line item
    $11
    cash
    Gross $11
  • Acyclovir Injection
    DrugHCPCS J0133Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Amiodarone Hydrochloride, 30 Mg
    DrugHCPCS J0282Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Adrenalin, Epinephrine, 0.1 Mg
    DrugHCPCS J0171Hospital-published line item
    $11
    cash
    Gross $11
  • iiv4 Vacc No Prsv 0.5 Ml IM
    ProcedureCPT 90686Hospital-published line item
    $11
    cash
    Gross $11
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