J.D. McCarty Center |
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| 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 | |||||||||
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items or services. For more information please contact the billing office at 405-307-2800. Download machine-readable CSV of Hospital Charges |
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J. D. McCarty Center
for children with developmental disabilities
