Based on public Medicaid payment data.
Holly Briann Costner
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
4200 S Douglas Ave
Oklahoma City, OK 731093223
Phone
4056367195
NPI
1912159492
Procedures
7
Total Claims
12.9K
Patients Served
12.8K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Emergency Room Visit | $180.51 | 8,052 | 8,011 |
| Blood Work & Lab Tests | $10.60 | 2,926 | 2,916 |
| Urinalysis & Urine Tests | $3.10 | 928 | 926 |
| EKG / ECG (Electrocardiogram) | $5.59 | 513 | 509 |
| X-Ray | $16.37 | 411 | 410 |
| CT Scan (Computed Tomography) | $52.86 | 12 | 12 |
| Pulmonary Function Test | $21.75 | 12 | 12 |
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