Northwest Surgical Hospital









Hospital Overview
Facility Details
CCN
370192
NPI
1942260971
Type
Short Term Acute Care Hospital
Ownership
Physician
Beds
9
Contact Information
Address
9204 North May Avenue
Oklahoma City, OK 73120
Phone
(405) 848-1918
Insurance Accepted






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Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average | 
|---|---|---|---|---|
Aetna  | Inpatient  | MS-DRG Multiple Significant Trauma Range: 955 - 965  | Negotiated  | Very Low | 
Aetna  | Outpatient  | HCPCS Prosthetic Procedures Range: L5000 - L9900  | Percentage of Bill Charged  | |
Aetna  | Outpatient  | HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999  | Negotiated  | Very Low | 
Aetna  | Facility  | RC Other Room and Board Range: 0160 - 0169  | Percentage of Bill Charged  | |
Aetna  | Facility  | RC Occupational Therapy Range: 0430 - 0439  | Per Diem  | Very Low | 
Aetna  | Facility  | RC Behavioral Health Treatments/Services (also see 091X, and extension of 090X) Range: 0900 - 0909  | Per Diem  | Very Low | 
Aetna  | Outpatient  | HCPCS Outpatient PPS Range: C1713 - C9899  | Negotiated  | Very High | 
Aetna  | Inpatient  | MS-DRG Diseases & Disorders of the Male Reproductive System Range: 707 - 730  | Negotiated  | Very Low | 
Aetna  | Outpatient  | HCPCS Outpatient PPS Range: C1713 - C9899  | Percentage of Bill Charged  | |
Aetna  | Facility  | RC Room and Board (3 and 4 beds) Range: 0130 - 0139  | Percentage of Bill Charged  | 
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