Program Pricing

The Children’s Center Rehabilitation Hospital (TCCRH) Inpatient Consumer Price Transparency
Updated 12.31.2020

The Children’s Center Rehabilitation Hospital (TCCRH) charges all patients and payers on a per day basis. The per diem charge is inclusive of all services, including professional and ancillary services, provided during an inpatient stay. There are four levels of service that are provided to our patients. The level of service is determined by the medical criteria of the payer, based on established clinical guidelines, and based on TCCRH clinical assessment of our patients.

Services are billed and reimbursed primarily based on Revenue Code. However, a Revenue Code can apply across multiple levels of services provided. Arrangements are made with each specific payer as to the recognized Revenue Code for reimbursement purposes.

All private pay billing is at the Standard Hospital Charge. TCCRH does not have a set Discounted Cash Price that is offered to self-pay patients. On a case-by-case basis, TCCRH works with individual patients to determine expected payment.

          
Level of ServicesStandard Hospital ChargePrivate Pay PatientsDe-identified Minimum Negotiated ChargeDe-identified Maximum Negotiated ChargeAetnaBlue Cross and Blue Shield of OklahomaCignaHealthcare HighwaysUnited Health Care
Long-term Acute Care Hospital (LTAC) Services218221821000170411901284100015001704
Inpatient Rehabilitation Services204720471070150015001070120014501340
Medical/Surgical Services16361636110013401190* N/A* N/A11001340
Subacute Care/Skilled Nursing Services13651365749105095174990010501004

* Note: Payers are not contracted for all levels of care. In that case, “N/A” for Not Applicable is indicated.

The Children’s Center Rehabilitation Hospital (TCCRH) Outpatient Consumer Price Transparency
Updated 11.1.2021

Outpatient Program Pricing  
Office Visits
Procedure CodeCode DescriptionFee Schedule
99202New patient straightforward medical decision making80.43
99203New patient low level of medical decision making124.46
99204New patient moderate level of medical decision making186.93
99205New patient high level of medical decision making 247.1
99212Established patient straightforward medical decision making61.85
99213Established patient low level of medical decision making101.25
99214Established patient moderate level of medical decision making144.04
99215Established patient high level of medical decision making 201.65
99381New patient preventive medicine, infant less than 1 year old122.61
99382New patient preventive medicine, age 1 through 4 years128.14
99383New patient preventive medicine, age 5 through 11 years133.26
99384New patient preventive medicine, age 12 through 17 years150.11
99391Established patient preventive medicine, infant less than 1 year old110.19
99392Established patient preventive medicine, age 1 through 4 years117.94
99393Established patient preventive medicine, age 5 through 11 years117.58
99394Established patient preventive medicine, age 12 through 17 years128.94
Speech Therapy/Physical Therapy/Occupational Therapy
Procedure CodeCode DescriptionFee Schedule
92507Treatment of speech, language, voice, communication and/or auditory processing disorder90.43
92523Evaluation of speech sound production with evaluation of language comprehension and expression220.19
92526Treatment of swallowing dysfunction and/or oral function for feeding99.23
92610Evaluation of oral and pharyngeal swallowing function98.65
97110Therapeutic procedure to develop strength and endurance, range of motion and flexibility (each 15 minutes)34.71
97112Therapeutic procedure neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities (each 15 minutes)39.81
97116Therapeutic procedure gait training (each 15 minutes)34.34
97161Physical therapy evaluation: low complexity96.68
97162Physical therapy evaluation: moderate complexity96.68
97163Physical therapy evaluation: high complexity96.68
97165Occupational therapy evaluation: low complexity102.29
97166Occupational evaluation: moderate complexity101.91
97167Occupational therapy evaluation: high complexity101.91
97530Therapeutic activities, direct patient contact44.01
97533Sensory integrative techniques to enhance sensory processing and promote adaptive responses to envionmental demands (each 15 minutes)57.31
97535Self-care/home management training (each 15 minutes)38.45