Supplies, drugs & other prices at Baptist Health-Fort Smith
Fort Smith, AR · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $270.40 | $1,081.60 | 0.8× |
| Admin influenza virus vac (G0008) | $21.84 | $87.36 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $21.84 | $87.36 | 0.5× |
| Arthro/shoul surg; w/spacer (C9781) likely a partial charge, not the full procedure |
$2,462.89 | $9,851.57 | 0.2× |
| Catheterize for urine spec (P9612) | $23.14 | $92.56 | 2.5× |
| Chemo extend iv infus w/pump (G0498) | $178.36 | $713.44 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $660.90 | $2,643.59 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $645.32 | $2,581.28 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $65 | $260 | 1.3× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$201.09 | $804.36 | 0.0× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$94.28 | $377.10 | 0.0× |
| Direct refer hospital observ (G0379) | $447.20 | $1,788.80 | 0.8× |
| Drug test def 1-7 classes (G0480) | $74.42 | $297.66 | 0.7× |
| Elec stim other than wound (G0283) | $39.26 | $157.04 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $53.30 | $213.20 | 0.4× |
| Home sleep test/type 3 porta (G0399) | $485.68 | $1,942.72 | 2.3× |
| Hospital outpt clinic visit (G0463) | $59.65 | $238.58 | 0.5× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) | $114.29 | $457.16 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $209.04 | $836.16 | 0.3× |
| Lev 3 hosp type b ed visit (G0382) | $786.50 | $3,146 | 4.7× |
| Lev 4 hosp type b ed visit (G0383) | $864.50 | $3,458 | 3.4× |
| Lev 5 hosp type b ed visit (G0384) | $1,053 | $4,212 | 2.6× |
| Mra w/o cont, abd (C8901) | $583.70 | $2,334.80 | 2.5× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $352.30 | $1,409.20 | 0.7× |
| Oth resp proc, indiv (G0238) | $47.58 | $190.32 | 1.7× |
| Pathogen test for platelets (P9100) | $35.10 | $140.40 | 0.6× |
| Perc d-e cor revasc chro sin (C9607) | $12,166.96 | $48,667.84 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $9,069.06 | $36,276.24 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $12,166.96 | $48,667.84 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $8,637.20 | $34,548.80 | 0.8× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,069.82 | $12,279.28 | 0.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$3,442.40 | $13,769.60 | 0.3× |
| Prolonged iv inf, req pump (C8957) | $146.12 | $584.48 | 0.7× |
| Prostate biopsy, any mthd (G0416) | $133.90 | $535.60 | 0.4× |
| Psa screening (G0103) | $63.05 | $252.18 | 3.3× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $138.84 | $555.36 | 0.6× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$7,724.34 | $30,897.36 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,496.75 | $33,986.99 | 0.5× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,200.82 | $16,803.28 | 0.4× |
| Revasc lith-sten-ath tib/per (C9775) | $10,929.62 | $43,718.48 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $6,025.76 | $24,103.04 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) | $9,902.10 | $39,608.40 | 0.6× |
| Tomosynthesis, mammo (G0279) | $101.19 | $404.74 | 8.0× |
| Trauma respons w/hosp criti (G0390) | $1,478.75 | $5,915 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $412.34 | $1,649.34 | 0.5× |
| Unsched dialysis esrd pt hos (G0257) | $281.32 | $1,125.27 | 0.4× |