Supplies, drugs & other prices at Baptist Memorial Hospital-Crittenden
West Memphis, AR · every code in this section with a posted price and a Medicare benchmark.
95 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $19.65 | $131 | 0.5× |
| 2d tee w or w/o fol w/con,in (C8925) | $425.85 | $2,839 | 0.6× |
| 2d tte w or w/o fol w/con,co (C8923) | $361.20 | $2,408 | 0.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $361.20 | $2,408 | 1.1× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) unusually low: confirm this is the full procedure |
$2,675.25 | $17,835 | 0.3× |
| Adm tocilizu covid-19 1st (M0249) | $236.85 | $1,579 | 0.6× |
| Adm tocilizu covid-19 2nd (M0250) | $236.85 | $1,579 | 0.6× |
| Admin hepatitis b vaccine (G0010) | $14.40 | $96 | 0.3× |
| Admin influenza virus vac (G0008) | $13.05 | $87 | 0.3× |
| Admin pneumococcal vaccine (G0009) | $14.40 | $96 | 0.3× |
| Catheterize for urine spec (P9612) | $1.65 | $11 | 0.2× |
| Colon ca scrn not hi rsk ind (G0121) | $224.40 | $1,496 | 0.3× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) | $548.85 | $3,659 | 1.7× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) | $459.90 | $3,066 | 2.1× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) | $656.85 | $4,379 | 2.0× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) | $508.80 | $3,392 | 3.1× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) | $438.60 | $2,924 | 4.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) | $614.10 | $4,094 | 3.8× |
| Covid-19 lab test non-cdc (U0002) | $27.90 | $186 | 0.5× |
| Devlopment test interpt&rep (G0451) | $108 | $720 | 1.1× |
| Direct refer hospital observ (G0379) | $165.45 | $1,103 | 0.3× |
| Drug test def 1-7 classes (G0480) | $45 | $300 | 0.4× |
| Elec stim other than wound (G0283) | $30.45 | $203 | 2.4× |
| Group mnt 2 or more 30 mins (G0271) | $11.40 | $76 | 0.7× |
| Hbot, full body chamber, 30m (G0277) | $58.95 | $393 | 0.5× |
| Heart symp image plnr (0331T) | $438.15 | $2,921 | 0.4× |
| Heart symp image plnr spect (0332T) | $438.15 | $2,921 | 0.4× |
| Home sleep test/type 4 porta (G0400) | $76.65 | $511 | 0.4× |
| Hospital outpt clinic visit (G0463) | $31.50 | $210 | 0.3× |
| Hpv combo assay ca screen (G0476) | $17.70 | $118 | 0.5× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) | $5,630.40 | $37,536 | 0.6× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) | $7,359 | $49,060 | 0.8× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$11,921.25 | $79,475 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $11,441.55 | $76,277 | 0.6× |
| Intens cardiac rehab no exer (G0423) | $60.90 | $406 | 0.5× |
| Intens cardiac rehab w/exerc (G0422) | $60.90 | $406 | 0.5× |
| Mnt subs tx for change dx (G0270) | $11.40 | $76 | 0.4× |
| Mra w/cont, abd (C8900) | $660.60 | $4,404 | 2.0× |
| Mra w/cont, chest (C8909) | $660.60 | $4,404 | 2.0× |
| Mra w/cont, lwr ext (C8912) | $562.50 | $3,750 | 1.7× |
| Mra w/cont, pelvis (C8918) | $660.60 | $4,404 | 2.0× |
| Mra w/o cont, abd (C8901) | $561.60 | $3,744 | 2.5× |
| Mra w/o cont, chest (C8910) | $561.60 | $3,744 | 2.5× |
| Mra w/o cont, lwr ext (C8913) | $492.45 | $3,283 | 2.2× |
| Mra w/o cont, pelvis (C8919) | $561.60 | $3,744 | 2.5× |
| Mra w/o fol w/cont, abd (C8902) | $905.70 | $6,038 | 2.8× |
| Mra w/o fol w/cont, chest (C8911) | $950.55 | $6,337 | 2.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $801.75 | $5,345 | 2.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $950.55 | $6,337 | 2.9× |
| Mra, w/dye, spinal canal (C8931) | $660.60 | $4,404 | 2.0× |
| Mra, w/dye, upper extremity (C8934) | $545.70 | $3,638 | 1.7× |
| Mra, w/o dye, spinal canal (C8932) | $589.80 | $3,932 | 2.7× |
| Mra, w/o dye, upper extr (C8935) | $478.50 | $3,190 | 2.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $950.55 | $6,337 | 2.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $777.90 | $5,186 | 2.4× |
| Mri w/cont, breast, bi (C8906) | $677.48 | $4,516.50 | 2.1× |
| Mri w/cont, breast, uni (C8903) | $550.80 | $3,672 | 3.4× |
| Mri w/o fol w/cont, breast, (C8908) | $861.82 | $5,745.50 | 2.7× |
| Mri w/o fol w/cont, brst, un (C8905) | $611.85 | $4,079 | 1.9× |
| Pathogen test for platelets (P9100) | $16.65 | $111 | 0.3× |
| Pemivibart infusion (M0224) | $210.60 | $1,404 | 0.5× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$8,114.70 | $54,098 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $8,114.70 | $54,098 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $9,613.35 | $64,089 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $8,114.70 | $54,098 | 0.8× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) likely a partial charge, not the full procedure |
$866.10 | $5,774 | 0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$1,232.85 | $8,219 | 0.2× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$1,285.35 | $8,569 | 0.2× |
| Pin service 60m per month (G0023) | $35.85 | $239 | 0.4× |
| Pne flu hepb cov home admin (M0201) | $18 | $120 | 0.5× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $420.30 | $2,802 | 0.5× |
| Prolonged iv inf, req pump (C8957) | $123.60 | $824 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $126.90 | $846 | 0.4× |
| Psa screening (G0103) | $82.05 | $547 | 4.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $394.05 | $2,627 | 0.5× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) | $7,359 | $49,060 | 0.8× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$8,211.30 | $54,742 | 0.5× |
| Revasc intra lithotrip-stent (C9765) | $9,200.10 | $61,334 | 0.5× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,673.10 | $31,154 | 0.4× |
| Revasc lith-sten-ath tib/per (C9775) | $14,107.50 | $94,050 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $9,412.05 | $62,747 | 0.6× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$7,937.55 | $52,917 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$4,490.70 | $29,938 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) | $13,295.10 | $88,634 | 0.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $22.50 | $150 | 0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$7,528.35 | $50,189 | 0.4× |
| Tomosynthesis, mammo (G0279) | $15.75 | $105 | 1.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) unusually low: confirm this is the full procedure |
$1,613.25 | $10,755 | 0.3× |
| Trim nail(s) (G0127) | $17.25 | $115 | 0.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$3,993.60 | $26,624 | 0.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$3,993.60 | $26,624 | 0.2× |
| Tte w or w/o contr, cont ecg (C8930) | $565.35 | $3,769 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $565.35 | $3,769 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $565.35 | $3,769 | 0.8× |
| Unsched dialysis esrd pt hos (G0257) | $220.05 | $1,467 | 0.3× |