Supplies, drugs & other prices at Baxter Health Fulton County Hospital
Salem, AR · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $34.65 | $49.50 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $69.30 | $99 | 1.6× |
| Ca screen;pelvic/breast exam (G0101) | $45.63 | $65.18 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $754.60 | $1,078 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $754.25 | $1,077.50 | 0.9× |
| Covid-19 lab test non-cdc (U0002) | $139.30 | $199 | 2.7× |
| Drug test def 1-7 classes (G0480) | $43.37 | $61.95 | 0.4× |
| Ekg tracing for initial prev (G0404) | $68.94 | $98.48 | 2.6× |
| Elec stim other than wound (G0283) | $25.90 | $37 | 2.0× |
| Fecal blood scrn immunoassay (G0328) | $41.30 | $59 | 2.3× |
| Initial foot exam pt lops (G0245) | $110.39 | $157.70 | 0.9× |
| Initial preventive exam (G0402) | $211.60 | $302.28 | 1.7× |
| Obtaining screen pap smear (Q0091) | $36.05 | $51.50 | 1.4× |
| Ppps, initial visit (G0438) | $217 | $310 | 1.2× |
| Ppps, subseq visit (G0439) | $188.06 | $268.65 | 1.4× |
| Psa screening (G0103) | $46.20 | $66 | 2.4× |