Procedures & surgery prices at Baxter Health Fulton County Hospital

Salem, AR · every code in this section with a posted price and a Medicare benchmark.

158 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $477.68 $682.40 0.6×
Acne Surgery (10040) $297.26 $424.65 1.6×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $248.32 $354.75 1.7×
Application cast elbow finger short arm (29075) $100.10 $143 0.4×
Application cast shoulder hand long arm (29065) $110.60 $158 0.4×
Application finger splint static (29130) $47.60 $68 0.4×
Application long arm splint shoulder hand (29105) $97.30 $139 0.7×
Application Of Rigid Total Contact Leg Cast (29445) $337.70 $482.42 1.3×
Application short arm splint forearm-hand static (29125) $70.70 $101 0.6×
Application short leg splint calf foot (29515) $81.20 $116 0.5×
Arterial puncture (36600) $64.40 $92 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $68.60 $98 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $83.30 $119 0.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $117.55 $167.93 0.4×
Aspiration Bladder Insert Suprapubic Catheter (51102) $433.36 $619.08 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $91 $130 0.5×
Biopsy intranasal (30100) $310.27 $443.24 0.2×
Blood transfusion service (36430) $246.99 $352.84 0.6×
Bone Marrow Biopsy (38221) $431.20 $616 0.3×
Change Cystostomy Tube Complicated (51710) $521.50 $745 0.8×
Chemical Cautery Tissue (17250) $224.68 $320.97 1.2×
Chest tube placement (32551) $298.90 $427 0.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $759.50 $1,085 0.5×
Closed tx ankle dislocation w/o anesthesia (27840) $578.90 $827 2.6×
Closed tx knee dislocation w/o anesthesia (27550) $1,051.67 $1,502.38 4.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $944.54 $1,349.34 0.6×
Closed tx nasal fracture w/o stabilization (21315) $247.80 $354 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $548.80 $784 2.4×
Closed tx radial shaft fracture w/manipulation (25505) $732.20 $1,046 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $52.50 $75 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $627.20 $896 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $373.10 $533 1.7×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $393.40 $562 1.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $475.30 $679 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $415.77 $593.95 1.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $939.40 $1,342 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $321 $458.57 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $256.27 $366.10 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $393.40 $562 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $455.70 $651 2.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $469.70 $671 2.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $480.20 $686 2.1×
Cltx post hip arthrp dislc w/o anes (27265) $637 $910 2.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $361.20 $516 1.6×
Colonoscopy thru stoma (44388) $794.59 $1,135.12 0.9×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,407 $2,010 1.3×
Colsc flx with directed submucosal njx any sbst (45381) $446.98 $638.54 0.4×
Complete replacement picc rs&i (36584) $595 $850 0.4×
Control Nasal Hemorrhage Anterior Simple (30901) $93.10 $133 0.8×
Cricopharyngeal myotomy (43030)
likely a partial charge, not the full procedure
$129.44 $184.91 0.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $930.71 $1,329.58 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $102.06 $145.80 0.3×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $458.72 $655.32 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,430.10 $2,043 1.0×
Delivery placenta separate procedure (59414) $238 $340 0.1×
Destruc Benign/Premal,15+ Lesions (17004) $162.61 $232.30 0.4×
Destruction Benign Lesions Up To 14 (17110) $112.06 $160.08 0.6×
Destruction premalignant lesion 1st (17000) $85.79 $122.55 0.5×
Diagnostic sigmoidoscopy (45330) $560.70 $801 0.7×
Drainage Finger Abscess Simple (26010) $192.50 $275 1.1×
Drainage of eyelid abscess (67700) $210.40 $300.57 0.7×
Drainage of gum lesion (41800) $221.90 $317 1.8×
Drainage of hematoma/fluid (10140) $1,353.33 $1,933.32 0.9×
Draw blood off venous device (36591) $135.35 $193.35 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $218.84 $312.63 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $182.58 $260.83 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $180.95 $258.50 1.0×
Egd flexible foreign body removal (43247) $904.58 $1,292.25 1.1×
Egd remove lesion snare (43251) $1,170.05 $1,671.50 0.7×
Egd Transoral Control Bleeding Any Method - Egd (43255) $1,549.10 $2,213 0.9×
Esophagogastroduodenoscopy submucosal injection (43236) $1,232 $1,760 1.5×
Evacuation of subungual hematoma (11740) $51.10 $73 0.4×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $184.38 $263.40 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $237.92 $339.88 0.4×
Exc tr-ext b9+marg 0.5 cm or less (11400) $207.06 $295.80 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $427.13 $610.18 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $998.69 $1,426.70 1.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $455.87 $651.24 0.3×
Excision of nail fold toe (11765) $121.66 $173.80 0.3×
Fine needle aspiration without imaging guidance (10021) $113.29 $161.84 0.3×
I&d abscess simple (10060) $157.40 $224.85 0.9×
I&D Upper Arm/Elbow Bursa (23931) $254.80 $364 0.2×
Incision & drainage abscess complicated/multiple (10061) $395.15 $564.50 1.1×
Incision & removal foreign body subq tiss compl (10121) $304.50 $435 0.2×
Incision & removal foreign body subq tiss simple (10120) $228.96 $327.08 0.6×
Incision and drainage of bartholin's gland abscess (56420) $155.40 $222 0.8×
Incision and drainage of vulva or perineal abscess (56405) $406.70 $581 1.5×
Incision thrombosed hemorrhoid external (46083) $286.50 $409.30 1.3×
Initial tx 1st degree burn local tx (16000) $76.83 $109.75 0.4×
Inj tendon sheath/ligament (20550) $102.21 $146.01 0.4×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $63.70 $91 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $104.30 $149 0.4×
Injection anes other peripheral nerve/branch (64450) $117.60 $168 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $182.35 $260.50 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $91 $130 0.5×
Insert non-tunnel cv cath (36556) $202.30 $289 0.1×
Insert picc cath (36569) $1,225 $1,750 0.9×
Insert Temp Bladder Cath (51702) $63.07 $90.10 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $62.02 $88.60 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,225 $1,750 0.9×
Intubation endotracheal emergency procedure (31500) $191.10 $273 0.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $455.70 $651 0.2×
Punch biopsy skin single lesion (11104) $224.70 $321 0.6×
Puncture Aspiration (10160) $157.40 $224.85 0.4×
Removal fb intranasal (30300) $198.80 $284 1.6×
Removal foreign body foot subcutaneous (28190) $223.30 $319 0.3×
Removal foreign body pharynx (42809) $560.35 $800.50 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $44.70 $63.85 0.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $64.38 $91.98 1.2×
Removal of intrauterine device (iud) (58301) $111.76 $159.65 0.4×
Removal of nail bed (11750) $285.60 $408 0.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $98 $140 0.5×
Remove drug implant device (11982) $295.58 $422.25 0.7×
Remove foreign body from eye (65235) $2,004.80 $2,864 1.0×
Remv Ext Canal Foreign Body (69200) $84.70 $121 0.7×
Remv F.B.,Eye,Superf Conjunc (65205) $72.10 $103 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $402.50 $575 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $679.70 $971 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $543.20 $776 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $359.10 $513 1.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $392.70 $561 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $284.20 $406 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $392 $560 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $267.40 $382 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $279.30 $399 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $396.20 $566 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $338.80 $484 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $70 $100 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $438.13 $625.90 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $85.04 $121.49 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $158.22 $226.03 0.4×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $120.40 $172 0.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $370.30 $529 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $110.60 $158 0.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $125.30 $179 0.7×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $294 $420 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $156.10 $223 0.9×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $192.50 $275 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $92.40 $132 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $281.55 $402.21 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $144.90 $207 0.8×
Skin sub graft face/nk/hf/g (15275) $318.12 $454.45 0.5×
Skin sub graft trnk/arm/leg (15271) $609 $870 0.9×
Skin Sub Grft T/Arm/Lg Child (15273) $521.63 $745.18 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $119 $170 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $191.80 $274 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $233.80 $334 0.6×
Spinal puncture lumbar diagnostic (62270) $297.54 $425.05 0.5×
Strapping unna boot (29580) $248.32 $354.75 1.7×
Tangential biopsy skin single lesion (11102) $221.95 $317.07 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,680.43 $2,400.62 1.1×
Thoracentesis needle/cath pleura w/o imaging (32554) $330.75 $472.50 0.6×
Treatment closed elbow dislocation w/o anes (24600) $527.10 $753 2.3×
Trim skin lesion (11055) $82.25 $117.50 0.5×
Trimming Of Nondystrophic Nails, Any Number (11719) $14 $20 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $599.83 $856.90 0.9×
Vaginal delivery only (59409) $1,516.91 $2,167.02 0.5×
Venipuncture (36415) $6.16 $8.80 0.7×