Visits & medical services prices at Baxter Health Fulton County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $131.01 $187.15 1.4×
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines
$46.20–$226.38 $66–$323.40 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$241.50–$396.90 $345–$567 varies
Application Modality 1/> Areas Infrared (97026) $11.55 $16.50 1.7×
Behavral qualit analys voice (92524) $147.70 $211 1.3×
Brief Emotional/Behav Assmt (96127) $9.53 $13.62 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $141.86 $202.65 0.4×
Canalith repositioning proc (95992) $80.08 $114.40 2.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$292.60–$423.50 $418–$605 varies
Cardioversion (92960) $268.10 $383 0.4×
Chest Wall Manipulation (94668) $67.20 $96 0.6×
Color/duplex Doppler, complete (93975) $577.55 $825.07 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $55.30 $79 1.7×
Continuous Pulse Ox (94762) $51.21 $73.15 0.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $161.70 $231 0.8×
Cpt initial (94667) $61.60 $88 0.5×
Critical care first hour (99291) $399.70 $571 0.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$39.69–$336.70 $56.70–$481 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $305.42 $436.32 1.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $377.97 $539.95 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $370.97 $529.95 3.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $377.97 $539.95 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $370.97 $529.95 3.9×
Duplex up extrem art bilat (93930) $377.97 $539.95 1.7×
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines
$317.10–$348.81 $453–$498.30 varies
ECG/monitoring and analysis (93271) $424.20 $606 4.9×
Electrical Stimulation Ea 15 Min (97032) $34.65 $49.50 2.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$75.83–$118.78 $108.33–$169.68 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$79.53–$109.62 $113.61–$156.60 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$150.63–$185.22 $215.18–$264.60 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$217.46–$260.82 $310.65–$372.60 varies
Er level 1 (99281)
range across 3 matching MRF lines
$42.27–$81.20 $60.38–$116 varies
Er level v (99285)
range across 3 matching MRF lines
$336.42–$338.98 $480.60–$484.25 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$40.60–$50.82 $58–$72.60 varies
Evaluate Speech Production (92522) $153.30 $219 1.4×
Evaluate Swallowing Function (92610) $135.66 $193.80 1.6×
Evaluation of speech fluency (92521) $190.40 $272 1.4×
External Ecg Scanning Analysis Report (93226) $130.90 $187 2.4×
Extracranial Bilat Study (93880) $540.90 $772.71 2.5×
Extracranial Uni/Ltd Study (93882) $467.14 $667.34 4.9×
Group Therapeutic Procedures (97150) $35.07 $50.10 1.9×
Holter monitor recording (93225) $96.29 $137.55 0.8×
Immunization administration (90471) $33.08 $47.25 0.5×
Iontophoresis 15 min (97033) $46.20 $66 2.4×
Irrig Drug Delivery Device (96523) $40.04 $57.20 0.7×
IV infusion hydration each additional hour (96361) $50.05 $71.50 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $193.62 $276.60 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $144.76 $206.80 2.2×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$87.21–$136.29 $124.58–$194.70 varies
IV push initial (96374) $177.10 $253 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$75.25–$225.40 $107.50–$322 varies
Neuromuscular Reeducation (97112) $63.91 $91.30 2.0×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 2 matching MRF lines
$229.52–$300.20 $327.88–$428.85 varies
Oral Function Therapy (92526) $136.33 $194.75 1.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $78.75 $112.50 1.6×
Ot eval high complexity (97167) $153.62 $219.45 1.5×
Ot Eval Low Complex (97165) $153.62 $219.45 1.5×
Ot Eval Moderate Complexity (97166) $153.62 $219.45 1.5×
Ot manual therapy 15 min (97140) $51.59 $73.70 1.9×
Ot Re-Eval Est Plan Care (97168) $101.50 $145 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $73.15 $104.50 0.6×
Phlebotomy therapeutic (99195) $57.40 $82 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $31.50 $45 0.7×
Psych diag eval w/med srvcs (90792) $192.50 $275 1.2×
Psychiatric diagnostic evaluation (90791) $175 $250 1.1×
Pt Eval High Complex (97163) $153.62 $219.45 1.6×
Pt eval low complex 20 min (97161) $153.62 $219.45 1.6×
Pt Eval Mod Complex (97162) $153.62 $219.45 1.6×
Pt gait training 15 min (97116) $55.44 $79.20 1.9×
Pt mechanical traction (97012) $29.26 $41.80 2.0×
Pt Re-Eval Est Plan Care (97164) $103.33 $147.62 1.5×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $104.52 $149.31 3.1×
Rem ther mntr dev sply resp (98976) $104.52 $149.31 3.1×
Remote 30 Day Ecg Rev/Report (93270) $141.40 $202 4.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $39.76 $56.80 0.3×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $69.29 $98.98 1.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $70.81 $101.15 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $19.60 $28 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$75.25–$225.40 $107.50–$322 varies
Self Care Mngment Training (97535) $63.14 $90.20 1.9×
Sensory Integration Ea 15 Min (97533) $56.70 $81 0.9×
Speech sound lang comprehen (92523) $313.22 $447.45 1.4×
Spirometry (94010) $87.78 $125.40 0.4×
Standardized Cognitive Performance Testing (96125) $196.70 $281 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $59.43 $84.90 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $59.50 $85 2.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $55.44 $79.20 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$31.50–$70.84 $45–$101.20 varies
Ther/Proph/Diag Iv Inf Init (96365) $225.61 $322.30 1.2×
Therapeutic Activities (97530)
range across 5 matching MRF lines
$55.44–$73.15 $79.20–$104.50 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $71.61 $102.30 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $35.28 $50.40 1.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,085 $34.44–$1,550 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $125.69 $179.55 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $38.50 $55 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $80.47 $114.95 1.9×
Unlisted Psychiatric Service/Procedure (90899) $52.50 $75 1.5×
Upr/L Xtremity Art 2 Levels (93922) $171.12 $244.45 1.4×
Vasopneumatic device (97016) $23.80 $34 2.0×
Vent Mgmt Inpat Init Day (94002) $220.50 $315 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $158.20 $226 0.3×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$55.65–$58.14 $79.50–$83.05 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.