Supplies, drugs & other prices at Baxter Health
Mountain Home, AR · every code in this section with a posted price and a Medicare benchmark.
80 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $602.61 | $1,004.35 | 1.9× |
| Adm tocilizu covid-19 1st (M0249) | $675 | $1,125 | 1.7× |
| Adm tocilizu covid-19 2nd (M0250) | $675 | $1,125 | 1.7× |
| Admin hepatitis b vaccine (G0010) | $25.39 | $42.31 | 0.6× |
| Admin influenza virus vac (G0008) | $54 | $90 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $54 | $90 | 1.3× |
| Ca screen;flexi sigmoidscope (G0104) | $607.20 | $1,012 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) | $97.64 | $162.74 | 1.1× |
| Catheterize for urine spec (P9612) | $193.35 | $322.25 | 20.7× |
| Colon ca scrn not hi rsk ind (G0121) | $1,364.40 | $2,274 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,405.80 | $2,343 | 1.7× |
| Depression screen annual (G0444) | $45 | $75 | 1.3× |
| Diab manage trn per indiv (G0108) | $53.40 | $89 | 1.0× |
| Diab manage trn ind/group (G0109) | $22.80 | $38 | 1.4× |
| Direct refer hospital observ (G0379) | $94.80 | $158 | 0.2× |
| Drug test def 1-7 classes (G0480) | $33 | $55 | 0.3× |
| Drug test def 15-21 classes (G0482) | $249 | $415 | 1.3× |
| Drug test def 22+ classes (G0483) | $322.80 | $538 | 1.3× |
| Drug test def 8-14 classes (G0481) | $184.20 | $307 | 1.2× |
| Ekg tracing for initial prev (G0404) | $25.96 | $43.26 | 1.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $15,722.72 | $26,204.53 | 1.5× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $378 | $630 | 1.7× |
| Fecal blood scrn immunoassay (G0328) | $27.15 | $45.25 | 1.5× |
| Fecal microbiota prep instil (G0455) | $1,238.27 | $2,063.78 | 1.5× |
| Hbot, full body chamber, 30m (G0277) | $277.80 | $463 | 2.2× |
| Home sleep test/type 3 porta (G0399) | $245.70 | $409.50 | 1.2× |
| Hospital outpt clinic visit (G0463) | $151.41 | $252.35 | 1.2× |
| Initial preventive exam (G0402) | $166.86 | $278.10 | 1.4× |
| Inj for sacroiliac jt anesth (G0260) | $799.80 | $1,333 | 1.2× |
| Instlj fecal microbiota ssp (0780T) | $15 | $25 | 0.1× |
| Mra w/cont, abd (C8900) | $1,050 | $1,750 | 3.3× |
| Mra w/cont, chest (C8909) | $1,034.85 | $1,724.75 | 3.3× |
| Mra w/cont, lwr ext (C8912) | $1,034.85 | $1,724.75 | 3.3× |
| Mra w/cont, pelvis (C8918) | $1,473.60 | $2,456 | 4.6× |
| Mra w/o cont, abd (C8901) | $880.80 | $1,468 | 4.1× |
| Mra w/o cont, chest (C8910) | $868.06 | $1,446.76 | 4.0× |
| Mra w/o cont, lwr ext (C8913) | $880.80 | $1,468 | 4.1× |
| Mra w/o cont, pelvis (C8919) | $880.80 | $1,468 | 4.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,338.60 | $2,231 | 4.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,319.12 | $2,198.54 | 4.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,319.40 | $2,199 | 4.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,386.62 | $2,311.04 | 4.4× |
| Mra, w/dye, upper extremity (C8934) | $1,329.78 | $2,216.30 | 4.2× |
| Mri w/cont, breast, bi (C8906) | $1,050 | $1,750 | 3.3× |
| Mri w/cont, breast, uni (C8903) | $1,050 | $1,750 | 6.6× |
| Mri w/o fol w/cont, breast, (C8908) | $1,338.60 | $2,231 | 4.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,338.60 | $2,231 | 4.2× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $675.60 | $1,126 | 1.7× |
| Obtaining screen pap smear (Q0091) | $140.29 | $233.81 | 5.3× |
| Oth resp proc, group (G0239) | $57 | $95 | 1.7× |
| Perc d-e cor revasc chro sin (C9607) | $22,575.60 | $37,626 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) | $11,768.70 | $19,614.50 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $22,575.60 | $37,626 | 1.4× |
| Perc drug-el cor stent sing (C9600) | $16,134 | $26,890 | 1.5× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $8,552.28 | $14,253.80 | 0.8× |
| Ppps, initial visit (G0438) | $174 | $290 | 1.0× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $1,527 | $2,545 | 2.0× |
| Psa screening (G0103) | $59.40 | $99 | 3.1× |
| Revasc intra lithotrip-ather (C9766) | $25,060.97 | $41,768.28 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $30,754.34 | $51,257.23 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $19,636.10 | $32,726.83 | 1.9× |
| Revasc lithotr-ather tib/per (C9774) | $25,061.10 | $41,768.50 | 1.5× |
| Revasc lithotr-stent tib/per (C9773) | $26,940 | $44,900 | 1.6× |
| Revasc lithotrip tibi/perone (C9772) | $15,387.74 | $25,646.23 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $24,603.47 | $41,005.78 | 1.5× |
| Scr c/v cyto,thinlayer,rescr (G0144) | $95.40 | $159 | 2.2× |
| Screen pap by tech w md supv (P3000) | $34.20 | $57 | 1.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $29,518.35 | $49,197.25 | 1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $29,518.80 | $49,198 | 1.7× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $4,839 | $8,065 | 1.7× |
| Therapeutic procd strg endur (G0237) | $57 | $95 | 2.2× |
| Tomosynthesis, mammo (G0279) | $49.20 | $82 | 3.9× |
| Trauma respons w/hosp criti (G0390) | $1,564.80 | $2,608 | 1.3× |
| Trim nail(s) (G0127) | $12.36 | $20.60 | 0.2× |
| Trluml Perip Athrc Renal Art (0234T) | $15,722.72 | $26,204.53 | 1.5× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $15,765.60 | $26,276 | 1.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $12,666 | $21,110 | 0.8× |
| Tte w or w/o contr, cont ecg (C8930) | $1,326 | $2,210 | 1.9× |
| Tte w or wo fol wcon,doppler (C8929) | $1,232.10 | $2,053.50 | 1.7× |
| Unsched dialysis esrd pt hos (G0257) | $662.40 | $1,104 | 1.1× |