Visits & medical services prices at Chambers Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $112.50 $225 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $34.71 $69.42 2.4×
Application Modality 1/> Areas Infrared (97026) $20.83 $41.66 3.1×
Behavral qualit analys voice (92524) $109.19 $218.37 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $270.49 $540.97 0.8×
Canalith repositioning proc (95992) $32.19 $64.38 0.8×
Cardiac Stress Tst,Tracing Only (93017) $465.83 $931.66 2.4×
Cardiopulmonary resuscitation (92950) $251.20 $502.39 1.3×
Cardioversion (92960) $186.05 $372.09 0.3×
Cbt 1st hour (94644) $111.20 $222.40 0.9×
Chemo Anti-Neopl Sq/Im (96401) $66.27 $132.53 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $61.85 $123.70 0.9×
Chemo IV infusion addl hr (96415) $31.56 $63.12 0.5×
Chemo IV push addl drug (96411) $73.84 $147.68 1.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $196.91 $393.82 0.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $119.92 $239.83 0.4×
Chest Wall Manipulation (94668) $48.09 $96.17 0.4×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $267.50 $535 0.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $31.56 $63.12 1.0×
Continuous Pulse Ox (94762) $261.47 $522.93 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$173.56–$225 $347.12–$450 varies
Cpt initial (94667)
range across 2 matching MRF lines
$54.10–$57.43 $108.20–$114.86 varies
Critical care first hour (99291) $235.40 $470.80 0.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$66.27–$150.27 $132.53–$300.54 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $334.50 $669 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $205.12 $410.23 2.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $255.61 $511.21 1.2×
Dup-scan xtr veins unilateral/limited study (93971) $249.30 $498.59 2.6×
Duplex up extrem art bilat (93930) $273.28 $546.56 1.3×
Duplex up extrem art unilat/ltd (93931) $195.65 $391.30 2.1×
Electrical Stimulation Ea 15 Min (97032) $30.93 $61.85 2.1×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$65.01–$105.19 $130.02–$210.37 varies
Emergency Dept Visit Level 2 (99282) $46.07 $92.14 0.3×
Emergency Dept Visit Level 3 (99283) $72.59 $145.17 0.3×
Emergency Dept Visit Level 4 (99284) $102.25 $204.49 0.3×
Er level 1 (99281) $29.67 $59.33 0.4×
Er level v (99285) $151.47 $302.94 0.3×
Evaluate pt use of inhaler (94664) $78.14 $156.28 0.4×
Evaluate Speech Production (92522) $106.03 $212.06 0.9×
Evaluate Swallowing Function (92610) $113.60 $227.20 1.3×
Evaluation of speech fluency (92521) $129.38 $258.76 1.0×
External Ecg Scanning Analysis Report (93226) $210.38 $420.76 3.9×
Extracranial Bilat Study (93880) $362.90 $725.80 1.7×
Group Therapeutic Procedures (97150) $29.04 $58.07 1.6×
Holter monitor recording (93225) $165.30 $330.59 1.4×
Immunization administration (90471)
range across 3 matching MRF lines
$16.05–$24.05 $32.10–$48.09 varies
Iontophoresis 15 min (97033) $38.50 $77 2.0×
Irrig Drug Delivery Device (96523) $37.87 $75.73 0.7×
IV infusion hydration each additional hour (96361) $62.49 $124.97 1.5×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$70.69–$130.02 $141.37–$260.03 varies
IV infusion ther proph addl sequential to 1 hr (96367) $61.85 $123.70 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$29.67–$58.07 $59.33–$116.13 varies
IV push initial (96374)
range across 2 matching MRF lines
$39.76–$108.20 $79.52–$216.39 varies
Motion Fluoroscopy/Swallow (92611) $128.75 $257.50 1.4×
Multiple Sleep Latency Test (95805) $808.47 $1,616.94 1.0×
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines
$85.84–$132.54 $171.67–$265.08 varies
Neuromuscular Reeducation (97112) $40.40 $80.79 1.2×
Oral Function Therapy (92526) $74.48 $148.95 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $33.45 $66.90 0.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $35.98 $71.95 0.8×
Ot Contrast Bath Ea 15 Min (97034) $13.25 $26.50 0.9×
Ot eval high complexity (97167) $120.22 $240.43 1.2×
Ot Eval Low Complex (97165) $96.17 $192.34 1.0×
Ot Eval Moderate Complexity (97166) $108.20 $216.39 1.1×
Ot manual therapy 15 min (97140) $22.09 $44.18 0.8×
Ot paraffin bath (97018) $23.99 $47.97 4.0×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$24.30–$29.04 $48.60–$58.07 varies
Ot Re-Eval Est Plan Care (97168) $49.23 $98.46 0.7×
Phlebotomy therapeutic (99195) $90.17 $180.33 0.7×
Physical Performance Test (97750)
range across 2 matching MRF lines
$24.30–$34.71 $48.60–$69.42 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,983.54 $3,967.08 2.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $22.09 $44.18 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $24.62 $49.23 0.6×
Pt Eval High Complex (97163) $120.22 $240.43 1.2×
Pt eval low complex 20 min (97161) $96.17 $192.34 1.0×
Pt Eval Mod Complex (97162) $108.20 $216.39 1.1×
Pt gait training 15 min (97116) $39.76 $79.52 1.4×
Pt mechanical traction (97012) $32.19 $64.38 2.2×
Pt Re-Eval Est Plan Care (97164) $47.34 $94.67 0.7×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$75.14–$83.31 $150.27–$166.62 varies
Pulmonary Stress Testing (94618) $66 $132 0.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $150.27 $300.54 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $77.63 $155.26 0.4×
Self Care Mngment Training (97535) $34.71 $69.42 1.1×
Sensory Integration Ea 15 Min (97533) $29.67 $59.33 0.5×
Sleep study unattended (95806) $112.50 $225 0.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $112.50 $225 0.6×
Speech sound lang comprehen (92523) $217.74 $435.48 1.0×
Spirometry (94010)
range across 2 matching MRF lines
$129.23–$135.25 $258.46–$270.49 varies
Temp transcutaneous pacing (92953) $300.54 $601.07 0.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $35.34 $70.68 1.2×
Ther/Proph/Diag Inj Ia (96373) $69.43 $138.85 0.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$25.25–$57.10 $50.49–$114.20 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$89.63–$137.59 $179.25–$275.17 varies
Therapeutic Activities (97530) $44.18 $88.36 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $15.15 $30.29 0.4×
Trans Care Mgmt 14 Day Disch (99495) $151.47 $302.94 1.2×
Trans Care Mgmt 7 Day Disch (99496) $208.28 $416.55 1.7×
Tte w/doppler, complete (93306) $520.68 $1,041.36 1.0×
Tte W/O Doppler Complete (93307) $359.75 $719.49 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$49.23–$52.39 $98.46–$104.77 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$28.40–$87.16 $56.80–$174.31 varies
Tympanometry (92567) $26.51 $53.02 0.8×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$181.14–$207.89 $362.27–$415.77 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $260.03 $520.05 1.3×
Vasopneumatic device (97016) $13.89 $27.78 1.2×
Vent Mgmt Inpat Init Day (94002) $586.05 $1,172.09 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $234.42 $468.84 0.4×
Vital capacity, total (94150) $66.27 $132.53 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $22.72 $45.44 0.7×
Whirlpool Therapy (97022) $44.18 $88.36 2.8×

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.