Supplies, drugs & other prices at CHI St. Vincent Hot Springs

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,778 $2,778 3.7×
2d tte w or w/o fol w/con,co (C8923) $1,002 $1,002 1.3×
2d tte w or w/o fol w/con,fu (C8924) $879 $879 2.6×
Adm tocilizu covid-19 1st (M0249) $1,445 $1,445 3.4×
Adm tocilizu covid-19 2nd (M0250) $1,445 $1,445 3.4×
Admin hepatitis b vaccine (G0010) $111 $111 2.5×
Admin influenza virus vac (G0008) $111 $111 2.5×
Admin pneumococcal vaccine (G0009) $111 $111 2.5×
Catheterize for urine spec (P9612) $177 $177 19.0×
Chemo extend iv infus w/pump (G0498) $754 $754 2.4×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $86 $86 0.5×
Cyp2d6 gen com&slct rar vrnt (0070U) $4,552 $4,552 6.7×
Diab manage trn per indiv (G0108) $182 $182 3.3×
Diab manage trn ind/group (G0109) $95 $95 5.9×
Direct refer hospital observ (G0379) $616 $616 1.1×
Extrnl counterpulse, per tx (G0166) $304 $304 2.4×
Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report (0779T) $1,714 $1,714 4.8×
Group mnt 2 or more 30 mins (G0271) $18 $18 1.1×
Hbot, full body chamber, 30m (G0277) $513 $513 3.9×
Home sleep test/type 3 porta (G0399) $642 $642 3.1×
Inj for sacroiliac jt anesth (G0260) $212 $212 0.3×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $20,797 $20,797 2.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $19,436 $19,436 1.9×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $20,797 $20,797 2.6×
Insertion wrls car stimulator lv pacg compl sys (0515T) $61,783 $61,783 2.9×
Insertion/replacement complete iims (0525T) $29,589 $29,589 1.6×
Insertion/replacement iims implantable mntr only (0527T) $20,797 $20,797 2.6×
Instlj fecal microbiota ssp (0780T) $1,714 $1,714 13.5×
Interrog dev eval iims ip (0529T) $125 $125 3.5×
Interrog dev eval wcs ip (0521T) $59 $59 2.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $480 $480 3.9×
Liver dis 10 assays w/nash (0003M) $634 $634 1.3×
Mnt subs tx for change dx (G0270) $34 $34 1.1×
Mra w/cont, abd (C8900) $2,355 $2,355 7.1×
Mra w/cont, chest (C8909) $2,602 $2,602 7.8×
Mra w/cont, pelvis (C8918) $2,555 $2,555 7.7×
Mra w/o cont, abd (C8901) $1,960 $1,960 8.6×
Mra w/o cont, chest (C8910) $2,269 $2,269 9.9×
Mra w/o cont, pelvis (C8919) $1,945 $1,945 8.5×
Mra w/o fol w/cont, abd (C8902) $2,760 $2,760 8.3×
Mra w/o fol w/cont, chest (C8911) $2,987 $2,987 9.0×
Mra w/o fol w/cont, pelvis (C8920) $3,133 $3,133 9.4×
Mri w/cont, breast, bi (C8906) $3,458 $3,458 10.4×
Mri w/o fol w/cont, breast, (C8908) $3,828 $3,828 11.5×
Pathogen test for platelets (P9100) $75 $75 1.3×
Perq Sacral Augmt Bilat Inj (0201T) $4,625 $4,625 0.7×
Prgrmg dev eval iims ip (0528T) $125 $125 3.5×
Prgrmg dev eval wcs ip (0522T) $125 $125 3.5×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $46,193 $46,193 4.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $9,860 $9,860 1.0×
Removal complete iims (0530T) $8,792 $8,792 2.5×
Removal iims electrode only (0531T) $7,034 $7,034 2.0×
Removal iims implt mntr only (0532T) $5,277 $5,277 1.5×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $4,930 $4,930 1.4×
Revasc intra lithotrip-ather (C9766) $24,181 $24,181 1.4×
Revasc intra lithotrip-stent (C9765) $24,181 $24,181 1.4×
Revasc intravasc lithotripsy (C9764) $11,849 $11,849 1.1×
Revasc lith-sten-ath tib/per (C9775) $42,971 $42,971 2.5×
Revasc lithotr-ather tib/per (C9774) $42,971 $42,971 2.5×
Revasc lithotr-stent tib/per (C9773) $42,971 $42,971 2.5×
Revasc lithotrip tibi/perone (C9772) $27,670 $27,670 2.5×
Revasc lithotrip-stent-ather (C9767) $38,689 $38,689 2.2×
Scr c/v cyto,thinlayer,rescr (G0145) $238 $238 9.0×
Therapeutic procd strg endur (G0237) $124 $124 4.5×
Tomosynthesis, mammo (G0279) $246 $246 19.4×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $12,940 $12,940 1.2×
Trauma respons w/hosp criti (G0390) $5,990.50 $5,990.50 4.7×
Trluml Perip Athrc Renal Art (0234T) $11,331 $11,331 1.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $11,855 $11,855 1.1×
Trluml peripheral atherectomy iliac artery ea (0238T) $17,099 $17,099 1.0×
Tte w or wo fol wcon,doppler (C8929) $3,538 $3,538 4.7×
Unsched dialysis esrd pt hos (G0257) $1,957.50 $1,957.50 3.0×