Supplies, drugs & other prices at CHI St. Vincent Morrilton
Morrilton, AR · every code in this section with a posted price and a Medicare benchmark.
48 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $297.75 | $1,169 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $371.36 | $1,458 | 0.9× |
| Adm tocilizu covid-19 2nd (M0250) | $371.36 | $1,458 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $33.63 | $132 | 0.8× |
| Admin influenza virus vac (G0008) | $33.50 | $131.50 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $33.50 | $131.50 | 0.8× |
| Annual alcohol screen 15 min (G0442) | $14.27 | $56 | 0.4× |
| Behavior counsel obesity 15m (G0447) | $16.05 | $63 | 0.2× |
| Brief alcohol misuse counsel (G0443) | $14.27 | $56 | 0.2× |
| Covid-19 lab test non-cdc (U0002) | $47.64 | $187 | 0.9× |
| Depression screen annual (G0444) | $13.25 | $52 | 0.4× |
| Diab manage trn per indiv (G0108) | $32.10 | $126 | 0.6× |
| Diab manage trn ind/group (G0109) | $25.22 | $99 | 1.6× |
| Drug test def 1-7 classes (G0480) | $33.12 | $130 | 0.3× |
| Drug test def 15-21 classes (G0482) | $140.98 | $553.50 | 0.7× |
| High inten beh couns std 30m (G0445) | $16.05 | $63 | 0.2× |
| Home sleep test/type 3 porta (G0399) | $125.32 | $492 | 0.6× |
| Hopd mntl hlt, 15-29 min (C7900) | $24.46 | $96 | 0.7× |
| Hopd mntl hlt, 30-60 min (C7901) | $62.66 | $246 | 0.7× |
| Hospital outpt clinic visit (G0463) | $58.97 | $231.50 | 0.5× |
| Initial preventive exam (G0402) | $96.28 | $378 | 0.8× |
| Inj for sacroiliac jt anesth (G0260) | $475.78 | $1,868 | 0.7× |
| Intens behave ther cardio dx (G0446) | $16.05 | $63 | 0.5× |
| Mra w/cont, abd (C8900) | $691.14 | $2,713.50 | 2.2× |
| Mra w/cont, chest (C8909) | $821.41 | $3,225 | 2.6× |
| Mra w/o cont, abd (C8901) | $688.71 | $2,704 | 3.2× |
| Mra w/o cont, chest (C8910) | $738.63 | $2,900 | 3.4× |
| Mra w/o cont, lwr ext (C8913) | $738.63 | $2,900 | 3.4× |
| Mra w/o fol w/cont, abd (C8902) | $756.72 | $2,971 | 2.4× |
| Mra w/o fol w/cont, chest (C8911) | $863.44 | $3,390 | 2.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $908.78 | $3,568 | 2.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $966.59 | $3,795 | 3.0× |
| Mra, w/dye, spinal canal (C8931) | $657.64 | $2,582 | 2.1× |
| Mra, w/dye, upper extremity (C8934) | $964.04 | $3,785 | 3.0× |
| Mra, w/o dye, spinal canal (C8932) | $418.48 | $1,643 | 1.9× |
| Mra, w/o dye, upper extr (C8935) | $771.24 | $3,028 | 3.6× |
| Mra, w/o&w/dye, spinal canal (C8933) | $819.37 | $3,217 | 2.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $964.04 | $3,785 | 3.0× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $171.16 | $672 | 0.3× |
| Oth resp proc, indiv (G0238) | $33.88 | $133 | 1.3× |
| Pathogen test for platelets (P9100) | $54 | $212 | 1.0× |
| Ppps, initial visit (G0438) | $70.81 | $278 | 0.4× |
| Ppps, subseq visit (G0439) | $58.08 | $228 | 0.4× |
| Prostate biopsy, any mthd (G0416) | $1,021.10 | $4,009 | 3.1× |
| Psa screening (G0103) | $28.28 | $111 | 1.5× |
| Therapeutic procd strg endur (G0237) | $33.88 | $133 | 1.3× |
| Trauma respons w/hosp criti (G0390) | $675.47 | $2,652 | 0.6× |
| Tte w or wo fol wcon,doppler (C8929) | $495.91 | $1,947 | 0.7× |