Chicot Memorial Medical Center
Lake Village, AR · Critical Access Hospital
Posts prices for 51 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $7,043.03 | $7,043.03 | 2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 3 matching MRF lines |
$279–$550 | $279–$550 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$332–$1,650 | $332–$1,650 | varies |
| Diagnostic colonoscopy (45378) | $444 | $444 | 0.5× |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$457–$1,300 | $457–$1,300 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$579–$1,500 | $579–$1,500 | varies |
| Laparoscopic gallbladder removal (47562) range across 4 matching MRF lines |
$550–$13,744 | $550–$13,744 | varies |
| Inguinal hernia repair (age 5+) (49505) | $1,175 | $1,175 | 0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 3 matching MRF lines |
$204–$2,172 | $204–$2,172 | varies |
| CT head/brain without contrast (70450) | $1,129.50 | $1,129.50 | 11.9× |
| MRI brain without contrast (70551) | $1,980 | $1,980 | 9.1× |
| MRI brain with contrast (70552) | $2,200 | $2,200 | 6.9× |
| MRI brain without and with contrast (70553) | $2,420 | $2,420 | 7.6× |
| X-ray lower spine, 4+ views (72110) | $287 | $287 | 3.0× |
| MRI lumbar spine without contrast (72148) | $1,980 | $1,980 | 9.1× |
| CT pelvis with contrast (72193) | $1,307.75 | $1,307.75 | 8.2× |
| MRI lower-extremity joint without contrast (73721) | $1,800 | $1,800 | 8.3× |
| CT abdomen and pelvis with contrast (74177) | $1,500 | $1,500 | 4.7× |
| Ultrasound, abdomen complete (76700) | $462.05 | $462.05 | 4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $287.20 | $287.20 | 3.0× |
| Ultrasound, transvaginal (76830) | $427.75 | $427.75 | 4.5× |
| Mammography, one breast (diagnostic) (77065) | $302 | $302 | 3.5× |
| Mammography, both breasts (diagnostic) (77066) | $380 | $380 | 3.4× |
| Mammography, screening (bilateral) (77067) | $307 | $307 | 3.4× |
| Basic metabolic panel (80048) | $94 | $94 | 11.1× |
| Comprehensive metabolic panel (80053) | $113.80 | $113.80 | 10.8× |
| Lipid panel (80061) | $99.65 | $99.65 | 7.4× |
| Renal function panel (80069) | $59 | $59 | 6.8× |
| Hepatic function panel (80076) | $56.95 | $56.95 | 7.0× |
| Urinalysis, non-automated, with microscopy (81000) | $15 | $15 | 3.7× |
| Urinalysis, non-automated, without microscopy (81002) | $9 | $9 | 2.6× |
| PSA, total (84153) | $84.25 | $84.25 | 4.6× |
| Thyroid stimulating hormone (TSH) (84443) | $110.40 | $110.40 | 6.6× |
| CBC with automated differential (85025) | $23.75 | $23.75 | 3.1× |
| CBC, automated (85027) | $21.10 | $21.10 | 3.3× |
| Prothrombin time (PT) (85610) | $34.75 | $34.75 | 8.1× |
| Partial thromboplastin time (PTT) (85730) | $50.20 | $50.20 | 8.4× |
| Psychotherapy, 30 minutes (90832) | $400 | $400 | 2.5× |
| Psychotherapy, 45 minutes (90834) | $420 | $420 | 2.6× |
| Family psychotherapy, without patient (50 min) (90846) | $450 | $450 | 2.8× |
| Family psychotherapy, with patient (50 min) (90847) | $500 | $500 | 3.1× |
| Group psychotherapy (90853) | $252 | $420 | 2.7× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,350–$2,491 | $2,350–$2,491 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $73 | $73 | 2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $252.28 | $252.28 | 2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $386.18 | $386.18 | 3.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $486.60 | $486.60 | 4.0× |
| Office consultation (low complexity, ~30 min) (99243) | $251.60 | $251.60 | 2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) | $369.50 | $369.50 | 3.0× |
| Preventive visit, new patient (age 18–39) (99385) | $150 | $150 | — |
| Preventive visit, new patient (age 40–64) (99386) | $150 | $150 | — |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 175 codes with posted prices and Medicare benchmarks
- Lab & pathology: 494 codes with posted prices and Medicare benchmarks
- Visits & medical services: 113 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 387 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 24 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 24.2 MB) ↓ — captured 2026-08-26
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.