Supplies, drugs & other prices at Chicot Memorial Medical Center
Lake Village, AR · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $1,127 | $1,127 | 2.8× |
| Admin influenza virus vac (G0008) | $114 | $114 | 2.7× |
| Admin pneumococcal vaccine (G0009) | $114 | $114 | 2.7× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$90.28–$213 | $90.28–$213 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $444 | $444 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $650 | $650 | 0.8× |
| Covid-19 lab test non-cdc (U0002) | $129 | $129 | 2.5× |
| Direct refer hospital observ (G0379) | $1,530 | $1,530 | 2.8× |
| Drug test def 1-7 classes (G0480) range across 9 matching MRF lines |
$286.08–$287 | $286.08–$287 | varies |
| Elec stim other than wound (G0283) | $60 | $60 | 4.7× |
| Hospital outpt clinic visit (G0463) range across 15 matching MRF lines |
$52.10–$255.05 | $52.10–$255.05 | varies |
| Initial preventive exam (G0402) | $186.07 | $310.12 | 1.5× |
| Mra w/o fol w/cont, abd (C8902) | $2,200 | $2,200 | 6.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,200 | $2,200 | 6.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,200 | $2,200 | 6.9× |
| Mri w/o fol w/cont, breast, (C8908) | $2,665 | $2,665 | 8.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,361.49 | $1,361.49 | 4.3× |
| Obtaining screen pap smear (Q0091) | $90.94 | $90.94 | 3.5× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$191.29–$399 | $318.82–$399 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$128.95–$303 | $214.92–$303 | varies |
| Prostate biopsy, any mthd (G0416) | $1,029 | $1,029 | 3.2× |
| Psa screening (G0103) | $76.60 | $76.60 | 4.0× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$100–$150 | $100–$150 | varies |
| Trauma respons w/hosp criti (G0390) | $3,262 | $3,262 | 2.7× |
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.