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 | Cash price | Gross charge | × 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) | $151.64 | $151.64 | 1.6× |
| 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) | $287 | $287 | 2.5× |
| Elec stim other than wound (G0283) | $60 | $60 | 4.7× |
| Hospital outpt clinic visit (G0463) | $173.53 | $173.53 | 1.4× |
| 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) | $295.14 | $358.91 | 1.7× |
| Ppps, subseq visit (G0439) | $215.98 | $258.96 | 1.6× |
| Prostate biopsy, any mthd (G0416) | $1,029 | $1,029 | 3.2× |
| Psa screening (G0103) | $76.60 | $76.60 | 4.0× |
| Tomosynthesis, mammo (G0279) | $125 | $125 | 9.9× |
| Trauma respons w/hosp criti (G0390) | $3,262 | $3,262 | 2.7× |