Visits & medical services prices at Chicot Memorial Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $351.18 $351.18 1.8×
Application of heat wave therapy (97024) $47 $47 6.4×
Behavioral and qualitative analysis of voice and resonance (92524) $260 $260 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $748 $748 2.2×
Canalith Repositioning (95992) $500 $500 12.3×
Cardiac Stress Tst,Tracing Only (93017) $650 $650 3.3×
Cardiopulmonary resuscitation (92950) $748 $748 3.8×
Cardioversion (92960) $1,288.22 $1,288.22 2.1×
Cardioversion internal (92961) $1,551 $1,551 2.6×
Cbt 1st hour (94644) $364.50 $364.50 3.0×
Color/duplex Doppler, complete (93975) $1,600 $1,600 7.4×
Cpap initiation and management (94660) $509 $509 2.6×
Cpt initial (94667) $305 $305 2.5×
Critical care (99291) $2,114 $2,114 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $90 $90 0.5×
Demo &/or eval,pt use,aerosol device (94664) $509 $509 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $637 $637 2.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $516.60 $516.60 5.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $688.60 $688.60 3.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $443.75 $443.75 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $281 $281 3.0×
Duplex scan extracranial art compl bi study (93880) $772.80 $772.80 3.6×
Echo Heart Xthoracic,Limited (93308) $665 $665 3.1×
EKG (93005) $240.02 $240.02 4.5×
EKG rhythm strip (93041) $146 $146 2.7×
Er level 1 (99281) $212 $212 2.8×
Er level ii (99282) $390 $390 2.8×
Er level iii (99283) $680 $680 2.7×
Er level IV (99284) $1,055 $1,055 2.8×
Er level v (99285) $1,530 $1,530 2.8×
Evaluation of speech fluency (92521) $314 $314 2.4×
Evaluation of speech sound production (92522) $264 $264 2.4×
Evaluation of swallowing function (92610) $210 $210 2.5×
External ECG rec>48hr<7d recording (93242) $291 $291 8.6×
External ECG rec>7d<15d recording (93246) $291 $291 8.6×
External Ecg Scanning Analysis Report (93226) $288 $288 5.4×
Flow volume loop (94375) $748 $748 3.8×
Group Therapeutic Procedures (97150) $40.75 $40.75 2.3×
Hemodialysis (90935) $1,673 $1,673 2.7×
High altitude simulation test (94453) $305 $305 2.5×
Holter Monitor Recording (93225) $288 $288 2.4×
Immunization Admin (90471) $169 $169 2.6×
Immunotherapy, 2+ Injections (95117) $114 $114 2.7×
Injection intra arterial (96373) $523 $523 2.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $87.50 $87.50 1.6×
IV infusion hydration each additional hour (96361) $114 $114 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $523 $523 2.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $169 $169 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $523 $523 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $114 $114 2.7×
IV push initial (96374) $523 $523 2.7×
Manual therapy 15 min (97140) $67 $67 2.4×
Massage 15 min (97124) $69 $69 2.3×
Maximum voluntary ventilation (94200) $263 $263 4.9×
Mechanical traction (97012) $37 $37 2.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $498.45 $498.45 5.4×
Multiple sleep latency test (95805) $1,279.04 $1,279.04 1.6×
Neg press wnd tx </=50 sq cm (97607) $950 $950 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $575.92 $575.92 3.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $921.85 $921.85 2.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $305 $305 2.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $115 $115 2.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $70.85 $70.85 2.2×
Ot Contrast Bath Ea 15 Min (97034) $45.35 $45.35 3.2×
Ot eval high complex 60 min (97167) $317.47 $317.47 3.2×
Ot eval low complex 30 min (97165) $237 $237 2.4×
Ot eval mod complex 45 min (97166) $238.11 $238.11 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $70.85 $70.85 1.8×
Ot re-eval est plan care (97168) $162 $162 2.4×
Paraffin bath (97018) $46.55 $46.55 7.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,425 $2,425 3.1×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $400 $400 11.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $22.68 $22.68 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.28 $15.28 0.4×
Pt Electric Current Therapy (97033) $63.85 $63.85 3.4×
Pt Electrical Stimulation (97032) $59.60 $59.60 4.1×
Pt eval high complex 45 min (97163) $282.64 $282.64 2.9×
Pt eval low complex 20 min (97161) $235 $235 2.4×
Pt Gait Training Therapy (97116) $72 $72 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84 $84 2.6×
Pt Physical Performance Test (97750) $73.75 $73.75 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $235 $235 2.4×
Pt re-evaluation (97164) $141.28 $141.28 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $63.85 $63.85 2.0×
Pt Ultrasound Therapy (97035) $63.85 $63.85 4.4×
Pulm function test by gas (94727) $115 $115 0.6×
Pulmonary stress testing (94618) $305 $305 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $622.02 $622.02 3.4×
Rt Chest Wall Manipulation,Subsequent (94668) $305 $305 2.5×
Sensory Integration Ea 15 Min (97533) $57.30 $57.30 0.9×
Sleep study unattended (95806) $373 $373 1.9×
Smoking cessation > 10 min (99407) $77 $77 2.3×
Speech sound lang comprehen (92523) $538 $538 2.4×
Spirometry (94010) $373 $373 1.9×
Standardized Cognitive Performance Testing (96125) $260 $260 2.5×
Temp transcutaneous pacing (92953) $1,551 $1,551 2.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $58 $58 2.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $58 $58 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $169 $169 2.6×
Therapeutic Activities (97530) $92 $92 2.6×
Therapeutic phlebotomy (99195) $305 $305 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $77 $77 2.3×
Trans Care Mgmt 14 Day Disch (99495) $315 $315 2.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,888.95 $1,888.95 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,217 $1,217 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $190 $190 2.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $208 $208 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $154 $154 3.6×
Vasc Duplex Extrem Venous,Bilat (93970) $837.60 $837.60 3.9×
Vasopneumatic device (97016) $92.95 $92.95 7.7×
Ventilation assist & mgmt inpatient 1st day (94002) $1,493 $1,493 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,164.95 $1,164.95 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $79 $79 2.5×