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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 14 matching MRF lines |
$24.55–$509 | $24.55–$509 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.85 | $63.85 | 4.4× |
| Application Modality 1/> Areas Diathermy (97024) | $47 | $47 | 6.4× |
| Behavral qualit analys voice (92524) | $260 | $260 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $748 | $748 | 2.2× |
| Canalith repositioning proc (95992) | $500 | $500 | 12.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $650 | $650 | 3.3× |
| Cardiopulmonary resuscitation (92950) | $748 | $748 | 3.8× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,025.45–$1,551 | $1,025.45–$1,551 | varies |
| Cardioversion elective internal (92961) | $1,551 | $1,551 | 2.6× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$263–$466 | $263–$466 | varies |
| Chest Wall Manipulation (94668) | $305 | $305 | 2.5× |
| Color/duplex Doppler, complete (93975) | $1,600 | $1,600 | 7.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $70.85 | $70.85 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $509 | $509 | 2.6× |
| Cpt initial (94667) | $305 | $305 | 2.5× |
| Critical care first hour (99291) | $2,114 | $2,114 | 2.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $90 | $90 | 0.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$436.41–$837.60 | $436.41–$837.60 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $516.60 | $516.60 | 5.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $837.60 | $837.60 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $281 | $281 | 3.0× |
| Duplex up extrem art bilat (93930) | $688.60 | $688.60 | 3.2× |
| Duplex up extrem art unilat/ltd (93931) | $443.75 | $443.75 | 4.7× |
| Echo Heart Xthoracic,Limited (93308) | $665 | $665 | 3.1× |
| Electrical Stimulation Ea 15 Min (97032) | $59.60 | $59.60 | 4.1× |
| Electrocardiogram Tracing (93005) | $240.02 | $240.02 | 4.5× |
| Emergency Dept Visit Level 2 (99282) | $390 | $390 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $680 | $680 | 2.7× |
| Emergency Dept Visit Level 4 (99284) | $1,055 | $1,055 | 2.8× |
| Er level 1 (99281) | $212 | $212 | 2.8× |
| Er level v (99285) | $1,530 | $1,530 | 2.8× |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$52.85–$509 | $52.85–$509 | varies |
| Evaluate Speech Production (92522) | $264 | $264 | 2.4× |
| Evaluate Swallowing Function (92610) | $210 | $210 | 2.5× |
| Evaluation of speech fluency (92521) | $314 | $314 | 2.4× |
| 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× |
| Extracranial Bilat Study (93880) | $772.80 | $772.80 | 3.6× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$40.75–$45.35 | $40.75–$45.35 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,673 | $1,673 | 2.7× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $305 | $305 | 2.5× |
| Holter monitor recording (93225) | $288 | $288 | 2.4× |
| Immunization administration (90471) | $169 | $169 | 2.6× |
| Iontophoresis 15 min (97033) | $63.85 | $63.85 | 3.4× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$29–$146 | $29–$146 | varies |
| 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 ther proph addl sequential to 1 hr (96367) | $169 | $169 | 2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $114 | $114 | 2.7× |
| IV push initial (96374) | $523 | $523 | 2.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $263 | $263 | 4.9× |
| Motion Fluoroscopy/Swallow (92611) | $498.45 | $498.45 | 5.4× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$368.07–$2,190 | $368.07–$2,190 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $950 | $950 | 2.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$230–$921.85 | $230–$921.85 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $921.85 | $921.85 | 2.5× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$73.75–$84 | $73.75–$84 | varies |
| Oral Function Therapy (92526) | $208 | $208 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $115 | $115 | 2.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $45.35 | $45.35 | 3.2× |
| Ot eval high complexity (97167) | $317.47 | $317.47 | 3.2× |
| Ot Eval Low Complex (97165) | $237 | $237 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $238.11 | $238.11 | 2.4× |
| Ot manual therapy 15 min (97140) | $67 | $67 | 2.4× |
| Ot paraffin bath (97018) | $46.55 | $46.55 | 7.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $70.85 | $70.85 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $162 | $162 | 2.4× |
| Phlebotomy therapeutic (99195) | $305 | $305 | 2.5× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$73.75–$76.40 | $73.75–$76.40 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,350–$2,500 | $2,350–$2,500 | varies |
| 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× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $114 | $114 | 2.7× |
| Pt Eval High Complex (97163) | $282.64 | $282.64 | 2.9× |
| Pt eval low complex 20 min (97161) | $235 | $235 | 2.4× |
| Pt Eval Mod Complex (97162) | $235 | $235 | 2.4× |
| Pt gait training 15 min (97116) | $72 | $72 | 2.5× |
| Pt mechanical traction (97012) | $37 | $37 | 2.6× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$120.55–$162 | $120.55–$162 | varies |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$114.57–$383 | $114.57–$383 | varies |
| Pulmonary Stress Testing (94618) | $305 | $305 | 2.5× |
| Respiratory flow volume loop (94375) | $748 | $748 | 3.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $146 | $146 | 2.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$230–$1,014.05 | $230–$1,014.05 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$62–$81 | $62–$81 | varies |
| Sensory Integration Ea 15 Min (97533) | $57.30 | $57.30 | 0.9× |
| Sleep study unattended (95806) | $373 | $373 | 1.9× |
| 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 Ea Addl 15 Min (97130) | $58 | $58 | 2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$69–$70 | $69–$70 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $523 | $523 | 2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$146–$169 | $146–$169 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $523 | $523 | 2.7× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$63.85–$92 | $63.85–$92 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $77 | $77 | 2.3× |
| 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 (93306) | $1,888.95 | $1,888.95 | 3.8× |
| Tte W/O Doppler Complete (93307) | $1,217 | $1,217 | 5.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $190 | $190 | 2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $154 | $154 | 3.6× |
| Unlisted Psychiatric Service/Procedure (90899) | $400 | $400 | 11.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $305 | $305 | 2.5× |
| Vasopneumatic device (97016) | $92.95 | $92.95 | 7.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,493 | $1,493 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$836.90–$1,493 | $836.90–$1,493 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $79 | $79 | 2.5× |
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.