Dallas County Medical Center

Fordyce, AR · Critical Access Hospital

Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD) with biopsy (43239) $535 $535 0.6×
Diagnostic colonoscopy (45378) $694.50 $694.50 0.8×
CT head/brain without contrast (70450) $1,562.20 $1,562.20 16.4×
X-ray lower spine, 4+ views (72110) $281.60 $281.60 3.0×
CT pelvis with contrast (72193) $1,461 $1,461 9.1×
CT abdomen and pelvis with contrast (74177) $2,191.50 $2,191.50 6.9×
Ultrasound, abdomen complete (76700) $445 $445 4.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $572 $572 6.0×
Ultrasound, transvaginal (76830) $318 $318 3.3×
Basic metabolic panel (80048) $216.70 $216.70 25.6×
Comprehensive metabolic panel (80053) $306.15 $306.15 29.0×
Lipid panel (80061) $151.25 $151.25 11.3×
Renal function panel (80069) $167 $167 19.2×
Hepatic function panel (80076) $186 $186 22.8×
PSA, total (84153) $163.35 $163.35 8.9×
Thyroid stimulating hormone (TSH) (84443) $163.75 $163.75 9.7×
CBC with automated differential (85025) $118.60 $118.60 15.3×
Prothrombin time (PT) (85610) $149.70 $149.70 34.9×
Partial thromboplastin time (PTT) (85730) $112 $112 18.6×
Psychotherapy, 30 minutes (90832) $352 $352 2.2×
Psychotherapy, 45 minutes (90834) $352 $352 2.2×
Family psychotherapy, without patient (50 min) (90846) $352 $352 2.2×
Family psychotherapy, with patient (50 min) (90847) $352 $352 2.2×
Group psychotherapy (90853) $352 $352 3.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $110 $110 3.8×
Office visit, new patient (low complexity, ~30 min) (99203) $457 $457 3.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $437.38 $437.38 3.6×
Office visit, new patient (high complexity, ~60 min) (99205) $664.10 $664.10 5.5×

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.

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