Visits & medical services prices at Dardanelle Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $77.92 $199.80 2.3×
Advncd Care Plan 30 Min (99497) $49.14 $126 0.5×
Airway Inhalation Treatment (94640) $234.05 $600.12 1.2×
Analyze neurostim complex (95972) $102.84 $263.70 1.2×
Analyze neurostim no prog (95970) $78.98 $202.50 0.7×
Analyze Neurostim Simple (95971) $102.84 $263.70 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.58 $86.10 2.3×
Application Modality 1/> Areas Diathermy (97024) $24.57 $63 3.3×
Application Modality 1/> Areas Infrared (97026) $25.97 $66.60 3.9×
Application on-body injector (96377) $32.29 $82.80 0.8×
Assessment of aphasia per hr (96105) $87.85 $225.25 0.9×
Behavral qualit analys voice (92524) $162.68 $417.13 1.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $59.71 $153.09 0.7×
Bfb training ea addl 15 min (90913) $59.71 $153.09 1.8×
Blink reflex test (95933) $43.17 $110.70 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $363.47 $931.98 1.1×
Canalith repositioning proc (95992) $27.38 $70.20 0.7×
Car seat/bed test 60 min (94780) $57.41 $147.20 1.7×
Cardiac Stress Tst,Tracing Only (93017) $251.16 $644 1.3×
Cardiopulmonary exercise testing (94621) $212 $543.60 0.6×
Cardiopulmonary resuscitation (92950) $432.52 $1,109.03 2.2×
Cardioversion (92960) $761.35 $1,952.19 1.3×
Cardioversion elective internal (92961) $761.35 $1,952.19 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $21.19 $54.33 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,044.66 $15,499.13 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,222.74 $15,955.75 2.1×
Cbt 1st hour (94644) $162.66 $417.08 1.3×
Chemo Admin Peritoneal Cavity (96446) $228.50 $585.90 0.8×
Chemo Anti-Neopl Sq/Im (96401) $106.35 $272.70 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $69.15 $177.30 1.1×
Chemo Ia Push (96420) $241.49 $619.20 0.8×
Chemo Intralesional Over 7 (96406) $146.72 $376.20 0.8×
Chemo intralesional up to 7 (96405) $44.93 $115.20 0.7×
Chemo IV infusion addl hr (96415) $185.68 $476.10 2.8×
Chemo IV push addl drug (96411) $185.68 $476.10 2.8×
Chemother Prolong Infuse W/Pump (96416) $228.50 $585.90 0.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $267.81 $686.70 0.9×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $28.78 $73.80 0.7×
Chemotherapy Into Cns (96450) $264.30 $677.70 0.9×
Chemotherapy Intracavitary (96440) $228.50 $585.90 0.8×
Chemotherapy Unspecified (96549) $121.45 $311.40 2.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $228.50 $585.90 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $195.51 $501.30 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $288.17 $738.90 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $189.19 $485.10 0.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $383.39 $983.04 1.3×
Chest Wall Manipulation (94668) $52.26 $134 0.4×
Color/duplex Doppler, complete (93975) $316.95 $812.70 1.5×
Color/duplex Doppler, limited (93976) $265.47 $680.68 2.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $20.01 $51.30 0.6×
Continuous Pulse Ox (94762) $181.90 $466.41 1.6×
Coronary Art/Grft Angio S&I (93455) $4,228.57 $10,842.49 1.4×
Coronary Artery Angio S&I (93454) $4,079.14 $10,459.34 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $234.05 $600.12 1.2×
Cpt initial (94667) $149.75 $383.97 1.2×
Critical care first hour (99291) $1,241.04 $3,182.16 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $232.95 $597.30 1.3×
Dialysis One Evaluation (90945) $643.94 $1,651.13 1.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $412.91 $1,058.74 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $249.56 $639.90 2.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $512.36 $1,313.74 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $321.96 $825.55 3.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $216.08 $554.06 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $121.10 $310.50 1.3×
Duplex Scan Hemodialysis Access (93990) $165.65 $424.74 1.7×
Duplex up extrem art bilat (93930) $353.31 $905.93 1.6×
Duplex up extrem art unilat/ltd (93931) $239.38 $613.80 2.5×
Echo Congenital Complete (93303) $442.67 $1,135.05 0.9×
Echo Heart Xthoracic,Limited (93308) $398.27 $1,021.20 1.8×
Echo transesophageal (93312) $946.78 $2,427.65 1.9×
Echo Transesophageal - Congenital Tee Complete (93315) $442.67 $1,135.05 0.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $780.77 $2,001.97 1.6×
Eeg 41-60 Minutes (95812) $164.60 $422.05 0.8×
EEG awake and asleep (95819) $535.51 $1,373.11 2.7×
EEG cerebral death evaluation (95824) $487.07 $1,248.90 1.4×
Eeg Sleep Only (95822) $200.85 $515 1.0×
EEG w/o vid ea 12-26hr intmt (95709) $617.10 $1,582.32 1.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $38.61 $99 0.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $41.42 $106.20 0.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $28.08 $72 0.8×
Electrical Stimulation Ea 15 Min (97032) $28.38 $72.77 1.9×
Electrocardiogram Tracing (93005) $92.47 $237.09 1.7×
Emergency Dept Visit Level 2 (99282) $234.14 $600.35 1.7×
Emergency Dept Visit Level 3 (99283) $372.55 $955.25 1.5×
Emergency Dept Visit Level 4 (99284) $604.80 $1,550.78 1.6×
Emg 3 Extremities (95863) $128.27 $328.90 1.1×
Emg 4 Extremities (95864) $128.27 $328.90 1.1×
Er level 1 (99281) $163.29 $418.68 2.1×
Er level v (99285) $772.31 $1,980.28 1.4×
Evaluate pt use of inhaler (94664) $234.05 $600.12 1.2×
Evaluate Speech Production (92522) $232.90 $597.17 2.1×
Evaluate Swallowing Function (92610) $155.76 $399.38 1.8×
Evaluation of speech fluency (92521) $112.74 $289.08 0.8×
Exercise test for bronchospasm (94617) $89.50 $229.50 0.7×
External ECG rec>48hr<7d recording (93242) $80.60 $206.66 2.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $120.20 $308.20 1.0×
External ECG rec>7d<15d recording (93246) $132.52 $339.79 3.9×
External ECG rec>7d<15d scanning alys w/report (93247) $239.95 $615.25 2.0×
External Ecg Scanning Analysis Report (93226) $189.27 $485.30 3.5×
Extracranial Bilat Study (93880) $557.76 $1,430.16 2.6×
Extracranial Uni/Ltd Study (93882) $149.35 $382.95 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $363.47 $931.98 1.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $657.50 $1,685.90 0.8×
Gi tract capsule endoscopy (91110) $1,232.93 $3,161.35 1.5×
Group Therapeutic Procedures (97150) $17.55 $45 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,874.44 $7,370.36 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $967.18 $2,479.96 1.5×
Holter monitor recording (93225) $172.08 $441.22 1.4×
Icd device progr eval dual (93283) $43.50 $111.55 1.3×
Icd Device Progr Eval Mult (93284) $44.85 $115 1.3×
Ilr Device Eval Progr (93285) $39.47 $101.20 1.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $82.94 $212.67 1.3×
Immunization administration (90471) $105.26 $269.89 1.6×
Iontophoresis 15 min (97033) $49.14 $126 2.6×
Irrig Drug Delivery Device (96523) $69.11 $177.21 1.3×
IV infusion hydration each additional hour (96361) $155.56 $398.88 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $245.19 $628.68 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $196.97 $505.06 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $165.24 $423.70 3.9×
IV push initial (96374) $245.19 $628.68 1.3×
L Hrt Art/Grft Angio (93459) $6,927.14 $17,761.89 2.3×
Lwr Xtr Vasc Stdy Bilat (93924) $224.64 $576 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.11 $84.89 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33.54 $86 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $17.30 $44.37 1.0×
Motility study esophagus (91010) $617.10 $1,582.32 1.8×
Motion Fluoroscopy/Swallow (92611) $241.80 $619.99 2.6×
Multiple Sleep Latency Test (95805) $674.70 $1,730 0.9×
Muscle Test 2 Limbs (95861) $100.91 $258.75 0.8×
Muscle Test Nonparaspinal (95870) $128.27 $328.90 1.1×
Muscle Test One Limb (95860) $100.91 $258.75 0.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $128.27 $328.90 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $128.27 $328.90 0.7×
Needle electromyography larynx (95865) $78.98 $202.50 0.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $128.27 $328.90 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $471.64 $1,209.33 1.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $471.64 $1,209.33 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $232.95 $597.30 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $471.64 $1,209.33 1.3×
Nerve Conduction Studies 1-2 Studies (95907) $100.39 $257.40 0.5×
Nerve Conduction Studies 11-12 Studies (95912) $241.14 $618.30 0.7×
Nerve conduction studies 13 or more studies (95913) $496.66 $1,273.50 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $140.75 $360.90 0.7×
Nerve conduction studies 5-6 studies (95909) $122.15 $313.20 0.6×
Nerve conduction studies 7-8 studies (95910) $183.57 $470.70 0.5×
Nerve Conduction Studies 9-10 Studies (95911) $359.42 $921.60 1.1×
Neurobehavioral Status Exam (96116) $87.71 $224.91 0.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $100.39 $257.40 0.9×
Neuromuscular Reeducation (97112) $48.32 $123.90 1.5×
Newborn resuscitation (99465) $441.21 $1,131.30 0.7×
Oral Function Therapy (92526) $154.77 $396.85 1.8×
Oral Speech Device Eval (92597) $231.45 $593.47 3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $84.59 $216.90 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $50.54 $129.60 1.1×
Ot eval high complexity (97167) $98.28 $252 1.0×
Ot Eval Low Complex (97165) $108.87 $279.15 1.1×
Ot Eval Moderate Complexity (97166) $103.71 $265.92 1.0×
Ot manual therapy 15 min (97140) $61.02 $156.45 2.2×
Ot paraffin bath (97018) $30.19 $77.40 5.0×
Ot Re-Eval Est Plan Care (97168) $93.78 $240.45 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $148.99 $382.02 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,305.88 $13,604.83 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $10,152.89 $26,033.06 1.0×
Phlebotomy therapeutic (99195) $149.75 $383.97 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $92.49 $237.15 1.7×
Physical Performance Test (97750) $49.14 $126 1.5×
Plethysmography (94726) $363.47 $931.98 1.1×
Pm device eval in person (93288) $43.17 $110.70 1.3×
Pm device progr eval dual (93280) $43.50 $111.55 1.3×
Pm device progr eval multi (93281) $36.78 $94.30 1.1×
Pm Device Progr Eval Sngl (93279) $50.68 $129.95 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,771.97 $4,543.52 2.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $36.78 $94.30 1.1×
Prq Card Angio/Athrect 1 Art (92924) $10,152.89 $26,033.06 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $9,385.47 $24,065.30 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $6,418.62 $16,458 0.6×
Psych diag eval w/med srvcs (90792) $180.71 $463.35 1.1×
Psychiatric diagnostic evaluation (90791) $180.71 $463.35 1.1×
Psycl/Nrpsyc Tst Auto Result (96146) $262.29 $672.53 10.0×
Psytx Crisis Initial 60 Min (90839) $180.71 $463.35 1.1×
Pt Eval High Complex (97163) $127.51 $326.95 1.3×
Pt eval low complex 20 min (97161) $106.26 $272.46 1.1×
Pt Eval Mod Complex (97162) $103.71 $265.92 1.1×
Pt gait training 15 min (97116) $50.31 $128.99 1.7×
Pt group caregiver training (97552) $17.97 $46.07 0.8×
Pt mechanical traction (97012) $64.35 $165 4.5×
Pt Re-Eval Est Plan Care (97164) $80.38 $206.10 1.2×
Pt ultraviolet (97028) $27.81 $71.30 3.3×
Pulm function test by gas (94727) $181.90 $466.41 0.9×
Pulmonary service/procedure (94799) $181.90 $466.41 1.6×
Pulmonary Stress Testing (94618) $149.75 $383.97 1.2×
Pure Tone Audiometry Air (92552) $43.17 $110.70 0.4×
R Hrt Art/Grft Angio (93457) $2,874.44 $7,370.36 1.0×
R hrt coronary artery angio (93456) $6,745.53 $17,296.22 2.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,764.41 $9,652.34 1.3×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $128.72 $330.05 0.7×
Respiratory flow volume loop (94375) $363.47 $931.98 1.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $38.61 $99 0.7×
Right Heart Cath (93451) $3,778.52 $9,688.51 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $232.95 $597.30 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $174.05 $446.29 1.4×
Self Care Mngment Training (97535) $57.19 $146.63 1.8×
Sensory Integration Ea 15 Min (97533) $43.41 $111.32 0.7×
Sleep study unattended (95806) $181.90 $466.41 0.9×
Slp caregiver training 1st 30 min (97550) $42.64 $109.33 0.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $241.30 $618.72 1.2×
Speech sound lang comprehen (92523) $241.80 $619.99 1.1×
Spirometry (94010) $181.90 $466.41 0.9×
Standardized Cognitive Performance Testing (96125) $242.78 $622.52 2.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $245.19 $628.68 1.3×
Subq Infusion Additional Pump Infusion Site (96371) $82.94 $212.67 1.3×
Temp transcutaneous pacing (92953) $761.35 $1,952.19 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $37.92 $97.24 1.7×
Ther Ivntj Ea Addl 15 Min (97130) $34.40 $88.20 1.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $42.12 $108 1.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $52.65 $135 1.8×
Ther/Proph/Diag Inj Ia (96373) $245.19 $628.68 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $82.94 $212.67 1.3×
Ther/Proph/Diag Iv Inf Init (96365) $245.19 $628.68 1.3×
Therapeutic Activities (97530) $57.66 $147.85 1.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $567.57 $1,455.30 1.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $23.40 $60 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $56.50 $144.87 1.7×
Tte w/doppler, complete (93306) $1,020.59 $2,616.89 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $138.95 $356.28 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $155.56 $398.88 3.6×
Unlisted cardiovascular service/procedure (93799) $60 $153.85 0.5×
Unlisted otorhinolaryngological service (92700) $13.01 $33.35 0.5×
Upr/L Xtremity Art 2 Levels (93922) $235.17 $603 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $386.21 $990.27 2.0×
Valvuloplasty aortic valve (92986) $5,659.84 $14,512.42 1.1×
Vasopneumatic device (97016) $26.62 $68.25 2.2×
Vent Mgmt Inpat Init Day (94002) $755.45 $1,937.04 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $755.45 $1,937.04 1.3×
Vital capacity, total (94150) $181.90 $466.41 1.6×
Whirlpool Therapy (97022) $65.13 $167 4.1×