Visits & medical services prices at Delta Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $70.56 $88.20 2.7×
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $79.64 $99.56 3.0×
Airway inhalation treatment (94640) $286.54 $358.17 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $560.12 $700.15 1.6×
Canalith Repositioning (95992) $93.60 $117 2.3×
Cardiopulmonary resuscitation (92950) $490.06 $612.58 2.5×
Cardioversion (92960) $708.25 $885.31 1.2×
Cardioversion internal (92961) $1,176.28 $1,470.35 2.0×
Cbt 1st hour (94644) $232.22 $290.28 1.9×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $185 $231.25 2.0×
Color/duplex Doppler, complete (93975) $561.96 $702.45 2.6×
Color/duplex Doppler, limited (93976) $213.76 $267.20 2.2×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $263.30 $329.13 1.6×
Cpap initiation and management (94660) $520.58 $650.72 2.6×
Cpt initial (94667) $232.22 $290.28 1.9×
Critical care (99291) $1,535.44 $1,919.30 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $221.64 $277.06 1.2×
Demo &/or eval,pt use,aerosol device (94664) $286.54 $358.17 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $467.04 $583.80 2.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $213.76 $267.20 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $467.04 $583.80 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $213.76 $267.20 2.2×
Dup-scan xtr veins unilateral/limited study (93971) $460.98 $576.22 4.8×
Duplex scan extracranial art compl bi study (93880) $621.98 $777.48 2.9×
EKG (93005) $114.96 $143.70 2.1×
Er level 1 (99281) $117.89 $147.36 1.5×
Er level ii (99282) $207.42 $259.28 1.5×
Er level iii (99283) $395.03 $493.79 1.6×
Er level IV (99284) $624.14 $780.18 1.6×
Er level v (99285) $901.88 $1,127.35 1.7×
Evaluation of speech sound production (92522) $208.78 $260.98 1.9×
Evaluation of swallowing function (92610) $197.60 $247 2.3×
Evoked auditory test,limited (92587) $560.12 $700.15 2.8×
External Ecg Scanning Analysis Report (93226) $232.22 $290.28 4.3×
Group Therapeutic Procedures (97150) $44.64 $55.80 2.5×
Holter Monitor Recording (93225) $232.22 $290.28 1.9×
Immunization Admin (90471) $134.94 $168.68 2.1×
Immunotherapy, 2+ Injections (95117) $75.99 $94.99 1.8×
Inital newborn e/m (99460) $209.52 $261.90 1.7×
Initial normal newborn care, same day discharge (99463) $243.86 $304.83 2.0×
Injection intra arterial (96373) $413.14 $516.43 2.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $114.96 $143.70 2.1×
IV infusion hydration each additional hour (96361) $84.74 $105.93 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $413.14 $516.43 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $134.94 $168.68 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $413.14 $516.43 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84.74 $105.93 2.0×
IV push initial (96374) $413.14 $516.43 2.1×
Manual therapy 15 min (97140) $67.20 $84 2.4×
Massage 15 min (97124) $55.28 $69.10 1.9×
Mechanical traction (97012) $112 $140 7.8×
Neg press wnd tx </=50 sq cm (97607) $746.14 $932.67 2.0×
Neg press wound tx >50 cm (97608) $746.14 $932.67 2.0×
Newborn resuscitation (99465) $751.66 $939.58 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $232.22 $290.28 1.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $290.86 $363.58 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $290.86 $363.58 2.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $88.56 $110.70 1.9×
Ot Contrast Bath Ea 15 Min (97034) $56 $70 4.0×
Ot eval mod complex 45 min (97166) $187.80 $234.75 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $96.46 $120.58 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $77 $96.25 1.9×
Paraffin bath (97018) $43.37 $54.21 7.2×
Pm device eval in person (93288) $70 $87.50 2.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $75.99 $94.99 1.8×
Psych diag eval w/med srvcs (90792) $396.86 $496.08 2.5×
Psychiatric diagnostic evaluation (90791) $351.70 $439.62 2.2×
Pt Electric Current Therapy (97033) $58.18 $72.72 3.1×
Pt Electrical Stimulation (97032) $55.50 $69.37 3.8×
Pt eval high complex 45 min (97163) $235.74 $294.68 2.4×
Pt eval low complex 20 min (97161) $187.80 $234.75 1.9×
Pt Gait Training Therapy (97116) $55.12 $68.90 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $63.12 $78.90 1.9×
Pt Physical Performance Test (97750) $253.37 $316.71 7.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $187.80 $234.75 1.9×
Pt re-evaluation (97164) $128.84 $161.05 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $77.60 $97 2.4×
Pt Ultrasound Therapy (97035) $44.90 $56.13 3.1×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $86.04 $107.55 2.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $43.42 $54.28 0.4×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $94.86 $118.58 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $320 $400 1.8×
Rt Chest Wall Manipulation,Subsequent (94668) $232.22 $290.28 1.9×
Sensory Integration Ea 15 Min (97533) $114.38 $142.98 1.9×
Smoking cessation > 10 min (99407) $59.36 $74.20 1.7×
Speech sound lang comprehen (92523) $428.36 $535.45 1.9×
Spirometry (94010) $290.86 $363.58 1.5×
Standardized Cognitive Performance Testing (96125) $236.80 $296 2.3×
Temp transcutaneous pacing (92953) $1,176.28 $1,470.35 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $87.44 $109.30 3.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $88.12 $110.15 4.2×
Ther/Proph/Diag Inj Sc/Im (96372) $134.94 $168.68 2.1×
Therapeutic Activities (97530) $68.30 $85.38 1.9×
Therapeutic phlebotomy (99195) $232.22 $290.28 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $59.36 $74.20 1.7×
Trans Care Mgmt 14 Day Disch (99495) $212 $265 1.7×
Trans Care Mgmt 7 Day Disch (99496) $308 $385 2.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,006.26 $1,257.83 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $181.60 $227 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $196.80 $246 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $84.74 $105.93 2.0×
Ultraviolet Light Therapy (96900) $67.92 $84.90 2.0×
Vasc Duplex Extrem Venous,Bilat (93970) $563.80 $704.75 2.6×
Ventilation assist & mgmt inpatient 1st day (94002) $1,113.44 $1,391.80 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,113.44 $1,391.80 2.0×