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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $67.92 | $84.90 | 2.0× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$75.29–$84 | $94.11–$105 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$69.12–$72 | $86.40–$90 | varies |
| Airway Inhalation Treatment (94640) | $286.54 | $358.17 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44.90 | $56.13 | 3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $560.12 | $700.15 | 1.6× |
| Canalith repositioning proc (95992) | $93.60 | $117 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$420–$560.12 | $525–$700.15 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$240.22–$1,176.28 | $300.27–$1,470.35 | varies |
| Cardioversion elective internal (92961) | $1,176.28 | $1,470.35 | 2.0× |
| Cbt 1st hour (94644) | $232.22 | $290.28 | 1.9× |
| Chest Wall Manipulation (94668) | $232.22 | $290.28 | 1.9× |
| Chron Care Mgmt Srvc 20 Min (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× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $263.30 | $329.13 | 1.6× |
| Continuous Pulse Ox (94762) | $290.86 | $363.58 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $520.58 | $650.72 | 2.6× |
| Cpt initial (94667) | $232.22 | $290.28 | 1.9× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,058.40–$1,535.44 | $1,323–$1,919.30 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$80.28–$596.80 | $100.35–$746 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $563.80 | $704.75 | 2.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $460.98 | $576.22 | 4.8× |
| Duplex up extrem art bilat (93930) | $467.04 | $583.80 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $213.76 | $267.20 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) | $55.50 | $69.37 | 3.8× |
| Electrocardiogram Tracing (93005) | $114.96 | $143.70 | 2.1× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$135.47–$279.38 | $169.34–$349.23 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$300–$490.06 | $375–$612.58 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$485.06–$763.22 | $606.33–$954.03 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$85.60–$150.18 | $107–$187.73 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$707.54–$1,096.22 | $884.42–$1,370.28 | varies |
| Evaluate pt use of inhaler (94664) | $286.54 | $358.17 | 1.4× |
| Evaluate Speech Production (92522) | $208.78 | $260.98 | 1.9× |
| Evaluate 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× |
| Extracranial Bilat Study (93880) | $621.98 | $777.48 | 2.9× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$33.28–$56 | $41.60–$70 | varies |
| Holter monitor recording (93225) | $232.22 | $290.28 | 1.9× |
| Immunization administration (90471) range across 4 matching MRF lines |
$94.01–$134.94 | $117.51–$168.68 | varies |
| Inital newborn e/m (99460) | $209.52 | $261.90 | 1.7× |
| Iontophoresis 15 min (97033) | $58.18 | $72.72 | 3.1× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) | $134.94 | $168.68 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $84.74 | $105.93 | 2.0× |
| IV push initial (96374) | $413.14 | $516.43 | 2.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $746.14 | $932.67 | 2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $746.14 | $932.67 | 2.0× |
| Neuromuscular Reeducation (97112) | $63.12 | $78.90 | 1.9× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$327.05–$1,176.28 | $408.81–$1,470.35 | varies |
| Oral Function Therapy (92526) | $196.80 | $246 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $96.46 | $120.58 | 1.9× |
| Orthotics Mgmt & Trainj 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 Moderate Complexity (97166) | $187.80 | $234.75 | 1.9× |
| Ot manual therapy 15 min (97140) | $67.20 | $84 | 2.4× |
| Ot paraffin bath (97018) | $43.37 | $54.21 | 7.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $77 | $96.25 | 1.9× |
| Phlebotomy therapeutic (99195) | $232.22 | $290.28 | 1.9× |
| Physical Performance Test (97750) | $253.37 | $316.71 | 7.5× |
| Pm device eval in person (93288) | $70 | $87.50 | 2.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$61.46–$90.52 | $76.83–$113.15 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$61.46–$90.52 | $76.83–$113.15 | varies |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$291.40–$396.86 | $364.25–$496.08 | varies |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$291.40–$534.25 | $364.25–$667.81 | varies |
| Pt Eval High Complex (97163) | $235.74 | $294.68 | 2.4× |
| Pt eval low complex 20 min (97161) | $187.80 | $234.75 | 1.9× |
| Pt Eval Mod Complex (97162) | $187.80 | $234.75 | 1.9× |
| Pt gait training 15 min (97116) | $55.12 | $68.90 | 1.9× |
| Pt mechanical traction (97012) | $112 | $140 | 7.8× |
| Pt Re-Eval Est Plan Care (97164) | $128.84 | $161.05 | 1.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $86.04 | $107.55 | 2.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $43.42 | $54.28 | 0.4× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $94.86 | $118.58 | 2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$43.20–$596.80 | $54–$746 | varies |
| Same day nb discharge (99463) | $243.86 | $304.83 | 2.0× |
| Self Care Mngment Training (97535) | $77.60 | $97 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $114.38 | $142.98 | 1.9× |
| 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) range across 2 matching MRF lines |
$78.89–$96 | $98.61–$120 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $88.12 | $110.15 | 4.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $55.28 | $69.10 | 1.9× |
| Ther/Proph/Diag Inj Ia (96373) | $413.14 | $516.43 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$31.20–$134.94 | $39–$168.68 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $413.14 | $516.43 | 2.1× |
| Therapeutic Activities (97530) | $68.30 | $85.38 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $59.36 | $74.20 | 1.7× |
| 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 (93306) | $1,006.26 | $1,257.83 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $181.60 | $227 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $84.74 | $105.93 | 2.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $232.22 | $290.28 | 1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $290.86 | $363.58 | 1.5× |
| Vent Mgmt Inpat Init 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× |
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.