Procedures & surgery prices at Great River Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $644.83 $961 0.8×
Amniocentesis diagnostic (59000) $954.83 $1,423 1.1×
Anoscopy diagnostic (46600) $73.15 $109.02 0.6×
Application cast elbow finger short arm (29075) $210.02 $313 0.8×
Application Finger Splint Dynamic (29131) $135.54 $202 2.5×
Application finger splint static (29130) $169.86 $253.15 1.4×
Application long arm splint shoulder hand (29105) $135.54 $202 0.9×
Application Long Leg Splint (29505) $135.54 $202 0.9×
Application of long leg cast (29345) $210.02 $313 0.8×
Application of rigid total contact leg cast (29445) $442.86 $660 1.7×
Application Short Arm Splint Dynamic (29126) $135.54 $202 1.1×
Application short arm splint forearm-hand static (29125) $131.51 $196 1.1×
Application short leg splint calf foot (29515) $135.54 $202 0.9×
Apply long arm cast (29065) $210.02 $313 0.8×
Apply Short Leg Cast (29405) $303.29 $452 1.2×
Apply short leg cast (29425) $210.02 $313 0.8×
Arterial puncture (36600) $169.76 $253 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $234.85–$587.12 $350–$875 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $393.87–$587.12 $587–$875 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $246.92 $368 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $234.85 $350 0.8×
Aspirate Pleura W/O Imaging (32554) $1,203.10 $1,793 2.1×
Aspirate/Inj Ganglion Cyst (20612) $203.31 $303 0.7×
Bladder instillation anticarcinogenic agent (51720)
range across 4 matching MRF lines		 $288.53–$467.68 $430–$697 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $73.81–$89.91 $110–$134 varies
Blood Transfusion Service (36430)
range across 10 matching MRF lines		 $327.44–$457.62 $488–$682 varies
Catheter aspiration nasotracheal spx (31720) $119.43 $178 0.6×
Change Cystostomy Tube Simple (51705) $232.83 $347 1.0×
Chemodenerv 1 extremity 1-4 (64642) $1,209.14 $1,802 1.8×
Chemodenerv Musc Migraine (64615) $587.12 $875 2.1×
Chemodenerv musc neck dyston (64616) $587.12 $875 2.1×
Chemodenerv trunk musc 1-5 (64646) $324.09 $483 0.5×
Clear outer ear canal (69200) $73.15 $109.02 0.6×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $5.03–$10.73 $7.50–$16 varies
Complex drainage wound (10180) $2,417.61 $3,603 0.9×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,882.61 $4,296 1.6×
Declot vascular device (36593) $399.24 $595 1.3×
Delivery of placenta (59414) $2,392.78 $3,566 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $1,554.70 $2,317 1.9×
Destroy cerv/thor facet jnt (64633) $2,885.30 $4,300 1.6×
Destroy lumb/sac facet jnt (64635) $2,885.30 $4,300 1.6×
Destruction by neurolytic agent, intercostal nerve (64620) $1,554.70 $2,317 1.9×
Destruction by neurolytic agent; plantar common digital nerve (64632) $203.31 $303 0.7×
Destruction by neurolytic agent; pudendal nerve (64630) $674.35 $1,005 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $2,885.30 $4,300 1.6×
Drain Cerebro Spinal Fluid (62272) $356.30 $531 0.5×
Draw Blood Off Venous Device (36591)
range across 8 matching MRF lines		 $100.65–$169.86 $150–$253.15 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $996.43–$1,677.50 $1,485–$2,500 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,240 $1,848 1.5×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,554.70 $2,317 1.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $167.75 $250 0.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $167.75 $250 0.6×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $167.75 $250 0.6×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $579.07–$1,048.10 $863–$1,562 varies
Fetal Contraction Stress Test (59020)
range across 4 matching MRF lines		 $228.14–$304.63 $340–$454 varies
Fetal non-stress test (59025)
range across 4 matching MRF lines		 $269.07–$298.59 $401–$445 varies
Implant neuroelectrodes (63650) $5,780.66 $8,615 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $30,847.88 $45,973 1.7×
Implant Spine Infusion Pump (62362) $12,078 $18,000 0.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $4,026 $6,000 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $996.43 $1,485 1.2×
Inj W/Fluor Eval Cv Device (36598) $131.51 $196 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $996.43 $1,485 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $587.12 $875 2.1×
Injection aa&/strd axillary nerve w/img gdn (64417) $996.43 $1,485 1.2×
Injection aa&/strd genicular nrv branches w/img (64454) $996.43 $1,485 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $996.43 $1,485 1.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $996.43 $1,485 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $674.35 $1,005 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $587.12 $875 2.1×
Injection Anes Superior Hypogastric Plexus (64517) $996.43 $1,485 1.2×
Injection anesthetic agent suprascapular nerve (64418) $996.43 $1,485 1.5×
Injection into disk lesion (62292) $1,554.70 $2,317 0.9×
Injection into spinal artery (62294) $674.35 $1,005 0.8×
Injection single tendon origin/insertion (20551) $587.12 $875 2.1×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $246.92–$587.12 $368–$875 varies
Injection single/mlt trigger point 3/> muscles (20553) $587.12 $875 2.1×
Injection therapeutic carpal tunnel (20526) $587.12 $875 2.1×
Injection, anesthetic agent; brachial plexus, single (64415) $356.30 $531 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $996.43 $1,485 1.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $996.43 $1,485 1.5×
Injection, anesthetic agent; vagus nerve (64408) $203.31 $303 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $164.39 $245 0.9×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,554.70 $2,317 1.9×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,554.70 $2,317 1.9×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $674.35 $1,005 0.8×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $1,379.57–$4,312.51 $2,056–$6,427 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,379.57 $2,056 0.9×
Insert Temp Bladder Cath (51702)
range across 10 matching MRF lines		 $73.15–$169.86 $109.02–$253.15 varies
Insert tunneled cv cath (36561) $2,147.20 $3,200 0.7×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 6 matching MRF lines		 $73.15–$169.86 $109.02–$253.15 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,686.89 $2,514 1.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,312.51 $6,427 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $1,379.57–$2,118.34 $2,056–$3,157 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $17,344.67 $25,849 0.6×
Intro Gastrointestinal Tube (44500) $573.03 $854 0.7×
Intubation endotracheal emergency procedure (31500) $379.11 $565 1.7×
N Block Inj Celiac Pelus (64530) $996.43 $1,485 1.2×
N Block Inj Ilio-Ing/Hypogi (64425) $996.43 $1,485 1.5×
N block inj intercost sng (64420) $996.43 $1,485 1.5×
N Block Inj Pudendal (64430) $674.35 $1,005 0.8×
N Block Lumbar/Thoracic (64520) $996.43 $1,485 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $996.43 $1,485 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $587.12 $875 2.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,792.95 $7,143 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $996.43 $1,485 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $674.35 $1,005 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,048.77 $1,563 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $771.65 $1,150 0.9×
Occipital Nerve Block (64405) $587.12 $875 2.1×
Open bone biopsy (20251) $4,026 $6,000 0.6×
Open bone biopsy (20250) $2,013 $3,000 0.7×
Open Implantation Nea Peripheral Nerve (64575) $12,078 $18,000 1.2×
Open Implantation Nea Sacral Nerve (64581) $4,026 $6,000 0.7×
Perq dev breast 1st us imag (19285) $937.38 $1,397 1.4×
Perq device breast 1st imag (19281) $937.38 $1,397 0.6×
Placement of needle for intraosseous infusion (36680) $408.63 $609 1.0×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $4,026 $6,000 0.7×
Puncture shunt tube/reservoir aspiration/inj px (61070) $469.02 $699 0.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,885.30 $4,300 1.6×
Relieve Pressure on Nerve(S) (64722) $1,392.99 $2,076 0.8×
Removal or bivalving full arm or full leg cast (29705) $102.66 $153 0.4×
Retrobulbar injection (67500) $183.18 $273 0.6×
Rev/rmv prph sac/gstr npg/r (64595) $2,013 $3,000 0.6×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $4,656.74 $6,940 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,236.44 $3,333 0.7×
Revj/rmvl peripheral neurostimulator electrode (64585) $2,013 $3,000 0.6×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,342 $2,000 0.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,616.43 $2,409 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,408.89 $3,590 1.6×
Spinal puncture lumbar diagnostic (62270) $356.30 $531 0.5×
Strapping ankle (29540) $155 $231 1.0×
Strapping elbow or wrist (29260) $126.81 $189 2.3×
Strapping hand/finger (29280) $102.66 $153 1.9×
Strapping knee (29530) $169.86 $253.15 1.4×
Strapping shoulder (29240) $155 $231 1.3×
Strapping thorax (29200) $102.66 $153 0.7×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $153.65–$253.63 $229–$378 varies
Unlisted Procedure Casting/Strapping (29799) $102.66 $153 0.7×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $246.92–$356.30 $368–$531 varies
Vaginal Delivery After Cesarean Delivery (59612) $3,891.80 $5,800 1.3×

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.