Visits & medical services prices at Great River Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $283.16 $422 1.4×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $43.61 $65 1.6×
Analyze Neurostim Complex (95972) $100.65 $150 1.1×
Analyze neurostim no prog (95970) $169.76 $253 1.4×
Auditory Function, 60 Min (92620) $112.72 $168 0.9×
Behav assmt w/score & docd/stand instrument (96127) $33.55 $50 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $163.72 $244 0.5×
Canalith Repositioning (95992) $83.87 $125 2.1×
Car seat/bed test 60 min (94780) $63.74 $95 1.8×
Cardiac Stress Tst,Tracing Only (93017) $507.94 $757 2.5×
Cardiopulmonary resuscitation (92950) $361.33 $538.50 1.8×
Cardioversion (92960) $848.31 $1,264.25 1.4×
Cbt 1st hour (94644) $218.07 $325 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $92.59 $138 1.4×
Chemother, IV infusion, 1 hr (96413) $375.76 $560 1.2×
Chemother, IV infusion, ea add hr (96415) $70.45 $105 1.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $79.84 $119 1.2×
Cpap initiation and management (94660) $172.11 $256.50 0.8×
Cpt initial (94667) $68.44 $102 0.6×
Critical care (99291) $1,221.22 $1,820 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $175.13 $261 0.9×
Dermatological procedure (96999) $270.41 $403 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $540.82 $806 2.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $317.38 $473 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $383.14 $571 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $317.38 $473 3.3×
Duplex scan extracranial art compl bi study (93880) $507.27 $756 2.3×
Echo Heart Xthoracic,Limited (93308) $362.34 $540 1.6×
EEG awake asleep (95819) $846.13 $1,261 4.2×
EEG cerebral death evaluation (95824) $322.75 $481 0.9×
EKG (93005) $83.87 $125 1.5×
EKG rhythm strip (93041) $83.86 $124.98 1.5×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $100.65 $150 1.1×
Er level 1 (99281) $101.99 $152 1.3×
Er level ii (99282) $268.40 $400 1.9×
Er level iii (99283) $409.31 $610 1.6×
Er level IV (99284) $548.20 $817 1.4×
Er level v (99285) $787.08 $1,173 1.4×
External ECG rec>48hr<7d recording (93242) $318.72 $475 9.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $335.50 $500 2.7×
External Ecg Scanning Analysis Report (93226) $379.78 $566 6.9×
Flow volume loop (94375) $398.57 $594 2.0×
Group Therapeutic Procedures (97150) $75.15 $112 4.2×
Holter Monitor Recording (93225) $316.71 $472 2.6×
Immunization Admin (90471) $126.14 $188 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $53.68 $80 1.0×
IV infusion hydration each additional hour (96361) $71.12 $106 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $186.53 $278 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $94.61 $141 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $220.08 $328 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $55.02 $82 1.3×
IV push initial (96374) $307.64 $458.50 1.6×
Manual therapy 15 min (97140) $83.20 $124 3.0×
Massage 15 min (97124) $86.22 $128.50 2.9×
Mechanical traction (97012) $65.08 $97 4.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $405.95 $605 1.0×
Multiple sleep latency test (95805) $1,613.75 $2,405 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $95.28 $142 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $175.13 $261 0.5×
Newborn resuscitation (99465) $515.32 $768 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $355.63 $530 2.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $462.31 $689 2.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $210.02 $313 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $136.88 $204 3.0×
Paraffin bath (97018) $45.62 $68 7.6×
Plethysmography (94726) $398.57 $594 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,570.14 $2,340 2.0×
Pt Electric Current Therapy (97033) $81.52 $121.50 4.3×
Pt Electrical Stimulation (97032) $61.40 $91.50 4.2×
Pt eval high complex 45 min (97163) $242.23 $361 2.5×
Pt eval low complex 20 min (97161) $194.59 $290 2.0×
Pt Gait Training Therapy (97116) $66.42 $99 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $145.94 $217.50 4.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $218.07 $325 2.2×
Pt re-evaluation (97164) $140.23 $209 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $99.64 $148.50 3.1×
Pt Ultrasound Therapy (97035) $71.80 $107 5.0×
Pt Whirlpool Therapy (97022) $106.68 $159 6.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $182.51 $272 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $222.77 $332 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $169.76 $253 1.4×
Spirometry (94010) $164.39 $245 0.8×
Surfactant Admin Thru Tube (94610) $167.75 $250 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $71.12 $106 1.1×
Therapeutic Activities (97530) $70.45 $105 2.0×
Therapeutic phlebotomy (99195) $112.39 $167.50 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,616.43 $2,409 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $96.62 $144 2.2×
Ultraviolet Light Therapy (96900) $24.82 $37 0.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $210.69 $314 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $540.82 $806 2.4×
Ventilation assist & mgmt inpatient 1st day (94002) $481.10 $717 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $399.24 $595 0.7×