Supplies, drugs & other prices at Izard Regional Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $143.75 $143.75 4.0×
Adm of soc dtr assess 5-15 m (G0136) $35 $35 1.0×
Admin influenza virus vac (G0008) $90 $90 2.1×
Admin pneumococcal vaccine (G0009) $167 $167 3.9×
Behavior counsel obesity 15m (G0447) $87.25 $87.25 0.9×
Brief chkin by md/qhp, 11-20 (G2252) $59.75 $59.75 2.1×
Ca screen;flexi sigmoidscope (G0104) $2,926 $2,926 3.5×
Ca screen;pelvic/breast exam (G0101) $84.75 $84.75 0.9×
Colon ca scrn not hi rsk ind (G0121) $2,244.38 $2,244.38 2.7×
Colorectal scrn; hi risk ind (G0105) $2,447.25 $2,447.25 2.9×
Covid-19 lab test non-cdc (U0002) $281.25 $281.25 5.5×
Depression screen annual (G0444) $38.75 $38.75 1.1×
Diab manage trn per indiv (G0108) $123.25 $123.25 2.2×
Diab manage trn ind/group (G0109) $35.25 $35.25 2.2×
Direct refer hospital observ (G0379) $895 $895 1.7×
Drug test def 1-7 classes (G0480) $1,353.12 $1,353.12 11.8×
Ekg tracing for initial prev (G0404) $131.75 $131.75 5.0×
Elec stim other than wound (G0283) $104 $104 8.2×
Followup eval of foot pt lop (G0246) $127 $127 1.0×
Initial foot exam pt lops (G0245) $216.75 $216.75 1.8×
Obtaining screen pap smear (Q0091) $96.75 $96.75 3.7×
Oth resp proc, indiv (G0238) $48 $48 1.8×
Ppps, initial visit (G0438) $100 $312.25 0.6×
Ppps, subseq visit (G0439) $235.25 $235.25 1.7×
Psa screening (G0103) $359.25 $359.25 18.6×
Screen cerv/vag thin layer (G0123) $363 $363 17.9×
Screen pap by tech w md supv (P3000) $138.75 $138.75 7.5×
Therapeutic procd strg endur (G0237) $141 $141 5.4×
Visit to determ ldct elig (G0296) $63 $63 0.7×