Visits & medical services prices at Izard Regional Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $320.50 $320.50 3.5×
Airway inhalation treatment (94640) $635.75 $635.75 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $845 $845 2.5×
Cardiopulmonary resuscitation (92950) $1,660.50 $1,660.50 8.4×
Cardioversion (92960) $2,033 $2,033 3.4×
Care mgmt svc bhvl hlth cond (99484) $99 $99 2.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $17 $17 0.5×
Cbt 1st hour (94644) $408 $408 3.4×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $99 $99 1.1×
Color/duplex Doppler, complete (93975) $869 $869 4.0×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $330 $330 2.0×
Cpap initiation and management (94660) $1,261 $1,261 6.3×
Cpt initial (94667) $2,051.25 $2,051.25 16.9×
Critical care (99291) $3,727.50 $3,727.50 5.0×
Demo &/or eval,pt use,aerosol device (94664) $801 $801 4.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $440.12 $440.12 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $480.75 $480.75 5.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $84 $84 0.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $51 $51 0.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $623.38 $623.38 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $909 $909 9.5×
Dup-scan xtr veins unilateral/limited study (93971) $47.50 $47.50 0.5×
Duplex scan extracranial art compl bi study (93880) $236.25 $236.25 1.1×
Echo Heart Xthoracic,Limited (93308) $1,832.75 $1,832.75 8.4×
EKG (93005) $131.75 $131.75 2.5×
EKG rhythm strip (93041) $385 $385 7.2×
Er level 1 (99281) $691.25 $691.25 9.0×
Er level ii (99282) $886.50 $886.50 6.3×
Er level iii (99283) $1,386 $1,386 5.6×
Er level IV (99284) $1,957.50 $1,957.50 5.2×
Er level v (99285) $2,655 $2,655 4.9×
Eye exam, new patient,comprehesv (92004) $496.25 $496.25 4.1×
Flow volume loop (94375) $433.50 $433.50 2.2×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $31.50 $31.50 0.5×
Immunization Admin (90471) $114.38 $114.38 1.7×
Immunotherapy, 2+ Injections (95117) $81.25 $81.25 1.9×
Initial normal newborn care, same day discharge (99463) $761.38 $761.38 6.3×
Injection intra arterial (96373) $41.25 $41.25 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $215.75 $215.75 4.0×
IV infusion hydration each additional hour (96361) $140 $140 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $630 $630 3.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $181.75 $181.75 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $630 $630 3.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $262.50 $262.50 6.2×
IV push initial (96374) $665 $665 3.4×
Manual therapy 15 min (97140) $171 $171 6.2×
Massage 15 min (97124) $129.75 $129.75 4.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $112 $112 3.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $131.75 $131.75 3.6×
Mnt Group Ea 30 Min (97804) $61.75 $61.75 3.6×
New patient problem focused exam of visual system (92002) $282.50 $282.50 2.3×
Newborn resuscitation (99465) $1,468.50 $1,468.50 2.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $656 $656 5.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,096 $1,096 5.6×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $416.25 $416.25 3.4×
Ophth medical xm&eval intermediate estab pt (92012) $293.75 $293.75 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $129 $129 4.0×
Ot eval high complex 60 min (97167) $430 $430 4.3×
Ot eval low complex 30 min (97165) $400 $400 4.0×
Ot eval mod complex 45 min (97166) $415 $415 4.1×
Ot re-eval est plan care (97168) $225 $225 3.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $112 $112 2.6×
Principal care mgmt svc 1st 30 staff cal mo (99426) $99 $99 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $72.88 $72.88 1.7×
Psych diag eval w/med srvcs (90792) $418.75 $418.75 2.6×
Psychiatric diagnostic evaluation (90791) $375.25 $375.25 2.3×
Pt eval high complex 45 min (97163) $489.75 $489.75 5.0×
Pt eval low complex 20 min (97161) $489.75 $489.75 5.0×
Pt Gait Training Therapy (97116) $141 $141 4.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $158.50 $158.50 4.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $489.75 $489.75 5.0×
Pt re-evaluation (97164) $237 $237 3.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $123.25 $123.25 3.8×
Pt Ultrasound Therapy (97035) $123.25 $123.25 8.6×
Pt-focused hlth risk assmt (96160) $92.50 $92.50 2.7×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $133.25 $133.25 3.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $425 $425 3.5×
Rt Chest Wall Manipulation,Subsequent (94668) $529.75 $529.75 4.4×
Sc Ther Infusion Reset Pump (96371) $119.25 $119.25 1.8×
Sensory Integration Ea 15 Min (97533) $168 $168 2.8×
Smoking cessation > 10 min (99407) $112 $112 3.3×
Spirometry (94010) $409 $409 2.1×
Stress Tte Complete (93351) $327.50 $327.50 0.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $35.75 $35.75 0.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $290.25 $290.25 1.5×
Temp transcutaneous pacing (92953) $2,122.75 $2,122.75 3.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $129 $129 5.8×
Ther/Proph/Diag Inj Sc/Im (96372) $234.50 $234.50 3.6×
Therapeutic Activities (97530) $221 $221 6.3×
Therapeutic phlebotomy (99195) $461.75 $461.75 3.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $89 $89 2.6×
Trans Care Mgmt 14 Day Disch (99495) $543.75 $543.75 4.5×
Trans Care Mgmt 7 Day Disch (99496) $736.50 $736.50 6.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $272.50 $272.50 0.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,294.50 $2,294.50 10.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $31.50 $31.50 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $73.50 $73.50 0.3×
Ventilation assist & mgmt inpatient 1st day (94002) $2,075.25 $2,075.25 3.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,857.75 $1,857.75 3.3×
Vital capacity total (94150) $406.50 $406.50 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $135 $135 4.3×