Supplies, drugs & other prices at NEA Baptist Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $24.89 $131 0.7×
2d tee w or w/o fol w/con,in (C8925) $484.88 $2,552 0.7×
2d tte w or w/o fol w/con,co (C8923) $457.52 $2,408 0.6×
2d tte w or w/o fol w/con,fu (C8924) $424.27 $2,233 1.3×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,758.45 $9,255 1.0×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
unusually low: confirm this is the full procedure
$3,388.65 $17,835 0.4×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,758.45 $9,255 1.0×
Adm tocilizu covid-19 1st (M0249) $300.01 $1,579 0.7×
Adm tocilizu covid-19 2nd (M0250) $300.01 $1,579 0.7×
Admin hepatitis b vaccine (G0010) $18.24 $96 0.4×
Admin influenza virus vac (G0008) $18.62 $98 0.4×
Admin pneumococcal vaccine (G0009) $18.24 $96 0.4×
Covid-19 lab test non-cdc (U0002) $35.34 $186 0.7×
Direct refer hospital observ (G0379) $199.12 $1,048 0.4×
Drug test def 1-7 classes (G0480) $53.01 $279 0.5×
Elec stim other than wound (G0283) $44.46 $234 3.5×
Hbot, full body chamber, 30m (G0277) $79.80 $420 0.6×
Hospital outpt clinic visit (G0463) $24.32 $128 0.2×
Hpv combo assay ca screen (G0476) $16.15 $85 0.5×
Inj for sacroiliac jt anesth (G0260) $283.29 $1,491 0.4×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $15,100.25 $79,475 0.5×
Intens cardiac rehab no exer (G0423) $78.47 $413 0.6×
Intens cardiac rehab w/exerc (G0422) $78.47 $413 0.6×
Mra w/cont, abd (C8900) $1,527.60 $8,040 4.7×
Mra w/cont, chest (C8909) $1,527.60 $8,040 4.7×
Mra w/cont, lwr ext (C8912) $1,527.60 $8,040 4.7×
Mra w/cont, pelvis (C8918) $1,527.60 $8,040 4.7×
Mra w/o cont, abd (C8901) $1,018.21 $5,359 4.6×
Mra w/o cont, chest (C8910) $1,018.21 $5,359 4.6×
Mra w/o cont, lwr ext (C8913) $1,018.21 $5,359 4.6×
Mra w/o cont, pelvis (C8919) $1,018.21 $5,359 4.6×
Mra w/o fol w/cont, abd (C8902) $1,730.52 $9,108 5.3×
Mra w/o fol w/cont, chest (C8911) $1,730.52 $9,108 5.3×
Mra w/o fol w/cont, lwr ext (C8914) $1,730.52 $9,108 5.3×
Mra w/o fol w/cont, pelvis (C8920) $1,730.52 $9,108 5.3×
Mra, w/dye, spinal canal (C8931) $836.76 $4,404 2.6×
Mra, w/dye, upper extremity (C8934) $691.22 $3,638 2.1×
Mra, w/o dye, spinal canal (C8932) $747.08 $3,932 3.3×
Mra, w/o dye, upper extr (C8935) $606.10 $3,190 2.7×
Mra, w/o&w/dye, spinal canal (C8933) $1,204.03 $6,337 3.7×
Mra, w/o&w/dye, upper extr (C8936) $1,730.52 $9,108 5.3×
Mri w/cont, breast, bi (C8906) $708.98 $3,731.50 2.2×
Mri w/cont, breast, uni (C8903) $697.68 $3,672 4.2×
Mri w/o fol w/cont, breast, (C8908) $699.20 $3,680 2.1×
Mri w/o fol w/cont, brst, un (C8905) $641.63 $3,377 2.0×
Oth resp proc, group (G0239) $20.52 $108 0.6×
Oth resp proc, indiv (G0238) $15.39 $81 0.6×
Pemivibart infusion (M0224) $266.76 $1,404 0.6×
Perc d-e cor revasc chro sin (C9607) $10,278.62 $54,098 0.6×
Perc d-e cor revasc t cabg s (C9604) $10,278.62 $54,098 0.9×
Perc d-e cor stent ather s (C9602) $12,176.91 $64,089 0.7×
Perc drug-el cor stent sing (C9600) $10,278.62 $54,098 0.9×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T)
likely a partial charge, not the full procedure
$1,980.75 $10,425 0.3×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure
$1,097.06 $5,774 0.1×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$1,325.44 $6,976 0.2×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,325.44 $6,976 0.2×
Pin service 60m per month (G0023) $45.41 $239 0.5×
Place device/marker, non pro (C9728) $477.47 $2,513 0.4×
Prostate biopsy, any mthd (G0416) $160.74 $846 0.5×
Psa screening (G0103) $38.19 $201 2.0×
Revasc intra lithotrip-ather (C9766) $11,074.91 $58,289 0.6×
Revasc intra lithotrip-stent (C9765) $10,346.45 $54,455 0.6×
Revasc intravasc lithotripsy (C9764) $5,726.03 $30,137 0.5×
Revasc lith-sten-ath tib/per (C9775) $17,016.02 $89,558 1.0×
Revasc lithotr-ather tib/per (C9774) $12,457.92 $65,568 0.7×
Revasc lithotr-stent tib/per (C9773) $10,374.76 $54,604 0.6×
Revasc lithotrip tibi/perone (C9772) $6,035.73 $31,767 0.6×
Revasc lithotrip-stent-ather (C9767) $16,071.53 $84,587 0.9×
Scr c/v cyto,thinlayer,rescr (G0145) $28.50 $150 1.1×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $9,535.91 $50,189 0.5×
Therapeutic procd strg endur (G0237) $15.39 $81 0.6×
Tomosynthesis, mammo (G0279) $19.95 $105 1.6×
Transcatheter Renal Sympath Denervation Bilat (0339T)
unusually low: confirm this is the full procedure
$2,043.45 $10,755 0.4×
Trauma respons w/hosp criti (G0390) $760.76 $4,004 0.6×
Trim nail(s) (G0127) $22.99 $121 0.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
likely a partial charge, not the full procedure
$2,534.79 $13,341 0.2×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$6,055.87 $31,873 0.4×
Tte w or w/o contr, cont ecg (C8930) $716.11 $3,769 1.0×
Tte w or w/o fol w/con,stres (C8928) $716.11 $3,769 1.0×
Tte w or wo fol wcon,doppler (C8929) $509.58 $2,682 0.7×
Unsched dialysis esrd pt hos (G0257) $211.85 $1,115 0.3×