Supplies, drugs & other prices at Saline Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) — $2,487.28 —
Adm tocilizu covid-19 2nd (M0250) — $2,238.58 —
Admin influenza virus vac (G0008) — $175.76 —
Admin pneumococcal vaccine (G0009) — $175.76 —
Catheterize for urine spec (P9612) — $13.28 —
Colon ca scrn not hi rsk ind (G0121) — $4,811.74 —
Colorectal scrn; hi risk ind (G0105) — $4,998.11 —
Direct refer hospital observ (G0379) — $2,434.23 —
Egd flexible transnasal w/biopsy single/multiple (0653T) — $10,667.40 —
Fecal microbiota prep instil (G0455) — $3,229.86 —
Group mnt 2 or more 30 mins (G0271) — $63.17 —
Hbot, full body chamber, 30m (G0277) — $926.94 —
Home sleep test/type 2 porta (G0398) — $3,289.85 —
Instlj fecal microbiota ssp (0780T) — $3,229.86 —
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) — $1,901.28 —
Mnt subs tx for change dx (G0270) — $112.77 —
Mra w/cont, pelvis (C8918) — $1,747.74 —
Mra w/o cont, pelvis (C8919) — $1,371.33 —
Mra w/o fol w/cont, lwr ext (C8914) — $5,531.71 —
Mra w/o fol w/cont, pelvis (C8920) — $2,134.09 —
Mra, w/dye, upper extremity (C8934) — $3,639.74 —
Mra, w/o dye, upper extr (C8935) — $2,911.79 —
Mra, w/o&w/dye, upper extr (C8936) — $4,550.06 —
Njx bone sub matrl into subchondral bone defect (0707T) — $45,215.04 —
Perc d-e cor revasc chro sin (C9607) — $57,084.80 —
Perc d-e cor revasc t cabg s (C9604) — $37,279.38 —
Perc d-e cor stent ather s (C9602) — $71,126.34 —
Perc drug-el cor stent sing (C9600) — $61,649.20 —
Prostate biopsy, any mthd (G0416) — $1,297.87 —
Psa screening (G0103) — $213.90 —
Revasc intravasc lithotripsy (C9764) — $40,727.53 —
Tomosynthesis, mammo (G0279) — $112.77 —
Trauma respons w/hosp criti (G0390) — $4,490.37 —
Trluml Perip Athrc Iliac Art (0238T) — $71,126.34 —
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) — $44,789.33 —
Tte w or wo fol wcon,doppler (C8929) — $3,213.18 —
Unsched dialysis esrd pt hos (G0257) — $2,994.70 —