Visits & medical services prices at Saline Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) — $23,612.60 —
Airway Inhalation Treatment (94640) — $291.84 —
Analyze neurostim complex (95972) — $620.17 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) — $53.06 —
Assessment of aphasia per hr (96105) — $446.06 —
Behavral qualit analys voice (92524) — $391.33 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) — $1,169.01 —
C motor evoked upr&lwr limbs (95939) — $4,226.71 —
Canalith repositioning proc (95992) — $179.09 —
Cardiac Stress Tst,Tracing Only (93017) — $6,510.11 —
Cardiopulmonary resuscitation (92950) — $5,201.38 —
Cardioversion (92960) — $8,406.68 —
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) — $31,760.86 —
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) — $20,058.55 —
Cbt 1st hour (94644) — $973.37 —
Chemo IV infusion addl hr (96415) — $227.17 —
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) — $1,334.84 —
Chest Wall Manipulation (94668) — $453.08 —
Color/duplex Doppler, limited (93976) — $503.58 —
Community/Work Reintegration Trainj Ea 15 Min (97537) — $135.99 —
Continuous Pulse Ox (94762) — $630.12 —
Coronary Art/Grft Angio S&I (93455) — $18,002.81 —
Coronary Artery Angio S&I (93454) — $23,959.64 —
Cpap Ventilation Cpap Initiation&Mgmt (94660) — $888.79 —
Cpt initial (94667) — $492.48 —
Critical care first hour (99291) — $3,959.75 —
Debridement Open Wound 20 Sq Cm< (97597) — $21,618.78 —
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) — $1,067.88 —
Dup-scan lxtr art/artl bpgs compl bi study (93925) — $1,145.82 —
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) — $802.57 —
Dup-Scan Xtr Veins Complete Bilateral Study (93970) — $1,401.17 —
Dup-scan xtr veins unilateral/limited study (93971) — $1,052.95 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) — $1,079.49 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) — $519.01 —
Duplex up extrem art bilat (93930) — $1,067.88 —
Duplex up extrem art unilat/ltd (93931) — $802.57 —
ECG/monitoring and analysis (93271) — $565.44 —
Echo Congenital Complete (93303) — $2,447.49 —
Echo Heart Xthoracic,Limited (93308) — $13,707.21 —
Echo transesophageal (93312) — $6,969.63 —
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) — $4,297.40 —
EEG awake and asleep (95819) — $1,701.30 —
EEG cerebral death evaluation (95824) — $2,109.23 —
Electrical Stimulation Ea 15 Min (97032) — $77.94 —
Electrocardiogram Tracing (93005) — $258.69 —
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) — $23,612.60 —
Emergency Dept Visit Level 2 (99282) — $1,179.25 —
Emergency Dept Visit Level 3 (99283) — $1,766.56 —
Emergency Dept Visit Level 4 (99284) — $2,475.94 —
Ep & ablate supravent arrhyt (93653) — $89,003.26 —
Ep Compre Electrophysiologic Arrhythmia Induction (93620) — $23,612.60 —
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) — $23,612.60 —
Er level 1 (99281) — $724.62 —
Er level v (99285) — $2,945.81 —
Evaluate pt use of inhaler (94664) — $727.96 —
Evaluate Speech Production (92522) — $379.72 —
Evaluate Swallowing Function (92610) — $353.19 —
Evaluation of speech fluency (92521) — $464.30 —
External ECG rec>48hr<7d recording (93242) — $152.08 —
External ECG rec>7d<15d recording (93246) — $250.14 —
External Ecg Scanning Analysis Report (93226) — $492.48 —
Extracranial Bilat Study (93880) — $1,601.82 —
Extracranial Uni/Ltd Study (93882) — $696.44 —
Group Therapeutic Procedures (97150) — $74.62 —
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) — $29,562.17 —
Holter monitor recording (93225) — $492.48 —
Hubbard tank 15 min (97036) — $129.35 —
Immunization administration (90471) — $276.93 —
Insert/Place Heart Catheter (93503) — $5,067.43 —
Iontophoresis 15 min (97033) — $127.68 —
Irrig Drug Delivery Device (96523) — $321.69 —
IV infusion hydration each additional hour (96361) — $227.17 —
IV infusion hydration initial 31 min-1 hour (96360) — $867.24 —
IV infusion ther proph addl sequential to 1 hr (96367) — $482.54 —
IV infusion therapy prophylaxis/dx ea hour (96366) — $308.43 —
IV push initial (96374) — $797.87 —
L Hrt Art/Grft Angio (93459) — $17,165.57 —
Lwr Xtr Vasc Stdy Bilat (93924) — $908.69 —
Mechanical chest wall oscillation per session (94669) — $727.96 —
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) — $112.77 —
Medical nutrition assmt&ivntj indiv each 15 mi (97802) — $134.24 —
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) — $63.17 —
Motion Fluoroscopy/Swallow (92611) — $371.44 —
Multiple Sleep Latency Test (95805) — $3,611.54 —
Muscle Test 2 Limbs (95861) — $623.47 —
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) — $1,213.79 —
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) — $17,066.44 —
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) — $1,213.79 —
Neuromuscular Reeducation (97112) — $142.60 —
Newborn resuscitation (99465) — $2,003.10 —
Oral Function Therapy (92526) — $354.86 —
Oral Speech Device Eval (92597) — $300.14 —
Orthc/Prostc Mgmt Sbsq Enc (97763) — $194.02 —
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) — $189.04 —
Ot Contrast Bath Ea 15 Min (97034) — $72.96 —
Ot eval high complexity (97167) — $368.11 —
Ot Eval Low Complex (97165) — $368.11 —
Ot Eval Moderate Complexity (97166) — $368.11 —
Ot manual therapy 15 min (97140) — $122.70 —
Ot paraffin bath (97018) — $43.11 —
Ot Prosthetic Training, Each 15 Min (97761) — $164.18 —
Ot Re-Eval Est Plan Care (97168) — $248.75 —
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) — $51,010.80 —
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) — $57,039.62 —
Phlebotomy therapeutic (99195) — $492.48 —
Physical Performance Test (97750) — $152.56 —
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) — $4,226.71 —
Prq Card Angio/Athrect 1 Art (92924) — $44,789.33 —
Prq Card Stent W/Angio 1 Vsl (92928) — $58,386.12 —
Prq Card Stent/Ath/Angio (92933) — $56,701.11 —
Prq Revasc Byp Graft 1 Vsl (92937) — $44,789.33 —
Pt Eval High Complex (97163) — $341.58 —
Pt eval low complex 20 min (97161) — $341.58 —
Pt Eval Mod Complex (97162) — $341.58 —
Pt gait training 15 min (97116) — $124.37 —
Pt mechanical traction (97012) — $66.34 —
Pt Re-Eval Est Plan Care (97164) — $222.22 —
Pulm function test by gas (94727) — $630.12 —
Pulmonary Stress Testing (94618) — $492.48 —
R Hrt Art/Grft Angio (93457) — $27,449.66 —
R hrt coronary artery angio (93456) — $26,716.74 —
Remote 30 Day Ecg Rev/Report (93270) — $479.21 —
Right Heart Cath (93451) — $16,145.61 —
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) — $659.98 —
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) — $524 —
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) — $215.56 —
Self Care Mngment Training (97535) — $169.12 —
Sensory Integration Ea 15 Min (97533) — $139.29 —
Short-latency somatosens ep std upr limbs (95925) — $1,169.01 —
Sleep study unattended (95806) — $3,289.85 —
Somatosensory Testing (95938) — $2,109.23 —
Speech sound lang comprehen (92523) — $809.19 —
Spirometry (94010) — $630.12 —
Ssep lower limbs (95926) — $1,169.01 —
Standardized Cognitive Performance Testing (96125) — $477.55 —
Stress Tte Only (93350) — $2,304.88 —
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) — $119.40 —
Ther Ivntj Ea Addl 15 Min (97130) — $114.42 —
Ther Px 1/> Areas Each 15 Minutes Massage (97124) — $124.37 —
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) — $452.69 —
Ther/Proph/Diag Inj Sc/Im (96372) — $3,874.71 —
Ther/Proph/Diag Iv Inf Init (96365) — $945.16 —
Therapeutic Activities (97530) — $162.52 —
Tilt table test with heart rhythm and blood pressure monitoring (93660) — $2,109.23 —
Tte w/doppler, complete (93306) — $3,012.93 —
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) — $326.66 —
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) — $96.18 —
Tx/Pro/Dx Inj New Drug Addon (96375) — $325.01 —
Unlisted cardiovascular service/procedure (93799) — $1,334.84 —
Upr/L Xtremity Art 2 Levels (93922) — $606.89 —
Upr/Lxtr Art Stdy 3+ Lvls (93923) — $797.60 —
Vasopneumatic device (97016) — $77.94 —
Vent Mgmt Inpat Init Day (94002) — $2,362.92 —
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) — $2,362.92 —
Wheelchair Mgmt Ea 15 Min (97542) — $135.99 —
Whirlpool Therapy (97022) — $94.52 —