Supplies, drugs & other prices at St. Bernards Five Rivers Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $33.75 $37.50 0.8×
Admin influenza virus vac (G0008) $28.80 $32 0.7×
Admin pneumococcal vaccine (G0009) $34.20 $38 0.8×
Annual alcohol screen 15 min (G0442) $22.50 $25 0.7×
Behavior counsel obesity 15m (G0447) $37.80 $42 0.4×
Brief alcohol misuse counsel (G0443) $36 $40 0.4×
Ca screen;pelvic/breast exam (G0101) $72.45 $80.50 0.8×
Catheterize for urine spec (P9612) $67.50 $75 7.2×
Depression screen annual (G0444) $25.65 $28.50 0.8×
Direct refer hospital observ (G0379) $909 $1,010 1.7×
Drug test def 1-7 classes (G0480) $207 $230 1.8×
Drug test def 8-14 classes (G0481) $130.50 $145 0.8×
Initial preventive exam (G0402) $247.50 $275 2.0×
Intens behave ther cardio dx (G0446) $54 $60 1.6×
Obtaining screen pap smear (Q0091) $55.35 $61.50 2.1×
Ppps, initial visit (G0438) $220.50 $245 1.3×
Ppps, subseq visit (G0439) $157.50 $175 1.1×
Psa screening (G0103) $54 $60 2.8×
Trauma respons w/hosp criti (G0390) $1,606.50 $1,785 1.3×