Procedures & surgery prices at St. Bernards Five Rivers Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,260–$1,557 $1,400–$1,730 varies
Ablation 1/> liver tumor perq cryoablation (47383) $8,077.50 $8,975 0.8×
Application cast elbow finger short arm (29075) $414 $460 1.6×
Application finger splint static (29130)
range across 2 matching MRF lines
$103.50–$157.50 $115–$175 varies
Application long arm splint shoulder hand (29105) $243 $270 1.6×
Application Long Leg Splint (29505) $243 $270 1.6×
Application of long leg cast (29345) $414 $460 1.6×
Application of rigid total contact leg cast (29445) $432 $480 1.7×
Application short arm splint forearm-hand static (29125) $198 $220 1.6×
Application short leg splint calf foot (29515) $243 $270 1.6×
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines
$243–$522 $270–$580 varies
Apply Short Leg Cast (29405) $414 $460 1.6×
Arterial puncture (36600)
range across 2 matching MRF lines
$198–$207 $220–$230 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines
$99–$508.50 $110–$565 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$189–$1,183.50 $210–$1,315 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 9 matching MRF lines
$85.50–$508.50 $95–$565 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$207–$508.50 $230–$565 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$85.50–$481.50 $95–$535 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$1,080–$1,233 $1,200–$1,370 varies
Aspirate Pleura W/O Imaging (32554) $289.80 $322 0.5×
Aspirate/Inj Ganglion Cyst (20612) $99 $110 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $315 $350 1.7×
Biopsy Abdominal Mass (49180) $2,227.50 $2,475 1.5×
Biopsy bone trocar/needle deep (20225) $2,227.50 $2,475 1.5×
Biopsy Bone Trocar/Needle Superficial (20220) $2,227.50 $2,475 1.5×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines
$2,227.50–$2,781 $2,475–$3,090 varies
Biopsy of liver, needle; percutaneous (47000) $2,227.50 $2,475 1.5×
Biopsy of upper nose/throat (42806) $4,716 $5,240 1.6×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,227.50 $2,475 1.5×
Bladder Irrigation (51700) $423 $470 1.9×
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$639–$702 $710–$780 varies
Bone Marrow; Aspiration Only (38220) $2,227.50 $2,475 1.5×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines
$133.20–$324 $148–$360 varies
Chemical Pleurodesis (32560) $1,233 $1,370 2.2×
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines
$355.50–$1,183.50 $395–$1,315 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines
$306–$1,183.50 $340–$1,315 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines
$315–$508.50 $350–$565 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines
$427.50–$508.50 $475–$565 varies
Chemodenerv trunk musc 6/> (64647) $1,188 $1,320 1.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines
$301.50–$531 $335–$590 varies
Chest tube placement (32551) $2,938.50 $3,265 2.1×
Circumcision 28 days or older (54161) $378 $420 0.2×
Circumcision Neonate (54160) $477 $530 0.8×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$319.50–$378 $355–$420 varies
Clear outer ear canal (69200)
range across 4 matching MRF lines
$122.40–$198 $136–$220 varies
Closed tx patellar dislocation w/o anesthesia (27560) $391.50 $435 1.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $391.50 $435 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $391.50 $435 1.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,443.50 $2,715 1.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 3 matching MRF lines
$391.50–$414 $435–$460 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $391.50 $435 1.7×
Cltx post hip arthrp dislc w/o anes (27265) $391.50 $435 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $391.50 $435 1.7×
Collect Blood From Catheter Venous Nos (36592) $198 $220 1.6×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$4.50–$13.50 $5–$15 varies
Colonoscopy Flexible With Decompression (45393) $2,025 $2,250 1.9×
Colonoscopy stoma w/balloon dilation (44405) $2,025 $2,250 1.9×
Colonoscopy Stoma W/Submucosal Injection (44404) $2,025 $2,250 1.9×
Control Nasal Hemorrhage Anterior Simple (30901) $198 $220 1.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,044 $1,160 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,700 $3,000 1.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines
$576–$670.50 $640–$745 varies
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines
$675–$1,561.50 $750–$1,735 varies
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines
$891–$3,312 $990–$3,680 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines
$882–$3,312 $980–$3,680 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$180–$196.20 $200–$218 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines
$193.50–$219.60 $215–$244 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 3 matching MRF lines
$328.50–$1,561.50 $365–$1,735 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines
$616.50–$3,312 $685–$3,680 varies
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines
$256.50–$261 $285–$290 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines
$115.20–$131.40 $128–$146 varies
Drainage of finger abscess simple (26010) $315 $350 1.7×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines
$253.80–$2,700 $282–$3,000 varies
Draw Blood Off Venous Device (36591) $198 $220 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $670.50 $745 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$315–$324 $350–$360 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $324 $360 1.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$396–$1,561.50 $440–$1,735 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)
range across 3 matching MRF lines
$1,197–$1,561.50 $1,330–$1,735 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,188 $1,320 1.8×
Epidural Blood Patch (62273)
range across 3 matching MRF lines
$396–$1,183.50 $440–$1,315 varies
Evacuation of subungual hematoma (11740) $198 $220 1.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,170 $1,300 1.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,809 $2,010 1.7×
Fluoro exam of g/colon tube (49465) $418.50 $465 1.9×
I&d abscess simple (10060)
range across 4 matching MRF lines
$202.50–$324 $225–$360 varies
I&d perianal abscess superficial (46050) $288.90 $321 0.3×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines
$396–$468 $440–$520 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$297–$360 $330–$400 varies
Image Cath Fluid Peri/Retro (49406) $2,227.50 $2,475 1.5×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines
$364.50–$670.50 $405–$745 varies
Incision & removal foreign body subq tiss compl (10121) $505.80 $562 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines
$228.60–$670.50 $254–$745 varies
Incision and drainage of bartholin's gland abscess (56420) $301.50 $335 1.6×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines
$166.50–$1,044 $185–$1,160 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$405–$1,561.50 $450–$1,735 varies
Inj W/Fluor Eval Cv Device (36598) $369 $410 1.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$522–$1,561.50 $580–$1,735 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$104.40–$112.50 $116–$125 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines
$396–$1,561.50 $440–$1,735 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines
$387–$1,183.50 $430–$1,315 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines
$337.50–$1,561.50 $375–$1,735 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines
$387–$1,183.50 $430–$1,315 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines
$346.50–$1,183.50 $385–$1,315 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$252–$508.50 $280–$565 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines
$409.50–$1,561.50 $455–$1,735 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines
$202.50–$1,183.50 $225–$1,315 varies
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines
$104.40–$508.50 $116–$565 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines
$88.20–$508.50 $98–$565 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines
$104.40–$508.50 $116–$565 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines
$130.50–$508.50 $145–$565 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines
$396–$1,561.50 $440–$1,735 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines
$130.50–$1,183.50 $145–$1,315 varies
Injection, Intralesional; More Than 7 Lesions (11901) $122.40 $136 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $91.80 $102 0.5×
Insert Bladder Cath Complex (51703) $252 $280 2.2×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$261.90–$3,928.50 $291–$4,365 varies
Insert Temp Bladder Cath (51702) $198 $220 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $198 $220 1.6×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,917 $2,130 1.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $576 $640 1.6×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines
$302.40–$387 $336–$430 varies
Myelography Lumbar Injection (62305) $1,372.50 $1,525 1.9×
Myelography Lumbar Injection (62304) $1,372.50 $1,525 1.9×
Myelography via lumbar injection rs&i cervical (62302) $1,372.50 $1,525 1.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,372.50 $1,525 1.9×
N Block Inj Celiac Pelus (64530)
range across 4 matching MRF lines
$427.50–$1,561.50 $475–$1,735 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines
$247.50–$1,143 $275–$1,270 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines
$346.50–$1,183.50 $385–$1,315 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines
$342–$1,561.50 $380–$1,735 varies
Nasal/Orogastric W/Tube Plmt (43752) $684 $760 1.7×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$2,227.50–$2,781 $2,475–$3,090 varies
Needle Biopsy Pancreas (48102) $2,227.50 $2,475 1.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $751.50 $835 1.8×
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines
$283.50–$1,561.50 $315–$1,735 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$283.50–$508.50 $315–$565 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,935.50 $6,595 1.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$198–$1,561.50 $220–$1,735 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines
$535.50–$1,183.50 $595–$1,315 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines
$526.50–$1,183.50 $585–$1,315 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,170 $1,300 1.8×
Occipital Nerve Block (64405)
range across 3 matching MRF lines
$160.20–$508.50 $178–$565 varies
Perc Cryo Ablate Renal Tum (50593) $12,546 $13,940 1.3×
Percut Drain/Inject Renal Cyst (50390)
range across 4 matching MRF lines
$859.50–$1,030.50 $955–$1,145 varies
Placement of needle for intraosseous infusion (36680) $657 $730 1.6×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $972 $1,080 1.5×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines
$166.50–$670.50 $185–$745 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$238.50–$526.50 $265–$585 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 3 matching MRF lines
$751.50–$3,312 $835–$3,680 varies
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines
$360–$531 $400–$590 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$405–$471.60 $450–$524 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines
$303.30–$333 $337–$370 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$18.90–$25.20 $21–$28 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$58.50–$90 $65–$100 varies
Removal of foreign body from pharynx (42809) $657 $730 1.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines
$144–$162 $160–$180 varies
Remove drug implant device (11982)
range across 2 matching MRF lines
$31.50–$94.50 $35–$105 varies
Remove foreign body from eye (65205)
range across 3 matching MRF lines
$112.50–$198 $125–$220 varies
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines
$198–$292.50 $220–$325 varies
Renal Biopsy Perq (50200) $2,227.50 $2,475 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $576 $640 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $895.50 $995 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $895.50 $995 2.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $576 $640 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $576 $640 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$279.90–$576 $311–$640 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $576 $640 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $576 $640 1.6×
Repair of nail bed (11760) $895.50 $995 1.3×
Reposition Gastrostomy Tube (43761) $423 $470 1.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$117–$126 $130–$140 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $198 $220 1.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,093.50 $1,215 0.4×
Rplc Gtube No Revj Trc (43762) $423 $470 1.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $279 $310 1.5×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $2,025 $2,250 1.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $450 $500 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$198–$315 $220–$350 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines
$211.50–$315 $235–$350 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$252–$315 $280–$350 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 5 matching MRF lines
$180–$315 $200–$350 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $324 $360 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines
$225–$315 $250–$350 varies
Skin sub graft face/nk/hf/g (15275) $3,105 $3,450 4.6×
Skin sub graft trnk/arm/leg (15271) $3,105 $3,450 4.6×
Skin sub grft t/arm/lg child (15273) $5,359.50 $5,955 2.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines
$193.50–$315 $215–$350 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$268.20–$576 $298–$640 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $315 $350 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines
$913.50–$1,129.50 $1,015–$1,255 varies
Strapping Unna Boot (29580)
range across 5 matching MRF lines
$243–$261 $270–$290 varies
Tangential biopsy skin single lesion (11102) $324 $360 0.9×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,188 $1,320 1.8×
Thyroid biopsy (60100) $972 $1,080 1.5×
Trim skin lesion (11055) $324 $360 1.8×
Trim skin lesions 2 to 4 (11056) $324 $360 1.8×
Trim skin lesions over 4 (11057) $324 $360 1.8×
Tx Gastro Intub W/Asp (43753) $459 $510 2.3×
Vaginal delivery only (59409) $4,500 $5,000 1.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.