Visits & medical services prices at St. Bernards Five Rivers Medical Center
Pocahontas, AR · every code in this section with a posted price and a Medicare benchmark.
114 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $72 | $80 | 1.9× |
| Advncd Care Plan 30 Min (99497) | $76.50 | $85 | 0.8× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$25.20–$346.50 | $28–$385 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $22.50 | $25 | 1.6× |
| Breath hydrogen/methane test (91065) | $243 | $270 | 1.2× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$7.20–$9 | $8–$10 | varies |
| Canalith repositioning proc (95992) | $72 | $80 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $459 | $510 | 2.3× |
| Cardiopulmonary resuscitation (92950) | $459 | $510 | 2.3× |
| Cardioversion (92960) | $967.50 | $1,075 | 1.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $40.50 | $45 | 1.6× |
| Cbt 1st hour (94644) | $207 | $230 | 1.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $76.50 | $85 | 1.2× |
| Chemo Intralesional Over 7 (96406) | $369 | $410 | 1.9× |
| Chemo intralesional up to 7 (96405) | $121.50 | $135 | 1.9× |
| Chemotherapy Into Cns (96450) | $580.50 | $645 | 1.9× |
| Chest Wall Manipulation (94668) | $207 | $230 | 1.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $63 | $70 | 0.7× |
| Color/duplex Doppler, complete (93975) | $418.50 | $465 | 1.9× |
| Color/duplex Doppler, limited (93976) | $189 | $210 | 2.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $49.50 | $55 | 0.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $346.50 | $385 | 1.7× |
| Cpt initial (94667) | $207 | $230 | 1.7× |
| Critical care first hour (99291) | $1,201.50 | $1,335 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$306–$324 | $340–$360 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $189 | $210 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $189 | $210 | 2.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $418.50 | $465 | 1.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $189 | $210 | 2.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$76.50–$405 | $85–$450 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$139.50–$810 | $155–$900 | varies |
| EEG awake and asleep (95819) | $459 | $510 | 2.3× |
| EEG awake drowsy (95816) | $459 | $510 | 2.3× |
| EEG cerebral death evaluation (95824) | $877.50 | $975 | 2.6× |
| Eeg Sleep Only (95822) | $450 | $500 | 2.3× |
| Electrical Stimulation Ea 15 Min (97032) | $27 | $30 | 1.8× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$15.30–$103.50 | $17–$115 | varies |
| Emergency Dept Visit Level 2 (99282) | $234 | $260 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $405 | $450 | 1.6× |
| Emergency Dept Visit Level 4 (99284) | $634.50 | $705 | 1.7× |
| Er level 1 (99281) range across 5 matching MRF lines |
$90–$126 | $100–$140 | varies |
| Er level v (99285) | $909 | $1,010 | 1.7× |
| Evaluate pt use of inhaler (94664) | $22.50 | $25 | 0.1× |
| Evaluate Speech Production (92522) | $153 | $170 | 1.4× |
| Evaluate Swallowing Function (92610) | $144 | $160 | 1.7× |
| External ECG rec>48hr<7d recording (93242) | $198 | $220 | 5.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $198 | $220 | 1.6× |
| External Ecg Scanning Analysis Report (93226) | $198 | $220 | 3.7× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$67.50–$418.50 | $75–$465 | varies |
| Extracranial Uni/Ltd Study (93882) | $207 | $230 | 2.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $310.50 | $345 | 1.6× |
| Group Therapeutic Procedures (97150) | $31.50 | $35 | 1.7× |
| Holter monitor recording (93225) | $198 | $220 | 1.6× |
| Immunization administration (90471) range across 8 matching MRF lines |
$36–$112.50 | $40–$125 | varies |
| Iontophoresis 15 min (97033) | $36 | $40 | 1.9× |
| Irrig Drug Delivery Device (96523) | $103.50 | $115 | 1.9× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$63–$72 | $70–$80 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $333 | $370 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $112.50 | $125 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $72 | $80 | 1.7× |
| IV push initial (96374) range across 3 matching MRF lines |
$87.30–$333 | $97–$370 | varies |
| Methacholine challenge (94070) | $540 | $600 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$315–$324 | $350–$360 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $670.50 | $745 | 1.8× |
| Neuromuscular Reeducation (97112) | $58.50 | $65 | 1.8× |
| Oral Function Therapy (92526) | $144 | $160 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $58.50 | $65 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $76.50 | $85 | 1.7× |
| Ot eval high complexity (97167) | $265.50 | $295 | 2.6× |
| Ot Eval Low Complex (97165) | $135 | $150 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $198 | $220 | 2.0× |
| Ot manual therapy 15 min (97140) | $49.50 | $55 | 1.8× |
| Ot paraffin bath (97018) | $13.50 | $15 | 2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $67.50 | $75 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) | $126 | $140 | 1.8× |
| Penile Vascular Study,Ltd or F/U (93981) | $189 | $210 | 2.0× |
| Physical Performance Test (97750) | $63 | $70 | 1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$22.50–$26.10 | $25–$29 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$26.10–$27 | $29–$30 | varies |
| Psytx Crisis Initial 60 Min (90839) | $225 | $250 | 1.4× |
| Pt Eval High Complex (97163) | $265.50 | $295 | 2.7× |
| Pt eval low complex 20 min (97161) | $135 | $150 | 1.4× |
| Pt Eval Mod Complex (97162) | $198 | $220 | 2.0× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$40.50–$49.50 | $45–$55 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$22.50–$27 | $25–$30 | varies |
| Pt Re-Eval Est Plan Care (97164) | $126 | $140 | 1.9× |
| Pulmonary service/procedure (94799) | $270 | $300 | 2.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$103.50–$108 | $115–$120 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $324 | $360 | 1.8× |
| Self Care Mngment Training (97535) | $58.50 | $65 | 1.8× |
| Slp caregiver training 1st 30 min (97550) | $76.50 | $85 | 1.4× |
| Speech sound lang comprehen (92523) | $333 | $370 | 1.5× |
| Spirometry (94010) range across 3 matching MRF lines |
$58.50–$252 | $65–$280 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $36 | $40 | 1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $36 | $40 | 1.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $67.50 | $75 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $49.50 | $55 | 1.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $72 | $80 | 1.7× |
| Ther/Proph/Diag Inj Ia (96373) | $333 | $370 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$36–$112.50 | $40–$125 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $333 | $370 | 1.7× |
| Therapeutic Activities (97530) | $67.50 | $75 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $36 | $40 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$22.50–$49.50 | $25–$55 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$135–$252 | $150–$280 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$319.50–$340.20 | $355–$378 | varies |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$189–$868.50 | $210–$965 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $135 | $150 | 1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$36–$72 | $40–$80 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $189 | $210 | 1.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,003.50 | $1,115 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,003.50 | $1,115 | 1.8× |
| Vital capacity, total (94150) | $256.50 | $285 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $54 | $60 | 1.7× |
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.