Supplies, drugs & other prices at Stone County Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,312.50 $1,750 1.8×
2d tte w or w/o fol w/con,fu (C8924) $472.50 $630 1.5×
Admin hepatitis b vaccine (G0010) $75 $100 1.8×
Admin influenza virus vac (G0008) $68.25 $91 1.6×
Admin pneumococcal vaccine (G0009) $111 $148 2.6×
Alcohol/subs interv 15-30mn (G0396) $93.75 $125 2.7×
Alcohol/subs interv >30 min (G0397) $243 $324 1.5×
Diab manage trn per indiv (G0108) $105 $140 1.9×
Diab manage trn ind/group (G0109) $30 $40 1.9×
Drug test def 1-7 classes (G0480) $86.25 $115 0.8×
Drug test def 15-21 classes (G0482) $372.75 $497 1.9×
Elec stim other than wound (G0283) $79.50 $106 6.3×
Fecal blood scrn immunoassay (G0328) $54.75 $73 3.0×
Hep c screen high risk/other (G0472) $40.50 $54 0.9×
Inj for sacroiliac jt anesth (G0260) $1,387.50 $1,850 2.2×
Mra w/o fol w/cont, abd (C8902) $735 $980 2.3×
Mra w/o fol w/cont, chest (C8911) $735 $980 2.3×
Mra w/o fol w/cont, pelvis (C8920) $735 $980 2.3×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $405.74 $540.99 0.7×
Oth resp proc, group (G0239) $58.50 $78 1.7×
Oth resp proc, indiv (G0238) $58.50 $78 2.2×
Psa screening (G0103) $95.25 $127 4.9×
Therapeutic procd strg endur (G0237) $58.50 $78 2.2×
Tomosynthesis, mammo (G0279) $105 $140 8.3×
Trauma respons w/hosp criti (G0390) $1,508.25 $2,011 1.2×
Tte w or w/o contr, cont ecg (C8930) $1,312.50 $1,750 1.8×
Tte w or wo fol wcon,doppler (C8929) $975 $1,300 1.4×