Visits & medical services prices at White River Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $12,025.50 $16,034 1.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $55.50 $74 0.5×
Acoustic reflex testing (92568) $24.75 $33 0.7×
Advance care planning first 30 mins (99497) $147 $196 1.6×
Airway inhalation treatment (94640) $324.75 $433 1.6×
Analyze Neurostim Complex (95972) $98.25 $131 1.1×
Analyze neurostim no prog (95970) $213.75 $285 1.8×
Appl on-body injector for timed subq injection (96377) $71.25 $95 1.7×
Assessment of aphasia (96105) $169.50 $226 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $174 $232 1.6×
Biofeedback training any modality (90901) $87 $116 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $358.50 $478 1.1×
Canalith Repositioning (95992) $70.12 $93.50 1.7×
Car seat/bed test 60 min (94780) $95.25 $127 2.8×
Cardiac Stress Tst,Tracing Only (93017) $508.50 $678 2.6×
Cardiopulmonary resuscitation (92950) $363 $484 1.8×
Cardioversion (92960) $967.50 $1,290 1.6×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $5,736.75 $7,649 1.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $5,493.75 $7,325 1.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $5,493.75 $7,325 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,493.75 $7,325 1.9×
Cbt 1st hour (94644) $137.25 $183 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $148.50 $198 2.3×
Chemo IV push addl drug (96411) $156 $208 2.4×
Chemo Iv Push Sngl Drug (96409) $657.75 $877 2.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $657.75 $877 2.2×
Chemother, IV infusion, ea add hr (96415) $127.50 $170 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $202.50 $270 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $195 $260 3.0×
Color/duplex Doppler, limited (93976) $225 $300 2.4×
Comprehensive Hearing Test (92557) $65.25 $87 0.6×
Coronary artery angio s&i (93454) $5,736.75 $7,649 1.9×
Cpap initiation and management (94660) $238.50 $318 1.2×
Cpt initial (94667) $206.25 $275 1.7×
Critical care (99291) $414.75 $553 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $227.25 $303 1.2×
Demo &/or eval,pt use,aerosol device (94664) $241.50 $322 1.2×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $720 $960 1.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $225 $300 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $472.50 $630 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $225 $300 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $133.12 $177.50 1.4×
Duplex scan extracranial art compl bi study (93880) $77.25 $103 0.4×
Ear and throat examination (92502) $163.50 $218 0.3×
Echo Heart Xthoracic,Limited (93308) $517.50 $690 2.4×
Echo transesophageal (93312) $907.50 $1,210 1.8×
EEG awake asleep (95819) $439.50 $586 2.2×
EEG awake drowsy (95816) $386.25 $515 2.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $661.50 $882 3.4×
EKG (93005) $115.50 $154 2.2×
Elec alys implt cplx cn npgt prgrmg (95977) $191.25 $255 2.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $71.25 $95 2.1×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $67.50 $90 0.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $546.75 $729 2.8×
EMG four extremities (95864) $314.25 $419 2.7×
Ep & ablate supravent arrhyt (93653) $42,453.75 $56,605 1.8×
Ep & ablate ventric tachy (93654) $42,453.75 $56,605 1.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,347.50 $15,130 1.6×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,905 $2,540 1.7×
Er level 1 (99281) $35.25 $47 0.5×
Er level ii (99282) $68.62 $91.50 0.5×
Er level iii (99283) $110.62 $147.50 0.4×
Er level IV (99284) $197.25 $263 0.5×
Er level v (99285) $243.75 $325 0.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $202.50 $270 2.8×
Evaluation of speech fluency (92521) $164.25 $219 1.2×
Evaluation of speech sound production (92522) $168.75 $225 1.5×
Evaluation of swallowing function (92610) $159 $212 1.9×
Evoked auditory test,limited (92587) $190.50 $254 1.0×
External ECG rec>48hr<7d recording (93242) $40.50 $54 1.2×
External ECG rec>7d<15d recording (93246) $40.50 $54 1.2×
External Ecg Scanning Analysis Report (93226) $147 $196 2.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $614.25 $819 1.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $562.50 $750 0.7×
Group Therapeutic Procedures (97150) $51.75 $69 2.9×
Holter Monitor Recording (93225) $187.50 $250 1.5×
Icd Device Interrogate (93289) $145.12 $193.50 4.3×
Ilr Device Eval Progr (93285) $166.50 $222 4.9×
Immunization Admin (90471) $47.25 $63 0.7×
Immunotherapy, 2+ Injections (95117) $36 $48 0.8×
Inital newborn e/m (99460) $129.75 $173 1.1×
Initial normal newborn care, same day discharge (99463) $150 $200 1.2×
Injection intra arterial (96373) $393.75 $525 2.0×
Interrog dev eval icpms phys/qhp in person (93290) $132.75 $177 3.9×
Interrog dev eval scrms phys/qhp in person (93291) $48.75 $65 1.9×
Intra Atrial Recording (93602) $9,560.25 $12,747 1.3×
Intra-atrial pacing (93610) $10,038.75 $13,385 1.4×
Intraventricular pacing (93612) $11,347.50 $15,130 1.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $108.75 $145 2.0×
IV infusion hydration each additional hour (96361) $112.50 $150 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $418.50 $558 2.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $75 $100 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $418.50 $558 2.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $172.50 $230 4.0×
IV push initial (96374) $418.50 $558 2.2×
Manual therapy 15 min (97140) $69 $92 2.5×
Massage 15 min (97124) $53.25 $71 1.8×
Maximum voluntary ventilation (94200) $154.50 $206 2.9×
Mechanical chest wall oscillation (94669) $250.50 $334 1.3×
Mechanical traction (97012) $75.75 $101 5.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $49.50 $66 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57 $76 1.6×
Mnt Group Ea 30 Min (97804) $26.25 $35 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $252 $336 2.8×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $5.25 $7 0.0×
Multiple Family Group Psychotherapy (90849) $137.25 $183 0.8×
Multiple sleep latency test (95805) $1,649.25 $2,199 2.1×
Nasopharyngoscopy (92511) $348.75 $465 1.9×
Neg press wnd tx </=50 sq cm (97607) $226.12 $301.50 0.6×
Neg press wound tx >50 cm (97608) $228.75 $305 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $86.25 $115 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $325.12 $433.50 0.9×
Nerve conduction studies 13/> studies (95913) $591 $788 1.7×
Nerve Conduction Studies 3-4 Studies (95908) $324.75 $433 1.7×
Nerve Conduction Studies 9-10 Studies (95911) $663 $884 2.0×
Nerve conduction studies; 1-2 studies (95907) $217.88 $290.50 1.1×
Nerve conduction studies; 11-12 studies (95912) $576.38 $768.50 1.7×
Nerve conduction studies; 5-6 studies (95909) $398.25 $531 2.0×
Nerve conduction studies; 7-8 studies (95910) $415.88 $554.50 1.2×
Neuromuscular junction test (95937) $190.12 $253.50 1.6×
Newborn resuscitation (99465) $561 $748 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $187.12 $249.50 1.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $41.25 $55 0.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $375 $500 3.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $175.50 $234 3.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $56.25 $75 1.8×
Ot Contrast Bath Ea 15 Min (97034) $64.50 $86 4.6×
Ot eval high complex 60 min (97167) $133.50 $178 1.3×
Ot eval low complex 30 min (97165) $108.75 $145 1.1×
Ot eval mod complex 45 min (97166) $121.50 $162 1.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $84.75 $113 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $76.50 $102 1.9×
Ot re-eval est plan care (97168) $84.75 $113 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $187.50 $250 1.6×
Paraffin bath (97018) $42.75 $57 7.1×
Pm device eval in person (93288) $74.25 $99 2.2×
Pm device progr eval dual (93280) $84.75 $113 2.5×
Pm device progr eval multi (93281) $95.25 $127 2.8×
Pm device progr eval sngl (93279) $72.75 $97 2.1×
Pm/Icd Remote Tech Serv (93296) $78.75 $105 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,346.75 $3,129 3.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $16.50 $22 0.4×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $105.75 $141 3.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $63.75 $85 1.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34.12 $45.50 0.8×
Programming of dual lead implantable defibrillator system (93283) $71.25 $95 2.1×
Programming of single lead implantable defibrillator system (93282) $49.50 $66 1.5×
Prq card revasc chronic 1vsl (92943) $23,883.75 $31,845 2.3×
Prq Card Stent W/Angio 1 Vsl (92928) $23,883.75 $31,845 2.3×
Prq Card Stent/Ath/Angio (92933) $37,926 $50,568 2.3×
Prq revasc byp graft 1 vsl (92937) $23,883.75 $31,845 2.3×
Prq tcat plmt ntrac st 2+les (92930) $37,926 $50,568 2.3×
Prq trl rvs ch occ ant&rtrgr (92945) $23,883.75 $31,845 2.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $23,883.75 $31,845 2.3×
Prq trluml coronary angioplasty one art/branch (92920) $11,775 $15,700 2.3×
Psych diag eval w/med srvcs (90792) $316.88 $422.50 2.0×
Psychiatric diagnostic evaluation (90791) $263.25 $351 1.6×
Psytx crisis initial 60 min (90839) $237.75 $317 1.5×
Pt Aquatic Therapy/Exercises (97113) $67.50 $90 1.8×
Pt Electric Current Therapy (97033) $99 $132 5.2×
Pt Electrical Stimulation (97032) $72.75 $97 4.9×
Pt eval high complex 45 min (97163) $126 $168 1.3×
Pt eval low complex 20 min (97161) $126 $168 1.3×
Pt Gait Training Therapy (97116) $69 $92 2.4×
Pt Infrared Therapy (97026) $37.50 $50 5.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $69.75 $93 2.1×
Pt Physical Performance Test (97750) $78 $104 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $126 $168 1.3×
Pt re-evaluation (97164) $90 $120 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $75.75 $101 2.3×
Pt Ultrasound Therapy (97035) $85.50 $114 6.0×
Pt Whirlpool Therapy (97022) $90 $120 5.7×
Pulmonary stress testing (94618) $173.25 $231 1.4×
Pure Tone Audiometry Air & Bone (92553) $66.75 $89 0.6×
Pure Tone Audiometry, Air (92552) $45 $60 0.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,625 $7,500 1.9×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $5,493.75 $7,325 1.9×
R hrt art/grft angio (93457) $5,493.75 $7,325 1.9×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $5,493.75 $7,325 1.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $6,378 $8,504 2.2×
Refill/Maint Pump/Resvr Syst (96522) $174.75 $233 0.9×
Refill/maint, portable pump (96521) $418.50 $558 2.2×
Rem interrog icpms <30 d phys/qhp (93297) $78.75 $105 2.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $57.75 $77 1.7×
Rem ther mntr dev sply cbt (98978) $77.25 $103 2.3×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $77.25 $103 2.3×
Rem ther mntr dev supply w/rec respir sys ea 30d (98976) $77.25 $103 2.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $45.38 $60.50 1.3×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $77.25 $103 2.3×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $54.75 $73 1.0×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $54 $72 1.3×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $276 $368 2.3×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $77.25 $103 2.3×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98986) $77.25 $103 2.3×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98984) $77.25 $103 2.3×
Remote Therapeutic Monitoring Treatment Management Services, Physician Or Other Qualified Health Care Professional Time… (98979) $27.75 $37 1.1×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $75 $100 0.3×
Right heart cath (93451) $5,493.75 $7,325 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $321 $428 1.8×
Rt Chest Wall Manipulation,Subsequent (94668) $206.25 $275 1.7×
Sensory Integration Ea 15 Min (97533) $68.25 $91 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $266.25 $355 1.4×
Smoking cessation > 10 min (99407) $48.75 $65 1.4×
Speech Audiometry Threshold (92555) $34.50 $46 0.6×
Speech Audiometry, Complete (92556) $54.75 $73 1.0×
Speech group therapy (92508) $39.75 $53 1.7×
Speech sound lang comprehen (92523) $235.50 $314 1.0×
Spirometry (94010) $126.75 $169 0.6×
Standardized Cognitive Performance Testing (96125) $181.50 $242 1.8×
Stress Tte Complete (93351) $975 $1,300 2.0×
Temp transcutaneous pacing (92953) $1,210.50 $1,614 2.0×
Test for allergy using allergenic extract injected into skin (95024) $9.75 $13 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $45 $60 2.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $45 $60 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $188.25 $251 1.8×
Ther/prop/diag inj/inf proc (96379) $82.50 $110 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $87.75 $117 1.3×
Therapeutic Activities (97530) $71.25 $95 2.0×
Therapeutic phlebotomy (99195) $122.25 $163 1.0×
Tilt Table Eval (93660) $982.50 $1,310 2.9×
Tinnitus assessment (92625) $108 $144 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.25 $31 0.7×
Trans Care Mgmt 14 Day Disch (99495) $208.31 $277.75 1.7×
Trans Care Mgmt 7 Day Disch (99496) $295.34 $393.78 2.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $905.25 $1,207 1.8×
Tx atrial fib pulm vein isol (93656) $42,453.75 $56,605 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $123.75 $165 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $132 $176 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $142.50 $190 3.3×
Tympanometry (92567) $37.50 $50 1.1×
Tympanometry And Reflex Threshold Measurements (92550) $33.75 $45 0.2×
Ultraviolet Light Therapy (96900) $80.25 $107 2.4×
Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) $104.25 $139 4.0×
Unlisted Cardiovascular Service/Procedure (93799) $2,023.12 $2,697.50 17.3×
Vasc Duplex Extrem Venous,Bilat (93970) $66 $88 0.3×
Vasc Duplex Scan Extracranial,Limited (93882) $135.38 $180.50 1.4×
Vasopneumatic device (97016) $75.75 $101 6.3×
Ventilation assist & mgmt inpatient 1st day (94002) $177 $236 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $124.50 $166 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $57 $76 1.8×