Ozarks Community Hospital
Ozarks Community Hospital in Gravette, AR publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1101 SW Jackson St., Gravette, AR 72736 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W | $750.00 | $3,665.00 | 80% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W | $750.00 | $3,665.00 | 80% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $750.00 | $1,048.00 | 28% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $750.00 | $1,048.00 | 28% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $750.00 | $1,048.00 | 28% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO | $750.00 | $1,048.00 | 28% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST ONLY | $750.00 | $1,751.00 | 57% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $750.00 | $1,751.00 | 57% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W | $750.00 | $1,751.00 | 57% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST ONLY | $750.00 | $1,751.00 | 57% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILAT LOWER EXT ANY JOINT W/O CONT | $900.00 | $2,335.00 | 61% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JOINT WO LEFT | $900.00 | $2,335.00 | 61% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JOINT WO RIGHT | $900.00 | $2,335.00 | 61% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI BILAT LOWER EXT ANY JOINT W/O CONT | $900.00 | $2,335.00 | 61% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY ANY JOINT WO LEFT | $900.00 | $2,335.00 | 61% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY ANY JOINT WO RIGHT | $900.00 | $2,335.00 | 61% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY ANY JOINT WWO LEFT | $900.00 | $3,665.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY ANY JOINT WWO RIGHT | $900.00 | $3,665.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY ANY JOINT WWO LEFT | $900.00 | $3,665.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY ANY JOINT WWO RIGHT | $900.00 | $3,665.00 | 75% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD WO | $900.00 | $2,335.00 | 61% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD WO | $900.00 | $2,335.00 | 61% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD WWO | $900.00 | $3,665.00 | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD WWO | $900.00 | $3,665.00 | 75% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO | $900.00 | $2,335.00 | 61% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO | $900.00 | $2,335.00 | 61% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE | $419.20 | $1,048.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE | $419.20 | $1,048.00 | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 OR MORE | $2,789.60 | $6,974.00 | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4 OR MORE | $2,789.60 | $6,974.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $450.00 | $1,048.00 | 57% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $450.00 | $1,048.00 | 57% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $450.00 | $1,048.00 | 57% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $450.00 | $1,048.00 | 57% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE (5V) | $419.20 | $1,048.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE (5V) | $419.20 | $1,048.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL - GRV | $55.00 | $85.00 | 35% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METAB PAN 10165 QT | $55.00 | $28.00 | -96% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METAB PAN 10165 QT | $55.00 | $28.00 | -96% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL - GRV | $55.00 | $85.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 7600 QT | $85.00 | $44.00 | -93% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - GRV | $85.00 | $134.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG 80061 LIPID | $85.00 | $44.00 | -93% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ(R) ADV LIPID PANEL 92145 QT | $85.00 | $134.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ(R) ADV LIPID PANEL 92145 QT | $85.00 | $134.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG 80061 LIPID | $85.00 | $44.00 | -93% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL - GRV | $85.00 | $134.00 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 7600 QT | $85.00 | $44.00 | -93% |
| Complete blood count (CBC) with differential CPT 85025 CBC- 5 Part Diff - XN1000R | $50.00 | $78.00 | 36% |
| Complete blood count (CBC) with differential CPT 85025 CHG CBC/W AUTOMATED DIFFERENTIAL - GRV | $50.00 | $69.00 | 28% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG CBC/W AUTOMATED DIFFERENTIAL - GRV | $50.00 | $69.00 | 28% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC- 5 Part Diff - XN1000R | $50.00 | $78.00 | 36% |
| Complete blood count (CBC), no differential CPT 85027 C H & H - CLINIC | $45.00 | $24.00 | -88% |
| Complete blood count (CBC), no differential CPT 85027 C HEMOGLOBIN | $45.00 | $22.00 | -105% |
| Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF HEMOGRAM/PLT ONLY-GRV | $45.00 | $65.00 | 31% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGLOBIN AND HEMATOCRIT-GRV | $45.00 | $24.00 | -88% |
| Complete blood count (CBC), no differential CPT 85027 CHG HEMOGRAM/WPLATELETS | $45.00 | $65.00 | 31% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC NO DIFF HEMOGRAM/PLT ONLY-GRV | $45.00 | $65.00 | 31% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGLOBIN AND HEMATOCRIT-GRV | $45.00 | $24.00 | -88% |
| Complete blood count (CBC), no differential inpatient CPT 85027 C HEMOGLOBIN | $45.00 | $22.00 | -105% |
| Complete blood count (CBC), no differential inpatient CPT 85027 C H & H - CLINIC | $45.00 | $24.00 | -88% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG HEMOGRAM/WPLATELETS | $45.00 | $65.00 | 31% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL - GRV | $70.00 | $106.00 | 34% |
| Comprehensive metabolic panel (blood test) CPT 80053 OCH CMP, LIPID, TSH PANEL | $70.00 | $35.00 | -100% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE META PANEL SERUM 10231 QT | $70.00 | $35.00 | -100% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PLASMA 90839 QT | $70.00 | $35.00 | -100% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 OCH CMP, LIPID, TSH PANEL | $70.00 | $35.00 | -100% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL - GRV | $70.00 | $106.00 | 34% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PLASMA 90839 QT | $70.00 | $35.00 | -100% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE META PANEL SERUM 10231 QT | $70.00 | $35.00 | -100% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL - GRV | $34.80 | $87.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL - GRV | $34.80 | $87.00 | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL- GRV | $55.00 | $82.00 | 33% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL- GRV | $55.00 | $82.00 | 33% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 20210 QT | $191.60 | $479.00 | 60% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 20210 QT | $191.60 | $479.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free and Total 31348 QT | $73.60 | $184.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, Free and Total 31348 QT | $73.60 | $184.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL 5363 QT | $115.00 | $184.00 | 38% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,Post Prostatectomy US 14808 QT | $115.00 | $60.00 | -92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,Prostate Specific Antigen - GRV | $115.00 | $184.00 | 38% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG 84153 PSA Total | $115.00 | $184.00 | 38% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA,Prostate Specific Antigen - GRV | $115.00 | $184.00 | 38% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA,Post Prostatectomy US 14808 QT | $115.00 | $60.00 | -92% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG 84153 PSA Total | $115.00 | $184.00 | 38% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL 5363 QT | $115.00 | $184.00 | 38% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME, ACT 763 QT | $8.00 | $20.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoag Cardiolipin AB/RF91227 QT | $8.00 | $20.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME - GRV | $24.40 | $61.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 von Willebrand Panel 91242 QT | $24.40 | $61.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG 85730 Lupus PTT for 7079QT | $24.40 | $61.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoag Cardiolipin AB/RF91227 QT | $8.00 | $20.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME, ACT 763 QT | $8.00 | $20.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME - GRV | $24.40 | $61.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 von Willebrand Panel 91242 QT | $24.40 | $61.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG 85730 Lupus PTT for 7079QT | $24.40 | $61.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 MIXING STUDY 8922 QT | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR - GRV | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POCT INR FINGERSTICK | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR 8847 QT | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POCT INR FINGERSTICK | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/INR 8847 QT | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/INR - GRV | $30.00 | $43.00 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MIXING STUDY 8922 QT | $30.00 | $43.00 | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/ABNs Rx T3/T4 Free - GRV | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHRONIC URTICARIA PANEL 1 16440 QT | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - GRV | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID PANEL, TSH FT3,TT3,FT4,TT4- GRV | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 899 QT | $105.00 | $55.00 | -91% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG 84443 TSH | $105.00 | $55.00 | -91% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/ABNs Rx T3/T4 Free - GRV | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG 84443 TSH | $105.00 | $55.00 | -91% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHRONIC URTICARIA PANEL 1 16440 QT | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 899 QT | $105.00 | $55.00 | -91% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID PANEL, TSH FT3,TT3,FT4,TT4- GRV | $105.00 | $168.00 | 38% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - GRV | $105.00 | $168.00 | 38% |
| Urinalysis with microscope exam, automated CPT 81001 URINE MICRO- Always w/Culture | $25.00 | $31.00 | 19% |
| Urinalysis with microscope exam, automated CPT 81001 URINE MICRO-Culture Only if Indicated | $25.00 | $31.00 | 19% |
| Urinalysis with microscope exam, automated CPT 81001 CHG URINALYSIS/W MICROSCOPY | $25.00 | $32.00 | 22% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URINALYSIS/W MICROSCOPY | $25.00 | $32.00 | 22% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE MICRO-Culture Only if Indicated | $25.00 | $31.00 | 19% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE MICRO- Always w/Culture | $25.00 | $31.00 | 19% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URINALYSIS/WO MICROSCOPY | $14.00 | $23.00 | 39% |
| Urinalysis without microscope exam, automated CPT 81003 CHG.URINALYSIS/WO MICROSCOPY CLB | $14.00 | $15.00 | 7% |
| Urinalysis without microscope exam, automated CPT 81003 UA w/REFLEX to MICROSCOPIC 7909 | $14.00 | $15.00 | 7% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE QUALITATIVE URINE 4719 QT | $14.00 | $15.00 | 7% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URINALYSIS/WO MICROSCOPY | $14.00 | $23.00 | 39% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG.URINALYSIS/WO MICROSCOPY CLB | $14.00 | $15.00 | 7% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE QUALITATIVE URINE 4719 QT | $14.00 | $15.00 | 7% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA w/REFLEX to MICROSCOPIC 7909 | $14.00 | $15.00 | 7% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY,FLEX,PROX TO SPLENIC FLEX PF | $281.60 | $704.00 | 60% |
| Colonoscopy with polyp removal CPT 45385 COLON W/POLYP (W/O CAUTERY) | $1,746.00 | $4,365.00 | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY,FLEX,PROX TO SPLENIC FLEX PF | $281.60 | $704.00 | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLON W/POLYP (W/O CAUTERY) | $1,746.00 | $4,365.00 | 60% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY | $1,700.00 | $4,365.00 | 61% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY PF | $1,700.00 | $511.00 | -233% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY | $1,700.00 | $4,365.00 | 61% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY PF | $1,700.00 | $511.00 | -233% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $1,500.00 | $458.00 | -228% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,500.00 | $4,365.00 | 66% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY PF | $1,500.00 | $458.00 | -228% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY | $1,500.00 | $458.00 | -228% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY PF | $1,500.00 | $458.00 | -228% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,500.00 | $4,365.00 | 66% |
| Gallbladder removal, laparoscopic CPT 47562 INPT LAPAROSCOPIC CHOLECYSTECTOMY | $6,500.00 | $1,725.00 | -277% |
| Gallbladder removal, laparoscopic CPT 47562 O/R LAPAROSCOPIC CHOLECYSTECTOMY | $6,500.00 | $1,725.00 | -277% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 INPT LAPAROSCOPIC CHOLECYSTECTOMY | $6,500.00 | $1,725.00 | -277% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 O/R LAPAROSCOPIC CHOLECYSTECTOMY | $6,500.00 | $1,725.00 | -277% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 O/R REPAIR INITIAL ING HERNIA >5 YRS | $4,200.00 | $1,692.00 | -148% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 O/R REPAIR INITIAL ING HERNIA >5 YRS | $4,200.00 | $1,692.00 | -148% |
| Knee arthroscopy with meniscus trim CPT 29881 O/R ARTHROSCOPY KNEE SURGICAL W/MENISCET | $4,000.00 | $1,758.00 | -128% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 O/R ARTHROSCOPY KNEE SURGICAL W/MENISCET | $4,000.00 | $1,758.00 | -128% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX/THER SBST INTRLMNR LMBR/SAC W/IMG | $919.20 | $2,298.00 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DX/THER SBST INTRLMNR LMBR/SAC W/IMG | $919.20 | $2,298.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ,TRANS EPIDURAL,LUMBAR/SACRAL,SINGLE | $1,272.00 | $3,180.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ,TRANS EPIDURAL,LUMBAR/SACRAL,SINGLE | $1,272.00 | $3,180.00 | 60% |
| Removal of a breast lump, open surgery CPT 19120 O/R EXC CYST/ABERRANT BREAST TISSUE OPEN | $523.60 | $1,309.00 | 60% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST,OPEN,1 OR > | $2,222.40 | $5,556.00 | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 O/R EXC CYST/ABERRANT BREAST TISSUE OPEN | $523.60 | $1,309.00 | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF CYST,OPEN,1 OR > | $2,222.40 | $5,556.00 | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 O/R ARTHROSCOPY SHOULDER SURGICAL DECOMP | $242.00 | $605.00 | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 O/R ARTHROSCOPY SHOULDER SURGICAL DECOMP | $242.00 | $605.00 | 60% |
| Total hip replacement CPT 27130 INPT TOTAL HIP ARTHROPLASTY | $1,200.00 | $3,000.00 | 60% |
| Total hip replacement inpatient CPT 27130 INPT TOTAL HIP ARTHROPLASTY | $1,200.00 | $3,000.00 | 60% |
| Total knee replacement CPT 27447 O/R TOTAL KNEE ARTHROPLASTY | $1,479.20 | $3,698.00 | 60% |
| Total knee replacement CPT 27447 INPT TOTAL KNEE ARTHROPLASTY | $1,479.20 | $3,698.00 | 60% |
| Total knee replacement inpatient CPT 27447 INPT TOTAL KNEE ARTHROPLASTY | $1,479.20 | $3,698.00 | 60% |
| Total knee replacement inpatient CPT 27447 O/R TOTAL KNEE ARTHROPLASTY | $1,479.20 | $3,698.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/ BIOPSY | $1,500.00 | $382.00 | -293% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY | $1,500.00 | $3,416.00 | 56% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD-W/BIOPSY PF | $1,500.00 | $382.00 | -293% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/ BIOPSY | $1,500.00 | $382.00 | -293% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD-W/BIOPSY PF | $1,500.00 | $382.00 | -293% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY | $1,500.00 | $3,416.00 | 56% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $1,500.00 | $339.00 | -342% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/ BRUSHING | $1,500.00 | $2,850.00 | 47% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD PF | $1,500.00 | $339.00 | -342% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD PF | $1,500.00 | $339.00 | -342% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD | $1,500.00 | $339.00 | -342% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD W/ BRUSHING | $1,500.00 | $2,850.00 | 47% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ECG 12LEADS w/ INTERP/REPORT | $24.00 | $60.00 | 60% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG WITH INTERP AND REPORT | $236.00 | $590.00 | 60% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ROUTINE ECG 12LEADS w/ INTERP/REPORT | $24.00 | $60.00 | 60% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG WITH INTERP AND REPORT | $236.00 | $590.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY | $112.80 | $282.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY,CONJOINT W/PATIENT | $232.00 | $580.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY | $112.80 | $282.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY,CONJOINT W/PATIENT | $232.00 | $580.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PATIENT PRESENT | $128.40 | $321.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PATIENT PRESENT | $128.40 | $321.00 | 60% |
| Group psychotherapy session CPT 90853 INPT GROUP PSYCHOTHERAPY | $31.20 | $78.00 | 60% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $31.20 | $78.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $31.20 | $78.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 INPT GROUP PSYCHOTHERAPY | $31.20 | $78.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 CLINIC PROFEE NEW PT III | $100.00 | $256.00 | 61% |
| New patient office visit, about 30 minutes CPT 99203 WC PRO NEW PATIENT LEVEL 3 | $100.00 | $256.00 | 61% |
| New patient office visit, about 30 minutes CPT 99203 WC FAC NEW PATIENT LEVEL 3 | $100.00 | $600.00 | 83% |
| New patient office visit, about 30 minutes CPT 99203 CLINIC FAC NEW PT III | $100.00 | $600.00 | 83% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WC FAC NEW PATIENT LEVEL 3 | $100.00 | $600.00 | 83% |
| New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC PROFEE NEW PT III | $100.00 | $256.00 | 61% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WC PRO NEW PATIENT LEVEL 3 | $100.00 | $256.00 | 61% |
| New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC FAC NEW PT III | $100.00 | $600.00 | 83% |
| New patient office visit, about 45 minutes CPT 99204 WC PRO NEW PATIENT LEVEL 4 | $100.00 | $433.00 | 77% |
| New patient office visit, about 45 minutes CPT 99204 WC FAC NEW PATIENT LEVEL 4 | $100.00 | $600.00 | 83% |
| New patient office visit, about 45 minutes CPT 99204 CLINIC FAC NEW PT IV | $100.00 | $600.00 | 83% |
| New patient office visit, about 45 minutes CPT 99204 CLINIC PRO FEE NEW PT IV | $100.00 | $433.00 | 77% |
| New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC PRO FEE NEW PT IV | $100.00 | $433.00 | 77% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WC FAC NEW PATIENT LEVEL 4 | $100.00 | $600.00 | 83% |
| New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC FAC NEW PT IV | $100.00 | $600.00 | 83% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WC PRO NEW PATIENT LEVEL 4 | $100.00 | $433.00 | 77% |
| New patient office visit, about 60 minutes CPT 99205 CLINIC PRO FEE NEW PT V | $100.00 | $554.00 | 82% |
| New patient office visit, about 60 minutes CPT 99205 CLINIC FAC NEW PT V | $100.00 | $600.00 | 83% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC PRO FEE NEW PT V | $100.00 | $554.00 | 82% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC FAC NEW PT V | $100.00 | $600.00 | 83% |
| Preventive checkup, new patient aged 18–39 CPT 99385 CLINIC FAC INITIAL PREV 18-39 YEARS | $100.00 | $651.00 | 85% |
| Preventive checkup, new patient aged 18–39 CPT 99385 CLINIC PRO FEE NEW PREV 18-39 YEARS | $100.00 | $443.00 | 77% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 CLINIC PRO FEE NEW PREV 18-39 YEARS | $100.00 | $443.00 | 77% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 CLINIC FAC INITIAL PREV 18-39 YEARS | $100.00 | $651.00 | 85% |
| Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC FAC INITIAL PREV 40-64 YEARS | $100.00 | $651.00 | 85% |
| Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC PRO FEE NEW PREV 40-64 YEARS | $100.00 | $513.00 | 81% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 CLINIC FAC INITIAL PREV 40-64 YEARS | $100.00 | $651.00 | 85% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 CLINIC PRO FEE NEW PREV 40-64 YEARS | $100.00 | $513.00 | 81% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN W/ PT &/OR FAM - FA | $100.00 | $700.00 | 86% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN W/ PT &/OR FAM - PR | $100.00 | $170.00 | 41% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN W/ PT &/OR FAM - PR | $100.00 | $170.00 | 41% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN W/ PT &/OR FAM - FA | $100.00 | $700.00 | 86% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45MIN W/ PT &/OR FAM - PRO | $100.00 | $225.00 | 56% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45MIN W/ PT &/OR FAM - FAC | $100.00 | $700.00 | 86% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45MIN W/ PT &/OR FAM - FAC | $100.00 | $700.00 | 86% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45MIN W/ PT &/OR FAM - PRO | $100.00 | $225.00 | 56% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN W/ PT &/OR FAM - FA | $100.00 | $700.00 | 86% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN W/ PT &/OR FAM - PR | $100.00 | $336.00 | 70% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN W/ PT &/OR FAM - PR | $100.00 | $336.00 | 70% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN W/ PT &/OR FAM - FA | $100.00 | $700.00 | 86% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 9924325 CONSULT NEW/EST LOW 30 MINUTES | $142.80 | $357.00 | 60% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 9924325 CONSULT NEW/EST LOW 30 MINUTES | $142.80 | $357.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OUTPATIENT ADMISSION EVALUATION | $395.20 | $988.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OUTPATIENT ADMISSION TREATMENT | $395.20 | $988.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT 3 -PRO | $395.20 | $988.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OUTPATIENT ADMISSION EVALUATION | $395.20 | $988.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OUTPATIENT ADMISSION TREATMENT | $395.20 | $988.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT 3 -PRO | $395.20 | $988.00 | 60% |
Source file: https://ochonline.net/wp-content/uploads/pricing/431592082_Ozarks-Community-Hospital_standardcharges.zip