Benton, AR
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jul 17, 2026 | Oct 30, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Saline Memorial Hospital’s price for it.
The codes Saline Memorial Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Complete blood count with automated differentialCPT 85025 | $13 | $12 | $5 | 44% | 1,402–1,438 | $8 | $69 |
| Bilateral screening mammogram with computer-aided detectionCPT 77067 | $110 | $109 | $27 | 24% | 1,338–1,410 | $78 | $226 |
| Bilateral breast tomosynthesis imagingCPT 77063 | $46 | $43 | $14 | 32% | 1,334–1,406 | $22 | $92 |
| Chest X-ray, single viewCPT 71045 | $806 | $569 | $328 | 58% | 970–1,060 | $88 | $806 |
| Additional IV push of new drugCPT 96375 | $44 | $51 | $12 | 24% | 876–948 | $44 | $179 |
| Basic metabolic panel, total calciumCPT 80048 | $14 | $15 | $8 | 55% | 888–924 | $10 | $250 |
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $202 | $230 | $55 | 24% | 795–867 | $202 | $439 |
| CT scan of abdomen and pelvis with contrastCPT 74177 | $416 | $459 | $143 | 31% | 742–850 | $354 | $1.1k |
| Therapeutic exercise sessionCPT 97110 | $27 | $35 | $29 | 84% | 715–805 | $27 | $147 |
| Emergency department visitCPT 99282 | $152 | $184 | $70 | 38% | 663–789 | $152 | $505 |
EIN: 812816675
Last updated: Jul 17, 2026
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Hospital ID: 7b2e2b1be50d0b21784e36bf6f9fa3bd07dde2bf1f7c684e3c909c8474963cd8