Does Arkansas Children's Northwest, Inc have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Arkansas Children's Northwest, Inc. In a medical emergency, call 911.

Where is Arkansas Children's Northwest, Inc?

2601 Gene George Boulevard, Springdale, AR 72762, in Washington County, Arkansas.

What is the phone number of Arkansas Children's Northwest, Inc?

(479) 725-6800, as listed by Medicare (CMS).

What is the Medicare star rating of Arkansas Children's Northwest, Inc?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Arkansas Children's Northwest, Inc

Quick answers

Does Arkansas Children's Northwest, Inc have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Arkansas Children's Northwest, Inc. In a medical emergency, call 911.
Where is Arkansas Children's Northwest, Inc?: 2601 Gene George Boulevard, Springdale, AR 72762, in Washington County, Arkansas.
What is the phone number of Arkansas Children's Northwest, Inc?: (479) 725-6800, as listed by Medicare (CMS).
What is the Medicare star rating of Arkansas Children's Northwest, Inc?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Treatments^[4]

Infusion clinic
Physical, occupational and speech therapy
Physical therapy
Occupational therapy

Procedures^[4][7][8]

Imaging (MRI, CT, ultrasound, X-ray)
Outpatient surgery
MRI
CT scan
X-ray
Outpatient lab testing
Outpatient and inpatient surgery

Programs and centers^[4][6]

Clinical trials and second opinions
Pediatric emergency room
Inpatient unit for children
Child life, social work and pastoral care

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV Pediatric

Visiting and practical information

Parking	A parking map PDF is available on the location page^[4]

Doctors and clinicians (4)

4 doctors and other clinicians list Arkansas Children's Northwest, Inc as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (4)

Eudice E. Fontenot, MDCardiac Surgery
Jennifer M. RinggoldNurse Practitioner
Sylvia S. Angtuaco, MDCardiovascular Disease (Cardiology)
Tanmay A. Bhamare, MDCardiovascular Disease (Cardiology)

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Northwest Medical Center-Springdale3.4 mi · Springdale, AR · Acute Care Hospital
Washington Regional Medical Center4.3 mi · Fayetteville, AR · Acute Care Hospital
Fayetteville AR VA Medical Center8.9 mi · Fayetteville, AR · Federal/VA Acute Care Hospital
Mercy Hospital Northwest Arkansas10 mi · Rogers, AR · Acute Care Hospital
Siloam Springs Regional Hospital18 mi · Siloam Springs, AR · Acute Care Hospital

Other hospitals nearby

Regency Hospital of Northwest Arkansas3.4 mi · Springdale, AR · Long-Term Acute Care Hospital
Springwoods Behavioral Health Services3.7 mi · Fayetteville, AR · Psychiatric Hospital
Encompass Health Rehab Hosp a Partner of Wash Reg4.2 mi · Fayetteville, AR · Inpatient Rehabilitation Hospital
Vista Health Fayetteville4.8 mi · Fayetteville, AR · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

The Maples at Har-Ber Meadows1.2 mi · Springdale, AR · 5 of 5 stars
Mill Creek Health and Rehab LLC1.4 mi · Springdale, AR
Springdale Health and Rehabilitation Center2.4 mi · Springdale, AR · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Circle of Life Hospice2.2 mi · Springdale, AR · 5 of 5 stars
Elite Hospice2.2 mi · Springdale, AR · 3 of 5 stars
Washington Regional Hospice8.9 mi · Fayetteville, AR · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Elite Home Health2.2 mi · Springdale, AR · 4 of 5 stars
Enhabit Home Health2.2 mi · Springdale, AR
Enhabit Home Health2.2 mi · Springdale, AR

All home health agencies in the state →

Dialysis facilities

DaVita Springdale Dialysis2.2 mi · Springdale, AR · 2 of 5 stars
Springdale Dialysis Ctr7.4 mi · Springdale, AR · 4 of 5 stars
DaVita Fayetteville Dialysis8.9 mi · Fayetteville, AR · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Lakeside Surgery Center, LLC2.2 mi · Springdale, AR
Advanced Ambulatory Surgery Center, LLC8.9 mi · Fayetteville, AR
Arkansas Outpatient Eye Surgery Center, LLC8.9 mi · Fayetteville, AR

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

ARcare - 1361.7 mi · Springdale, AR · Community health center
Community Clinic Johnson Mill2.1 mi · Springdale, AR · Community health center
Community Clinic Central Junior High2.4 mi · Springdale, AR · Community health center

Clinics and urgent care

Medexpress Urgent Care Arkansas, P.A.2.2 mi · Springdale, AR · Urgent care center
Mercy Northwest Arkansas Ambulatory Services LLC2.2 mi · Springdale, AR · Urgent care center
Medexpress Urgent Care Arkansas, P.A.8.9 mi · Fayetteville, AR · Urgent care center

Pharmacies

Collier Drug Stores Inc2.2 mi · Springdale, AR · Community/retail pharmacy
Collier Drug Stores Inc2.2 mi · Springdale, AR · Community/retail pharmacy
Highlands Investigational Drug Services Pharmac2.2 mi · Springdale, AR · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Arkansas Children's Northwest, Inc reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Arkansas Best hospitals in Arkansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Arkansas Children's Northwest, Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$44	$39.60	$44 – $67.10
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $44 MEDIPAK — Medicare Advantage: $67.10 United Healthcare — Medicare Advantage: $67.10 Wellcare — Medicare Advantage: $67.10 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	$43	$38.70	$43 – $67.10
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $43 MEDIPAK — Medicare Advantage: $67.10 United Healthcare — Medicare Advantage: $67.10 Wellcare — Medicare Advantage: $67.10 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	$44	$39.60	$44 – $109.91
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $44 MEDIPAK — Medicare Advantage: $109.91 United Healthcare — Medicare Advantage: $109.91 Wellcare — Medicare Advantage: $109.91 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	$350	$315	$45.48 – $150.81
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $45.48 Blue Cross — All Plans: $150.81 Care Source — Medicaid: $45.48 Empower — Medicaid: $70.32 MEDIPAK — Medicare Advantage: $150.07 Summit — Medicaid: $70.32 United Healthcare — Medicare Advantage: $150.07 Wellcare — Medicare Advantage: $150.07 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES	$44	$39.60	$44 – $150.07
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $44 Blue Cross — All Plans: $44 Care Source — Medicaid: $44 Empower — Medicaid: $44 MEDIPAK — Medicare Advantage: $150.07 Summit — Medicaid: $44 United Healthcare — Medicare Advantage: $150.07 Wellcare — Medicare Advantage: $150.07 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	$44	$39.60	$44 – $54.44
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $44 MEDIPAK — Medicare Advantage: $54.44 United Healthcare — Medicare Advantage: $54.44 Wellcare — Medicare Advantage: $54.44 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$20.50	$18.45	$20.50 – $54.44
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $20.50 MEDIPAK — Medicare Advantage: $54.44 United Healthcare — Medicare Advantage: $54.44 Wellcare — Medicare Advantage: $54.44 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$44	$39.60	$44 – $80.02
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $44 MEDIPAK — Medicare Advantage: $80.02 United Healthcare — Medicare Advantage: $80.02 Wellcare — Medicare Advantage: $80.02 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	$20.50	$18.45	$20.50 – $80.02
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates Blue Cross — All Plans: $20.50 MEDIPAK — Medicare Advantage: $80.02 United Healthcare — Medicare Advantage: $80.02 Wellcare — Medicare Advantage: $80.02 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$44	$39.60	$80.02
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $80.02 United Healthcare — Medicare Advantage: $80.02 Wellcare — Medicare Advantage: $80.02 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$20.50	$18.45	Not listed in the file
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount) Multiplan — All Plans: 93% (a percentage in the contract, not a dollar amount) Municipal Health Benefit Fund — All Plans: 90% (a percentage in the contract, not a dollar amount) PHCS — All Plans: 85% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$43	$38.70	Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount) Multiplan — All Plans: 93% (a percentage in the contract, not a dollar amount) Municipal Health Benefit Fund — All Plans: 90% (a percentage in the contract, not a dollar amount) PHCS — All Plans: 85% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	$20.50	$18.45	Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount) Multiplan — All Plans: 93% (a percentage in the contract, not a dollar amount) Municipal Health Benefit Fund — All Plans: 90% (a percentage in the contract, not a dollar amount) PHCS — All Plans: 85% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	$43	$38.70	Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount) Multiplan — All Plans: 93% (a percentage in the contract, not a dollar amount) Municipal Health Benefit Fund — All Plans: 90% (a percentage in the contract, not a dollar amount) PHCS — All Plans: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$861.68	$775.51	$56.85 – $254.78
Emergency room visit (moderate): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $56.85 Blue Cross — All Plans: $210.89 Care Source — Medicaid: $56.85 Empower — Medicaid: $87.90 MEDIPAK — Medicare Advantage: $254.78 Summit — Medicaid: $87.90 United Healthcare — Medicare Advantage: $254.78 Wellcare — Medicare Advantage: $254.78 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,808.81	$1,627.93	$193.29 – $298.86
Emergency room visit (moderate): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $193.29 Blue Cross — All Plans: $210.89 Care Source — Medicaid: $193.29 Empower — Medicaid: $298.86 MEDIPAK — Medicare Advantage: $254.78 Summit — Medicaid: $298.86 United Healthcare — Medicare Advantage: $254.78 Wellcare — Medicare Advantage: $254.78 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,084.81	$976.33	$193.29 – $298.86
Emergency room visit (moderate): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $193.29 Care Source — Medicaid: $193.29 Empower — Medicaid: $298.86 MEDIPAK — Medicare Advantage: $254.78 Summit — Medicaid: $298.86 United Healthcare — Medicare Advantage: $254.78 Wellcare — Medicare Advantage: $254.78 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$1,164.08	$1,047.67	$56.85 – $389.44
Emergency room visit (moderately high): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $56.85 Blue Cross — All Plans: $256.86 Care Source — Medicaid: $56.85 Empower — Medicaid: $87.90 MEDIPAK — Medicare Advantage: $389.44 Summit — Medicaid: $87.90 United Healthcare — Medicare Advantage: $389.44 Wellcare — Medicare Advantage: $389.44 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,510.63	$1,359.57	$193.29 – $389.44
Emergency room visit (moderately high): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $193.29 Blue Cross — All Plans: $256.86 Care Source — Medicaid: $193.29 Empower — Medicaid: $298.86 MEDIPAK — Medicare Advantage: $389.44 Summit — Medicaid: $298.86 United Healthcare — Medicare Advantage: $389.44 Wellcare — Medicare Advantage: $389.44 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,494.24	$1,344.82	$193.29 – $389.44
Emergency room visit (moderately high): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $193.29 Care Source — Medicaid: $193.29 Empower — Medicaid: $298.86 MEDIPAK — Medicare Advantage: $389.44 Summit — Medicaid: $298.86 United Healthcare — Medicare Advantage: $389.44 Wellcare — Medicare Advantage: $389.44 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	$80.73	$72.66	$45.48 – $555.83
Emergency room visit (high): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $45.48 Blue Cross — All Plans: $80.73 Care Source — Medicaid: $45.48 Empower — Medicaid: $70.32 MEDIPAK — Medicare Advantage: $555.83 Summit — Medicaid: $70.32 United Healthcare — Medicare Advantage: $555.83 Wellcare — Medicare Advantage: $555.83 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$2,261.36	$2,035.22	$193.29 – $555.83
Emergency room visit (high): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $193.29 Blue Cross — All Plans: $331.61 Care Source — Medicaid: $193.29 Empower — Medicaid: $298.86 MEDIPAK — Medicare Advantage: $555.83 Summit — Medicaid: $298.86 United Healthcare — Medicare Advantage: $555.83 Wellcare — Medicare Advantage: $555.83 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$2,261.36	$2,035.22	$193.29 – $555.83
Emergency room visit (high): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $193.29 Care Source — Medicaid: $193.29 Empower — Medicaid: $298.86 MEDIPAK — Medicare Advantage: $555.83 Summit — Medicaid: $298.86 United Healthcare — Medicare Advantage: $555.83 Wellcare — Medicare Advantage: $555.83 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PNL TOTAL CA	$7.07	$6.36	$7.07 – $8.46
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $7.07 Blue Cross — All Plans: $7.07 Care Source — Medicaid: $7.07 Empower — Medicaid: $7.07 MEDIPAK — Medicare Advantage: $8.46 Summit — Medicaid: $7.07 United Healthcare — Medicare Advantage: $8.46 Wellcare — Medicare Advantage: $8.46 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$326.37	$293.73	$8.46 – $70.85
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $45.82 Blue Cross — All Plans: $8.46 Care Source — Medicaid: $45.82 Empower — Medicaid: $70.85 MEDIPAK — Medicare Advantage: $8.46 Summit — Medicaid: $70.85 United Healthcare — Medicare Advantage: $8.46 Wellcare — Medicare Advantage: $8.46 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91_QW In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$1,958.22	$1,762.40	$8.46
Basic metabolic panel (blood test): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $8.46 United Healthcare — Medicare Advantage: $8.46 Wellcare — Medicare Advantage: $8.46 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$37.50	$33.75	$10.56 – $37.50
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $37.50 Blue Cross — All Plans: $10.56 Care Source — Medicaid: $37.50 Empower — Medicaid: $37.50 MEDIPAK — Medicare Advantage: $10.56 Summit — Medicaid: $37.50 United Healthcare — Medicare Advantage: $10.56 Wellcare — Medicare Advantage: $10.56 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$2,138.74	$1,924.87	$10.56 – $88.49
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $57.23 Blue Cross — All Plans: $10.56 Care Source — Medicaid: $57.23 Empower — Medicaid: $88.49 MEDIPAK — Medicare Advantage: $10.56 Summit — Medicaid: $88.49 United Healthcare — Medicare Advantage: $10.56 Wellcare — Medicare Advantage: $10.56 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91_QW In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$392.47	$353.22	$10.56
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $10.56 United Healthcare — Medicare Advantage: $10.56 Wellcare — Medicare Advantage: $10.56 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$7.70	$6.93	$7.70 – $13.39
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $7.70 Blue Cross — All Plans: $7.70 Care Source — Medicaid: $7.70 Empower — Medicaid: $7.70 MEDIPAK — Medicare Advantage: $13.39 Summit — Medicaid: $7.70 United Healthcare — Medicare Advantage: $13.39 Wellcare — Medicare Advantage: $13.39 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$202.80	$182.52	$13.39 – $106.42
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $68.83 Blue Cross — All Plans: $13.39 Care Source — Medicaid: $68.83 Empower — Medicaid: $106.42 MEDIPAK — Medicare Advantage: $13.39 Summit — Medicaid: $106.42 United Healthcare — Medicare Advantage: $13.39 Wellcare — Medicare Advantage: $13.39 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$196.89	$177.20	$13.39
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $13.39 United Healthcare — Medicare Advantage: $13.39 Wellcare — Medicare Advantage: $13.39 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$7.37	$6.63	$7.37 – $8.68
Kidney function panel: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $7.37 Blue Cross — All Plans: $7.37 Care Source — Medicaid: $7.37 Empower — Medicaid: $7.37 MEDIPAK — Medicare Advantage: $8.68 Summit — Medicaid: $7.37 United Healthcare — Medicare Advantage: $8.68 Wellcare — Medicare Advantage: $8.68 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$360.04	$324.04	$8.68 – $72.66
Kidney function panel: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $47 Blue Cross — All Plans: $8.68 Care Source — Medicaid: $47 Empower — Medicaid: $72.66 MEDIPAK — Medicare Advantage: $8.68 Summit — Medicaid: $72.66 United Healthcare — Medicare Advantage: $8.68 Wellcare — Medicare Advantage: $8.68 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$349.55	$314.60	$8.68
Kidney function panel: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $8.68 United Healthcare — Medicare Advantage: $8.68 Wellcare — Medicare Advantage: $8.68 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$6.95	$6.26	$6.95 – $8.17
Liver function panel: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $6.95 Blue Cross — All Plans: $6.95 Care Source — Medicaid: $6.95 Empower — Medicaid: $6.95 MEDIPAK — Medicare Advantage: $8.17 Summit — Medicaid: $6.95 United Healthcare — Medicare Advantage: $8.17 Wellcare — Medicare Advantage: $8.17 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL	$227.96	$205.16	$8.17 – $68.39
Liver function panel: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $44.23 Blue Cross — All Plans: $8.17 Care Source — Medicaid: $44.23 Empower — Medicaid: $68.39 MEDIPAK — Medicare Advantage: $8.17 Summit — Medicaid: $68.39 United Healthcare — Medicare Advantage: $8.17 Wellcare — Medicare Advantage: $8.17 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: LIVER FUNCTION BLOOD TEST PANEL	$227.96	$205.16	$8.17
Liver function panel: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $8.17 United Healthcare — Medicare Advantage: $8.17 Wellcare — Medicare Advantage: $8.17 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$10.70	$9.63	$3.17 – $10.70
Urine test (automated, with microscope): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $10.70 Blue Cross — All Plans: $3.17 Care Source — Medicaid: $10.70 Empower — Medicaid: $10.70 MEDIPAK — Medicare Advantage: $3.17 Summit — Medicaid: $10.70 United Healthcare — Medicare Advantage: $3.17 Wellcare — Medicare Advantage: $3.17 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$47.75	$42.98	$3.17 – $26.49
Urine test (automated, with microscope): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $17.13 Blue Cross — All Plans: $3.17 Care Source — Medicaid: $17.13 Empower — Medicaid: $26.49 MEDIPAK — Medicare Advantage: $3.17 Summit — Medicaid: $26.49 United Healthcare — Medicare Advantage: $3.17 Wellcare — Medicare Advantage: $3.17 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$47.75	$42.98	$3.17
Urine test (automated, with microscope): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $3.17 United Healthcare — Medicare Advantage: $3.17 Wellcare — Medicare Advantage: $3.17 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$42.08	$37.87	$3.48 – $21.45
Urine test (manual, without microscope): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $13.87 Blue Cross — All Plans: $3.48 Care Source — Medicaid: $13.87 Empower — Medicaid: $21.45 MEDIPAK — Medicare Advantage: $3.48 Summit — Medicaid: $21.45 United Healthcare — Medicare Advantage: $3.48 Wellcare — Medicare Advantage: $3.48 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: URINALYSIS; MANUAL TEST	$40.85	$36.77	$3.48
Urine test (manual, without microscope): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $3.48 United Healthcare — Medicare Advantage: $3.48 Wellcare — Medicare Advantage: $3.48 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW_XU In the file: URINALYSIS; MANUAL TEST	$42.08	$37.87	$3.48
Urine test (manual, without microscope): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $3.48 United Healthcare — Medicare Advantage: $3.48 Wellcare — Medicare Advantage: $3.48 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$22.44	$20.20	$2.25 – $18.75
Urine test (automated, without microscope): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $12.13 Blue Cross — All Plans: $2.25 Care Source — Medicaid: $12.13 Empower — Medicaid: $18.75 MEDIPAK — Medicare Advantage: $2.25 Summit — Medicaid: $18.75 United Healthcare — Medicare Advantage: $2.25 Wellcare — Medicare Advantage: $2.25 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$34.21	$30.79	$2.25 – $18.75
Urine test (automated, without microscope): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $12.13 Blue Cross — All Plans: $2.25 Care Source — Medicaid: $12.13 Empower — Medicaid: $18.75 MEDIPAK — Medicare Advantage: $2.25 Summit — Medicaid: $18.75 United Healthcare — Medicare Advantage: $2.25 Wellcare — Medicare Advantage: $2.25 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90_QW In the file: AUTOMATED URINALYSIS TEST	$34.21	$30.79	$2.25
Urine test (automated, without microscope): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $2.25 United Healthcare — Medicare Advantage: $2.25 Wellcare — Medicare Advantage: $2.25 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$52.38	$47.14	$18.39 – $52.38
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $52.38 Blue Cross — All Plans: $18.39 Care Source — Medicaid: $52.38 Empower — Medicaid: $52.38 MEDIPAK — Medicare Advantage: $18.39 Summit — Medicaid: $52.38 United Healthcare — Medicare Advantage: $18.39 Wellcare — Medicare Advantage: $18.39 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$9.62	$8.66	$9.62 – $16.80
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $9.62 Blue Cross — All Plans: $9.62 Care Source — Medicaid: $9.62 Empower — Medicaid: $9.62 MEDIPAK — Medicare Advantage: $16.80 Summit — Medicaid: $9.62 United Healthcare — Medicare Advantage: $16.80 Wellcare — Medicare Advantage: $16.80 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$235.81	$212.23	$16.80 – $140.52
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $90.88 Blue Cross — All Plans: $16.80 Care Source — Medicaid: $90.88 Empower — Medicaid: $140.52 MEDIPAK — Medicare Advantage: $16.80 Summit — Medicaid: $140.52 United Healthcare — Medicare Advantage: $16.80 Wellcare — Medicare Advantage: $16.80 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$235.81	$212.23	$16.80
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $16.80 United Healthcare — Medicare Advantage: $16.80 Wellcare — Medicare Advantage: $16.80 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$9.45	$8.51	$7.77 – $9.45
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $9.45 Blue Cross — All Plans: $7.77 Care Source — Medicaid: $9.45 Empower — Medicaid: $9.45 MEDIPAK — Medicare Advantage: $7.77 Summit — Medicaid: $9.45 United Healthcare — Medicare Advantage: $7.77 Wellcare — Medicare Advantage: $7.77 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$95.69	$86.12	$7.77 – $65.05
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $42.07 Blue Cross — All Plans: $7.77 Care Source — Medicaid: $42.07 Empower — Medicaid: $65.05 MEDIPAK — Medicare Advantage: $7.77 Summit — Medicaid: $65.05 United Healthcare — Medicare Advantage: $7.77 Wellcare — Medicare Advantage: $7.77 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$95.69	$86.12	$7.77
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $7.77 United Healthcare — Medicare Advantage: $7.77 Wellcare — Medicare Advantage: $7.77 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$7.76	$6.98	$6.47 – $7.76
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $7.76 Blue Cross — All Plans: $6.47 Care Source — Medicaid: $7.76 Empower — Medicaid: $7.76 MEDIPAK — Medicare Advantage: $6.47 Summit — Medicaid: $7.76 United Healthcare — Medicare Advantage: $6.47 Wellcare — Medicare Advantage: $6.47 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$70.89	$63.80	$6.47 – $54.20
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $35.06 Blue Cross — All Plans: $6.47 Care Source — Medicaid: $35.06 Empower — Medicaid: $54.20 MEDIPAK — Medicare Advantage: $6.47 Summit — Medicaid: $54.20 United Healthcare — Medicare Advantage: $6.47 Wellcare — Medicare Advantage: $6.47 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$70.89	$63.80	$6.47
Complete blood count (CBC), automated: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $6.47 United Healthcare — Medicare Advantage: $6.47 Wellcare — Medicare Advantage: $6.47 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME	$81.88	$73.69	$4.29 – $32.87
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $21.26 Blue Cross — All Plans: $4.29 Care Source — Medicaid: $21.26 Empower — Medicaid: $32.87 MEDIPAK — Medicare Advantage: $4.29 Summit — Medicaid: $32.87 United Healthcare — Medicare Advantage: $4.29 Wellcare — Medicare Advantage: $4.29 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$9.70	$8.73	$4.29 – $9.70
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $9.70 Blue Cross — All Plans: $4.29 Care Source — Medicaid: $9.70 Empower — Medicaid: $9.70 MEDIPAK — Medicare Advantage: $4.29 Summit — Medicaid: $9.70 United Healthcare — Medicare Advantage: $4.29 Wellcare — Medicare Advantage: $4.29 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; CLOTTING TIME	$81.88	$73.69	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $4.29 United Healthcare — Medicare Advantage: $4.29 Wellcare — Medicare Advantage: $4.29 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$7.34	$6.61	$6.01 – $7.34
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $7.34 Blue Cross — All Plans: $6.01 Care Source — Medicaid: $7.34 Empower — Medicaid: $7.34 MEDIPAK — Medicare Advantage: $6.01 Summit — Medicaid: $7.34 United Healthcare — Medicare Advantage: $6.01 Wellcare — Medicare Advantage: $6.01 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$83.83	$75.45	$6.01 – $50.28
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $32.52 Blue Cross — All Plans: $6.01 Care Source — Medicaid: $32.52 Empower — Medicaid: $50.28 MEDIPAK — Medicare Advantage: $6.01 Summit — Medicaid: $50.28 United Healthcare — Medicare Advantage: $6.01 Wellcare — Medicare Advantage: $6.01 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$13.54	$12.19	$6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $6.01 United Healthcare — Medicare Advantage: $6.01 Wellcare — Medicare Advantage: $6.01 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$2,178.64	$1,960.78	$97.58 – $966.90
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $625.35 Blue Cross — All Plans: $98.24 Care Source — Medicaid: $625.35 Empower — Medicaid: $966.90 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $966.90 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	$89.41	$80.47	$89.41 – $97.58
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $89.41 Blue Cross — All Plans: $89.41 Care Source — Medicaid: $89.41 Empower — Medicaid: $89.41 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $89.41 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$2,178.64	$1,960.78	$97.58
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $97.58 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$4,912.47	$4,421.22	$325.61 – $3,387.08
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $2,190.62 Blue Cross — All Plans: $327.84 Care Source — Medicaid: $2,190.62 Empower — Medicaid: $3,387.08 MEDIPAK — Medicare Advantage: $325.61 Summit — Medicaid: $3,387.08 United Healthcare — Medicare Advantage: $325.61 Wellcare — Medicare Advantage: $325.61 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	$377.90	$340.11	$325.61 – $377.90
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $377.90 Blue Cross — All Plans: $327.84 Care Source — Medicaid: $377.90 Empower — Medicaid: $377.90 MEDIPAK — Medicare Advantage: $325.61 Summit — Medicaid: $377.90 United Healthcare — Medicare Advantage: $325.61 Wellcare — Medicare Advantage: $325.61 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$4,912.47	$4,421.22	$325.61
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $325.61 United Healthcare — Medicare Advantage: $325.61 Wellcare — Medicare Advantage: $325.61 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$49.10	$44.19	$49.10 – $81.22
Chest X-ray, 2 views: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $49.10 Blue Cross — All Plans: $49.10 Care Source — Medicaid: $49.10 Empower — Medicaid: $49.10 MEDIPAK — Medicare Advantage: $81.22 Summit — Medicaid: $49.10 United Healthcare — Medicare Advantage: $81.22 Wellcare — Medicare Advantage: $81.22 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS	$346.08	$311.47	$81.22 – $128.16
Chest X-ray, 2 views: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $82.89 Blue Cross — All Plans: $81.78 Care Source — Medicaid: $82.89 Empower — Medicaid: $128.16 MEDIPAK — Medicare Advantage: $81.22 Summit — Medicaid: $128.16 United Healthcare — Medicare Advantage: $81.22 Wellcare — Medicare Advantage: $81.22 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 76_TC In the file: X-RAY OF CHEST; 2 VIEWS	$356.46	$320.81	$81.22
Chest X-ray, 2 views: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $81.22 United Healthcare — Medicare Advantage: $81.22 Wellcare — Medicare Advantage: $81.22 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$326.37	$293.73	$97.58 – $234.40
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $151.60 Blue Cross — All Plans: $98.24 Care Source — Medicaid: $151.60 Empower — Medicaid: $234.40 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $234.40 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$346.24	$311.62	$97.58 – $234.40
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $151.60 Blue Cross — All Plans: $98.24 Care Source — Medicaid: $151.60 Empower — Medicaid: $234.40 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $234.40 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$326.37	$293.73	$97.58
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $97.58 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$3,468.20	$3,121.38	$222.69 – $2,531.52
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,637.28 Blue Cross — All Plans: $224.21 Care Source — Medicaid: $1,637.28 Empower — Medicaid: $2,531.52 MEDIPAK — Medicare Advantage: $222.69 Summit — Medicaid: $2,531.52 United Healthcare — Medicare Advantage: $222.69 Wellcare — Medicare Advantage: $222.69 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	$3,679.42	$3,311.48	$222.69 – $2,531.52
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,637.28 Blue Cross — All Plans: $224.21 Care Source — Medicaid: $1,637.28 Empower — Medicaid: $2,531.52 MEDIPAK — Medicare Advantage: $222.69 Summit — Medicaid: $2,531.52 United Healthcare — Medicare Advantage: $222.69 Wellcare — Medicare Advantage: $222.69 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$3,468.20	$3,121.38	$222.69
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $222.69 United Healthcare — Medicare Advantage: $222.69 Wellcare — Medicare Advantage: $222.69 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	$2,444.91	$2,200.42	$163.71 – $1,488.44
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $962.66 Blue Cross — All Plans: $164.83 Care Source — Medicaid: $962.66 Empower — Medicaid: $1,488.44 MEDIPAK — Medicare Advantage: $163.71 Summit — Medicaid: $1,488.44 United Healthcare — Medicare Advantage: $163.71 Wellcare — Medicare Advantage: $163.71 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF PELVIS WITH CONTRAST	$2,373.70	$2,136.33	$163.71
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $163.71 United Healthcare — Medicare Advantage: $163.71 Wellcare — Medicare Advantage: $163.71 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	$3,531.84	$3,178.66	$222.69 – $2,226.80
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,440.20 Blue Cross — All Plans: $224.21 Care Source — Medicaid: $1,440.20 Empower — Medicaid: $2,226.80 MEDIPAK — Medicare Advantage: $222.69 Summit — Medicaid: $2,226.80 United Healthcare — Medicare Advantage: $222.69 Wellcare — Medicare Advantage: $222.69 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_76_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$6,658.20	$5,992.38	$491.35
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $491.35 United Healthcare — Medicare Advantage: $491.35 Wellcare — Medicare Advantage: $491.35 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 76_LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$3,329.10	$2,996.19	$222.69
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $222.69 United Healthcare — Medicare Advantage: $222.69 Wellcare — Medicare Advantage: $222.69 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$4,321.94	$3,889.75	$325.61 – $1,208.74
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $781.76 Blue Cross — All Plans: $327.84 Care Source — Medicaid: $781.76 Empower — Medicaid: $1,208.74 MEDIPAK — Medicare Advantage: $325.61 Summit — Medicaid: $1,208.74 United Healthcare — Medicare Advantage: $325.61 Wellcare — Medicare Advantage: $325.61 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	$4,585.15	$4,126.64	$325.61 – $1,208.74
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $781.76 Blue Cross — All Plans: $327.84 Care Source — Medicaid: $781.76 Empower — Medicaid: $1,208.74 MEDIPAK — Medicare Advantage: $325.61 Summit — Medicaid: $1,208.74 United Healthcare — Medicare Advantage: $325.61 Wellcare — Medicare Advantage: $325.61 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$4,621.98	$4,159.78	$325.61
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $325.61 United Healthcare — Medicare Advantage: $325.61 Wellcare — Medicare Advantage: $325.61 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$622.47	$560.22	$97.58 – $328.16
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $212.24 Blue Cross — All Plans: $98.24 Care Source — Medicaid: $212.24 Empower — Medicaid: $328.16 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $328.16 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$53.33	$48	$53.33 – $97.58
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $53.33 Blue Cross — All Plans: $53.33 Care Source — Medicaid: $53.33 Empower — Medicaid: $53.33 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $53.33 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$622.47	$560.22	$97.58
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $97.58 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	$373.01	$335.71	$97.58 – $373.01
Transvaginal ultrasound: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $257.72 Blue Cross — All Plans: $98.24 Care Source — Medicaid: $257.72 Empower — Medicaid: $373.01 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $373.01 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$365.15	$328.64	$97.58 – $365.15
Transvaginal ultrasound: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $257.72 Blue Cross — All Plans: $98.24 Care Source — Medicaid: $257.72 Empower — Medicaid: $365.15 MEDIPAK — Medicare Advantage: $97.58 Summit — Medicaid: $365.15 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$362.15	$325.94	$97.58
Transvaginal ultrasound: 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $97.58 United Healthcare — Medicare Advantage: $97.58 Wellcare — Medicare Advantage: $97.58 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	$5,010.20	$4,509.18	$510.32 – $3,046.46
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $510.32 Blue Cross — All Plans: $3,046.46 Care Source — Medicaid: $510.32 Empower — Medicaid: $789.05 MEDIPAK — Medicare Advantage: $3,025.78 Summit — Medicaid: $789.05 United Healthcare — Medicare Advantage: $3,025.78 Wellcare — Medicare Advantage: $3,025.78 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	$11,649.93	$10,484.94	$1,451.57 – $7,329.39
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,451.57 Blue Cross — All Plans: $7,329.39 Care Source — Medicaid: $1,451.57 Empower — Medicaid: $2,244.38 MEDIPAK — Medicare Advantage: $7,279.63 Summit — Medicaid: $2,244.38 United Healthcare — Medicare Advantage: $7,279.63 Wellcare — Medicare Advantage: $7,279.63 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	$786.50	$707.85	$462.38 – $801.49
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $462.38 Blue Cross — All Plans: $786.50 Care Source — Medicaid: $462.38 Empower — Medicaid: $714.92 MEDIPAK — Medicare Advantage: $801.49 Summit — Medicaid: $714.92 United Healthcare — Medicare Advantage: $801.49 Wellcare — Medicare Advantage: $801.49 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$4,921.32	$4,429.19	$462.38 – $806.96
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $462.38 Blue Cross — All Plans: $806.96 Care Source — Medicaid: $462.38 Empower — Medicaid: $714.92 MEDIPAK — Medicare Advantage: $801.49 Summit — Medicaid: $714.92 United Healthcare — Medicare Advantage: $801.49 Wellcare — Medicare Advantage: $801.49 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$1,266.10	$1,139.49	$400.74
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $400.74 United Healthcare — Medicare Advantage: $400.74 Wellcare — Medicare Advantage: $400.74 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$170.85	$153.77	$26.97 – $127.51
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $82.47 Blue Cross — All Plans: $27.10 Care Source — Medicaid: $82.47 Empower — Medicaid: $127.51 MEDIPAK — Medicare Advantage: $26.97 Summit — Medicaid: $127.51 United Healthcare — Medicare Advantage: $26.97 Wellcare — Medicare Advantage: $26.97 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$663.48	$597.13	$26.97 – $127.51
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $82.47 Blue Cross — All Plans: $27.10 Care Source — Medicaid: $82.47 Empower — Medicaid: $127.51 MEDIPAK — Medicare Advantage: $26.97 Summit — Medicaid: $127.51 United Healthcare — Medicare Advantage: $26.97 Wellcare — Medicare Advantage: $26.97 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier UB In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$397.56	$357.80	$26.97 – $101.96
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $65.95 Care Source — Medicaid: $65.95 Empower — Medicaid: $101.96 MEDIPAK — Medicare Advantage: $26.97 Summit — Medicaid: $101.96 United Healthcare — Medicare Advantage: $26.97 Wellcare — Medicare Advantage: $26.97 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$164.37	$147.93	$91.20 – $164.37
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $164.37 Blue Cross — All Plans: $91.95 Care Source — Medicaid: $164.37 Empower — Medicaid: $164.37 MEDIPAK — Medicare Advantage: $91.20 Summit — Medicaid: $164.37 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$198.95	$179.06	$91.20 – $198.95
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $198.95 Blue Cross — All Plans: $91.95 Care Source — Medicaid: $198.95 Empower — Medicaid: $198.95 MEDIPAK — Medicare Advantage: $91.20 Summit — Medicaid: $198.95 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$198.95	$179.06	$91.20
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $91.20 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$329.87	$296.88	$91.20 – $329.87
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $329.87 Blue Cross — All Plans: $91.95 Care Source — Medicaid: $329.87 Empower — Medicaid: $329.87 MEDIPAK — Medicare Advantage: $91.20 Summit — Medicaid: $329.87 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$320.26	$288.23	$91.20
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $91.20 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$640.52	$576.47	$91.20
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $91.20 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$345.25	$310.73	$91.20 – $345.25
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $345.25 Blue Cross — All Plans: $91.95 Care Source — Medicaid: $345.25 Empower — Medicaid: $345.25 MEDIPAK — Medicare Advantage: $91.20 Summit — Medicaid: $345.25 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$345.25	$310.73	$91.20
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates MEDIPAK — Medicare Advantage: $91.20 United Healthcare — Medicare Advantage: $91.20 Wellcare — Medicare Advantage: $91.20 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Blue Cross — All Plans: 85% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$4,354.78	$3,919.30	$1,125.63 – $3,679.35
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,679.35 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $3,654.38 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $3,654.38 Wellcare — Medicare Advantage: $3,654.38 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$7,614.19	$6,852.77	$1,125.63 – $3,679.35
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,679.35 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $3,654.38 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $3,654.38 Wellcare — Medicare Advantage: $3,654.38 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$18,990.11	$17,091.10	$1,125.63 – $3,074.72
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,074.72 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $3,053.85 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $3,053.85 Wellcare — Medicare Advantage: $3,053.85 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51 In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$2,164.56	$1,948.10	$1,125.63 – $3,074.72
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,074.72 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $3,053.85 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $3,053.85 Wellcare — Medicare Advantage: $3,053.85 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51_LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$5,043.61	$4,539.25	$1,125.63 – $3,074.72
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,074.72 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $3,053.85 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $3,053.85 Wellcare — Medicare Advantage: $3,053.85 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$4,000	$3,600	$1,375.77 – $5,562.90
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,375.77 Blue Cross — All Plans: $5,562.90 Care Source — Medicaid: $1,375.77 Empower — Medicaid: $2,127.18 MEDIPAK — Medicare Advantage: $5,525.14 Summit — Medicaid: $2,127.18 United Healthcare — Medicare Advantage: $5,525.14 Wellcare — Medicare Advantage: $5,525.14 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73 In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$136.08	$122.47	$2,762.57 – $5,562.90
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates Blue Cross — All Plans: $5,562.90 MEDIPAK — Medicare Advantage: $2,762.57 United Healthcare — Medicare Advantage: $2,762.57 Wellcare — Medicare Advantage: $2,762.57 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 85% (a percentage in the contract, not a dollar amount) First Community Bank Corp Benefit — ALL PLANS: 90% (a percentage in the contract, not a dollar amount) First Health — All Plans: 85% (a percentage in the contract, not a dollar amount) Mercy Managed Care — All Plans: 90% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$1,766.34	$1,589.71	$846.51 – $1,465
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $852.30 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $846.51 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $846.51 Wellcare — Medicare Advantage: $846.51 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$5,969.28	$5,372.35	$846.51 – $1,465
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $852.30 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $846.51 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $846.51 Wellcare — Medicare Advantage: $846.51 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$1,992.98	$1,793.68	$846.51 – $1,740.42
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $852.30 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $846.51 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $846.51 Wellcare — Medicare Advantage: $846.51 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$3,666.97	$3,300.27	$846.51 – $1,740.42
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $852.30 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $846.51 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $846.51 Wellcare — Medicare Advantage: $846.51 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,792.41	$2,513.17	$846.51 – $1,740.42
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $852.30 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $846.51 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $846.51 Wellcare — Medicare Advantage: $846.51 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$188.74	$169.87	$188.74 – $873.89
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $188.74 Blue Cross — All Plans: $873.89 Care Source — Medicaid: $188.74 Empower — Medicaid: $188.74 MEDIPAK — Medicare Advantage: $867.95 Summit — Medicaid: $188.74 United Healthcare — Medicare Advantage: $867.95 Wellcare — Medicare Advantage: $867.95 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$3,246.81	$2,922.13	$867.95 – $1,465
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $873.89 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $867.95 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $867.95 Wellcare — Medicare Advantage: $867.95 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,741.18	$1,567.06	$947.50 – $1,465
Colonoscopy with biopsy: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $1,124.49 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $1,116.86 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $1,116.86 Wellcare — Medicare Advantage: $1,116.86 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$198	$178.20	$198 – $1,124.49
Colonoscopy with biopsy: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $198 Blue Cross — All Plans: $1,124.49 Care Source — Medicaid: $198 Empower — Medicaid: $198 MEDIPAK — Medicare Advantage: $1,116.86 Summit — Medicaid: $198 United Healthcare — Medicare Advantage: $1,116.86 Wellcare — Medicare Advantage: $1,116.86 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,200.60	$1,080.54	$1,116.86 – $1,740.42
Colonoscopy with biopsy: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $1,124.49 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $1,116.86 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $1,116.86 Wellcare — Medicare Advantage: $1,116.86 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	$2,095.47	$1,885.92	$947.50 – $1,465
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $1,124.49 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $1,116.86 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $1,116.86 Wellcare — Medicare Advantage: $1,116.86 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$4,970.91	$4,473.82	$947.50 – $1,465
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $1,124.49 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $1,116.86 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $1,116.86 Wellcare — Medicare Advantage: $1,116.86 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$6,094.48	$5,485.03	$1,375.77 – $5,681.02
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,375.77 Blue Cross — All Plans: $5,681.02 Care Source — Medicaid: $1,375.77 Empower — Medicaid: $2,127.18 MEDIPAK — Medicare Advantage: $5,642.45 Summit — Medicaid: $2,127.18 United Healthcare — Medicare Advantage: $5,642.45 Wellcare — Medicare Advantage: $5,642.45 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$5,516.01	$4,964.41	$1,375.77 – $3,364.52
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,375.77 Blue Cross — All Plans: $3,364.52 Care Source — Medicaid: $1,375.77 Empower — Medicaid: $2,127.18 MEDIPAK — Medicare Advantage: $3,341.68 Summit — Medicaid: $2,127.18 United Healthcare — Medicare Advantage: $3,341.68 Wellcare — Medicare Advantage: $3,341.68 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51_RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$581.35	$523.22	$1,125.63 – $3,364.52
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,364.52 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $3,341.68 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $3,341.68 Wellcare — Medicare Advantage: $3,341.68 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$3,787.41	$3,408.67	$1,125.63 – $5,666.13
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $3,364.52 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $5,666.13 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $5,666.13 Wellcare — Medicare Advantage: $5,666.13 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$1,057.21	$951.49	$658.82 – $1,057.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $663.32 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,057.21 MEDIPAK — Medicare Advantage: $658.82 Summit — Medicaid: $1,057.21 United Healthcare — Medicare Advantage: $658.82 Wellcare — Medicare Advantage: $658.82 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$108,556.16	$97,700.54	$658.82 – $1,465
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $663.32 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $658.82 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $658.82 Wellcare — Medicare Advantage: $658.82 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$1,113.05	$1,001.75	$658.82 – $1,465
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $663.32 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,465 MEDIPAK — Medicare Advantage: $658.82 Summit — Medicaid: $1,465 United Healthcare — Medicare Advantage: $658.82 Wellcare — Medicare Advantage: $658.82 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	$1,031.65	$928.49	$825.50 – $1,031.65
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $947.50 Blue Cross — All Plans: $831.14 Care Source — Medicaid: $947.50 Empower — Medicaid: $1,031.65 MEDIPAK — Medicare Advantage: $825.50 Summit — Medicaid: $1,031.65 United Healthcare — Medicare Advantage: $825.50 Wellcare — Medicare Advantage: $825.50 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51_LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$2,164.56	$1,948.10	$1,125.63 – $1,834.99
Carpal tunnel release: 10 of 23 insurance plan rates Arkansas Total Care — Medicaid: $1,125.63 Blue Cross — All Plans: $1,834.99 Care Source — Medicaid: $1,125.63 Empower — Medicaid: $1,740.42 MEDIPAK — Medicare Advantage: $1,822.53 Summit — Medicaid: $1,740.42 United Healthcare — Medicare Advantage: $1,822.53 Wellcare — Medicare Advantage: $1,822.53 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$3,144.60 – $5,199
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates Arkansas Total Care — Medicaid: $3,402 Care Source — Medicaid: $3,402 Empower — Medicaid: $3,631 MEDIPAK — Medicare Advantage: $3,144.60 Summit — Medicaid: $3,569 United Healthcare — Medicare Advantage: $3,900 Wellcare — Medicare Advantage: $3,705.84 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 82% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$3,144.60 – $5,199
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates Arkansas Total Care — Medicaid: $3,402 Care Source — Medicaid: $3,402 Empower — Medicaid: $3,631 MEDIPAK — Medicare Advantage: $3,144.60 Summit — Medicaid: $3,569 United Healthcare — Medicare Advantage: $3,900 Wellcare — Medicare Advantage: $3,705.84 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 82% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$3,144.60 – $5,199
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates Arkansas Total Care — Medicaid: $3,402 Care Source — Medicaid: $3,402 Empower — Medicaid: $3,631 MEDIPAK — Medicare Advantage: $3,144.60 Summit — Medicaid: $3,569 United Healthcare — Medicare Advantage: $3,900 Wellcare — Medicare Advantage: $3,705.84 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 82% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$3,144.60 – $5,199
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates Arkansas Total Care — Medicaid: $3,402 Care Source — Medicaid: $3,402 Empower — Medicaid: $3,631 MEDIPAK — Medicare Advantage: $3,144.60 Summit — Medicaid: $3,569 United Healthcare — Medicare Advantage: $3,900 Wellcare — Medicare Advantage: $3,705.84 Aetna — All Plans: 83.2% (a percentage in the contract, not a dollar amount) Ambetter, Qualchoice and NovaSys Health — All Plan: 90% (a percentage in the contract, not a dollar amount) Cigna — All Plans: 82% (a percentage in the contract, not a dollar amount)

Source: Arkansas Children's Northwest, Inc’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Children's Hospital
Address	2601 Gene George Boulevard, Springdale, AR 72762
County	Washington County
State	Arkansas
Phone	(479) 725‑6800
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	043301
Name in Medicare records	ARKANSAS CHILDREN'S NORTHWEST, INC
Profile level	Medicare data + hospital website
Name on the hospital’s website	Arkansas Children's Northwest
Official website	archildrens.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Arkansas Children's Northwest — archildrens.org
About Us — archildrens.org
ACNW Emergency Room | Arkansas Children's Northwest, Springdale, AR — archildrens.org
Outpatient Lab | Arkansas Children's Northwest — archildrens.org
General Surgery Clinic | Arkansas Children's — archildrens.org