Does Baptist Health Medical Center- Conway have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Baptist Health Medical Center- Conway. In a medical emergency, call 911.

Where is Baptist Health Medical Center- Conway?

1555 Exchange Avenue, Conway, AR 72032, in Faulkner County, Arkansas.

What is the phone number of Baptist Health Medical Center- Conway?

(501) 585-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Baptist Health Medical Center- Conway?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Baptist Health Medical Center- Conway

Quick answers

Does Baptist Health Medical Center- Conway have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Baptist Health Medical Center- Conway. In a medical emergency, call 911.
Where is Baptist Health Medical Center- Conway?: 1555 Exchange Avenue, Conway, AR 72032, in Faulkner County, Arkansas.
What is the phone number of Baptist Health Medical Center- Conway?: (501) 585-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Baptist Health Medical Center- Conway?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Programs and centers^[4]

Hospitalist Program
Stroke program
Labor and delivery
Sleep care
Rehabilitation services

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary Stroke Center; Arkansas Stroke Ready Hospital

Visiting and practical information

Parking	Lot P1, in front of the main entrance, with spots reserved for expectant parents^[4]

Recognition^[4][5]

Arkansas Stroke Ready Hospital (Arkansas Department of Health)
Primary Stroke Center (Arkansas Department of Health)
Joint Commission Acute Stroke Ready designation
Primary Stroke Center certification (DNV)

Doctors and clinicians (326)

326 doctors and other clinicians list Baptist Health Medical Center- Conway 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 (326)

Aaron K. Seiter, DPMPodiatry
Abbas Raza, MDGastroenterology
Adam P. Grant, DOFamily Practice
Adil Imran, MDPulmonary Disease
Ahmar Malik, MDPulmonary Disease
Ahmed A. Ali, MDInternal Medicine
Alex David, MDNephrology
Alexander L. Hargis, MDFamily Practice
Alexander N. Orsini, MDCardiovascular Disease (Cardiology)
Ali S. Khan, MDGastroenterology
Allison E. McKay, CNACertified Registered Nurse Anesthetist (CRNA)
Alyson M. Fish, MDFamily Practice
Amanda E. Stevens, NPNurse Practitioner
Amanda J. Ferrell, MDDiagnostic Radiology
Amanda J. Novack, MDInfectious Disease
Amanda L. Allen, NPNurse Practitioner
Amirah Kuzu, MDPathology
Amr Ismail, MDPulmonary Disease
Andrew M. Briggler, MDHematology/Oncology
Angela C. Chukwuanu, NPNurse Practitioner
Angela V. Casciano, MDDiagnostic Radiology
Angelique Fontenette, MDEmergency Medicine
Anjali A. Patel, MDEmergency Medicine
Anna K. Szwedo, MDInternal Medicine

And 302 more: the button below opens the full list.

Other emergency rooms nearby

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

Conway Regional Medical Center, Inc3.0 mi · Conway, AR · Acute Care Hospital
Arkansas Surgical Hospital18 mi · No Little Rock, AR · Acute Care Hospital
CHI St Vincent Morrilton19 mi · Morrilton, AR · Critical Access Hospital
St Vincent Medical Center/North20 mi · Sherwood, AR · Acute Care Hospital
Unity Health - Jacksonville21 mi · Jacksonville, AR · Acute Care Hospital

Other hospitals nearby

Conway Behavioral Health1.3 mi · Conway, AR · Psychiatric Hospital
Conway Regional Rehabilitation Hospital3.1 mi · Conway, AR · Inpatient Rehabilitation Hospital
United Methodist Behavioral Hospital12 mi · Maumelle, AR · Psychiatric Hospital
Bridgeway Hospital17 mi · North Little Rock, 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

Superior Health & Rehab, LLC0.4 mi · Conway, AR · 5 of 5 stars
Salem Place Nursing and Rehabilitation Center, Inc2.7 mi · Conway, AR · 4 of 5 stars
Conway Healthcare and Rehabilitation Center2.9 mi · Conway, AR · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Arkansas Hospice Inc20 mi · North Little Rock, AR · 4 of 5 stars
Hospice Home Care LLC21 mi · Little Rock, AR · 4 of 5 stars
Gentiva22 mi · Little Rock, AR · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Conway Regional Homecare Svcs3.5 mi · Conway, AR
Stat Home Health - Cenark, LLC19 mi · Little Rock, AR
Commonspirit Health20 mi · Little Rock, AR

All home health agencies in the state →

Dialysis facilities

DaVita College City Dialysis3.1 mi · Conway, AR · 2 of 5 stars
DaVita Conway Dialysis3.5 mi · Conway, AR · 2 of 5 stars
DaVita Jacksonville Central Dialysis Center19 mi · Jacksonville, AR · 2 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.

Baker Ambulatory Surgery Center3.1 mi · Conway, AR
Conway Cardiovascular Surgery Center, LLC3.1 mi · Conway, AR
Conway Ambulatory Surgery Center, LLC3.5 mi · Conway, 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

Healthy Connections - Conway1.2 mi · Conway, AR · Community health center
Healthy Connections- Conway2.7 mi · Conway, AR · Community health center
Healthy Connections-Conway- Temporary2.9 mi · Conway, AR · Community health center

Clinics and urgent care

Medexpress Urgent Care Arkansas, P.A.3.1 mi · Conway, AR · Urgent care center
Banister Lieblong Clinic3.5 mi · Conway, AR · Rural health clinic
Mayflower Medical Clinic8.4 mi · Mayflower, AR · Rural health clinic

Pharmacies

3BG, Inc.3.1 mi · Conway, AR · Pharmacy
Arcare3.1 mi · Conway, AR · Community/retail pharmacy
DLSN LLC3.1 mi · Conway, 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 Baptist Health Medical Center- Conway 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.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	73%National average: 60%
Completed surveys	543Response rate: 19%

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)	0.6No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0.928No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.829No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.486No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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	12.8%
Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	15.1%
Deaths within 30 days: COPD patients	11.1%
Deaths within 30 days: stroke patients	13.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.05No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

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	13.2%
Readmitted within 30 days: heart failure	22%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	19.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

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.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	145 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	67%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

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 Conway Best hospitals in Arkansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as Baptist Health Medical Center- Conway 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 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 0 In the file: 99205 - OFFICE-OUTPATIENT NEW HIGH MDM 60 MINUTES	$604.24	$151.06	$17.26 – $240.14
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AR Total Care (PASSE) — all: $17.26 BCBS Exchange — all: $233.89 Blue Cross Blue Shield — all: $240.14 Caresource (PASSE) — all: $17.26 Empower (PASSE) — all: $17.26 Health Advantage — all: $240.14 Summit Care (PASSE) — all: $17.26 HealthLink — all: 70% (a percentage in the contract, not a dollar amount) Multiplan — all: 85% (a percentage in the contract, not a dollar amount) Municipal Health — all: 50% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 0 In the file: 99213 - OFFICE-OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$397.28	$99.32	$105.40 – $108.22
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans BCBS Exchange — all: $105.40 Blue Cross Blue Shield — all: $108.22 Health Advantage — all: $108.22 HealthLink — all: 70% (a percentage in the contract, not a dollar amount) Multiplan — all: 85% (a percentage in the contract, not a dollar amount) Municipal Health — all: 50% (a percentage in the contract, not a dollar amount) Zelis — all: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 0 In the file: 99214 - OFFICE-OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$532.48	$133.12	$153.58 – $157.68
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans BCBS Exchange — all: $153.58 Blue Cross Blue Shield — all: $157.68 Health Advantage — all: $157.68 HealthLink — all: 70% (a percentage in the contract, not a dollar amount) Multiplan — all: 85% (a percentage in the contract, not a dollar amount) Municipal Health — all: 50% (a percentage in the contract, not a dollar amount) Zelis — all: 60% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 0 In the file: 99283 - EMERGENCY DEPARTMENT VISIT LOW MDM	$3,145.82	$786.46	$256.48 – $1,745
Emergency room visit (moderate): 10 of 19 insurance plan rates Ambetter — all: $422.34 AR Integrated Providers MA — all: $268.02 BCBS and Health Advantage MA — all: $261.61 BCBS Exchange — all: $623 Blue Cross Blue Shield — all: $1,284.08 Cigna — all: $1,664 EHN — all: $410.37 Essence MA — all: $256.48 Health Advantage — all: $1,284.08 Humana MA — all: $259.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 0 In the file: 99284 - EMERGENCY DEPARTMENT VISIT MODERATE MDM	$3,457.85	$864.46	$392.05 – $2,021
Emergency room visit (moderately high): 10 of 19 insurance plan rates Ambetter — all: $645.58 AR Integrated Providers MA — all: $409.69 BCBS and Health Advantage MA — all: $399.89 BCBS Exchange — all: $758.78 Blue Cross Blue Shield — all: $1,563.96 Cigna — all: $1,872 EHN — all: $627.28 Essence MA — all: $392.05 Health Advantage — all: $1,563.96 Humana MA — all: $395.97
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 0 In the file: 99285 - EMERGENCY DEPARTMENT VISIT HIGH MDM	$4,211.49	$1,052.87	$559.55 – $2,721
Emergency room visit (high): 10 of 19 insurance plan rates Ambetter — all: $921.38 AR Integrated Providers MA — all: $584.73 BCBS and Health Advantage MA — all: $570.74 BCBS Exchange — all: $979.61 Blue Cross Blue Shield — all: $2,019.11 Cigna — all: $2,132 EHN — all: $895.28 Essence MA — all: $559.55 Health Advantage — all: $2,019.11 Humana MA — all: $565.15

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 0 In the file: 80048 - BASIC METABOLIC PANEL CALCIUM TOTAL	$319.28	$79.82	$8.46 – $18.47
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Ambetter — all: $13.89 AR Integrated Providers MA — all: $8.84 AR Total Care (PASSE) — all: $17.39 BCBS and Health Advantage MA — all: $8.63 BCBS Exchange — all: $10.60 Blue Cross Blue Shield — all: $10.83 Caresource (PASSE) — all: $17.39 Cigna — all: $15.79 EHN — all: $13.54 Empower (PASSE) — all: $17.39
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 0 In the file: 80053 - COMPREHENSIVE METABOLIC PANEL	$1,241.76	$310.44	$10.56 – $23.06
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Ambetter — all: $17.34 AR Integrated Providers MA — all: $11.04 AR Total Care (PASSE) — all: $21.73 BCBS and Health Advantage MA — all: $10.77 BCBS Exchange — all: $13.24 Blue Cross Blue Shield — all: $13.52 Caresource (PASSE) — all: $21.73 Cigna — all: $19.67 EHN — all: $16.90 Empower (PASSE) — all: $21.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier 0 In the file: 80061 - LIPID PANEL	$66.56	$16.64	$13.39 – $29.24
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Ambetter — all: $21.98 AR Integrated Providers MA — all: $13.99 AR Total Care (PASSE) — all: $26.13 BCBS and Health Advantage MA — all: $13.66 BCBS Exchange — all: $16.79 Blue Cross Blue Shield — all: $17.14 Caresource (PASSE) — all: $26.13 Cigna — all: $24.95 EHN — all: $21.42 Empower (PASSE) — all: $26.13
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier 0 In the file: 80069 - RENAL FUNCTION PANEL	$83.20	$20.80	$8.68 – $18.95
Kidney function panel: 10 of 23 insurance plan rates Ambetter — all: $14.25 AR Integrated Providers MA — all: $9.07 AR Total Care (PASSE) — all: $17.84 BCBS and Health Advantage MA — all: $8.85 BCBS Exchange — all: $10.89 Blue Cross Blue Shield — all: $11.12 Caresource (PASSE) — all: $17.84 Cigna — all: $16.19 EHN — all: $13.89 Empower (PASSE) — all: $17.84
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier 0 In the file: 80076 - HEPATIC FUNCTION PANEL	$78	$19.50	$8.17 – $17.84
Liver function panel: 10 of 23 insurance plan rates Ambetter — all: $13.41 AR Integrated Providers MA — all: $8.54 AR Total Care (PASSE) — all: $16.78 BCBS and Health Advantage MA — all: $8.33 BCBS Exchange — all: $10.24 Blue Cross Blue Shield — all: $10.46 Caresource (PASSE) — all: $16.78 Cigna — all: $15.24 EHN — all: $13.07 Empower (PASSE) — all: $16.78
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier 0 In the file: 81001 - URNLS DIP STICK-TABLET REAGENT AUTO MICROSCOPY	$41.60	$10.40	$3.17 – $6.92
Urine test (automated, with microscope): 10 of 23 insurance plan rates Ambetter — all: $5.20 AR Integrated Providers MA — all: $3.31 AR Total Care (PASSE) — all: $6.50 BCBS and Health Advantage MA — all: $3.23 BCBS Exchange — all: $3.97 Blue Cross Blue Shield — all: $4.05 Caresource (PASSE) — all: $6.50 Cigna — all: $5.91 EHN — all: $5.07 Empower (PASSE) — all: $6.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 0 In the file: 81003 - URNLS DIP STICK-TABLET RGNT AUTO W-O MICROSCOPY	$56.16	$14.04	$2.25 – $4.91
Urine test (automated, without microscope): 10 of 23 insurance plan rates Ambetter — all: $3.69 AR Integrated Providers MA — all: $2.35 AR Total Care (PASSE) — all: $4.60 BCBS and Health Advantage MA — all: $2.30 BCBS Exchange — all: $2.83 Blue Cross Blue Shield — all: $2.89 Caresource (PASSE) — all: $4.60 Cigna — all: $4.20 EHN — all: $3.60 Empower (PASSE) — all: $4.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · modifier 0 In the file: 84153 - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$126.88	$31.72	$18.39 – $40.16
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Ambetter — all: $30.19 AR Integrated Providers MA — all: $19.22 AR Total Care (PASSE) — all: $37.79 BCBS and Health Advantage MA — all: $18.76 BCBS Exchange — all: $23.06 Blue Cross Blue Shield — all: $23.54 Caresource (PASSE) — all: $37.79 Cigna — all: $34.28 EHN — all: $29.42 Empower (PASSE) — all: $37.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 0 In the file: 84443 - ASSAY OF THYROID STIMULATING HORMONE TSH	$160.16	$40.04	$16.80 – $36.68
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Ambetter — all: $27.58 AR Integrated Providers MA — all: $17.56 AR Total Care (PASSE) — all: $34.50 BCBS and Health Advantage MA — all: $17.14 BCBS Exchange — all: $21.07 Blue Cross Blue Shield — all: $21.51 Caresource (PASSE) — all: $34.50 Cigna — all: $31.34 EHN — all: $26.88 Empower (PASSE) — all: $34.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier 0 In the file: 85025 - BLOOD COUNT COMPLETE AUTOANDAUTO DIFRNTL WBC	$83.20	$20.80	$7.77 – $16.97
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Ambetter — all: $12.76 AR Integrated Providers MA — all: $8.12 AR Total Care (PASSE) — all: $15.97 BCBS and Health Advantage MA — all: $7.93 BCBS Exchange — all: $9.75 Blue Cross Blue Shield — all: $9.95 Caresource (PASSE) — all: $15.97 Cigna — all: $14.50 EHN — all: $12.43 Empower (PASSE) — all: $15.97
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier 0 In the file: 85027 - BLOOD COUNT COMPLETE AUTOMATED	$83.20	$20.80	$6.47 – $14.13
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Ambetter — all: $10.62 AR Integrated Providers MA — all: $6.76 AR Total Care (PASSE) — all: $13.31 BCBS and Health Advantage MA — all: $6.60 BCBS Exchange — all: $8.12 Blue Cross Blue Shield — all: $8.29 Caresource (PASSE) — all: $13.31 Cigna — all: $12.07 EHN — all: $10.35 Empower (PASSE) — all: $13.31
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 0 In the file: 85610 - PROTHROMBIN TIME	$16.64	$4.16	$4.29 – $9.37
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Ambetter — all: $7.04 AR Integrated Providers MA — all: $4.48 AR Total Care (PASSE) — all: $8.07 BCBS and Health Advantage MA — all: $4.38 BCBS Exchange — all: $5.38 Blue Cross Blue Shield — all: $5.49 Caresource (PASSE) — all: $8.07 Cigna — all: $8 EHN — all: $6.86 Empower (PASSE) — all: $8.07
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 0 In the file: 85730 - THROMBOPLASTIN TIME PARTIAL PLASMA-WHOLE BLOOD	$28.07	$7.02	$6.01 – $13.12
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Ambetter — all: $9.87 AR Integrated Providers MA — all: $6.28 AR Total Care (PASSE) — all: $12.34 BCBS and Health Advantage MA — all: $6.13 BCBS Exchange — all: $7.54 Blue Cross Blue Shield — all: $7.69 Caresource (PASSE) — all: $12.34 Cigna — all: $11.22 EHN — all: $9.62 Empower (PASSE) — all: $12.34

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) · modifier 0 In the file: 70450 - CT HEAD-BRAIN W-O CONTRAST MATERIAL	$1,537.11	$384.28	$98.23 – $237.35
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Ambetter — all: $161.75 AR Integrated Providers MA — all: $102.65 AR Total Care (PASSE) — all: $237.35 BCBS and Health Advantage MA — all: $100.19 BCBS Exchange — all: $117.82 Blue Cross Blue Shield — all: $120.83 Caresource (PASSE) — all: $237.35 EHN — all: $157.17 Empower (PASSE) — all: $237.35 Essence MA — all: $98.23
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 0 In the file: 70553 - MRI BRAIN BRAIN STEM W-O W-CONTRAST MATERIAL	$2,334.80	$583.70	$327.79 – $831.45
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Ambetter — all: $539.76 AR Integrated Providers MA — all: $342.54 AR Total Care (PASSE) — all: $831.45 BCBS and Health Advantage MA — all: $334.35 BCBS Exchange — all: $401.42 Blue Cross Blue Shield — all: $411.68 Caresource (PASSE) — all: $831.45 EHN — all: $524.46 Empower (PASSE) — all: $831.45 Essence MA — all: $327.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 0 In the file: 71046 - RADIOLOGIC EXAM CHEST 2 VIEWS	$180.96	$45.24	$31.46 – $175.90
Chest X-ray, 2 views: 10 of 23 insurance plan rates Ambetter — all: $134.64 AR Integrated Providers MA — all: $85.45 AR Total Care (PASSE) — all: $31.46 BCBS and Health Advantage MA — all: $83.41 BCBS Exchange — all: $83.90 Blue Cross Blue Shield — all: $86.04 Caresource (PASSE) — all: $31.46 Cigna — all: $135.64 EHN — all: $130.83 Empower (PASSE) — all: $31.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 0 In the file: 72110 - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$481.52	$120.38	$57.54 – $211.31
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Ambetter — all: $161.75 AR Integrated Providers MA — all: $102.65 AR Total Care (PASSE) — all: $57.54 BCBS and Health Advantage MA — all: $100.19 BCBS Exchange — all: $117.82 Blue Cross Blue Shield — all: $120.83 Caresource (PASSE) — all: $57.54 Cigna — all: $182.56 EHN — all: $157.17 Empower (PASSE) — all: $57.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 0 In the file: 72148 - MRI SPINAL CANAL LUMBAR W-O CONTRAST MATERIAL	$2,334.80	$583.70	$224.19 – $621.43
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Ambetter — all: $369.15 AR Integrated Providers MA — all: $234.28 AR Total Care (PASSE) — all: $621.43 BCBS and Health Advantage MA — all: $228.67 BCBS Exchange — all: $244.98 Blue Cross Blue Shield — all: $251.25 Caresource (PASSE) — all: $621.43 EHN — all: $358.70 Empower (PASSE) — all: $621.43 Essence MA — all: $224.19
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 0 In the file: 72193 - CT PELVIS W-CONTRAST MATERIAL	$1,537.12	$384.28	$164.80 – $365.38
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Ambetter — all: $271.37 AR Integrated Providers MA — all: $172.22 AR Total Care (PASSE) — all: $365.38 BCBS and Health Advantage MA — all: $168.10 BCBS Exchange — all: $191.56 Blue Cross Blue Shield — all: $196.46 Caresource (PASSE) — all: $365.38 EHN — all: $263.68 Empower (PASSE) — all: $365.38 Essence MA — all: $164.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 0 In the file: 73721 - MRI ANY JT LOWER EXTREM W-O CONTRAST MATRL	$2,334.80	$583.70	$224.19 – $546.63
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Ambetter — all: $369.15 AR Integrated Providers MA — all: $234.28 AR Total Care (PASSE) — all: $546.63 BCBS and Health Advantage MA — all: $228.67 BCBS Exchange — all: $244.98 Blue Cross Blue Shield — all: $251.25 Caresource (PASSE) — all: $546.63 EHN — all: $358.70 Empower (PASSE) — all: $546.63 Essence MA — all: $224.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 0 In the file: 74177 - CT ABDOMEN AND PELVIS W-CONTRAST MATERIAL	$1,537.12	$384.28	$296.71 – $705.15
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Ambetter — all: $539.76 AR Integrated Providers MA — all: $342.54 AR Total Care (PASSE) — all: $296.71 BCBS and Health Advantage MA — all: $334.35 BCBS Exchange — all: $401.42 Blue Cross Blue Shield — all: $411.68 Caresource (PASSE) — all: $296.71 EHN — all: $524.46 Empower (PASSE) — all: $296.71 Essence MA — all: $327.79
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 0 In the file: 76700 - US ABDOMINAL REAL TIME W-IMAGE DOCUMENTATION	$1,506.96	$376.74	$80.56 – $211.31
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Ambetter — all: $161.75 AR Integrated Providers MA — all: $102.65 AR Total Care (PASSE) — all: $80.56 BCBS and Health Advantage MA — all: $100.19 BCBS Exchange — all: $117.82 Blue Cross Blue Shield — all: $120.83 Caresource (PASSE) — all: $80.56 Cigna — all: $182.56 EHN — all: $157.17 Empower (PASSE) — all: $80.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 0 In the file: 76805 - US PREG UTERUS AFTER 1ST TRIMEST 1-1ST GESTATION	$387.92	$96.98	$80.56 – $211.31
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Ambetter — all: $161.75 AR Integrated Providers MA — all: $102.65 AR Total Care (PASSE) — all: $80.56 BCBS and Health Advantage MA — all: $100.19 BCBS Exchange — all: $117.82 Blue Cross Blue Shield — all: $120.83 Caresource (PASSE) — all: $80.56 Cigna — all: $182.56 EHN — all: $157.17 Empower (PASSE) — all: $80.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 0 In the file: 76830 - US TRANSVAGINAL	$660.40	$165.10	$97.82 – $211.31
Transvaginal ultrasound: 10 of 23 insurance plan rates Ambetter — all: $161.75 AR Integrated Providers MA — all: $102.65 AR Total Care (PASSE) — all: $97.82 BCBS and Health Advantage MA — all: $100.19 BCBS Exchange — all: $117.82 Blue Cross Blue Shield — all: $120.83 Caresource (PASSE) — all: $97.82 Cigna — all: $182.56 EHN — all: $157.17 Empower (PASSE) — all: $97.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 0 In the file: 77065 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$643.76	$160.94	$96.05 – $239.06
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Ambetter — all: $179.73 AR Integrated Providers MA — all: $114.41 AR Total Care (PASSE) — all: $150.23 BCBS and Health Advantage MA — all: $111.67 BCBS Exchange — all: $96.05 Blue Cross Blue Shield — all: $98.51 Caresource (PASSE) — all: $150.23 Cigna — all: $141.09 EHN — all: $175.17 Empower (PASSE) — all: $150.23
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 0 In the file: 77066 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$1,124.24	$281.06	$122.49 – $302.54
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Ambetter — all: $227.46 AR Integrated Providers MA — all: $144.78 AR Total Care (PASSE) — all: $181.94 BCBS and Health Advantage MA — all: $141.32 BCBS Exchange — all: $122.49 Blue Cross Blue Shield — all: $125.62 Caresource (PASSE) — all: $181.94 Cigna — all: $179.95 EHN — all: $221.68 Empower (PASSE) — all: $181.94
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 0 In the file: 77067 - SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$505.44	$126.36	$101.56 – $243.17
Screening mammogram, both breasts: 10 of 23 insurance plan rates Ambetter — all: $182.82 AR Integrated Providers MA — all: $116.37 AR Total Care (PASSE) — all: $142.18 BCBS and Health Advantage MA — all: $113.59 BCBS Exchange — all: $101.56 Blue Cross Blue Shield — all: $104.16 Caresource (PASSE) — all: $142.18 Cigna — all: $148.67 EHN — all: $178.18 Empower (PASSE) — all: $142.18

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) · modifier 0 In the file: 97110 - THERAPEUTIC PX 1-GREATER THAN AREAS EACH 15 MIN EXERCISES	$260	$65	$26.97 – $58.89
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Ambetter — all: $44.28 AR Integrated Providers MA — all: $28.18 AR Total Care (PASSE) — all: $31.30 BCBS and Health Advantage MA — all: $27.51 BCBS Exchange — all: $43.12 Blue Cross Blue Shield — all: $44.27 Caresource (PASSE) — all: $31.30 EHN — all: $43.15 Empower (PASSE) — all: $31.30 Essence MA — all: $26.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier 0 In the file: 97161 - PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$261.04	$65.26	$91.20 – $199.14
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Ambetter — all: $149.72 AR Integrated Providers MA — all: $95.30 AR Total Care (PASSE) — all: $142.24 BCBS and Health Advantage MA — all: $93.02 BCBS Exchange — all: $146.88 Blue Cross Blue Shield — all: $150.80 Caresource (PASSE) — all: $142.24 EHN — all: $145.92 Empower (PASSE) — all: $142.24 Essence MA — all: $91.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier 0 In the file: 97162 - PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$369.19	$92.30	$91.20 – $213.36
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Ambetter — all: $149.72 AR Integrated Providers MA — all: $95.30 AR Total Care (PASSE) — all: $213.36 BCBS and Health Advantage MA — all: $93.02 BCBS Exchange — all: $146.88 Blue Cross Blue Shield — all: $150.80 Caresource (PASSE) — all: $213.36 EHN — all: $145.92 Empower (PASSE) — all: $213.36 Essence MA — all: $91.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier 0 In the file: 97163 - PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$491.92	$122.98	$91.20 – $284.48
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Ambetter — all: $149.72 AR Integrated Providers MA — all: $95.30 AR Total Care (PASSE) — all: $284.48 BCBS and Health Advantage MA — all: $93.02 BCBS Exchange — all: $146.88 Blue Cross Blue Shield — all: $150.80 Caresource (PASSE) — all: $284.48 EHN — all: $145.92 Empower (PASSE) — all: $284.48 Essence MA — all: $91.20

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 0 In the file: 27130 - ARTHRP ACETBLR-PROX FEM PROSTC AGRFT-ALGRFT	$32,625.74	$8,156.44	$460.32 – $25,950
Total hip replacement: 10 of 23 insurance plan rates Ambetter — all: $19,863.50 AR Integrated Providers MA — all: $12,605.80 AR Total Care (PASSE) — all: $460.32 BCBS and Health Advantage MA — all: $12,304.20 BCBS Exchange — all: $20,622.10 Blue Cross Blue Shield — all: $21,166.20 Caresource (PASSE) — all: $460.32 Cigna — all: $6,256 EHN — all: $19,300.70 Empower (PASSE) — all: $460.32
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 0 In the file: 27447 - ARTHRP KNE CONDYLEANDPLATU MEDIALANDLAT COMPARTMENTS	$23,301.81	$5,825.45	$460.32 – $25,950
Total knee replacement: 10 of 23 insurance plan rates Ambetter — all: $19,863.50 AR Integrated Providers MA — all: $12,605.80 AR Total Care (PASSE) — all: $460.32 BCBS and Health Advantage MA — all: $12,304.20 BCBS Exchange — all: $20,622.10 Blue Cross Blue Shield — all: $21,166.20 Caresource (PASSE) — all: $460.32 Cigna — all: $6,256 EHN — all: $19,300.70 Empower (PASSE) — all: $460.32
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier 0 In the file: 29826 - SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS	$6,355.50	$1,588.88	$698 – $4,769
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans Cigna — all: $3,384 Municipal Health — all: $4,769 United HealthCare — all: $698 HealthLink — all: 70% (a percentage in the contract, not a dollar amount) Multiplan — all: 85% (a percentage in the contract, not a dollar amount) Zelis — all: 60% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 0 In the file: 29881 - ARTHRS KNEE SURG W-MENISCECTOMY MED-LAT W-SHVG	$11,281.23	$2,820.31	$427.23 – $11,316
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Ambetter — all: $5,062.30 AR Integrated Providers MA — all: $3,212.64 AR Total Care (PASSE) — all: $427.23 BCBS and Health Advantage MA — all: $3,135.79 BCBS Exchange — all: $4,704.52 Blue Cross Blue Shield — all: $4,828.64 Caresource (PASSE) — all: $427.23 Cigna — all: $6,256 EHN — all: $4,918.88 Empower (PASSE) — all: $427.23
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 0 In the file: 42820 - TONSILLECTOMY AND ADENOIDECTOMY LESS THAN AGE 12	$9,223.87	$2,305.97	$522.18 – $11,965.40
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Ambetter — all: $9,158.91 AR Integrated Providers MA — all: $5,812.45 AR Total Care (PASSE) — all: $522.18 BCBS and Health Advantage MA — all: $5,673.39 BCBS Exchange — all: $8,439.18 Blue Cross Blue Shield — all: $8,661.84 Caresource (PASSE) — all: $522.18 Cigna — all: $3,384 EHN — all: $8,899.44 Empower (PASSE) — all: $522.18
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 0 In the file: 43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$2,003.04	$500.76	$359.63 – $10,533
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates Ambetter — all: $1,403.25 AR Integrated Providers MA — all: $890.53 AR Total Care (PASSE) — all: $359.63 BCBS and Health Advantage MA — all: $869.22 BCBS Exchange — all: $1,304.71 Blue Cross Blue Shield — all: $1,339.13 Caresource (PASSE) — all: $359.63 Cigna — all: $2,184 EHN — all: $1,363.49 Empower (PASSE) — all: $359.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 0 In the file: 43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE	$4,679.64	$1,169.91	$427.23 – $3,487
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates Ambetter — all: $1,403.25 AR Integrated Providers MA — all: $890.53 AR Total Care (PASSE) — all: $427.23 BCBS and Health Advantage MA — all: $869.22 BCBS Exchange — all: $1,304.71 Blue Cross Blue Shield — all: $1,339.13 Caresource (PASSE) — all: $427.23 Cigna — all: $2,184 EHN — all: $1,363.49 Empower (PASSE) — all: $427.23
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 0 In the file: 45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD	$4,668.56	$1,167.14	$359.63 – $3,487
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Ambetter — all: $1,438.80 AR Integrated Providers MA — all: $913.09 AR Total Care (PASSE) — all: $359.63 BCBS and Health Advantage MA — all: $891.25 BCBS Exchange — all: $1,313.43 Blue Cross Blue Shield — all: $1,348.08 Caresource (PASSE) — all: $359.63 Cigna — all: $2,184 EHN — all: $1,398.03 Empower (PASSE) — all: $359.63
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 0 In the file: 45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE	$3,037.84	$759.46	$359.63 – $3,487
Colonoscopy with biopsy: 10 of 22 insurance plan rates Ambetter — all: $1,851.39 AR Integrated Providers MA — all: $1,174.94 AR Total Care (PASSE) — all: $359.63 BCBS and Health Advantage MA — all: $1,146.83 BCBS Exchange — all: $1,711.50 Blue Cross Blue Shield — all: $1,756.65 Caresource (PASSE) — all: $359.63 Cigna — all: $2,184 EHN — all: $1,798.94 Empower (PASSE) — all: $359.63
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 0 In the file: 45385 - COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ	$3,037.84	$759.46	$359.63 – $3,487
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates Ambetter — all: $1,851.39 AR Integrated Providers MA — all: $1,174.94 AR Total Care (PASSE) — all: $359.63 BCBS and Health Advantage MA — all: $1,146.83 BCBS Exchange — all: $1,711.50 Blue Cross Blue Shield — all: $1,756.65 Caresource (PASSE) — all: $359.63 Cigna — all: $2,184 EHN — all: $1,798.94 Empower (PASSE) — all: $359.63
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 0 In the file: G0121 - COLON CA SCRN NOT HI RSK IND	$2,581.28	$645.32	$873.77 – $3,487
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates Ambetter — all: $1,438.80 AR Integrated Providers MA — all: $913.09 BCBS and Health Advantage MA — all: $891.25 BCBS Exchange — all: $1,313.43 Blue Cross Blue Shield — all: $1,348.08 Cigna — all: $2,184 EHN — all: $1,398.03 Essence MA — all: $873.77 Health Advantage — all: $1,348.08 Humana MA — all: $882.51
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 0 In the file: 47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY	$21,215.30	$5,303.83	$522.18 – $12,219.40
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates Ambetter — all: $9,353.39 AR Integrated Providers MA — all: $5,935.86 AR Total Care (PASSE) — all: $522.18 BCBS and Health Advantage MA — all: $5,793.86 BCBS Exchange — all: $8,237.65 Blue Cross Blue Shield — all: $8,454.98 Caresource (PASSE) — all: $522.18 Cigna — all: $8,528 EHN — all: $9,088.40 Empower (PASSE) — all: $522.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 0 In the file: 49505 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE	$15,527.72	$3,881.93	$522.18 – $11,316
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Ambetter — all: $5,539.45 AR Integrated Providers MA — all: $3,515.45 AR Total Care (PASSE) — all: $522.18 BCBS and Health Advantage MA — all: $3,431.35 BCBS Exchange — all: $5,597.91 Blue Cross Blue Shield — all: $5,745.60 Caresource (PASSE) — all: $522.18 Cigna — all: $6,256 EHN — all: $5,382.51 Empower (PASSE) — all: $522.18
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 0 In the file: 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH	$7,416.76	$1,854.19	$359.63 – $3,487
Prostate biopsy: rates for 9 insurance plans AR Total Care (PASSE) — all: $359.63 Caresource (PASSE) — all: $359.63 Cigna — all: $2,184 Empower (PASSE) — all: $359.63 Municipal Health — all: $3,487 Summit Care (PASSE) — all: $359.63 HealthLink — all: 70% (a percentage in the contract, not a dollar amount) Multiplan — all: 85% (a percentage in the contract, not a dollar amount) Zelis — all: 60% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 0 In the file: 55866 - LAPS SURG PRST8ECT RPBIC RAD W-NERVE SPARING	$25,468.12	$6,367.03	$522.18 – $21,485.40
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates Ambetter — all: $16,446 AR Integrated Providers MA — all: $10,437 AR Total Care (PASSE) — all: $522.18 BCBS and Health Advantage MA — all: $10,187.30 BCBS Exchange — all: $14,362.20 Blue Cross Blue Shield — all: $14,741.10 Caresource (PASSE) — all: $522.18 Cigna — all: $6,256 EHN — all: $15,980.10 Empower (PASSE) — all: $522.18
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 0 In the file: 58558 - HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC	$10,912.79	$2,728.20	$522.18 – $6,542.99
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Ambetter — all: $5,008.34 AR Integrated Providers MA — all: $3,178.41 AR Total Care (PASSE) — all: $522.18 BCBS and Health Advantage MA — all: $3,102.37 BCBS Exchange — all: $4,468.68 Blue Cross Blue Shield — all: $4,586.58 Caresource (PASSE) — all: $522.18 Cigna — all: $3,384 EHN — all: $4,866.46 Empower (PASSE) — all: $522.18
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 0 In the file: 64483 - NJX AAAND-STRD TFRML EPI LUMBAR-SACRAL 1 LEVEL	$23,507.12	$5,876.78	$359.63 – $10,533
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Ambetter — all: $1,368.42 AR Integrated Providers MA — all: $868.43 AR Total Care (PASSE) — all: $359.63 BCBS and Health Advantage MA — all: $847.65 BCBS Exchange — all: $1,346.84 Blue Cross Blue Shield — all: $1,382.37 Caresource (PASSE) — all: $359.63 Cigna — all: $2,184 EHN — all: $1,329.65 Empower (PASSE) — all: $359.63
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 0 In the file: 64721 - NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNE	$9,360.36	$2,340.09	$460.32 – $3,946.92
Carpal tunnel release: 10 of 23 insurance plan rates Ambetter — all: $3,021.18 AR Integrated Providers MA — all: $1,917.30 AR Total Care (PASSE) — all: $460.32 BCBS and Health Advantage MA — all: $1,871.43 BCBS Exchange — all: $2,840.95 Blue Cross Blue Shield — all: $2,915.90 Caresource (PASSE) — all: $460.32 Cigna — all: $2,184 EHN — all: $2,935.58 Empower (PASSE) — all: $460.32
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 0 In the file: 66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W-O ECP	$9,103.33	$2,275.83	$522.18 – $16,082
Cataract removal with lens implant: 10 of 23 insurance plan rates Ambetter — all: $3,570.57 AR Integrated Providers MA — all: $2,265.96 AR Total Care (PASSE) — all: $522.18 BCBS and Health Advantage MA — all: $2,211.75 BCBS Exchange — all: $3,412.94 Blue Cross Blue Shield — all: $3,502.99 Caresource (PASSE) — all: $522.18 Cigna — all: $6,256 EHN — all: $3,469.41 Empower (PASSE) — all: $522.18

Source: Baptist Health Medical Center- Conway’s standard charges file (app-bhns01saas32d4fp001.cms.optimizely.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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	Acute Care Hospital
Address	1555 Exchange Avenue, Conway, AR 72032
County	Faulkner County
State	Arkansas
Phone	(501) 585‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	040154
Name in Medicare records	BAPTIST HEALTH MEDICAL CENTER- CONWAY
Profile level	Medicare data + hospital website
Official website	baptist-health.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.

Baptist Health Medical Center-Conway — baptist-health.org
Stroke Locations | Baptist Health — baptist-health.org