Does Cox Medical Center Branson have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Cox Medical Center Branson. In a medical emergency, call 911.

Where is Cox Medical Center Branson?

525 Branson Landing Blvd, PO Box 650, Branson, MO 65615, in Taney County, Missouri.

What is the phone number of Cox Medical Center Branson?

(417) 335-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Cox Medical Center Branson?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Cox Medical Center Branson for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cox Medical Center Branson under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4681; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Cox Medical Center Branson — Phone, Address & ER

Quick answers

Does Cox Medical Center Branson have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cox Medical Center Branson. In a medical emergency, call 911.
Where is Cox Medical Center Branson?: 525 Branson Landing Blvd, PO Box 650, Branson, MO 65615, in Taney County, Missouri.
What is the phone number of Cox Medical Center Branson?: (417) 335-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Cox Medical Center Branson?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Cox Medical Center Branson for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cox Medical Center Branson under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4681; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[3]

Programs and centers^[4]

Cardiac Rehabilitation (AACVPR certified)
Level II STEMI Center
Stroke care (Get With The Guidelines)

Emergency care (hospital website)^[3]

Emergency room	Yes

Visiting and practical information

Visiting	Visiting hours 7 a.m.-9 p.m.; hours vary by unit. After-hours visitor pass needed; max two visitors per patient at a time^[5]
Parking	Parking garages behind the outpatient center and off Skaggs Road^[3]
Interpreters and languages	Interpreting services are available for patients as needed^[3]
Patient portal	MyChart

Recognition^[4]

Pathway to Excellence (ANCC)
Level II STEMI Center
ACC Chest Pain – MI Registry Platinum Performance Achievement Award
AACVPR Cardiac Rehabilitation certification

Doctors and clinicians (548)

548 doctors and other clinicians list Cox Medical Center Branson 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 (548)

Aaron C. Dolle, MDInternal Medicine
Aaron T. Murray, MDAnesthesiology
Adam M. Cox, DOEmergency Medicine
Alex A. Henderson, MDUrology
Alexa R. SnodgrassNurse Practitioner
Alexander G. Anderson, MDUrology
Alexander R. Hover, MDGastroenterology
Alexandra M. CutlerPhysician Assistant
Alexandria Placencia, CNACertified Registered Nurse Anesthetist (CRNA)
Alexis HowardRheumatology
Alina Cummins, PAPhysician Assistant
Allison Abma, DOEmergency Medicine
Allison K. Baker, NPNurse Practitioner
Alyson GoodalePhysician Assistant
Alyssa N. Reeves, NPNurse Practitioner
Amanda Babcock, MDSports Medicine
Amanda Chelednik, MDGeneral Surgery
Amanda N. Hestand, PAPhysician Assistant
Amberly T. Eversole, PAPhysician Assistant
Amir Neshatfar, MDNeurology
Amy R. Ford Turner, DOPulmonary Disease
Amy R. Hellbusch, MDDiagnostic Radiology
Ana Rivas Mejia, MDEndocrinology
Anas Noman, MDInterventional Cardiology

And 524 more: the button below opens the full list.

Other hospitals near Branson

Hospitals in Taney County · Hospitals near me

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 Cox Medical Center Branson 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	3 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
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	78%National average: 80%
“Always” got help as soon as they wanted	63%National average: 64%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	72%National average: 73%
Completed surveys	650Response rate: 27%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)	0.689No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	2.488No different from the national benchmark
MRSA bloodstream infections	0.965No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.445No different from the national benchmark
Not reported to Medicare	Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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%
Deaths within 30 days: heart failure patients	12.4%
Deaths within 30 days: pneumonia patients	17.5%
Deaths within 30 days: COPD patients	8.6%
Deaths within 30 days: stroke patients	13.2%
Serious complications (patient safety indicator PSI-90)	1.26No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	13.9%
Readmitted within 30 days: heart attack	13.9%
Readmitted within 30 days: heart failure	20%
Readmitted within 30 days: pneumonia	14.2%
Readmitted within 30 days: COPD	18.8%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	224 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Cox Medical Center Branson, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.4681Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack	1.0250More readmissions than expected
Heart failure	0.9102Fewer readmissions than expected
Pneumonia	0.8440Fewer readmissions than expected
COPD (chronic lung disease)	0.9930Fewer readmissions than expected
No result published	Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	38.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	5.00 out of 100
Person and community engagement (patient survey)	49.00 out of 100
Safety (infections and sepsis care)	38.00 out of 100
Efficiency and cost reduction (Medicare spending)	60.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.91Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 59 common services exactly as Cox Medical Center Branson 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 →

Show the prices of 59 common services

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) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN	$199.04	$45.18	$103.73 – $110.86
New patient office visit (about 30–44 minutes): 10 of 53 insurance plan rates Loren Cook — Commercial: $103.73 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $110.86 SRC Holdings Corporation — Commercial: $106.63 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN	$405.52	$92.05	$131.27 – $140.30
New patient office visit (about 45–59 minutes): 10 of 53 insurance plan rates Loren Cook — Commercial: $131.27 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $140.30 SRC Holdings Corporation — Commercial: $134.96 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN	$527.16	$119.67	$186.90 – $199.75
New patient office visit (about 60–74 minutes): 10 of 53 insurance plan rates Loren Cook — Commercial: $186.90 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $199.75 SRC Holdings Corporation — Commercial: $192.14 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN	$130.80	$29.69	$79.72 – $85.20
Established patient office visit (about 20–29 minutes): 10 of 53 insurance plan rates Loren Cook — Commercial: $79.72 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $85.20 SRC Holdings Corporation — Commercial: $81.96 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (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	$396.09	$89.91	$79.72 – $85.20
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates Loren Cook — Commercial: $79.72 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $85.20 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount) BJC Health Solutions — Commercial: 85% (a percentage in the contract, not a dollar amount) City of Lebanon — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN	$220.65	$50.09	$103.73 – $291.13
Established patient office visit (about 30–39 minutes): 10 of 62 insurance plan rates APS Healthcare — Behavioral Health: $145 Beacon Health — Commercial: $200 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 E4 Health Inc — Commercial: $180 Humana — Behavioral Health: $125 Loren Cook — Commercial: $103.73 Mercy Managed — Behavioral Health: $291.13 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $110.86 SRC Holdings Corporation — Commercial: $106.63
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	$547.44	$124.27	$103.73 – $110.86
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates Loren Cook — Commercial: $103.73 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $110.86 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount) BJC Health Solutions — Commercial: 85% (a percentage in the contract, not a dollar amount) City of Lebanon — Commercial: 85% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$338.34	$76.80	Not listed in the file
Office consultation with a specialist (moderate): 10 of 53 insurance plan rates Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$533.62	$121.13	Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 53 insurance plan rates Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$277.85	$63.07	$158.02 – $311.80
Emergency room visit (moderate): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $300.14 Anthem — Medicare Advantage: $295.77 Cox HealthPlans — Medicare Advantage: $291.40 Devoted — Commercial: $311.80 Health Net Federal Services — Tricare: $291.40 Humana — Medicare Advantage: $291.40 Loren Cook — Commercial: $158.02 MedRisk LLC — Commercial: $291.40 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $168.89 SRC Holdings Corporation — Commercial: $162.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$1,377.54	$312.70	$158.02 – $311.80
Emergency room visit (moderate): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $300.14 Anthem — Medicare Advantage: $295.77 Cox HealthPlans — Medicare Advantage: $291.40 Devoted — Commercial: $311.80 Health Net Federal Services — Tricare: $291.40 Humana — Medicare Advantage: $291.40 Loren Cook — Commercial: $158.02 MedRisk LLC — Commercial: $291.40 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $168.89 SRC Holdings Corporation — Commercial: $162.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,377.54	$312.70	$291.40 – $1,377.54
Emergency room visit (moderate): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $300.14 Anthem — Medicare Advantage: $295.77 Cox HealthPlans — Medicare Advantage: $291.40 Devoted — Commercial: $311.80 Health Net Federal Services — Tricare: $291.40 Humana — Medicare Advantage: $291.40 Loren Cook — Commercial: $1,377.54 MedRisk LLC — Commercial: $291.40 United Healthcare — Medicare: $291.40 United Healthcare — VA CCN: $291.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$2,199.76	$499.35	$251.86 – $476.60
Emergency room visit (moderately high): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $458.78 Anthem — Medicare Advantage: $452.10 Cox HealthPlans — Medicare Advantage: $445.42 Devoted — Commercial: $476.60 Health Net Federal Services — Tricare: $445.42 Humana — Medicare Advantage: $445.42 Loren Cook — Commercial: $251.86 MedRisk LLC — Commercial: $445.42 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $269.19 SRC Holdings Corporation — Commercial: $258.93
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$448.26	$101.76	$251.86 – $476.60
Emergency room visit (moderately high): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $458.78 Anthem — Medicare Advantage: $452.10 Cox HealthPlans — Medicare Advantage: $445.42 Devoted — Commercial: $476.60 Health Net Federal Services — Tricare: $445.42 Humana — Medicare Advantage: $445.42 Loren Cook — Commercial: $251.86 MedRisk LLC — Commercial: $445.42 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $269.19 SRC Holdings Corporation — Commercial: $258.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	$3,322.48	$754.20	$374.39 – $680.22
Emergency room visit (high): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $654.79 Anthem — Medicare Advantage: $645.26 Cox HealthPlans — Medicare Advantage: $635.72 Devoted — Commercial: $680.22 Health Net Federal Services — Tricare: $635.72 Humana — Medicare Advantage: $635.72 Loren Cook — Commercial: $374.39 MedRisk LLC — Commercial: $635.72 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $400.15 SRC Holdings Corporation — Commercial: $384.91
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM	$679.32	$154.21	$374.39 – $680.22
Emergency room visit (high): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $654.79 Anthem — Medicare Advantage: $645.26 Cox HealthPlans — Medicare Advantage: $635.72 Devoted — Commercial: $680.22 Health Net Federal Services — Tricare: $635.72 Humana — Medicare Advantage: $635.72 Loren Cook — Commercial: $374.39 MedRisk LLC — Commercial: $635.72 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $400.15 SRC Holdings Corporation — Commercial: $384.91

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: METABOLIC PANEL TOTAL CA	$222.41	$50.49	$8.46 – $98.69
Basic metabolic panel (blood test): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8.71 Anthem — Blue Access: $98.69 Anthem — Blue Preferred: $85.18 Anthem — Blue Traditional: $98.69 Anthem — Medicare Advantage: $8.59 Anthem — Pathway/Pathway X: $50.69 Cox HealthPlans — Medicare Advantage: $8.46 Devoted — Commercial: $9.05 Health Net Federal Services — Tricare: $8.46 Humana — Medicare Advantage: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$392.50	$89.10	$10.56 – $123.28
Comprehensive metabolic panel (blood test): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $10.88 Anthem — Blue Access: $123.28 Anthem — Blue Preferred: $106.39 Anthem — Blue Traditional: $123.28 Anthem — Medicare Advantage: $10.72 Anthem — Pathway/Pathway X: $63.32 Cox HealthPlans — Medicare Advantage: $10.56 Devoted — Commercial: $11.30 Health Net Federal Services — Tricare: $10.56 Humana — Medicare Advantage: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC BLOOD TEST PANEL	$595.37	$135.15	$47.81 – $557.93
Obstetric blood test panel: 10 of 60 insurance plan rates Anthem — Blue Access: $557.93 Anthem — Blue Preferred: $481.51 Anthem — Blue Traditional: $557.93 Anthem — Pathway/Pathway X: $286.57 Cox HealthPlans — Medicare Advantage: $47.81 Devoted — Commercial: $51.16 Humana — Medicare Advantage: $47.81 Loren Cook — Commercial: $266.44 MedRisk LLC — Commercial: $47.81 United Healthcare — Medicare: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$164.23	$37.28	$13.39 – $156.29
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $13.79 Anthem — Blue Access: $156.29 Anthem — Blue Preferred: $134.88 Anthem — Blue Traditional: $156.29 Anthem — Medicare Advantage: $13.59 Anthem — Pathway/Pathway X: $80.27 Cox HealthPlans — Medicare Advantage: $13.39 Devoted — Commercial: $14.33 Health Net Federal Services — Tricare: $13.39 Humana — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$204.40	$46.40	$13.39 – $156.29
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $13.79 Anthem — Blue Access: $156.29 Anthem — Blue Preferred: $134.88 Anthem — Blue Traditional: $156.29 Anthem — Medicare Advantage: $13.59 Anthem — Pathway/Pathway X: $80.27 Cox HealthPlans — Medicare Advantage: $13.39 Devoted — Commercial: $14.33 Health Net Federal Services — Tricare: $13.39 Humana — Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$215.77	$48.98	$8.68 – $101.33
Kidney function panel: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8.94 Anthem — Blue Access: $101.33 Anthem — Blue Preferred: $87.45 Anthem — Blue Traditional: $101.33 Anthem — Medicare Advantage: $8.81 Anthem — Pathway/Pathway X: $52.05 Cox HealthPlans — Medicare Advantage: $8.68 Devoted — Commercial: $9.29 Health Net Federal Services — Tricare: $8.68 Humana — Medicare Advantage: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$222.41	$50.49	$8.17 – $95.37
Liver function panel: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8.42 Anthem — Blue Access: $95.37 Anthem — Blue Preferred: $82.31 Anthem — Blue Traditional: $95.37 Anthem — Medicare Advantage: $8.29 Anthem — Pathway/Pathway X: $48.98 Cox HealthPlans — Medicare Advantage: $8.17 Devoted — Commercial: $8.74 Health Net Federal Services — Tricare: $8.17 Humana — Medicare Advantage: $8.17
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	$116.75	$26.50	$3.17 – $37.01
Urine test (automated, with microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $3.27 Anthem — Blue Access: $37.01 Anthem — Blue Preferred: $31.94 Anthem — Blue Traditional: $37.01 Anthem — Medicare Advantage: $3.22 Anthem — Pathway/Pathway X: $19.01 Cox HealthPlans — Medicare Advantage: $3.17 Devoted — Commercial: $3.39 Health Net Federal Services — Tricare: $3.17 Humana — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$37.26	$8.46	$3.48 – $24.33
Urine test (manual, without microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $3.58 Anthem — Blue Access: $24.33 Anthem — Blue Preferred: $20.99 Anthem — Blue Traditional: $24.33 Anthem — Medicare Advantage: $3.53 Anthem — Pathway/Pathway X: $12.50 Cox HealthPlans — Medicare Advantage: $3.48 Devoted — Commercial: $3.72 Health Net Federal Services — Tricare: $3.48 Humana — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$63.27	$14.36	$2.25 – $24.33
Urine test (automated, without microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $2.32 Anthem — Blue Access: $24.33 Anthem — Blue Preferred: $20.99 Anthem — Blue Traditional: $24.33 Anthem — Medicare Advantage: $2.28 Anthem — Pathway/Pathway X: $12.50 Cox HealthPlans — Medicare Advantage: $2.25 Devoted — Commercial: $2.41 Health Net Federal Services — Tricare: $2.25 Humana — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$11.02	$2.50	$2.25 – $24.33
Urine test (automated, without microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $2.32 Anthem — Blue Access: $24.33 Anthem — Blue Preferred: $20.99 Anthem — Blue Traditional: $24.33 Anthem — Medicare Advantage: $2.28 Anthem — Pathway/Pathway X: $12.50 Cox HealthPlans — Medicare Advantage: $2.25 Devoted — Commercial: $2.41 Health Net Federal Services — Tricare: $2.25 Humana — Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$185.15	$42.03	$18.39 – $214.65
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $18.94 Anthem — Blue Access: $214.65 Anthem — Blue Preferred: $185.25 Anthem — Blue Traditional: $214.65 Anthem — Medicare Advantage: $18.67 Anthem — Pathway/Pathway X: $110.25 Cox HealthPlans — Medicare Advantage: $18.39 Devoted — Commercial: $19.68 Health Net Federal Services — Tricare: $18.39 Humana — Medicare Advantage: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$191.21	$43.40	$16.80 – $196.10
Thyroid stimulating hormone (TSH) test: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $17.30 Anthem — Blue Access: $196.10 Anthem — Blue Preferred: $169.24 Anthem — Blue Traditional: $196.10 Anthem — Medicare Advantage: $17.05 Anthem — Pathway/Pathway X: $100.72 Cox HealthPlans — Medicare Advantage: $16.80 Devoted — Commercial: $17.98 Health Net Federal Services — Tricare: $16.80 Humana — Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$145.92	$33.12	$7.77 – $90.69
Complete blood count (CBC) with differential: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8 Anthem — Blue Access: $90.69 Anthem — Blue Preferred: $78.27 Anthem — Blue Traditional: $90.69 Anthem — Medicare Advantage: $7.89 Anthem — Pathway/Pathway X: $46.58 Cox HealthPlans — Medicare Advantage: $7.77 Devoted — Commercial: $8.31 Health Net Federal Services — Tricare: $7.77 Humana — Medicare Advantage: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$132.25	$30.02	$6.47 – $75.46
Complete blood count (CBC), automated: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $6.66 Anthem — Blue Access: $75.46 Anthem — Blue Preferred: $65.13 Anthem — Blue Traditional: $75.46 Anthem — Medicare Advantage: $6.57 Anthem — Pathway/Pathway X: $38.76 Cox HealthPlans — Medicare Advantage: $6.47 Devoted — Commercial: $6.92 Health Net Federal Services — Tricare: $6.47 Humana — Medicare Advantage: $6.47
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	$132.25	$30.02	$6.47 – $6.92
Complete blood count (CBC), automated: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $6.66 Anthem — Medicare Advantage: $6.57 Cox HealthPlans — Medicare Advantage: $6.47 Devoted — Commercial: $6.92 Health Net Federal Services — Tricare: $6.47 Humana — Medicare Advantage: $6.47 MedRisk LLC — Commercial: $6.47 United Healthcare — Medicare: $6.47 United Healthcare — VA CCN: $6.47 Advanced Concrete Technology — Commercial: 85% (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	$82.19	$18.66	$4.29 – $45.86
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $4.42 Anthem — Blue Access: $45.86 Anthem — Blue Preferred: $39.57 Anthem — Blue Traditional: $45.86 Anthem — Medicare Advantage: $4.35 Anthem — Pathway/Pathway X: $23.55 Cox HealthPlans — Medicare Advantage: $4.29 Devoted — Commercial: $4.59 Health Net Federal Services — Tricare: $4.29 Humana — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$36.99	$8.40	$4.29 – $45.86
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $4.42 Anthem — Blue Access: $45.86 Anthem — Blue Preferred: $39.57 Anthem — Blue Traditional: $45.86 Anthem — Medicare Advantage: $4.35 Anthem — Pathway/Pathway X: $23.55 Cox HealthPlans — Medicare Advantage: $4.29 Devoted — Commercial: $4.59 Health Net Federal Services — Tricare: $4.29 Humana — Medicare Advantage: $4.29
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	$144.92	$32.90	$6.01 – $70.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $6.19 Anthem — Blue Access: $70.10 Anthem — Blue Preferred: $60.50 Anthem — Blue Traditional: $70.10 Anthem — Medicare Advantage: $6.10 Anthem — Pathway/Pathway X: $36.01 Cox HealthPlans — Medicare Advantage: $6.01 Devoted — Commercial: $6.43 Health Net Federal Services — Tricare: $6.01 Humana — Medicare Advantage: $6.01

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	$2,525.76	$573.35	$111.60 – $906.11
CT scan of the head or brain, without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $906.11 Anthem — Blue Preferred: $492.40 Anthem — Blue Traditional: $906.11 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $296.04 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
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	$2,525.76	$573.35	$111.60 – $906.11
CT scan of the head or brain, without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $906.11 Anthem — Blue Preferred: $492.40 Anthem — Blue Traditional: $906.11 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $296.04 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
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	$4,599.50	$1,044.09	$372.42 – $4,210.81
MRI of the brain, before and after contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $383.59 Anthem — Blue Access: $4,210.81 Anthem — Blue Preferred: $1,771.01 Anthem — Blue Traditional: $4,210.81 Anthem — Medicare Advantage: $378.01 Anthem — Pathway/Pathway X: $1,061.83 Cox HealthPlans — Medicare Advantage: $372.42 Devoted — Commercial: $398.49 Health Net Federal Services — Tricare: $372.42 Humana — Medicare Advantage: $372.42
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	$4,599.50	$1,044.09	$372.42 – $4,210.81
MRI of the brain, before and after contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $383.59 Anthem — Blue Access: $4,210.81 Anthem — Blue Preferred: $1,771.01 Anthem — Blue Traditional: $4,210.81 Anthem — Medicare Advantage: $378.01 Anthem — Pathway/Pathway X: $1,061.83 Cox HealthPlans — Medicare Advantage: $372.42 Devoted — Commercial: $398.49 Health Net Federal Services — Tricare: $372.42 Humana — Medicare Advantage: $372.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$467.28	$106.07	$92.27 – $158.71
Chest X-ray, 2 views: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $95.68 Anthem — Blue Access: $158.71 Anthem — Blue Preferred: $151.74 Anthem — Blue Traditional: $158.71 Anthem — Medicare Advantage: $94.28 Anthem — Pathway/Pathway X: $92.27 Cox HealthPlans — Medicare Advantage: $92.89 Devoted — Commercial: $99.39 Health Net Federal Services — Tricare: $92.89 Humana — Medicare Advantage: $92.89
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	$731.70	$166.10	$86.04 – $266.77
X-ray of the lower spine, at least 4 views: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $266.77 Anthem — Blue Preferred: $255.05 Anthem — Blue Traditional: $266.77 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $155.10 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
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	$731.70	$166.10	$111.60 – $266.77
X-ray of the lower spine, at least 4 views: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $266.77 Anthem — Blue Preferred: $255.05 Anthem — Blue Traditional: $266.77 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $155.10 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
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	$3,362.38	$763.26	$254.71 – $2,387.46
MRI of the lower back (lumbar spine), without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $262.35 Anthem — Blue Access: $2,387.46 Anthem — Blue Preferred: $1,004.14 Anthem — Blue Traditional: $2,387.46 Anthem — Medicare Advantage: $258.53 Anthem — Pathway/Pathway X: $602.04 Cox HealthPlans — Medicare Advantage: $254.71 Devoted — Commercial: $272.54 Health Net Federal Services — Tricare: $254.71 Humana — Medicare Advantage: $254.71
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	$3,362.38	$763.26	$254.71 – $2,387.46
MRI of the lower back (lumbar spine), without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $262.35 Anthem — Blue Access: $2,387.46 Anthem — Blue Preferred: $1,004.14 Anthem — Blue Traditional: $2,387.46 Anthem — Medicare Advantage: $258.53 Anthem — Pathway/Pathway X: $602.04 Cox HealthPlans — Medicare Advantage: $254.71 Devoted — Commercial: $272.54 Health Net Federal Services — Tricare: $254.71 Humana — Medicare Advantage: $254.71
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST	$2,918.97	$662.61	$187.23 – $2,075.68
CT scan of the pelvis, with contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $192.85 Anthem — Blue Access: $2,075.68 Anthem — Blue Preferred: $1,127.96 Anthem — Blue Traditional: $2,075.68 Anthem — Medicare Advantage: $190.04 Anthem — Pathway/Pathway X: $678.16 Cox HealthPlans — Medicare Advantage: $187.23 Devoted — Commercial: $200.34 Health Net Federal Services — Tricare: $187.23 Humana — Medicare Advantage: $187.23
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	$2,918.97	$662.61	$187.23 – $2,075.68
CT scan of the pelvis, with contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $192.85 Anthem — Blue Access: $2,075.68 Anthem — Blue Preferred: $1,127.96 Anthem — Blue Traditional: $2,075.68 Anthem — Medicare Advantage: $190.04 Anthem — Pathway/Pathway X: $678.16 Cox HealthPlans — Medicare Advantage: $187.23 Devoted — Commercial: $200.34 Health Net Federal Services — Tricare: $187.23 Humana — Medicare Advantage: $187.23
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	$3,129	$710.28	$254.71 – $2,706.90
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $262.35 Anthem — Blue Access: $2,706.90 Anthem — Blue Preferred: $1,138.49 Anthem — Blue Traditional: $2,706.90 Anthem — Medicare Advantage: $258.53 Anthem — Pathway/Pathway X: $682.60 Cox HealthPlans — Medicare Advantage: $254.71 Devoted — Commercial: $272.54 Health Net Federal Services — Tricare: $254.71 Humana — Medicare Advantage: $254.71
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$3,129	$710.28	$254.71 – $272.54
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $262.35 Anthem — Medicare Advantage: $258.53 Cox HealthPlans — Medicare Advantage: $254.71 Devoted — Commercial: $272.54 Health Net Federal Services — Tricare: $254.71 Humana — Medicare Advantage: $254.71 MedRisk LLC — Commercial: $254.71 United Healthcare — Medicare: $254.71 United Healthcare — VA CCN: $254.71 Advanced Concrete Technology — Commercial: 85% (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 TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$3,129	$710.28	$254.71 – $2,706.90
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $262.35 Anthem — Blue Access: $2,706.90 Anthem — Blue Preferred: $1,138.49 Anthem — Blue Traditional: $2,706.90 Anthem — Medicare Advantage: $258.53 Anthem — Pathway/Pathway X: $682.60 Cox HealthPlans — Medicare Advantage: $254.71 Devoted — Commercial: $272.54 Health Net Federal Services — Tricare: $254.71 Humana — Medicare Advantage: $254.71
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	$5,695.18	$1,292.81	$372.42 – $2,722.05
CT scan of the abdomen and pelvis, with contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $383.59 Anthem — Blue Access: $2,722.05 Anthem — Blue Preferred: $1,479.20 Anthem — Blue Traditional: $2,722.05 Anthem — Medicare Advantage: $378.01 Anthem — Pathway/Pathway X: $889.35 Cox HealthPlans — Medicare Advantage: $372.42 Devoted — Commercial: $398.49 Health Net Federal Services — Tricare: $372.42 Humana — Medicare Advantage: $372.42
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	$5,695.18	$1,292.81	$372.42 – $2,722.05
CT scan of the abdomen and pelvis, with contrast: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $383.59 Anthem — Blue Access: $2,722.05 Anthem — Blue Preferred: $1,479.20 Anthem — Blue Traditional: $2,722.05 Anthem — Medicare Advantage: $378.01 Anthem — Pathway/Pathway X: $889.35 Cox HealthPlans — Medicare Advantage: $372.42 Devoted — Commercial: $398.49 Health Net Federal Services — Tricare: $372.42 Humana — Medicare Advantage: $372.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$1,333.68	$302.75	$111.60 – $667.97
Ultrasound of the abdomen, complete: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $667.97 Anthem — Blue Preferred: $638.63 Anthem — Blue Traditional: $667.97 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $388.37 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$1,333.68	$302.75	$111.60 – $667.97
Ultrasound of the abdomen, complete: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $667.97 Anthem — Blue Preferred: $638.63 Anthem — Blue Traditional: $667.97 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $388.37 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	$786.76	$178.59	$111.60 – $751.08
Pregnancy ultrasound (after the first trimester): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $751.08 Anthem — Blue Preferred: $718.09 Anthem — Blue Traditional: $751.08 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $436.69 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
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	$886.40	$201.21	$111.60 – $713.86
Transvaginal ultrasound: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $713.86 Anthem — Blue Preferred: $682.51 Anthem — Blue Traditional: $713.86 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $415.05 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
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	$886.40	$201.21	$111.60 – $713.86
Transvaginal ultrasound: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $114.95 Anthem — Blue Access: $713.86 Anthem — Blue Preferred: $682.51 Anthem — Blue Traditional: $713.86 Anthem — Medicare Advantage: $113.27 Anthem — Pathway/Pathway X: $415.05 Cox HealthPlans — Medicare Advantage: $111.60 Devoted — Commercial: $119.41 Health Net Federal Services — Tricare: $111.60 Humana — Medicare Advantage: $111.60
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$408.26	$92.68	$441.69 – $759.68
Diagnostic mammogram, one breast: 10 of 54 insurance plan rates Anthem — Blue Access: $759.68 Anthem — Blue Preferred: $726.30 Anthem — Blue Traditional: $759.68 Anthem — Pathway/Pathway X: $441.69 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$408.26	$92.68	$441.69 – $759.68
Diagnostic mammogram, one breast: 10 of 54 insurance plan rates Anthem — Blue Access: $759.68 Anthem — Blue Preferred: $726.30 Anthem — Blue Traditional: $759.68 Anthem — Pathway/Pathway X: $441.69 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$408.26	$92.68	Not listed in the file
Diagnostic mammogram, one breast: 10 of 54 insurance plan rates Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$612.39	$139.01	$565.01 – $971.78
Diagnostic mammogram, both breasts: 10 of 54 insurance plan rates Anthem — Blue Access: $971.78 Anthem — Blue Preferred: $929.10 Anthem — Blue Traditional: $971.78 Anthem — Pathway/Pathway X: $565.01 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$612.39	$139.01	$565.01 – $971.78
Diagnostic mammogram, both breasts: 10 of 54 insurance plan rates Anthem — Blue Access: $971.78 Anthem — Blue Preferred: $929.10 Anthem — Blue Traditional: $971.78 Anthem — Pathway/Pathway X: $565.01 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY	$678.66	$154.06	$466.71 – $802.73
Screening mammogram, both breasts: 10 of 54 insurance plan rates Anthem — Blue Access: $802.73 Anthem — Blue Preferred: $767.47 Anthem — Blue Traditional: $802.73 Anthem — Pathway/Pathway X: $466.71 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY	$678.66	$154.06	$466.71 – $802.73
Screening mammogram, both breasts: 10 of 54 insurance plan rates Anthem — Blue Access: $802.73 Anthem — Blue Preferred: $767.47 Anthem — Blue Traditional: $802.73 Anthem — Pathway/Pathway X: $466.71 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 90% (a percentage in the contract, not a dollar amount) Arkansas BCBS — Medicare Advantage: 100% (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	$15,945.96	$3,619.73	$3,460.67 – $3,702.92
Left heart catheterization (diagnostic): 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $3,564.49 Anthem — Medicare Advantage: $3,512.58 Cox HealthPlans — Medicare Advantage: $3,460.67 Devoted — Commercial: $3,702.92 Health Net Federal Services — Tricare: $3,460.67 Humana — Medicare Advantage: $3,460.67 MedRisk LLC — Commercial: $3,460.67 United Healthcare — Medicare: $3,460.67 United Healthcare — VA CCN: $3,460.67 Advanced Concrete Technology — Commercial: 85% (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	$16,523.04	$3,750.73	$3,768.02 – $8,908.75
Heart rhythm study (electrophysiology evaluation): 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $8,575.71 Anthem — Medicare Advantage: $8,450.82 Cox HealthPlans — Medicare Advantage: $8,325.93 Devoted — Commercial: $8,908.75 Health Net Federal Services — Tricare: $8,325.93 Humana — Medicare Advantage: $8,325.93 Loren Cook — Commercial: $3,768.02 MedRisk LLC — Commercial: $8,325.93 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $4,027.26 SRC Holdings Corporation — Commercial: $3,873.84
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	$50,605.02	$11,487.34	$27,901.45 – $29,854.55
Heart rhythm study with ablation for atrial fibrillation: 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $28,738.49 Anthem — Medicare Advantage: $28,319.97 Cox HealthPlans — Medicare Advantage: $27,901.45 Devoted — Commercial: $29,854.55 Health Net Federal Services — Tricare: $27,901.45 Humana — Medicare Advantage: $27,901.45 MedRisk LLC — Commercial: $27,901.45 United Healthcare — Medicare: $27,901.45 United Healthcare — VA CCN: $27,901.45 Advanced Concrete Technology — Commercial: 85% (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	$5,841.18	$1,325.95	$871.98 – $980.85
Sleep study (overnight, in a sleep lab): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $944.18 Anthem — Medicare Advantage: $930.43 Cox HealthPlans — Medicare Advantage: $916.68 Devoted — Commercial: $980.85 Health Net Federal Services — Tricare: $916.68 Humana — Medicare Advantage: $916.68 Loren Cook — Commercial: $871.98 MedRisk LLC — Commercial: $916.68 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $931.97 SRC Holdings Corporation — Commercial: $896.46

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	$146.30	$33.21	$120
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 56 insurance plan rates MedRisk LLC — Commercial: $120 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount) Arkansas - Managed Care Organization (AMCO) — MCO: 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	$156.68	$35.57	$120 – $375
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 56 insurance plan rates Cigna — Commercial: $375 MedRisk LLC — Commercial: $120 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 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: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$310	$70.37	$100 – $326
Physical therapy evaluation (low complexity): 10 of 56 insurance plan rates Cigna — Commercial: $326 MedRisk LLC — Commercial: $100 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (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: PT EVAL MOD COMPLEX 30 MIN	$326.56	$74.13	$100 – $326
Physical therapy evaluation (moderate complexity): 10 of 56 insurance plan rates Cigna — Commercial: $326 MedRisk LLC — Commercial: $100 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (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: PT EVAL HIGH COMPLEX 45 MIN	$422.24	$95.85	$100 – $326
Physical therapy evaluation (high complexity): 10 of 56 insurance plan rates Cigna — Commercial: $326 MedRisk LLC — Commercial: $100 Advanced Concrete Technology — Commercial: 85% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 85% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 85% (a percentage in the contract, not a dollar amount) Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount) Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount) Anthem — Blue Traditional: 88% (a percentage in the contract, not a dollar amount) Anthem — Pathway/Pathway X: 72% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 85% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES	$253.67	$57.58	$118 – $220
Psychotherapy, 30 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $195.16 Anthem — Medicare Advantage: $192.32 APS Healthcare — Behavioral Health: $145 Beacon Health — Commercial: $200 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $189.48 Devoted — Commercial: $202.74 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $189.48
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES	$298.52	$67.76	$118 – $220
Psychotherapy, 45 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $195.16 Anthem — Medicare Advantage: $192.32 APS Healthcare — Behavioral Health: $145 Beacon Health — Commercial: $200 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $189.48 Devoted — Commercial: $202.74 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $189.48
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES	$326.07	$74.02	$118 – $220
Psychotherapy, 60 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $195.16 Anthem — Medicare Advantage: $192.32 APS Healthcare — Behavioral Health: $145 Beacon Health — Commercial: $200 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $189.48 Devoted — Commercial: $202.74 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $189.48
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN	$387.23	$87.90	$189.48 – $202.86
Family psychotherapy, without the patient: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $195.16 Anthem — Medicare Advantage: $192.32 Cox HealthPlans — Medicare Advantage: $189.48 Devoted — Commercial: $202.74 Health Net Federal Services — Tricare: $189.48 Humana — Medicare Advantage: $189.48 Loren Cook — Commercial: $189.80 MedRisk LLC — Commercial: $189.48 Missouri Affiliated School Consortium (MASC) — Missouri Affiliated School Consortium (MASC): $202.86 SRC Holdings Corporation — Commercial: $195.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN	$432.46	$98.17	$118 – $220
Family psychotherapy, with the patient: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $195.16 Anthem — Medicare Advantage: $192.32 APS Healthcare — Behavioral Health: $145 Beacon Health — Commercial: $200 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $189.48 Devoted — Commercial: $202.74 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $189.48
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY	$201.18	$45.67	$74.83 – $404.22
Group psychotherapy: 10 of 71 insurance plan rates Allwell — Arkansas Health and Wellness: $111.70 Anthem — Medicare Advantage: $110.08 APS Healthcare — Behavioral Health: $240 Beacon Health — Commercial: $250 Cigna — Behavioral Health: $299 ComPsych — Workers Compensation: $135 Cox HealthPlans — Medicare Advantage: $108.45 Devoted — Commercial: $116.04 E4 Health Inc — Commercial: $250 Health Net Federal Services — Tricare: $108.45

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$1,309.42	$297.24	$753.51 – $4,935
Spinal injection, lower back (epidural), with imaging guidance: 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $776.12 Anthem — Medicare Advantage: $764.81 Anthem — Pathway/Pathway X: $4,935 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $753.51 Devoted — Commercial: $806.26 Health Net Federal Services — Tricare: $753.51 Humana — Medicare Advantage: $753.51 Loren Cook — Commercial: $1,309.42 MedRisk LLC — Commercial: $753.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$2,909.83	$660.53	$753.51 – $4,935
Spinal injection, lower back (epidural), with imaging guidance: 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $776.12 Anthem — Medicare Advantage: $764.81 Anthem — Pathway/Pathway X: $4,935 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $753.51 Devoted — Commercial: $806.26 Health Net Federal Services — Tricare: $753.51 Humana — Medicare Advantage: $753.51 Loren Cook — Commercial: $2,909.83 MedRisk LLC — Commercial: $753.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,556.43	$353.31	$547.61 – $4,935
Nerve root injection, lower back, with imaging guidance: 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $972.47 Anthem — Medicare Advantage: $958.31 Anthem — Pathway/Pathway X: $4,935 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $944.15 Devoted — Commercial: $1,010.24 Health Net Federal Services — Tricare: $944.15 Humana — Medicare Advantage: $944.15 Loren Cook — Commercial: $547.61 MedRisk LLC — Commercial: $944.15
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	$3,458.73	$785.13	$547.61 – $4,935
Nerve root injection, lower back, with imaging guidance: 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $972.47 Anthem — Medicare Advantage: $958.31 Anthem — Pathway/Pathway X: $4,935 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $944.15 Devoted — Commercial: $1,010.24 Health Net Federal Services — Tricare: $944.15 Humana — Medicare Advantage: $944.15 Loren Cook — Commercial: $547.61 MedRisk LLC — Commercial: $944.15
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,334.65	$529.97	$1,416.23 – $4,935
Nerve root injection, lower back, with imaging guidance: 10 of 64 insurance plan rates Allwell — Arkansas Health and Wellness: $1,458.72 Anthem — Medicare Advantage: $1,437.47 Anthem — Pathway/Pathway X: $4,935 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $1,416.23 Devoted — Commercial: $1,515.37 Health Net Federal Services — Tricare: $1,416.23 Humana — Medicare Advantage: $1,416.23 Loren Cook — Commercial: $2,334.65 MedRisk LLC — Commercial: $1,416.23

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	$59,461.75 – $79,246.45
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 27 insurance plan rates Allwell — Arkansas Health and Wellness: $76,283.96 Anthem — Medicare Advantage: $75,173.03 Arkansas BCBS — Medicare Advantage: $74,062.10 Centene Wellcare — Medicare Advantage: $77,765.21 Cox HealthPlans — EPO: $59,461.75 Cox HealthPlans — Medicare Advantage: $74,062.10 Devoted — Commercial: $79,246.45 Health Net Federal Services — Tricare: $74,062.10 Humana — Medicare Advantage: $74,062.10 MedRisk LLC — Commercial: $74,062.10
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 COMORBITY	Not listed in the file	Not listed in the file	$11,528.67 – $17,440.06
Hip or knee replacement (major joint of the leg), without major complications: 10 of 27 insurance plan rates Allwell — Arkansas Health and Wellness: $16,788.09 Anthem — Medicare Advantage: $16,543.61 Arkansas BCBS — Medicare Advantage: $16,299.12 Centene Wellcare — Medicare Advantage: $17,114.08 Cox HealthPlans — EPO: $11,528.67 Cox HealthPlans — Medicare Advantage: $16,299.12 Devoted — Commercial: $17,440.06 Health Net Federal Services — Tricare: $16,299.12 Humana — Medicare Advantage: $16,299.12 MedRisk LLC — Commercial: $16,299.12
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	$15,075.43 – $21,472.39
Neck (cervical) spinal fusion, without complications: 10 of 27 insurance plan rates Allwell — Arkansas Health and Wellness: $20,669.68 Anthem — Medicare Advantage: $20,368.66 Arkansas BCBS — Medicare Advantage: $20,067.65 Centene Wellcare — Medicare Advantage: $21,071.03 Cox HealthPlans — EPO: $15,075.43 Cox HealthPlans — Medicare Advantage: $20,067.65 Devoted — Commercial: $21,472.39 Health Net Federal Services — Tricare: $20,067.65 Humana — Medicare Advantage: $20,067.65 MedRisk LLC — Commercial: $20,067.65
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	$7,119.26 – $12,024.26
Uterus and ovary surgery (not for cancer), without complications: 10 of 27 insurance plan rates Allwell — Arkansas Health and Wellness: $11,574.76 Anthem — Medicare Advantage: $11,406.19 Arkansas BCBS — Medicare Advantage: $11,237.63 Centene Wellcare — Medicare Advantage: $11,799.51 Cox HealthPlans — EPO: $7,119.26 Cox HealthPlans — Medicare Advantage: $11,237.63 Devoted — Commercial: $12,024.26 Health Net Federal Services — Tricare: $11,237.63 Humana — Medicare Advantage: $11,237.63 MedRisk LLC — Commercial: $11,237.63

Source: Cox Medical Center Branson’s standard charges file (cdn.coxhealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 24, 2026; retrieved November 5, 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	525 Branson Landing Blvd, PO Box 650, Branson, MO 65615
County	Taney County
State	Missouri
Phone	(417) 335‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	260094
Name in Medicare records	COX MEDICAL CENTER BRANSON
Profile level	Medicare data + hospital website
Official website	coxhealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

CoxHealth | Cox Medical Center Branson — coxhealth.com
CoxHealth | Award-Winning Care at Branson — coxhealth.com
CoxHealth | Visiting Hours and Guidelines — coxhealth.com

Cox Medical Center Branson

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[3]

Programs and centers^[4]

Emergency care (hospital website)^[3]

Visiting and practical information

Recognition^[4]

Doctors and clinicians (548)

Main specialties

Doctors with a page on this site (548)

Other hospitals near Branson

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

Medicare payment programs

Hospital-Acquired Condition Reduction Program

Hospital Readmissions Reduction Program

Hospital Value-Based Purchasing Program

Medicare spending per patient (MSPB)

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Cox Medical Center Branson

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[3]

Programs and centers[4]

Emergency care (hospital website)[3]

Visiting and practical information

Recognition[4]

Doctors and clinicians (548)

Main specialties

Doctors with a page on this site (548)

Other hospitals near Branson

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

Medicare payment programs

Hospital-Acquired Condition Reduction Program

Hospital Readmissions Reduction Program

Hospital Value-Based Purchasing Program

Medicare spending per patient (MSPB)

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[3]

Programs and centers^[4]

Emergency care (hospital website)^[3]

Recognition^[4]