Does Cox Medical Centers have an emergency room?

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

Where is Cox Medical Centers?

3801 South National Avenue, Springfield, MO 65807, in Greene County, Missouri.

What is the phone number of Cox Medical Centers?

(417) 269-6000, as listed by Medicare (CMS).

What is the Medicare star rating of Cox Medical Centers?

3 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 Centers for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cox Medical Centers under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1253; 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 Centers — Phone, Address & ER

Quick answers

Does Cox Medical Centers have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cox Medical Centers. In a medical emergency, call 911.
Where is Cox Medical Centers?: 3801 South National Avenue, Springfield, MO 65807, in Greene County, Missouri.
What is the phone number of Cox Medical Centers?: (417) 269-6000, as listed by Medicare (CMS).
What is the Medicare star rating of Cox Medical Centers?: 3 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 Centers for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cox Medical Centers under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1253; 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^{[4][5][6][7][8]}

Emergency medicine
Trauma surgery
Critical care
Heart and vascular care
Surgery
Neuroscience
Neurosurgery
Stroke care
Women's and children's care
Primary care
Senior health
Nutrition services
Palliative care

Conditions treated^[6][7][8]

Stroke
Heart attack (STEMI)
Trauma and traumatic injury
ALS
Parkinson's disease

Treatments^[4][5][6][8]

Emergency and trauma care
Trauma surgery
Neurosurgery
Neurological rehabilitation
Inpatient palliative care

Programs and centers^[4][6][7][8]

Pet therapy
Music program (Musicians on Call)
Inpatient palliative care
Trauma Clinic
Injury prevention programs
Comprehensive Stroke Center program
Level 1 STEMI Center program
Jared Neuroscience Center
Dee Ann White Women's and Children's Hospital
Pastoral care
Free shuttle service

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I

Visiting and practical information

Visiting	Generally 7 a.m.-9 p.m.; exceptions in ICUs, Stepdown, Pediatrics, 700 East. Optional maternity quiet hours 2-4 p.m^[9]
Parking	Each lot has visitor parking; handicapped spaces near each entrance. ED drop-off on west side, with adjacent parking garage^[4][5]
Interpreters and languages	Interpreting services are available for patients as needed^[4]
Patient portal	MyChart

Recognition^[5][6][7][8]

Level I Trauma Center (Missouri Department of Health and Senior Services)
Comprehensive Stroke Center (DNV)
Stroke Gold Plus (American Heart Association/American Stroke Association)
Level 1 STEMI Center

Doctors and clinicians (1,195)

1,195 doctors and other clinicians list Cox Medical Centers 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

And 1,171 more: the button below opens the full list.

Other emergency rooms nearby

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

Mercy Hospital Springfield2.3 mi · Springfield, MO · Acute Care Hospital
Lakeland Behavioral Health System4.4 mi · Springfield, MO · Psychiatric Hospital
Mercy Hospital Aurora27 mi · Aurora, MO · Critical Access Hospital
Citizens Memorial Hospital34 mi · Bolivar, MO · Acute Care Hospital
Cox Monett Hospital40 mi · Monett, MO · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Springfield

Select Specialty Hospital Springfield, Inc0.7 mi · Springfield, MO · Long-Term Acute Care Hospital
Mercy Rehabilitation Hospital Springfield3.5 mi · Springfield, MO · Inpatient Rehabilitation Hospital
Perimeter Behavioral Hospital of Springfield7.2 mi · Springfield, MO · Psychiatric Hospital
Coxhealth Rehabilitation Hospital12 mi · Ozark, MO · Inpatient Rehabilitation Hospital

All hospitals in Springfield · Hospitals in Greene County · Hospitals near me

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

Cox Medical Centers Meyer Orthopedic and Surgical0.6 mi · Springfield, MO · 5 of 5 stars
Birch Pointe Health and Rehabilitation0.8 mi · Springfield, MO · 2 of 5 stars
Springfield Villa1.0 mi · Springfield, MO · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Access Hospice Care1.4 mi · Springfield, MO
Integrity Home Care + Hospice1.4 mi · Springfield, MO · 4 of 5 stars
Phoenix Home Care and Hospice1.4 mi · Springfield, MO · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Amedisys Home Health of Missouri1.4 mi · Springfield, MO · 4 of 5 stars
Integrity Home Care + Hospice1.4 mi · Springfield, MO · 3 of 5 stars
Jennifer's Home Health Agency Inc1.4 mi · Springfield, MO

All home health agencies in the state →

Dialysis facilities

FMC - Springfield Midwest1.4 mi · Springfield, MO · 2 of 5 stars
Ozarks Dialysis Services - Primrose3.1 mi · Springfield, MO
Ozarks Dialysis Services - South3.1 mi · Springfield, MO · 1 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.

Bradford Place Surgery & Laser1.4 mi · Springfield, MO
Mattax-Neu-Prater Surgery Center1.4 mi · Springfield, MO
The C. Rex Witherspoon Surgery Center, Inc.3.1 mi · Springfield, MO

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

Fordland Clinic0.2 mi · Springfield, MO · Community health center
Jordan Valley Health - ARC Primary Care Clinic2.2 mi · Springfield, MO · Community health center
Jordan Valley Community Health Center - South2.6 mi · Springfield, MO · Community health center

Clinics and urgent care

Lester E Cox Medical Centers1.4 mi · Springfield, MO · Urgent care center
Lester E Cox Medical Centers3.1 mi · Springfield, MO · Urgent care center
Mercy Southern Missouri Ambulatory Services LLC3.1 mi · Springfield, MO · Urgent care center

Pharmacies

Aids Project of the Ozarks1.4 mi · Springfield, MO · Community/retail pharmacy
Burrell, Inc.1.4 mi · Springfield, MO · Community/retail pharmacy
Grove Professional Pharmacy Inc.1.4 mi · Springfield, MO · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

Ravenwood Assisted Living1.4 mi · Springfield, MO
Spring Valley Assisted Living1.4 mi · Springfield, MO
The Fremont Senior Living1.4 mi · Springfield, MO
Cedarhurst of Springfield2.4 mi · Springfield, MO

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 Centers 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Restfulness of Environment	1 of 5 stars
Care Coordination	2 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	71%National average: 80%
Doctors “always” communicated well	72%National average: 80%
“Always” got help as soon as they wanted	55%National average: 64%
Staff “always” explained medicines before giving them	50%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	60%National average: 73%
Completed surveys	1,228Response rate: 23%

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)	0.366Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.594Better than the national benchmark
Surgical site infections after colon surgery	0.535No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.43No different from the national benchmark
MRSA bloodstream infections	0.46No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.866No different from the national benchmark

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	12.3%
Deaths within 30 days: heart failure patients	13.4%
Deaths within 30 days: pneumonia patients	12.3%
Deaths within 30 days: COPD patients	7.3%
Deaths within 30 days: stroke patients	14.1%
Deaths within 30 days: coronary bypass surgery (CABG)	2.5%
Serious complications (patient safety indicator PSI-90)	1.55Worse than the national rate
Complications after hip or knee replacement	4.3%

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)	15.5%
Readmitted within 30 days: heart attack	14.9%
Readmitted within 30 days: heart failure	19.8%
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	19.9%
Readmitted within 30 days: coronary bypass surgery	10.5%
Readmitted within 30 days: hip or knee replacement	6.1%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	222 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)	67%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 Centers, 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	0.1253Lower 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	1.1272More readmissions than expected
Heart failure	0.9736Fewer readmissions than expected
Pneumonia	0.9712Fewer readmissions than expected
COPD (chronic lung disease)	0.9484Fewer readmissions than expected
Hip or knee replacement	0.9498Fewer readmissions than expected
Coronary bypass surgery (CABG)	0.8250Fewer readmissions than expected

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	24.75 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	30.00 out of 100
Person and community engagement (patient survey)	19.00 out of 100
Safety (infections and sepsis care)	30.00 out of 100
Efficiency and cost reduction (Medicare spending)	20.00 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	0.97Below 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 Springfield Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Cox Medical Centers 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 60 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	$243.15	$61.27	$69.59 – $116.48
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates Advanced Concrete Technology — Commercial: $116.48 Allwell — Arkansas Health and Wellness: $71.68 Anthem — Medicare Advantage: $70.63 BJC Health Solutions — Commercial: $81.10 Coastal Energy Corporation — Commercial: $99.73 Cox HealthPlans — Medicare Advantage: $69.59 Devoted — Commercial: $74.46 Flora Farms — Commercial: $115.28 Health Net Federal Services — Tricare: $69.59 Heart of America Beverage Company — Commercial: $101.72
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	$332.61	$83.82	$113.65 – $147.41
New patient office visit (about 45–59 minutes): 10 of 61 insurance plan rates Advanced Concrete Technology — Commercial: $147.41 Allwell — Arkansas Health and Wellness: $117.06 Anthem — Medicare Advantage: $115.35 BJC Health Solutions — Commercial: $135.89 Coastal Energy Corporation — Commercial: $126.21 Cox HealthPlans — Medicare Advantage: $113.65 Devoted — Commercial: $121.61 Flora Farms — Commercial: $145.90 Health Net Federal Services — Tricare: $113.65 Heart of America Beverage Company — Commercial: $128.73
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	$431.78	$108.81	$104.17 – $209.87
New patient office visit (about 60–74 minutes): 10 of 61 insurance plan rates Advanced Concrete Technology — Commercial: $209.87 Allwell — Arkansas Health and Wellness: $160.35 Anthem — Medicare Advantage: $158.02 BJC Health Solutions — Commercial: $112.51 Coastal Energy Corporation — Commercial: $179.69 Cox HealthPlans — Medicare Advantage: $155.68 Devoted — Commercial: $166.58 Flora Farms — Commercial: $207.71 Health Net Federal Services — Tricare: $155.68 Heart of America Beverage Company — Commercial: $183.28
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	$32.96	$55.85 – $139.21
Established patient office visit (about 20–29 minutes): 10 of 61 insurance plan rates Advanced Concrete Technology — Commercial: $89.52 Allwell — Arkansas Health and Wellness: $57.53 Anthem — Medicare Advantage: $56.69 BJC Health Solutions — Commercial: $139.21 Coastal Energy Corporation — Commercial: $76.65 Cox HealthPlans — Medicare Advantage: $55.85 Devoted — Commercial: $59.76 Flora Farms — Commercial: $88.59 Health Net Federal Services — Tricare: $55.85 Heart of America Beverage Company — Commercial: $78.17
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	$168.03	$42.34	$55.85 – $89.52
Established patient office visit (about 20–29 minutes): 10 of 59 insurance plan rates Advanced Concrete Technology — Commercial: $89.52 Allwell — Arkansas Health and Wellness: $57.53 Anthem — Medicare Advantage: $56.69 BJC Health Solutions — Commercial: $139.21 Coastal Energy Corporation — Commercial: $76.65 Cox HealthPlans — Medicare Advantage: $55.85 Devoted — Commercial: $59.76 Flora Farms — Commercial: $88.59 Health Net Federal Services — Tricare: $55.85 Heart of America Beverage Company — Commercial: $78.17
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	$357	$89.96	$82.22 – $273
Established patient office visit (about 30–39 minutes): 10 of 71 insurance plan rates Advanced Concrete Technology — Commercial: $116.48 Allwell — Arkansas Health and Wellness: $84.69 Anthem — Medicare Advantage: $83.45 APS Healthcare — Behavioral Health: $145 BJC Health Solutions — Commercial: $199.41 Cigna — Behavioral Health: $200 Coastal Energy Corporation — Commercial: $99.73 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $82.22 Devoted — Commercial: $87.98
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	$232.23	$58.52	$82.22 – $116.48
Established patient office visit (about 30–39 minutes): 10 of 59 insurance plan rates Advanced Concrete Technology — Commercial: $116.48 Allwell — Arkansas Health and Wellness: $84.69 Anthem — Medicare Advantage: $83.45 BJC Health Solutions — Commercial: $199.41 Coastal Energy Corporation — Commercial: $99.73 Cox HealthPlans — Medicare Advantage: $82.22 Devoted — Commercial: $87.98 Flora Farms — Commercial: $115.28 Health Net Federal Services — Tricare: $82.22 Heart of America Beverage Company — Commercial: $101.72
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	$85.26	$338.34
Office consultation with a specialist (moderate): 10 of 52 insurance plan rates BJC Health Solutions — Commercial: $338.34 Advanced Concrete Technology — Commercial: 65% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 49.5% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 65% (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: 68% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Blu Current Credit Union — Commercial: 80% (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	$134.47	$533.62
Office consultation with a specialist (moderate to high): 10 of 52 insurance plan rates BJC Health Solutions — Commercial: $533.62 Advanced Concrete Technology — Commercial: 65% (a percentage in the contract, not a dollar amount) Aetna — Premier Network: 49.5% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 65% (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: 68% (a percentage in the contract, not a dollar amount) Architectural Systems Inc — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Blu Current Credit Union — Commercial: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$1,377.54	$347.14	$150.46 – $1,416
Emergency room visit (moderate): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $177.45 Allwell — Arkansas Health and Wellness: $280.24 Anthem — Medicare Advantage: $276.16 BJC Health Solutions — Commercial: $478.18 Coastal Energy Corporation — Commercial: $151.93 Cox HealthPlans — Medicare Advantage: $272.08 Devoted — Commercial: $291.13 Flora Farms — Commercial: $175.62 Health Net Federal Services — Tricare: $272.08 Heart of America Beverage Company — Commercial: $154.97
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$277.85	$70.02	$150.46 – $1,416
Emergency room visit (moderate): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $177.45 Allwell — Arkansas Health and Wellness: $280.24 Anthem — Medicare Advantage: $276.16 BJC Health Solutions — Commercial: $478.18 Coastal Energy Corporation — Commercial: $151.93 Cox HealthPlans — Medicare Advantage: $272.08 Devoted — Commercial: $291.13 Flora Farms — Commercial: $175.62 Health Net Federal Services — Tricare: $272.08 Heart of America Beverage Company — Commercial: $154.97
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$2,199.76	$554.34	$415.89 – $2,423
Emergency room visit (moderately high): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $428.37 Anthem — Medicare Advantage: $422.13 BJC Health Solutions — Commercial: $2,199.76 Cox HealthPlans — Medicare Advantage: $415.89 Devoted — Commercial: $445 Health Net Federal Services — Tricare: $415.89 Humana — Medicare Advantage: $415.89 Loren Cook — Commercial: $2,199.76 MedRisk LLC — Commercial: $415.89 Provider Partners Health Plan — Commercial: $445
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	$554.34	$239.80 – $2,423
Emergency room visit (moderately high): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $282.83 Allwell — Arkansas Health and Wellness: $428.37 Anthem — Medicare Advantage: $422.13 BJC Health Solutions — Commercial: $798.03 Coastal Energy Corporation — Commercial: $242.15 Cox HealthPlans — Medicare Advantage: $415.89 Devoted — Commercial: $445 Flora Farms — Commercial: $279.91 Health Net Federal Services — Tricare: $415.89 Heart of America Beverage Company — Commercial: $247
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$448.26	$112.96	$239.80 – $2,423
Emergency room visit (moderately high): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $282.83 Allwell — Arkansas Health and Wellness: $428.37 Anthem — Medicare Advantage: $422.13 BJC Health Solutions — Commercial: $798.03 Coastal Energy Corporation — Commercial: $242.15 Cox HealthPlans — Medicare Advantage: $415.89 Devoted — Commercial: $445 Flora Farms — Commercial: $279.91 Health Net Federal Services — Tricare: $415.89 Heart of America Beverage Company — Commercial: $247
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$3,322.48	$837.26	$593.57 – $3,322.48
Emergency room visit (high): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $611.38 Anthem — Medicare Advantage: $602.47 BJC Health Solutions — Commercial: $3,322.48 Cox HealthPlans — Medicare Advantage: $593.57 Devoted — Commercial: $635.12 Health Net Federal Services — Tricare: $593.57 Humana — Medicare Advantage: $593.57 Loren Cook — Commercial: $3,322.48 MedRisk LLC — Commercial: $593.57 Provider Partners Health Plan — Commercial: $635.12
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	$3,322.48	$837.26	$356.46 – $3,094
Emergency room visit (high): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $420.42 Allwell — Arkansas Health and Wellness: $611.38 Anthem — Medicare Advantage: $602.47 BJC Health Solutions — Commercial: $1,285.83 Coastal Energy Corporation — Commercial: $359.96 Cox HealthPlans — Medicare Advantage: $593.57 Devoted — Commercial: $635.12 Flora Farms — Commercial: $416.10 Health Net Federal Services — Tricare: $593.57 Heart of America Beverage Company — Commercial: $367.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM	$679.32	$171.19	$356.46 – $3,094
Emergency room visit (high): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $420.42 Allwell — Arkansas Health and Wellness: $611.38 Anthem — Medicare Advantage: $602.47 BJC Health Solutions — Commercial: $1,285.83 Coastal Energy Corporation — Commercial: $359.96 Cox HealthPlans — Medicare Advantage: $593.57 Devoted — Commercial: $635.12 Flora Farms — Commercial: $416.10 Health Net Federal Services — Tricare: $593.57 Heart of America Beverage Company — Commercial: $367.16

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	$56.05	$8.46 – $135
Basic metabolic panel (blood test): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8.71 Anthem — Blue Access: $83.24 Anthem — Blue Preferred: $38.70 Anthem — Blue Traditional: $83.24 Anthem — Medicare Advantage: $8.59 Anthem — Pathway/Pathway X: $60.05 BJC Health Solutions — Commercial: $106.52 Cox HealthPlans — Medicare Advantage: $8.46 Devoted — Commercial: $9.05 Health Net Federal Services — Tricare: $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	$98.91	$10.56 – $291.16
Comprehensive metabolic panel (blood test): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $10.88 Anthem — Blue Access: $103.98 Anthem — Blue Preferred: $48.35 Anthem — Blue Traditional: $103.98 Anthem — Medicare Advantage: $10.72 Anthem — Pathway/Pathway X: $74.95 BJC Health Solutions — Commercial: $291.16 Cox HealthPlans — Medicare Advantage: $10.56 Devoted — Commercial: $11.30 Health Net Federal Services — Tricare: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$595.37	$150.03	$47.81 – $595.37
Obstetric blood test panel: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $49.24 Anthem — Blue Access: $470.61 Anthem — Blue Preferred: $218.81 Anthem — Blue Traditional: $470.61 Anthem — Medicare Advantage: $48.53 Anthem — Pathway/Pathway X: $339.36 BJC Health Solutions — Commercial: $595.37 Cox HealthPlans — Medicare Advantage: $47.81 Devoted — Commercial: $51.16 Health Net Federal Services — Tricare: $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	$41.39	$13.39 – $135
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $13.79 Anthem — Blue Access: $131.82 Anthem — Blue Preferred: $61.29 Anthem — Blue Traditional: $131.82 Anthem — Medicare Advantage: $13.59 Anthem — Pathway/Pathway X: $95.04 BJC Health Solutions — Commercial: $109.68 Cox HealthPlans — Medicare Advantage: $13.39 Devoted — Commercial: $14.33 Health Net Federal Services — Tricare: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$204.40	$51.51	$13.39 – $135
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $13.79 Anthem — Blue Access: $131.82 Anthem — Blue Preferred: $61.29 Anthem — Blue Traditional: $131.82 Anthem — Medicare Advantage: $13.59 Anthem — Pathway/Pathway X: $95.04 BJC Health Solutions — Commercial: $109.68 Cox HealthPlans — Medicare Advantage: $13.39 Devoted — Commercial: $14.33 Health Net Federal Services — Tricare: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$215.77	$54.37	$8.68 – $135
Kidney function panel: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8.94 Anthem — Blue Access: $85.47 Anthem — Blue Preferred: $39.74 Anthem — Blue Traditional: $85.47 Anthem — Medicare Advantage: $8.81 Anthem — Pathway/Pathway X: $61.61 BJC Health Solutions — Commercial: $37.27 Cox HealthPlans — Medicare Advantage: $8.68 Devoted — Commercial: $9.29 Health Net Federal Services — Tricare: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$222.41	$56.05	$8.17 – $135
Liver function panel: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8.42 Anthem — Blue Access: $80.44 Anthem — Blue Preferred: $37.40 Anthem — Blue Traditional: $80.44 Anthem — Medicare Advantage: $8.29 Anthem — Pathway/Pathway X: $57.99 BJC Health Solutions — Commercial: $35.05 Cox HealthPlans — Medicare Advantage: $8.17 Devoted — Commercial: $8.74 Health Net Federal Services — Tricare: $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	$29.42	$3.17 – $135
Urine test (automated, with microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $3.27 Anthem — Blue Access: $31.21 Anthem — Blue Preferred: $14.52 Anthem — Blue Traditional: $31.21 Anthem — Medicare Advantage: $3.22 Anthem — Pathway/Pathway X: $22.50 BJC Health Solutions — Commercial: $81.27 Cox HealthPlans — Medicare Advantage: $3.17 Devoted — Commercial: $3.39 Health Net Federal Services — Tricare: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST	$37.26	$9.39	$3.48 – $135
Urine test (manual, without microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $3.58 Anthem — Blue Access: $20.53 Anthem — Blue Preferred: $9.54 Anthem — Blue Traditional: $20.53 Anthem — Medicare Advantage: $3.53 Anthem — Pathway/Pathway X: $24.70 BJC Health Solutions — Commercial: $8.95 Cox HealthPlans — Medicare Advantage: $3.48 Devoted — Commercial: $3.72 Health Net Federal Services — Tricare: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$63.27	$15.94	$2.25 – $135
Urine test (automated, without microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $2.32 Anthem — Medicare Advantage: $2.28 Anthem — Pathway/Pathway X: $15.97 BJC Health Solutions — Commercial: $63.27 Cox HealthPlans — Medicare Advantage: $2.25 Devoted — Commercial: $2.41 Health Net Federal Services — Tricare: $2.25 Humana — Medicare Advantage: $2.25 MedRisk LLC — Commercial: $2.25 Provider Partners Health Plan — Commercial: $2.41
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$28.47	$7.17	$2.25 – $135
Urine test (automated, without microscope): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $2.32 Anthem — Blue Access: $20.53 Anthem — Blue Preferred: $9.54 Anthem — Blue Traditional: $20.53 Anthem — Medicare Advantage: $2.28 Anthem — Pathway/Pathway X: $15.97 BJC Health Solutions — Commercial: $8.95 Cox HealthPlans — Medicare Advantage: $2.25 Devoted — Commercial: $2.41 Health Net Federal Services — Tricare: $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	$46.66	$18.39 – $181.05
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $18.94 Anthem — Blue Access: $181.05 Anthem — Blue Preferred: $84.19 Anthem — Blue Traditional: $181.05 Anthem — Medicare Advantage: $18.67 Anthem — Pathway/Pathway X: $130.53 BJC Health Solutions — Commercial: $78.94 Cox HealthPlans — Medicare Advantage: $18.39 Devoted — Commercial: $19.68 Health Net Federal Services — Tricare: $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	$48.18	$16.80 – $191.21
Thyroid stimulating hormone (TSH) test: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $17.30 Anthem — Medicare Advantage: $17.05 Anthem — Pathway/Pathway X: $119.25 BJC Health Solutions — Commercial: $191.21 Cox HealthPlans — Medicare Advantage: $16.80 Devoted — Commercial: $17.98 Health Net Federal Services — Tricare: $16.80 Humana — Medicare Advantage: $16.80 MedRisk LLC — Commercial: $16.80 Provider Partners Health Plan — Commercial: $17.98
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$57.65	$14.53	$7.77 – $135
Complete blood count (CBC) with differential: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8 Anthem — Blue Access: $76.50 Anthem — Blue Preferred: $35.57 Anthem — Blue Traditional: $76.50 Anthem — Medicare Advantage: $7.89 Anthem — Pathway/Pathway X: $55.15 BJC Health Solutions — Commercial: $68.65 Cox HealthPlans — Medicare Advantage: $7.77 Devoted — Commercial: $8.31 Health Net Federal Services — Tricare: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$145.92	$36.77	$7.77 – $145.92
Complete blood count (CBC) with differential: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $8 Anthem — Medicare Advantage: $7.89 Anthem — Pathway/Pathway X: $55.15 BJC Health Solutions — Commercial: $145.92 Cox HealthPlans — Medicare Advantage: $7.77 Devoted — Commercial: $8.31 Health Net Federal Services — Tricare: $7.77 Humana — Medicare Advantage: $7.77 MedRisk LLC — Commercial: $7.77 Provider Partners Health Plan — Commercial: $8.31
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$84.87	$21.39	$6.47 – $135
Complete blood count (CBC), automated: 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $6.66 Anthem — Blue Access: $63.65 Anthem — Blue Preferred: $29.60 Anthem — Blue Traditional: $63.65 Anthem — Medicare Advantage: $6.57 Anthem — Pathway/Pathway X: $45.92 BJC Health Solutions — Commercial: $18.15 Cox HealthPlans — Medicare Advantage: $6.47 Devoted — Commercial: $6.92 Health Net Federal Services — Tricare: $6.47
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	$20.71	$4.29 – $135
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $4.42 Anthem — Blue Access: $38.68 Anthem — Blue Preferred: $17.99 Anthem — Blue Traditional: $38.68 Anthem — Medicare Advantage: $4.35 Anthem — Pathway/Pathway X: $30.45 BJC Health Solutions — Commercial: $16.86 Cox HealthPlans — Medicare Advantage: $4.29 Devoted — Commercial: $4.59 Health Net Federal Services — Tricare: $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	$9.32	$4.29 – $135
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $4.42 Anthem — Blue Access: $38.68 Anthem — Blue Preferred: $17.99 Anthem — Blue Traditional: $38.68 Anthem — Medicare Advantage: $4.35 Anthem — Pathway/Pathway X: $30.45 BJC Health Solutions — Commercial: $16.86 Cox HealthPlans — Medicare Advantage: $4.29 Devoted — Commercial: $4.59 Health Net Federal Services — Tricare: $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	$36.52	$6.01 – $135
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates Allwell — Arkansas Health and Wellness: $6.19 Anthem — Blue Access: $59.13 Anthem — Blue Preferred: $27.50 Anthem — Blue Traditional: $59.13 Anthem — Medicare Advantage: $6.10 Anthem — Pathway/Pathway X: $42.66 BJC Health Solutions — Commercial: $25.76 Cox HealthPlans — Medicare Advantage: $6.01 Devoted — Commercial: $6.43 Health Net Federal Services — Tricare: $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	$636.49	$104.20 – $1,715
CT scan of the head or brain, without contrast: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $896.70 Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $764.73 Anthem — Blue Preferred: $521.10 Anthem — Blue Traditional: $764.73 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $1,285.83 Coastal Energy Corporation — Commercial: $767.74 Cox HealthPlans — Medicare Advantage: $104.20
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	$636.49	$104.20 – $2,525.76
CT scan of the head or brain, without contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $764.73 Anthem — Blue Preferred: $521.10 Anthem — Blue Traditional: $764.73 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $2,525.76 Cox HealthPlans — Medicare Advantage: $104.20 Devoted — Commercial: $111.49 Health Net Federal Services — Tricare: $104.20
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	$1,159.07	$347.73 – $4,599.50
MRI of the brain, before and after contrast: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $1,181.53 Allwell — Arkansas Health and Wellness: $358.16 Anthem — Blue Access: $3,553.62 Anthem — Blue Preferred: $2,210.56 Anthem — Blue Traditional: $3,553.62 Anthem — Medicare Advantage: $352.95 Anthem — Pathway/Pathway X: $2,468.19 BJC Health Solutions — Commercial: $4,599.50 Coastal Energy Corporation — Commercial: $1,011.60 Cox HealthPlans — Medicare Advantage: $347.73
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	$1,159.07	$347.73 – $4,599.50
MRI of the brain, before and after contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $358.16 Anthem — Blue Access: $3,553.62 Anthem — Blue Preferred: $2,210.56 Anthem — Blue Traditional: $3,553.62 Anthem — Medicare Advantage: $352.95 Anthem — Pathway/Pathway X: $2,468.19 BJC Health Solutions — Commercial: $4,599.50 Cox HealthPlans — Medicare Advantage: $347.73 Devoted — Commercial: $372.07 Health Net Federal Services — Tricare: $347.73
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	$117.75	$55.44 – $615.68
Chest X-ray, 2 views: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $89.34 Anthem — Blue Access: $134.05 Anthem — Blue Preferred: $114.40 Anthem — Blue Traditional: $134.05 Anthem — Medicare Advantage: $88.04 Anthem — Pathway/Pathway X: $615.68 BJC Health Solutions — Commercial: $467.28 Cox HealthPlans — Medicare Advantage: $86.74 Devoted — Commercial: $92.81 Health Net Federal Services — Tricare: $86.74
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	$184.39	$81.92 – $739.61
X-ray of the lower spine, at least 4 views: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $96.62 Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $225.32 Anthem — Blue Preferred: $192.31 Anthem — Blue Traditional: $225.32 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $199.41 Coastal Energy Corporation — Commercial: $82.72 Cox HealthPlans — Medicare Advantage: $104.20
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	$184.39	$104.20 – $739.61
X-ray of the lower spine, at least 4 views: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $225.32 Anthem — Blue Preferred: $192.31 Anthem — Blue Traditional: $225.32 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $731.70 Cox HealthPlans — Medicare Advantage: $104.20 Devoted — Commercial: $111.49 Health Net Federal Services — Tricare: $104.20
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	$847.32	$237.82 – $3,362.38
MRI of the lower back (lumbar spine), without contrast: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $1,181.53 Allwell — Arkansas Health and Wellness: $244.95 Anthem — Blue Access: $2,014.84 Anthem — Blue Preferred: $1,253.35 Anthem — Blue Traditional: $2,014.84 Anthem — Medicare Advantage: $241.39 Anthem — Pathway/Pathway X: $1,688.05 BJC Health Solutions — Commercial: $3,362.38 Coastal Energy Corporation — Commercial: $1,011.60 Cox HealthPlans — Medicare Advantage: $237.82
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	$847.32	$237.82 – $3,362.38
MRI of the lower back (lumbar spine), without contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $244.95 Anthem — Blue Access: $2,014.84 Anthem — Blue Preferred: $1,253.35 Anthem — Blue Traditional: $2,014.84 Anthem — Medicare Advantage: $241.39 Anthem — Pathway/Pathway X: $1,688.05 BJC Health Solutions — Commercial: $3,362.38 Cox HealthPlans — Medicare Advantage: $237.82 Devoted — Commercial: $254.47 Health Net Federal Services — Tricare: $237.82
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	$735.58	$174.82 – $1,808.20
CT scan of the pelvis, with contrast: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $896.70 Allwell — Arkansas Health and Wellness: $180.06 Anthem — Blue Access: $1,751.84 Anthem — Blue Preferred: $1,193.73 Anthem — Blue Traditional: $1,751.84 Anthem — Medicare Advantage: $177.44 Anthem — Pathway/Pathway X: $1,240.87 BJC Health Solutions — Commercial: $1,808.20 Coastal Energy Corporation — Commercial: $767.74 Cox HealthPlans — Medicare Advantage: $174.82
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	$735.58	$174.82 – $2,918.97
CT scan of the pelvis, with contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $180.06 Anthem — Blue Access: $1,751.84 Anthem — Blue Preferred: $1,193.73 Anthem — Blue Traditional: $1,751.84 Anthem — Medicare Advantage: $177.44 Anthem — Pathway/Pathway X: $1,240.87 BJC Health Solutions — Commercial: $2,918.97 Cox HealthPlans — Medicare Advantage: $174.82 Devoted — Commercial: $187.06 Health Net Federal Services — Tricare: $174.82
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	$788.51	$237.82 – $3,129
MRI of a leg joint (such as the knee), without contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $244.95 Anthem — Medicare Advantage: $241.39 Anthem — Pathway/Pathway X: $1,688.05 BJC Health Solutions — Commercial: $3,129 Cox HealthPlans — Medicare Advantage: $237.82 Devoted — Commercial: $254.47 Health Net Federal Services — Tricare: $237.82 Humana — Medicare Advantage: $237.82 MedRisk LLC — Commercial: $237.82 Provider Partners Health Plan — Commercial: $254.47
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	$788.51	$237.82 – $3,129
MRI of a leg joint (such as the knee), without contrast: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $1,181.53 Allwell — Arkansas Health and Wellness: $244.95 Anthem — Blue Access: $2,284.44 Anthem — Blue Preferred: $1,421.05 Anthem — Blue Traditional: $2,284.44 Anthem — Medicare Advantage: $241.39 Anthem — Pathway/Pathway X: $1,688.05 BJC Health Solutions — Commercial: $3,129 Coastal Energy Corporation — Commercial: $1,011.60 Cox HealthPlans — Medicare Advantage: $237.82
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	$788.51	$237.82 – $3,129
MRI of a leg joint (such as the knee), without contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $244.95 Anthem — Blue Access: $2,284.44 Anthem — Blue Preferred: $1,421.05 Anthem — Blue Traditional: $2,284.44 Anthem — Medicare Advantage: $241.39 Anthem — Pathway/Pathway X: $1,688.05 BJC Health Solutions — Commercial: $3,129 Cox HealthPlans — Medicare Advantage: $237.82 Devoted — Commercial: $254.47 Health Net Federal Services — Tricare: $237.82
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	$1,435.19	$347.73 – $3,433.98
CT scan of the abdomen and pelvis, with contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $358.16 Anthem — Blue Access: $2,297.35 Anthem — Blue Preferred: $1,565.45 Anthem — Blue Traditional: $2,297.35 Anthem — Medicare Advantage: $352.95 Anthem — Pathway/Pathway X: $2,468.19 BJC Health Solutions — Commercial: $3,433.98 Cox HealthPlans — Medicare Advantage: $347.73 Devoted — Commercial: $372.07 Health Net Federal Services — Tricare: $347.73
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	$1,435.19	$347.73 – $5,695.18
CT scan of the abdomen and pelvis, with contrast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $358.16 Anthem — Blue Access: $2,297.35 Anthem — Blue Preferred: $1,565.45 Anthem — Blue Traditional: $2,297.35 Anthem — Medicare Advantage: $352.95 Anthem — Pathway/Pathway X: $2,468.19 BJC Health Solutions — Commercial: $5,695.18 Cox HealthPlans — Medicare Advantage: $347.73 Devoted — Commercial: $372.07 Health Net Federal Services — Tricare: $347.73
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	$336.09	$104.20 – $964.37
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $126.91 Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $564.19 Anthem — Blue Preferred: $481.51 Anthem — Blue Traditional: $564.19 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $964.37 Coastal Energy Corporation — Commercial: $108.66 Cox HealthPlans — Medicare Advantage: $104.20
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	$336.09	$104.20 – $1,333.68
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $564.19 Anthem — Blue Preferred: $481.51 Anthem — Blue Traditional: $564.19 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $1,333.68 Cox HealthPlans — Medicare Advantage: $104.20 Devoted — Commercial: $111.49 Health Net Federal Services — Tricare: $104.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	$354.04	$89.22	$104.20 – $739.61
Pregnancy ultrasound (after the first trimester): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $126.91 Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $634.39 Anthem — Blue Preferred: $541.42 Anthem — Blue Traditional: $634.39 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $228.24 Coastal Energy Corporation — Commercial: $108.66 Cox HealthPlans — Medicare Advantage: $104.20
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	$223.37	$104.20 – $739.61
Transvaginal ultrasound: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $126.91 Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $602.95 Anthem — Blue Preferred: $514.60 Anthem — Blue Traditional: $602.95 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $429.96 Coastal Energy Corporation — Commercial: $108.66 Cox HealthPlans — Medicare Advantage: $104.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	$398.88	$100.52	$104.20 – $739.61
Transvaginal ultrasound: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $126.91 Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $602.95 Anthem — Blue Preferred: $514.60 Anthem — Blue Traditional: $602.95 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $429.96 Coastal Energy Corporation — Commercial: $108.66 Cox HealthPlans — Medicare Advantage: $104.20
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	$223.37	$104.20 – $886.40
Transvaginal ultrasound: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $107.33 Anthem — Blue Access: $602.95 Anthem — Blue Preferred: $514.60 Anthem — Blue Traditional: $602.95 Anthem — Medicare Advantage: $105.76 Anthem — Pathway/Pathway X: $739.61 BJC Health Solutions — Commercial: $886.40 Cox HealthPlans — Medicare Advantage: $104.20 Devoted — Commercial: $111.49 Health Net Federal Services — Tricare: $104.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$408.26	$102.88	$36.36 – $641.64
Diagnostic mammogram, one breast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $37.45 Anthem — Blue Access: $641.64 Anthem — Blue Preferred: $547.61 Anthem — Blue Traditional: $641.64 Anthem — Medicare Advantage: $36.91 Anthem — Pathway/Pathway X: $258.08 BJC Health Solutions — Commercial: $408.26 Cox HealthPlans — Medicare Advantage: $36.36 Devoted — Commercial: $38.91 Health Net Federal Services — Tricare: $36.36
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	$102.88	$36.36 – $641.64
Diagnostic mammogram, one breast: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $37.45 Anthem — Blue Access: $641.64 Anthem — Blue Preferred: $547.61 Anthem — Blue Traditional: $641.64 Anthem — Medicare Advantage: $36.91 Anthem — Pathway/Pathway X: $258.08 BJC Health Solutions — Commercial: $408.26 Cox HealthPlans — Medicare Advantage: $36.36 Devoted — Commercial: $38.91 Health Net Federal Services — Tricare: $36.36
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$612.39	$154.32	$44.76 – $820.79
Diagnostic mammogram, both breasts: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $46.10 Anthem — Blue Access: $820.79 Anthem — Blue Preferred: $700.53 Anthem — Blue Traditional: $820.79 Anthem — Medicare Advantage: $45.43 Anthem — Pathway/Pathway X: $317.71 BJC Health Solutions — Commercial: $612.39 Cox HealthPlans — Medicare Advantage: $44.76 Devoted — Commercial: $47.89 Health Net Federal Services — Tricare: $44.76
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	$154.32	$44.76 – $820.79
Diagnostic mammogram, both breasts: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $46.10 Anthem — Blue Access: $820.79 Anthem — Blue Preferred: $700.53 Anthem — Blue Traditional: $820.79 Anthem — Medicare Advantage: $45.43 Anthem — Pathway/Pathway X: $317.71 BJC Health Solutions — Commercial: $612.39 Cox HealthPlans — Medicare Advantage: $44.76 Devoted — Commercial: $47.89 Health Net Federal Services — Tricare: $44.76
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY	$452.44	$114.01	$33.79 – $452.44
Screening mammogram, both breasts: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $34.80 Anthem — Medicare Advantage: $34.30 Anthem — Pathway/Pathway X: $239.84 BJC Health Solutions — Commercial: $452.44 Cox HealthPlans — Medicare Advantage: $33.79 Devoted — Commercial: $36.16 Health Net Federal Services — Tricare: $33.79 Humana — Medicare Advantage: $33.79 MedRisk LLC — Commercial: $33.79 Provider Partners Health Plan — Commercial: $36.16
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY	$678.66	$171.02	$33.79 – $678.66
Screening mammogram, both breasts: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $34.80 Anthem — Blue Access: $678 Anthem — Blue Preferred: $578.66 Anthem — Blue Traditional: $678 Anthem — Medicare Advantage: $34.30 Anthem — Pathway/Pathway X: $239.84 BJC Health Solutions — Commercial: $678.66 Cox HealthPlans — Medicare Advantage: $33.79 Devoted — Commercial: $36.16 Health Net Federal Services — Tricare: $33.79

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	$4,018.38	$3,231.26 – $15,945.96
Left heart catheterization (diagnostic): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $3,328.20 Anthem — Medicare Advantage: $3,279.73 BJC Health Solutions — Commercial: $15,945.96 Cox HealthPlans — Medicare Advantage: $3,231.26 Devoted — Commercial: $3,457.45 Health Net Federal Services — Tricare: $3,231.26 Humana — Medicare Advantage: $3,231.26 MedRisk LLC — Commercial: $3,231.26 Provider Partners Health Plan — Commercial: $3,457.45 United Healthcare — Core Payer: $9,014
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INSERTION OF CATHETERS FOR RECORDING AND PACING OF RIGHT HEART CHAMBERS RHYTHM	$16,523.04	$4,163.81	$3,587.62 – $16,974
Heart rhythm study (electrophysiology evaluation): 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $4,231.34 Allwell — Arkansas Health and Wellness: $8,007.20 Anthem — Medicare Advantage: $7,890.59 BJC Health Solutions — Commercial: $9,499.90 Coastal Energy Corporation — Commercial: $3,622.79 Cox HealthPlans — Medicare Advantage: $7,773.98 Devoted — Commercial: $8,318.16 Flora Farms — Commercial: $4,187.87 Health Net Federal Services — Tricare: $7,773.98 Heart of America Beverage Company — Commercial: $3,695.24
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	$12,752.47	$4,463 – $50,605.02
Heart rhythm study with ablation for atrial fibrillation: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $26,833.33 Anthem — Medicare Advantage: $26,442.56 BJC Health Solutions — Commercial: $50,605.02 Cox HealthPlans — Medicare Advantage: $26,051.78 Devoted — Commercial: $27,875.40 Health Net Federal Services — Tricare: $26,051.78 Humana — Medicare Advantage: $26,051.78 MedRisk LLC — Commercial: $26,051.78 Provider Partners Health Plan — Commercial: $27,875.40 United Healthcare — Core Payer: $4,463
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	$1,471.98	$427.95 – $5,841.18
Sleep study (overnight, in a sleep lab): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $440.79 Anthem — Medicare Advantage: $434.37 BJC Health Solutions — Commercial: $5,841.18 Cox HealthPlans — Medicare Advantage: $427.95 Devoted — Commercial: $457.91 Health Net Federal Services — Tricare: $427.95 Humana — Medicare Advantage: $427.95 MedRisk LLC — Commercial: $427.95 Provider Partners Health Plan — Commercial: $457.91 United Healthcare — Core Payer: $2,385

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: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$156.68	$39.48	$27.16 – $375
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $27.97 Anthem — Medicare Advantage: $27.57 BJC Health Solutions — Commercial: $156.68 Cigna — Commercial: $375 CompAlliance — Workers Compensation: $125 Cox HealthPlans — Medicare Advantage: $27.16 Devoted — Commercial: $29.06 Health Net Federal Services — Tricare: $27.16 Humana — Medicare Advantage: $27.16 MedRisk LLC — Commercial: $120
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$156.68	$39.48	$27.16 – $375
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $27.97 Anthem — Medicare Advantage: $27.57 BJC Health Solutions — Commercial: $71.80 Cigna — Commercial: $375 CompAlliance — Workers Compensation: $125 Cox HealthPlans — Medicare Advantage: $27.16 Devoted — Commercial: $29.06 Health Net Federal Services — Tricare: $27.16 Humana — Medicare Advantage: $27.16 MedRisk LLC — Commercial: $120
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: THERAPEUTIC EXERCISES	$96.58	$24.34	$27.16 – $120
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 61 insurance plan rates Allwell — Arkansas Health and Wellness: $27.97 Anthem — Medicare Advantage: $27.57 BJC Health Solutions — Commercial: $71.80 Cox HealthPlans — Medicare Advantage: $27.16 Devoted — Commercial: $29.06 Health Net Federal Services — Tricare: $27.16 Humana — Medicare Advantage: $27.16 MedRisk LLC — Commercial: $120 Provider Partners Health Plan — Commercial: $29.06 Texas Co Memorial Hospital — Commercial: $66.47
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	$78.12	$91.50 – $326
Physical therapy evaluation (low complexity): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $94.24 Anthem — Medicare Advantage: $92.87 BJC Health Solutions — Commercial: $310 Cigna — Commercial: $326 CompAlliance — Workers Compensation: $129 Cox HealthPlans — Medicare Advantage: $91.50 Devoted — Commercial: $97.90 Health Net Federal Services — Tricare: $91.50 Humana — Medicare Advantage: $91.50 MedRisk LLC — Commercial: $100
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$174.90	$44.07	$91.50 – $174.90
Physical therapy evaluation (low complexity): 10 of 61 insurance plan rates Allwell — Arkansas Health and Wellness: $94.24 Anthem — Medicare Advantage: $92.87 BJC Health Solutions — Commercial: $174.90 CompAlliance — Workers Compensation: $129 Cox HealthPlans — Medicare Advantage: $91.50 Devoted — Commercial: $97.90 Health Net Federal Services — Tricare: $91.50 Humana — Medicare Advantage: $91.50 MedRisk LLC — Commercial: $100 Provider Partners Health Plan — Commercial: $97.90
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	$82.29	$91.50 – $326.56
Physical therapy evaluation (moderate complexity): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $94.24 Anthem — Medicare Advantage: $92.87 BJC Health Solutions — Commercial: $326.56 Cigna — Commercial: $326 CompAlliance — Workers Compensation: $129 Cox HealthPlans — Medicare Advantage: $91.50 Devoted — Commercial: $97.90 Health Net Federal Services — Tricare: $91.50 Humana — Medicare Advantage: $91.50 MedRisk LLC — Commercial: $100
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$174.90	$44.07	$91.50 – $174.90
Physical therapy evaluation (moderate complexity): 10 of 61 insurance plan rates Allwell — Arkansas Health and Wellness: $94.24 Anthem — Medicare Advantage: $92.87 BJC Health Solutions — Commercial: $174.90 CompAlliance — Workers Compensation: $129 Cox HealthPlans — Medicare Advantage: $91.50 Devoted — Commercial: $97.90 Health Net Federal Services — Tricare: $91.50 Humana — Medicare Advantage: $91.50 MedRisk LLC — Commercial: $100 Provider Partners Health Plan — Commercial: $97.90
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	$106.40	$91.50 – $422.24
Physical therapy evaluation (high complexity): 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $94.24 Anthem — Medicare Advantage: $92.87 BJC Health Solutions — Commercial: $422.24 Cigna — Commercial: $326 CompAlliance — Workers Compensation: $129 Cox HealthPlans — Medicare Advantage: $91.50 Devoted — Commercial: $97.90 Health Net Federal Services — Tricare: $91.50 Humana — Medicare Advantage: $91.50 MedRisk LLC — Commercial: $100
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$174.90	$44.07	$91.50 – $174.90
Physical therapy evaluation (high complexity): 10 of 61 insurance plan rates Allwell — Arkansas Health and Wellness: $94.24 Anthem — Medicare Advantage: $92.87 BJC Health Solutions — Commercial: $174.90 CompAlliance — Workers Compensation: $129 Cox HealthPlans — Medicare Advantage: $91.50 Devoted — Commercial: $97.90 Health Net Federal Services — Tricare: $91.50 Humana — Medicare Advantage: $91.50 MedRisk LLC — Commercial: $100 Provider Partners Health Plan — Commercial: $97.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 30 MINUTES	$253.67	$63.92	$108 – $253.67
Psychotherapy, 30 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $182.22 Anthem — Medicare Advantage: $179.56 APS Healthcare — Behavioral Health: $145 BJC Health Solutions — Commercial: $253.67 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $176.91 Devoted — Commercial: $189.29 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $176.91
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES	$253.67	$63.92	$107.31 – $200
Psychotherapy, 30 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $182.22 Anthem — Medicare Advantage: $179.56 APS Healthcare — Behavioral Health: $145 BJC Health Solutions — Commercial: $151.34 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $176.91 Devoted — Commercial: $189.29 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $176.91
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 45 MINUTES	$298.52	$75.23	$108 – $298.52
Psychotherapy, 45 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $182.22 Anthem — Medicare Advantage: $179.56 APS Healthcare — Behavioral Health: $145 BJC Health Solutions — Commercial: $298.52 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $176.91 Devoted — Commercial: $189.29 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $176.91
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 1 HOUR	$326.07	$82.17	$108 – $326.07
Psychotherapy, 60 minutes: 10 of 70 insurance plan rates Allwell — Arkansas Health and Wellness: $182.22 Anthem — Medicare Advantage: $179.56 APS Healthcare — Behavioral Health: $145 BJC Health Solutions — Commercial: $326.07 Cigna — Behavioral Health: $200 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $176.91 Devoted — Commercial: $189.29 E4 Health Inc — Commercial: $180 Health Net Federal Services — Tricare: $176.91
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	$97.58	$127.85 – $373
Family psychotherapy, without the patient: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $213.14 Allwell — Arkansas Health and Wellness: $182.22 Anthem — Medicare Advantage: $179.56 BJC Health Solutions — Commercial: $138.08 Coastal Energy Corporation — Commercial: $182.49 Cox HealthPlans — Medicare Advantage: $176.91 Devoted — Commercial: $189.29 Flora Farms — Commercial: $210.96 Health Net Federal Services — Tricare: $176.91 Heart of America Beverage Company — Commercial: $186.14
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	$108.98	$108 – $213.14
Family psychotherapy, with the patient: 10 of 70 insurance plan rates Advanced Concrete Technology — Commercial: $213.14 Allwell — Arkansas Health and Wellness: $182.22 Anthem — Medicare Advantage: $179.56 APS Healthcare — Behavioral Health: $145 BJC Health Solutions — Commercial: $197.26 Cigna — Behavioral Health: $200 Coastal Energy Corporation — Commercial: $182.49 ComPsych — Workers Compensation: $118 Cox HealthPlans — Medicare Advantage: $176.91 Devoted — Commercial: $189.29
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY	$201.18	$50.70	$71.24 – $379.50
Group psychotherapy: 10 of 71 insurance plan rates Advanced Concrete Technology — Commercial: $84.03 Allwell — Arkansas Health and Wellness: $104.29 Anthem — Medicare Advantage: $102.77 APS Healthcare — Behavioral Health: $240 BJC Health Solutions — Commercial: $160.97 Cigna — Behavioral Health: $299 Coastal Energy Corporation — Commercial: $71.94 ComPsych — Workers Compensation: $135 Cox HealthPlans — Medicare Advantage: $101.25 Devoted — Commercial: $108.34

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	$2,909.83	$733.28	$703.56 – $4,463
Spinal injection, lower back (epidural), with imaging guidance: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $724.67 Anthem — Medicare Advantage: $714.11 BJC Health Solutions — Commercial: $2,909.83 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $703.56 Devoted — Commercial: $752.81 Health Net Federal Services — Tricare: $703.56 Humana — Medicare Advantage: $703.56 Loren Cook — Commercial: $2,909.83 MedRisk LLC — Commercial: $703.56
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	$3,458.73	$871.60	$521.39 – $4,463
Nerve root injection, lower back, with imaging guidance: 10 of 62 insurance plan rates Advanced Concrete Technology — Commercial: $614.94 Allwell — Arkansas Health and Wellness: $908.01 Anthem — Medicare Advantage: $894.78 BJC Health Solutions — Commercial: $1,329.23 Cigna — Commercial: $3,468 Coastal Energy Corporation — Commercial: $526.51 Cox HealthPlans — Medicare Advantage: $881.56 Devoted — Commercial: $943.27 Flora Farms — Commercial: $608.63 Health Net Federal Services — Tricare: $881.56
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	$5,188.10	$1,307.40	$1,322.34 – $5,188.10
Nerve root injection, lower back, with imaging guidance: 10 of 62 insurance plan rates Allwell — Arkansas Health and Wellness: $1,362.01 Anthem — Medicare Advantage: $1,342.18 BJC Health Solutions — Commercial: $5,188.10 Cigna — Commercial: $3,468 Cox HealthPlans — Medicare Advantage: $1,322.34 Devoted — Commercial: $1,414.90 Health Net Federal Services — Tricare: $1,322.34 Humana — Medicare Advantage: $1,322.34 Loren Cook — Commercial: $5,188.10 MedRisk LLC — Commercial: $1,322.34

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 & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY	Not listed in the file	Not listed in the file	$2,031 – $116,842.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates Allwell — Arkansas Health and Wellness: $78,365.69 Anthem — Medicare Advantage: $77,224.44 Blu Current Credit Union — Commercial: $98,248.27 Centene Wellcare — Medicare Advantage: $79,887.35 Cox HealthPlans — ACA Marketplace: $116,842.23 Cox HealthPlans — BJC Consortium: $84,369.05 Cox HealthPlans — Employee Plan: $58,185.55 Cox HealthPlans — EPO: $59,129.68 Cox HealthPlans — Medicare Advantage: $76,083.19 Cox HealthPlans — PPO: $85,674.97
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY	Not listed in the file	Not listed in the file	$2,031 – $69,030
Spinal fusion (not neck), without major complications: 10 of 19 insurance plan rates CompAlliance — Workers Compensation: $69,030 Cox HealthPlans — ACA Marketplace: $49,572.38 Cox HealthPlans — BJC Consortium: $35,670.96 Cox HealthPlans — Employee Plan: $24,600.66 Cox HealthPlans — PPO: $35,440.87 United Healthcare — VA CCN: $2,031 Aetna — Premier Network: 49.5% (a percentage in the contract, not a dollar amount) AMPROD — Commercial: 70% (a percentage in the contract, not a dollar amount) Corvel — Workers Compensation: 65% (a percentage in the contract, not a dollar amount) Freeman PHO — Commercial: 65% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY	Not listed in the file	Not listed in the file	$2,031 – $26,453.15
Hip or knee replacement (major joint of the leg), without major complications: 10 of 31 insurance plan rates Allwell — Arkansas Health and Wellness: $17,442.96 Anthem — Medicare Advantage: $17,188.93 Blu Current Credit Union — Commercial: $19,194.40 Centene Wellcare — Medicare Advantage: $17,781.66 Cox HealthPlans — ACA Marketplace: $26,453.15 Cox HealthPlans — BJC Consortium: $18,250.79 Cox HealthPlans — Employee Plan: $12,586.75 Cox HealthPlans — EPO: $11,551.95 Cox HealthPlans — Medicare Advantage: $16,934.91 Cox HealthPlans — PPO: $18,363.62
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY	Not listed in the file	Not listed in the file	$2,031 – $27,679.48
Neck (cervical) spinal fusion, without complications: 10 of 31 insurance plan rates Allwell — Arkansas Health and Wellness: $21,417.64 Anthem — Medicare Advantage: $21,105.74 Blu Current Credit Union — Commercial: $24,100.15 Centene Wellcare — Medicare Advantage: $21,833.52 Cox HealthPlans — ACA Marketplace: $27,679.48 Cox HealthPlans — BJC Consortium: $20,360.69 Cox HealthPlans — Employee Plan: $14,041.85 Cox HealthPlans — EPO: $14,504.42 Cox HealthPlans — Medicare Advantage: $20,793.83 Cox HealthPlans — PPO: $20,425.54
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY	Not listed in the file	Not listed in the file	$2,031 – $12,574.68
Uterus and ovary surgery (not for cancer), without complications: 10 of 31 insurance plan rates Allwell — Arkansas Health and Wellness: $12,104.60 Anthem — Medicare Advantage: $11,928.32 Blu Current Credit Union — Commercial: $12,202.78 Centene Wellcare — Medicare Advantage: $12,339.64 Cox HealthPlans — ACA Marketplace: $12,205.45 Cox HealthPlans — BJC Consortium: $9,545.60 Cox HealthPlans — Employee Plan: $6,583.17 Cox HealthPlans — EPO: $7,344.11 Cox HealthPlans — Medicare Advantage: $11,752.04 Cox HealthPlans — PPO: $9,032.12

Source: Cox Medical Centers’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 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	3801 South National Avenue, Springfield, MO 65807
County	Greene County
State	Missouri
Phone	(417) 269‑6000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	260040
Name in Medicare records	COX MEDICAL CENTERS
Profile level	Medicare data + hospital website
Name on the hospital’s website	Cox Medical Center South
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
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

CoxHealth | Cox Medical Center South — coxhealth.com
CoxHealth | Cox Medical Center South Emergency and Trauma Center — coxhealth.com
CoxHealth | Your Level 1 Trauma Center — coxhealth.com
CoxHealth | Heart & Vascular Care — coxhealth.com
CoxHealth | Neuroscience — coxhealth.com
CoxHealth | Visiting Hours and Guidelines — coxhealth.com

Cox Medical Centers

Summary

Profile from official sources

At a glance