Does Delta Memorial Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Delta Memorial Hospital. In a medical emergency, call 911.

Where is Delta Memorial Hospital?

811 Highway 65 South, Dumas, AR 71639, in Desha County, Arkansas.

What is the phone number of Delta Memorial Hospital?

(870) 382-4303, as listed by Medicare (CMS).

What is the Medicare star rating of Delta Memorial Hospital?

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

Delta Memorial Hospital — Phone, Address & ER

Quick answers

Does Delta Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Delta Memorial Hospital. In a medical emergency, call 911.
Where is Delta Memorial Hospital?: 811 Highway 65 South, Dumas, AR 71639, in Desha County, Arkansas.
What is the phone number of Delta Memorial Hospital?: (870) 382-4303, as listed by Medicare (CMS).
What is the Medicare star rating of Delta Memorial Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[5][6][7][8][9][11][12][14][15]}

Treatments^{[6][9][10][14][15]}

IV medication administration
Wound clinic care
Physical therapy
Occupational therapy
Respiratory therapy
Blood banking
Labor and delivery care

Procedures^[7][10][12]

MRI (mobile, Saturdays)
X-ray
Mammography
Ultrasound
CT scan
Bone densitometry
Clinical laboratory testing

Programs and centers^[4][13][16]

Discharge planning and social services
Financial assistance / sliding fee program

Emergency care (hospital website)^[5]

Emergency room	Yes

Visiting and practical information

Visiting	Visiting hours 6 am to 7 pm (subject to change); one overnight guest allowed per patient; children under 12 need charge nurse approval^[17]
Parking	Visitor parking is at the front of the hospital^[17]

Doctors and clinicians (18)

18 doctors and other clinicians list Delta Memorial Hospital 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

Other emergency rooms nearby

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

McGehee Hospital18 mi · McGehee, AR · Critical Access Hospital
Baptist Health Medical Center-Drew County26 mi · Monticello, AR · Acute Care Hospital
Dewitt Hospital & Nursing Home, Inc29 mi · De Witt, AR · Rural Emergency Hospital
Chicot Memorial Medical Center37 mi · Lake Village, AR · Critical Access Hospital
Jefferson Regional Medical Center38 mi · Pine Bluff, AR · Acute Care Hospital

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

Other hospitals near Dumas

Bradley County Medical Center38 mi · Warren, AR · Critical Access Hospital

Hospitals in Desha 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

The Blossoms at Star City Rehab & Nursing Center21 mi · Star City, AR · 2 of 5 stars
The Woods, a Nightingale Community24 mi · Monticello, AR · 1 of 5 stars
Dermott City Nursing Home25 mi · Dermott, AR · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice Home Care of Monticello22 mi · Monticello, AR · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Delta Memorial Hospital Hha3.2 mi · Dumas, AR · 2.5 of 5 stars
Area Agency on Aging of SE AR Inc21 mi · Star City, AR
Baptist Health Home Health Network-Drew County22 mi · Monticello, AR · 2.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - Monticello22 mi · Monticello, AR · 1 of 5 stars

All dialysis facilities 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

MCHC-Gould8.8 mi · Gould, AR · Community health center
Star City II21 mi · Star City, AR · Community health center
Star City High School Clinic21 mi · Star City, AR · Community health center

Clinics and urgent care

Ascension Depaul Services3.2 mi · Dumas, AR · Rural health clinic
Delta Memorial Hospital3.2 mi · Dumas, AR · Rural health clinic
McGehee Family Clinic19 mi · McGehee, AR · Rural health clinic

Pharmacies

Dumas Family Pharmacy LLC3.2 mi · Dumas, AR · Community/retail pharmacy
Lee's Super Drug3.2 mi · Dumas, AR · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What Delta Memorial Hospital 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.

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: pneumonia patients	15.2%
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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)	16.2%
Readmitted within 30 days: pneumonia	16.6%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	107 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: the patient survey, infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Arkansas Best hospitals in Arkansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Delta Memorial Hospital 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 58 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) In the file: OUTPT VISIT NEW LEVEL 3	$253	$202.40	$73.58 – $240.35
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $73.58 Blue Cross Blue Shield of AR — PPO: $73.58 Humana Advantage Care Plans Med Advantage — All Plans: $90.15 United Healthcare — Default: $240.35 United Healthcare — Medicare Advantage: $91.08 Wellcare Health Plan Inc MCR Adv — Default: $89.26
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: WCC NEW PT LEVEL 3	$171.51	$137.21	$60.51 – $162.93
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $73.58 Blue Cross Blue Shield of AR — PPO: $73.58 Humana Advantage Care Plans Med Advantage — All Plans: $61.11 United Healthcare — Default: $162.93 United Healthcare — Medicare Advantage: $61.74 Wellcare Health Plan Inc MCR Adv — Default: $60.51
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: CLNC VISIT NEW PT LEVEL 3	$253	$202.40	$73.58 – $240.35
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $73.58 Blue Cross Blue Shield of AR — PPO: $73.58 Humana Advantage Care Plans Med Advantage — All Plans: $90.15 United Healthcare — Default: $240.35 United Healthcare — Medicare Advantage: $91.08 Wellcare Health Plan Inc MCR Adv — Default: $89.26
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OUTPT VISIT NEW LEVEL 4	$350	$280	$123.48 – $332.50
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $125.88 Blue Cross Blue Shield of AR — PPO: $125.88 Humana Advantage Care Plans Med Advantage — All Plans: $124.71 United Healthcare — Default: $332.50 United Healthcare — Medicare Advantage: $126 Wellcare Health Plan Inc MCR Adv — Default: $123.48
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: WCC NEW PT LEVEL 4	$290.10	$232.08	$102.35 – $275.60
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $125.88 Blue Cross Blue Shield of AR — PPO: $125.88 Humana Advantage Care Plans Med Advantage — All Plans: $103.37 United Healthcare — Default: $275.60 United Healthcare — Medicare Advantage: $104.44 Wellcare Health Plan Inc MCR Adv — Default: $102.35
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: CLNC VISIT NEW PT LEVEL 4	$350	$280	$123.48 – $332.50
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $125.88 Blue Cross Blue Shield of AR — PPO: $125.88 Humana Advantage Care Plans Med Advantage — All Plans: $124.71 United Healthcare — Default: $332.50 United Healthcare — Medicare Advantage: $126 Wellcare Health Plan Inc MCR Adv — Default: $123.48
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OUTPT VISIT NEW LEVEL 5	$449	$359.20	$12 – $426.55
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $164.48 Blue Cross Blue Shield of AR — PPO: $164.48 Humana Advantage Care Plans Med Advantage — All Plans: $159.99 Summit Administration Services, Inc — Default: $12 United Healthcare — Default: $426.55 United Healthcare — Medicare Advantage: $161.64 Wellcare Health Plan Inc MCR Adv — Default: $158.41
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: WCC NEW PT LEVEL 5	$377.04	$301.63	$12 – $358.19
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $164.48 Blue Cross Blue Shield of AR — PPO: $164.48 Humana Advantage Care Plans Med Advantage — All Plans: $134.35 Summit Administration Services, Inc — Default: $12 United Healthcare — Default: $358.19 United Healthcare — Medicare Advantage: $135.73 Wellcare Health Plan Inc MCR Adv — Default: $133.02
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: CLNC VISIT NEW PT LEVEL 5	$449	$359.20	$12 – $426.55
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $164.48 Blue Cross Blue Shield of AR — PPO: $164.48 Humana Advantage Care Plans Med Advantage — All Plans: $159.99 Summit Administration Services, Inc — Default: $12 United Healthcare — Default: $426.55 United Healthcare — Medicare Advantage: $161.64 Wellcare Health Plan Inc MCR Adv — Default: $158.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OUTPT VISIT EST LEVEL 3	$269.25	$215.40	$74.12 – $255.79
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $74.12 Blue Cross Blue Shield of AR — PPO: $74.12 Humana Advantage Care Plans Med Advantage — All Plans: $95.94 United Healthcare — Default: $255.79 United Healthcare — Medicare Advantage: $96.93 Wellcare Health Plan Inc MCR Adv — Default: $94.99
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: WCC EST PT LEVEL 3	$112	$89.60	$39.51 – $106.40
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $74.12 Blue Cross Blue Shield of AR — PPO: $74.12 Humana Advantage Care Plans Med Advantage — All Plans: $39.91 United Healthcare — Default: $106.40 United Healthcare — Medicare Advantage: $40.32 Wellcare Health Plan Inc MCR Adv — Default: $39.51
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: CLNC VISIT EST PT LEVEL 3	$269.25	$215.40	$74.12 – $255.79
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $74.12 Blue Cross Blue Shield of AR — PPO: $74.12 Humana Advantage Care Plans Med Advantage — All Plans: $95.94 United Healthcare — Default: $255.79 United Healthcare — Medicare Advantage: $96.93 Wellcare Health Plan Inc MCR Adv — Default: $94.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OUTPT VISIT EST LEVEL 4	$324	$259.20	$108 – $307.80
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $108 Blue Cross Blue Shield of AR — PPO: $108 Humana Advantage Care Plans Med Advantage — All Plans: $115.45 United Healthcare — Default: $307.80 United Healthcare — Medicare Advantage: $116.64 Wellcare Health Plan Inc MCR Adv — Default: $114.31
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: WCC EST PT LEVEL 4	$152	$121.60	$53.63 – $144.40
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $108 Blue Cross Blue Shield of AR — PPO: $108 Humana Advantage Care Plans Med Advantage — All Plans: $54.16 United Healthcare — Default: $144.40 United Healthcare — Medicare Advantage: $54.72 Wellcare Health Plan Inc MCR Adv — Default: $53.63
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: CLNC VISIT EST PT LEVEL 4	$324	$259.20	$108 – $307.80
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $108 Blue Cross Blue Shield of AR — PPO: $108 Humana Advantage Care Plans Med Advantage — All Plans: $115.45 United Healthcare — Default: $307.80 United Healthcare — Medicare Advantage: $116.64 Wellcare Health Plan Inc MCR Adv — Default: $114.31
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV MED NEW PT 18-39 YRS	$220.53	$176.42	$77.80 – $209.50
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $209.50 Blue Cross Blue Shield of AR — PPO: $209.50 Humana Advantage Care Plans Med Advantage — All Plans: $78.58 United Healthcare — Default: $209.50 Wellcare Health Plan Inc MCR Adv — Default: $77.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · modifier EP,U1 In the file: PREV MED NEW PT 18-39 YRS (M-CAID),EPSDT, Medicaid level care 1	$220.53	$176.42	$77.80 – $209.50
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $209.50 Blue Cross Blue Shield of AR — PPO: $209.50 Humana Advantage Care Plans Med Advantage — All Plans: $78.58 United Healthcare — Default: $209.50 Wellcare Health Plan Inc MCR Adv — Default: $77.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV MED NEW PT 40-64 YRS	$267.18	$213.74	$94.26 – $253.82
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $253.82 Blue Cross Blue Shield of AR — PPO: $253.82 Humana Advantage Care Plans Med Advantage — All Plans: $95.20 United Healthcare — Default: $253.82 Wellcare Health Plan Inc MCR Adv — Default: $94.26
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EM 3 INTERMEDIATE	$612.58	$490.06	$51 – $581.95
Emergency room visit (moderate): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $529.52 Blue Cross Blue Shield of AR — PPO: $529.52 Humana Advantage Care Plans Med Advantage — All Plans: $218.29 Summit Administration Services, Inc — Default: $51 United Healthcare — Default: $581.95 United Healthcare — Medicare Advantage: $220.53 Wellcare Health Plan Inc MCR Adv — Default: $216.12
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PHY LEVEL 3 SERVICE-INTER	$375	$300	$73.17 – $375
Emergency room visit (moderate): rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $375 Blue Cross Blue Shield of AR — PPO: $375 Humana Advantage Care Plans Med Advantage — All Plans: $133.62 United Healthcare — Default: $356.25 Wellcare Health Plan Inc MCR Adv — Default: $73.17
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: EM 3 INT MODIFIER 25,significant separate E/M	$612.58	$490.06	$51 – $581.95
Emergency room visit (moderate): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $529.52 Blue Cross Blue Shield of AR — PPO: $529.52 Humana Advantage Care Plans Med Advantage — All Plans: $218.29 Summit Administration Services, Inc — Default: $51 United Healthcare — Default: $581.95 United Healthcare — Medicare Advantage: $220.53 Wellcare Health Plan Inc MCR Adv — Default: $216.12
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EM 4 EXTENDED	$954.03	$763.22	$51 – $906.33
Emergency room visit (moderately high): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $644.93 Blue Cross Blue Shield of AR — PPO: $644.93 Humana Advantage Care Plans Med Advantage — All Plans: $339.94 Summit Administration Services, Inc — Default: $51 United Healthcare — Default: $906.33 United Healthcare — Medicare Advantage: $343.45 Wellcare Health Plan Inc MCR Adv — Default: $336.58
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PHY LEVEL 4 SERVICE EXTEN	$606.33	$485.06	$124.48 – $606.33
Emergency room visit (moderately high): rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $606.33 Blue Cross Blue Shield of AR — PPO: $606.33 Humana Advantage Care Plans Med Advantage — All Plans: $216.05 United Healthcare — Default: $576.01 Wellcare Health Plan Inc MCR Adv — Default: $124.48
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: EM 4 EXTEND MODIFIER 25,significant separate E/M	$954.03	$763.22	$51 – $906.33
Emergency room visit (moderately high): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $644.93 Blue Cross Blue Shield of AR — PPO: $644.93 Humana Advantage Care Plans Med Advantage — All Plans: $339.94 Summit Administration Services, Inc — Default: $51 United Healthcare — Default: $906.33 United Healthcare — Medicare Advantage: $343.45 Wellcare Health Plan Inc MCR Adv — Default: $336.58
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EM 5 COMPREHENSIVE	$1,370.28	$1,096.22	$51 – $1,301.77
Emergency room visit (high): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $832.62 Blue Cross Blue Shield of AR — PPO: $832.62 Humana Advantage Care Plans Med Advantage — All Plans: $488.27 Summit Administration Services, Inc — Default: $51 United Healthcare — Default: $1,301.77 United Healthcare — Medicare Advantage: $493.30 Wellcare Health Plan Inc MCR Adv — Default: $483.43
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PHY LEVEL 5 SERVICE COMPR	$884.42	$707.54	$180.90 – $840.20
Emergency room visit (high): rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $832.62 Blue Cross Blue Shield of AR — PPO: $832.62 Humana Advantage Care Plans Med Advantage — All Plans: $315.14 United Healthcare — Default: $840.20 Wellcare Health Plan Inc MCR Adv — Default: $180.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: EM 5 COMPR MODIFIER 25,significant separate E/M	$1,370.28	$1,096.22	$51 – $1,301.77
Emergency room visit (high): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $832.62 Blue Cross Blue Shield of AR — PPO: $832.62 Humana Advantage Care Plans Med Advantage — All Plans: $488.27 Summit Administration Services, Inc — Default: $51 United Healthcare — Default: $1,301.77 United Healthcare — Medicare Advantage: $493.30 Wellcare Health Plan Inc MCR Adv — Default: $483.43

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP	$126	$100.80	$9.64 – $119.70
Basic metabolic panel (blood test): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $9.64 Blue Cross Blue Shield of AR — PPO: $9.64 Humana Advantage Care Plans Med Advantage — All Plans: $44.89 Summit Administration Services, Inc — Default: $12.09 United Healthcare — Default: $119.70 United Healthcare — Medicare Advantage: $45.36 Wellcare Health Plan Inc MCR Adv — Default: $44.45
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP	$197	$157.60	$12.04 – $187.15
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $12.04 Blue Cross Blue Shield of AR — PPO: $12.04 Humana Advantage Care Plans Med Advantage — All Plans: $70.20 Summit Administration Services, Inc — Default: $15.10 United Healthcare — Default: $187.15 United Healthcare — Medicare Advantage: $70.92 Wellcare Health Plan Inc MCR Adv — Default: $69.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE	$153	$122.40	$15.26 – $145.35
Cholesterol panel (lipid panel): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $15.26 Blue Cross Blue Shield of AR — PPO: $15.26 Humana Advantage Care Plans Med Advantage — All Plans: $54.52 Summit Administration Services, Inc — Default: $18.16 United Healthcare — Default: $145.35 United Healthcare — Medicare Advantage: $55.08 Wellcare Health Plan Inc MCR Adv — Default: $53.98
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION	$126	$100.80	$9.90 – $119.70
Kidney function panel: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $9.90 Blue Cross Blue Shield of AR — PPO: $9.90 Humana Advantage Care Plans Med Advantage — All Plans: $44.89 Summit Administration Services, Inc — Default: $12.40 United Healthcare — Default: $119.70 United Healthcare — Medicare Advantage: $45.36 Wellcare Health Plan Inc MCR Adv — Default: $44.45
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$176	$140.80	$9.31 – $167.20
Liver function panel: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $9.31 Blue Cross Blue Shield of AR — PPO: $9.31 Humana Advantage Care Plans Med Advantage — All Plans: $62.71 Summit Administration Services, Inc — Default: $11.67 United Healthcare — Default: $167.20 United Healthcare — Medicare Advantage: $63.36 Wellcare Health Plan Inc MCR Adv — Default: $62.09
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: CHARGE UA W/MICRO	$47.50	$38	$3.61 – $45.12
Urine test (automated, with microscope): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $3.61 Blue Cross Blue Shield of AR — PPO: $3.61 Humana Advantage Care Plans Med Advantage — All Plans: $16.92 Summit Administration Services, Inc — Default: $4.52 United Healthcare — Default: $45.12 United Healthcare — Medicare Advantage: $17.10 Wellcare Health Plan Inc MCR Adv — Default: $16.76
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: MAT CLNC URINE DIPSTICK - DHS	$30	$24	$3.66 – $28.50
Urine test (manual, without microscope): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $3.97 Blue Cross Blue Shield of AR — PPO: $3.97 Humana Advantage Care Plans Med Advantage — All Plans: $10.69 Summit Administration Services, Inc — Default: $3.66 United Healthcare — Default: $28.50 United Healthcare — Medicare Advantage: $10.80 Wellcare Health Plan Inc MCR Adv — Default: $10.58
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: CLNC URINE DIPSTICK - DHS	$30	$24	$3.66 – $28.50
Urine test (manual, without microscope): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $3.97 Blue Cross Blue Shield of AR — PPO: $3.97 Humana Advantage Care Plans Med Advantage — All Plans: $10.69 Summit Administration Services, Inc — Default: $3.66 United Healthcare — Default: $28.50 United Healthcare — Medicare Advantage: $10.80 Wellcare Health Plan Inc MCR Adv — Default: $10.58
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: CLNC URINE DIPSTICK	$30	$24	$3.66 – $28.50
Urine test (manual, without microscope): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $3.97 Blue Cross Blue Shield of AR — PPO: $3.97 Humana Advantage Care Plans Med Advantage — All Plans: $10.69 Summit Administration Services, Inc — Default: $3.66 United Healthcare — Default: $28.50 United Healthcare — Medicare Advantage: $10.80 Wellcare Health Plan Inc MCR Adv — Default: $10.58
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE PH	$21.79	$17.43	$2.56 – $20.70
Urine test (automated, without microscope): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $2.56 Blue Cross Blue Shield of AR — PPO: $2.56 Humana Advantage Care Plans Med Advantage — All Plans: $7.76 Summit Administration Services, Inc — Default: $3.20 United Healthcare — Default: $20.70 United Healthcare — Medicare Advantage: $7.84 Wellcare Health Plan Inc MCR Adv — Default: $7.68
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC	$55.32	$44.26	$19.52 – $52.55
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $20.96 Blue Cross Blue Shield of AR — PPO: $20.96 Humana Advantage Care Plans Med Advantage — All Plans: $19.72 Summit Administration Services, Inc — Default: $26.27 United Healthcare — Default: $52.55 United Healthcare — Medicare Advantage: $19.92 Wellcare Health Plan Inc MCR Adv — Default: $19.52
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL	$55.32	$44.26	$19.52 – $52.55
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $20.96 Blue Cross Blue Shield of AR — PPO: $20.96 Humana Advantage Care Plans Med Advantage — All Plans: $19.72 Summit Administration Services, Inc — Default: $26.27 United Healthcare — Default: $52.55 United Healthcare — Medicare Advantage: $19.92 Wellcare Health Plan Inc MCR Adv — Default: $19.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH W/REFLEX TO FT4 IF INDICATED	$177.25	$141.80	$19.15 – $168.39
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $19.15 Blue Cross Blue Shield of AR — PPO: $19.15 Humana Advantage Care Plans Med Advantage — All Plans: $63.16 Summit Administration Services, Inc — Default: $23.98 United Healthcare — Default: $168.39 United Healthcare — Medicare Advantage: $63.81 Wellcare Health Plan Inc MCR Adv — Default: $62.53
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CHARGE CBC W/A DIFF	$62	$49.60	$8.86 – $58.90
Complete blood count (CBC) with differential: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $8.86 Blue Cross Blue Shield of AR — PPO: $8.86 Humana Advantage Care Plans Med Advantage — All Plans: $22.09 Summit Administration Services, Inc — Default: $11.10 United Healthcare — Default: $58.90 United Healthcare — Medicare Advantage: $22.32 Wellcare Health Plan Inc MCR Adv — Default: $21.87
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CHARGE FOR CBC NO DIFF	$55.16	$44.13	$7.38 – $52.40
Complete blood count (CBC), automated: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $7.38 Blue Cross Blue Shield of AR — PPO: $7.38 Humana Advantage Care Plans Med Advantage — All Plans: $19.66 Summit Administration Services, Inc — Default: $9.25 United Healthcare — Default: $52.40 United Healthcare — Medicare Advantage: $19.86 Wellcare Health Plan Inc MCR Adv — Default: $19.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$47.40	$37.92	$4.89 – $45.03
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $4.89 Blue Cross Blue Shield of AR — PPO: $4.89 Humana Advantage Care Plans Med Advantage — All Plans: $16.89 Summit Administration Services, Inc — Default: $5.61 United Healthcare — Default: $45.03 United Healthcare — Medicare Advantage: $17.06 Wellcare Health Plan Inc MCR Adv — Default: $16.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBOPLASTIN TIME	$65	$52	$6.85 – $61.75
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $6.85 Blue Cross Blue Shield of AR — PPO: $6.85 Humana Advantage Care Plans Med Advantage — All Plans: $23.16 Summit Administration Services, Inc — Default: $8.58 United Healthcare — Default: $61.75 United Healthcare — Medicare Advantage: $23.40 Wellcare Health Plan Inc MCR Adv — Default: $22.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: CLOT FACTOR VIII MULTIMETRIC	$72.30	$57.84	$6.85 – $68.68
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $6.85 Blue Cross Blue Shield of AR — PPO: $6.85 Humana Advantage Care Plans Med Advantage — All Plans: $25.76 Summit Administration Services, Inc — Default: $8.58 United Healthcare — Default: $68.68 United Healthcare — Medicare Advantage: $26.03 Wellcare Health Plan Inc MCR Adv — Default: $25.51

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 · Inpatient or outpatient In the file: CT HEAD W/O CONTRAST	$1,203.29	$962.63	$107.60 – $1,143.13
CT scan of the head or brain, without contrast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $107.60 Blue Cross Blue Shield of AR — PPO: $107.60 Humana Advantage Care Plans Med Advantage — All Plans: $428.76 Summit Administration Services, Inc — Default: $165 United Healthcare — Default: $1,143.13 United Healthcare — Medicare Advantage: $433.18 Wellcare Health Plan Inc MCR Adv — Default: $424.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W AND W/O CONTRAST	$2,596.35	$2,077.08	$366.59 – $2,466.53
MRI of the brain, before and after contrast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $366.59 Blue Cross Blue Shield of AR — PPO: $366.59 Humana Advantage Care Plans Med Advantage — All Plans: $925.16 Summit Administration Services, Inc — Default: $578 United Healthcare — Default: $2,466.53 United Healthcare — Medicare Advantage: $934.69 Wellcare Health Plan Inc MCR Adv — Default: $916
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEW	$217.20	$173.76	$21.87 – $206.34
Chest X-ray, 2 views: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $76.62 Blue Cross Blue Shield of AR — PPO: $76.62 Humana Advantage Care Plans Med Advantage — All Plans: $77.39 Summit Administration Services, Inc — Default: $21.87 United Healthcare — Default: $206.34 United Healthcare — Medicare Advantage: $78.19 Wellcare Health Plan Inc MCR Adv — Default: $76.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L-SPINE MINIMUM 4 VIEW	$267.20	$213.76	$40 – $253.84
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $107.60 Blue Cross Blue Shield of AR — PPO: $107.60 Humana Advantage Care Plans Med Advantage — All Plans: $95.21 Summit Administration Services, Inc — Default: $40 United Healthcare — Default: $253.84 United Healthcare — Medicare Advantage: $96.19 Wellcare Health Plan Inc MCR Adv — Default: $94.27
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINAL CANAL LUMBAR W/O CONTRAST	$1,629.54	$1,303.63	$223.73 – $1,548.06
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $223.73 Blue Cross Blue Shield of AR — PPO: $223.73 Humana Advantage Care Plans Med Advantage — All Plans: $580.65 Summit Administration Services, Inc — Default: $432 United Healthcare — Default: $1,548.06 United Healthcare — Medicare Advantage: $586.63 Wellcare Health Plan Inc MCR Adv — Default: $574.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH CONTRAST	$1,401.23	$1,120.98	$174.94 – $1,331.17
CT scan of the pelvis, with contrast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $174.94 Blue Cross Blue Shield of AR — PPO: $174.94 Humana Advantage Care Plans Med Advantage — All Plans: $499.29 Summit Administration Services, Inc — Default: $254 United Healthcare — Default: $1,331.17 United Healthcare — Medicare Advantage: $504.44 Wellcare Health Plan Inc MCR Adv — Default: $494.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI ANY JOINT LOW EXTREMITY W/O CONTRAST	$1,629.54	$1,303.63	$223.73 – $1,548.06
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $223.73 Blue Cross Blue Shield of AR — PPO: $223.73 Humana Advantage Care Plans Med Advantage — All Plans: $580.65 Summit Administration Services, Inc — Default: $380 United Healthcare — Default: $1,548.06 United Healthcare — Medicare Advantage: $586.63 Wellcare Health Plan Inc MCR Adv — Default: $574.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD/PELVIS W CONTRAST	$921.08	$736.86	$206.27 – $875.03
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $366.59 Blue Cross Blue Shield of AR — PPO: $366.59 Humana Advantage Care Plans Med Advantage — All Plans: $328.21 Summit Administration Services, Inc — Default: $206.27 United Healthcare — Default: $875.03 United Healthcare — Medicare Advantage: $331.59 Wellcare Health Plan Inc MCR Adv — Default: $324.96
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$518.16	$414.53	$56 – $492.25
Ultrasound of the abdomen, complete: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $107.60 Blue Cross Blue Shield of AR — PPO: $107.60 Humana Advantage Care Plans Med Advantage — All Plans: $184.64 Summit Administration Services, Inc — Default: $56 United Healthcare — Default: $492.25 United Healthcare — Medicare Advantage: $186.54 Wellcare Health Plan Inc MCR Adv — Default: $182.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB GREATER THAN 14 WKS COMP	$374.12	$299.30	$56 – $355.41
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $107.60 Blue Cross Blue Shield of AR — PPO: $107.60 Humana Advantage Care Plans Med Advantage — All Plans: $133.31 Summit Administration Services, Inc — Default: $56 United Healthcare — Default: $355.41 United Healthcare — Medicare Advantage: $134.68 Wellcare Health Plan Inc MCR Adv — Default: $131.99
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US NON OB TRANSVAGINAL	$405.48	$324.38	$68 – $385.21
Transvaginal ultrasound: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $107.60 Blue Cross Blue Shield of AR — PPO: $107.60 Humana Advantage Care Plans Med Advantage — All Plans: $144.48 Summit Administration Services, Inc — Default: $68 United Healthcare — Default: $385.21 United Healthcare — Medicare Advantage: $145.97 Wellcare Health Plan Inc MCR Adv — Default: $143.05
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MAMMO DIAGNOSTIC LEFT,Left	$280.28	$224.22	$87.72 – $266.27
Diagnostic mammogram, one breast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $87.72 Blue Cross Blue Shield of AR — PPO: $87.72 Humana Advantage Care Plans Med Advantage — All Plans: $99.87 Summit Administration Services, Inc — Default: $104.44 United Healthcare — Default: $266.27 United Healthcare — Medicare Advantage: $100.90 Wellcare Health Plan Inc MCR Adv — Default: $98.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MAMMO DIAGNOSTIC RIGHT,Right	$280.28	$224.22	$87.72 – $266.27
Diagnostic mammogram, one breast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $87.72 Blue Cross Blue Shield of AR — PPO: $87.72 Humana Advantage Care Plans Med Advantage — All Plans: $99.87 Summit Administration Services, Inc — Default: $104.44 United Healthcare — Default: $266.27 United Healthcare — Medicare Advantage: $100.90 Wellcare Health Plan Inc MCR Adv — Default: $98.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MAMMO DIAGNOSTIC UNILAT LEFT WITH TOMO,left	$286.14	$228.91	$87.72 – $271.83
Diagnostic mammogram, one breast: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $87.72 Blue Cross Blue Shield of AR — PPO: $87.72 Humana Advantage Care Plans Med Advantage — All Plans: $101.96 Summit Administration Services, Inc — Default: $104.44 United Healthcare — Default: $271.83 United Healthcare — Medicare Advantage: $103.01 Wellcare Health Plan Inc MCR Adv — Default: $100.95
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIAGNOSTIC BILATERAL W/O TOMO	$353.45	$282.76	$111.86 – $335.78
Diagnostic mammogram, both breasts: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $111.86 Blue Cross Blue Shield of AR — PPO: $111.86 Humana Advantage Care Plans Med Advantage — All Plans: $125.94 Summit Administration Services, Inc — Default: $126.48 United Healthcare — Default: $335.78 United Healthcare — Medicare Advantage: $127.24 Wellcare Health Plan Inc MCR Adv — Default: $124.70
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIAGNOSTIC BILATERAL WITH TOMO	$353.45	$282.76	$111.86 – $335.78
Diagnostic mammogram, both breasts: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $111.86 Blue Cross Blue Shield of AR — PPO: $111.86 Humana Advantage Care Plans Med Advantage — All Plans: $125.94 Summit Administration Services, Inc — Default: $126.48 United Healthcare — Default: $335.78 United Healthcare — Medicare Advantage: $127.24 Wellcare Health Plan Inc MCR Adv — Default: $124.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO SCREENING BILATERAL W/O TOMO	$286.15	$228.92	$76.65 – $271.84
Screening mammogram, both breasts: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $92.75 Blue Cross Blue Shield of AR — PPO: $92.75 Humana Advantage Care Plans Med Advantage — All Plans: $101.96 Summit Administration Services, Inc — Default: $98.84 United Healthcare — Default: $271.84 United Healthcare — Medicare Advantage: $107.79 Wellcare Health Plan Inc MCR Adv — Default: $76.65
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO SCREENING BILATERAL WITH TOMO	$286.15	$228.92	$76.65 – $271.84
Screening mammogram, both breasts: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $92.75 Blue Cross Blue Shield of AR — PPO: $92.75 Humana Advantage Care Plans Med Advantage — All Plans: $101.96 Summit Administration Services, Inc — Default: $98.84 United Healthcare — Default: $271.84 United Healthcare — Medicare Advantage: $107.79 Wellcare Health Plan Inc MCR Adv — Default: $76.65

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: MCD PT THERAPY	$90	$72	$21.76 – $85.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $30.32 Blue Cross Blue Shield of AR — PPO: $30.32 Humana Advantage Care Plans Med Advantage — All Plans: $32.07 Summit Administration Services, Inc — Default: $21.76 United Healthcare — Default: $85.50 United Healthcare — Medicare Advantage: $32.40 Wellcare Health Plan Inc MCR Adv — Default: $31.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT THERAPEUTIC EXERCISE - 15 MIN,Physical Therapy	$90	$72	$21.76 – $85.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $30.32 Blue Cross Blue Shield of AR — PPO: $30.32 Humana Advantage Care Plans Med Advantage — All Plans: $32.07 Summit Administration Services, Inc — Default: $21.76 United Healthcare — Default: $85.50 United Healthcare — Medicare Advantage: $32.40 Wellcare Health Plan Inc MCR Adv — Default: $31.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier UB In the file: MCD PTA THERAPY,Medicaid level of care	$90	$72	$17.40 – $85.50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $30.32 Blue Cross Blue Shield of AR — PPO: $30.32 Humana Advantage Care Plans Med Advantage — All Plans: $32.07 Summit Administration Services, Inc — Default: $17.40 United Healthcare — Default: $85.50 United Healthcare — Medicare Advantage: $32.40 Wellcare Health Plan Inc MCR Adv — Default: $31.75
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEXITY,Physical Therapy	$234.75	$187.80	$82.82 – $223.01
Physical therapy evaluation (low complexity): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $103.29 Blue Cross Blue Shield of AR — PPO: $103.29 Humana Advantage Care Plans Med Advantage — All Plans: $83.65 Summit Administration Services, Inc — Default: $98.88 United Healthcare — Default: $223.01 United Healthcare — Medicare Advantage: $84.51 Wellcare Health Plan Inc MCR Adv — Default: $82.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP,KX In the file: PT EVAL KX LOW COMPLEXITY,Physical Therapy, Medically necessary	$234.75	$187.80	$82.82 – $223.01
Physical therapy evaluation (low complexity): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $103.29 Blue Cross Blue Shield of AR — PPO: $103.29 Humana Advantage Care Plans Med Advantage — All Plans: $83.65 Summit Administration Services, Inc — Default: $98.88 United Healthcare — Default: $223.01 United Healthcare — Medicare Advantage: $84.51 Wellcare Health Plan Inc MCR Adv — Default: $82.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEXITY,Physical Therapy	$234.75	$187.80	$82.82 – $223.01
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $103.29 Blue Cross Blue Shield of AR — PPO: $103.29 Humana Advantage Care Plans Med Advantage — All Plans: $83.65 Summit Administration Services, Inc — Default: $148.32 United Healthcare — Default: $223.01 United Healthcare — Medicare Advantage: $84.51 Wellcare Health Plan Inc MCR Adv — Default: $82.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP,KX In the file: PT EVAL KX MOD COMPLEXITY,Physical Therapy, Medically necessary	$234.75	$187.80	$82.82 – $223.01
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $103.29 Blue Cross Blue Shield of AR — PPO: $103.29 Humana Advantage Care Plans Med Advantage — All Plans: $83.65 Summit Administration Services, Inc — Default: $148.32 United Healthcare — Default: $223.01 United Healthcare — Medicare Advantage: $84.51 Wellcare Health Plan Inc MCR Adv — Default: $82.82
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEXITY,Physical Therapy	$294.68	$235.74	$103.29 – $279.95
Physical therapy evaluation (high complexity): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $103.29 Blue Cross Blue Shield of AR — PPO: $103.29 Humana Advantage Care Plans Med Advantage — All Plans: $105 Summit Administration Services, Inc — Default: $197.76 United Healthcare — Default: $279.95 United Healthcare — Medicare Advantage: $106.08 Wellcare Health Plan Inc MCR Adv — Default: $103.96
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP,KX In the file: PT EVAL KX HIGH COMPLEXITY,Physical Therapy, Medically necessary	$294.68	$235.74	$103.29 – $279.95
Physical therapy evaluation (high complexity): rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $103.29 Blue Cross Blue Shield of AR — PPO: $103.29 Humana Advantage Care Plans Med Advantage — All Plans: $105 Summit Administration Services, Inc — Default: $197.76 United Healthcare — Default: $279.95 United Healthcare — Medicare Advantage: $106.08 Wellcare Health Plan Inc MCR Adv — Default: $103.96
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: RHC PSYCHOTHERAPY 30 MIN WITH PATIENT	$307.38	$245.90	$108.45 – $292.01
Psychotherapy, 30 minutes: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $109.53 United Healthcare — Default: $292.01 United Healthcare — Medicare Advantage: $110.66 Wellcare Health Plan Inc MCR Adv — Default: $108.45
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PF PSYCHOTHERAPY 30 MINUTES for tele	$193.89	$155.11	$69.09 – $184.20
Psychotherapy, 30 minutes: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $69.09 United Healthcare — Default: $184.20 Wellcare Health Plan Inc MCR Adv — Default: $77.43
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PF PSY PT/FAM 30 MIN	$193.89	$155.11	$69.09 – $184.20
Psychotherapy, 30 minutes: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $69.09 United Healthcare — Default: $184.20 Wellcare Health Plan Inc MCR Adv — Default: $77.43
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: RHC PSYCHOTHERAPY 45 MIN WITH PATIENT	$409.14	$327.31	$138.31 – $388.68
Psychotherapy, 45 minutes: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $145.78 United Healthcare — Default: $388.68 United Healthcare — Medicare Advantage: $147.29 Wellcare Health Plan Inc MCR Adv — Default: $144.34
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PF PSY PT/FAM 45 MIN	$256.74	$205.39	$91.48 – $243.90
Psychotherapy, 45 minutes: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $91.48 United Healthcare — Default: $243.90 Wellcare Health Plan Inc MCR Adv — Default: $102.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PF PSYCHOTHERAPY 45 MINUTES for tele	$256.74	$205.39	$91.48 – $243.90
Psychotherapy, 45 minutes: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $91.48 United Healthcare — Default: $243.90 Wellcare Health Plan Inc MCR Adv — Default: $102.25
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: RHC PSYCHOTHERAPY 60 MIN WITH PATIENT	$653.79	$523.03	$138.31 – $621.10
Psychotherapy, 60 minutes: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $232.96 United Healthcare — Default: $621.10 United Healthcare — Medicare Advantage: $235.36 Wellcare Health Plan Inc MCR Adv — Default: $230.65
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PF PSY PT/FAM 60 MIN	$377.79	$302.23	$134.61 – $358.90
Psychotherapy, 60 minutes: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $134.61 United Healthcare — Default: $358.90 Wellcare Health Plan Inc MCR Adv — Default: $150.76
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PF PSYCHOTHERAPY 60 MINUTES for tele	$377.79	$302.23	$134.61 – $358.90
Psychotherapy, 60 minutes: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $138.31 Blue Cross Blue Shield of AR — PPO: $138.31 Humana Advantage Care Plans Med Advantage — All Plans: $134.61 United Healthcare — Default: $358.90 Wellcare Health Plan Inc MCR Adv — Default: $150.76

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: PF EXC B9 LESION OF BREAST	$1,161.57	$929.26	$320 – $1,161.57
Removal of breast growth (open surgery): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $1,161.57 Blue Cross Blue Shield of AR — PPO: $1,161.57 Humana Advantage Care Plans Med Advantage — All Plans: $413.90 Summit Administration Services, Inc — Default: $320 United Healthcare — Default: $1,103.49 Wellcare Health Plan Inc MCR Adv — Default: $406.67
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PF EGD	$333.87	$267.10	$114.75 – $333.87
Upper GI endoscopy (diagnostic): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $333.87 Blue Cross Blue Shield of AR — PPO: $333.87 Humana Advantage Care Plans Med Advantage — All Plans: $118.96 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $317.18 Wellcare Health Plan Inc MCR Adv — Default: $114.75
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PF EGD W/BIOPSY	$377.16	$301.73	$128.51 – $377.16
Upper GI endoscopy with biopsy: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $377.16 Blue Cross Blue Shield of AR — PPO: $377.16 Humana Advantage Care Plans Med Advantage — All Plans: $134.40 Summit Administration Services, Inc — Default: $297 United Healthcare — Default: $358.30 Wellcare Health Plan Inc MCR Adv — Default: $128.51
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: PF COLONOSCOPY DIAGNOSTIC	$503.31	$402.65	$170.98 – $503.31
Colonoscopy (diagnostic): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $503.31 Blue Cross Blue Shield of AR — PPO: $503.31 Humana Advantage Care Plans Med Advantage — All Plans: $179.34 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $478.14 Wellcare Health Plan Inc MCR Adv — Default: $170.98
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PF COLONOSCOPY WITH BIOPSY	$547.83	$438.26	$184.99 – $547.83
Colonoscopy with biopsy: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $547.83 Blue Cross Blue Shield of AR — PPO: $547.83 Humana Advantage Care Plans Med Advantage — All Plans: $195.21 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $520.44 Wellcare Health Plan Inc MCR Adv — Default: $184.99
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PF COLONOSCOPY W/REM TUMOR SNARE	$694.14	$555.31	$233.39 – $694.14
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $694.14 Blue Cross Blue Shield of AR — PPO: $694.14 Humana Advantage Care Plans Med Advantage — All Plans: $247.34 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $659.43 Wellcare Health Plan Inc MCR Adv — Default: $233.39
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: PF COLONOSCOPY SCREEN	$503.82	$403.06	$171.18 – $503.82
Screening colonoscopy (not high risk): rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $503.82 Blue Cross Blue Shield of AR — PPO: $503.82 Humana Advantage Care Plans Med Advantage — All Plans: $179.53 United Healthcare — Default: $478.63 Wellcare Health Plan Inc MCR Adv — Default: $171.18
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: PF LAP CHOLECYSTECTOMY	$1,776.06	$1,420.85	$363 – $1,776.06
Gallbladder removal by laparoscope: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $1,776.06 Blue Cross Blue Shield of AR — PPO: $1,776.06 Humana Advantage Care Plans Med Advantage — All Plans: $632.85 Summit Administration Services, Inc — Default: $363 United Healthcare — Default: $1,687.26 Wellcare Health Plan Inc MCR Adv — Default: $631.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PF REPAIR INIT ING HERNIA 5YR>	$1,408.98	$1,127.18	$363 – $1,408.98
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $1,408.98 Blue Cross Blue Shield of AR — PPO: $1,408.98 Humana Advantage Care Plans Med Advantage — All Plans: $502.05 Summit Administration Services, Inc — Default: $363 United Healthcare — Default: $1,338.53 Wellcare Health Plan Inc MCR Adv — Default: $506.46
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: PAIN MGMT NJX INTERLAMINAR LMBR/SAC	$1,610.85	$1,288.68	$250 – $1,530.31
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $655.31 Blue Cross Blue Shield of AR — PPO: $655.31 Humana Advantage Care Plans Med Advantage — All Plans: $574 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $1,530.31 United Healthcare — Medicare Advantage: $579.91 Wellcare Health Plan Inc MCR Adv — Default: $568.31
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: PF PAIN MGMT NJX INTERLAMINAR LMBR/SAC	$282.21	$225.77	$93.47 – $282.21
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $282.21 Blue Cross Blue Shield of AR — PPO: $282.21 Humana Advantage Care Plans Med Advantage — All Plans: $100.57 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $268.10 Wellcare Health Plan Inc MCR Adv — Default: $93.47
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: PAIN MGMT INJ ANSTH TRANS EPI LUM SGL LV	$2,130.45	$1,704.36	$250 – $2,023.93
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Blue Cross Blue Shield of AR — Default: $866.69 Blue Cross Blue Shield of AR — PPO: $866.69 Humana Advantage Care Plans Med Advantage — All Plans: $759.14 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $2,023.93 United Healthcare — Medicare Advantage: $766.96 Wellcare Health Plan Inc MCR Adv — Default: $751.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: PF PAIN MGMT INJ ANS TRAN EPI LUM SGL LV	$316.02	$252.82	$103.98 – $316.02
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans Blue Cross Blue Shield of AR — Default: $316.02 Blue Cross Blue Shield of AR — PPO: $316.02 Humana Advantage Care Plans Med Advantage — All Plans: $112.61 Summit Administration Services, Inc — Default: $250 United Healthcare — Default: $300.22 Wellcare Health Plan Inc MCR Adv — Default: $103.98

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: CLNC OB CARE (VAGINAL DELIVERY)	$5,915.91	$4,732.73	$2,087.14 – $5,620.11
Vaginal delivery, with care before and after: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $5,620.11 Blue Cross Blue Shield of AR — PPO: $5,620.11 Humana Advantage Care Plans Med Advantage — All Plans: $2,108.01 United Healthcare — Default: $5,620.11 Wellcare Health Plan Inc MCR Adv — Default: $2,087.14
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CLNC CESAREAN DELIVERY	$6,534.15	$5,227.32	$2,305.24 – $6,207.44
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans Blue Cross Blue Shield of AR — Default: $6,207.44 Blue Cross Blue Shield of AR — PPO: $6,207.44 Humana Advantage Care Plans Med Advantage — All Plans: $2,328.29 United Healthcare — Default: $6,207.44 Wellcare Health Plan Inc MCR Adv — Default: $2,305.24

Source: Delta Memorial Hospital’s standard charges file (deltamem.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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	Critical Access Hospital
Address	811 Highway 65 South, Dumas, AR 71639
County	Desha County
State	Arkansas
Phone	(870) 382‑4303
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	041326
Name in Medicare records	DELTA MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	deltamem.org
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.

Delta Memorial Hospital — deltamem.org
Emergency Medical Services — deltamem.org
Outpatient Healthcare Services — deltamem.org
Radiology Services — deltamem.org
Surgical Services — deltamem.org
Rehabilitation Healthcare Services — deltamem.org
Clinical Laboratory Services — deltamem.org
Services — deltamem.org
New Healthcare Services — deltamem.org
Financial Assistance — deltamem.org
Obstetrical Services — deltamem.org
Respiratory Therapy Services — deltamem.org
Skilled Nursing Services — deltamem.org
Visitor Information — deltamem.org

Delta Memorial Hospital

Summary

Profile from official sources

At a glance