Does Mena Regional Health System have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mena Regional Health System. In a medical emergency, call 911.

Where is Mena Regional Health System?

311 North Morrow Street, Mena, AR 71953, in Polk County, Arkansas.

What is the phone number of Mena Regional Health System?

(479) 394-6100, as listed by Medicare (CMS).

What is the Medicare star rating of Mena Regional Health System?

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.

Mena Regional Health System — Phone, Address & ER

Quick answers

Does Mena Regional Health System have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mena Regional Health System. In a medical emergency, call 911.
Where is Mena Regional Health System?: 311 North Morrow Street, Mena, AR 71953, in Polk County, Arkansas.
What is the phone number of Mena Regional Health System?: (479) 394-6100, as listed by Medicare (CMS).
What is the Medicare star rating of Mena Regional Health System?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][10][13][16]}

Conditions treated^[7][11]

Diabetes
Stroke or TIA
Heart failure (CHF)
Chest pain
Electrolyte imbalances
Alcohol, benzodiazepine, opiate and illicit drug dependence
Depression
Anxiety
Dementia

Treatments^{[4][7][8][9][15][16]}

Outpatient infusion
Outpatient therapy
IV therapy
Blood transfusions
Medication injections
Port flushes
Medical stabilization for withdrawal
Digital X-ray
Nuclear medicine
Digital mammography
Ultrasound
MRI
CT scan
Electrocardiogram
Sleep testing (polysomnography)
Pulmonary function tests
Clinical chemistry laboratory testing
Microbiology laboratory testing
Hematology laboratory testing

Procedures^[6][13]

Cataract surgery
Hysterectomy
Anterior and posterior (A&P) repair
Labor and delivery

Programs and centers^{[4][5][7][11][13]}

Swing Bed Program
AR Saves stroke program with UAMS
Senior Behavioral Health
Medical Stabilization Program
Cedar Haven outpatient behavioral health program
Sexual Assault Nurse Examiner program
Free childbirth classes

Emergency care (hospital website)^[5][14]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level 4

Visiting and practical information

Visiting	General visiting hours daily 10am-9pm; Senior Behavioral Health 1pm-2pm daily^[14]
Patient portal	https://mycarecorner.net/Default.aspx

Recognition^[4]

DNV Critical Access Hospital accreditation

Doctors and clinicians (97)

97 doctors and other clinicians list Mena Regional Health System 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 73 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 Waldron22 mi · Waldron, AR · Critical Access Hospital
Eastern Oklahoma Medical Center38 mi · Poteau, OK · Critical Access Hospital
Sevier County Medical Center39 mi · De Queen, AR · Critical Access Hospital
Mercy Hospital Booneville41 mi · Booneville, AR · Critical Access Hospital
Choctaw Nation Health Services Authority48 mi · Talihina, OK · Acute Care Hospital

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

Other hospitals near Mena

Howard Memorial Hospital48 mi · Nashville, AR · Critical Access Hospital

Hospitals in Polk 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 Green House Cottages of Homewood1.4 mi · Mena, AR · 5 of 5 stars
The Springs of Waldron22 mi · Waldron, AR · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Elite Hospice2.0 mi · Mena, AR · 4 of 5 stars
Visiting Nurses Agency of Western Arkansas Inc2.0 mi · Mena, AR

All hospice providers in the state →

Home health agencies

Elite Home Health2.0 mi · Mena, AR · 3.5 of 5 stars
Visiting Nurses Agency2.0 mi · Mena, AR
Centerwell Home Health22 mi · Waldron, AR · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Mena Dialysis Center2.0 mi · Mena, AR · 3 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

Healthy Connections- Mobile Medical Unit0.8 mi · Mena, AR · Community health center
Healthy Connections, Inc.0.8 mi · Mena, AR · Community health center
Waldron Family Clinic23 mi · Waldron, AR · Community health center

Clinics and urgent care

Access Medical Clinic Arkansas LLC2.0 mi · Mena, AR · Rural health clinic
Mena Medical Associates2.0 mi · Mena, AR · Rural health clinic
Mercy Hospital Waldron-Waldron Family Medicine22 mi · Waldron, AR · Rural health clinic

Pharmacies

Ellison Management PLLC2.0 mi · Mena, AR · Community/retail pharmacy
Freedom Pharmacy LLC2.0 mi · Mena, AR · Community/retail pharmacy
Healthy Connections, Inc.2.0 mi · Mena, 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 Mena Regional Health System 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.

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)	135 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%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, complications and deaths, readmissions. 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 60 common services exactly as Mena Regional Health System 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 →

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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 · Inpatient or outpatient In the file: LEVEL III NEW PATIENT	$157	$94.20	$73.58
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $73.58 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: LEVEL IV NEW PATIENT	$222	$133.20	$125.88
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $125.88 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: LEVEL V NEW PATIENT	$352	$211.20	$164.48
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $164.48 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: NURSE ASSESSMENT LEVEL III	$541	$324.60	$74.12
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $74.12 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OB EST PATIENT LEVEL III	$114	$68.40	$74.12
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $74.12 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL III EST PATIENT	$157	$94.20	$74.12
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $74.12 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL IV EST PATIENT	$222	$133.20	$108
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $108 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER ROOM LEVEL III	$471	$282.60	$203.66
Emergency room visit (moderate): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $203.66 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: PUNCT ASPIRATION OF ABSCESS,HEMATOMA, BU	$229	$137.40	$203.66
Emergency room visit (moderate): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $203.66 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER PHYS LEVEL 3	$273	$163.80	$203.66
Emergency room visit (moderate): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $203.66 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER ROOM LEVEL IV	$700	$420	$248.05
Emergency room visit (moderately high): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $248.05 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER PHYS LEVEL 4	$427	$256.20	$248.05
Emergency room visit (moderately high): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $248.05 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: ER ROOM LEVEL IV,E/M SERVIES	$700	$420	$248.05
Emergency room visit (moderately high): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $248.05 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER ROOM LEVEL V	$944	$566.40	$320.24
Emergency room visit (high): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $320.24 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER PHYS LEVEL 5	$666	$399.60	$320.24
Emergency room visit (high): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $320.24 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: ER ROOM LEVEL V,E/M SERVIES	$944	$566.40	$320.24
Emergency room visit (high): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $320.24 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC	$164	$98.40	$8.46 – $12.18
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.46 AllWell MCR Adv — Default: $8.46 Ambetter — Default: $10.58 AR Superior Select Tribute Health Plan MCR Adv — Default: $8.46 Blue Cross Blue Shield of AR — Default: $9.64 Blue Cross Blue Shield of AR — Medicare Advantage: $8.46 Cigna Medicare Advantage — Medicare Advantage: $8.46 Humana Advantage Care Plans Med Advantage — Default: $8.46 Medicare A AR JH — Default: $8.46 QualChoice — Default: $12.18
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: DAILY BASIC METABOLIC	$164	$98.40	$8.46 – $12.18
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.46 AllWell MCR Adv — Default: $8.46 Ambetter — Default: $10.58 AR Superior Select Tribute Health Plan MCR Adv — Default: $8.46 Blue Cross Blue Shield of AR — Default: $9.64 Blue Cross Blue Shield of AR — Medicare Advantage: $8.46 Cigna Medicare Advantage — Medicare Advantage: $8.46 Humana Advantage Care Plans Med Advantage — Default: $8.46 Medicare A AR JH — Default: $8.46 QualChoice — Default: $12.18
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: RHC BASIC METABOLIC	$27	$16.20	$8.46 – $12.18
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.46 AllWell MCR Adv — Default: $8.46 Ambetter — Default: $10.58 AR Superior Select Tribute Health Plan MCR Adv — Default: $8.46 Blue Cross Blue Shield of AR — Default: $9.64 Blue Cross Blue Shield of AR — Medicare Advantage: $8.46 Cigna Medicare Advantage — Medicare Advantage: $8.46 Humana Advantage Care Plans Med Advantage — Default: $8.46 Medicare A AR JH — Default: $8.46 QualChoice — Default: $12.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: DAILY COMP METABOLIC	$189	$113.40	$10.56 – $15.21
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10.56 AllWell MCR Adv — Default: $10.56 Ambetter — Default: $13.20 AR Superior Select Tribute Health Plan MCR Adv — Default: $10.56 Blue Cross Blue Shield of AR — Default: $12.03 Blue Cross Blue Shield of AR — Medicare Advantage: $10.56 Cigna Medicare Advantage — Medicare Advantage: $10.56 Humana Advantage Care Plans Med Advantage — Default: $10.56 Medicare A AR JH — Default: $10.56 QualChoice — Default: $15.21
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC, QUEST	$60	$36	$10.56 – $15.21
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10.56 AllWell MCR Adv — Default: $10.56 Ambetter — Default: $13.20 AR Superior Select Tribute Health Plan MCR Adv — Default: $10.56 Blue Cross Blue Shield of AR — Default: $12.03 Blue Cross Blue Shield of AR — Medicare Advantage: $10.56 Cigna Medicare Advantage — Medicare Advantage: $10.56 Humana Advantage Care Plans Med Advantage — Default: $10.56 Medicare A AR JH — Default: $10.56 QualChoice — Default: $15.21
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: GENERAL HEALTH CMP	$189	$113.40	$10.56 – $15.21
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10.56 AllWell MCR Adv — Default: $10.56 Ambetter — Default: $13.20 AR Superior Select Tribute Health Plan MCR Adv — Default: $10.56 Blue Cross Blue Shield of AR — Default: $12.03 Blue Cross Blue Shield of AR — Medicare Advantage: $10.56 Cigna Medicare Advantage — Medicare Advantage: $10.56 Humana Advantage Care Plans Med Advantage — Default: $10.56 Medicare A AR JH — Default: $10.56 QualChoice — Default: $15.21
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: PRENATAL PROFILE	$147	$88.20	$47.81 – $68.85
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $47.81 AllWell MCR Adv — Default: $47.81 Ambetter — Default: $59.76 AR Superior Select Tribute Health Plan MCR Adv — Default: $47.81 Blue Cross Blue Shield of AR — Default: $54.50 Blue Cross Blue Shield of AR — Medicare Advantage: $47.81 Cigna Medicare Advantage — Medicare Advantage: $47.81 Humana Advantage Care Plans Med Advantage — Default: $47.81 Medicare A AR JH — Default: $47.81 QualChoice — Default: $68.85
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: PRENATAL PANEL	$63	$37.80	$47.81 – $68.85
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $47.81 AllWell MCR Adv — Default: $47.81 Ambetter — Default: $59.76 AR Superior Select Tribute Health Plan MCR Adv — Default: $47.81 Blue Cross Blue Shield of AR — Default: $54.50 Blue Cross Blue Shield of AR — Medicare Advantage: $47.81 Cigna Medicare Advantage — Medicare Advantage: $47.81 Humana Advantage Care Plans Med Advantage — Default: $47.81 Medicare A AR JH — Default: $47.81 QualChoice — Default: $68.85
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: *OBSTETRIC PANEL	$171	$102.60	$47.81 – $68.85
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $47.81 AllWell MCR Adv — Default: $47.81 Ambetter — Default: $59.76 AR Superior Select Tribute Health Plan MCR Adv — Default: $47.81 Blue Cross Blue Shield of AR — Default: $54.50 Blue Cross Blue Shield of AR — Medicare Advantage: $47.81 Cigna Medicare Advantage — Medicare Advantage: $47.81 Humana Advantage Care Plans Med Advantage — Default: $47.81 Medicare A AR JH — Default: $47.81 QualChoice — Default: $68.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: *LIPIDS PANEL	$265	$159	$13.39 – $19.28
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $13.39 AllWell MCR Adv — Default: $13.39 Ambetter — Default: $16.74 AR Superior Select Tribute Health Plan MCR Adv — Default: $13.39 Blue Cross Blue Shield of AR — Default: $15.26 Blue Cross Blue Shield of AR — Medicare Advantage: $13.39 Cigna Medicare Advantage — Medicare Advantage: $13.39 Humana Advantage Care Plans Med Advantage — Default: $13.39 Medicare A AR JH — Default: $13.39 QualChoice — Default: $19.28
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$265	$159	$13.39 – $19.28
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $13.39 AllWell MCR Adv — Default: $13.39 Ambetter — Default: $16.74 AR Superior Select Tribute Health Plan MCR Adv — Default: $13.39 Blue Cross Blue Shield of AR — Default: $15.26 Blue Cross Blue Shield of AR — Medicare Advantage: $13.39 Cigna Medicare Advantage — Medicare Advantage: $13.39 Humana Advantage Care Plans Med Advantage — Default: $13.39 Medicare A AR JH — Default: $13.39 QualChoice — Default: $19.28
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: *LIPID PANEL	$42	$25.20	$13.39 – $19.28
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $13.39 AllWell MCR Adv — Default: $13.39 Ambetter — Default: $16.74 AR Superior Select Tribute Health Plan MCR Adv — Default: $13.39 Blue Cross Blue Shield of AR — Default: $15.26 Blue Cross Blue Shield of AR — Medicare Advantage: $13.39 Cigna Medicare Advantage — Medicare Advantage: $13.39 Humana Advantage Care Plans Med Advantage — Default: $13.39 Medicare A AR JH — Default: $13.39 QualChoice — Default: $19.28
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$164	$98.40	$8.68 – $12.50
Kidney function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.68 AllWell MCR Adv — Default: $8.68 Ambetter — Default: $10.85 AR Superior Select Tribute Health Plan MCR Adv — Default: $8.68 Blue Cross Blue Shield of AR — Default: $9.89 Blue Cross Blue Shield of AR — Medicare Advantage: $8.68 Cigna Medicare Advantage — Medicare Advantage: $8.68 Humana Advantage Care Plans Med Advantage — Default: $8.68 Medicare A AR JH — Default: $8.68 QualChoice — Default: $12.50
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER FUNCTION PANEL	$160	$96	$8.17 – $11.76
Liver function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.17 AllWell MCR Adv — Default: $8.17 Ambetter — Default: $10.21 AR Superior Select Tribute Health Plan MCR Adv — Default: $8.17 Blue Cross Blue Shield of AR — Default: $9.31 Blue Cross Blue Shield of AR — Medicare Advantage: $8.17 Cigna Medicare Advantage — Medicare Advantage: $8.17 Humana Advantage Care Plans Med Advantage — Default: $8.17 Medicare A AR JH — Default: $8.17 QualChoice — Default: $11.76
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER PROFILE	$19	$11.40	$8.17 – $11.76
Liver function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.17 AllWell MCR Adv — Default: $8.17 Ambetter — Default: $10.21 AR Superior Select Tribute Health Plan MCR Adv — Default: $8.17 Blue Cross Blue Shield of AR — Default: $9.31 Blue Cross Blue Shield of AR — Medicare Advantage: $8.17 Cigna Medicare Advantage — Medicare Advantage: $8.17 Humana Advantage Care Plans Med Advantage — Default: $8.17 Medicare A AR JH — Default: $8.17 QualChoice — Default: $11.76
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINE	$7	$4.20	$3.17 – $4.56
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.17 AllWell MCR Adv — Default: $3.17 Ambetter — Default: $3.96 AR Superior Select Tribute Health Plan MCR Adv — Default: $3.17 Blue Cross Blue Shield of AR — Default: $3.61 Blue Cross Blue Shield of AR — Medicare Advantage: $3.17 Cigna Medicare Advantage — Medicare Advantage: $3.17 Humana Advantage Care Plans Med Advantage — Default: $3.17 Medicare A AR JH — Default: $3.17 QualChoice — Default: $4.56
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: *URINALYSIS, AUTOMATED WITH MICROSCOPIC	$170	$102	$3.17 – $4.56
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.17 AllWell MCR Adv — Default: $3.17 Ambetter — Default: $3.96 AR Superior Select Tribute Health Plan MCR Adv — Default: $3.17 Blue Cross Blue Shield of AR — Default: $3.61 Blue Cross Blue Shield of AR — Medicare Advantage: $3.17 Cigna Medicare Advantage — Medicare Advantage: $3.17 Humana Advantage Care Plans Med Advantage — Default: $3.17 Medicare A AR JH — Default: $3.17 QualChoice — Default: $4.56
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS WITH MD-ORDERED MICROSCOPIC	$1,473	$883.80	$3.17 – $4.56
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.17 AllWell MCR Adv — Default: $3.17 Ambetter — Default: $3.96 AR Superior Select Tribute Health Plan MCR Adv — Default: $3.17 Blue Cross Blue Shield of AR — Default: $3.61 Blue Cross Blue Shield of AR — Medicare Advantage: $3.17 Cigna Medicare Advantage — Medicare Advantage: $3.17 Humana Advantage Care Plans Med Advantage — Default: $3.17 Medicare A AR JH — Default: $3.17 QualChoice — Default: $4.56
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE PH	$3	$1.80	$3.48 – $5.01
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.48 AllWell MCR Adv — Default: $3.48 Ambetter — Default: $4.35 AR Superior Select Tribute Health Plan MCR Adv — Default: $3.48 Blue Cross Blue Shield of AR — Default: $3.96 Blue Cross Blue Shield of AR — Medicare Advantage: $3.48 Cigna Medicare Advantage — Medicare Advantage: $3.48 Humana Advantage Care Plans Med Advantage — Default: $3.48 Medicare A AR JH — Default: $3.48 QualChoice — Default: $5.01
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE SPECIFIC GRAVITY	$130	$78	$3.48 – $5.01
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.48 AllWell MCR Adv — Default: $3.48 Ambetter — Default: $4.35 AR Superior Select Tribute Health Plan MCR Adv — Default: $3.48 Blue Cross Blue Shield of AR — Default: $3.96 Blue Cross Blue Shield of AR — Medicare Advantage: $3.48 Cigna Medicare Advantage — Medicare Advantage: $3.48 Humana Advantage Care Plans Med Advantage — Default: $3.48 Medicare A AR JH — Default: $3.48 QualChoice — Default: $5.01
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: REDUCING SUBSTANCES, URINE	$1,470	$882	$3.48 – $5.01
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.48 AllWell MCR Adv — Default: $3.48 Ambetter — Default: $4.35 AR Superior Select Tribute Health Plan MCR Adv — Default: $3.48 Blue Cross Blue Shield of AR — Default: $3.96 Blue Cross Blue Shield of AR — Medicare Advantage: $3.48 Cigna Medicare Advantage — Medicare Advantage: $3.48 Humana Advantage Care Plans Med Advantage — Default: $3.48 Medicare A AR JH — Default: $3.48 QualChoice — Default: $5.01
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: *URINALYSIS, AUTOMATED / NO MICRO	$92	$55.20	$2.25 – $3.24
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2.25 AllWell MCR Adv — Default: $2.25 Ambetter — Default: $2.81 AR Superior Select Tribute Health Plan MCR Adv — Default: $2.25 Blue Cross Blue Shield of AR — Default: $2.56 Blue Cross Blue Shield of AR — Medicare Advantage: $2.25 Cigna Medicare Advantage — Medicare Advantage: $2.25 Humana Advantage Care Plans Med Advantage — Default: $2.25 Medicare A AR JH — Default: $2.25 QualChoice — Default: $3.24
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AND REFLEX MICROSCOPIC	$5,492 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$3,295.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$2.25 – $3.24
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2.25 AllWell MCR Adv — Default: $2.25 Ambetter — Default: $2.81 AR Superior Select Tribute Health Plan MCR Adv — Default: $2.25 Blue Cross Blue Shield of AR — Default: $2.56 Blue Cross Blue Shield of AR — Medicare Advantage: $2.25 Cigna Medicare Advantage — Medicare Advantage: $2.25 Humana Advantage Care Plans Med Advantage — Default: $2.25 Medicare A AR JH — Default: $2.25 QualChoice — Default: $3.24
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA/MICRO/DRUG SCREEN	$1,488	$892.80	$2.25 – $3.24
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2.25 AllWell MCR Adv — Default: $2.25 Ambetter — Default: $2.81 AR Superior Select Tribute Health Plan MCR Adv — Default: $2.25 Blue Cross Blue Shield of AR — Default: $2.56 Blue Cross Blue Shield of AR — Medicare Advantage: $2.25 Cigna Medicare Advantage — Medicare Advantage: $2.25 Humana Advantage Care Plans Med Advantage — Default: $2.25 Medicare A AR JH — Default: $2.25 QualChoice — Default: $3.24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, TOTAL	$127	$76.20	$18.39 – $26.48
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $18.39 AllWell MCR Adv — Default: $18.39 Ambetter — Default: $22.99 AR Superior Select Tribute Health Plan MCR Adv — Default: $18.39 Blue Cross Blue Shield of AR — Default: $20.96 Blue Cross Blue Shield of AR — Medicare Advantage: $18.39 Cigna Medicare Advantage — Medicare Advantage: $18.39 Humana Advantage Care Plans Med Advantage — Default: $18.39 Medicare A AR JH — Default: $18.39 QualChoice — Default: $26.48
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, POST PROSTATECTOMY	$79	$47.40	$18.39 – $26.48
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $18.39 AllWell MCR Adv — Default: $18.39 Ambetter — Default: $22.99 AR Superior Select Tribute Health Plan MCR Adv — Default: $18.39 Blue Cross Blue Shield of AR — Default: $20.96 Blue Cross Blue Shield of AR — Medicare Advantage: $18.39 Cigna Medicare Advantage — Medicare Advantage: $18.39 Humana Advantage Care Plans Med Advantage — Default: $18.39 Medicare A AR JH — Default: $18.39 QualChoice — Default: $26.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH w/ reflex to Free T4	$4,860	$2,916	$16.80 – $24.19
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $16.80 AllWell MCR Adv — Default: $16.80 Ambetter — Default: $21 AR Superior Select Tribute Health Plan MCR Adv — Default: $16.80 Blue Cross Blue Shield of AR — Default: $19.15 Blue Cross Blue Shield of AR — Medicare Advantage: $16.80 Cigna Medicare Advantage — Medicare Advantage: $16.80 Humana Advantage Care Plans Med Advantage — Default: $16.80 Medicare A AR JH — Default: $16.80 QualChoice — Default: $24.19
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$8	$4.80	$16.80 – $24.19
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $16.80 AllWell MCR Adv — Default: $16.80 Ambetter — Default: $21 AR Superior Select Tribute Health Plan MCR Adv — Default: $16.80 Blue Cross Blue Shield of AR — Default: $19.15 Blue Cross Blue Shield of AR — Medicare Advantage: $16.80 Cigna Medicare Advantage — Medicare Advantage: $16.80 Humana Advantage Care Plans Med Advantage — Default: $16.80 Medicare A AR JH — Default: $16.80 QualChoice — Default: $24.19
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: *TSH CHARGE-QUEST	$170	$102	$16.80 – $24.19
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $16.80 AllWell MCR Adv — Default: $16.80 Ambetter — Default: $21 AR Superior Select Tribute Health Plan MCR Adv — Default: $16.80 Blue Cross Blue Shield of AR — Default: $19.15 Blue Cross Blue Shield of AR — Medicare Advantage: $16.80 Cigna Medicare Advantage — Medicare Advantage: $16.80 Humana Advantage Care Plans Med Advantage — Default: $16.80 Medicare A AR JH — Default: $16.80 QualChoice — Default: $24.19
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC	$6	$3.60	$7.77 – $11.19
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.77 AllWell MCR Adv — Default: $7.77 Ambetter — Default: $9.71 AR Superior Select Tribute Health Plan MCR Adv — Default: $7.77 Blue Cross Blue Shield of AR — Default: $8.85 Blue Cross Blue Shield of AR — Medicare Advantage: $7.77 Cigna Medicare Advantage — Medicare Advantage: $7.77 Humana Advantage Care Plans Med Advantage — Default: $7.77 Medicare A AR JH — Default: $7.77 QualChoice — Default: $11.19
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: DAILY CBC / AUTO DIFF	$92	$55.20	$7.77 – $11.19
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.77 AllWell MCR Adv — Default: $7.77 Ambetter — Default: $9.71 AR Superior Select Tribute Health Plan MCR Adv — Default: $7.77 Blue Cross Blue Shield of AR — Default: $8.85 Blue Cross Blue Shield of AR — Medicare Advantage: $7.77 Cigna Medicare Advantage — Medicare Advantage: $7.77 Humana Advantage Care Plans Med Advantage — Default: $7.77 Medicare A AR JH — Default: $7.77 QualChoice — Default: $11.19
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC / AUTO DIFF	$92	$55.20	$7.77 – $11.19
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.77 AllWell MCR Adv — Default: $7.77 Ambetter — Default: $9.71 AR Superior Select Tribute Health Plan MCR Adv — Default: $7.77 Blue Cross Blue Shield of AR — Default: $8.85 Blue Cross Blue Shield of AR — Medicare Advantage: $7.77 Cigna Medicare Advantage — Medicare Advantage: $7.77 Humana Advantage Care Plans Med Advantage — Default: $7.77 Medicare A AR JH — Default: $7.77 QualChoice — Default: $11.19
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: *CBC/NO AUTO DIFF	$92	$55.20	$6.47 – $9.32
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.47 AllWell MCR Adv — Default: $6.47 Ambetter — Default: $8.09 AR Superior Select Tribute Health Plan MCR Adv — Default: $6.47 Blue Cross Blue Shield of AR — Default: $7.37 Blue Cross Blue Shield of AR — Medicare Advantage: $6.47 Cigna Medicare Advantage — Medicare Advantage: $6.47 Humana Advantage Care Plans Med Advantage — Default: $6.47 Medicare A AR JH — Default: $6.47 QualChoice — Default: $9.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC / MD ORDERED MANUAL DIFF	$92	$55.20	$6.47 – $9.32
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.47 AllWell MCR Adv — Default: $6.47 Ambetter — Default: $8.09 AR Superior Select Tribute Health Plan MCR Adv — Default: $6.47 Blue Cross Blue Shield of AR — Default: $7.37 Blue Cross Blue Shield of AR — Medicare Advantage: $6.47 Cigna Medicare Advantage — Medicare Advantage: $6.47 Humana Advantage Care Plans Med Advantage — Default: $6.47 Medicare A AR JH — Default: $6.47 QualChoice — Default: $9.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC / NO AUTO DIFF	$92	$55.20	$6.47 – $9.32
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.47 AllWell MCR Adv — Default: $6.47 Ambetter — Default: $8.09 AR Superior Select Tribute Health Plan MCR Adv — Default: $6.47 Blue Cross Blue Shield of AR — Default: $7.37 Blue Cross Blue Shield of AR — Medicare Advantage: $6.47 Cigna Medicare Advantage — Medicare Advantage: $6.47 Humana Advantage Care Plans Med Advantage — Default: $6.47 Medicare A AR JH — Default: $6.47 QualChoice — Default: $9.32
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME/INR	$102	$61.20	$4.29 – $6.18
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4.29 AllWell MCR Adv — Default: $4.29 Ambetter — Default: $5.36 AR Superior Select Tribute Health Plan MCR Adv — Default: $4.29 Blue Cross Blue Shield of AR — Default: $4.89 Blue Cross Blue Shield of AR — Medicare Advantage: $4.29 Cigna Medicare Advantage — Medicare Advantage: $4.29 Humana Advantage Care Plans Med Advantage — Default: $4.29 Medicare A AR JH — Default: $4.29 QualChoice — Default: $6.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PRO TIME	$6	$3.60	$4.29 – $6.18
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4.29 AllWell MCR Adv — Default: $4.29 Ambetter — Default: $5.36 AR Superior Select Tribute Health Plan MCR Adv — Default: $4.29 Blue Cross Blue Shield of AR — Default: $4.89 Blue Cross Blue Shield of AR — Medicare Advantage: $4.29 Cigna Medicare Advantage — Medicare Advantage: $4.29 Humana Advantage Care Plans Med Advantage — Default: $4.29 Medicare A AR JH — Default: $4.29 QualChoice — Default: $6.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: *PROTIME CHARGE	$102	$61.20	$4.29 – $6.18
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4.29 AllWell MCR Adv — Default: $4.29 Ambetter — Default: $5.36 AR Superior Select Tribute Health Plan MCR Adv — Default: $4.29 Blue Cross Blue Shield of AR — Default: $4.89 Blue Cross Blue Shield of AR — Medicare Advantage: $4.29 Cigna Medicare Advantage — Medicare Advantage: $4.29 Humana Advantage Care Plans Med Advantage — Default: $4.29 Medicare A AR JH — Default: $4.29 QualChoice — Default: $6.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$111	$66.60	$6.01 – $8.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.01 AllWell MCR Adv — Default: $6.01 Ambetter — Default: $7.51 AR Superior Select Tribute Health Plan MCR Adv — Default: $6.01 Blue Cross Blue Shield of AR — Default: $6.85 Blue Cross Blue Shield of AR — Medicare Advantage: $6.01 Cigna Medicare Advantage — Medicare Advantage: $6.01 Humana Advantage Care Plans Med Advantage — Default: $6.01 Medicare A AR JH — Default: $6.01 QualChoice — Default: $8.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: *PTT CHARGE	$111	$66.60	$6.01 – $8.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.01 AllWell MCR Adv — Default: $6.01 Ambetter — Default: $7.51 AR Superior Select Tribute Health Plan MCR Adv — Default: $6.01 Blue Cross Blue Shield of AR — Default: $6.85 Blue Cross Blue Shield of AR — Medicare Advantage: $6.01 Cigna Medicare Advantage — Medicare Advantage: $6.01 Humana Advantage Care Plans Med Advantage — Default: $6.01 Medicare A AR JH — Default: $6.01 QualChoice — Default: $8.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: *VON WILLIBRAND COMP PANEL CHG: APTT	$111	$66.60	$6.01 – $8.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.01 AllWell MCR Adv — Default: $6.01 Ambetter — Default: $7.51 AR Superior Select Tribute Health Plan MCR Adv — Default: $6.01 Blue Cross Blue Shield of AR — Default: $6.85 Blue Cross Blue Shield of AR — Medicare Advantage: $6.01 Cigna Medicare Advantage — Medicare Advantage: $6.01 Humana Advantage Care Plans Med Advantage — Default: $6.01 Medicare A AR JH — Default: $6.01 QualChoice — Default: $8.65

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/BRAIN WITHOUT	$901	$540.60	$107.60
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 26 In the file: PROF CT HEAD/BRAIN WITHOUT,PROFERSSIONAL COMPONENT	$159	$95.40	$33 – $107.60
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Ambetter — Default: $33 Blue Cross Blue Shield of AR — Default: $107.60 Municipal Health Benefit Fund — Default: $67.82 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W/WO CONTRAST	$3,133	$1,879.80	$366.59
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $366.59 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier 26 In the file: PROF MRI BRAIN W/WO CONTRAST,PROFERSSIONAL COMPONENT	$440	$264	$187.60 – $366.59
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Ambetter — Default: $235 Blue Cross Blue Shield of AR — Default: $366.59 Municipal Health Benefit Fund — Default: $187.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST LATERAL DECUBITUS	$234	$140.40	$76.62
Chest X-ray, 2 views: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $76.62 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2V	$234	$140.40	$76.62
Chest X-ray, 2 views: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $76.62 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 26 In the file: PROF CHEST 2V,PROFERSSIONAL COMPONENT	$42	$25.20	$15.61 – $259
Chest X-ray, 2 views: 10 of 14 insurance plan rates Ambetter — Default: $259 Blue Cross Blue Shield of AR — Default: $76.62 Municipal Health Benefit Fund — Default: $15.61 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: SPINE/LUMB COMP W OBL	$406	$243.60	$107.60
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: SPINE/LUMB COMP MIN 4 VIEWS	$406	$243.60	$107.60
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 26 In the file: PROF SPINE/LUMB 4 VIEWS,PROFERSSIONAL COMPONENT	$61	$36.60	$24.81 – $227
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Ambetter — Default: $227 Blue Cross Blue Shield of AR — Default: $107.60 Municipal Health Benefit Fund — Default: $24.81 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR WITHOUT CONTRAST	$2,159	$1,295.40	$223.73
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $223.73 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 26 In the file: PROF MRI LUMBAR WITHOUT CONTRAST,PROFERSSIONAL COMPONENT	$277	$166.20	$118.02 – $223.73
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Ambetter — Default: $217 Blue Cross Blue Shield of AR — Default: $223.73 Municipal Health Benefit Fund — Default: $118.02 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH	$1,667	$1,000.20	$174.94
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $174.94 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 26 In the file: PROF CT PELVIS WITH,PROFERSSIONAL COMPONENT	$217	$130.20	$50 – $174.94
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Ambetter — Default: $50 Blue Cross Blue Shield of AR — Default: $174.94 Municipal Health Benefit Fund — Default: $92.62 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 26,LT In the file: PROF MRI ANKLE LEFT,PROFERSSIONAL COMPONENT, LEFT	$253	$151.80	$107.63 – $402
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Ambetter — Default: $402 Blue Cross Blue Shield of AR — Default: $223.73 Municipal Health Benefit Fund — Default: $107.63 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 26,RT In the file: PROF MRI ANKLE RIGHT,PROFERSSIONAL COMPONENT, RIGHT	$253	$151.80	$107.63 – $402
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Ambetter — Default: $402 Blue Cross Blue Shield of AR — Default: $223.73 Municipal Health Benefit Fund — Default: $107.63 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 26,LT In the file: PROF MRI HIP W/O LEFT,PROFERSSIONAL COMPONENT, LEFT	$253	$151.80	$107.63 – $402
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Ambetter — Default: $402 Blue Cross Blue Shield of AR — Default: $223.73 Municipal Health Benefit Fund — Default: $107.63 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN-PELVIS W/ CONTRAST	$1,451	$870.60	$366.59
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $366.59 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD PELVIS W/ CONTRAST	$830	$498	$366.59
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $366.59 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 26 In the file: PROF CT ABD PELVIS W/ CONTRAST,PROFERSSIONAL COMPONENT	$331	$198.60	$48 – $366.59
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Ambetter — Default: $48 Blue Cross Blue Shield of AR — Default: $366.59 Municipal Health Benefit Fund — Default: $135.97 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMP/MULT	$4 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$2.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$107.60
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 26 In the file: PROF US ABDOMEN COMP/MULT,PROFERSSIONAL COMPONENT	$152	$91.20	$42 – $107.60
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Ambetter — Default: $42 Blue Cross Blue Shield of AR — Default: $107.60 Municipal Health Benefit Fund — Default: $64.37 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB-COMPLETE >14 WKS 1ST GEST	$39	$23.40	$107.60
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US ANGEL OB-COMPLETE >14 WKS 1ST GEST	$130	$78	$107.60
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US ANGEL OB COMP > 14 WKS	$27	$16.20	$107.60
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIC TRANSVAGINAL	$110	$66	$107.60
Transvaginal ultrasound: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $107.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 26 In the file: PROF US PELVIC TRANSVAGINAL,PROFERSSIONAL COMPONENT	$128	$76.80	$54.30 – $139
Transvaginal ultrasound: 10 of 14 insurance plan rates Ambetter — Default: $139 Blue Cross Blue Shield of AR — Default: $107.60 Municipal Health Benefit Fund — Default: $54.30 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO-DIAGNOSTIC UNILATERAL, RIGHT	$212	$127.20	$87.72
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $87.72 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO-DIAGNOSTIC UNILATERAL, LEFT	$212	$127.20	$87.72
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $87.72 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier 26,RT In the file: PROF MAMMO-DIGI DIAG UNILAT RT IMPLANT,PROFERSSIONAL COMPONENT, RIGHT	$132	$79.20	$44.38 – $107
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Ambetter — Default: $107 Blue Cross Blue Shield of AR — Default: $87.72 Municipal Health Benefit Fund — Default: $44.38 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO-DIGITAL DIAGNO BILAT, IMPLANTS	$273	$163.80	$111.86
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $111.86 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO-DIGITAL DIAGNOSTIC BILATERAL W/CAD	$273	$163.80	$111.86
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $111.86 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 26 In the file: PROF MAMMO-DIGITAL DIAG BILAT IMPLANT,PROFERSSIONAL COMPONENT	$164	$98.40	$81.10 – $185
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates Ambetter — Default: $185 Blue Cross Blue Shield of AR — Default: $111.86 Municipal Health Benefit Fund — Default: $81.10 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO-SCREENING BILATERAL	$212	$127.20	$92.75
Screening mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $92.75 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO-DIGITAL SCREENING, IMPLANTS	$227	$136.20	$92.75
Screening mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $92.75 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 26 In the file: PROF MAMMO-DIGITAL SCREEN IMPLANT,PROFERSSIONAL COMPONENT	$132	$79.20	$49.60 – $185
Screening mammogram, both breasts: 10 of 14 insurance plan rates Ambetter — Default: $185 Blue Cross Blue Shield of AR — Default: $92.75 Municipal Health Benefit Fund — Default: $49.60 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: SLEEP STUDY POLYSOMNOGRAPHY	$7,308	$4,384.80	$886.94
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $886.94 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: SLEEP STAGING/4 PARAMETERS	$2,704	$1,622.40	$886.94
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $886.94 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 26 In the file: PROF POLYSOMNOGRAPHY,PROFESSIONAL COMPONENT	$525	$315	$35 – $886.94
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Ambetter — Default: $35 Blue Cross Blue Shield of AR — Default: $886.94 Municipal Health Benefit Fund — Default: $266.93 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: CPM,PHYSICAL THERAPY	$81	$48.60	$30.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $30.31 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: INDIVIDUAL PT,PHYSICAL THERAPY	$81	$48.60	$30.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $30.31 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: INDIVIDUAL PTA,PHYSICAL THERAPY	$81	$48.60	$30.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $30.31 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: MIP/MEP	$82	$49.20	$103.29
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $103.29 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: EVALUATION LOW COMPLEXITY,PHYSICAL THERAPY	$226	$135.60	$103.29
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $103.29 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: EVALUATION MODERATE COMPLEXITY,PHYSICAL THERAPY	$226	$135.60	$103.29
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $103.29 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: EVALUATION HIGH COMPLEXITY,PHYSICAL THERAPY	$226	$135.60	$103.29
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $103.29 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVALA OF BREAST LESION	$6,228.47	$3,737.08	$3,496.35
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $3,496.35 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	$36,389.37	$21,833.62	$13,270.34
Total hip replacement: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $13,270.34 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	$37,493.40	$22,496.04	$13,270.34
Total knee replacement: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $13,270.34 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	$22,468.95	$13,481.37	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount) United Healthcare — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	$13,233.15	$7,939.89	$3,027.36
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $3,027.36 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	$8,081.32	$4,848.79	$839.57
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $839.57 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	$8,459.71	$5,075.83	$839.57
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $839.57 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	$227.85	$136.71	$845.19
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $845.19 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	$8,379.05	$5,027.43	$1,101.35
Colonoscopy with biopsy: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $1,101.35 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	$8,317.05	$4,990.23	$1,101.35
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $1,101.35 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND	$8,438.62	$5,063.17	$845.19
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $845.19 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$13,518.75	$8,111.25	$5,300.93
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $5,300.93 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	$11,174.53	$6,704.72	$3,602.26
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $3,602.26 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	$3,002.01	$1,801.21	$655.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $655.31 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: EPIDURAL INJ L/S W/FLORO PRO	$599	$359.40	$655.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $655.31 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: EPIDURAL INJ L/S W/FLUORO TC	$838	$502.80	$655.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $655.31 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	$3,147.90	$1,888.74	$886.69
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $886.69 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: TF ESI L/S PRO	$384	$230.40	$886.69
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $886.69 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	$10,111.50	$6,066.90	$1,828.14
Carpal tunnel release: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $1,828.14 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	$10,411.80	$6,247.08	$2,196.23
Cataract removal with lens implant: 10 of 13 insurance plan rates Blue Cross Blue Shield of AR — Default: $2,196.23 Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: C-SECTION	$2,872	$1,723.20	Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates Aetna — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) AllWell MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Ambetter — Default: 35% (a percentage in the contract, not a dollar amount) AR Superior Select Tribute Health Plan MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of AR — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Cigna Medicare Advantage — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Default: 28% (a percentage in the contract, not a dollar amount) Medicare A AR JH — Default: 28% (a percentage in the contract, not a dollar amount) QualChoice — Default: 40% (a percentage in the contract, not a dollar amount) United Healthcare — Medicare Advantage: 28% (a percentage in the contract, not a dollar amount)

Source: Mena Regional Health System’s standard charges file (menaregional.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 3, 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	311 North Morrow Street, Mena, AR 71953
County	Polk County
State	Arkansas
Phone	(479) 394‑6100
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	Not rated by CMS
CMS Certification Number	041334
Name in Medicare records	MENA REGIONAL HEALTH SYSTEM
Profile level	Medicare data + hospital website
Official website	menaregional.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 2026-10-30.

Mena Regional Health System — menaregional.com
Emergency Department — menaregional.com
Specialty Services | Mena Regional Health System — menaregional.com
Med-Surg | Mena Regional Health System — menaregional.com
Outpatient Infusion | Mena Regional Health System — menaregional.com
Radiology | Mena Regional Health System — menaregional.com
About Us | Mena Regional Health System — menaregional.com
Behavioral Health | Mena Regional Health System — menaregional.com
Women's Health | Mena Regional Health System — menaregional.com
Contact Us | Mena Regional Health System — menaregional.com
Laboratory | Mena Regional Health System — menaregional.com
Sleep Lab | Mena Regional Health System — menaregional.com

Mena Regional Health System

Summary

Profile from official sources

At a glance