Does Mercy Hospital Waldron have an emergency room?

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

Where is Mercy Hospital Waldron?

1341 West Sixth Street, Waldron, AR 72958, in Scott County, Arkansas.

What is the phone number of Mercy Hospital Waldron?

(479) 637-4135, as listed by Medicare (CMS).

What is the Medicare star rating of Mercy Hospital Waldron?

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.

Mercy Hospital Waldron — Phone, Address & ER

Quick answers

Does Mercy Hospital Waldron have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mercy Hospital Waldron. In a medical emergency, call 911.
Where is Mercy Hospital Waldron?: 1341 West Sixth Street, Waldron, AR 72958, in Scott County, Arkansas.
What is the phone number of Mercy Hospital Waldron?: (479) 637-4135, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy Hospital Waldron?: 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.

Treatments^[4]

Swing bed program (therapies, IV treatments, wound care)

Programs and centers^[4]

Diagnostic testing
Swing bed program
Chaplain / spiritual care

Visiting and practical information

Visiting	Open visiting 24/7; two visitors per room; children under 12 need adult supervision^[4]
Interpreters and languages	Free medical interpreters^[4]
Patient portal	MyMercy

Doctors and clinicians (71)

71 doctors and other clinicians list Mercy Hospital Waldron 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 47 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 Booneville19 mi · Booneville, AR · Critical Access Hospital
Mena Regional Health System22 mi · Mena, AR · Critical Access Hospital
Eastern Oklahoma Medical Center30 mi · Poteau, OK · Critical Access Hospital
Mercy Hospital Fort Smith34 mi · Fort Smith, AR · Acute Care Hospital
Mercy Hospital Paris35 mi · Paris, AR · Critical Access Hospital

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

Other hospitals near Waldron

Mercy Rehabilitation Hospital32 mi · Fort Smith, AR · Inpatient Rehabilitation Hospital
Valley Behavioral Health System33 mi · Barling, AR · Psychiatric Hospital
Arkansas Extended Care Hospital-Ft Smith34 mi · Fort Smith, AR · Long-Term Acute Care Hospital

Hospitals in Scott 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 Springs of Waldron0.0 mi · Waldron, AR · 4 of 5 stars
Oak Manor Nursing and Rehabilitation Center Inc20 mi · Booneville, AR · 5 of 5 stars
The Green House Cottages of Homewood21 mi · Mena, AR · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Elite Hospice20 mi · Mena, AR · 4 of 5 stars
Visiting Nurses Agency of Western Arkansas Inc20 mi · Mena, AR

All hospice providers in the state →

Home health agencies

Centerwell Home Health2.6 mi · Waldron, AR · 4.5 of 5 stars
Elite Home Health20 mi · Mena, AR · 3.5 of 5 stars
Visiting Nurses Agency20 mi · Mena, AR

All home health agencies in the state →

Dialysis facilities

DaVita Mena Dialysis Center20 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

Waldron Family Clinic0.7 mi · Waldron, AR · Community health center
Healthy Connections- Mobile Medical Unit22 mi · Mena, AR · Community health center
Healthy Connections, Inc.22 mi · Mena, AR · Community health center

Clinics and urgent care

Mercy Hospital Waldron-Waldron Family Medicine2.6 mi · Waldron, AR · Rural health clinic
Mercy Hospital Waldron-Mansfield Family Medicine13 mi · Mansfield, AR · Rural health clinic
Access Medical Clinic Arkansas LLC16 mi · Booneville, AR · Rural health clinic

Pharmacies

Harps Food Stores, Inc2.6 mi · Waldron, AR · Community/retail pharmacy
Miller Principle Management, LLC2.6 mi · Waldron, AR · Community/retail pharmacy
River Valley Primary Care Services2.6 mi · Waldron, 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 Mercy Hospital Waldron reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	84%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	80%National average: 80%
“Always” got help as soon as they wanted	80%National average: 64%
Staff “always” explained medicines before giving them	82%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	93%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	50Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients	9.6%
Deaths within 30 days: pneumonia patients	13.5%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	16.2%
Readmitted within 30 days: heart failure	22.6%
Readmitted within 30 days: pneumonia	17.5%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	78 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Arkansas Best hospitals in Arkansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 42 common services exactly as Mercy Hospital Waldron 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 →

$ 6 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 42 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III New Pt	$279	$181.35	$562
New patient office visit (about 30–44 minutes): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $237.15 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $181.35 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $181.35 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $98.08 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $65.68 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $237.15 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $237.15 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $108.81 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $65.68 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $65.68
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV New Pt	$365	$237.25	$85.92 – $328.50
New patient office visit (about 45–59 minutes): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $310.25 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $237.25 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $237.25 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $147.66 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $85.92 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $310.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $310.25 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $142.35 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $85.92 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $85.92
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level V New Pt	$449	$291.85	$562
New patient office visit (about 60–74 minutes): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $381.65 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $291.85 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $291.85 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $194.93 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $105.69 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $381.65 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $381.65 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $175.11 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $105.69 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $105.69
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III Est Pt	$257	$167.05	$562
Established patient office visit (about 20–29 minutes): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $218.45 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $167.05 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $167.05 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $79.99 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $60.50 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $218.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $218.45 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $100.23 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $60.50 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $60.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV Est Pt	$289	$187.85	$562
Established patient office visit (about 30–39 minutes): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $245.65 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $187.85 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $187.85 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $113.10 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $68.03 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $245.65 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $245.65 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $112.71 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $68.03 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $68.03
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 3	$1,525.50	$991.57	$51 – $1,204
Emergency room visit (moderate): 10 of 116 insurance plan rates AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $246.57 ARKANSAS TOTAL CARE CONTRACTED [320039] — HB WLDAR PASSE AR TOTAL CARE: $115.77 BLUE CROSS AND BLUE SHIELD [20053] — HB WLDAR,OZKAR,PRSAR BCBS COMM/EXCHANGE: $661.90 CARESOURCE MEDICAID [20460] — HB WLDAR CARESOURCE MEDICAID: $52.02 CARESOURCE MEDICAID CONTRACTED [320460] — HB WLDAR CARESOURCE MEDICAID: $52.02 EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] — HB WLDAR PASSE EMPOWER: $64.77 EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] — HB WLDAR PASSE EMPOWER: $64.77 HEALTH CHOICE CONTRACTED [320166] — HB WLDAR,OZKAR,PRSAR OKLAHOMA STATE AND EDUCATION EMPLOYEES: $418.34 HUMANA MEDICAID CONTRACTED [320486] — HB WLDAR OK MANAGED MEDICAID: $246.57 MC ANTHEM [20455] — HB WLDAR,OZKAR,PRSAR BCBS COMM/EXCHANGE: $661.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Non Emergent Medicaid Level 3	$697	$453.05	$12 – $871
Emergency room visit (moderate): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $592.45 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $453.05 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $453.05 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $246.57 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $164.07 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $592.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $592.45 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $271.83 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $164.07 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $164.07
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 3 Pf	$332	$215.80	$59.54 – $661.90
Emergency room visit (moderate): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $282.20 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $215.80 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $215.80 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $246.57 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $67.34 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $282.20 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $282.20 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $129.48 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $67.34 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $67.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 4	$1,225	$796.25	$288.37 – $1,102.50
Emergency room visit (moderately high): 10 of 116 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,041.25 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $796.25 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $796.25 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $379.20 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $288.37 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,041.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,041.25 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $477.75 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $288.37 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $288.37
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Non Emergency Medicaid Level 4	$1,215	$789.75	$286.01 – $1,093.50
Emergency room visit (moderately high): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,032.75 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $789.75 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $789.75 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $379.20 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $286.01 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,032.75 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,032.75 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $473.85 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $286.01 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $286.01
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 4 Pf	$486	$315.90	$113 – $806.16
Emergency room visit (moderately high): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $413.10 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $315.90 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $315.90 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $379.20 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $127.80 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $413.10 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $413.10 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $189.54 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $127.80 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $127.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 5	$1,706	$1,108.90	$545.97 – $1,040.78
Emergency room visit (high): 10 of 116 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,450.10 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,108.90 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,108.90 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $545.97 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $401.59 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,450.10 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,450.10 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $665.34 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $401.59 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $401.59
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Non Emergency Medicaid Level 5	$1,697	$1,103.05	$399.47 – $1,527.30
Emergency room visit (high): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,442.45 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,103.05 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,103.05 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $545.97 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $399.47 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,442.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,442.45 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $661.83 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $399.47 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $399.47
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 5 Pf	$814	$529.10	$166.77 – $1,040.78
Emergency room visit (high): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $691.90 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $529.10 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $529.10 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $545.97 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $188.62 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $691.90 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $691.90 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $317.46 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $188.62 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $188.62

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Pnl Calcium Total	$171	$111.15	$40.25 – $153.90
Basic metabolic panel (blood test): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $145.35 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $111.15 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $111.15 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $7.53 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $40.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $145.35 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $145.35 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $66.69 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $40.25 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $40.25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$197	$128.05	$9.39 – $48.24
Comprehensive metabolic panel (blood test): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $167.45 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $128.05 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $128.05 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $9.39 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $46.37 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $167.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $167.45 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $76.83 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $46.37 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $46.37
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$110	$71.50	$11.91 – $58.06
Cholesterol panel (lipid panel): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $93.50 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $71.50 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $71.50 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $11.91 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $13.14 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $93.50 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $93.50 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $42.90 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $13.14 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $13.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Lipid Panel	$110	$71.50	$25.89 – $99
Cholesterol panel (lipid panel): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $93.50 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $71.50 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $71.50 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $11.91 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $13.14 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $93.50 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $93.50 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $42.90 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $13.14 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $13.14
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$224	$145.60	$7.72 – $39.66
Kidney function panel: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $190.40 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $145.60 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $145.60 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $7.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $52.73 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $190.40 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $190.40 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $87.36 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $52.73 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $52.73
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$137	$89.05	$32.25 – $123.30
Liver function panel: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $116.45 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $89.05 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $89.05 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $7.27 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $32.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $116.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $116.45 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $53.43 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $32.25 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $32.25
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Automated W Micro	$51	$33.15	$2.82 – $14.46
Urine test (automated, with microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $43.35 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $33.15 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $33.15 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $2.82 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $12.01 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $43.35 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $43.35 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $19.89 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $12.01 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $12.01
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urinalysis Non-Auto	$60	$39	$14.12 – $54
Urine test (manual, without microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $51 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $39 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $39 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $3.10 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $14.12 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $51 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $51 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $23.40 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $14.12 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $14.12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Non Automated WO Micro	$36	$23.40	$8.47 – $32.40
Urine test (manual, without microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $30.60 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $23.40 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $23.40 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $3.10 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $8.47 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $30.60 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $30.60 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $14.04 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $8.47 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $8.47
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketones Nonautomated	$60	$39	$14.12 – $54
Urine test (manual, without microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $51 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $39 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $39 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $3.10 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $14.12 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $51 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $51 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $23.40 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $14.12 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $14.12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urinalysis Automated W/O Micro	$62	$40.30	$2 – $10.24
Urine test (automated, without microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $52.70 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $40.30 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $40.30 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $2 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $14.59 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $52.70 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $52.70 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $24.18 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $14.59 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $14.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Automated W/O Micro	$65	$42.25	$15.30 – $58.50
Urine test (automated, without microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $55.25 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $42.25 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $42.25 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $2 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $15.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $55.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $55.25 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $25.35 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $15.30 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $15.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketones Automated	$66	$42.90	$2 – $10.24
Urine test (automated, without microscope): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $56.10 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $42.90 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $42.90 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $2 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $15.54 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $56.10 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $56.10 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $25.74 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $15.54 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $15.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Total Diagnostic	$90	$58.50	$16.36 – $83.96
PSA (prostate specific antigen) blood test: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $76.50 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $58.50 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $58.50 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $16.36 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $18.04 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $76.50 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $76.50 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $35.10 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $21.19 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $21.19
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Ultrasensitive	$197	$128.05	$16.36 – $83.96
PSA (prostate specific antigen) blood test: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $167.45 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $128.05 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $128.05 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $16.36 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $18.04 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $167.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $167.45 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $76.83 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $46.37 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $46.37
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh Newborn	$28	$18.20	$14.94 – $76.75
Thyroid stimulating hormone (TSH) test: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $23.80 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $18.20 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $18.20 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $14.94 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $6.59 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $23.80 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $23.80 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $10.92 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $6.59 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $6.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh Thyroid Stimulating Hormone	$85	$55.25	$14.94 – $76.75
Thyroid stimulating hormone (TSH) test: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $72.25 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $55.25 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $55.25 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $14.94 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $20.01 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $72.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $72.25 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $33.15 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $20.01 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $20.01
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc W Auto Diff	$75	$48.75	$17.66 – $67.50
Complete blood count (CBC) with differential: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $63.75 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $48.75 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $48.75 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $6.91 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $17.66 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $63.75 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $63.75 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $29.25 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $17.66 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $17.66
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc Automated WO Diff	$51	$33.15	$5.75 – $29.56
Complete blood count (CBC), automated: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $43.35 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $33.15 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $33.15 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $5.75 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $12.01 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $43.35 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $43.35 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $19.89 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $12.01 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $12.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Prothrombin Time	$45	$29.25	$10.59 – $40.50
Blood clotting time test (prothrombin time, PT): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $38.25 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $29.25 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $29.25 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $3.82 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $10.59 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $38.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $38.25 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $17.55 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $10.59 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $10.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time	$43	$27.95	$10.12 – $38.70
Blood clotting time test (prothrombin time, PT): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $36.55 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $27.95 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $27.95 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $3.82 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $10.12 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $36.55 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $36.55 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $16.77 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $10.12 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $10.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ptt Partial Thromboplastin Time	$105	$68.25	$24.72 – $94.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $89.25 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $68.25 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $68.25 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $5.35 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $24.72 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $89.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $89.25 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $40.95 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $24.72 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $24.72

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head/Brain WO Cont	$1,549	$1,006.85	$364.63 – $1,394.10
CT scan of the head or brain, without contrast: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,316.65 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,006.85 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,006.85 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $93.30 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $364.63 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,316.65 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,316.65 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $604.11 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $364.63 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $364.63
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xr Chest 2 Views	$341	$221.65	$80.27 – $306.90
Chest X-ray, 2 views: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $289.85 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $221.65 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $221.65 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $28.75 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $80.27 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $289.85 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $289.85 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $132.99 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $80.27 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $80.27
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xr Spine Lumbar Min 4 Views	$652	$423.80	$153.48 – $586.80
X-ray of the lower spine, at least 4 views: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $554.20 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $423.80 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $423.80 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $44.16 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $153.48 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $554.20 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $554.20 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $254.28 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $153.48 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $153.48
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W Cont	$2,388	$1,552.20	$562.14 – $2,149.20
CT scan of the pelvis, with contrast: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $2,029.80 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,552.20 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,552.20 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $158.53 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $562.14 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $2,029.80 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $2,029.80 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $931.32 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $562.14 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $562.14
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abd Pelvis With Contrast	$4,381	$2,847.65	$1,031.29 – $3,942.90
CT scan of the abdomen and pelvis, with contrast: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $3,723.85 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $2,847.65 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $2,847.65 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $265.29 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $1,031.29 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $3,723.85 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $3,723.85 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $1,708.59 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $1,031.29 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $1,031.29
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$852	$553.80	$56 – $294.37
Ultrasound of the abdomen, complete: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $724.20 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $553.80 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $553.80 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $99.52 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $200.56 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $724.20 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $724.20 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $332.28 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $200.56 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $200.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg Uter 14 Wks Or>	$635	$412.75	$149.48 – $571.50
Pregnancy ultrasound (after the first trimester): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $539.75 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $412.75 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $412.75 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $94.70 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $149.48 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $539.75 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $539.75 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $247.65 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $149.48 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $149.48
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB	$553	$359.45	$130.18 – $497.70
Transvaginal ultrasound: 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $470.05 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $359.45 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $359.45 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $101.64 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $130.18 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $470.05 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $470.05 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $215.67 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $130.18 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $130.18

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom Attended >3 Chn 6/> Yrs	$4,713	$3,063.45	$122 – $1,965.15
Sleep study (overnight, in a sleep lab): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $4,006.05 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $3,063.45 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $3,063.45 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $527.77 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $1,109.44 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $4,006.05 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $4,006.05 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $1,838.07 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $1,109.44 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $1,109.44

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ot Ther Exer 1 or > Area Ea 15m	$98	$63.70	$140 – $186
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $83.30 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $63.70 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $63.70 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $25.94 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $23.07 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $83.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $83.30 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $38.22 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $23.07 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $23.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Ther Exer 1 or > Area Ea 15m	$98	$63.70	$23.07 – $88.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $83.30 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $63.70 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $63.70 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $25.94 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $23.07 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $83.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $83.30 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $38.22 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $23.07 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $23.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Cpm Set Up Ea 15min	$151	$98.15	$186
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $128.35 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $98.15 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $98.15 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $25.94 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $35.55 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $128.35 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $128.35 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $58.89 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $35.55 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $35.55
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 30 Min	$206	$133.90	$186
Physical therapy evaluation (low complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $175.10 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $133.90 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $133.90 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $48.49 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $175.10 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $175.10 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $80.34 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $48.49 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $48.49
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 60 Min	$292	$189.80	$68.74 – $262.80
Physical therapy evaluation (low complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $248.20 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $189.80 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $189.80 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $68.74 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $248.20 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $248.20 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $113.88 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $68.74 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $68.74
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 75 Min	$334	$217.10	$88.72 – $151.05
Physical therapy evaluation (low complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $283.90 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $217.10 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $217.10 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $78.62 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $283.90 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $283.90 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $130.26 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $78.62 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $78.62
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 90 Min	$409	$265.85	$96.28 – $368.10
Physical therapy evaluation (moderate complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $347.65 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $265.85 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $265.85 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $96.28 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $347.65 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $347.65 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $159.51 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $96.28 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $96.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 30 Min	$238	$154.70	$56.03 – $214.20
Physical therapy evaluation (moderate complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $202.30 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $154.70 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $154.70 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $56.03 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $202.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $202.30 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $92.82 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $56.03 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $56.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 45 Min	$280	$182	$186
Physical therapy evaluation (moderate complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $238 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $182 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $182 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $65.91 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $238 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $238 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $109.20 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $65.91 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $65.91
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 105 Min	$495	$321.75	$186
Physical therapy evaluation (high complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $420.75 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $321.75 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $321.75 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $116.52 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $420.75 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $420.75 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $193.05 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $116.52 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $116.52
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 60 Min	$366	$237.90	$88.72 – $151.05
Physical therapy evaluation (high complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $311.10 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $237.90 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $237.90 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $86.16 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $311.10 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $311.10 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $142.74 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $86.16 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $86.16
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 90 Min	$452	$293.80	$88.72 – $151.05
Physical therapy evaluation (high complexity): 10 of 108 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $384.20 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $293.80 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $293.80 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $88.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $106.40 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $384.20 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $384.20 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $176.28 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $106.40 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $106.40

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd Flex Transoral Dx, Incl Spec Coll Pf	$898	$583.70	$5 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy (diagnostic): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $763.30 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $583.70 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $583.70 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $246.12 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $134.80 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $763.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $763.30 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $350.22 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $134.80 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $134.80
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Upper Endoscopy Complex	$2,329	$1,513.85	$548.25 – $2,096.10
Upper GI endoscopy (diagnostic): 10 of 107 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,979.65 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,513.85 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,513.85 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $582.25 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $548.25 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,979.65 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,979.65 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $908.31 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $548.25 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $548.25
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Egd W/Biopsy Pf	$958	$622.70	$225.51 – $862.20
Upper GI endoscopy with biopsy: 10 of 98 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $814.30 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $622.70 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $622.70 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $320.64 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $152.59 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $814.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $814.30 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $235.86 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $152.59 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $152.59
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colonoscopy Pf	$1,040	$676	$179.75 – $293.03
Colonoscopy (diagnostic): 10 of 115 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $884 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $676 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $676 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $293.03 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $203.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $884 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $884 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $405.60 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $203.30 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $203.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colonoscopy	$1,902	$1,236.30	$447.73 – $1,711.80
Colonoscopy (diagnostic): 10 of 107 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,616.70 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,236.30 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,236.30 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $475.50 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $447.73 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,616.70 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,616.70 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $741.78 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $447.73 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $447.73
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colo Biopsy Cold Pf	$1,279	$831.35	$195.40 – $2,445.12
Colonoscopy with biopsy: 10 of 98 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,087.15 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $831.35 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $831.35 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $371.76 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $221 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,087.15 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,087.15 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $406.84 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $221 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $221
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colo Biopsy Snare Pf	$1,527	$992.55	$5 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with removal of polyps (snare): 10 of 98 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,297.95 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $992.55 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $992.55 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $391.84 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $280.45 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,297.95 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,297.95 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $482.71 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $280.45 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $280.45
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal Ca Scrn Colonoscopy Non Hr Pf	$963	$625.95	$226.69 – $866.70
Screening colonoscopy (not high risk): 10 of 98 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $818.55 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $625.95 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $625.95 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $293.28 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $203.30 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $818.55 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $818.55 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $278.04 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $203.30 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $203.30
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lap,Cholecystectomy Pf	$2,253	$1,464.45	$5 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Gallbladder removal by laparoscope: 10 of 98 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME: $1,915.05 AETNA [20008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,464.45 AETNA CONTRACTED [320008] — HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA: $1,464.45 AETNA MEDICAID CONTRACTED [320009] — HB WLDAR OK MANAGED MEDICAID: $582.33 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB WLDAR MANAGED MCR: $695.80 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD: $1,915.05 AITHER HEALTH CONTRACTED [320449] — HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE: $1,915.05 AMBETTER CONTRACTED [320452] — HB WLDAR NOVASYS AMBETTER EXCHANGE: $1,044.59 AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] — HB WLDAR MANAGED MCR: $695.80 ARKANSAS COMMUNITY CARE MEDICARE [20035] — HB WLDAR MANAGED MCR: $695.80

Source: Mercy Hospital Waldron’s standard charges file (mercy.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 8, 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	1341 West Sixth Street, Waldron, AR 72958
County	Scott County
State	Arkansas
Phone	(479) 637‑4135
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	041305
Name in Medicare records	MERCY HOSPITAL WALDRON
Profile level	Medicare data + hospital website
Official website	mercy.net
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.

Mercy Hospital Waldron — mercy.net

Mercy Hospital Waldron

Summary

Profile from official sources

At a glance

Quick answers

Treatments^[4]

Programs and centers^[4]

Visiting and practical information

Doctors and clinicians (71)

Main specialties

Doctors with a page on this site (71)

Other emergency rooms nearby

Other hospitals near Waldron

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Mercy Hospital Waldron

Summary

Profile from official sources

At a glance

Quick answers

Treatments[4]

Programs and centers[4]

Visiting and practical information

Doctors and clinicians (71)

Main specialties

Doctors with a page on this site (71)

Other emergency rooms nearby

Other hospitals near Waldron

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Treatments^[4]

Programs and centers^[4]