Does Newman Regional Health have an emergency room?

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

Where is Newman Regional Health?

1201 West 12th Avenue, Emporia, KS 66801, in Lyon County, Kansas.

What is the phone number of Newman Regional Health?

(620) 343-6800, as listed by Medicare (CMS).

What is the Medicare star rating of Newman Regional Health?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Newman Regional Health — Emporia, KS

Quick answers

Does Newman Regional Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Newman Regional Health. In a medical emergency, call 911.
Where is Newman Regional Health?: 1201 West 12th Avenue, Emporia, KS 66801, in Lyon County, Kansas.
What is the phone number of Newman Regional Health?: (620) 343-6800, as listed by Medicare (CMS).
What is the Medicare star rating of Newman Regional Health?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][16][18]}

Primary Care
Family Medicine
Internal Medicine
Pediatrics
Cardiology
Orthopedics & Sports Medicine
Obstetrics & Gynecology
Nephrology
Ear, Nose & Throat
Urology
Pulmonary Medicine
Psychiatry & Mental Health
Pain Management
Radiology & Imaging
Cancer Care
Surgical Specialists
Inpatient Medical Rehabilitation
Women's Health
Emergency medicine
General surgery
Sleep medicine
Physical medicine and rehabilitation

Conditions treated^{[4][5][9][16]}

ACL injury
Appendicitis
Arthritis
Asthma
Carpal tunnel syndrome
Gout
Heat related illnesses
Hip fracture
Meniscus tears
Osteoarthritis
Rheumatoid arthritis
Rotator cuff injury
Sepsis
Stroke
Tennis elbow
Chest pain
Suspected heart attack
Gastrointestinal disorders
Insomnia
Narcolepsy
Restless legs syndrome
Sleep apnea

Treatments^{[4][9][16][17][18][20]}

Hyperbaric oxygen therapy
Infusion clinic
Monoclonal antibody therapy
Physical therapy
Occupational therapy
Speech & language therapy
Pelvic health therapy
Cardiac rehabilitation
Pulmonary rehabilitation
Orthopedic injections
Wound care
Medical nutrition therapy
Sleep studies (polysomnogram)
Home sleep apnea testing
Electromyography (EMG)
Nerve conduction study
CT scan
MRI scan
Nuclear scan
Ultrasound
Mammogram
Bone density testing
Epidural steroid injection
Facet joint injection
Trigger point injection
Radiofrequency nerve ablation
Vertebroplasty
Spinal cord stimulation
Heart catheterization
Cardiac stress testing

Procedures^[4][5][8]

Da Vinci robotic surgery
Hip replacement
Knee replacement
Shoulder replacement
Elbow replacement
Knee arthroscopy
Gallbladder removal
Hernia surgery
Colonoscopy
Upper endoscopy (EGD)
CT scan
MRI scan
PET/CT scan
Nuclear scan
Ultrasound
Mammograms
Bone density testing
EMG testing
Cardiac catheterization lab
Sexual assault forensic exam (SANE)

Programs and centers^{[4][5][8][9][12][14][15]}

Breast Care Center
Sleep Disorders Center
Women's Life Center
Hospitalist program
Intensive Care Unit
Critical care transport
Lung cancer screening
Emergency department
Clinical Decision Unit
Cardiac rehabilitation
Newborn screening program
Inpatient medical rehabilitation
Medicare Shared Savings Program (ACO participation)

Emergency care (hospital website)^[5][8]

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

Visiting and practical information

Visiting	Visitor entrance F open 6:00 a.m. to 8:30 p.m. daily; use the Emergency Department entrance after hours^[6]
Interpreters and languages	Video remote interpreting (ASL and common spoken languages incl. Spanish) at no cost to patients^[11]
Patient portal	MHealth Patient Portal

Recognition^[8][16]

PCI-accredited cath lab
Sleep Disorders Center accredited by the American Academy of Sleep Medicine (AASM)

Doctors and clinicians (217)

217 doctors and other clinicians list Newman Regional Health 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 193 more: the button below opens the full list.

Other emergency rooms nearby

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

Morris County Hospital24 mi · Council Grove, KS · Critical Access Hospital
Coffey County Hospital29 mi · Burlington, KS · Critical Access Hospital
Greenwood County Hospital40 mi · Eureka, KS · Critical Access Hospital
St Luke Hospital & Living Center44 mi · Marion, KS · Critical Access Hospital
VA Eastern Kansas Healthcare System49 mi · Topeka, KS · Federal/VA Acute Care Hospital

Other hospitals nearby

AdventHealth Ottawa52 mi · Ottawa, KS · Acute Care Hospital

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

Flint Hills Care and Rehabilitation Center1.0 mi · Emporia, KS · 4 of 5 stars
Emporia Presbyterian Manor1.4 mi · Emporia, KS · 3 of 5 stars
Chase County Care and Rehab19 mi · Cottonwood Falls, KS · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Hand in Hand Hospice1.5 mi · Emporia, KS · 4 of 5 stars

All hospice providers in the state →

Dialysis facilities

DaVita Emporia at Home Dialysis1.5 mi · Emporia, KS · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Advanced Eye Surgery Center LLC1.5 mi · Emporia, KS

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

CareArc, Inc.0.6 mi · Emporia, KS · Community health center

Clinics and urgent care

Newman Memorial County Hospital1.5 mi · Emporia, KS · Urgent care center
Newman Regional Health Medical Partners1.5 mi · Emporia, KS · Rural health clinic
Xpress Wellness Urgent Care1.5 mi · Emporia, KS · Rural health clinic

Pharmacies

Carearc, Inc.1.5 mi · Emporia, KS · Community/retail pharmacy
Community Healthcare Collective Inc1.5 mi · Emporia, KS · Community/retail pharmacy
Dillon Companies LLC1.5 mi · Emporia, KS · 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 Newman Regional Health reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	52%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	80%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	224Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.9%
Deaths within 30 days: heart failure patients	13.6%
Deaths within 30 days: pneumonia patients	15.6%
Deaths within 30 days: COPD patients	10%
Deaths within 30 days: stroke patients	17.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	3.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.3%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	19.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	140 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	75%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

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 Kansas Best hospitals in Kansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as Newman Regional Health 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 →

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 3-new #99203	$235	$188	$84.70 – $188
New patient office visit (about 30–44 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $101 BCBS_of_Arkansas — BC.BSAR: $101 Blue_Cross — BC.BS: $101 Blue_Cross — BC.BS_RAD: $101 Blue_Cross — MRF_Blue_Cross: $101 Blue_Cross_Market — BC.MARKET: $101 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $84.70 KanCare_Aetna_Better_Health — MED.AETNA_1: $87.24 KanCare_Healthy_Blue — MED.HLTHBL: $86.39 KANCARE_SUNFLOWER — MED.SUNFL_1: $86.39
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office/outpatient visit new	$235	$188	$84.70 – $188
New patient office visit (about 30–44 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $101 BCBS_of_Arkansas — BC.BSAR: $101 Blue_Cross — BC.BS: $101 Blue_Cross — BC.BS_RAD: $101 Blue_Cross — MRF_Blue_Cross: $101 Blue_Cross_Market — BC.MARKET: $101 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $84.70 KanCare_Aetna_Better_Health — MED.AETNA_1: $87.24 KanCare_Healthy_Blue — MED.HLTHBL: $86.39 KANCARE_SUNFLOWER — MED.SUNFL_1: $86.39
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier 25 In the file: Level 3-new w/ proced #99203	$235	$188	$84.70 – $188
New patient office visit (about 30–44 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $101 BCBS_of_Arkansas — BC.BSAR: $101 Blue_Cross — BC.BS: $101 Blue_Cross — BC.BS_RAD: $101 Blue_Cross — MRF_Blue_Cross: $101 Blue_Cross_Market — BC.MARKET: $101 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $84.70 KanCare_Aetna_Better_Health — MED.AETNA_1: $87.24 KanCare_Healthy_Blue — MED.HLTHBL: $86.39 KANCARE_SUNFLOWER — MED.SUNFL_1: $86.39
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Level 4-new #99204	$345	$276	$101 – $276
New patient office visit (about 45–59 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $101 BCBS_of_Arkansas — BC.BSAR: $101 Blue_Cross — BC.BS: $101 Blue_Cross — BC.BS_RAD: $101 Blue_Cross — MRF_Blue_Cross: $101 Blue_Cross_Market — BC.MARKET: $101 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $120.26 KanCare_Aetna_Better_Health — MED.AETNA_1: $123.87 KanCare_Healthy_Blue — MED.HLTHBL: $122.67 KANCARE_SUNFLOWER — MED.SUNFL_1: $122.67
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office/outpatient visit new	$345	$276	$101 – $276
New patient office visit (about 45–59 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $101 BCBS_of_Arkansas — BC.BSAR: $101 Blue_Cross — BC.BS: $101 Blue_Cross — BC.BS_RAD: $101 Blue_Cross — MRF_Blue_Cross: $101 Blue_Cross_Market — BC.MARKET: $101 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $120.26 KanCare_Aetna_Better_Health — MED.AETNA_1: $123.87 KanCare_Healthy_Blue — MED.HLTHBL: $122.67 KANCARE_SUNFLOWER — MED.SUNFL_1: $122.67
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier 25 In the file: Level 4-new w/ proced #99204	$345	$276	$101 – $276
New patient office visit (about 45–59 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $101 BCBS_of_Arkansas — BC.BSAR: $101 Blue_Cross — BC.BS: $101 Blue_Cross — BC.BS_RAD: $101 Blue_Cross — MRF_Blue_Cross: $101 Blue_Cross_Market — BC.MARKET: $101 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $120.26 KanCare_Aetna_Better_Health — MED.AETNA_1: $123.87 KanCare_Healthy_Blue — MED.HLTHBL: $122.67 KANCARE_SUNFLOWER — MED.SUNFL_1: $122.67
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Level 5-new #99205	$395	$316	$153.38 – $316
New patient office visit (about 60–74 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $168.67 BCBS_of_Arkansas — BC.BSAR: $168.67 Blue_Cross — BC.BS: $168.67 Blue_Cross — BC.BS_RAD: $168.67 Blue_Cross — MRF_Blue_Cross: $168.67 Blue_Cross_Market — BC.MARKET: $168.67 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $153.38 KanCare_Aetna_Better_Health — MED.AETNA_1: $157.98 KanCare_Healthy_Blue — MED.HLTHBL: $156.45 KANCARE_SUNFLOWER — MED.SUNFL_1: $156.45
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office/outpatient visit new	$395	$316	$153.38 – $316
New patient office visit (about 60–74 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $168.67 BCBS_of_Arkansas — BC.BSAR: $168.67 Blue_Cross — BC.BS: $168.67 Blue_Cross — BC.BS_RAD: $168.67 Blue_Cross — MRF_Blue_Cross: $168.67 Blue_Cross_Market — BC.MARKET: $168.67 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $153.38 KanCare_Aetna_Better_Health — MED.AETNA_1: $157.98 KanCare_Healthy_Blue — MED.HLTHBL: $156.45 KANCARE_SUNFLOWER — MED.SUNFL_1: $156.45
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier 25 In the file: Level 5-new w/ proced #99205	$395	$316	$153.38 – $316
New patient office visit (about 60–74 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $168.67 BCBS_of_Arkansas — BC.BSAR: $168.67 Blue_Cross — BC.BS: $168.67 Blue_Cross — BC.BS_RAD: $168.67 Blue_Cross — MRF_Blue_Cross: $168.67 Blue_Cross_Market — BC.MARKET: $168.67 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $153.38 KanCare_Aetna_Better_Health — MED.AETNA_1: $157.98 KanCare_Healthy_Blue — MED.HLTHBL: $156.45 KANCARE_SUNFLOWER — MED.SUNFL_1: $156.45
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Level 3-est w/o #99213	$226	$180.80	$45.86 – $180.80
Established patient office visit (about 20–29 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $133.49 BCBS_of_Arkansas — BC.BSAR: $133.49 Blue_Cross — BC.BS: $133.49 Blue_Cross — BC.BS_RAD: $133.49 Blue_Cross — MRF_Blue_Cross: $133.49 Blue_Cross_Market — BC.MARKET: $133.49 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $45.86 KanCare_Aetna_Better_Health — MED.AETNA_1: $47.24 KanCare_Healthy_Blue — MED.HLTHBL: $46.78 KANCARE_SUNFLOWER — MED.SUNFL_1: $46.78
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/outpatient visit est	$226	$180.80	$45.86 – $180.80
Established patient office visit (about 20–29 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $133.49 BCBS_of_Arkansas — BC.BSAR: $133.49 Blue_Cross — BC.BS: $133.49 Blue_Cross — BC.BS_RAD: $133.49 Blue_Cross — MRF_Blue_Cross: $133.49 Blue_Cross_Market — BC.MARKET: $133.49 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $45.86 KanCare_Aetna_Better_Health — MED.AETNA_1: $47.24 KanCare_Healthy_Blue — MED.HLTHBL: $46.78 KANCARE_SUNFLOWER — MED.SUNFL_1: $46.78
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 25 In the file: Level 3-est w proc#99213	$226	$180.80	$45.86 – $180.80
Established patient office visit (about 20–29 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $133.49 BCBS_of_Arkansas — BC.BSAR: $133.49 Blue_Cross — BC.BS: $133.49 Blue_Cross — BC.BS_RAD: $133.49 Blue_Cross — MRF_Blue_Cross: $133.49 Blue_Cross_Market — BC.MARKET: $133.49 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $45.86 KanCare_Aetna_Better_Health — MED.AETNA_1: $47.24 KanCare_Healthy_Blue — MED.HLTHBL: $46.78 KANCARE_SUNFLOWER — MED.SUNFL_1: $46.78
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Level 4-est w/o #99214	$337	$269.60	$72.10 – $269.60
Established patient office visit (about 30–39 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $188.57 BCBS_of_Arkansas — BC.BSAR: $188.57 Blue_Cross — BC.BS: $188.57 Blue_Cross — BC.BS_RAD: $188.57 Blue_Cross — MRF_Blue_Cross: $188.57 Blue_Cross_Market — BC.MARKET: $188.57 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $72.10 KanCare_Aetna_Better_Health — MED.AETNA_1: $74.26 KanCare_Healthy_Blue — MED.HLTHBL: $73.54 KANCARE_SUNFLOWER — MED.SUNFL_1: $73.54
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/outpatient visit est	$337	$269.60	$72.10 – $269.60
Established patient office visit (about 30–39 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $188.57 BCBS_of_Arkansas — BC.BSAR: $188.57 Blue_Cross — BC.BS: $188.57 Blue_Cross — BC.BS_RAD: $188.57 Blue_Cross — MRF_Blue_Cross: $188.57 Blue_Cross_Market — BC.MARKET: $188.57 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $72.10 KanCare_Aetna_Better_Health — MED.AETNA_1: $74.26 KanCare_Healthy_Blue — MED.HLTHBL: $73.54 KANCARE_SUNFLOWER — MED.SUNFL_1: $73.54
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · modifier 25 In the file: Level 4-est w proc#99214	$337	$269.60	$72.10 – $269.60
Established patient office visit (about 30–39 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $188.57 BCBS_of_Arkansas — BC.BSAR: $188.57 Blue_Cross — BC.BS: $188.57 Blue_Cross — BC.BS_RAD: $188.57 Blue_Cross — MRF_Blue_Cross: $188.57 Blue_Cross_Market — BC.MARKET: $188.57 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $72.10 KanCare_Aetna_Better_Health — MED.AETNA_1: $74.26 KanCare_Healthy_Blue — MED.HLTHBL: $73.54 KANCARE_SUNFLOWER — MED.SUNFL_1: $73.54
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: Hosp-office consult #99243	$190	$152	$152
Office consultation with a specialist (moderate): 10 of 64 insurance plan rates Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount) Aetna_First_Health — MRF_Aetna_First_Health: 80% (a percentage in the contract, not a dollar amount) Aetna_First_Health — MRF_Aetna_First_Health_1: 80% (a percentage in the contract, not a dollar amount) AITHER_HEALTH — AITHERHLT: 85% (a percentage in the contract, not a dollar amount) AITHER_HEALTH — AITHERHLT_1: 85% (a percentage in the contract, not a dollar amount) All_Savers — AllSaver: 90% (a percentage in the contract, not a dollar amount) American_Healthcare_Alliance — AMER.HLTH: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: Office consultation	$190	$152	$152
Office consultation with a specialist (moderate): 10 of 64 insurance plan rates Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount) Aetna_First_Health — MRF_Aetna_First_Health: 80% (a percentage in the contract, not a dollar amount) Aetna_First_Health — MRF_Aetna_First_Health_1: 80% (a percentage in the contract, not a dollar amount) AITHER_HEALTH — AITHERHLT: 85% (a percentage in the contract, not a dollar amount) AITHER_HEALTH — AITHERHLT_1: 85% (a percentage in the contract, not a dollar amount) All_Savers — AllSaver: 90% (a percentage in the contract, not a dollar amount) American_Healthcare_Alliance — AMER.HLTH: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: Hosp-office consult #99244	$270	$216	$161.37 – $216
Office consultation with a specialist (moderate to high): 10 of 70 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $161.37 BCBS_of_Arkansas — BC.BSAR: $161.37 Blue_Cross — BC.BS: $161.37 Blue_Cross — BC.BS_RAD: $161.37 Blue_Cross — MRF_Blue_Cross: $161.37 Blue_Cross_Market — BC.MARKET: $161.37 Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: Office consultation	$270	$216	$161.37 – $216
Office consultation with a specialist (moderate to high): 10 of 70 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $161.37 BCBS_of_Arkansas — BC.BSAR: $161.37 Blue_Cross — BC.BS: $161.37 Blue_Cross — BC.BS_RAD: $161.37 Blue_Cross — MRF_Blue_Cross: $161.37 Blue_Cross_Market — BC.MARKET: $161.37 Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency dept visit	$245	$196	$40.48 – $407.79
Emergency room visit (moderate): 10 of 98 insurance plan rates * — MCRHMOMISC: $267.91 Anthem_Americare_AMB — ANTH-AMER: $407.79 BCBS_of_Arkansas — BC.BSAR: $407.79 Blue_Cross — BC.BS: $407.79 Blue_Cross — BC.BS_RAD: $407.79 Blue_Cross — MRF_Blue_Cross: $407.79 Blue_Cross_Market — BC.MARKET: $407.79 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $40.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $41.69 KanCare_Healthy_Blue — MED.HLTHBL: $41.29
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Level 3 er phys visit #99283	$245	$196	$40.48 – $407.79
Emergency room visit (moderate): 10 of 98 insurance plan rates * — MCRHMOMISC: $267.91 Anthem_Americare_AMB — ANTH-AMER: $407.79 BCBS_of_Arkansas — BC.BSAR: $407.79 Blue_Cross — BC.BS: $407.79 Blue_Cross — BC.BS_RAD: $407.79 Blue_Cross — MRF_Blue_Cross: $407.79 Blue_Cross_Market — BC.MARKET: $407.79 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $40.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $41.69 KanCare_Healthy_Blue — MED.HLTHBL: $41.29
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Ed level iii - stable #99283	$350	$280	$40.48 – $407.79
Emergency room visit (moderate): 10 of 98 insurance plan rates * — MCRHMOMISC: $267.91 Anthem_Americare_AMB — ANTH-AMER: $407.79 BCBS_of_Arkansas — BC.BSAR: $407.79 Blue_Cross — BC.BS: $407.79 Blue_Cross — BC.BS_RAD: $407.79 Blue_Cross — MRF_Blue_Cross: $407.79 Blue_Cross_Market — BC.MARKET: $407.79 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $40.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $41.69 KanCare_Healthy_Blue — MED.HLTHBL: $41.29
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency dept visit	$560	$448	$98.48 – $695.24
Emergency room visit (moderately high): 10 of 98 insurance plan rates * — MCRHMOMISC: $412.01 Anthem_Americare_AMB — ANTH-AMER: $695.24 BCBS_of_Arkansas — BC.BSAR: $695.24 Blue_Cross — BC.BS: $695.24 Blue_Cross — BC.BS_RAD: $695.24 Blue_Cross — MRF_Blue_Cross: $695.24 Blue_Cross_Market — BC.MARKET: $695.24 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $98.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $101.43 KanCare_Healthy_Blue — MED.HLTHBL: $100.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Ed level iv - urgent #99284	$560	$448	$98.48 – $695.24
Emergency room visit (moderately high): 10 of 98 insurance plan rates * — MCRHMOMISC: $412.01 Anthem_Americare_AMB — ANTH-AMER: $695.24 BCBS_of_Arkansas — BC.BSAR: $695.24 Blue_Cross — BC.BS: $695.24 Blue_Cross — BC.BS_RAD: $695.24 Blue_Cross — MRF_Blue_Cross: $695.24 Blue_Cross_Market — BC.MARKET: $695.24 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $98.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $101.43 KanCare_Healthy_Blue — MED.HLTHBL: $100.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier ET In the file: Level 4 er phys visit #99284	$403	$322.40	$98.48 – $695.24
Emergency room visit (moderately high): 10 of 98 insurance plan rates * — MCRHMOMISC: $412.01 Anthem_Americare_AMB — ANTH-AMER: $695.24 BCBS_of_Arkansas — BC.BSAR: $695.24 Blue_Cross — BC.BS: $695.24 Blue_Cross — BC.BS_RAD: $695.24 Blue_Cross — MRF_Blue_Cross: $695.24 Blue_Cross_Market — BC.MARKET: $695.24 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $98.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $101.43 KanCare_Healthy_Blue — MED.HLTHBL: $100.45
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency dept visit	$771	$616.80	$98.48 – $1,080.54
Emergency room visit (high): 10 of 98 insurance plan rates * — MCRHMOMISC: $593.22 Anthem_Americare_AMB — ANTH-AMER: $1,080.54 BCBS_of_Arkansas — BC.BSAR: $1,080.54 Blue_Cross — BC.BS: $1,080.54 Blue_Cross — BC.BS_RAD: $1,080.54 Blue_Cross — MRF_Blue_Cross: $1,080.54 Blue_Cross_Market — BC.MARKET: $1,080.54 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $98.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $101.43 KanCare_Healthy_Blue — MED.HLTHBL: $100.45
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: Ed level v - emergent #99285	$771	$616.80	$98.48 – $1,080.54
Emergency room visit (high): 10 of 98 insurance plan rates * — MCRHMOMISC: $593.22 Anthem_Americare_AMB — ANTH-AMER: $1,080.54 BCBS_of_Arkansas — BC.BSAR: $1,080.54 Blue_Cross — BC.BS: $1,080.54 Blue_Cross — BC.BS_RAD: $1,080.54 Blue_Cross — MRF_Blue_Cross: $1,080.54 Blue_Cross_Market — BC.MARKET: $1,080.54 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $98.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $101.43 KanCare_Healthy_Blue — MED.HLTHBL: $100.45
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier ET In the file: Level 5 er phys visit #99285	$567	$453.60	$98.48 – $1,080.54
Emergency room visit (high): 10 of 98 insurance plan rates * — MCRHMOMISC: $593.22 Anthem_Americare_AMB — ANTH-AMER: $1,080.54 BCBS_of_Arkansas — BC.BSAR: $1,080.54 Blue_Cross — BC.BS: $1,080.54 Blue_Cross — BC.BS_RAD: $1,080.54 Blue_Cross — MRF_Blue_Cross: $1,080.54 Blue_Cross_Market — BC.MARKET: $1,080.54 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $98.48 KanCare_Aetna_Better_Health — MED.AETNA_1: $101.43 KanCare_Healthy_Blue — MED.HLTHBL: $100.45

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 panel #80048	$55	$44	$8.46 – $19.65
Basic metabolic panel (blood test): 10 of 76 insurance plan rates Aetna — AETNA_1: $14.79 Aetna_Exchange — AETNA.EXCH_1: $14.79 Aetna_First_Health — MRF_Aetna_First_Health_1: $14.79 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $14.79 Anthem_Americare_AMB — ANTH-AMER: $19.65 Auxiant-GPHA — AUX-GPHA_1: $14.79 Auxiant-TFI_Family — AUX-TFI_1: $14.79 BCBS_of_Arkansas — BC.BSAR: $19.65 Blue_Cross — BC.BS: $19.65 Blue_Cross — BC.BS_RAD: $19.65
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Metabolic panel total ca	$55	$44	$8.46 – $19.65
Basic metabolic panel (blood test): 10 of 76 insurance plan rates Aetna — AETNA_1: $14.79 Aetna_Exchange — AETNA.EXCH_1: $14.79 Aetna_First_Health — MRF_Aetna_First_Health_1: $14.79 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $14.79 Anthem_Americare_AMB — ANTH-AMER: $19.65 Auxiant-GPHA — AUX-GPHA_1: $14.79 Auxiant-TFI_Family — AUX-TFI_1: $14.79 BCBS_of_Arkansas — BC.BSAR: $19.65 Blue_Cross — BC.BS: $19.65 Blue_Cross — BC.BS_RAD: $19.65
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comp metabolic panel 80053	$75	$60	$10.56 – $22.68
Comprehensive metabolic panel (blood test): 10 of 76 insurance plan rates Aetna — AETNA_1: $18.46 Aetna_Exchange — AETNA.EXCH_1: $18.46 Aetna_First_Health — MRF_Aetna_First_Health_1: $18.46 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $18.46 Anthem_Americare_AMB — ANTH-AMER: $22.68 Auxiant-GPHA — AUX-GPHA_1: $18.46 Auxiant-TFI_Family — AUX-TFI_1: $18.46 BCBS_of_Arkansas — BC.BSAR: $22.68 Blue_Cross — BC.BS: $22.68 Blue_Cross — BC.BS_RAD: $22.68
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehen metabolic panel	$75	$60	$10.56 – $22.68
Comprehensive metabolic panel (blood test): 10 of 76 insurance plan rates Aetna — AETNA_1: $18.46 Aetna_Exchange — AETNA.EXCH_1: $18.46 Aetna_First_Health — MRF_Aetna_First_Health_1: $18.46 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $18.46 Anthem_Americare_AMB — ANTH-AMER: $22.68 Auxiant-GPHA — AUX-GPHA_1: $18.46 Auxiant-TFI_Family — AUX-TFI_1: $18.46 BCBS_of_Arkansas — BC.BSAR: $22.68 Blue_Cross — BC.BS: $22.68 Blue_Cross — BC.BS_RAD: $22.68
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid panel	$92	$73.60	$13.39 – $43.18
Cholesterol panel (lipid panel): 10 of 98 insurance plan rates * — MCRHMOMISC: $13.39 Aetna — AETNA_1: $23.40 Aetna_Exchange — AETNA.EXCH_1: $23.40 Aetna_First_Health — MRF_Aetna_First_Health_1: $23.40 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $23.40 Anthem_Americare_AMB — ANTH-AMER: $43.18 Auxiant-GPHA — AUX-GPHA_1: $23.40 Auxiant-TFI_Family — AUX-TFI_1: $23.40 BCBS_of_Arkansas — BC.BSAR: $43.18 Blue_Cross — BC.BS: $43.18
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid profile #80061	$92	$73.60	$13.39 – $43.18
Cholesterol panel (lipid panel): 10 of 98 insurance plan rates * — MCRHMOMISC: $13.39 Aetna — AETNA_1: $23.40 Aetna_Exchange — AETNA.EXCH_1: $23.40 Aetna_First_Health — MRF_Aetna_First_Health_1: $23.40 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $23.40 Anthem_Americare_AMB — ANTH-AMER: $43.18 Auxiant-GPHA — AUX-GPHA_1: $23.40 Auxiant-TFI_Family — AUX-TFI_1: $23.40 BCBS_of_Arkansas — BC.BSAR: $43.18 Blue_Cross — BC.BS: $43.18
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal function panel	$77	$61.60	$8.68 – $20.32
Kidney function panel: 10 of 76 insurance plan rates Aetna — AETNA_1: $15.16 Aetna_Exchange — AETNA.EXCH_1: $15.16 Aetna_First_Health — MRF_Aetna_First_Health_1: $15.16 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $15.16 Anthem_Americare_AMB — ANTH-AMER: $20.32 Auxiant-GPHA — AUX-GPHA_1: $15.16 Auxiant-TFI_Family — AUX-TFI_1: $15.16 BCBS_of_Arkansas — BC.BSAR: $20.32 Blue_Cross — BC.BS: $20.32 Blue_Cross — BC.BS_RAD: $20.32
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal function panel #80069	$77	$61.60	$8.68 – $20.32
Kidney function panel: 10 of 76 insurance plan rates Aetna — AETNA_1: $15.16 Aetna_Exchange — AETNA.EXCH_1: $15.16 Aetna_First_Health — MRF_Aetna_First_Health_1: $15.16 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $15.16 Anthem_Americare_AMB — ANTH-AMER: $20.32 Auxiant-GPHA — AUX-GPHA_1: $15.16 Auxiant-TFI_Family — AUX-TFI_1: $15.16 BCBS_of_Arkansas — BC.BSAR: $20.32 Blue_Cross — BC.BS: $20.32 Blue_Cross — BC.BS_RAD: $20.32
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic function panel	$97	$77.60	$8.17 – $31.88
Liver function panel: 10 of 76 insurance plan rates Aetna — AETNA_1: $14.28 Aetna_Exchange — AETNA.EXCH_1: $14.28 Aetna_First_Health — MRF_Aetna_First_Health_1: $14.28 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $14.28 Anthem_Americare_AMB — ANTH-AMER: $31.88 Auxiant-GPHA — AUX-GPHA_1: $14.28 Auxiant-TFI_Family — AUX-TFI_1: $14.28 BCBS_of_Arkansas — BC.BSAR: $31.88 Blue_Cross — BC.BS: $31.88 Blue_Cross — BC.BS_RAD: $31.88
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Liver profile #80076	$97	$77.60	$8.17 – $31.88
Liver function panel: 10 of 76 insurance plan rates Aetna — AETNA_1: $14.28 Aetna_Exchange — AETNA.EXCH_1: $14.28 Aetna_First_Health — MRF_Aetna_First_Health_1: $14.28 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $14.28 Anthem_Americare_AMB — ANTH-AMER: $31.88 Auxiant-GPHA — AUX-GPHA_1: $14.28 Auxiant-TFI_Family — AUX-TFI_1: $14.28 BCBS_of_Arkansas — BC.BSAR: $31.88 Blue_Cross — BC.BS: $31.88 Blue_Cross — BC.BS_RAD: $31.88
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinaly auto w/ micro #81001	$21	$16.80	$3.17 – $9.72
Urine test (automated, with microscope): 10 of 76 insurance plan rates Aetna — AETNA_1: $5.54 Aetna_Exchange — AETNA.EXCH_1: $5.54 Aetna_First_Health — MRF_Aetna_First_Health_1: $5.54 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $5.54 Anthem_Americare_AMB — ANTH-AMER: $9.72 Auxiant-GPHA — AUX-GPHA_1: $5.54 Auxiant-TFI_Family — AUX-TFI_1: $5.54 BCBS_of_Arkansas — BC.BSAR: $9.72 Blue_Cross — BC.BS: $9.72 Blue_Cross — BC.BS_RAD: $9.72
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis auto w/scope	$21	$16.80	$3.17 – $9.72
Urine test (automated, with microscope): 10 of 76 insurance plan rates Aetna — AETNA_1: $5.54 Aetna_Exchange — AETNA.EXCH_1: $5.54 Aetna_First_Health — MRF_Aetna_First_Health_1: $5.54 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $5.54 Anthem_Americare_AMB — ANTH-AMER: $9.72 Auxiant-GPHA — AUX-GPHA_1: $5.54 Auxiant-TFI_Family — AUX-TFI_1: $5.54 BCBS_of_Arkansas — BC.BSAR: $9.72 Blue_Cross — BC.BS: $9.72 Blue_Cross — BC.BS_RAD: $9.72
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Albustix #81002	$28	$22.40	$3.01 – $10.36
Urine test (manual, without microscope): 10 of 76 insurance plan rates Aetna — AETNA_1: $4.46 Aetna_Exchange — AETNA.EXCH_1: $4.46 Aetna_First_Health — MRF_Aetna_First_Health_1: $4.46 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $4.46 Anthem_Americare_AMB — ANTH-AMER: $10.36 Auxiant-GPHA — AUX-GPHA_1: $4.46 Auxiant-TFI_Family — AUX-TFI_1: $4.46 BCBS_of_Arkansas — BC.BSAR: $10.36 Blue_Cross — BC.BS: $10.36 Blue_Cross — BC.BS_RAD: $10.36
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis nonauto w/o scope	$28	$22.40	$3.01 – $10.36
Urine test (manual, without microscope): 10 of 76 insurance plan rates Aetna — AETNA_1: $4.46 Aetna_Exchange — AETNA.EXCH_1: $4.46 Aetna_First_Health — MRF_Aetna_First_Health_1: $4.46 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $4.46 Anthem_Americare_AMB — ANTH-AMER: $10.36 Auxiant-GPHA — AUX-GPHA_1: $4.46 Auxiant-TFI_Family — AUX-TFI_1: $4.46 BCBS_of_Arkansas — BC.BSAR: $10.36 Blue_Cross — BC.BS: $10.36 Blue_Cross — BC.BS_RAD: $10.36
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinaly auto no micro #81003	$20	$16	$1.91 – $9.20
Urine test (automated, without microscope): 10 of 76 insurance plan rates Aetna — AETNA_1: $3.93 Aetna_Exchange — AETNA.EXCH_1: $3.93 Aetna_First_Health — MRF_Aetna_First_Health_1: $3.93 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $3.93 Anthem_Americare_AMB — ANTH-AMER: $9.20 Auxiant-GPHA — AUX-GPHA_1: $3.93 Auxiant-TFI_Family — AUX-TFI_1: $3.93 BCBS_of_Arkansas — BC.BSAR: $9.20 Blue_Cross — BC.BS: $9.20 Blue_Cross — BC.BS_RAD: $9.20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis auto w/o scope	$20	$16	$1.91 – $9.20
Urine test (automated, without microscope): 10 of 76 insurance plan rates Aetna — AETNA_1: $3.93 Aetna_Exchange — AETNA.EXCH_1: $3.93 Aetna_First_Health — MRF_Aetna_First_Health_1: $3.93 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $3.93 Anthem_Americare_AMB — ANTH-AMER: $9.20 Auxiant-GPHA — AUX-GPHA_1: $3.93 Auxiant-TFI_Family — AUX-TFI_1: $3.93 BCBS_of_Arkansas — BC.BSAR: $9.20 Blue_Cross — BC.BS: $9.20 Blue_Cross — BC.BS_RAD: $9.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Assay of psa total	$145	$116	$18.39 – $67.95
PSA (prostate specific antigen) blood test: 10 of 76 insurance plan rates Aetna — AETNA_1: $32.13 Aetna_Exchange — AETNA.EXCH_1: $32.13 Aetna_First_Health — MRF_Aetna_First_Health_1: $32.13 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $32.13 Anthem_Americare_AMB — ANTH-AMER: $67.95 Auxiant-GPHA — AUX-GPHA_1: $32.13 Auxiant-TFI_Family — AUX-TFI_1: $32.13 BCBS_of_Arkansas — BC.BSAR: $67.95 Blue_Cross — BC.BS: $67.95 Blue_Cross — BC.BS_RAD: $67.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa #84153	$145	$116	$18.39 – $67.95
PSA (prostate specific antigen) blood test: 10 of 76 insurance plan rates Aetna — AETNA_1: $32.13 Aetna_Exchange — AETNA.EXCH_1: $32.13 Aetna_First_Health — MRF_Aetna_First_Health_1: $32.13 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $32.13 Anthem_Americare_AMB — ANTH-AMER: $67.95 Auxiant-GPHA — AUX-GPHA_1: $32.13 Auxiant-TFI_Family — AUX-TFI_1: $32.13 BCBS_of_Arkansas — BC.BSAR: $67.95 Blue_Cross — BC.BS: $67.95 Blue_Cross — BC.BS_RAD: $67.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Assay thyroid stim hormone	$94	$75.20	$15.75 – $43.97
Thyroid stimulating hormone (TSH) test: 10 of 76 insurance plan rates Aetna — AETNA_1: $29.34 Aetna_Exchange — AETNA.EXCH_1: $29.34 Aetna_First_Health — MRF_Aetna_First_Health_1: $29.34 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $29.34 Anthem_Americare_AMB — ANTH-AMER: $43.97 Auxiant-GPHA — AUX-GPHA_1: $29.34 Auxiant-TFI_Family — AUX-TFI_1: $29.34 BCBS_of_Arkansas — BC.BSAR: $43.97 Blue_Cross — BC.BS: $43.97 Blue_Cross — BC.BS_RAD: $43.97
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Tsh #84443	$94	$75.20	$15.75 – $43.97
Thyroid stimulating hormone (TSH) test: 10 of 76 insurance plan rates Aetna — AETNA_1: $29.34 Aetna_Exchange — AETNA.EXCH_1: $29.34 Aetna_First_Health — MRF_Aetna_First_Health_1: $29.34 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $29.34 Anthem_Americare_AMB — ANTH-AMER: $43.97 Auxiant-GPHA — AUX-GPHA_1: $29.34 Auxiant-TFI_Family — AUX-TFI_1: $29.34 BCBS_of_Arkansas — BC.BSAR: $43.97 Blue_Cross — BC.BS: $43.97 Blue_Cross — BC.BS_RAD: $43.97
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc with auto diff #85025	$50	$40	$6.60 – $13.36
Complete blood count (CBC) with differential: 10 of 76 insurance plan rates Aetna — AETNA_1: $8.13 Aetna_Exchange — AETNA.EXCH_1: $8.13 Aetna_First_Health — MRF_Aetna_First_Health_1: $8.13 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $8.13 Anthem_Americare_AMB — ANTH-AMER: $13.36 Auxiant-GPHA — AUX-GPHA_1: $8.13 Auxiant-TFI_Family — AUX-TFI_1: $8.13 BCBS_of_Arkansas — BC.BSAR: $13.36 Blue_Cross — BC.BS: $13.36 Blue_Cross — BC.BS_RAD: $13.36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete cbc w/auto diff wbc	$50	$40	$6.60 – $13.36
Complete blood count (CBC) with differential: 10 of 76 insurance plan rates Aetna — AETNA_1: $8.13 Aetna_Exchange — AETNA.EXCH_1: $8.13 Aetna_First_Health — MRF_Aetna_First_Health_1: $8.13 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $8.13 Anthem_Americare_AMB — ANTH-AMER: $13.36 Auxiant-GPHA — AUX-GPHA_1: $8.13 Auxiant-TFI_Family — AUX-TFI_1: $8.13 BCBS_of_Arkansas — BC.BSAR: $13.36 Blue_Cross — BC.BS: $13.36 Blue_Cross — BC.BS_RAD: $13.36
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc #85027	$45	$36	$6.47 – $13.90
Complete blood count (CBC), automated: 10 of 76 insurance plan rates Aetna — AETNA_1: $11.30 Aetna_Exchange — AETNA.EXCH_1: $11.30 Aetna_First_Health — MRF_Aetna_First_Health_1: $11.30 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $11.30 Anthem_Americare_AMB — ANTH-AMER: $13.90 Auxiant-GPHA — AUX-GPHA_1: $11.30 Auxiant-TFI_Family — AUX-TFI_1: $11.30 BCBS_of_Arkansas — BC.BSAR: $13.90 Blue_Cross — BC.BS: $13.90 Blue_Cross — BC.BS_RAD: $13.90
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Complete cbc automated	$45	$36	$6.47 – $13.90
Complete blood count (CBC), automated: 10 of 76 insurance plan rates Aetna — AETNA_1: $11.30 Aetna_Exchange — AETNA.EXCH_1: $11.30 Aetna_First_Health — MRF_Aetna_First_Health_1: $11.30 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $11.30 Anthem_Americare_AMB — ANTH-AMER: $13.90 Auxiant-GPHA — AUX-GPHA_1: $11.30 Auxiant-TFI_Family — AUX-TFI_1: $11.30 BCBS_of_Arkansas — BC.BSAR: $13.90 Blue_Cross — BC.BS: $13.90 Blue_Cross — BC.BS_RAD: $13.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin time	$35	$28	$4.29 – $16.08
Blood clotting time test (prothrombin time, PT): 10 of 76 insurance plan rates Aetna — AETNA_1: $6.86 Aetna_Exchange — AETNA.EXCH_1: $6.86 Aetna_First_Health — MRF_Aetna_First_Health_1: $6.86 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $6.86 Anthem_Americare_AMB — ANTH-AMER: $16.08 Auxiant-GPHA — AUX-GPHA_1: $6.86 Auxiant-TFI_Family — AUX-TFI_1: $6.86 BCBS_of_Arkansas — BC.BSAR: $16.08 Blue_Cross — BC.BS: $16.08 Blue_Cross — BC.BS_RAD: $16.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Pt inr #85610	$35	$28	$4.29 – $16.08
Blood clotting time test (prothrombin time, PT): 10 of 76 insurance plan rates Aetna — AETNA_1: $6.86 Aetna_Exchange — AETNA.EXCH_1: $6.86 Aetna_First_Health — MRF_Aetna_First_Health_1: $6.86 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $6.86 Anthem_Americare_AMB — ANTH-AMER: $16.08 Auxiant-GPHA — AUX-GPHA_1: $6.86 Auxiant-TFI_Family — AUX-TFI_1: $6.86 BCBS_of_Arkansas — BC.BSAR: $16.08 Blue_Cross — BC.BS: $16.08 Blue_Cross — BC.BS_RAD: $16.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Ptt part throm #85730	$65	$52	$5.25 – $22.53
Blood clotting test (partial thromboplastin time, PTT): 10 of 76 insurance plan rates Aetna — AETNA_1: $10.48 Aetna_Exchange — AETNA.EXCH_1: $10.48 Aetna_First_Health — MRF_Aetna_First_Health_1: $10.48 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $10.48 Anthem_Americare_AMB — ANTH-AMER: $22.53 Auxiant-GPHA — AUX-GPHA_1: $10.48 Auxiant-TFI_Family — AUX-TFI_1: $10.48 BCBS_of_Arkansas — BC.BSAR: $22.53 Blue_Cross — BC.BS: $22.53 Blue_Cross — BC.BS_RAD: $22.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin time partial	$65	$52	$5.25 – $22.53
Blood clotting test (partial thromboplastin time, PTT): 10 of 76 insurance plan rates Aetna — AETNA_1: $10.48 Aetna_Exchange — AETNA.EXCH_1: $10.48 Aetna_First_Health — MRF_Aetna_First_Health_1: $10.48 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $10.48 Anthem_Americare_AMB — ANTH-AMER: $22.53 Auxiant-GPHA — AUX-GPHA_1: $10.48 Auxiant-TFI_Family — AUX-TFI_1: $10.48 BCBS_of_Arkansas — BC.BSAR: $22.53 Blue_Cross — BC.BS: $22.53 Blue_Cross — BC.BS_RAD: $22.53

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 w/o dye	$921	$736.80	$87.64 – $736.80
CT scan of the head or brain, without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $217.27 Anthem_Americare_AMB — ANTH-AMER: $480.41 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41 Blue_Cross — BC.BS_RAD: $480.41 Blue_Cross — MRF_Blue_Cross: $480.41 Blue_Cross_Market — BC.MARKET: $480.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $87.64 KanCare_Aetna_Better_Health — MED.AETNA_1: $90.27 KanCare_Healthy_Blue — MED.HLTHBL: $89.39
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 26 In the file: Ct head/brain w/o read #70450	$102	$81.60	$81.60 – $480.41
CT scan of the head or brain, without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $217.27 Anthem_Americare_AMB — ANTH-AMER: $480.41 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41 Blue_Cross — BC.BS_RAD: $480.41 Blue_Cross — MRF_Blue_Cross: $480.41 Blue_Cross_Market — BC.MARKET: $480.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $87.64 KanCare_Aetna_Better_Health — MED.AETNA_1: $90.27 KanCare_Healthy_Blue — MED.HLTHBL: $89.39
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: Ct head/brain w/o #70450	$921	$736.80	$87.64 – $736.80
CT scan of the head or brain, without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $217.27 Anthem_Americare_AMB — ANTH-AMER: $480.41 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41 Blue_Cross — BC.BS_RAD: $480.41 Blue_Cross — MRF_Blue_Cross: $480.41 Blue_Cross_Market — BC.MARKET: $480.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $87.64 KanCare_Aetna_Better_Health — MED.AETNA_1: $90.27 KanCare_Healthy_Blue — MED.HLTHBL: $89.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain stem w/o & w/dye	$1,921	$1,536.80	$311.13 – $1,500
MRI of the brain, before and after contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $827.11 Aetna — AETNA_1: $1,500 Aetna_Exchange — AETNA.EXCH_1: $1,500 Aetna_First_Health — MRF_Aetna_First_Health_1: $1,500 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $1,500 Anthem_Americare_AMB — ANTH-AMER: $552.52 Auxiant-GPHA — AUX-GPHA_1: $1,500 Auxiant-TFI_Family — AUX-TFI_1: $1,500 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier 26 In the file: Mri brain w & w/o read #70553	$248	$198.40	$311.13 – $1,500
MRI of the brain, before and after contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $827.11 Aetna — AETNA_1: $1,500 Aetna_Exchange — AETNA.EXCH_1: $1,500 Aetna_First_Health — MRF_Aetna_First_Health_1: $1,500 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $1,500 Anthem_Americare_AMB — ANTH-AMER: $552.52 Auxiant-GPHA — AUX-GPHA_1: $1,500 Auxiant-TFI_Family — AUX-TFI_1: $1,500 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: Mri brain w & w/o #70553	$1,921	$1,536.80	$311.13 – $1,500
MRI of the brain, before and after contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $827.11 Aetna — AETNA_1: $1,500 Aetna_Exchange — AETNA.EXCH_1: $1,500 Aetna_First_Health — MRF_Aetna_First_Health_1: $1,500 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $1,500 Anthem_Americare_AMB — ANTH-AMER: $552.52 Auxiant-GPHA — AUX-GPHA_1: $1,500 Auxiant-TFI_Family — AUX-TFI_1: $1,500 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-ray exam chest 2 views	$189	$151.20	$26.74 – $815.29
Chest X-ray, 2 views: 10 of 98 insurance plan rates * — MCRHMOMISC: $815.29 Anthem_Americare_AMB — ANTH-AMER: $150.77 BCBS_of_Arkansas — BC.BSAR: $150.77 Blue_Cross — BC.BS: $150.77 Blue_Cross — BC.BS_RAD: $150.77 Blue_Cross — MRF_Blue_Cross: $150.77 Blue_Cross_Market — BC.MARKET: $150.77 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $26.74 KanCare_Aetna_Better_Health — MED.AETNA_1: $27.54 KanCare_Healthy_Blue — MED.HLTHBL: $27.27
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: Chest 2 views #71046	$189	$151.20	$26.74 – $815.29
Chest X-ray, 2 views: 10 of 98 insurance plan rates * — MCRHMOMISC: $815.29 Anthem_Americare_AMB — ANTH-AMER: $150.77 BCBS_of_Arkansas — BC.BSAR: $150.77 Blue_Cross — BC.BS: $150.77 Blue_Cross — BC.BS_RAD: $150.77 Blue_Cross — MRF_Blue_Cross: $150.77 Blue_Cross_Market — BC.MARKET: $150.77 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $26.74 KanCare_Aetna_Better_Health — MED.AETNA_1: $27.54 KanCare_Healthy_Blue — MED.HLTHBL: $27.27
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-ray exam l-2 spine 4/>vws	$375	$300	$40.70 – $300
X-ray of the lower spine, at least 4 views: 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $248.10 BCBS_of_Arkansas — BC.BSAR: $248.10 Blue_Cross — BC.BS: $248.10 Blue_Cross — BC.BS_RAD: $248.10 Blue_Cross — MRF_Blue_Cross: $248.10 Blue_Cross_Market — BC.MARKET: $248.10 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $40.70 KanCare_Aetna_Better_Health — MED.AETNA_1: $41.92 KanCare_Healthy_Blue — MED.HLTHBL: $41.51
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 26 In the file: X-ray exam l-2 spine 4/>vw	$26	$20.80	$20.80 – $248.10
X-ray of the lower spine, at least 4 views: 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $248.10 BCBS_of_Arkansas — BC.BSAR: $248.10 Blue_Cross — BC.BS: $248.10 Blue_Cross — BC.BS_RAD: $248.10 Blue_Cross — MRF_Blue_Cross: $248.10 Blue_Cross_Market — BC.MARKET: $248.10 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $40.70 KanCare_Aetna_Better_Health — MED.AETNA_1: $41.92 KanCare_Healthy_Blue — MED.HLTHBL: $41.51
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: L-spine min 4v #72110	$375	$300	$40.70 – $300
X-ray of the lower spine, at least 4 views: 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $248.10 BCBS_of_Arkansas — BC.BSAR: $248.10 Blue_Cross — BC.BS: $248.10 Blue_Cross — BC.BS_RAD: $248.10 Blue_Cross — MRF_Blue_Cross: $248.10 Blue_Cross_Market — BC.MARKET: $248.10 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $40.70 KanCare_Aetna_Better_Health — MED.AETNA_1: $41.92 KanCare_Healthy_Blue — MED.HLTHBL: $41.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri lumbar spine w/o dye	$1,615	$1,292	$186.47 – $1,292
MRI of the lower back (lumbar spine), without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $522.75 Anthem_Americare_AMB — ANTH-AMER: $552.52 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52 Blue_Cross — BC.BS_RAD: $552.52 Blue_Cross — MRF_Blue_Cross: $552.52 Blue_Cross_Market — BC.MARKET: $552.52 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $186.47 KanCare_Aetna_Better_Health — MED.AETNA_1: $192.06 KanCare_Healthy_Blue — MED.HLTHBL: $190.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 26 In the file: Mri l-spine w/o read #72148	$165	$132	$132 – $552.52
MRI of the lower back (lumbar spine), without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $522.75 Anthem_Americare_AMB — ANTH-AMER: $552.52 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52 Blue_Cross — BC.BS_RAD: $552.52 Blue_Cross — MRF_Blue_Cross: $552.52 Blue_Cross_Market — BC.MARKET: $552.52 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $186.47 KanCare_Aetna_Better_Health — MED.AETNA_1: $192.06 KanCare_Healthy_Blue — MED.HLTHBL: $190.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: Mri l-spine w/o #72148	$1,615	$1,292	$186.47 – $1,292
MRI of the lower back (lumbar spine), without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $522.75 Anthem_Americare_AMB — ANTH-AMER: $552.52 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52 Blue_Cross — BC.BS_RAD: $552.52 Blue_Cross — MRF_Blue_Cross: $552.52 Blue_Cross_Market — BC.MARKET: $552.52 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $186.47 KanCare_Aetna_Better_Health — MED.AETNA_1: $192.06 KanCare_Healthy_Blue — MED.HLTHBL: $190.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis w/dye	$1,270	$1,016	$184 – $1,016
CT scan of the pelvis, with contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $421.01 Anthem_Americare_AMB — ANTH-AMER: $480.41 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41 Blue_Cross — BC.BS_RAD: $480.41 Blue_Cross — MRF_Blue_Cross: $480.41 Blue_Cross_Market — BC.MARKET: $480.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $184 KanCare_Aetna_Better_Health — MED.AETNA_1: $189.52 KanCare_Healthy_Blue — MED.HLTHBL: $187.68
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 26 In the file: Pelvis w read #72193	$122	$97.60	$97.60 – $480.41
CT scan of the pelvis, with contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $421.01 Anthem_Americare_AMB — ANTH-AMER: $480.41 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41 Blue_Cross — BC.BS_RAD: $480.41 Blue_Cross — MRF_Blue_Cross: $480.41 Blue_Cross_Market — BC.MARKET: $480.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $184 KanCare_Aetna_Better_Health — MED.AETNA_1: $189.52 KanCare_Healthy_Blue — MED.HLTHBL: $187.68
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: Pelvis w #72193	$1,270	$1,016	$184 – $1,016
CT scan of the pelvis, with contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $421.01 Anthem_Americare_AMB — ANTH-AMER: $480.41 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41 Blue_Cross — BC.BS_RAD: $480.41 Blue_Cross — MRF_Blue_Cross: $480.41 Blue_Cross_Market — BC.MARKET: $480.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $184 KanCare_Aetna_Better_Health — MED.AETNA_1: $189.52 KanCare_Healthy_Blue — MED.HLTHBL: $187.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: Mri jnt of lwr extre w/o dye	$1,615	$1,292	$196.95 – $1,292
MRI of a leg joint (such as the knee), without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $522.75 Anthem_Americare_AMB — ANTH-AMER: $552.52 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52 Blue_Cross — BC.BS_RAD: $552.52 Blue_Cross — MRF_Blue_Cross: $552.52 Blue_Cross_Market — BC.MARKET: $552.52 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $196.95 KanCare_Aetna_Better_Health — MED.AETNA_1: $202.86 KanCare_Healthy_Blue — MED.HLTHBL: $200.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 26 In the file: Mri low ext jnt w/o read#73721	$151	$120.80	$120.80 – $552.52
MRI of a leg joint (such as the knee), without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $522.75 Anthem_Americare_AMB — ANTH-AMER: $552.52 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52 Blue_Cross — BC.BS_RAD: $552.52 Blue_Cross — MRF_Blue_Cross: $552.52 Blue_Cross_Market — BC.MARKET: $552.52 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $196.95 KanCare_Aetna_Better_Health — MED.AETNA_1: $202.86 KanCare_Healthy_Blue — MED.HLTHBL: $200.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: Mri low ext jnt w/o lt#73721lt	$1,615	$1,292	$196.95 – $1,292
MRI of a leg joint (such as the knee), without contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $522.75 Anthem_Americare_AMB — ANTH-AMER: $552.52 BCBS_of_Arkansas — BC.BSAR: $552.52 Blue_Cross — BC.BS: $552.52 Blue_Cross — BC.BS_RAD: $552.52 Blue_Cross — MRF_Blue_Cross: $552.52 Blue_Cross_Market — BC.MARKET: $552.52 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $196.95 KanCare_Aetna_Better_Health — MED.AETNA_1: $202.86 KanCare_Healthy_Blue — MED.HLTHBL: $200.89
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct abd & pelv w/contrast	$2,322	$1,857.60	$252.18 – $1,500
CT scan of the abdomen and pelvis, with contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $421.01 Aetna — AETNA_1: $1,500 Aetna_Exchange — AETNA.EXCH_1: $1,500 Aetna_First_Health — MRF_Aetna_First_Health_1: $1,500 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $1,500 Anthem_Americare_AMB — ANTH-AMER: $480.41 Auxiant-GPHA — AUX-GPHA_1: $1,500 Auxiant-TFI_Family — AUX-TFI_1: $1,500 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 26 In the file: Ct abdmn/pelvis w c read#74177	$238	$190.40	$252.18 – $1,500
CT scan of the abdomen and pelvis, with contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $421.01 Aetna — AETNA_1: $1,500 Aetna_Exchange — AETNA.EXCH_1: $1,500 Aetna_First_Health — MRF_Aetna_First_Health_1: $1,500 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $1,500 Anthem_Americare_AMB — ANTH-AMER: $480.41 Auxiant-GPHA — AUX-GPHA_1: $1,500 Auxiant-TFI_Family — AUX-TFI_1: $1,500 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: Ct abdmn/pelvis w contr #74177	$2,322	$1,857.60	$252.18 – $1,500
CT scan of the abdomen and pelvis, with contrast: 10 of 98 insurance plan rates * — MCRHMOMISC: $421.01 Aetna — AETNA_1: $1,500 Aetna_Exchange — AETNA.EXCH_1: $1,500 Aetna_First_Health — MRF_Aetna_First_Health_1: $1,500 AMERICAS_CHOICE_HEALTHPLANS — AMERCHOIC_1: $1,500 Anthem_Americare_AMB — ANTH-AMER: $480.41 Auxiant-GPHA — AUX-GPHA_1: $1,500 Auxiant-TFI_Family — AUX-TFI_1: $1,500 BCBS_of_Arkansas — BC.BSAR: $480.41 Blue_Cross — BC.BS: $480.41
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us exam abdom complete	$495	$396	$93.28 – $396
Ultrasound of the abdomen, complete: 10 of 98 insurance plan rates * — MCRHMOMISC: $296.56 Anthem_Americare_AMB — ANTH-AMER: $151.50 BCBS_of_Arkansas — BC.BSAR: $151.50 Blue_Cross — BC.BS: $151.50 Blue_Cross — BC.BS_RAD: $151.50 Blue_Cross — MRF_Blue_Cross: $151.50 Blue_Cross_Market — BC.MARKET: $151.50 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $93.28 KanCare_Aetna_Better_Health — MED.AETNA_1: $96.08 KanCare_Healthy_Blue — MED.HLTHBL: $95.15
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 26 In the file: Us abdomen (complt) read#76700	$82	$65.60	$65.60 – $296.56
Ultrasound of the abdomen, complete: 10 of 98 insurance plan rates * — MCRHMOMISC: $296.56 Anthem_Americare_AMB — ANTH-AMER: $151.50 BCBS_of_Arkansas — BC.BSAR: $151.50 Blue_Cross — BC.BS: $151.50 Blue_Cross — BC.BS_RAD: $151.50 Blue_Cross — MRF_Blue_Cross: $151.50 Blue_Cross_Market — BC.MARKET: $151.50 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $93.28 KanCare_Aetna_Better_Health — MED.AETNA_1: $96.08 KanCare_Healthy_Blue — MED.HLTHBL: $95.15
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier TC In the file: Us abdomen (complete) #76700	$495	$396	$93.28 – $396
Ultrasound of the abdomen, complete: 10 of 98 insurance plan rates * — MCRHMOMISC: $296.56 Anthem_Americare_AMB — ANTH-AMER: $151.50 BCBS_of_Arkansas — BC.BSAR: $151.50 Blue_Cross — BC.BS: $151.50 Blue_Cross — BC.BS_RAD: $151.50 Blue_Cross — MRF_Blue_Cross: $151.50 Blue_Cross_Market — BC.MARKET: $151.50 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $93.28 KanCare_Aetna_Better_Health — MED.AETNA_1: $96.08 KanCare_Healthy_Blue — MED.HLTHBL: $95.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ob us >= 14 wks sngl fetus	$174	$139.20	$102.89 – $139.20
Pregnancy ultrasound (after the first trimester): 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $132.93 BCBS_of_Arkansas — BC.BSAR: $132.93 Blue_Cross — BC.BS: $132.93 Blue_Cross — BC.BS_RAD: $132.93 Blue_Cross — MRF_Blue_Cross: $132.93 Blue_Cross_Market — BC.MARKET: $132.93 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $127.69 KanCare_Aetna_Better_Health — MED.AETNA_1: $131.52 KanCare_Healthy_Blue — MED.HLTHBL: $130.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 26 In the file: Pregnancy complete read	$75	$60	$60 – $132.93
Pregnancy ultrasound (after the first trimester): 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $132.93 BCBS_of_Arkansas — BC.BSAR: $132.93 Blue_Cross — BC.BS: $132.93 Blue_Cross — BC.BS_RAD: $132.93 Blue_Cross — MRF_Blue_Cross: $132.93 Blue_Cross_Market — BC.MARKET: $132.93 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $127.69 KanCare_Aetna_Better_Health — MED.AETNA_1: $131.52 KanCare_Healthy_Blue — MED.HLTHBL: $130.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier TC In the file: Pregnancy - complete #76805	$174	$139.20	$102.89 – $139.20
Pregnancy ultrasound (after the first trimester): 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $132.93 BCBS_of_Arkansas — BC.BSAR: $132.93 Blue_Cross — BC.BS: $132.93 Blue_Cross — BC.BS_RAD: $132.93 Blue_Cross — MRF_Blue_Cross: $132.93 Blue_Cross_Market — BC.MARKET: $132.93 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $127.69 KanCare_Aetna_Better_Health — MED.AETNA_1: $131.52 KanCare_Healthy_Blue — MED.HLTHBL: $130.24
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal us non-ob	$480	$384	$95.57 – $384
Transvaginal ultrasound: 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $132.93 BCBS_of_Arkansas — BC.BSAR: $132.93 Blue_Cross — BC.BS: $132.93 Blue_Cross — BC.BS_RAD: $132.93 Blue_Cross — MRF_Blue_Cross: $132.93 Blue_Cross_Market — BC.MARKET: $132.93 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $95.57 KanCare_Aetna_Better_Health — MED.AETNA_1: $98.44 KanCare_Healthy_Blue — MED.HLTHBL: $97.48
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 26 In the file: Us transvaginal non-ob read	$75	$60	$60 – $132.93
Transvaginal ultrasound: 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $132.93 BCBS_of_Arkansas — BC.BSAR: $132.93 Blue_Cross — BC.BS: $132.93 Blue_Cross — BC.BS_RAD: $132.93 Blue_Cross — MRF_Blue_Cross: $132.93 Blue_Cross_Market — BC.MARKET: $132.93 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $95.57 KanCare_Aetna_Better_Health — MED.AETNA_1: $98.44 KanCare_Healthy_Blue — MED.HLTHBL: $97.48
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier TC In the file: Transvaginal non-ob #76830	$480	$384	$95.57 – $384
Transvaginal ultrasound: 10 of 98 insurance plan rates * — MCRHMOMISC: $102.89 Anthem_Americare_AMB — ANTH-AMER: $132.93 BCBS_of_Arkansas — BC.BSAR: $132.93 Blue_Cross — BC.BS: $132.93 Blue_Cross — BC.BS_RAD: $132.93 Blue_Cross — MRF_Blue_Cross: $132.93 Blue_Cross_Market — BC.MARKET: $132.93 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $95.57 KanCare_Aetna_Better_Health — MED.AETNA_1: $98.44 KanCare_Healthy_Blue — MED.HLTHBL: $97.48
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Dx mammo incl cad uni	$188	$150.40	$99.82 – $150.40
Diagnostic mammogram, one breast: 10 of 98 insurance plan rates * — MCRHMOMISC: $112.24 Anthem_Americare_AMB — ANTH-AMER: $123.22 BCBS_of_Arkansas — BC.BSAR: $123.22 Blue_Cross — BC.BS: $123.22 Blue_Cross — BC.BS_RAD: $123.22 Blue_Cross — MRF_Blue_Cross: $123.22 Blue_Cross_Market — BC.MARKET: $123.22 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $99.82 KanCare_Aetna_Better_Health — MED.AETNA_1: $102.81 KanCare_Healthy_Blue — MED.HLTHBL: $101.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: Diagnostic mammo-left #77065	$188	$150.40	$99.82 – $150.40
Diagnostic mammogram, one breast: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $123.22 BCBS_of_Arkansas — BC.BSAR: $123.22 Blue_Cross — BC.BS: $123.22 Blue_Cross — BC.BS_RAD: $123.22 Blue_Cross — MRF_Blue_Cross: $123.22 Blue_Cross_Market — BC.MARKET: $123.22 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $99.82 KanCare_Aetna_Better_Health — MED.AETNA_1: $102.81 KanCare_Healthy_Blue — MED.HLTHBL: $101.82 KANCARE_SUNFLOWER — MED.SUNFL_1: $101.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: Diagnostic mammo-right #77065	$188	$150.40	$99.82 – $150.40
Diagnostic mammogram, one breast: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $123.22 BCBS_of_Arkansas — BC.BSAR: $123.22 Blue_Cross — BC.BS: $123.22 Blue_Cross — BC.BS_RAD: $123.22 Blue_Cross — MRF_Blue_Cross: $123.22 Blue_Cross_Market — BC.MARKET: $123.22 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $99.82 KanCare_Aetna_Better_Health — MED.AETNA_1: $102.81 KanCare_Healthy_Blue — MED.HLTHBL: $101.82 KANCARE_SUNFLOWER — MED.SUNFL_1: $101.82
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Dx mammo incl cad bi	$188	$150.40	$123.22 – $150.40
Diagnostic mammogram, both breasts: 10 of 98 insurance plan rates * — MCRHMOMISC: $141.53 Anthem_Americare_AMB — ANTH-AMER: $123.22 BCBS_of_Arkansas — BC.BSAR: $123.22 Blue_Cross — BC.BS: $123.22 Blue_Cross — BC.BS_RAD: $123.22 Blue_Cross — MRF_Blue_Cross: $123.22 Blue_Cross_Market — BC.MARKET: $123.22 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $125.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $129.71 KanCare_Healthy_Blue — MED.HLTHBL: $128.45
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier TC In the file: Diagnostic mammo-bilatrl#g0204	$188	$150.40	$97.94 – $150.40
Diagnostic mammogram, both breasts: 10 of 98 insurance plan rates * — MCRHMOMISC: $97.94 Anthem_Americare_AMB — ANTH-AMER: $123.22 BCBS_of_Arkansas — BC.BSAR: $123.22 Blue_Cross — BC.BS: $123.22 Blue_Cross — BC.BS_RAD: $123.22 Blue_Cross — MRF_Blue_Cross: $123.22 Blue_Cross_Market — BC.MARKET: $123.22 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $125.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $129.71 KanCare_Healthy_Blue — MED.HLTHBL: $128.45
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 52 In the file: Diagnstc mammo bltrl lmt#g0204	$90	$72	$72 – $129.71
Diagnostic mammogram, both breasts: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $123.22 BCBS_of_Arkansas — BC.BSAR: $123.22 Blue_Cross — BC.BS: $123.22 Blue_Cross — BC.BS_RAD: $123.22 Blue_Cross — MRF_Blue_Cross: $123.22 Blue_Cross_Market — BC.MARKET: $123.22 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $125.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $129.71 KanCare_Healthy_Blue — MED.HLTHBL: $128.45 KANCARE_SUNFLOWER — MED.SUNFL_1: $128.45
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Scr mammo bi incl cad	$175	$140	$102.03 – $161
Screening mammogram, both breasts: 10 of 98 insurance plan rates * — MCRHMOMISC: $114.55 Anthem_Americare_AMB — ANTH-AMER: $161 BCBS_of_Arkansas — BC.BSAR: $161 Blue_Cross — BC.BS: $161 Blue_Cross — BC.BS_RAD: $161 Blue_Cross — MRF_Blue_Cross: $161 Blue_Cross_Market — BC.MARKET: $161 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $102.03 KanCare_Aetna_Better_Health — MED.AETNA_1: $105.09 KanCare_Healthy_Blue — MED.HLTHBL: $104.07
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier TC In the file: Screening mammogram #77067	$175	$140	$81.06 – $161
Screening mammogram, both breasts: 10 of 98 insurance plan rates * — MCRHMOMISC: $81.06 Anthem_Americare_AMB — ANTH-AMER: $161 BCBS_of_Arkansas — BC.BSAR: $161 Blue_Cross — BC.BS: $161 Blue_Cross — BC.BS_RAD: $161 Blue_Cross — MRF_Blue_Cross: $161 Blue_Cross_Market — BC.MARKET: $161 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $102.03 KanCare_Aetna_Better_Health — MED.AETNA_1: $105.09 KanCare_Healthy_Blue — MED.HLTHBL: $104.07
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: Screening mammo lt #77067	$141	$112.80	$102.03 – $161
Screening mammogram, both breasts: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $161 BCBS_of_Arkansas — BC.BSAR: $161 Blue_Cross — BC.BS: $161 Blue_Cross — BC.BS_RAD: $161 Blue_Cross — MRF_Blue_Cross: $161 Blue_Cross_Market — BC.MARKET: $161 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $102.03 KanCare_Aetna_Better_Health — MED.AETNA_1: $105.09 KanCare_Healthy_Blue — MED.HLTHBL: $104.07 KANCARE_SUNFLOWER — MED.SUNFL_1: $104.07

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Left hrt cath w/ventrclgrphy	$7,729	$6,183.20	$744.86 – $6,183.20
Left heart catheterization (diagnostic): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,112.11 Anthem_Americare_AMB — ANTH-AMER: $6,121.61 BCBS_of_Arkansas — BC.BSAR: $6,121.61 Blue_Cross — BC.BS: $6,121.61 Blue_Cross — BC.BS_RAD: $6,121.61 Blue_Cross — MRF_Blue_Cross: $6,121.61 Blue_Cross_Market — BC.MARKET: $6,121.61 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $744.86 KanCare_Aetna_Better_Health — MED.AETNA_1: $767.21 KanCare_Healthy_Blue — MED.HLTHBL: $759.76
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · modifier TC In the file: Lhc w lv gram #93452	$7,729	$6,183.20	$744.86 – $6,183.20
Left heart catheterization (diagnostic): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,112.11 Anthem_Americare_AMB — ANTH-AMER: $6,121.61 BCBS_of_Arkansas — BC.BSAR: $6,121.61 Blue_Cross — BC.BS: $6,121.61 Blue_Cross — BC.BS_RAD: $6,121.61 Blue_Cross — MRF_Blue_Cross: $6,121.61 Blue_Cross_Market — BC.MARKET: $6,121.61 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $744.86 KanCare_Aetna_Better_Health — MED.AETNA_1: $767.21 KanCare_Healthy_Blue — MED.HLTHBL: $759.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6/> yrs 4/> param	$2,713	$2,170.40	$476.14 – $2,170.40
Sleep study (overnight, in a sleep lab): 10 of 98 insurance plan rates * — MCRHMOMISC: $984.40 Anthem_Americare_AMB — ANTH-AMER: $1,271.74 BCBS_of_Arkansas — BC.BSAR: $1,271.74 Blue_Cross — BC.BS: $1,271.74 Blue_Cross — BC.BS_RAD: $1,271.74 Blue_Cross — MRF_Blue_Cross: $1,271.74 Blue_Cross_Market — BC.MARKET: $1,271.74 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $476.14 KanCare_Aetna_Better_Health — MED.AETNA_1: $490.42 KanCare_Healthy_Blue — MED.HLTHBL: $485.66
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: Sleep test w/ >4 reducd #95810	$2,633	$2,106.40	$476.14 – $2,106.40
Sleep study (overnight, in a sleep lab): 10 of 98 insurance plan rates * — MCRHMOMISC: $984.40 Anthem_Americare_AMB — ANTH-AMER: $1,271.74 BCBS_of_Arkansas — BC.BSAR: $1,271.74 Blue_Cross — BC.BS: $1,271.74 Blue_Cross — BC.BS_RAD: $1,271.74 Blue_Cross — MRF_Blue_Cross: $1,271.74 Blue_Cross_Market — BC.MARKET: $1,271.74 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $476.14 KanCare_Aetna_Better_Health — MED.AETNA_1: $490.42 KanCare_Healthy_Blue — MED.HLTHBL: $485.66
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 76 In the file: Sleep test w/ > 4 - rpt #95810	$2,713	$2,170.40	$476.14 – $2,170.40
Sleep study (overnight, in a sleep lab): 10 of 98 insurance plan rates * — MCRHMOMISC: $984.40 Anthem_Americare_AMB — ANTH-AMER: $1,271.74 BCBS_of_Arkansas — BC.BSAR: $1,271.74 Blue_Cross — BC.BS: $1,271.74 Blue_Cross — BC.BS_RAD: $1,271.74 Blue_Cross — MRF_Blue_Cross: $1,271.74 Blue_Cross_Market — BC.MARKET: $1,271.74 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $476.14 KanCare_Aetna_Better_Health — MED.AETNA_1: $490.42 KanCare_Healthy_Blue — MED.HLTHBL: $485.66

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic exercises	$91	$72.80	$24.79 – $72.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 98 insurance plan rates * — MCRHMOMISC: $27.33 Anthem_Americare_AMB — ANTH-AMER: $56.91 BCBS_of_Arkansas — BC.BSAR: $56.91 Blue_Cross — BC.BS: $56.91 Blue_Cross — BC.BS_RAD: $56.91 Blue_Cross — MRF_Blue_Cross: $56.91 Blue_Cross_Market — BC.MARKET: $56.91 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $24.79 KanCare_Aetna_Better_Health — MED.AETNA_1: $25.53 KanCare_Healthy_Blue — MED.HLTHBL: $25.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: Ther exer @ 15 min #97110	$91	$72.80	$24.79 – $72.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $56.91 BCBS_of_Arkansas — BC.BSAR: $56.91 Blue_Cross — BC.BS: $56.91 Blue_Cross — BC.BS_RAD: $56.91 Blue_Cross — MRF_Blue_Cross: $56.91 Blue_Cross_Market — BC.MARKET: $56.91 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $24.79 KanCare_Aetna_Better_Health — MED.AETNA_1: $25.53 KanCare_Healthy_Blue — MED.HLTHBL: $25.29 KANCARE_SUNFLOWER — MED.SUNFL_1: $25.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: Ther exer @ 15 min #97110	$72	$57.60	$24.79 – $57.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $56.91 BCBS_of_Arkansas — BC.BSAR: $56.91 Blue_Cross — BC.BS: $56.91 Blue_Cross — BC.BS_RAD: $56.91 Blue_Cross — MRF_Blue_Cross: $56.91 Blue_Cross_Market — BC.MARKET: $56.91 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $24.79 KanCare_Aetna_Better_Health — MED.AETNA_1: $25.53 KanCare_Healthy_Blue — MED.HLTHBL: $25.29 KANCARE_SUNFLOWER — MED.SUNFL_1: $25.29
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pt eval low complex 20 min	$157	$125.60	$76.93 – $138.69
Physical therapy evaluation (low complexity): 10 of 98 insurance plan rates * — MCRHMOMISC: $93.01 Anthem_Americare_AMB — ANTH-AMER: $138.69 BCBS_of_Arkansas — BC.BSAR: $138.69 Blue_Cross — BC.BS: $138.69 Blue_Cross — BC.BS_RAD: $138.69 Blue_Cross — MRF_Blue_Cross: $138.69 Blue_Cross_Market — BC.MARKET: $138.69 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $76.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $79.24 KanCare_Healthy_Blue — MED.HLTHBL: $78.47
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: Pt eval low comp 20 min #97161	$157	$125.60	$76.93 – $138.69
Physical therapy evaluation (low complexity): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $138.69 BCBS_of_Arkansas — BC.BSAR: $138.69 Blue_Cross — BC.BS: $138.69 Blue_Cross — BC.BS_RAD: $138.69 Blue_Cross — MRF_Blue_Cross: $138.69 Blue_Cross_Market — BC.MARKET: $138.69 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $76.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $79.24 KanCare_Healthy_Blue — MED.HLTHBL: $78.47 KANCARE_SUNFLOWER — MED.SUNFL_1: $78.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pt eval mod complex 30 min	$157	$125.60	$76.93 – $125.60
Physical therapy evaluation (moderate complexity): 10 of 98 insurance plan rates * — MCRHMOMISC: $93.01 Anthem_Americare_AMB — ANTH-AMER: $120.60 BCBS_of_Arkansas — BC.BSAR: $120.60 Blue_Cross — BC.BS: $120.60 Blue_Cross — BC.BS_RAD: $120.60 Blue_Cross — MRF_Blue_Cross: $120.60 Blue_Cross_Market — BC.MARKET: $120.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $76.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $79.24 KanCare_Healthy_Blue — MED.HLTHBL: $78.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: Pt eval mod comp 30 min #97162	$157	$125.60	$76.93 – $125.60
Physical therapy evaluation (moderate complexity): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $120.60 BCBS_of_Arkansas — BC.BSAR: $120.60 Blue_Cross — BC.BS: $120.60 Blue_Cross — BC.BS_RAD: $120.60 Blue_Cross — MRF_Blue_Cross: $120.60 Blue_Cross_Market — BC.MARKET: $120.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $76.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $79.24 KanCare_Healthy_Blue — MED.HLTHBL: $78.47 KANCARE_SUNFLOWER — MED.SUNFL_1: $78.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pt eval high complex 45 min	$157	$125.60	$76.93 – $125.60
Physical therapy evaluation (high complexity): 10 of 98 insurance plan rates * — MCRHMOMISC: $93.01 Anthem_Americare_AMB — ANTH-AMER: $120.60 BCBS_of_Arkansas — BC.BSAR: $120.60 Blue_Cross — BC.BS: $120.60 Blue_Cross — BC.BS_RAD: $120.60 Blue_Cross — MRF_Blue_Cross: $120.60 Blue_Cross_Market — BC.MARKET: $120.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $76.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $79.24 KanCare_Healthy_Blue — MED.HLTHBL: $78.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: Pt eval hi comp 45 min #97163	$157	$125.60	$76.93 – $125.60
Physical therapy evaluation (high complexity): 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $120.60 BCBS_of_Arkansas — BC.BSAR: $120.60 Blue_Cross — BC.BS: $120.60 Blue_Cross — BC.BS_RAD: $120.60 Blue_Cross — MRF_Blue_Cross: $120.60 Blue_Cross_Market — BC.MARKET: $120.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $76.93 KanCare_Aetna_Better_Health — MED.AETNA_1: $79.24 KanCare_Healthy_Blue — MED.HLTHBL: $78.47 KANCARE_SUNFLOWER — MED.SUNFL_1: $78.47

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Removal of breast lesion	$5,478.72	$4,382.98	$355.87 – $4,786.60
Removal of breast growth (open surgery): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,705.11 Anthem_Americare_AMB — ANTH-AMER: $4,786.60 BCBS_of_Arkansas — BC.BSAR: $4,786.60 Blue_Cross — BC.BS: $4,786.60 Blue_Cross — BC.BS_RAD: $4,786.60 Blue_Cross — MRF_Blue_Cross: $4,786.60 Blue_Cross_Market — BC.MARKET: $4,786.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $355.87 KanCare_Aetna_Better_Health — MED.AETNA_1: $366.55 KanCare_Healthy_Blue — MED.HLTHBL: $362.99
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier LT In the file: Removal of breast lesion	$7,126.60	$5,701.28	$355.87 – $5,701.28
Removal of breast growth (open surgery): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,705.11 Anthem_Americare_AMB — ANTH-AMER: $4,786.60 BCBS_of_Arkansas — BC.BSAR: $4,786.60 Blue_Cross — BC.BS: $4,786.60 Blue_Cross — BC.BS_RAD: $4,786.60 Blue_Cross — MRF_Blue_Cross: $4,786.60 Blue_Cross_Market — BC.MARKET: $4,786.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $355.87 KanCare_Aetna_Better_Health — MED.AETNA_1: $366.55 KanCare_Healthy_Blue — MED.HLTHBL: $362.99
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier RT In the file: Removal of breast lesion	$5,124.63	$4,099.70	$355.87 – $4,786.60
Removal of breast growth (open surgery): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,705.11 Anthem_Americare_AMB — ANTH-AMER: $4,786.60 BCBS_of_Arkansas — BC.BSAR: $4,786.60 Blue_Cross — BC.BS: $4,786.60 Blue_Cross — BC.BS_RAD: $4,786.60 Blue_Cross — MRF_Blue_Cross: $4,786.60 Blue_Cross_Market — BC.MARKET: $4,786.60 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $355.87 KanCare_Aetna_Better_Health — MED.AETNA_1: $366.55 KanCare_Healthy_Blue — MED.HLTHBL: $362.99
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Total hip arthroplasty	$37,532.47	$30,025.98	$1,112.84 – $30,025.98
Total hip replacement: 10 of 98 insurance plan rates * — MCRHMOMISC: $12,449.59 Anthem_Americare_AMB — ANTH-AMER: $16,083.53 BCBS_of_Arkansas — BC.BSAR: $16,083.53 Blue_Cross — BC.BS: $16,083.53 Blue_Cross — BC.BS_RAD: $16,083.53 Blue_Cross — MRF_Blue_Cross: $16,083.53 Blue_Cross_Market — BC.MARKET: $16,083.53 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,112.84 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,146.23 KanCare_Healthy_Blue — MED.HLTHBL: $1,135.10
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	$35,698.76	$28,559.01	$1,112.84 – $28,559.01
Total hip replacement: 10 of 98 insurance plan rates * — MCRHMOMISC: $12,449.59 Anthem_Americare_AMB — ANTH-AMER: $16,083.53 BCBS_of_Arkansas — BC.BSAR: $16,083.53 Blue_Cross — BC.BS: $16,083.53 Blue_Cross — BC.BS_RAD: $16,083.53 Blue_Cross — MRF_Blue_Cross: $16,083.53 Blue_Cross_Market — BC.MARKET: $16,083.53 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,112.84 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,146.23 KanCare_Healthy_Blue — MED.HLTHBL: $1,135.10
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT In the file: Total hip arthroplasty	$36,522.37	$29,217.90	$1,112.84 – $29,217.90
Total hip replacement: 10 of 98 insurance plan rates * — MCRHMOMISC: $12,449.59 Anthem_Americare_AMB — ANTH-AMER: $16,083.53 BCBS_of_Arkansas — BC.BSAR: $16,083.53 Blue_Cross — BC.BS: $16,083.53 Blue_Cross — BC.BS_RAD: $16,083.53 Blue_Cross — MRF_Blue_Cross: $16,083.53 Blue_Cross_Market — BC.MARKET: $16,083.53 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,112.84 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,146.23 KanCare_Healthy_Blue — MED.HLTHBL: $1,135.10
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Total knee arthroplasty	$38,211.95	$30,569.56	$1,156.50 – $30,569.56
Total knee replacement: 10 of 98 insurance plan rates * — MCRHMOMISC: $12,449.59 Anthem_Americare_AMB — ANTH-AMER: $16,083.53 BCBS_of_Arkansas — BC.BSAR: $16,083.53 Blue_Cross — BC.BS: $16,083.53 Blue_Cross — BC.BS_RAD: $16,083.53 Blue_Cross — MRF_Blue_Cross: $16,083.53 Blue_Cross_Market — BC.MARKET: $16,083.53 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,156.50 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,191.20 KanCare_Healthy_Blue — MED.HLTHBL: $1,179.63
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	$38,746.19	$30,996.95	$1,156.50 – $30,996.95
Total knee replacement: 10 of 98 insurance plan rates * — MCRHMOMISC: $12,449.59 Anthem_Americare_AMB — ANTH-AMER: $16,083.53 BCBS_of_Arkansas — BC.BSAR: $16,083.53 Blue_Cross — BC.BS: $16,083.53 Blue_Cross — BC.BS_RAD: $16,083.53 Blue_Cross — MRF_Blue_Cross: $16,083.53 Blue_Cross_Market — BC.MARKET: $16,083.53 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,156.50 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,191.20 KanCare_Healthy_Blue — MED.HLTHBL: $1,179.63
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier LT In the file: Total knee arthroplasty	$36,506.08	$29,204.86	$1,156.50 – $29,204.86
Total knee replacement: 10 of 98 insurance plan rates * — MCRHMOMISC: $12,449.59 Anthem_Americare_AMB — ANTH-AMER: $16,083.53 BCBS_of_Arkansas — BC.BSAR: $16,083.53 Blue_Cross — BC.BS: $16,083.53 Blue_Cross — BC.BS_RAD: $16,083.53 Blue_Cross — MRF_Blue_Cross: $16,083.53 Blue_Cross_Market — BC.MARKET: $16,083.53 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,156.50 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,191.20 KanCare_Healthy_Blue — MED.HLTHBL: $1,179.63
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Shoulder arthroscopy/surgery	$25,971.69	$20,777.35	$542.24 – $20,777.35
Shoulder arthroscopy: shaving of shoulder bone: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $4,055.76 BCBS_of_Arkansas — BC.BSAR: $4,055.76 Blue_Cross — BC.BS: $4,055.76 Blue_Cross — BC.BS_RAD: $4,055.76 Blue_Cross — MRF_Blue_Cross: $4,055.76 Blue_Cross_Market — BC.MARKET: $4,055.76 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $542.24 KanCare_Aetna_Better_Health — MED.AETNA_1: $558.51 KanCare_Healthy_Blue — MED.HLTHBL: $553.08 KANCARE_SUNFLOWER — MED.SUNFL_1: $553.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier LT In the file: Shoulder arthroscopy/surgery	$25,934.85	$20,747.88	$542.24 – $20,747.88
Shoulder arthroscopy: shaving of shoulder bone: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $4,055.76 BCBS_of_Arkansas — BC.BSAR: $4,055.76 Blue_Cross — BC.BS: $4,055.76 Blue_Cross — BC.BS_RAD: $4,055.76 Blue_Cross — MRF_Blue_Cross: $4,055.76 Blue_Cross_Market — BC.MARKET: $4,055.76 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $542.24 KanCare_Aetna_Better_Health — MED.AETNA_1: $558.51 KanCare_Healthy_Blue — MED.HLTHBL: $553.08 KANCARE_SUNFLOWER — MED.SUNFL_1: $553.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier RT In the file: Shoulder arthroscopy/surgery	$25,971.69	$20,777.35	$542.24 – $20,777.35
Shoulder arthroscopy: shaving of shoulder bone: 10 of 76 insurance plan rates Anthem_Americare_AMB — ANTH-AMER: $4,055.76 BCBS_of_Arkansas — BC.BSAR: $4,055.76 Blue_Cross — BC.BS: $4,055.76 Blue_Cross — BC.BS_RAD: $4,055.76 Blue_Cross — MRF_Blue_Cross: $4,055.76 Blue_Cross_Market — BC.MARKET: $4,055.76 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $542.24 KanCare_Aetna_Better_Health — MED.AETNA_1: $558.51 KanCare_Healthy_Blue — MED.HLTHBL: $553.08 KANCARE_SUNFLOWER — MED.SUNFL_1: $553.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: Knee arthroscopy/surgery	$10,484.44	$8,387.55	$494.35 – $8,387.55
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,139.40 Anthem_Americare_AMB — ANTH-AMER: $4,055.76 BCBS_of_Arkansas — BC.BSAR: $4,055.76 Blue_Cross — BC.BS: $4,055.76 Blue_Cross — BC.BS_RAD: $4,055.76 Blue_Cross — MRF_Blue_Cross: $4,055.76 Blue_Cross_Market — BC.MARKET: $4,055.76 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $494.35 KanCare_Aetna_Better_Health — MED.AETNA_1: $509.18 KanCare_Healthy_Blue — MED.HLTHBL: $504.24
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT In the file: Knee arthroscopy/surgery	$10,484.44	$8,387.55	$494.35 – $8,387.55
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,139.40 Anthem_Americare_AMB — ANTH-AMER: $4,055.76 BCBS_of_Arkansas — BC.BSAR: $4,055.76 Blue_Cross — BC.BS: $4,055.76 Blue_Cross — BC.BS_RAD: $4,055.76 Blue_Cross — MRF_Blue_Cross: $4,055.76 Blue_Cross_Market — BC.MARKET: $4,055.76 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $494.35 KanCare_Aetna_Better_Health — MED.AETNA_1: $509.18 KanCare_Healthy_Blue — MED.HLTHBL: $504.24
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier RT In the file: Knee arthroscopy/surgery	$6,674.76	$5,339.81	$494.35 – $5,339.81
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 98 insurance plan rates * — MCRHMOMISC: $3,139.40 Anthem_Americare_AMB — ANTH-AMER: $4,055.76 BCBS_of_Arkansas — BC.BSAR: $4,055.76 Blue_Cross — BC.BS: $4,055.76 Blue_Cross — BC.BS_RAD: $4,055.76 Blue_Cross — MRF_Blue_Cross: $4,055.76 Blue_Cross_Market — BC.MARKET: $4,055.76 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $494.35 KanCare_Aetna_Better_Health — MED.AETNA_1: $509.18 KanCare_Healthy_Blue — MED.HLTHBL: $504.24
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Remove tonsils and adenoids	$4,428.03	$3,542.42	$248.09 – $7,394.58
Removal of tonsils and adenoids (under age 12): 10 of 98 insurance plan rates * — MCRHMOMISC: $5,723.84 Anthem_Americare_AMB — ANTH-AMER: $7,394.58 BCBS_of_Arkansas — BC.BSAR: $7,394.58 Blue_Cross — BC.BS: $7,394.58 Blue_Cross — BC.BS_RAD: $7,394.58 Blue_Cross — MRF_Blue_Cross: $7,394.58 Blue_Cross_Market — BC.MARKET: $7,394.58 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $248.09 KanCare_Aetna_Better_Health — MED.AETNA_1: $255.53 KanCare_Healthy_Blue — MED.HLTHBL: $253.05
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Egd diagnostic brush wash	$16,951.16	$13,560.93	$250 – $13,560.93
Upper GI endoscopy (diagnostic): 10 of 98 insurance plan rates * — MCRHMOMISC: $907.16 Anthem_Americare_AMB — ANTH-AMER: $1,171.95 BCBS_of_Arkansas — BC.BSAR: $1,171.95 Blue_Cross — BC.BS: $1,171.95 Blue_Cross — BC.BS_RAD: $1,171.95 Blue_Cross — MRF_Blue_Cross: $1,171.95 Blue_Cross_Market — BC.MARKET: $1,171.95 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $250 KanCare_Aetna_Better_Health — MED.AETNA_1: $257.50 KanCare_Healthy_Blue — MED.HLTHBL: $255
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	$3,095.54	$2,476.43	$250 – $2,476.43
Upper GI endoscopy (diagnostic): 10 of 98 insurance plan rates * — MCRHMOMISC: $907.16 Anthem_Americare_AMB — ANTH-AMER: $1,171.95 BCBS_of_Arkansas — BC.BSAR: $1,171.95 Blue_Cross — BC.BS: $1,171.95 Blue_Cross — BC.BS_RAD: $1,171.95 Blue_Cross — MRF_Blue_Cross: $1,171.95 Blue_Cross_Market — BC.MARKET: $1,171.95 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $250 KanCare_Aetna_Better_Health — MED.AETNA_1: $257.50 KanCare_Healthy_Blue — MED.HLTHBL: $255
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Egd biopsy single/multiple	$17,990.82	$14,392.66	$284.80 – $14,392.66
Upper GI endoscopy with biopsy: 10 of 98 insurance plan rates * — MCRHMOMISC: $907.16 Anthem_Americare_AMB — ANTH-AMER: $1,171.95 BCBS_of_Arkansas — BC.BSAR: $1,171.95 Blue_Cross — BC.BS: $1,171.95 Blue_Cross — BC.BS_RAD: $1,171.95 Blue_Cross — MRF_Blue_Cross: $1,171.95 Blue_Cross_Market — BC.MARKET: $1,171.95 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $284.80 KanCare_Aetna_Better_Health — MED.AETNA_1: $293.34 KanCare_Healthy_Blue — MED.HLTHBL: $290.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	$3,644.19	$2,915.35	$284.80 – $2,915.35
Upper GI endoscopy with biopsy: 10 of 98 insurance plan rates * — MCRHMOMISC: $907.16 Anthem_Americare_AMB — ANTH-AMER: $1,171.95 BCBS_of_Arkansas — BC.BSAR: $1,171.95 Blue_Cross — BC.BS: $1,171.95 Blue_Cross — BC.BS_RAD: $1,171.95 Blue_Cross — MRF_Blue_Cross: $1,171.95 Blue_Cross_Market — BC.MARKET: $1,171.95 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $284.80 KanCare_Aetna_Better_Health — MED.AETNA_1: $293.34 KanCare_Healthy_Blue — MED.HLTHBL: $290.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Diagnostic colonoscopy	$2,984.64	$2,387.71	$307.30 – $2,387.71
Colonoscopy (diagnostic): 10 of 98 insurance plan rates * — MCRHMOMISC: $882.15 Anthem_Americare_AMB — ANTH-AMER: $1,321.08 BCBS_of_Arkansas — BC.BSAR: $1,321.08 Blue_Cross — BC.BS: $1,321.08 Blue_Cross — BC.BS_RAD: $1,321.08 Blue_Cross — MRF_Blue_Cross: $1,321.08 Blue_Cross_Market — BC.MARKET: $1,321.08 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $307.30 KanCare_Aetna_Better_Health — MED.AETNA_1: $316.52 KanCare_Healthy_Blue — MED.HLTHBL: $313.45
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonoscopy and biopsy	$69,534.25	$55,627.40	$391.05 – $55,627.40
Colonoscopy with biopsy: 10 of 98 insurance plan rates * — MCRHMOMISC: $1,140.85 Anthem_Americare_AMB — ANTH-AMER: $1,473.85 BCBS_of_Arkansas — BC.BSAR: $1,473.85 Blue_Cross — BC.BS: $1,473.85 Blue_Cross — BC.BS_RAD: $1,473.85 Blue_Cross — MRF_Blue_Cross: $1,473.85 Blue_Cross_Market — BC.MARKET: $1,473.85 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $391.05 KanCare_Aetna_Better_Health — MED.AETNA_1: $402.78 KanCare_Healthy_Blue — MED.HLTHBL: $398.87
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	$4,184.61	$3,347.69	$391.05 – $3,347.69
Colonoscopy with biopsy: 10 of 98 insurance plan rates * — MCRHMOMISC: $1,140.85 Anthem_Americare_AMB — ANTH-AMER: $1,473.85 BCBS_of_Arkansas — BC.BSAR: $1,473.85 Blue_Cross — BC.BS: $1,473.85 Blue_Cross — BC.BS_RAD: $1,473.85 Blue_Cross — MRF_Blue_Cross: $1,473.85 Blue_Cross_Market — BC.MARKET: $1,473.85 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $391.05 KanCare_Aetna_Better_Health — MED.AETNA_1: $402.78 KanCare_Healthy_Blue — MED.HLTHBL: $398.87
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Colonoscopy w/lesion removal	$4,722.94	$3,778.35	$420.88 – $3,778.35
Colonoscopy with removal of polyps (snare): 10 of 98 insurance plan rates * — MCRHMOMISC: $1,140.85 Anthem_Americare_AMB — ANTH-AMER: $1,473.85 BCBS_of_Arkansas — BC.BSAR: $1,473.85 Blue_Cross — BC.BS: $1,473.85 Blue_Cross — BC.BS_RAD: $1,473.85 Blue_Cross — MRF_Blue_Cross: $1,473.85 Blue_Cross_Market — BC.MARKET: $1,473.85 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $420.88 KanCare_Aetna_Better_Health — MED.AETNA_1: $433.51 KanCare_Healthy_Blue — MED.HLTHBL: $429.30
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind	$2,598.63	$2,078.90	$199.86 – $2,078.90
Screening colonoscopy (not high risk): 10 of 98 insurance plan rates * — MCRHMOMISC: $882.15 Anthem_Americare_AMB — ANTH-AMER: $1,139.64 BCBS_of_Arkansas — BC.BSAR: $1,139.64 Blue_Cross — BC.BS: $1,139.64 Blue_Cross — BC.BS_RAD: $1,139.64 Blue_Cross — MRF_Blue_Cross: $1,139.64 Blue_Cross_Market — BC.MARKET: $1,139.64 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $199.86 KanCare_Aetna_Better_Health — MED.AETNA_1: $205.86 KanCare_Healthy_Blue — MED.HLTHBL: $203.86
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Laparoscopic cholecystectomy	$34,964.46	$27,971.57	$583.17 – $27,971.57
Gallbladder removal by laparoscope: 10 of 98 insurance plan rates * — MCRHMOMISC: $5,645.17 Anthem_Americare_AMB — ANTH-AMER: $7,292.95 BCBS_of_Arkansas — BC.BSAR: $7,292.95 Blue_Cross — BC.BS: $7,292.95 Blue_Cross — BC.BS_RAD: $7,292.95 Blue_Cross — MRF_Blue_Cross: $7,292.95 Blue_Cross_Market — BC.MARKET: $7,292.95 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $583.17 KanCare_Aetna_Better_Health — MED.AETNA_1: $600.67 KanCare_Healthy_Blue — MED.HLTHBL: $594.83
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	$15,207.58	$12,166.06	$583.17 – $12,166.06
Gallbladder removal by laparoscope: 10 of 98 insurance plan rates * — MCRHMOMISC: $5,645.17 Anthem_Americare_AMB — ANTH-AMER: $7,292.95 BCBS_of_Arkansas — BC.BSAR: $7,292.95 Blue_Cross — BC.BS: $7,292.95 Blue_Cross — BC.BS_RAD: $7,292.95 Blue_Cross — MRF_Blue_Cross: $7,292.95 Blue_Cross_Market — BC.MARKET: $7,292.95 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $583.17 KanCare_Aetna_Better_Health — MED.AETNA_1: $600.67 KanCare_Healthy_Blue — MED.HLTHBL: $594.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Prp i/hern init reduc >5 yr	$14,176.68	$11,341.34	$410.79 – $11,341.34
Groin (inguinal) hernia repair, age 5 or older: 10 of 98 insurance plan rates * — MCRHMOMISC: $3,414.63 Anthem_Americare_AMB — ANTH-AMER: $4,411.33 BCBS_of_Arkansas — BC.BSAR: $4,411.33 Blue_Cross — BC.BS: $4,411.33 Blue_Cross — BC.BS_RAD: $4,411.33 Blue_Cross — MRF_Blue_Cross: $4,411.33 Blue_Cross_Market — BC.MARKET: $4,411.33 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $410.79 KanCare_Aetna_Better_Health — MED.AETNA_1: $423.11 KanCare_Healthy_Blue — MED.HLTHBL: $419.01
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier LT In the file: Prp i/hern init reduc >5 yr	$13,853.77	$11,083.02	$410.79 – $11,083.02
Groin (inguinal) hernia repair, age 5 or older: 10 of 98 insurance plan rates * — MCRHMOMISC: $3,414.63 Anthem_Americare_AMB — ANTH-AMER: $4,411.33 BCBS_of_Arkansas — BC.BSAR: $4,411.33 Blue_Cross — BC.BS: $4,411.33 Blue_Cross — BC.BS_RAD: $4,411.33 Blue_Cross — MRF_Blue_Cross: $4,411.33 Blue_Cross_Market — BC.MARKET: $4,411.33 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $410.79 KanCare_Aetna_Better_Health — MED.AETNA_1: $423.11 KanCare_Healthy_Blue — MED.HLTHBL: $419.01
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier RT In the file: Prp i/hern init reduc >5 yr	$12,422.70	$9,938.16	$410.79 – $9,938.16
Groin (inguinal) hernia repair, age 5 or older: 10 of 98 insurance plan rates * — MCRHMOMISC: $3,414.63 Anthem_Americare_AMB — ANTH-AMER: $4,411.33 BCBS_of_Arkansas — BC.BSAR: $4,411.33 Blue_Cross — BC.BS: $4,411.33 Blue_Cross — BC.BS_RAD: $4,411.33 Blue_Cross — MRF_Blue_Cross: $4,411.33 Blue_Cross_Market — BC.MARKET: $4,411.33 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $410.79 KanCare_Aetna_Better_Health — MED.AETNA_1: $423.11 KanCare_Healthy_Blue — MED.HLTHBL: $419.01
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: Laparo radical prostatectomy	$28,422.37	$22,737.90	$1,379.27 – $22,737.90
Prostate removal by laparoscope (radical prostatectomy): 10 of 98 insurance plan rates * — MCRHMOMISC: $10,073.62 Anthem_Americare_AMB — ANTH-AMER: $13,014.03 BCBS_of_Arkansas — BC.BSAR: $13,014.03 Blue_Cross — BC.BS: $13,014.03 Blue_Cross — BC.BS_RAD: $13,014.03 Blue_Cross — MRF_Blue_Cross: $13,014.03 Blue_Cross_Market — BC.MARKET: $13,014.03 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,379.27 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,420.65 KanCare_Healthy_Blue — MED.HLTHBL: $1,406.86
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy biopsy	$5,494.90	$4,395.92	$765.46 – $4,395.92
Hysteroscopy with biopsy of the uterus lining: 10 of 98 insurance plan rates * — MCRHMOMISC: $3,076.43 Anthem_Americare_AMB — ANTH-AMER: $3,974.41 BCBS_of_Arkansas — BC.BSAR: $3,974.41 Blue_Cross — BC.BS: $3,974.41 Blue_Cross — BC.BS_RAD: $3,974.41 Blue_Cross — MRF_Blue_Cross: $3,974.41 Blue_Cross_Market — BC.MARKET: $3,974.41 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $765.46 KanCare_Aetna_Better_Health — MED.AETNA_1: $788.42 KanCare_Healthy_Blue — MED.HLTHBL: $780.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj lmbrcadl epdrl ster#62323	$863	$690.40	$151.83 – $1,141.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 98 insurance plan rates * — MCRHMOMISC: $670.06 Anthem_Americare_AMB — ANTH-AMER: $1,141.80 BCBS_of_Arkansas — BC.BSAR: $1,141.80 Blue_Cross — BC.BS: $1,141.80 Blue_Cross — BC.BS_RAD: $1,141.80 Blue_Cross — MRF_Blue_Cross: $1,141.80 Blue_Cross_Market — BC.MARKET: $1,141.80 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $151.83 KanCare_Aetna_Better_Health — MED.AETNA_1: $156.38 KanCare_Healthy_Blue — MED.HLTHBL: $154.87
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Njx interlaminar lmbr/sac	$863	$690.40	$151.83 – $1,141.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 98 insurance plan rates * — MCRHMOMISC: $670.06 Anthem_Americare_AMB — ANTH-AMER: $1,141.80 BCBS_of_Arkansas — BC.BSAR: $1,141.80 Blue_Cross — BC.BS: $1,141.80 Blue_Cross — BC.BS_RAD: $1,141.80 Blue_Cross — MRF_Blue_Cross: $1,141.80 Blue_Cross_Market — BC.MARKET: $1,141.80 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $151.83 KanCare_Aetna_Better_Health — MED.AETNA_1: $156.38 KanCare_Healthy_Blue — MED.HLTHBL: $154.87
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: Inj foramen epidural l/s	$13,528.24	$10,822.59	$289.31 – $10,822.59
Nerve root injection, lower back, with imaging guidance: 10 of 98 insurance plan rates * — MCRHMOMISC: $861.42 Anthem_Americare_AMB — ANTH-AMER: $1,112.86 BCBS_of_Arkansas — BC.BSAR: $1,112.86 Blue_Cross — BC.BS: $1,112.86 Blue_Cross — BC.BS_RAD: $1,112.86 Blue_Cross — MRF_Blue_Cross: $1,112.86 Blue_Cross_Market — BC.MARKET: $1,112.86 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $289.31 KanCare_Aetna_Better_Health — MED.AETNA_1: $297.99 KanCare_Healthy_Blue — MED.HLTHBL: $295.10
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj foramen epidural l/s	$1,034	$827.20	$289.31 – $1,112.86
Nerve root injection, lower back, with imaging guidance: 10 of 98 insurance plan rates * — MCRHMOMISC: $861.42 Anthem_Americare_AMB — ANTH-AMER: $1,112.86 BCBS_of_Arkansas — BC.BSAR: $1,112.86 Blue_Cross — BC.BS: $1,112.86 Blue_Cross — BC.BS_RAD: $1,112.86 Blue_Cross — MRF_Blue_Cross: $1,112.86 Blue_Cross_Market — BC.MARKET: $1,112.86 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $289.31 KanCare_Aetna_Better_Health — MED.AETNA_1: $297.99 KanCare_Healthy_Blue — MED.HLTHBL: $295.10
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Inj lmbr trns epdrl #64483	$1,034	$827.20	$289.31 – $1,112.86
Nerve root injection, lower back, with imaging guidance: 10 of 98 insurance plan rates * — MCRHMOMISC: $861.42 Anthem_Americare_AMB — ANTH-AMER: $1,112.86 BCBS_of_Arkansas — BC.BSAR: $1,112.86 Blue_Cross — BC.BS: $1,112.86 Blue_Cross — BC.BS_RAD: $1,112.86 Blue_Cross — MRF_Blue_Cross: $1,112.86 Blue_Cross_Market — BC.MARKET: $1,112.86 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $289.31 KanCare_Aetna_Better_Health — MED.AETNA_1: $297.99 KanCare_Healthy_Blue — MED.HLTHBL: $295.10
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Carpal tunnel surgery	$5,196.81	$4,157.45	$336.76 – $4,157.45
Carpal tunnel release: 10 of 98 insurance plan rates * — MCRHMOMISC: $1,889.45 Anthem_Americare_AMB — ANTH-AMER: $1,624.08 BCBS_of_Arkansas — BC.BSAR: $1,624.08 Blue_Cross — BC.BS: $1,624.08 Blue_Cross — BC.BS_RAD: $1,624.08 Blue_Cross — MRF_Blue_Cross: $1,624.08 Blue_Cross_Market — BC.MARKET: $1,624.08 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $336.76 KanCare_Aetna_Better_Health — MED.AETNA_1: $346.86 KanCare_Healthy_Blue — MED.HLTHBL: $343.50
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier 50 In the file: Carpal tunnel surgery	$5,196.81	$4,157.45	$336.76 – $4,157.45
Carpal tunnel release: 10 of 98 insurance plan rates * — MCRHMOMISC: $1,889.45 Anthem_Americare_AMB — ANTH-AMER: $1,624.08 BCBS_of_Arkansas — BC.BSAR: $1,624.08 Blue_Cross — BC.BS: $1,624.08 Blue_Cross — BC.BS_RAD: $1,624.08 Blue_Cross — MRF_Blue_Cross: $1,624.08 Blue_Cross_Market — BC.MARKET: $1,624.08 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $336.76 KanCare_Aetna_Better_Health — MED.AETNA_1: $346.86 KanCare_Healthy_Blue — MED.HLTHBL: $343.50
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier LT In the file: Carpal tunnel surgery	$4,927.25	$3,941.80	$336.76 – $3,941.80
Carpal tunnel release: 10 of 98 insurance plan rates * — MCRHMOMISC: $1,889.45 Anthem_Americare_AMB — ANTH-AMER: $1,624.08 BCBS_of_Arkansas — BC.BSAR: $1,624.08 Blue_Cross — BC.BS: $1,624.08 Blue_Cross — BC.BS_RAD: $1,624.08 Blue_Cross — MRF_Blue_Cross: $1,624.08 Blue_Cross_Market — BC.MARKET: $1,624.08 HCFS_Out_of_State_Medicaid — MED.OTHER_1: $336.76 KanCare_Aetna_Better_Health — MED.AETNA_1: $346.86 KanCare_Healthy_Blue — MED.HLTHBL: $343.50

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: Obstetrical care	$8,277.53	$6,622.02	$1,751.03 – $6,622.02
Vaginal delivery, with care before and after: 10 of 70 insurance plan rates HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,751.03 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,803.56 KanCare_Healthy_Blue — MED.HLTHBL: $1,786.05 KANCARE_SUNFLOWER — MED.SUNFL_1: $1,786.05 KANCARE_UNITED_HEALTHCARE — MED.UNHLT_1: $1,751.03 Medicaid — MEDICAID_1: $1,751.03 Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: Cesarean delivery	$12,571.10	$10,056.88	$1,924.96 – $10,056.88
Cesarean delivery (C-section), with care before and after: 10 of 70 insurance plan rates HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,924.96 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,982.71 KanCare_Healthy_Blue — MED.HLTHBL: $1,963.46 KANCARE_SUNFLOWER — MED.SUNFL_1: $1,963.46 KANCARE_UNITED_HEALTHCARE — MED.UNHLT_1: $1,924.96 Medicaid — MEDICAID_1: $1,924.96 Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: Vbac delivery	$8,280.84	$6,624.67	$1,821.50 – $6,624.67
Vaginal delivery after a previous C-section, with care before and after: 10 of 70 insurance plan rates HCFS_Out_of_State_Medicaid — MED.OTHER_1: $1,821.50 KanCare_Aetna_Better_Health — MED.AETNA_1: $1,876.15 KanCare_Healthy_Blue — MED.HLTHBL: $1,857.93 KANCARE_SUNFLOWER — MED.SUNFL_1: $1,857.93 KANCARE_UNITED_HEALTHCARE — MED.UNHLT_1: $1,821.50 Medicaid — MEDICAID_1: $1,821.50 Aetna — AETNA: 80% (a percentage in the contract, not a dollar amount) Aetna — AETNA_1: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH: 80% (a percentage in the contract, not a dollar amount) Aetna_Exchange — AETNA.EXCH_1: 80% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major hip and knee joint replacement or reattachment of lower extremity without mcc	$29,308.52	$23,446.82	$4,906 – $22,152.04
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates Anthem_Americare_AMB — ANTH-AMER_1: $22,152.04 BCBS_of_Arkansas — BC.BSAR_1: $22,152.04 Blue_Cross — BC.BS_1: $22,152.04 Blue_Cross — BC.BS_RAD_1: $22,152.04 Blue_Cross — MRF_Blue_Cross_1: $22,152.04 Blue_Cross_Market — BC.MARKET_1: $22,152.04 HCFS_Out_of_State_Medicaid — MED.OTHER: $6,853 KanCare_Aetna_Better_Health — MED.AETNA: $7,058.59 KanCare_Healthy_Blue — MED.HLTHBL_1: $6,990.06 KANCARE_SUNFLOWER — MED.SUNFL: $6,990.06
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Uterine and adnexa procedures for non-malignancy without cc/mcc	$18,054.86	$14,443.89	$3,925 – $10,492.93
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates Anthem_Americare_AMB — ANTH-AMER_1: $10,492.93 BCBS_of_Arkansas — BC.BSAR_1: $10,492.93 Blue_Cross — BC.BS_1: $10,492.93 Blue_Cross — BC.BS_RAD_1: $10,492.93 Blue_Cross — MRF_Blue_Cross_1: $10,492.93 Blue_Cross_Market — BC.MARKET_1: $10,492.93 HCFS_Out_of_State_Medicaid — MED.OTHER: $3,925 KanCare_Aetna_Better_Health — MED.AETNA: $4,042.75 KanCare_Healthy_Blue — MED.HLTHBL_1: $4,003.50 KANCARE_SUNFLOWER — MED.SUNFL: $4,003.50

Source: Newman Regional Health’s standard charges file (cdn.accureg.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 7, 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	1201 West 12th Avenue, Emporia, KS 66801
County	Lyon County
State	Kansas
Phone	(620) 343‑6800
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	171384
Name in Medicare records	NEWMAN REGIONAL HEALTH
Profile level	Medicare data + hospital website
Official website	newmanrh.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
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.

Services - Newman Regional Health — newmanrh.org
Emergency - Newman Regional Health — newmanrh.org
Visitor Information - Newman Regional Health — newmanrh.org
Newman Regional Health — newmanrh.org
Clinical Decision Unit | Newman Regional Health | Emporia, KS — newmanrh.org
Translation Services | Newman Regional Health | Emporia, KS — newmanrh.org
Medicare Shared Savings Program | Newman Regional Health | Emporia, KS — newmanrh.org
Cardiac Rehabilitation | Newman Regional Health | Emporia, KS — newmanrh.org
Newborn Screening Program | Newman Regional Health | Emporia, KS — newmanrh.org
Sleep Clinic Near You in Emporia, KS - Newman Regional Health — newmanrh.org
Radiology and Imaging Center Near You in Emporia, KS - Newman Regional Health — newmanrh.org
Electromyography EMG Test | Newman Regional Health | Emporia, KS — newmanrh.org
Pain Management Near You in Emporia, KS - Newman Regional Health — newmanrh.org

Newman Regional Health

Summary

Profile from official sources

At a glance