CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercy Hospital Ozark

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.8× the $95 Medicare rate · typically $53–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Below the fair price — a good deal
about $10 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $72 This hospital $62 Cash price $136 Hospital's list price $210

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

On the higher side — 6 of 8 other AR hospitals charge less.

Cheapest $47 Priciest $64

Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $72 (about 0.8× the $95 Medicare rate). Mercy Hospital Ozark charges insurers about $62, or about $136 in cash — below the fair price — a good deal. Located in Ozark, AR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $62 - $154 65%
Blue Cross Blue Shieldmajor $62 - $102 65%
Aetnamajor $62 - $167 65%
Cignamajor $62 - $218 65%
Humanamajor $48 - $218 50%
Ambetter (Centene) $66 - $104 69%
HealthLink $138 - $231 145%
Independent Health $62 - $76 65%
+ 42 smaller / regional plans $11 - $562
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 801 West River Street, Ozark, AR 72949
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals