CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercy Hospital Berryville

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $602
  • Cash Discount Price: $1,462
  • vs. Medicare Baseline: 5.64x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercy Hospital Berryville is $602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,462. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.64x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$1,462

Average discount available for prompt cash payment at this facility.

Insurance Median
$602

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,462 (1369%)
Insurance Median: $602 (564%)
Cash: $1,462 (1369% of Medicare)
Ins. Median: $602 (564% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 564% of the Medicare baseline (a markup of 464%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $71 - $871 66%
Blue Cross Blue Shield $91 - $574 85%
UnitedHealthcare $91 - $574 85%
Summit Community Care Contracted [320368] $215 201%
Summit Community Care [20368] $215 201%
United Medical Resources Contracted [320454] $224 - $1,912 210%
Arkansas Total Care Contracted [320039] $488 457%
Aetna $574 537%
American Health Advantage Of Mo Mcr [20264] $574 537%
Cherokee Nation Health Serv Contracted [320066] $574 537%
Cross Timbers Hospice [20098] $574 537%
Dept Of Veteran Affairs Contracted [320106] $574 537%
Elara Caring Aspire Hospice [20433] $574 537%
Globalhealth Contracted [320145] $574 537%
Halo Hcr Inc Hospice Contracted [320432] $574 537%
Halo Hcr Inc Hospice [20432] $574 537%
Humana $574 - $1,912 537%
Independent Health [20197] $574 537%
Indian Health Service Contracted [320198] $574 537%
Indian Health Service [20198] $574 537%
Jordan Valley Senior Care Pace [20515] $574 537%
Kindful Hospice Contracted [320434] $574 537%
Kindful Hospice [20434] $574 537%
Medical Associates Health [20444] $574 537%
Medicare (plans) $574 - $602 537%
Mercy Hospice Okc [20252] $574 537%
Mercy Mgd Behavioral Health Contracted [320259] $574 537%
Pace Of The Ozarks [20518] $574 537%
Provider Partners Health Plans Contracted [320450] $574 537%
Qual Choice Contracted [320325] $574 537%
Spina Bifida Hlthcare Benefit [20506] $574 537%
Valir Pace [20503] $574 537%
Wellfirst Health Mcr [20443] $574 537%
Tricare $585 548%
Cigna $602 564%
Mercy Interfacility [20513] $656 614%
Healthscope Contracted [320182] $717 671%
Ambetter / Centene $871 815%
Home State Health Plan Contracted [320187] $871 815%
Novasys Contracted [320285] $911 853%
Qual Choice Contracted [320324] $919 860%
Administrative Payor Contracted [320005] $1,012 947%
Auxiant Contracted [320462] $1,349 - $2,024 1263%
Healthlink Contracted [320179] $1,462 - $1,912 1369%
Mercy Benefit Admin Contracted [320251] $1,462 - $1,912 1369%
Personify Health Contracted [320051] $1,462 1369%
Preferred Health Plan Contracted [320522] $1,462 1369%
Insurance System Inc Contracted [320465] $1,799 1684%
Point C Contracted [320238] $1,799 1684%
Medica Contracted [320239] $1,903 1782%
90 Degree Benefits Contracted [320436] $1,912 1790%
Aither Health Contracted [320449] $1,912 1790%
Benefit Management Contracted [320052] $1,912 1790%
Ebms Contracted [320493] $1,912 1790%
Edison Health Solutions Contracted [320502] $1,912 1790%
First Health Contracted [320128] $1,912 1790%
Healthsmart Preferred Care Contracted [320184] $1,912 1790%
Imagine 360 Contracted [320494] $1,912 1790%
Ppo Plus Contracted [320310] $1,912 1790%
Reflect Health Contracted [320492] $1,912 1790%
Show-Me Health Administrators Contracted [320483] $1,912 1790%
Multiplan Contracted [320270] $2,137 2001%
Private Health Care Systems Contracted [320320] $2,137 2001%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 214 Carter Street, Berryville, AR 72616
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals