CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Mercy Rehabilitation Hospital Northwest Arkansas
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$99
about 1.0× the $95 Medicare rate · typically $58–$123
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $99 Cash price $175 Hospital's list price $175
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 | $175 | 184% |
| Blue Cross Blue Shieldmajor | $175 | 184% |
| Aetnamajor | $175 | 184% |
| Cignamajor | $175 | 184% |
| Humanamajor | $175 | 184% |
| Ambetter (Centene) | $175 | 184% |
| Devoted Health | $175 | 184% |
| + 8 smaller / regional plans | $175 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Rehabilitation Hospital Northwest Arkansas
Compare: Office visit, established patient (20-29 min) at other AR hospitals
- Delta Memorial Hospital · Dumas $47
- Mercy Hospital Paris · Paris $55
- Mercy Hospital Berryville · Berryville $56
- Mercy Hospital Northwest Arkansas · Rogers $58
- Mercy Hospital Fort Smith · Fort Smith $58
- Ouachita County Medical Center · Camden $60
- Mercy Hospital Ozark · Ozark $62
- Mercy Hospital Booneville · Booneville $62
Insurance negotiated median for the same procedure, sorted lowest first.