CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Arkansas Children's Northwest, Inc
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$75
about 0.8× the $95 Medicare rate · typically $61–$227
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $75 Cash price $29 Hospital's list price $32
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $54 | 57% |
| Blue Cross Blue Shieldmajor | $20 - $45 | 21% |
| WellCare | $54 | 57% |
| + 1 smaller / regional plan | $54 |
Self-Pay How to get the cash price
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Other Procedures at Arkansas Children's Northwest, Inc
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.