CDM PX-200003694

Non Emergency Medicaid Level 4

National pricing summary

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Low

$544

Average

$630

Median

$634

High

$708

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Prices here combine facility and professional fees. See them separately →Experimental

Rates differ by insurer. See what each payer pays for this code →Experimental

Reflects negotiated fee schedule rates with commercial payers.

Price distribution

Fee schedule methodology

Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 1.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.

Click a bar to filter the hospitals table to that price range.

Hospitals reporting CDM PX-200003694

#	Hospital
1	Mercy Hospital Paris Paris, AR	$806	$699	$185	26%	—	$379 – $806
2	Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Vista, AR	$591	$708	$326	46%	—	$379 – $1.1k
3	Mercy Hospital Booneville Booneville, AR	$379	$562	$211	38%	—	$379 – $806
4	Mercy Hospital Waldron Waldron, AR	$379	$562	$211	38%	—	$379 – $806
5	Mercy Hospital Fort Smith Smith, AR	$456	$634	$313	49%	—	$363 – $1.1k
6	Mercy Hospital Ozark Ozark, AR	$806	$699	$185	26%	—	$379 – $806
7	Mercy Hospital Fort Smith Smith, AR	$456	$634	$313	49%	—	$363 – $1.1k
8	Mercy Hospital Berryville Berryville, AR	$379	$544	$215	39%	—	$363 – $806

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