Surgical pathology level 5 gross & microscopic examination at Mercy Hospital Boonville
880 W. Main Street, Booneville, AR · Mercy · · NPI 1992133714
$357.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$550.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$53.00 with SUMMIT COMMUNITY CARE [20368] vs $591.30 with QUAL CHOICE CONTRACTED [320324] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| SUMMIT COMMUNITY CARE [20368] | HB BNVAR ARK MEDICAID | $53.00 | ↓ -85% |
| MEDICAID [20240] | HB BNVAR ARK MEDICAID | $53.00 | ↓ -85% |
| SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB BNVAR SUMMIT | $53.00 | ↓ -85% |
| CARESOURCE MEDICAID [20460] | HB BNVAR CARESOURCE MEDICAID | $54.06 | ↓ -85% |
| CARESOURCE MEDICAID CONTRACTED [320460] | HB BNVAR CARESOURCE MEDICAID | $54.06 | ↓ -85% |
| EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB BNVAR PASSE EMPOWER | $67.31 | ↓ -81% |
| EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB BNVAR PASSE EMPOWER | $67.31 | ↓ -81% |
| ARKANSAS TOTAL CARE [20039] | HB BNVAR PASSE AR TOTAL CARE | $120.31 | ↓ -66% |
| ARKANSAS TOTAL CARE CONTRACTED [320039] | HB BNVAR PASSE AR TOTAL CARE | $120.31 | ↓ -66% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| HALO HCR INC HOSPICE [20432] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| WELLFIRST HEALTH MCR [20443] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| VALIR PACE [20503] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| CROSS TIMBERS HOSPICE [20098] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| UNICARE MEDICARE [20384] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| KINDFUL HOSPICE [20434] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| MEDICAL ASSOCIATES HEALTH [20444] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| MENTAL HEALTH NETWORK MEDICARE [20250] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| PACE OF THE OZARKS [20518] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| JORDAN VALLEY SENIOR CARE PACE [20515] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| INDIAN HEALTH SERVICE [20198] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| MERCY HOSPICE OKC [20252] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB BNVAR UHC Medicare 100% | $161.87 | ↓ -55% |
| WINDSOR MEDICARE [20424] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| BCBS MEDICARE ADVANTAGE [20047] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| GLOBALHEALTH CONTRACTED [320145] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| QUAL CHOICE CONTRACTED [320325] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| MEDICARE [20244] | HB BNVAR MEDICARE | $161.87 | ↓ -55% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| HORIZONS MEDICARE [20190] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB BNVAR HUMANA MCR | $161.87 | ↓ -55% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| INDEPENDENT HEALTH [20197] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB BNVAR MANAGED MEDICARE | $161.87 | ↓ -55% |
| TRICARE [20380] | HB BNVAR TRICARE | $162.48 | ↓ -55% |
| TRICARE CONTRACTED [320380] | HB BNVAR TRICARE | $162.48 | ↓ -55% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB BNVAR NOVASYS MCR 103% | $166.71 | ↓ -53% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB BNVAR DEVOTED HEALTH MCR | $168.36 | ↓ -53% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB BNVAR HEALTHSPRING 105% MCR | $169.95 | ↓ -52% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB BNVAR HEALTHSPRING 105% MCR | $169.95 | ↓ -52% |
| NOVASYS CONTRACTED [320285] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $223.30 | ↓ -38% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $223.30 | ↓ -38% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $223.30 | ↓ -38% |
| AMBETTER CONTRACTED [320452] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $223.30 | ↓ -38% |
| MEDICAID [20240] | HB BNVAR OK MEDICAID | $245.16 | ↓ -31% |
| AETNA MEDICAID CONTRACTED [320009] | HB BNVAR OK MANAGED MEDICAID | $245.16 | ↓ -31% |
| HUMANA MEDICAID CONTRACTED [320486] | HB BNVAR OK MANAGED MEDICAID | $245.16 | ↓ -31% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB BNVAR OK MANAGED MEDICAID | $245.16 | ↓ -31% |
| CENTIVO CONTRACTED [320505] | HB BNVAR CENTIVO MCR | $267.08 | ↓ -25% |
| MERCY INTERFACILITY [20513] | HB BNVAR Inter-Facility CCR New 6.1.25 | $268.40 | ↓ -25% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $283.41 | ↓ -21% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $283.41 | ↓ -21% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $283.41 | ↓ -21% |
| UNITED HEALTHCARE [20396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $283.41 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC QUIKTRIP CO | $330.00 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC CITY OF JACKSON | $330.00 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC BUCHHEIT | $330.00 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC CITY OF JACKSON | $330.00 | ↓ -8% |
| AETNA CONTRACTED [320008] | HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA | $357.50 | ↑ +0% |
| WORKERS COMP [20426] | HB WLDAR,OZKAR,PRSAR,BNVAR WORK COMP AETNA/COVENTRY | $357.50 | ↑ +0% |
| AETNA [20008] | HB WLDAR,OZKAR,PRSAR,BNVR CONVENTRY/AETNA | $357.50 | ↑ +0% |
| MULTIPLAN CONTRACTED [320270] | HB BNVAR MULTIPLAN | $440.00 | ↑ +23% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB BNVAR MULTIPLAN | $440.00 | ↑ +23% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB BNVAR BLUE CROSS | $457.62 | ↑ +28% |
| USABLE CONTRACTED [320409] | HB BNVAR BLUE CROSS | $457.62 | ↑ +28% |
| MC ANTHEM [20455] | HB BNVAR BLUE CROSS | $457.62 | ↑ +28% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| YUZU HEALTH CONTRACTED [320521] | HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LEVEL HEALTH - NEW 01.01.26 | $467.50 | ↑ +31% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME | $467.50 | ↑ +31% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB WLDAR,OZKAR,PRSAR,BNVAR DEC ASI | $467.50 | ↑ +31% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| POINT C CONTRACTED [320238] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR DEC SHOW ME | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR DEC SCHAEFER QCG | $467.50 | ↑ +31% |
| EBMS [20493] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV CRADER | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC EASTER SEALS | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYVL DEC BARTEL | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC TOWN AND COUNTRY | $467.50 | ↑ +31% |
| IMAGINE 360 CONTRACTED [320494] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC ROBINSON CONSTRUCTION | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC SAPAUGH | $467.50 | ↑ +31% |
| PERSONIFY HEALTH CONTRACTED [320051] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| PPO PLUS CONTRACTED [320310] | HB BNVAR PPO PLUS | $467.50 | ↑ +31% |
| HEALTHSCOPE CONTRACTED [320182] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| HEALTHLINK CONTRACTED [320179] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| HEALTHLINK CONTRACTED [320179] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC SAPAUGH | $467.50 | ↑ +31% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| EBMS CONTRACTED [320493] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV CRADER | $467.50 | ↑ +31% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB BNVAR CIGNA | $467.50 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB BNVAR NETWORK AFFILIATION | $467.50 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD | $467.50 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB WLDAR,OZKAR,PRSAR,BNVAR, BRYVL DEC LACLEDE | $467.50 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC TALL TREE | $467.50 | ↑ +31% |
| REFLECT HEALTH CONTRACTED [320492] | HB WLDAR,OZKAR,PRSAR,BNVAR,BRYV DEC WWWood Products | $467.50 | ↑ +31% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB WLDAR,OZKAR,PRSAR,BNVAR DEC WOODARD | $467.50 | ↑ +31% |
| MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB BNVAR MUNICIPAL HEALTH | $495.00 | ↑ +38% |
| QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $591.30 | ↑ +65% |
Visitor-reported prices
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Surgical pathology level 5 gross & microscopic examination at other Arkansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Berryville | Berryville | $306.80 | $53.00 – $591.30 |
| Mercy Hospital Ozark | River Ozark | $357.50 | $53.00 – $591.30 |
| Mercy Hospital Paris | Academy Paris | $357.50 | $53.00 – $591.30 |
| Mercy Hospital Waldron | Waldron | $357.50 | $53.00 – $591.30 |