Biliary endoscopy thru skin at CHI St. Vincent Hospital Hot Springs

300 Werner Street, Hot Springs, AR · CommonSpirit Health · · NPI 1619915949

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$4,891.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$4,891.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$674.19 with Empower vs $8,835.04 with Centene — 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 →

Payer
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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
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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
Empower Medicaid|All Plans $674.19 ↓ -86%
TotalCare Medicaid|All Plans $674.19 ↓ -86%
Summit Medicaid|All Plans $674.19 ↓ -86%
Humana Commercial|All Plans $1,410.56 ↓ -71%
Cigna Commercial|AHN $1,672.00 ↓ -66%
Cigna Commercial|NBR $1,774.00 ↓ -64%
Cigna Commercial|All Other Plans $1,970.00 ↓ -60%
Centene Commercial|QualChoice $2,023.00 ↓ -59%
BCBS - AR Commercial|TrueBlue Exchange $3,602.26 ↓ -26%
BCBS - AR Commercial|All Other Plans $3,602.26 ↓ -26%
Municipal Health Benefits Commercial|All Plans $3,671.00 ↓ -25%
Multiplan Commercial|All Plans $3,912.80 ↓ -20%
Aetna Commercial|All Other Plans $3,912.80 ↓ -20%
Aetna Commercial|PPO $3,912.80 ↓ -20%
Aetna Commercial|HMO $3,912.80 ↓ -20%
Humana Medicare|All Plans $5,932.38 ↑ +21%
BCBS - AR Medicare|PFFS $5,932.38 ↑ +21%
United Commercial|Options $6,078.00 ↑ +24%
United Commercial|Non-Options $6,078.00 ↑ +24%
BCBS - AR Medicare|HMO PPO $6,110.35 ↑ +25%
Cigna Medicare|Healthspring $6,110.35 ↑ +25%
United Medicare|All Plans $6,110.35 ↑ +25%
Centene Medicare|Allwell $6,229.00 ↑ +27%
Aetna Medicare|All Plans $6,229.00 ↑ +27%
Centene Commercial|Ambetter Exchange $8,835.04 ↑ +81%

Visitor-reported prices

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