Puncture spinal lumbar diagnostic 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

$1,218.00

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.

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

$1,218.00

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.

$567.50 with Summit vs $2,332.00 with Municipal Health Benefits — 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
Summit Medicaid|All Plans $567.50 ↓ -53%
TotalCare Medicaid|All Plans $567.50 ↓ -53%
Empower Medicaid|All Plans $567.50 ↓ -53%
BCBS - AR Commercial|All Other Plans $655.31 ↓ -46%
BCBS - AR Commercial|TrueBlue Exchange $655.31 ↓ -46%
Humana Medicare|All Plans $658.41 ↓ -46%
BCBS - AR Medicare|PFFS $658.41 ↓ -46%
Cigna Medicare|Healthspring $678.16 ↓ -44%
BCBS - AR Medicare|HMO PPO $678.16 ↓ -44%
United Medicare|All Plans $678.16 ↓ -44%
Aetna Medicare|All Plans $691.33 ↓ -43%
Centene Medicare|Allwell $691.33 ↓ -43%
Humana Commercial|All Plans $921.01 ↓ -24%
Multiplan Commercial|All Plans $974.40 ↓ -20%
Aetna Commercial|All Other Plans $974.40 ↓ -20%
Aetna Commercial|PPO $974.40 ↓ -20%
Aetna Commercial|HMO $974.40 ↓ -20%
Centene Commercial|Ambetter Exchange $980.55 ↓ -19%
Cigna Commercial|AHN $1,191.00 ↓ -2%
Cigna Commercial|NBR $1,264.00 ↑ +4%
United Commercial|Options $1,348.00 ↑ +11%
United Commercial|Non-Options $1,348.00 ↑ +11%
Cigna Commercial|All Other Plans $1,458.00 ↑ +20%
Centene Commercial|QualChoice $1,472.00 ↑ +21%
Municipal Health Benefits Commercial|All Plans $2,332.00 ↑ +91%

Visitor-reported prices

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Puncture spinal lumbar diagnostic at other Arkansas hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Berryville Berryville $303.55 $75.92 – $649.40
Mercy Hospital Boonville Booneville $299.65 $54.14 – $125.40
Mercy Hospital Waldron Waldron $299.65 $74.50 – $125.40
CHI St. Vincent Morrilton Morrilton $258.78 $162.40 – $170.52
CHI St. Vincent North Sherwood $461.12 $655.31 – $655.31

All Arkansas hospitals for this procedure →