Established Patient Office Visit (level 5) at Mercy Rehabilitation Hospital Northwest Arkansas
4313 S Pleasant Crossing Blvd, Rogers, AR · Mercy · · NPI 1417655762
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$310.67 with PHCS vs $393.25 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| PHCS | PHCS | $310.67 | — |
| MULTIPLAN | MULTIPLAN | $334.26 | — |
| MEDICAID | MEDICAID | $393.25 | — |
| Aetna | Aetna | $393.25 | — |
| VACCN | VACCN | $393.25 | — |
| AMBETTER | AMBETTER | $393.25 | — |
| CIGNA | CIGNA | $393.25 | — |
| ABCBS | ABCBS | $393.25 | — |
| ABCBS Medicare Advantage | ABCBS Medicare Advantage | $393.25 | — |
| ALLWELL Medicare Advantage | ALLWELL Medicare Advantage | $393.25 | — |
| ARKANSAS TOTAL CARE (PASSE) | ARKANSAS TOTAL CARE (PASSE) | $393.25 | — |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $393.25 | — |
| CARE SOURCE (PASSE) | CARE SOURCE (PASSE) | $393.25 | — |
| CIGNA Medicare Advantage | CIGNA Medicare Advantage | $393.25 | — |
| DEVOTED | DEVOTED | $393.25 | — |
| EMPOWER | EMPOWER | $393.25 | — |
| ESSENCE | ESSENCE | $393.25 | — |
| HUMAMA Medicare Advantage | HUMAMA Medicare Advantage | $393.25 | — |
| MUNICIPAL LEAGUE | MUNICIPAL LEAGUE | $393.25 | — |
| QUALCHOICE | QUALCHOICE | $393.25 | — |
| SUMMIT (PASSE) | SUMMIT (PASSE) | $393.25 | — |
| TRICARE - HUMANA MILITARY | TRICARE - HUMANA MILITARY | $393.25 | — |
| UMR-UNITED HEALTHCARE | UMR-UNITED HEALTHCARE | $393.25 | — |
| American Health Plan | American Health Plan | $393.25 | — |
| UNITED HEALTHCARE Medicare Advantage | UNITED HEALTHCARE Medicare Advantage | $393.25 | — |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $393.25 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Arkansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Berryville | Berryville | $243.75 | $105.72 – $196.23 |
| Mercy Hospital Boonville | Booneville | $222.95 | $159.49 – $199.29 |
| Mercy Hospital Ozark | River Ozark | $222.95 | $159.49 – $199.29 |
| Mercy Hospital Paris | Academy Paris | $222.95 | $159.49 – $199.29 |
| Mercy Hospital Waldron | Waldron | $222.95 | $159.49 – $199.29 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith | $263.25 | $116.98 – $280.55 |