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CCN 040147

Arkansas Surgical Hospital

NORTH LITTLE ROCK, AR · 47 beds

A95/10046 codes · 76 payers

Negotiated median rates by procedure

Showing 46 procedures any of these hospitals has published. Best (lowest) negotiated median in each row is highlighted in green.

Procedure	Code	Arkansas Surgical Hosp…
ED visit level 1	CPT 99281	$30.8
ED visit level 2	CPT 99282	$31.75
ED visit level 3	CPT 99283	$31.75
ED visit level 4	CPT 99284	$31.75
CT head without contrast	CPT 70450	$301.69
CT head with and without contrast	CPT 70470	$352.53
CT neck with contrast	CPT 70491	$352.53
MRI brain without contrast	CPT 70551	$352.53
MRI brain with and without contrast	CPT 70553	$438.47
Chest X-ray single view	CPT 71045	$301.69
Chest X-ray 2 views	CPT 71046	$301.69
CT chest without contrast	CPT 71250	$325.36
CT chest with contrast	CPT 71260	$352.53
CT chest with and without contrast	CPT 71270	$352.53
MRI chest without contrast	CPT 71550	$352.53
Lumbosacral spine X-ray	CPT 72100	$2,907.04
CT cervical spine without contrast	CPT 72125	$325.36
CT thoracic spine without contrast	CPT 72128	$325.36
CT lumbar spine without contrast	CPT 72131	$325.36
MRI cervical spine without contrast	CPT 72141	$352.53
MRI thoracic spine without contrast	CPT 72146	$352.53
MRI lumbar spine without contrast	CPT 72148	$233.52
MRI cervical spine with and without contrast	CPT 72156	$438.47
MRI lumbar spine with contrast	CPT 72158	$438.47
CT pelvis without contrast	CPT 72192	$325.36
Shoulder X-ray	CPT 73030	$704.29
Humerus X-ray	CPT 73060	$704.29
Hand X-ray 3 views	CPT 73130	$1,301.11
MRI upper extremity joint without contrast	CPT 73221	$352.53
MRI upper extremity joint with and without contrast	CPT 73223	$438.47
Knee X-ray 1-2 views	CPT 73560	$1,449.89
Ankle X-ray 3 views	CPT 73610	$1,630.35
MRI lower extremity joint without contrast	CPT 73721	$233.52
MRI lower extremity joint with and without contrast	CPT 73723	$438.47
CT abdomen without contrast	CPT 74150	$325.36
CT abdomen with and without contrast	CPT 74170	$352.53
CT abdomen and pelvis without contrast	CPT 74176	$369.83
CT abdomen and pelvis with contrast	CPT 74177	$438.47
CT abdomen and pelvis with and without contrast	CPT 74178	$438.47
MRI abdomen with and without contrast	CPT 74183	$438.47
Total hip replacement	CPT 27130	$11,844
Total knee replacement	CPT 27447	$11,844
Shoulder arthroscopy with decompression	CPT 29826	$9,951.88
Shoulder arthroscopy with rotator cuff repair	CPT 29827	$9,951.88
Knee arthroscopy with meniscectomy	CPT 29881	$11,844
ACL reconstruction	CPT 29888	$11,844