Does DREW MEMORIAL HOSPITAL INC publish its standard charges and chargemaster?

Yes. DREW MEMORIAL HOSPITAL INC publishes a machine-readable file with 98,914 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does DREW MEMORIAL HOSPITAL INC charge for procedures?

DREW MEMORIAL HOSPITAL INC (Monticello, AR) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · AR · CCN 040051

DREW MEMORIAL HOSPITAL INC

Monticello, AR, 71655

49 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

98,914

last crawl 2026-05-22

Procedures tracked

155

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All AR hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/160743222_westfield-memorial-hospital-inc_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	15	$420	$92.4	$42	$148.51	0.84×	$3,040
Psychiatric eval with medical services	CPT	90792	15	$480	$105.6	$96.99	$197.74	1.1×	$365.05
Psychotherapy 30 minutes	CPT	90832	15	$203	$44.66	$32.32	$71.59	0.48×	$365.05
Psychotherapy 45 minutes	CPT	90834	15	$267	$58.74	$62.4	$108.36	0.67×	$365.05
Psychotherapy 60 minutes	CPT	90837	15	$396	$87.12	$80.81	$142.95	0.75×	$365.05
Crisis psychotherapy 60 minutes	CPT	90839	12	$383	$84.26	$96.99	$190.13	1.2×	$365.05
emergency
ED visit level 1	CPT	99281	12	$396	$308.88	$9.31	$90.94	0.65×	$200.05
ED visit level 2	CPT	99282	17	$713	$556.14	$28.86	$81.17	0.34×	$359.8
ED visit level 3	CPT	99283	17	$1,246	$971.88	$56	$102.5	0.25×	$629.11
ED visit level 4	CPT	99284	17	$1,916	$1,494.48	$80	$152.71	0.23×	$967.48
ED visit level 5	CPT	99285	17	$2,759	$2,152.02	$80	$221.98	0.21×	$1,392.99
Critical care, first hour	CPT	99291	14	$3,792	$2,957.76	$159.21	$402.39	0.38×	$1,914.45
imaging
CT head without contrast	CPT	70450	15	$1,157	$902.46	$32.93	$116.25	0.56×	$241.61
CT head with contrast	CPT	70460	15	$1,936	$1,510.08	$43.96	$145.46	0.62×	$404.47
CT head with and without contrast	CPT	70470	15	$2,420	$1,887.6	$49.47	$170.2	0.64×	$404.47
CT neck with contrast	CPT	70491	15	$1,936	$1,510.08	$53.65	$180.81	0.66×	$404.47
MRI brain without contrast	CPT	70551	15	$2,176	$1,697.28	$57.5	$216.88	0.54×	$557.06
MRI brain with contrast	CPT	70552	15	$3,215	$2,507.7	$69.14	$295.92	0.62×	$811.42
MRI brain with and without contrast	CPT	70553	15	$4,018	$3,134.04	$73.5	$350.64	0.60×	$811.42
Chest X-ray single view	CPT	71045	15	$363	$283.14	$6.91	$24.09	0.25×	$200.05
Chest X-ray 2 views	CPT	71046	15	$454	$354.12	$8.58	$33.48	0.34×	$200.05
Chest X-ray 3 views	CPT	71047	15	$454	$354.12	$10.8	$42.11	0.44×	$200.05
CT chest without contrast	CPT	71250	15	$1,157	$902.46	$42	$127.14	0.59×	$291.48
CT chest with contrast	CPT	71260	15	$1,936	$1,510.08	$45.34	$163.76	0.58×	$404.47
CT chest with and without contrast	CPT	71270	15	$2,420	$1,887.6	$48.43	$183.87	0.63×	$426.29
MRI chest without contrast	CPT	71550	15	$2,176	$1,697.28	$56.66	$311.19	0.72×	$724.64
MRI chest with contrast	CPT	71551	15	$3,259	$2,542.02	$67.19	$400.64	0.49×	$1,795.06
MRI chest with and without contrast	CPT	71552	15	$4,018	$3,134.04	$87.64	$452.2	0.75×	$1,012.57
Lumbosacral spine X-ray	CPT	72100	15	$439	$342.42	$8.85	$39.57	0.38×	$241.61
CT cervical spine without contrast	CPT	72125	15	$1,157	$902.46	$38.73	$127.14	0.63×	$286.29
CT thoracic spine without contrast	CPT	72128	15	$1,157	$902.46	$38.73	$129.61	0.65×	$286.29
CT lumbar spine without contrast	CPT	72131	15	$1,157	$902.46	$38.73	$129.61	0.64×	$284.99
MRI cervical spine without contrast	CPT	72141	15	$2,176	$1,697.28	$57.5	$211.26	0.53×	$559.35
MRI thoracic spine without contrast	CPT	72146	15	$2,176	$1,697.28	$57.5	$210.93	0.57×	$549.2
MRI lumbar spine without contrast	CPT	72148	15	$2,176	$1,697.28	$57.76	$212	0.56×	$549.2
MRI lumbar spine with and without contrast	CPT	72149	15	$3,215	$2,507.7	$69.35	$296.34	0.65×	$811.42
MRI cervical spine with and without contrast	CPT	72156	15	$4,018	$3,134.04	$73.5	$352.36	0.65×	$811.42
MRI lumbar spine with contrast	CPT	72158	15	$4,018	$3,134.04	$73.5	$351.7	0.64×	$811.42
CT pelvis without contrast	CPT	72192	15	$1,157	$902.46	$42.29	$111.38	0.56×	$268.02
CT pelvis with contrast	CPT	72193	15	$1,936	$1,510.08	$45.07	$216.98	0.77×	$443.34
Shoulder X-ray	CPT	73030	15	$454	$354.12	$7.45	$34.57	0.37×	$200.05
Humerus X-ray	CPT	73060	15	$363	$283.14	$6.35	$29.95	0.33×	$200.05
Hand X-ray 3 views	CPT	73130	15	$363	$283.14	$6.9	$35.15	0.38×	$200.05
MRI upper extremity joint without contrast	CPT	73221	15	$2,176	$1,697.28	$52.8	$222.4	0.53×	$549.2
MRI upper extremity joint with and without contrast	CPT	73223	15	$4,018	$3,134.04	$83.79	$419.45	0.69×	$945.29
Hip X-ray 2 views	CPT	73510	1	—	—	$51	$51	0.68×	$51
Knee X-ray 1-2 views	CPT	73560	15	$363	$283.14	$6.61	$33.8	0.36×	$200.05
Ankle X-ray 3 views	CPT	73610	15	$454	$354.12	$6.9	$36.08	0.39×	$200.05
MRI lower extremity joint without contrast	CPT	73721	15	$2,176	$1,697.28	$52.8	$222.07	0.47×	$549.2
MRI lower extremity joint with and without contrast	CPT	73723	15	$4,018	$3,134.04	$83.52	$417.73	0.66×	$944.16
CT abdomen without contrast	CPT	74150	15	$1,157	$902.46	$46.19	$124	0.66×	$275.54
CT abdomen with contrast	CPT	74160	15	$1,936	$1,510.08	$49.47	$219.09	0.76×	$453.48
CT abdomen with and without contrast	CPT	74170	15	$2,420	$1,887.6	$54.22	$226.9	0.68×	$511.37
CT abdomen and pelvis without contrast	CPT	74176	15	$2,629	$2,050.62	$67.48	$166.77	0.46×	$549.2
CT abdomen and pelvis with contrast	CPT	74177	15	$3,884	$3,029.52	$70.54	$312.21	0.57×	$811.42
CT abdomen and pelvis with and without contrast	CPT	74178	15	$4,855	$3,786.9	$77.74	$369.12	0.64×	$811.42
MRI abdomen without contrast	CPT	74181	15	$2,176	$1,697.28	$56.66	$216.29	0.55×	$554.75
MRI abdomen with and without contrast	CPT	74183	15	$4,018	$3,134.04	$85.2	$369.7	0.65×	$951.84
Abdominal ultrasound complete	CPT	76700	15	$599	$467.22	$31.27	$110.51	0.74×	$260.4
Abdominal ultrasound limited	CPT	76705	15	$599	$467.22	$22.69	$85.24	0.58×	$241.61
Retroperitoneal ultrasound complete	CPT	76770	15	$599	$467.22	$28.75	$106.15	0.74×	$259.35
Obstetric ultrasound first trimester	CPT	76801	15	$599	$467.22	$38.51	$109.12	0.77×	$241.61
Obstetric ultrasound after first trimester	CPT	76805	15	$599	$467.22	$32.55	$110.35	0.72×	$258.56
Obstetric ultrasound with fetal anatomy	CPT	76811	15	$1,360	$1,060.8	$70.97	$150.84	0.64×	$549.2
Transvaginal ultrasound	CPT	76830	15	$599	$467.22	$26.86	$111.87	0.76×	$253.76
Pelvic ultrasound complete	CPT	76856	15	$599	$467.22	$26.59	$103.23	0.72×	$241.61
Scrotal ultrasound	CPT	76870	15	$599	$467.22	$24.64	$97.96	0.75×	$241.61
Diagnostic mammography unilateral	CPT	77065	15	$368	$287.04	$31.53	$102.98	0.69×	$246.86
Diagnostic mammography bilateral	CPT	77066	15	$458	$357.24	$38.73	$131.98	0.69×	$312.9
Screening mammography bilateral	CPT	77067	15	$376	$293.28	$29.58	$108.84	0.69×	$257.25
EKG complete	CPT	93000	9	$40	$8.8	$10.91	$20.18	0.83×	$52.5
EKG tracing only	CPT	93005	15	$179	$139.62	$5.04	$7.55	0.06×	$134.96
EKG interpretation only	CPT	93010	8	$23	$5.06	$6.63	$9.61	0.53×	$24.15
Transthoracic echocardiogram complete	CPT	93306	15	$1,645	$1,283.1	$45.02	$212.4	0.35×	$1,245.77
Transthoracic echocardiogram	CPT	93307	15	$725	$565.5	$35.24	$151.73	0.61×	$549.2
Stress echocardiogram	CPT	93350	15	$1,645	$1,283.1	$31.5	$152.33	0.30×	$1,245.77
inpatient
Initial hospital care, low complexity	CPT	99221	10	$231	$50.82	$65	$87.81	0.94×	$250
Initial hospital care, moderate complexity	CPT	99222	10	$364	$80.08	$106	$138.5	0.82×	$315
Initial hospital care, high complexity	CPT	99223	10	$486	$106.92	$138	$183.47	0.82×	$462
Hospital discharge, <30 min	CPT	99238	10	$227	$49.94	$27.2	$81.32	0.95×	$168
Hospital discharge, >30 min	CPT	99239	10	$320	$70.4	$80	$117.22	0.97×	$246.75
lab
Basic metabolic panel (BMP)	CPT	80048	15	$57	$44.46	$5.59	$8.84	0.27×	$23.1
General health panel	CPT	80050	9	$205	$159.9	$32.49	$40.07	0.37×	$99.48
Electrolyte panel	CPT	80051	15	$47	$36.66	$4.63	$7.29	0.31×	$19.95
Comprehensive metabolic panel	CPT	80053	15	$71	$55.38	$6.97	$11.03	0.25×	$29.4
Lipid panel	CPT	80061	15	$91	$70.98	$8.51	$14	0.37×	$36.75
Renal function panel	CPT	80069	15	$59	$46.02	$5.73	$9.07	0.33×	$24.15
Hepatic function panel	CPT	80076	15	$56	$43.68	$5.39	$8.54	0.32×	$23.1
Urinalysis non-automated	CPT	81002	15	$23	$17.94	$1.63	$3.62	0.52×	$8.22
Urinalysis automated	CPT	81003	15	$15	$11.7	$1.43	$2.34	0.17×	$6.3
Glucose quantitative	CPT	82947	15	$26	$20.28	$2.49	$4.09	0.23×	$11.55
Hemoglobin A1c	CPT	83036	15	$65	$50.7	$6.17	$10.1	0.38×	$27.3
Thyroid stimulating hormone (TSH)	CPT	84443	15	$113	$88.14	$10.68	$17.47	0.37×	$46.2
Complete blood count with automated differential	CPT	85025	15	$53	$41.34	$4.91	$8.08	0.30×	$22.05
Complete blood count without differential	CPT	85027	15	$44	$34.32	$4.12	$6.73	0.31×	$17.85
Urine culture bacterial	CPT	87086	15	$55	$42.9	$5.13	$8.39	0.36×	$22.05
Urine culture identification	CPT	87088	15	$55	$42.9	$5.14	$8.39	0.38×	$19.11
Tissue exam by pathologist level IV	CPT	88305	15	$161	$125.58	$13.5	$46.87	0.46×	$121.4
maternity
Fetal non-stress test	CPT	59025	15	$81	$17.82	$7.08	$35.82	0.19×	$457.07
Routine obstetric care including vaginal delivery	CPT	59400	9	$6,768	$1,488.96	$1,950.92	$3,100.76	1.4×	$4,966.5
Vaginal delivery only	CPT	59409	14	$8,346	$6,509.88	$641.43	$1,920	0.87×	$7,224.05
Vaginal delivery with postpartum	CPT	59410	9	$3,033	$667.26	$868.39	$1,740	1.6×	$3,382.5
Routine obstetric care with C-section	CPT	59510	9	$7,517	$1,653.74	$2,162.08	$3,100.76	1.2×	$5,700
C-section delivery only	CPT	59514	8	$2,542	$559.24	$252	$1,124.94	1.2×	$2,147.25
C-section with postpartum	CPT	59515	8	$3,759	$826.98	$1,074.57	$1,740	1.4×	$3,382.5
office
Office visit, new patient, 15-29 min	CPT	99202	15	$423	$329.94	$20.8	$52.41	0.61×	$173.25
Office visit, new patient, 30-44 minutes	CPT	99203	15	$508	$396.24	$20.8	$81.21	0.66×	$246.75
Office visit, new patient, 45-59 min	CPT	99204	15	$592	$461.76	$20.8	$132.25	0.76×	$374.85
Office visit, new patient, 60-74 min	CPT	99205	15	$677	$528.06	$20.8	$176.31	0.80×	$472.5
Office visit, established patient, 5 min	CPT	99211	15	$338	$263.64	$7.39	$32	0.50×	$66
Office visit, established patient, 10-19 min	CPT	99212	15	$423	$329.94	$20.8	$46.82	0.59×	$126.14
Office visit, established patient, 20-29 minutes	CPT	99213	15	$508	$396.24	$20.8	$66	0.58×	$192.21
Office visit, established patient, 30-39 minutes	CPT	99214	15	$592	$461.76	$20.8	$92	0.60×	$271.52
Office visit, established patient, 40-54 min	CPT	99215	15	$677	$528.06	$20.8	$131.47	0.70×	$382.02
preventive
Upper GI endoscopy diagnostic	CPT	43235	15	$341	$75.02	$98.89	$237.27	0.26×	$2,130.18
Upper GI endoscopy with biopsy	CPT	43239	15	$383	$84.26	$111.7	$267.54	0.28×	$2,130.18
Sigmoidoscopy diagnostic	CPT	45330	15	$159	$34.98	$45.85	$265.21	0.31×	$2,071.45
Sigmoidoscopy with biopsy	CPT	45331	15	$202	$44.44	$58.45	$239.1	0.27×	$2,071.45
Colonoscopy diagnostic	CPT	45378	15	$512	$112.64	$74.37	$290.37	0.33×	$2,071.45
Colonoscopy with biopsy	CPT	45380	15	$557	$122.54	$161.4	$388.65	0.32×	$2,678.93
Colonoscopy with polyp removal	CPT	45385	15	$703	$154.66	$204.27	$493.58	0.41×	$2,678.93
surgery
Total shoulder arthroplasty	CPT	23472	14	$4,065	$894.3	$117.12	$1,881.3	0.46×	$41,783
Hip hemiarthroplasty	CPT	27125	7	$3,193	$702.46	$91.95	$1,020.6	0.82×	$2,182.74
Total hip replacement	CPT	27130	15	$3,617	$795.74	$104.08	$1,627.65	0.38×	$29,234
Total knee replacement	CPT	27447	15	$3,613	$794.86	$103.93	$1,625.12	0.39×	$29,234
Knee revision arthroplasty single component	CPT	27486	8	$3,956	$870.32	$113.81	$1,138.09	0.68×	$2,715.79
Knee revision arthroplasty all components	CPT	27487	7	$4,927	$1,083.94	$141.75	$1,262.22	0.63×	$3,399.98
Shoulder arthroscopy with decompression	CPT	29826	7	$481	$105.82	$114.14	$220.92	0.68×	$869.6
Shoulder arthroscopy with rotator cuff repair	CPT	29827	15	$3,013	$662.86	$86.99	$1,321.06	0.40×	$16,231
Knee arthroscopy with meniscectomy	CPT	29881	15	$1,538	$338.36	$19	$867.71	0.42×	$7,371.92
ACL reconstruction	CPT	29888	15	$2,747	$604.34	$79.36	$1,274.42	0.38×	$16,231
CABG single arterial graft	CPT	33533	7	$5,174	$1,138.28	$133.04	$1,450	0.77×	$3,645.35
CABG 2 arterial grafts	CPT	33534	7	$6,079	$1,337.38	$156.22	$1,579.58	0.74×	$4,284.78
CABG 3 arterial grafts	CPT	33535	7	$6,755	$1,486.1	$173.62	$1,600	0.70×	$4,779.94
CABG 4+ arterial grafts	CPT	33536	7	$7,278	$1,601.16	$187.08	$1,704.54	0.70×	$5,151.71
Open appendectomy	CPT	44950	15	$1,809	$397.98	$46.62	$728.31	0.64×	$14,177
Laparoscopic appendectomy	CPT	44970	15	$1,701	$374.22	$43.87	$685.33	0.44×	$13,256
Laparoscopic cholecystectomy	CPT	47562	15	$1,866	$410.52	$48.04	$854.56	0.48×	$13,256
Lap cholecystectomy with cholangiography	CPT	47563	15	$2,029	$446.38	$52.21	$919.21	0.49×	$13,256
Lap inguinal hernia repair	CPT	49650	15	$1,227	$269.94	$31.64	$495.03	0.44×	$13,256
Total abdominal hysterectomy	CPT	58150	8	$2,864	$630.08	$99.52	$751.83	0.77×	$2,504
Vaginal hysterectomy	CPT	58260	15	$2,356	$518.32	$82.26	$1,004.78	0.55×	$11,216
Lap-assisted vaginal hysterectomy	CPT	58550	15	$2,482	$546.04	$86.45	$1,057.47	0.72×	$13,256
Lap-assisted vaginal hysterectomy >250g	CPT	58552	15	$2,760	$607.2	$96.03	$1,172.71	0.53×	$23,655
Lap salpingo-oophorectomy	CPT	58661	15	$1,834	$403.48	$53.22	$819.34	0.40×	$13,256
Complex cataract surgery	CPT	66982	15	$2,048	$450.56	$60.36	$1,337.2	0.60×	$5,181.94
Cataract surgery with lens implant	CPT	66984	15	$1,494	$328.68	$44.06	$964.05	0.44×	$5,181.94
Intravitreal injection	CPT	67028	15	$255	$56.1	$74.17	$176.37	0.51×	$1,280.4
Vitrectomy mechanical	CPT	67042	15	$3,135	$689.7	$92.36	$1,505.12	0.60×	$9,140.14
PCI single major coronary artery	CPT	92920	15	$1,451	$319.22	$415.38	$1,241.6	0.22×	$12,954
PCI with drug-eluting stent	CPT	92928	15	$1,613	$354.86	$462.16	$1,241.6	0.12×	$25,766
PCI bypass graft	CPT	92937	15	$1,612	$354.64	$462.09	$1,241.6	0.11×	$25,766
Left heart catheterization	CPT	93452	15	$646	$142.12	$186.28	$1,024.45	0.33×	$7,307.85
Coronary angiography with cath	CPT	93455	15	$762	$167.64	$219.2	$1,154.13	0.37×	$7,307.85
Coronary angiography with bypass cath	CPT	93458	15	$805	$177.1	$232.16	$1,193.68	0.38×	$7,307.85

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 18)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	154	$155.1
Cigna	154	$170.68
UnitedHealthcare	154	$195.83
amerihealth	154	$148.16
univera	154	$108.65
geisinger	147	$153.53
pennsylvania health and wellness	147	$143
martin's point	146	$219.45
Medicare	132	$179.88
american health plans	132	$197.21
life pittsburgh	132	$190.13
jefferson health plans	129	$160.19
Humana	123	$303.2
Aetna	123	$365.05
Molina	123	$311.79
community care behavorial health university of pittsburgh medical center	23	$102.5
community care behavorial health healthchoices	23	$102.5
carelon	14	$68.11

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