▸ Hospital · AR · CCN 043301
ARKANSAS CHILDRENS NORTHWEST
2601 GENE GEORGE BLVD, SPRINGDALE, AR, 72762
25 bedsChildrens2
Compliance grade
A
100/100
Procedures tracked
125
of 209 target codes
Payers
20
with negotiated rates
Rates published
16,465
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | $20,952 | $20,952 | $20,952 | $20,952 | $20,952 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 20 | $290.12 | $290.12 | $229.19 | $290.12 | $290.12 |
| CT head with contrast | CPT | 70460 | 20 | $3,593.49 | $3,593.49 | $2,838.86 | $3,593.49 | $3,593.49 |
| CT head with and without contrast | CPT | 70470 | 20 | $2,684.29 | $2,684.29 | $2,120.59 | $2,684.29 | $2,684.29 |
| CT neck with contrast | CPT | 70491 | 20 | $2,741.71 | $2,741.71 | $2,165.95 | $2,741.71 | $2,741.71 |
| MRI brain without contrast | CPT | 70551 | 20 | $642.54 | $642.54 | $507.61 | $642.54 | $642.54 |
| MRI brain with contrast | CPT | 70552 | 20 | $3,712.82 | $3,712.82 | $2,933.13 | $3,712.82 | $3,712.82 |
| MRI brain with and without contrast | CPT | 70553 | 20 | $3,880.8 | $3,880.8 | $3,065.83 | $3,880.8 | $3,880.8 |
| Chest X-ray single view | CPT | 71045 | 20 | $238.27 | $238.27 | $161.75 | $204.75 | $238.27 |
| Chest X-ray 2 views | CPT | 71046 | 20 | $238.27 | $238.27 | $161.75 | $204.75 | $238.27 |
| Chest X-ray 3 views | CPT | 71047 | 20 | $312.02 | $312.02 | $246.5 | $312.02 | $312.02 |
| CT chest without contrast | CPT | 71250 | 20 | $3,056.75 | $3,056.75 | $2,414.83 | $3,056.75 | $3,056.75 |
| CT chest with contrast | CPT | 71260 | 20 | $2,876.24 | $2,876.24 | $2,272.23 | $2,876.24 | $2,876.24 |
| CT chest with and without contrast | CPT | 71270 | 20 | $2,973.02 | $2,973.02 | $2,348.69 | $2,973.02 | $2,973.02 |
| MRI chest without contrast | CPT | 71550 | 20 | $2,151.64 | $2,151.64 | $1,699.8 | $2,151.64 | $2,151.64 |
| MRI chest with contrast | CPT | 71551 | 20 | $3,208.72 | $3,208.72 | $2,534.89 | $3,208.72 | $3,208.72 |
| MRI chest with and without contrast | CPT | 71552 | 20 | $3,646.76 | $3,646.76 | $2,880.94 | $3,646.76 | $3,646.76 |
| Lumbosacral spine X-ray | CPT | 72100 | 20 | $290.12 | $290.12 | $229.19 | $290.12 | $290.12 |
| CT cervical spine without contrast | CPT | 72125 | 20 | $4,906.2 | $4,906.2 | $3,875.9 | $4,906.2 | $4,906.2 |
| CT thoracic spine without contrast | CPT | 72128 | 20 | $2,179.02 | $2,179.02 | $1,721.43 | $2,179.02 | $2,179.02 |
| CT lumbar spine without contrast | CPT | 72131 | 20 | $3,775.54 | $3,775.54 | $2,982.68 | $3,775.54 | $3,775.54 |
| MRI cervical spine without contrast | CPT | 72141 | 20 | $2,837.67 | $2,837.67 | $2,241.76 | $2,837.67 | $2,837.67 |
| MRI thoracic spine without contrast | CPT | 72146 | 20 | $3,312.63 | $3,312.63 | $2,616.98 | $3,312.63 | $3,312.63 |
| MRI lumbar spine without contrast | CPT | 72148 | 20 | $2,808.75 | $2,808.75 | $2,218.91 | $2,808.75 | $2,808.75 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 20 | $6,029.44 | $6,029.44 | $4,763.26 | $6,029.44 | $6,029.44 |
| MRI cervical spine with and without contrast | CPT | 72156 | 20 | $4,820.4 | $4,820.4 | $3,808.12 | $4,820.4 | $4,820.4 |
| MRI lumbar spine with contrast | CPT | 72158 | 20 | $5,022.21 | $5,022.21 | $3,967.55 | $5,022.21 | $5,022.21 |
| CT pelvis without contrast | CPT | 72192 | 20 | $1,505.45 | $1,505.45 | $1,189.31 | $1,505.45 | $1,505.45 |
| CT pelvis with contrast | CPT | 72193 | 20 | $3,680.62 | $3,680.62 | $2,907.69 | $3,680.62 | $3,680.62 |
| Shoulder X-ray | CPT | 73030 | 20 | $393.75 | $393.75 | $161.75 | $265.18 | $393.75 |
| Humerus X-ray | CPT | 73060 | 20 | $472.5 | $472.5 | $161.75 | $303.21 | $472.5 |
| Hand X-ray 3 views | CPT | 73130 | 20 | $393.75 | $393.75 | $150.37 | $236.81 | $393.75 |
| MRI upper extremity joint without contrast | CPT | 73221 | 20 | $747.5 | $747.5 | $557.78 | $706.05 | $747.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 20 | $1,322.78 | $1,322.78 | $1,045 | $1,322.78 | $1,322.78 |
| Knee X-ray 1-2 views | CPT | 73560 | 20 | $393.75 | $393.75 | $161.75 | $257.91 | $393.75 |
| Ankle X-ray 3 views | CPT | 73610 | 20 | $393.75 | $393.75 | $161.75 | $245.92 | $393.75 |
| MRI lower extremity joint without contrast | CPT | 73721 | 20 | $2,192.06 | $2,192.06 | $1,731.73 | $2,192.06 | $2,192.06 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 20 | $845.25 | $845.25 | $667.72 | $845.21 | $845.25 |
| CT abdomen without contrast | CPT | 74150 | 20 | $4,405.3 | $4,405.3 | $3,480.19 | $4,405.3 | $4,405.3 |
| CT abdomen with contrast | CPT | 74160 | 20 | $2,278.35 | $2,278.35 | $1,799.9 | $2,278.35 | $2,278.35 |
| CT abdomen with and without contrast | CPT | 74170 | 20 | $6,495.36 | $6,495.36 | $5,131.33 | $6,495.36 | $6,495.36 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 20 | $4,062.05 | $4,062.05 | $3,209.02 | $4,062.05 | $4,062.05 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 20 | $5,581.81 | $5,581.81 | $4,409.63 | $5,581.81 | $5,581.81 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 20 | $6,017.14 | $6,017.14 | $4,753.54 | $6,017.14 | $6,017.14 |
| MRI abdomen without contrast | CPT | 74181 | 20 | $3,354.08 | $3,354.08 | $2,649.72 | $3,354.08 | $3,354.08 |
| MRI abdomen with and without contrast | CPT | 74183 | 20 | $5,489.65 | $5,489.65 | $4,336.82 | $5,489.65 | $5,489.65 |
| Abdominal ultrasound complete | CPT | 76700 | 20 | $378 | $378 | $298.62 | $378 | $378 |
| Abdominal ultrasound limited | CPT | 76705 | 20 | $565.48 | $565.48 | $307.58 | $418.03 | $565.48 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 20 | $543.46 | $543.46 | $301.84 | $405.7 | $543.46 |
| Obstetric ultrasound first trimester | CPT | 76801 | 20 | $786.11 | $786.11 | $621.03 | $786.11 | $786.11 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 20 | $903.92 | $903.92 | $714.1 | $903.92 | $903.92 |
| Transvaginal ultrasound | CPT | 76830 | 20 | $963.38 | $963.38 | $761.07 | $963.38 | $963.38 |
| Pelvic ultrasound complete | CPT | 76856 | 20 | $875.19 | $875.19 | $691.4 | $875.19 | $875.19 |
| Scrotal ultrasound | CPT | 76870 | 20 | $440.17 | $440.17 | $347.73 | $440.17 | $440.17 |
| Diagnostic mammography bilateral | CPT | 77066 | 20 | $480.99 | $480.99 | $379.98 | $480.99 | $480.99 |
| Screening mammography bilateral | CPT | 77067 | 20 | $210.99 | $210.99 | $166.68 | $210.99 | $210.99 |
| EKG complete | CPT | 93000 | 20 | $514.29 | $514.29 | $406.29 | $514.29 | $514.29 |
| EKG tracing only | CPT | 93005 | 20 | $297.41 | $297.41 | $231.02 | $292.43 | $297.41 |
| Transthoracic echocardiogram complete | CPT | 93306 | 20 | $2,154.89 | $2,154.89 | $780.56 | $1,345.21 | $2,154.89 |
| Transthoracic echocardiogram | CPT | 93307 | 20 | $1,259.97 | $1,259.97 | $995.38 | $1,259.97 | $1,259.97 |
| Stress echocardiogram | CPT | 93350 | 20 | $1,332.64 | $1,332.64 | $1,052.79 | $1,332.64 | $1,332.64 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | $30,165 | $30,165 | $30,165 | $30,165 | $30,165 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | $15,155 | $15,155 | $15,155 | $15,155 | $15,155 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | $10,266 | $10,266 | $10,266 | $10,266 | $10,266 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | $23,441 | $23,441 | $23,441 | $23,441 | $23,441 |
| COPD w MCC | MS-DRG | 190 | 1 | $16,616 | $16,616 | $16,616 | $16,616 | $16,616 |
| COPD w CC | MS-DRG | 191 | 1 | $12,645 | $12,645 | $12,645 | $12,645 | $12,645 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | $9,630 | $9,630 | $9,630 | $9,630 | $9,630 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | $12,089 | $12,089 | $12,089 | $12,089 | $12,089 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | $9,427.5 | $9,427.5 | $9,427.5 | $9,427.5 | $9,427.5 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | $24,062 | $24,062 | $24,062 | $24,062 | $24,062 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | $13,787 | $13,787 | $13,787 | $13,787 | $13,787 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | $10,847 | $10,847 | $10,847 | $10,847 | $10,847 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | $19,257 | $19,257 | $19,257 | $19,257 | $19,257 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | $12,735 | $12,735 | $12,735 | $12,735 | $12,735 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | $8,490 | $8,490 | $8,490 | $8,490 | $8,490 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | $18,060 | $18,060 | $18,060 | $18,060 | $18,060 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | $11,036 | $11,036 | $11,036 | $11,036 | $11,036 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | $8,491.5 | $8,491.5 | $8,491.5 | $8,491.5 | $8,491.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | $14,711 | $14,711 | $14,711 | $14,711 | $14,711 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | $9,456 | $9,456 | $9,456 | $9,456 | $9,456 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | $11,694 | $11,694 | $11,694 | $11,694 | $11,694 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | $23,516 | $23,516 | $23,516 | $23,516 | $23,516 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | $17,405 | $17,405 | $17,405 | $17,405 | $17,405 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | $12,143 | $12,143 | $12,143 | $12,143 | $12,143 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | $29,138 | $29,138 | $29,138 | $29,138 | $29,138 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | $15,350 | $15,350 | $15,350 | $15,350 | $15,350 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 20 | $269.85 | $269.85 | $21.05 | $250.5 | $269.85 |
| Electrolyte panel | CPT | 80051 | 20 | $264.31 | $264.31 | $208.8 | $264.31 | $264.31 |
| Comprehensive metabolic panel | CPT | 80053 | 20 | $59.85 | $59.85 | $36.06 | $46.46 | $59.85 |
| Lipid panel | CPT | 80061 | 20 | $164.93 | $164.93 | $130.29 | $164.93 | $164.93 |
| Renal function panel | CPT | 80069 | 20 | $210 | $210 | $24.17 | $98.25 | $210 |
| Hepatic function panel | CPT | 80076 | 20 | $36.29 | $36.29 | $12.73 | $22.39 | $36.29 |
| Urinalysis non-automated | CPT | 81002 | 20 | $92.11 | $92.11 | $72.77 | $92.11 | $92.11 |
| Urinalysis automated | CPT | 81003 | 20 | $13.46 | $13.46 | $10.63 | $13.46 | $13.46 |
| Glucose quantitative | CPT | 82947 | 20 | $75.8 | $75.8 | $41.02 | $60.43 | $75.8 |
| Hemoglobin A1c | CPT | 83036 | 20 | $41.96 | $41.96 | $24.17 | $31.87 | $41.96 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 20 | $211.05 | $211.05 | $41.81 | $92.79 | $211.05 |
| Complete blood count with automated differential | CPT | 85025 | 20 | $46.46 | $46.46 | $26.53 | $35.14 | $46.46 |
| Complete blood count without differential | CPT | 85027 | 20 | $37.96 | $37.96 | $19.34 | $27.23 | $37.96 |
| Urine culture bacterial | CPT | 87086 | 20 | $30.59 | $30.59 | $20.08 | $25.42 | $30.59 |
| Urine culture identification | CPT | 87088 | 20 | $111.08 | $111.08 | $47.67 | $73.34 | $111.08 |
| Tissue exam by pathologist level IV | CPT | 88305 | 20 | $986.49 | $986.49 | $311.89 | $587.06 | $986.49 |
| office | ||||||||
| Office visit, new patient, 45-59 min | CPT | 99204 | 20 | $1,941.5 | $1,941.5 | $1,533.79 | $1,941.5 | $1,941.5 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 20 | $1,904.71 | $1,904.71 | $1,504.72 | $1,904.71 | $1,904.71 |
| Office visit, established patient, 5 min | CPT | 99211 | 20 | $191.18 | $191.18 | $151.03 | $191.18 | $191.18 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 20 | $175.46 | $175.46 | $138.61 | $175.46 | $175.46 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 20 | $767.19 | $767.19 | $606.08 | $767.19 | $767.19 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 20 | $393.25 | $393.25 | $310.67 | $393.25 | $393.25 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | $68,948 | $68,948 | $68,948 | $68,948 | $68,948 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | $35,958 | $35,958 | $35,958 | $35,958 | $35,958 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | $25,244 | $25,244 | $25,244 | $25,244 | $25,244 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | $25,374 | $25,374 | $25,374 | $25,374 | $25,374 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | $20,487 | $20,487 | $20,487 | $20,487 | $20,487 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | $51,107 | $51,107 | $51,107 | $51,107 | $51,107 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | $45,498 | $45,498 | $45,498 | $45,498 | $45,498 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | $28,934 | $28,934 | $28,934 | $28,934 | $28,934 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | $43,685 | $43,685 | $43,685 | $43,685 | $43,685 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | $31,418 | $31,418 | $31,418 | $31,418 | $31,418 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | $24,465 | $24,465 | $24,465 | $24,465 | $24,465 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | $43,311 | $43,311 | $43,311 | $43,311 | $43,311 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | $24,005 | $24,005 | $24,005 | $24,005 | $24,005 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | $22,626 | $22,626 | $22,626 | $22,626 | $22,626 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | $18,611 | $18,611 | $18,611 | $18,611 | $18,611 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | $30,737 | $30,737 | $30,737 | $30,737 | $30,737 |
Payer mix (top 20)
| Payer | Codes covered | Median rate |
|---|---|---|
| Medicare Advantage | 125 | $480.99 |
| Aetna | 82 | $393.75 |
| Ambetter | 82 | $393.75 |
| american health plan | 82 | $393.75 |
| arkansas total care (passe) | 82 | $393.75 |
| care source (passe) | 82 | $393.75 |
| Cigna | 82 | $393.75 |
| devoted | 82 | $393.75 |
| empower | 82 | $393.75 |
| essence | 82 | $393.75 |
| Humana | 82 | $393.75 |
| Medicaid | 82 | $393.75 |
| Multiplan | 82 | $334.69 |
| municipal league | 82 | $393.75 |
| phcs | 82 | $311.06 |
| qualchoice | 82 | $393.75 |
| summit (passe) | 82 | $393.75 |
| UnitedHealthcare | 82 | $393.75 |
| abcbs | 82 | $393.75 |
| vaccn | 82 | $393.75 |