Emergency visit, moderate (level 3) at Mercy Hospital Northwest Arkansas. CPT 99283.
What Mercy Hospital Northwest Arkansas publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$1,020cash price (self-pay)
$1,569list price
$12.00–$1,334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Summit Community Care [20368] | Hb Rogr Arkansas Medicaid | $51.00 |
| Arkansas Department Of Health [20036] | Hb Rogr Arkansas Medicaid | $51.00 |
| Medicaid [20240] | Hb Rogr Arkansas Medicaid | $51.00 |
| Summit Community Care Contracted [320368] | Hb Rogr Summit | $51.00 |
| Caresource Medicaid [20460] | Hb Rogr Caresource Medicaid | $52.02 |
| Caresource Medicaid Contracted [320460] | Hb Rogr Caresource Medicaid | $52.02 |
| Empower Healthcare Solutions Medicaid Contracted [320118] | Hb Rogr Pa | $64.77 |
| Arkansas Total Care Contracted [320039] | Hb Rogr Passe Ar Total Care | $116 |
| Arkansas Total Care [20039] | Hb Rogr Passe Ar Total Care | $116 |
| Humana Medicaid Contracted [320486] | Hb Rogr Ok Managed Medicaid | $247 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Rogr Ok Man | $247 |
| Medicaid [20240] | Hb Rogr Oklahoma Medicaid | $247 |
| Aetna Medicaid Contracted [320009] | Hb Rogr Ok Managed Medicaid | $247 |
| BCBS Medicare Advantage [20047] | Hb Rogr Managed Medicare | $250 |
| Tricare [20380] | Hb Rogr Tricare | $250 |
| Unicare Medicare [20384] | Hb Rogr Managed Medicare | $250 |
| University Pittsburgh Med Ctr Medicare [20407] | Hb Rogr Managed Medic | $250 |
| Windsor Medicare [20424] | Hb Rogr Managed Medicare | $250 |
| Independent Health [20197] | Hb Rogr Managed Medicare | $250 |
| Health Choice Contracted [320166] | Hb Rogr Oklahoma State And Educati | $349 |
| Blue Cross And Blue Shield [20053] | Hb Rogr BCBS Exchange | $534 |
| United Healthcare [20396] | Hb Rogr UHC | $728 |
| United Medical Resources Contracted [320454] | Hb Rogr UHC | $728 |
| United Healthcare Contracted [320396] | Hb Rogr UHC | $728 |
| Yuzu Health Contracted [320521] | Hb Rogr Dec Level Health - New 01.01 | $733 |
| Aither Health Contracted [320449] | Hb Rogr Dec Woodard | $733 |
| Aither Health Contracted [320449] | Hb Rogr Dec Laclede - New 07.01.25 | $733 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Schaefer Qcg | $733 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Bartel | $733 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Tall Tree | $733 |
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