Level 1 ICD and Similar Procedures in Arkansas
What 18 hospitals in Arkansas charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$62,881
Hospital list price billed
Average allowed
$18,906
Medicare's payment + patient's share
Medicare paid
$17,264
Average per service
State rank
#1 of 34
1 = lowest average payment
Hospitals in Arkansas billed an average of $62,881 for level 1 icd and similar procedures, about 3.3 times the average medicare-allowed amount of $18,906. That payment is 17% below the U.S. average of $22,647.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $18,906Billed $62,881
About 30¢ was paid for every $1 hospitals in Arkansas billed for this service.
Arkansas hospitals: level 1 icd and similar procedures
Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Arkansas Heart HospitalLittle Rock | 23 | $62,881 | $18,906 | $17,264 |
| Washington Regional Med CenterFayetteville | – | – | – | – |
| St Vincent Infirmary Medical CenterLittle Rock | – | – | – | – |
| Mercy Hospital Northwest ArkansasRogers | – | – | – | – |
| White County Medical CenterSearcy | – | – | – | – |
| University of Arkansas Medical SciencesLittle Rock | – | – | – | – |
| St Bernards Medical CenterJonesboro | – | – | – | – |
| Northwest Medical Center-SpringdaleSpringdale | – | – | – | – |
| CHI St. Vincent Hospital Hot SpringsHot Springs | – | – | – | – |
| Baxter Regional Medical CenterMountain Home | – | – | – | – |
| Baptist Health Medical Center North Little RockNorth Little Rock | – | – | – | – |
| Baptist Health - Fort SmithFort Smith | – | – | – | – |
| Mercy Hospital Fort SmithFort Smith | – | – | – | – |
| Jefferson Regional Medical CtrPine Bluff | – | – | – | – |
| National Park Medical CenterHot Springs | – | – | – | – |
| Baptist Health Medical Center-Little RockLittle Rock | – | – | – | – |
| Nea Baptist Memorial HospitalJonesboro | – | – | – | – |
| Arkansas Children's HospitalLittle Rock | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Arkansas?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 18 hospitals in Arkansas was billed at $62,881 on average, while the average medicare-allowed amount was $18,906, of which Medicare paid $17,264. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Arkansas, average charges were 3.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.