Arkansas

What Medicare pays in Arkansas

Billed charges against Medicare allowed amounts in Arkansas, across the 248 procedures Medicare covers most often.

248Procedures
15,298,817Services covered
2.8xBilled vs allowed
#47Rank of 61

Providers here billed the most above the national figure for intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session. The average was $3,132.64 against a national $1,749.75. That is 1.8 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Arkansas

ProcedureBilled hereAllowedGapvs national billed
Ground mileage, per statute mile$24.30$9.922.5x0.92x
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$199.31$102.631.9x0.73x
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$55.47$20.972.6x0.80x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$134.84$74.311.8x0.72x
Insertion of needle into vein for collection of blood sample$15.76$8.461.9x0.72x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$139.82$70.742.0x0.69x
Therapy procedure using functional activities$63.75$28.292.3x0.86x
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$27.29$7.573.6x0.74x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$33.50$14.632.3x0.77x
Pathology examination of tissue using a microscope, intermediate complexity$109.46$43.562.5x0.59x
Destruction of precancer skin growth, 2-14 growths$15.13$5.302.9x0.69x
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled$1.24$1.061.2x0.72x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$58.59$24.482.4x0.81x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$31.08$7.384.2x0.69x
Detection test by nucleic acid for organism, amplified probe technique$67.42$34.362.0x1.06x
Blood test, comprehensive group of blood chemicals$45.01$10.304.4x0.73x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$220.85$106.762.1x0.68x
Therapy procedure using manual technique, each 15 minutes$53.11$18.972.8x0.78x
X-ray of chest, 1 view$31.82$7.954.0x0.61x
Rotary wing air mileage, per statute mile$353.12$39.029.0x0.99x
Injection of drug or substance under skin or into muscle$47.45$12.133.9x0.86x
Chiropractic manipulative treatment, 3-4 spinal regions$58.80$36.181.6x0.97x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$305.38$140.642.2x0.75x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$205.34$94.472.2x0.74x
Administration of influenza virus vaccine$48.83$26.401.8x1.20x
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$395.60$156.152.5x0.70x
Detection test for candida species (yeast), amplified probe technique$64.05$34.331.9x1.06x
Automated urinalysis test$10.46$2.194.8x0.69x
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$37.22$8.014.6x0.96x
X-ray of chest, 2 views$45.37$15.452.9x0.63x
Test for allergy using allergenic extract$12.05$2.984.0x0.91x
Established patient complete exam of visual system$195.61$110.961.8x0.86x
Emergency department visit with high level of medical decision making$1,319.78$158.628.3x1.07x
Special stained specimen slides to examine tissue including interpretation and report$56.60$25.602.2x0.44x
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$192.99$92.192.1x0.73x
Blood test, lipids (cholesterol and triglycerides)$60.89$13.064.7x0.63x
Hemoglobin a1c level$34.15$9.443.6x0.59x
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function$360.78$79.894.5x0.76x
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$178.63$86.972.1x0.85x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$300.37$145.592.1x0.74x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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