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Your Health Care Costs

We offer information and resources to make it as easy as possible for you to understand your health care costs.

Click here to download hospital pricing.
Your actual costs will vary depending on all of the services, supplies and treatments that you have.

 

The hospital charges listed are what Arkansas Children’s determines to be the appropriate cost to treat the Current Procedural Terminology (CPT) codes and procedures. The hospital charge is not typically what you have to pay. Please note that your actual cost may vary from what you see here.

Most patients are covered by either private health insurance, Medicare or Medicaid. Private health insurance companies, as well as Medicare and Medicaid, pay what is called allowable reimbursements.

If you have health insurance, the allowable reimbursement is what must be paid for treatment. Depending on your health insurance benefits policy, you may be responsible for paying all or part of that allowable reimbursement.

Due to the different physician groups and hospitals within Arkansas Children’s, most inpatient physician services and hospital services are billed separately. You or your insurance company are also responsible for physician charges.

Physician Services include but are not limited to:

  • Examinations
  • Interpretations of tests
  • Surgical procedures
  • Consultations performed by physicians and, in some instances, physician assistants and nurse practitioners

Hospitals Services include but are not limited to:

  • Laboratory
  • Radiology and other testing services (referred to as ancillary services)
  • Operating room services
  • Emergency
  • Pharmacy
  • Medical supplies
  • Inpatient room and board
  • Other services provided by the hospital

If you are a member of a health insurance plan:

  • We will need a copy of your insurance identification card.
  • We also may need the insurance forms supplied by your employer or the insurance company.
  • You will be asked to assign benefits (or request payment) from the insurance company directly to.
  • Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures.
  • You are responsible for meeting the requirements of your health insurance plan.
  • If your plan’s requirements are not followed, you may be financially responsible for all or part of the services you receive.

If you are covered by Medicare:

  • We will need a copy of your Medicare card to confirm eligibility and process your Medicare claim.
  • You are responsible for paying deductibles and co-payments.
  • Medicare specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others.

If you are covered by Medicaid or a PASSE program:

  • We will need a copy of your Medicaid card and or PASSE card
  • Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures.