Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at Mercy Orthopedic Hospital Fort Smith

3601 S. 79th St, Fort Smith, AR · Mercy · · NPI 1568433480

Source: hospital's published price file ↗ · Published Jun 8, 2026 · Ingested Sep 8, 2026

$7.15

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$11.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.40 with BLUE CROSS AND BLUE SHIELD [20053] vs $1.82 with MULTIPLAN [20270] — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BCBS EXCHANGE $0.40 ↓ -94%
BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BLUE CROSS $0.40 ↓ -94%
MC ANTHEM [20455] HB FTSM BLUE CROSS $0.40 ↓ -94%
HEALTH CHOICE CONTRACTED [320166] HB FTSM OKLAHOMA STATE AND EDUCATION EMPLOYEES $0.40 ↓ -94%
USABLE CONTRACTED [320409] HB FTSM BLUE CROSS $0.40 ↓ -94%
HOME STATE MEDICAID CONTRACTED [320189] HB FTSM MANAGED MO MCD $0.43 ↓ -94%
MEDICAID [20240] HB FTSM MO MEDICAID $0.43 ↓ -94%
MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $0.47 ↓ -93%
HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $0.54 ↓ -92%
AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $0.54 ↓ -92%
OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $0.54 ↓ -92%
AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $0.75 ↓ -90%
YUZU HEALTH CONTRACTED [320521] HB FTSM DEC LEVEL HEALTH - NEW 01.01.26 $0.75 ↓ -90%
AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $0.75 ↓ -90%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $0.75 ↓ -90%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $0.75 ↓ -90%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $0.75 ↓ -90%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $0.75 ↓ -90%
CIGNA HEALTHCARE CONTRACTED [320071] HB FTSM CIGNA $0.80 ↓ -89%
QUAL CHOICE CONTRACTED [320324] HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE $0.86 ↓ -88%
90 DEGREE BENEFITS CONTRACTED [320436] HB FTSM DEC SHOW ME $1.07 ↓ -85%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SHOW ME $1.07 ↓ -85%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TOWN AND COUNTRY $1.07 ↓ -85%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB FTSM ROGR DEC ASI $1.07 ↓ -85%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM ROGR DEC EASTER SEALS $1.28 ↓ -82%
AUXIANT CONTRACTED [320462] HB FTSM ROGR DEC BUCHHEIT $1.28 ↓ -82%
AUXIANT CONTRACTED [320462] HB FTSM ROGR DEC CITY OF JACKSON $1.28 ↓ -82%
EBMS CONTRACTED [320493] HB FTSM CRADER $1.28 ↓ -82%
HEALTHLINK CONTRACTED [320179] HB FTSM ROGR CAH DEC SAPAUGH $1.28 ↓ -82%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC QUIKTRIP CO $1.28 ↓ -82%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC HERMAN $1.28 ↓ -82%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM ROGR CAH DEC SAPAUGH $1.28 ↓ -82%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM ROGR DEC CITY OF JACKSON $1.28 ↓ -82%
IMAGINE 360 CONTRACTED [320494] HB FTSM ROGR DEC ROBINSON CONSTRUCTION $1.28 ↓ -82%
REFLECT HEALTH CONTRACTED [320492] HB FTSM DEC WWWood Products $1.28 ↓ -82%
EBMS [20493] HB FTSM CRADER $1.28 ↓ -82%
MUNICIPAL HEALTH PLAN CONTRACTED [320271] HB FTSM MUNICIPAL HEALTH $1.28 ↓ -82%
WORKERS COMP [20426] HB FTSM WORK COMP AETNA/COVENTRY $1.39 ↓ -81%
PREFERRED HEALTH PLAN CONTRACTED [320522] HB FTSM NET AFFILIATION $1.39 ↓ -81%
INSURANCE SYSTEM INC CONTRACTED [320465] HB FTSM NET AFFILIATION $1.39 ↓ -81%
HEALTHLINK CONTRACTED [320179] HB FTSM NET AFFILIATION $1.39 ↓ -81%
PERSONIFY HEALTH CONTRACTED [320051] HB FTSM NET AFFILIATION $1.39 ↓ -81%
AUXIANT CONTRACTED [320462] HB FTSM NET AFFILIATION $1.39 ↓ -81%
FIRST HEALTH CONTRACTED [320128] HB FTSM FIRST HEALTH_CCN $1.60 ↓ -78%
AETNA [20008] HB FTSM COVENTRY/AETNA $1.60 ↓ -78%
AETNA CONTRACTED [320008] HB FTSM COVENTRY/AETNA $1.60 ↓ -78%
HUMANA CONTRACTED [320193] HB FTSM HUMANA $1.61 ↓ -77%
PPO PLUS CONTRACTED [320310] HB FTSM PPO PLUS $1.61 ↓ -77%
EMPLOYERS HEALTH COALITION CONTRACTED [320116] HB FTSM EHC NON EXCLUSIVE $1.68 ↓ -77%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB FTSM PHCS $1.71 ↓ -76%
PRIVATE HEALTH CARE SYSTEMS [20320] HB FTSM PHCS $1.71 ↓ -76%
MULTIPLAN CONTRACTED [320270] HB FTSM,WLDAR,OZKAR,PRSAR MULTI PLAN $1.82 ↓ -75%
MULTIPLAN [20270] HB FTSM,WLDAR,OZKAR,PRSAR MULTI PLAN $1.82 ↓ -75%

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Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at other Arkansas hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Berryville Berryville $7.15 $1.20 – $1.20
Mercy Hospital Boonville Booneville $7.15 $1.20 – $1.20
Mercy Hospital Ozark River Ozark $7.15 $1.20 – $1.20
Mercy Hospital Paris Academy Paris $7.15 $1.20 – $1.20
Mercy Hospital Waldron Waldron $7.15 $1.20 – $1.20

All Arkansas hospitals for this procedure →