Polysom <6 yrs cpap/bilvl 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

$3,221.40

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.

$4,956.00

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.

$129.00 with OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] vs $3,494.35 with MULTIPLAN CONTRACTED [320270] — 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
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $129.00 ↓ -96%
UNITED HEALTHCARE [20396] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $129.00 ↓ -96%
UNITED HEALTHCARE CONTRACTED [320396] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $129.00 ↓ -96%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $129.00 ↓ -96%
ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $709.94 ↓ -78%
MEDICAID [20240] HB FTSM ARK MEDICAID $709.94 ↓ -78%
SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $709.94 ↓ -78%
SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $709.94 ↓ -78%
CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $724.14 ↓ -78%
CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $724.14 ↓ -78%
BLUE CROSS AND BLUE SHIELD [20053] HB FTSM MANAGED MEDICARE $791.12 ↓ -75%
HEALTH FIRST HEALTH PLANS MEDICARE [20170] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
TRIBUTE HEALTH PLAN MCR [20338] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
CROSS TIMBERS HOSPICE [20098] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
ELARA CARING ASPIRE HOSPICE [20433] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
VALIR PACE [20503] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
HORIZONS MEDICARE [20190] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB FTSM HUMANA MCR $815.95 ↓ -75%
INDEPENDENT HEALTH [20197] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
KINDFUL HOSPICE CONTRACTED [320434] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
KINDFUL HOSPICE [20434] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
MEDICAL ASSOCIATES HEALTH [20444] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
MENTAL HEALTH NETWORK MEDICARE [20250] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
UNICARE MEDICARE [20384] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
TRICARE [20380] HB FTSM TRICARE $815.95 ↓ -75%
SPINA BIFIDA HLTHCARE BENEFIT [20506] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
MERCY HOSPICE OKC [20252] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
PACE OF THE OZARKS [20518] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
TRICARE CONTRACTED [320380] HB FTSM TRICARE $815.95 ↓ -75%
UNITED HEALTHCARE CONTRACTED [320396] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB FTSM UHC MCR 100% $815.95 ↓ -75%
WINDSOR MEDICARE [20424] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
JORDAN VALLEY SENIOR CARE PACE [20515] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
BCBS MEDICARE ADVANTAGE [20047] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB FTSM MEDICARE $815.95 ↓ -75%
DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB FTSM MEDICARE $815.95 ↓ -75%
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
GENERIC MEDICARE MANAGED CARE [20137] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
GLOBALHEALTH CONTRACTED [320145] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
MEDICARE [20244] HB FTSM MEDICARE $815.95 ↓ -75%
NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
QUAL CHOICE CONTRACTED [320325] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
HALO HCR INC HOSPICE CONTRACTED [320432] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
HALO HCR INC HOSPICE [20432] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
WELLFIRST HEALTH MCR [20443] HB FTSM MANAGED MEDICARE $815.95 ↓ -75%
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB FTSM NOVASYS MCR 103% $840.90 ↓ -74%
DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB FTSM DEVOTED HEALTH MCR $849.22 ↓ -74%
HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] HB FTSM HEALTHSPRING CIGNA MCR 105% $857.54 ↓ -73%
CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] HB FTSM HEALTHSPRING CIGNA MCR 105% $857.54 ↓ -73%
MEDICAID [20240] HB FTSM MO MEDICAID $867.31 ↓ -73%
HOME STATE MEDICAID CONTRACTED [320189] HB FTSM MANAGED MO MCD $867.31 ↓ -73%
AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $873.73 ↓ -73%
HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $873.73 ↓ -73%
MEDICAID [20240] HB FTSM OK MEDICAID $873.73 ↓ -73%
OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $873.73 ↓ -73%
BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BCBS EXCHANGE $886.95 ↓ -72%
EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $901.62 ↓ -72%
EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $901.62 ↓ -72%
MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $905.24 ↓ -72%
ST JOHNS MERCY REHAB LLC CONTRACTED [320359] HB FTSM LIFEPOINT MCR $914.93 ↓ -72%
USABLE CONTRACTED [320409] HB FTSM BLUE CROSS $993.38 ↓ -69%
MC ANTHEM [20455] HB FTSM BLUE CROSS $993.38 ↓ -69%
BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BLUE CROSS $993.38 ↓ -69%
AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $1,027.75 ↓ -68%
YUZU HEALTH CONTRACTED [320521] HB FTSM DEC LEVEL HEALTH - NEW 01.01.26 $1,027.75 ↓ -68%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $1,027.75 ↓ -68%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $1,027.75 ↓ -68%
AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $1,027.75 ↓ -68%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $1,027.75 ↓ -68%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $1,027.75 ↓ -68%
NOVASYS CONTRACTED [320285] HB FTSM NOVASYS AMBETTER EXCHANGE $1,164.45 ↓ -64%
AMBETTER CONTRACTED [320452] HB FTSM NOVASYS AMBETTER EXCHANGE $1,164.45 ↓ -64%
SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB FTSM NOVASYS AMBETTER EXCHANGE $1,164.45 ↓ -64%
AMBETTER [20452] HB FTSM NOVASYS AMBETTER EXCHANGE $1,164.45 ↓ -64%
HOME STATE HEALTH PLAN CONTRACTED [320187] HB FTSM NOVASYS AMBETTER EXCHANGE $1,164.45 ↓ -64%
CENTIVO CONTRACTED [320505] HB FTSM CENTIVO MCR $1,346.36 ↓ -58%
HEALTH CHOICE CONTRACTED [320166] HB FTSM OKLAHOMA STATE AND EDUCATION EMPLOYEES $1,535.35 ↓ -52%
ARKANSAS TOTAL CARE [20039] HB FTSM PASSE AR TOTAL CARE $1,611.56 ↓ -50%
ARKANSAS TOTAL CARE CONTRACTED [320039] HB FTSM PASSE AR TOTAL CARE $1,611.56 ↓ -50%
AETNA CONTRACTED [320008] HB FTSM COVENTRY/AETNA $1,681.45 ↓ -48%
AETNA [20008] HB FTSM COVENTRY/AETNA $1,681.45 ↓ -48%
90 DEGREE BENEFITS CONTRACTED [320436] HB FTSM DEC SHOW ME $2,055.50 ↓ -36%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB FTSM ROGR DEC ASI $2,055.50 ↓ -36%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TOWN AND COUNTRY $2,055.50 ↓ -36%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SHOW ME $2,055.50 ↓ -36%
CIGNA HEALTHCARE CONTRACTED [320071] HB FTSM CIGNA $2,343.27 ↓ -27%
FIRST HEALTH CONTRACTED [320128] HB FTSM FIRST HEALTH_CCN $2,354.03 ↓ -27%
IMAGINE 360 CONTRACTED [320494] HB FTSM ROGR DEC ROBINSON CONSTRUCTION $2,466.60 ↓ -23%
REFLECT HEALTH CONTRACTED [320492] HB FTSM DEC WWWood Products $2,466.60 ↓ -23%
AUXIANT CONTRACTED [320462] HB FTSM ROGR DEC CITY OF JACKSON $2,466.60 ↓ -23%
MUNICIPAL HEALTH PLAN CONTRACTED [320271] HB FTSM MUNICIPAL HEALTH $2,466.60 ↓ -23%
EBMS [20493] HB FTSM CRADER $2,466.60 ↓ -23%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM ROGR DEC CITY OF JACKSON $2,466.60 ↓ -23%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM ROGR CAH DEC SAPAUGH $2,466.60 ↓ -23%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC HERMAN $2,466.60 ↓ -23%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC QUIKTRIP CO $2,466.60 ↓ -23%
HEALTHLINK CONTRACTED [320179] HB FTSM ROGR CAH DEC SAPAUGH $2,466.60 ↓ -23%
AUXIANT CONTRACTED [320462] HB FTSM ROGR DEC BUCHHEIT $2,466.60 ↓ -23%
EBMS CONTRACTED [320493] HB FTSM CRADER $2,466.60 ↓ -23%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM ROGR DEC EASTER SEALS $2,466.60 ↓ -23%
INSURANCE SYSTEM INC CONTRACTED [320465] HB FTSM NET AFFILIATION $2,672.15 ↓ -17%
PREFERRED HEALTH PLAN CONTRACTED [320522] HB FTSM NET AFFILIATION $2,672.15 ↓ -17%
AUXIANT CONTRACTED [320462] HB FTSM NET AFFILIATION $2,672.15 ↓ -17%
PERSONIFY HEALTH CONTRACTED [320051] HB FTSM NET AFFILIATION $2,672.15 ↓ -17%
WORKERS COMP [20426] HB FTSM WORK COMP AETNA/COVENTRY $2,672.15 ↓ -17%
HEALTHLINK CONTRACTED [320179] HB FTSM NET AFFILIATION $2,672.15 ↓ -17%
QUAL CHOICE CONTRACTED [320324] HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE $2,743.22 ↓ -15%
NOVASYS CONTRACTED [320285] HB FTSM NOVASYS $2,877.70 ↓ -11%
PPO PLUS CONTRACTED [320310] HB FTSM PPO PLUS $3,083.25 ↓ -4%
EMPLOYERS HEALTH COALITION CONTRACTED [320116] HB FTSM EHC NON EXCLUSIVE $3,227.14 ↑ +0%
PRIVATE HEALTH CARE SYSTEMS [20320] HB FTSM PHCS $3,288.80 ↑ +2%
HUMANA CONTRACTED [320193] HB FTSM HUMANA $3,288.80 ↑ +2%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB FTSM PHCS $3,288.80 ↑ +2%
MULTIPLAN [20270] HB FTSM,WLDAR,OZKAR,PRSAR MULTI PLAN $3,494.35 ↑ +8%
MULTIPLAN CONTRACTED [320270] HB FTSM,WLDAR,OZKAR,PRSAR MULTI PLAN $3,494.35 ↑ +8%

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Polysom <6 yrs cpap/bilvl at other Arkansas hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Berryville Berryville $3,699.15 $709.94 – $2,743.22
Mercy Hospital Waldron Waldron $3,136.90 $709.94 – $2,743.22

All Arkansas hospitals for this procedure →