Pr prolonged e&m service office outpatient each 15 minutes (g2212) at Mercy Orthopedic Hospital Fort Smith
3601 S. 79th St, Fort Smith, AR · Mercy · · NPI 1568433480
$53.95
Cash price 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.
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What you pay up front if you don't use insurance.
$83.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$15.63 with MERCY INTERFACILITY [20513] vs $60.35 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 →
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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 ?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 ?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 |
|---|---|---|---|
| MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $15.63 | ↓ -71% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $17.75 | ↓ -67% |
| YUZU HEALTH CONTRACTED [320521] | HB FTSM DEC LEVEL HEALTH - NEW 01.01.26 | $17.75 | ↓ -67% |
| AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $17.75 | ↓ -67% |
| HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $17.75 | ↓ -67% |
| AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $17.75 | ↓ -67% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $17.75 | ↓ -67% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $17.75 | ↓ -67% |
| HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| HORIZONS MEDICARE [20190] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $25.46 | ↓ -53% |
| INDEPENDENT HEALTH [20197] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| MEDICAL ASSOCIATES HEALTH [20444] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| MENTAL HEALTH NETWORK MEDICARE [20250] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB FTSM UHC MCR 100% | $25.46 | ↓ -53% |
| WINDSOR MEDICARE [20424] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| BCBS MEDICARE ADVANTAGE [20047] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB FTSM MEDICARE | $25.46 | ↓ -53% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB FTSM MEDICARE | $25.46 | ↓ -53% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| GENERIC MEDICARE MANAGED CARE [20137] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| MEDICARE [20244] | HB FTSM MEDICARE | $25.46 | ↓ -53% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| QUAL CHOICE CONTRACTED [320325] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| UNICARE MEDICARE [20384] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $25.46 | ↓ -53% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB FTSM NOVASYS MCR 103% | $26.24 | ↓ -51% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB FTSM DEVOTED HEALTH MCR | $26.49 | ↓ -51% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB FTSM HEALTHSPRING CIGNA MCR 105% | $26.75 | ↓ -50% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB FTSM HEALTHSPRING CIGNA MCR 105% | $26.75 | ↓ -50% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TOWN AND COUNTRY | $35.50 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SHOW ME | $35.50 | ↓ -34% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB FTSM DEC SHOW ME | $35.50 | ↓ -34% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $35.50 | ↓ -34% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB FTSM CIGNA | $40.47 | ↓ -25% |
| CENTIVO CONTRACTED [320505] | HB FTSM CENTIVO MCR | $42.01 | ↓ -22% |
| EBMS [20493] | HB FTSM CRADER | $42.60 | ↓ -21% |
| IMAGINE 360 CONTRACTED [320494] | HB FTSM ROGR DEC ROBINSON CONSTRUCTION | $42.60 | ↓ -21% |
| AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC BUCHHEIT | $42.60 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC QUIKTRIP CO | $42.60 | ↓ -21% |
| EBMS CONTRACTED [320493] | HB FTSM CRADER | $42.60 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC HERMAN | $42.60 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR CAH DEC SAPAUGH | $42.60 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC CITY OF JACKSON | $42.60 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC EASTER SEALS | $42.60 | ↓ -21% |
| MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $42.60 | ↓ -21% |
| HEALTHLINK CONTRACTED [320179] | HB FTSM ROGR CAH DEC SAPAUGH | $42.60 | ↓ -21% |
| REFLECT HEALTH CONTRACTED [320492] | HB FTSM DEC WWWood Products | $42.60 | ↓ -21% |
| AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC CITY OF JACKSON | $42.60 | ↓ -21% |
| QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $44.34 | ↓ -18% |
| WORKERS COMP [20426] | HB FTSM WORK COMP AETNA/COVENTRY | $46.15 | ↓ -14% |
| NOVASYS CONTRACTED [320285] | HB FTSM NOVASYS | $49.70 | ↓ -8% |
| PPO PLUS CONTRACTED [320310] | HB FTSM PPO PLUS | $53.25 | ↓ -1% |
| FIRST HEALTH CONTRACTED [320128] | HB FTSM FIRST HEALTH_CCN | $54.88 | ↑ +2% |
| EMPLOYERS HEALTH COALITION CONTRACTED [320116] | HB FTSM EHC NON EXCLUSIVE | $55.74 | ↑ +3% |
| PRIVATE HEALTH CARE SYSTEMS [20320] | HB FTSM PHCS | $56.80 | ↑ +5% |
| AETNA [20008] | HB FTSM COVENTRY/AETNA | $56.80 | ↑ +5% |
| AETNA CONTRACTED [320008] | HB FTSM COVENTRY/AETNA | $56.80 | ↑ +5% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB FTSM PHCS | $56.80 | ↑ +5% |
| MULTIPLAN [20270] | HB FTSM,WLDAR,OZKAR,PRSAR MULTI PLAN | $60.35 | ↑ +12% |
| MULTIPLAN CONTRACTED [320270] | HB FTSM,WLDAR,OZKAR,PRSAR MULTI PLAN | $60.35 | ↑ +12% |