Mercy Orthopedic Hospital Fort Smith
3601 S. 79th St, Fort Smith, AR · Mercy · · NPI 1568433480
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Electrophysiology evaluation CPT 93620 | $9,158.50 | $14,090.00 | $528.20 – $12,899.77 | 77 |
| Electrophysiology evaluation CPT 93621 | $5,170.10 | $7,954.00 | $511.58 – $11,148.00 | 14 |
| Electrophysiology evaluation CPT 93622 | $4,669.60 | $7,184.00 | $987.77 – $11,148.00 | 14 |
| Electrophysiology evaluation CPT 93642 | $2,935.40 | $4,516.00 | $70.38 – $11,148.00 | 76 |
| Electrophysiology evaluation CPT 93644 | $3,129.75 | $4,815.00 | $42.60 – $207.05 | 16 |
| Electrophys map 3d add-on CPT 93613 | $7,462.65 | $11,481.00 | $257.77 – $11,148.00 | 14 |
| Elosulfase alfa, injection HCPCS J1322 | $3,519.10 | $5,414.00 | $306.01 – $5,802.10 | 79 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $7,188.13 | $11,058.66 | $7.88 – $6,280.00 | 78 |
| Embolization s&i CPT 75894 | $1,872.65 | $2,881.00 | $87.39 – $2,550.35 | 10 |
| Embo or occlude vascular arterial s&i CPT 37242 | $13,500.62 | $20,770.19 | $297.00 – $28,740.90 | 75 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $16,381.78 | $25,202.74 | $4.52 – $18,099.34 | 76 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $401.70 | $618.00 | $6.40 – $246.63 | 74 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $482.30 | $742.00 | $16.00 – $301.65 | 67 |
| Emg needle test 1-extremity CPT 95860 | $338.00 | $520.00 | $13.11 – $237.88 | 67 |
| Emg needle test 4-extremities CPT 95864 | $563.55 | $867.00 | $19.00 – $373.29 | 67 |
| Encephalitis, california igg/igm CPT 86651 | $50.70 | $78.00 | $11.73 – $60.24 | 80 |
| Encephalitis, st louis igg/igm CPT 86653 | $50.70 | $78.00 | $11.73 – $60.24 | 80 |
| Encephalitis, western equine igg/igm CPT 86654 | $50.70 | $78.00 | $11.73 – $60.24 | 80 |
| Endo cath bile duct s&i CPT 74328 | $521.95 | $803.00 | $54.93 – $245.87 | 9 |
| Endo cath panc duct s&i CPT 74329 | $521.95 | $803.00 | $55.42 – $193.80 | 4 |
| Endo cholangiopancreatograph CPT 43261 | $5,495.07 | $8,453.96 | $4.52 – $6,044.73 | 80 |
| Endo cholangiopancreatograph CPT 43262 | $6,620.63 | $10,185.59 | $285.14 – $6,044.73 | 79 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,397.55 | $5,227.00 | $182.64 – $735.00 | 15 |
| Endoluminl ivus oct c ea CPT 92979 | $2,233.40 | $3,436.00 | $242.76 – $735.00 | 5 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $5,357.20 | $8,241.84 | $181.94 – $8,391.97 | 80 |
| Endoscopic injection/implant CPT 51715 | $4,609.44 | $7,091.44 | $160.25 – $5,526.57 | 79 |
| Endoscopic pancreatoscopy CPT 43273 | $7,613.39 | $11,712.91 | $9.04 – $6,044.73 | 79 |
| Endoscopy maxillary sinus CPT 31267 | $9,054.12 | $13,929.42 | $203.50 – $11,768.20 | 80 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $4,641.44 | $7,140.68 | $181.62 – $2,078.35 | 76 |
| Endoscopy swallow (fees) vid CPT 92612 | $408.20 | $628.00 | $51.01 – $400.13 | 72 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $3,028.67 | $4,659.49 | $130.18 – $2,931.60 | 80 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $9,592.21 | $14,757.25 | $36.02 – $5,737.60 | 69 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $43.10 | $66.31 | $1.68 – $120.26 | 21 |
| Enzyme histochemistry CPT 88319 | $12,407.23 | $19,088.05 | $9.38 – $1,263.17 | 87 |
| Ep & ablate supravent arrhyt CPT 93653 | $24,087.70 | $37,058.00 | $397.78 – $41,704.91 | 73 |
| Ep & ablate ventric tachy CPT 93654 | $20,367.75 | $31,335.00 | $530.69 – $41,704.91 | 73 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $38,249.16 | $58,844.86 | $55.73 – $1,996.92 | 69 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,453.93 | $2,236.82 | $40.70 – $1,536.17 | 77 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $46.62 | $71.73 | $32.80 – $111.60 | 5 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $7.60 | $11.69 | $2.97 – $15.42 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $18.52 | $28.50 | $1.05 – $4.86 | 5 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $10.19 | $15.68 | $2.88 – $12.36 | 5 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $115.93 | $178.35 | $40.75 – $1,403.43 | 20 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $910.89 | $1,401.37 | $7.42 – $56.28 | 79 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $215.40 | $331.39 | $7.60 – $106.24 | 78 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $137.40 | $211.38 | $50.88 – $174.72 | 18 |
| Epstein barr early antigen antibody CPT 86663 | $85.15 | $131.00 | $11.67 – $59.91 | 86 |
| Epstein barr nuclear antigen antibody CPT 86664 | $57.85 | $89.00 | $13.60 – $69.85 | 86 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $57.85 | $89.00 | $16.14 – $82.84 | 86 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $771.87 | $1,187.50 | $3.46 – $129.60 | 78 |
| Ercp biliary & pancreas CPT 74330 | $935.35 | $1,439.00 | $70.93 – $368.79 | 9 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $6,459.41 | $9,937.56 | $297.00 – $10,119.78 | 79 |
| Ercp ea duct/ampulla dilate CPT 43277 | $5,503.84 | $8,467.45 | $297.00 – $6,044.73 | 78 |
| Ercp lithotripsy calculi CPT 43265 | $9,248.95 | $14,229.16 | $297.00 – $10,119.78 | 80 |
| Ercp remove duct calculi 43264 CPT 43264 | $6,653.71 | $10,236.47 | $4.52 – $6,044.73 | 80 |
| Ercp remove forgn body duct 43275 CPT 43275 | $6,083.39 | $9,359.06 | $250.00 – $4,078.96 | 79 |
| Ercp stent exchange w/dilate CPT 43276 | $11,015.59 | $16,947.06 | $250.00 – $10,119.78 | 79 |
| Ercp w/specimen collection CPT 43260 | $7,499.36 | $11,537.47 | $112.42 – $1,575.27 | 76 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,940.25 | $2,985.00 | $71.23 – $2,701.00 | 79 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $428.54 | $659.30 | $16.46 – $96.43 | 21 |
| ER Visit (level 1, minor) CPT 99281 | $183.30 | $282.00 | $10.15 – $654.58 | 66 |
| ER Visit (level 2) CPT 99282 | $767.65 | $1,181.00 | $37.30 – $747.14 | 66 |
| ER Visit (level 3) CPT 99283 | $1,295.77 | $1,993.50 | $64.00 – $735.00 | 77 |
| ER Visit (level 4) CPT 99284 | $2,337.40 | $3,596.00 | $108.89 – $1,093.90 | 77 |
| ER Visit (level 5, high severity) CPT 99285 | $4,423.93 | $6,806.04 | $158.25 – $1,412.26 | 68 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $609.89 | $938.30 | $7.54 – $172.12 | 21 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,555.79 | $2,393.53 | $1.68 – $6.24 | 12 |
| Esophageal dilat s&i CPT 74360 | $607.75 | $935.00 | $42.99 – $256.83 | 9 |
| Esophagus motility study CPT 91010 | $1,231.10 | $1,894.00 | $59.00 – $1,153.00 | 78 |
| Esoph egd dilation <30 mm CPT 43249 | $3,449.72 | $5,307.26 | $124.09 – $3,224.88 | 80 |
| Esoph imped function test CPT 91037 | $631.80 | $972.00 | $85.68 – $735.00 | 78 |
| Established Patient Office Visit (level 1) CPT 99211 | $140.40 | $216.00 | $7.23 – $34.69 | 63 |
| Established Patient Office Visit (level 2) CPT 99212 | $472.55 | $727.00 | $28.88 – $85.81 | 63 |
| Established Patient Office Visit (level 3) CPT 99213 | $973.05 | $1,497.00 | $53.67 – $138.42 | 63 |
| Established Patient Office Visit (level 4) CPT 99214 | $205.40 | $316.00 | $78.89 – $197.50 | 63 |
| Established Patient Office Visit (level 5) CPT 99215 | $263.25 | $405.00 | $116.98 – $280.55 | 63 |
| Estradiol total CPT 82670 | $74.75 | $115.00 | $24.85 – $127.59 | 86 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $577.58 | $888.59 | $20.80 – $277.00 | 21 |
| Estrogens total-sendout CPT 82672 | $96.20 | $148.00 | $19.30 – $99.06 | 86 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,632.05 | $2,510.85 | $491.65 – $1,923.54 | 16 |
| Ethylene glycol -sendout CPT 82693 | $78.65 | $121.00 | $13.25 – $67.98 | 80 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $123.66 | $190.25 | $9.80 – $298.51 | 20 |
| Etoposide 50 mg cap HCPCS J8560 | $203.41 | $312.94 | $76.52 – $169.50 | 62 |
| Evacuate mole of uterus CPT 59870 | $4,815.28 | $7,408.12 | $297.00 – $5,075.27 | 79 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $183.30 | $282.00 | $109.47 – $402.08 | 69 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $221.00 | $340.00 | $87.27 – $294.09 | 86 |
| Evaluation heart device CPT 93640 | $1,738.10 | $2,674.00 | $102.00 – $735.00 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $401.70 | $618.00 | $115.16 – $357.49 | 65 |
| Event monitor CPT 93270 | $258.70 | $398.00 | $6.92 – $109.55 | 74 |
| Evoked oa emissions ltd CPT 92587 | $214.50 | $330.00 | $3.00 – $386.05 | 74 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $208.00 | $320.00 | $23.29 – $161.30 | 8 |
| Evok oa screening qual CPT 92558 | $98.80 | $152.00 | $28.62 – $28.62 | 1 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | $5,487.53 | $8,442.36 | $22.00 – $1,577.00 | 70 |
| Exc aurl glomus tum trnscanl CPT 69550 | $5,036.65 | $7,748.70 | $53.00 – $10,056.62 | 80 |
| Exc bartholins gland/cyst CPT 56740 | $4,011.03 | $6,170.82 | $251.83 – $5,075.27 | 79 |
| Exchange biliary drg cath CPT 47536 | $1,861.27 | $2,863.49 | $105.64 – $5,999.40 | 75 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $701.35 | $1,079.00 | $372.69 – $766.24 | 59 |
| Exchange nephrostomy cath CPT 50435 | $3,001.70 | $4,618.00 | $80.34 – $3,482.47 | 75 |
| Excise anal ext tag/papilla CPT 46220 | $6,687.13 | $10,287.89 | $105.27 – $2,078.35 | 77 |
| Excise inferior turbinate CPT 30130 | $4,174.66 | $6,422.55 | $250.00 – $5,513.22 | 80 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.