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 |
|---|---|---|---|---|
| Excise lesion testis CPT 54512 | $4,153.31 | $6,389.71 | $363.00 – $5,999.40 | 80 |
| Excise parotid gland/lesion CPT 42415 | $7,731.99 | $11,895.37 | $297.00 – $10,056.62 | 80 |
| Excise parotid gland/lesion CPT 42420 | $8,944.73 | $13,761.13 | $363.00 – $10,056.62 | 80 |
| Excise pharynx lesion CPT 42808 | $4,089.73 | $6,291.89 | $132.26 – $5,513.22 | 80 |
| Excise/repair mouth lesion CPT 40812 | $2,739.64 | $4,214.83 | $150.00 – $2,518.18 | 79 |
| Excise submaxillary gland CPT 42440 | $6,452.45 | $9,926.84 | $297.00 – $10,056.62 | 80 |
| Excision floor mouth lesion 41116 CPT 41116 | $3,593.77 | $5,528.88 | $177.91 – $5,513.22 | 80 |
| Excision lesion mouth roof CPT 42106 | $3,933.40 | $6,051.39 | $133.70 – $5,513.22 | 79 |
| Excision of anal lesion(s) CPT 46922 | $5,332.73 | $8,204.20 | $118.27 – $4,351.77 | 79 |
| Excision of gum lesion CPT 41826 | $4,091.07 | $6,293.96 | $159.25 – $5,513.22 | 79 |
| Excision of mouth lesion complex 40816 CPT 40816 | $5,298.48 | $8,151.51 | $248.58 – $5,513.22 | 80 |
| Excision of neck cyst CPT 42815 | $7,753.44 | $11,928.37 | $297.00 – $10,056.62 | 80 |
| Excision of vaginal septum 57130 CPT 57130 | $2,755.54 | $4,239.30 | $136.79 – $5,075.27 | 79 |
| Excision tongue lesion without closure 41110 CPT 41110 | $2,769.83 | $4,261.27 | $105.38 – $5,513.22 | 79 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $4,091.07 | $6,293.96 | $101.45 – $5,513.22 | 79 |
| Exc rect tum transanal part CPT 45171 | $6,111.81 | $9,402.79 | $297.00 – $4,351.77 | 78 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $5,687.34 | $8,749.76 | $95.90 – $2,078.35 | 76 |
| Exc vagina lesion 57135 CPT 57135 | $4,292.17 | $6,603.34 | $149.56 – $5,075.27 | 79 |
| Exercise tst brncspsm w/ecg CPT 94617 | $269.10 | $414.00 | $51.99 – $210.69 | 73 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $2,851.77 | $4,387.34 | $108.98 – $5,513.22 | 79 |
| Exploration maxillary sinus CPT 31256 | $7,708.91 | $11,859.86 | $138.47 – $11,768.20 | 80 |
| Explore parathyroid glands CPT 60500 | $7,758.53 | $11,936.20 | $320.00 – $10,056.62 | 79 |
| External chromosome analysis 20-25 cells CPT 88264 | $399.75 | $615.00 | $128.63 – $569.05 | 85 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $54.60 | $84.00 | $8.00 – $71.62 | 75 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $373.10 | $574.00 | $87.19 – $320.58 | 85 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $160.55 | $247.00 | $15.95 – $81.87 | 86 |
| Extrnl counterpulse, per tx HCPCS G0166 | $369.85 | $569.00 | $68.26 – $396.36 | 73 |
| F-18 fdg pet diag HCPCS A9552 | $292.50 | $450.00 | $257.48 – $400.00 | 8 |
| Facial bones <3 CPT 70140 | $189.80 | $292.00 | $18.56 – $179.57 | 81 |
| Factor ix CPT 85250 | $110.50 | $170.00 | $16.94 – $86.92 | 86 |
| Factor viii CPT 85240 | $172.90 | $266.00 | $15.92 – $81.74 | 86 |
| Factor viii recombinant nos HCPCS J7192 | $8,060.00 | $12,400.00 | $1.56 – $11,840.00 | 81 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.15 | $11.00 | $0.40 – $1.60 | 8 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,379.30 | $11,352.77 | $30.71 – $6,113.00 | 69 |
| Fat/lipids feces qualitative CPT 82705 | $69.55 | $107.00 | $4.54 – $23.23 | 86 |
| Fatty acids nonesterified CPT 82725 | $39.65 | $61.00 | $16.70 – $60.77 | 86 |
| #fecal-sodium CPT 84302 | $41.60 | $64.00 | $4.32 – $22.21 | 86 |
| Feeding tube reposition CPT 74355 | $412.10 | $634.00 | $48.87 – $301.60 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $105.30 | $162.00 | $16.58 – $30.17 | 60 |
| Fem/popl revasc w/stent CPT 37226 | $34,975.85 | $53,809.00 | $71.02 – $10,098.95 | 76 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $113.65 | $174.85 | $0.85 – $8.31 | 21 |
| Fern test HCPCS Q0114 | $58.50 | $90.00 | $8.66 – $32.67 | 77 |
| Ferritin CPT 82728 | $48.75 | $75.00 | $12.12 – $62.20 | 86 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,685.30 | $5,669.70 | $0.35 – $683.40 | 70 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $278.85 | $429.00 | $34.68 – $252.18 | 81 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,578.85 | $2,429.00 | $675.16 – $2,237.77 | 76 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $455.00 | $700.00 | $30.44 – $735.00 | 64 |
| Fetal fibronectin CPT 82731 | $172.90 | $266.00 | $57.29 – $294.09 | 86 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $27.95 | $43.00 | $6.88 – $35.32 | 86 |
| Fetal hemoglobin rosette CPT 85461 | $46.80 | $72.00 | $8.33 – $27.88 | 86 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $68.25 | $105.00 | $6.75 – $86.37 | 80 |
| Fetal non stress test CPT 59025 | $972.15 | $1,495.61 | $17.71 – $735.00 | 66 |
| #_fet/norfentcnfrmur CPT 80354 | $72.80 | $112.00 | $29.55 – $67.08 | 11 |
| Fibrin degradation d dimer quantitative CPT 85379 | $36.40 | $56.00 | $9.05 – $46.48 | 86 |
| Fibrin degrade semiquant CPT 85378 | $105.95 | $163.00 | $8.65 – $32.57 | 80 |
| Fibrinogen activity CPT 85384 | $22.75 | $35.00 | $8.65 – $38.76 | 86 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $46.15 | $71.00 | $7.05 – $25.54 | 86 |
| Fibrinolytic antiplasmin CPT 85410 | $81.90 | $126.00 | $6.86 – $35.20 | 80 |
| Fibrinolytic plasminogen CPT 85415 | $86.45 | $133.00 | $15.29 – $78.53 | 86 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $59.80 | $92.00 | $5.81 – $29.29 | 80 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,070.84 | $1,647.44 | $0.98 – $1,110.00 | 79 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $884.55 | $1,360.84 | $0.34 – $660.57 | 79 |
| Finasteride, 5 mg HCPCS S0138 | $4.87 | $7.50 | $0.14 – $0.48 | 7 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,547.65 | $2,381.00 | $39.79 – $1,229.90 | 75 |
| Flecainide (tambocor)-sendout CPT 80181 | $105.30 | $162.00 | $16.58 – $30.17 | 67 |
| Flexible Sigmoidoscopy CPT 45330 | $2,115.24 | $3,254.21 | $10.44 – $1,615.17 | 76 |
| Floor of mouth biopsy 41108 CPT 41108 | $4,269.75 | $6,568.84 | $4.52 – $2,589.43 | 79 |
| Flow cytometry interp 16 or more CPT 88189 | $129.35 | $199.00 | $73.62 – $351.68 | 71 |
| Flow cytometry marker each additional CPT 88185 | $62.40 | $96.00 | $19.72 – $155.26 | 24 |
| Flow cytometry one marker technical component CPT 88184 | $200.85 | $309.00 | $43.18 – $561.98 | 85 |
| #flow interp 9 - 15 markers CPT 88188 | $108.55 | $167.00 | $54.19 – $284.28 | 71 |
| Flt3 gene CPT 81245 | $340.60 | $524.00 | $83.33 – $555.25 | 86 |
| Flt3 gene analysis CPT 81246 | $319.80 | $492.00 | $73.83 – $138.63 | 74 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $64.22 | $98.80 | $4.78 – $389.67 | 21 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $625.03 | $961.58 | $67.96 – $647.88 | 20 |
| Fluidotherapy charges pt CPT 97022 | $114.40 | $176.00 | $13.55 – $70.80 | 65 |
| Fluorescent antibody titer dna CPT 86256 | $178.10 | $274.00 | $10.72 – $55.02 | 86 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $293.15 | $451.00 | $51.74 – $173.95 | 22 |
| Fluoroguide needle placement CPT 77002 | $494.65 | $761.00 | $65.45 – $216.54 | 22 |
| Fluoroscopy up to 1 hour CPT 76000 | $354.25 | $545.00 | $23.30 – $524.34 | 72 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $73.16 | $112.55 | $1.62 – $3.88 | 20 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $47.85 | $73.62 | $6.37 – $46.56 | 21 |
| Folic acid CPT 82746 | $79.95 | $123.00 | $13.08 – $67.13 | 86 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.15 | $11.00 | $0.60 – $2.00 | 8 |
| Follow-up angiography CPT 75898 | $1,203.80 | $1,852.00 | $78.44 – $5,350.75 | 81 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,489.20 | $5,368.00 | $6.31 – $4,094.00 | 68 |
| Fondaparinux sodium HCPCS J1652 | $167.71 | $258.02 | $3.35 – $83.99 | 21 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $97.50 | $150.00 | $93.64 – $154.50 | 49 |
| Foot X-ray CPT 73630 | $403.00 | $620.00 | $21.91 – $179.57 | 81 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $86.45 | $133.00 | $18.00 – $534.59 | 21 |
| Foscarnet sodium injection HCPCS J1455 | $1,459.62 | $2,245.57 | $57.18 – $268.86 | 21 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $374.52 | $576.18 | $1.32 – $24.70 | 75 |
| _fragile x methylation-sendout CPT 81244 | $274.30 | $422.00 | $39.93 – $99.29 | 79 |
| Fragmenting of kidney stone CPT 50590 | $8,772.82 | $13,496.64 | $471.59 – $5,526.57 | 78 |
| Frenotomy 40806 CPT 40806 | $2,267.38 | $3,488.28 | $25.04 – $936.72 | 76 |
| Frenulotomy of penis CPT 54164 | $22,357.08 | $34,395.51 | $165.68 – $34,218.55 | 80 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $200.20 | $308.00 | $60.61 – $119.41 | 64 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $205.40 | $316.00 | $52.21 – $139.18 | 64 |
| Fresh frozen plasma thawing ea un CPT 86927 | $120.25 | $185.00 | $5.00 – $267.11 | 65 |
| Fructosamine glycated protein CPT 82985 | $48.75 | $75.00 | $14.91 – $68.81 | 86 |
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.