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 |
|---|---|---|---|---|
| Home health re-certification physician g0179 HCPCS G0179 | $73.45 | $113.00 | $36.45 – $125.28 | 53 |
| Home sleep test/type 3 porta HCPCS G0399 | $622.05 | $957.00 | $138.04 – $338.53 | 59 |
| Homocysteine CPT 83090 | $141.70 | $218.00 | $15.94 – $76.98 | 86 |
| Homogenization tissue CPT 87176 | $50.70 | $78.00 | $5.23 – $25.06 | 86 |
| Homovanillic acid (hva) CPT 83150 | $70.85 | $109.00 | $12.31 – $49.32 | 86 |
| Hpv types 16 & 18 only CPT 87625 | $90.35 | $139.00 | $36.07 – $108.42 | 83 |
| H pylori (c-13) breath CPT 83013 | $145.60 | $224.00 | $39.48 – $170.62 | 86 |
| H pylori drug admin CPT 83014 | $23.40 | $36.00 | $6.99 – $35.89 | 86 |
| Human epididymis protein 4 (he4) CPT 86305 | $185.25 | $285.00 | $18.51 – $95.00 | 71 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3,173.62 | $4,882.50 | $1.67 – $5,100.00 | 62 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $172.28 | $265.05 | $60.00 – $204.00 | 18 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $12.97 | $19.95 | $4.08 – $16.32 | 21 |
| Hydration IV infusion each additional hour CPT 96361 | $162.50 | $250.00 | $39.33 – $74.15 | 65 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $178.75 | $275.00 | $166.46 – $336.83 | 65 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $620.74 | $954.99 | $4.94 – $82.06 | 21 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $60.42 | $92.95 | $0.27 – $1.56 | 12 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $7.15 | $11.00 | $0.10 – $0.20 | 12 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $104.08 | $160.13 | $4.38 – $96.72 | 21 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $86.45 | $133.00 | $15.92 – $79.99 | 80 |
| Hysterosalpingography s&i CPT 74740 | $453.70 | $698.00 | $63.01 – $524.34 | 72 |
| Hysteroscopy ablation CPT 58563 | $5,829.10 | $8,967.85 | $195.27 – $8,391.97 | 80 |
| Hysteroscopy biopsy CPT 58558 | $5,002.07 | $7,695.49 | $183.86 – $5,075.27 | 79 |
| Hysteroscopy dx sep proc CPT 58555 | $4,372.12 | $6,726.34 | $120.88 – $5,075.27 | 79 |
| Hysteroscopy remove myoma CPT 58561 | $5,417.29 | $8,334.29 | $282.77 – $8,391.97 | 80 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $472.90 | $727.54 | $112.00 – $254.24 | 20 |
| I-123 iobenguane diag HCPCS A9582 | $6,045.00 | $9,300.00 | $1,867.33 – $6,405.95 | 64 |
| I-123 ioflupane diag HCPCS A9584 | $4,253.60 | $6,544.00 | $1,249.22 – $3,094.87 | 64 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $126.10 | $194.00 | $20.45 – $111.55 | 11 |
| I131 iodide cap, rx HCPCS A9517 | $48.10 | $74.00 | $20.60 – $64.92 | 76 |
| I131 iodide sol, rx HCPCS A9530 | $23.40 | $36.00 | $7.32 – $33.62 | 73 |
| Iaadi respiratory synctial virus CPT 87280 | $55.90 | $86.00 | $11.94 – $41.12 | 80 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $128.05 | $197.00 | $31.21 – $160.20 | 85 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $493.68 | $759.51 | $51.24 – $945.57 | 20 |
| Ibuprofen injection HCPCS J1741 | $664.95 | $1,023.00 | $2.97 – $11.84 | 12 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,728.48 | $2,659.20 | $18.77 – $986.64 | 78 |
| Idarubicin hcl injection HCPCS J9211 | $477.33 | $734.36 | $45.33 – $587.57 | 20 |
| Idh1 common variants CPT 81120 | $400.40 | $616.00 | $171.89 – $438.68 | 79 |
| Idh2 common variants CPT 81121 | $442.65 | $681.00 | $263.10 – $671.44 | 72 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $90.08 | $138.59 | $25.07 – $289.31 | 20 |
| Igh gene rearrange amp meth CPT 81261 | $473.85 | $729.00 | $110.20 – $903.93 | 86 |
| Igh@ var region somatic mutation analy CPT 81263 | $561.60 | $864.00 | $193.38 – $1,344.60 | 82 |
| Igk rearrangeabn clonal pop CPT 81264 | $343.20 | $528.00 | $83.31 – $681.73 | 86 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $4,517.95 | $6,950.70 | $40.26 – $2,589.43 | 84 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $8,221.22 | $12,648.03 | $68.15 – $561.98 | 80 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $4,203.35 | $6,466.70 | $39.60 – $267.11 | 84 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,367.60 | $2,104.00 | $11.81 – $39.89 | 6 |
| Imatinib 100 mg tab HCPCS S0088 | $219.53 | $337.74 | $2.53 – $5.05 | 6 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $6,060.16 | $9,323.33 | $57.19 – $10,193.36 | 70 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $89.70 | $138.00 | $129.51 – $213.70 | 57 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $171.60 | $264.00 | $75.76 – $125.01 | 57 |
| Immobilizer shldr sling med HCPCS L3660 | $5.85 | $9.00 | $113.37 – $187.07 | 57 |
| Immune complex assay CPT 86332 | $100.10 | $154.00 | $21.68 – $111.26 | 80 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $1,957.07 | $3,010.88 | $46.48 – $1,762.80 | 79 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $35.10 | $54.00 | $18.51 – $95.00 | 86 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $95.55 | $147.00 | $18.51 – $95.00 | 86 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $74.10 | $114.00 | $10.66 – $51.84 | 80 |
| Immunodiffusion nes CPT 86329 | $121.55 | $187.00 | $12.50 – $64.10 | 86 |
| Immunofixation electrophoresis serum CPT 86334 | $208.65 | $321.00 | $19.87 – $102.00 | 86 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $7,056.20 | $10,855.70 | $40.62 – $2,589.43 | 84 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $7,056.20 | $10,855.70 | $11.58 – $374.11 | 87 |
| Immunoglobulin assay CPT 86023 | $110.50 | $170.00 | $11.08 – $56.90 | 86 |
| Implant cochlear device CPT 69930 | $48,737.15 | $74,980.23 | $363.00 – $54,073.29 | 80 |
| Implant neuroelectrodes CPT 64561 | $26,269.28 | $40,414.27 | $245.80 – $36,455.46 | 80 |
| Impl neurostim electr perc CPT 63650 | $5,601.91 | $8,618.33 | $297.00 – $11,156.93 | 80 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,507.70 | $3,858.00 | $918.47 – $5,279.29 | 67 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,152.80 | $3,312.00 | $409.28 – $2,639.65 | 77 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,751.75 | $2,695.00 | $191.04 – $1,206.94 | 77 |
| In-111 pentetreotide HCPCS A9572 | $5,575.05 | $8,577.00 | $128.00 – $7,117.70 | 76 |
| In-111 satumomab pend HCPCS A4642 | $1,691.30 | $2,602.00 | $1,842.50 – $1,842.50 | 3 |
| Incision of eardrum CPT 69421 | $2,039.60 | $3,137.85 | $122.08 – $5,513.22 | 80 |
| Incision of prostate CPT 52450 | $4,092.79 | $6,296.60 | $363.00 – $5,526.57 | 79 |
| Incision of spinal nerve 64772 CPT 64772 | $3,313.67 | $5,097.95 | $297.00 – $12,144.34 | 80 |
| Incision of tongue fold CPT 41010 | $2,339.32 | $3,598.96 | $90.05 – $2,518.18 | 80 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $77.19 | $118.75 | $9.12 – $1,296.00 | 62 |
| Infect ag drug suscept pheno predict CPT 87900 | $369.85 | $569.00 | $115.94 – $595.09 | 86 |
| Infect ag eia influenza a or b ea CPT 87400 | $97.50 | $150.00 | $6.43 – $41.12 | 86 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $506.35 | $779.00 | $114.50 – $587.74 | 85 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $666.25 | $1,025.00 | $229.00 – $1,175.38 | 86 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $105.95 | $163.00 | $29.49 – $141.95 | 80 |
| Infect ag ia optc obs influenza CPT 87804 | $74.75 | $115.00 | $12.29 – $41.12 | 86 |
| Infect ag if influenza a CPT 87276 | $61.10 | $94.00 | $12.29 – $41.12 | 80 |
| Infect ag if influenza b CPT 87275 | $83.85 | $129.00 | $10.90 – $41.12 | 80 |
| Infect ag if nos ea CPT 87299 | $68.90 | $106.00 | $12.29 – $41.12 | 80 |
| Infect ag if varicella zoster CPT 87290 | $80.60 | $124.00 | $11.94 – $41.12 | 80 |
| Infect ag na herpes simplex quant CPT 87530 | $248.30 | $382.00 | $38.11 – $195.58 | 79 |
| Infect ag na hpv high-risk types CPT 87624 | $124.15 | $191.00 | $31.21 – $108.42 | 83 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $212.55 | $327.00 | $85.21 – $388.49 | 86 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $161.20 | $248.00 | $45.64 – $83.06 | 60 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $742.30 | $1,142.00 | $242.38 – $1,902.84 | 76 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $100.75 | $155.00 | $10.66 – $41.12 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $76.05 | $117.00 | $11.94 – $41.12 | 80 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $42.90 | $66.00 | $12.29 – $41.12 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $42.90 | $66.00 | $10.66 – $41.12 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $70.85 | $109.00 | $6.12 – $36.66 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $37.05 | $57.00 | $9.19 – $47.18 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $73.45 | $113.00 | $9.19 – $47.18 | 80 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $48.75 | $75.00 | $21.42 – $109.98 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $237.90 | $366.00 | $10.66 – $41.12 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $90.35 | $139.00 | $10.66 – $41.12 | 86 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $41.60 | $64.00 | $10.66 – $41.12 | 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.