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 |
|---|---|---|---|---|
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $8,515.90 | $13,101.39 | $174.75 – $8,724.17 | 78 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $15,472.51 | $23,803.86 | $297.00 – $16,386.96 | 78 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $13,739.89 | $21,138.30 | $320.00 – $16,386.96 | 78 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $48,047.08 | $73,918.59 | $297.00 – $54,504.69 | 79 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,451.50 | $5,310.00 | $77.83 – $2,640.85 | 80 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,304.08 | $5,083.20 | $52.82 – $2,640.85 | 75 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $33,979.94 | $52,276.83 | $297.00 – $54,504.69 | 79 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $5,048.09 | $7,766.30 | $291.44 – $14,069.17 | 79 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $12,991.23 | $19,986.51 | $67.05 – $14,069.17 | 75 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $4,798.25 | $7,381.92 | $269.49 – $5,350.75 | 80 |
| Insert multi-comp penis pros CPT 54405 | $24,660.92 | $37,939.88 | $173.33 – $34,218.55 | 79 |
| Insert nasal septal button CPT 30220 | $4,192.87 | $6,450.57 | $11.10 – $2,518.18 | 80 |
| Insert pessary/other device CPT 57160 | $11,182.92 | $17,204.49 | $36.57 – $8,642.15 | 79 |
| Insert swan-ganz cath CPT 93503 | $2,002.00 | $3,080.00 | $145.00 – $2,640.85 | 68 |
| Insert uro/ves nck sphincter CPT 53445 | $38,241.57 | $58,833.19 | $171.66 – $34,218.55 | 80 |
| Insitu hybridization (fish) CPT 88366 | $7,281.38 | $11,202.12 | $76.39 – $1,422.00 | 76 |
| Insitu hybridization manual CPT 88368 | $317.20 | $488.00 | $89.44 – $561.98 | 85 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $8,599.49 | $13,229.98 | $62.13 – $2,589.43 | 84 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $8,314.43 | $12,791.43 | $53.26 – $339.02 | 87 |
| Ins mark abd/pel for right perq CPT 49411 | $3,009.62 | $4,630.19 | $146.16 – $2,403.99 | 79 |
| Ins pq tunnld ip cath w/img CPT 49418 | $5,599.10 | $8,614.00 | $160.87 – $5,999.40 | 79 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $37,937.50 | $58,365.39 | $18.20 – $32,420.97 | 75 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $26,269.28 | $40,414.27 | $240.82 – $36,455.46 | 80 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $4,982.16 | $7,664.86 | $4.52 – $1,093.24 | 82 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,940.60 | $4,524.00 | $210.42 – $5,350.75 | 80 |
| Insulin total CPT 83525 | $56.55 | $87.00 | $10.17 – $52.17 | 86 |
| Ins vag brachytx device CPT 57156 | $7,826.00 | $12,040.00 | $117.28 – $735.00 | 79 |
| Interferon alfa-2b inj HCPCS J9214 | $168.12 | $258.64 | $57.95 – $261.40 | 15 |
| Interrogate subq defib CPT 93261 | $327.60 | $504.00 | $22.35 – $64.82 | 73 |
| Int hrhc lig 2+hroid without img CPT 46946 | $4,325.33 | $6,654.35 | $320.00 – $4,351.77 | 79 |
| Intracard echo interv w/s&i CPT 93662 | $7,605.00 | $11,700.00 | $139.10 – $735.00 | 15 |
| Intracranial complete study CPT 93886 | $640.25 | $985.00 | $70.00 – $904.84 | 75 |
| Intrapul surf admin endo tube CPT 94610 | $157.30 | $242.00 | $50.12 – $391.51 | 58 |
| Intraventricular pacing CPT 93612 | $4,267.25 | $6,565.00 | $93.00 – $12,899.77 | 77 |
| Intrinsic factor antibody CPT 86340 | $59.15 | $91.00 | $13.41 – $68.81 | 86 |
| Intro cath dialysis circuit CPT 36901 | $3,523.45 | $5,420.70 | $134.20 – $2,640.85 | 75 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,390.99 | $11,370.76 | $191.64 – $32,637.07 | 74 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $11,026.11 | $16,963.25 | $4.52 – $18,099.34 | 79 |
| Intro catheter aorta CPT 36200 | $7,515.33 | $11,562.05 | $109.61 – $5,350.75 | 76 |
| Intro cath svc/ivc CPT 36010 | $28,078.33 | $43,197.43 | $85.87 – $18,099.34 | 75 |
| Intro long gi tube CPT 44500 | $787.15 | $1,211.00 | $15.18 – $11,148.00 | 64 |
| Intro long gi tube w/mult fluo CPT 74340 | $276.25 | $425.00 | $42.00 – $237.56 | 18 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $24,385.23 | $37,515.74 | $19.45 – $5,350.75 | 73 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $28,078.33 | $43,197.43 | $56.22 – $18,099.34 | 75 |
| Intubation endotracheal emergency procedure CPT 31500 | $489.45 | $753.00 | $124.95 – $1,577.00 | 56 |
| Ionm in operatng room 15 min CPT 95940 | $174.85 | $269.00 | $28.32 – $102.75 | 6 |
| Ionm remote/>1 pt or per hr CPT 95941 | $597.35 | $919.00 | $254.37 – $254.37 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $199.52 | $306.95 | $3.80 – $8.20 | 9 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $265.14 | $407.91 | $2.10 – $4.50 | 9 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $84,052.46 | $129,311.48 | $183.36 – $34,766.00 | 79 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $385.86 | $593.63 | $3.48 – $609.50 | 20 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $6,952.07 | $10,695.50 | $64.70 – $5,538.83 | 78 |
| Iron CPT 83540 | $61.75 | $95.00 | $5.75 – $29.56 | 86 |
| Iron binding capacity CPT 83550 | $31.20 | $48.00 | $7.77 – $39.93 | 86 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $30.22 | $46.49 | $12.25 – $67.26 | 79 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $200.54 | $308.52 | $23.00 – $88.00 | 21 |
| Irradiation of blood product each unit reference CPT 86945 | $130.00 | $200.00 | $14.05 – $59.17 | 75 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $95.55 | $147.00 | $20.94 – $94.84 | 68 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $10,544.98 | $16,223.05 | $82.69 – $1,646.30 | 69 |
| Ivc venogram s&i CPT 75825 | $2,594.80 | $3,992.00 | $51.35 – $6,235.38 | 72 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $185.25 | $285.00 | $60.68 – $114.02 | 65 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $185.25 | $285.00 | $16.94 – $61.45 | 9 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $168.35 | $259.00 | $39.33 – $133.45 | 65 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $185.25 | $285.00 | $90.58 – $336.83 | 74 |
| Ivp w/nephrotomography CPT 74415 | $883.35 | $1,359.00 | $64.00 – $410.00 | 75 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $911.30 | $1,402.00 | $55.00 – $410.00 | 81 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $13,755.87 | $21,162.88 | $137.32 – $7,810.80 | 79 |
| Jak2 targeted sequence analysis CPT 81279 | $423.80 | $652.00 | $164.73 – $299.78 | 67 |
| Jejunstmy tube plcmt CPT 44372 | $2,951.78 | $4,541.20 | $192.84 – $3,224.88 | 80 |
| John cunningham antibody CPT 86711 | $1,898.00 | $2,920.00 | $15.02 – $65.72 | 86 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $91.00 | $140.00 | $7.27 – $32.02 | 86 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $8.80 | $13.54 | $0.33 – $22.11 | 79 |
| Kidney endoscopy CPT 50570 | $12,261.96 | $18,864.55 | $250.00 – $5,526.57 | 78 |
| Kidney function study CPT 78725 | $513.50 | $790.00 | $28.00 – $828.29 | 81 |
| Kidney imaging morphology CPT 78700 | $394.55 | $607.00 | $35.00 – $828.29 | 75 |
| Kidney imag w/bld flow multi CPT 78709 | $750.10 | $1,154.00 | $169.89 – $1,109.46 | 81 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,401.20 | $2,155.70 | $69.00 – $1,109.46 | 83 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $553.80 | $852.00 | $44.00 – $280.90 | 81 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $4,729.29 | $7,275.83 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/drainage CPT 29871 | $4,633.62 | $7,128.65 | $250.00 – $5,515.84 | 80 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $4,588.99 | $7,059.99 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29873 | $6,202.61 | $9,542.48 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29874 | $4,518.66 | $6,951.79 | $250.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29875 | $4,535.82 | $6,978.18 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29879 | $6,202.61 | $9,542.48 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29880 | $4,623.79 | $7,113.52 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29882 | $9,088.59 | $13,982.45 | $250.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29883 | $4,617.73 | $7,104.20 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29884 | $4,692.67 | $7,219.50 | $297.00 – $5,515.84 | 80 |
| Knee arthroscopy/surgery CPT 29888 | $10,608.30 | $16,320.46 | $297.00 – $12,144.34 | 80 |
| Knee MRI (with and without contrast) CPT 73723 | $2,653.30 | $4,082.00 | $246.53 – $2,571.56 | 77 |
| Knee MRI (with contrast) CPT 73722 | $2,265.90 | $3,486.00 | $205.43 – $2,135.50 | 77 |
| Knee MRI (without contrast) CPT 73721 | $2,048.15 | $3,151.00 | $120.47 – $1,470.99 | 77 |
| Knee X-ray CPT 73564 | $388.05 | $597.00 | $30.25 – $252.18 | 81 |
| Kras gene addl variants CPT 81276 | $334.75 | $515.00 | $171.89 – $447.62 | 83 |
| Kras gene variants exon 2 CPT 81275 | $533.65 | $821.00 | $171.89 – $660.87 | 86 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $70.20 | $108.00 | $21.00 – $21.00 | 4 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $12.35 | $19.00 | $0.29 – $1.30 | 12 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $50.58 | $77.81 | $11.00 – $32.00 | 6 |
| Lactate dehydrogenase (ldh) CPT 83615 | $21.45 | $33.00 | $5.37 – $27.55 | 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.