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 |
|---|---|---|---|---|
| Lactated ringers intravenous solution HCPCS J7120 | $37.50 | $57.70 | $2.41 – $8.86 | 12 |
| Lactic acid CPT 83605 | $189.15 | $291.00 | $10.29 – $48.76 | 86 |
| Lactoferrin fecal qualitative CPT 83630 | $79.95 | $123.00 | $16.66 – $89.62 | 86 |
| Lam facetec & foramot lumbar CPT 63047 | $21,431.40 | $32,971.39 | $297.00 – $12,144.34 | 79 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $22,629.10 | $34,814.00 | $34.72 – $7,898.40 | 79 |
| Laparo-asst vag hysterectomy CPT 58550 | $10,987.16 | $16,903.32 | $363.00 – $10,481.00 | 80 |
| Laparo cholecystectomy/graph CPT 47563 | $8,215.51 | $12,639.24 | $363.00 – $9,918.41 | 79 |
| Laparo new ureter/bladder CPT 50947 | $22,777.85 | $35,042.84 | $363.00 – $17,699.07 | 80 |
| Laparo partial nephrectomy CPT 50543 | $23,323.73 | $35,882.66 | $363.00 – $17,699.07 | 79 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $7,429.57 | $11,430.11 | $8.45 – $9,918.41 | 79 |
| Laparoscopic myomectomy CPT 58545 | $9,261.13 | $14,247.89 | $363.00 – $9,918.41 | 80 |
| Laparoscopy biopsy CPT 49321 | $8,603.64 | $13,236.37 | $289.24 – $9,918.41 | 80 |
| Laparoscopye procstom 43659 CPT 43659 | $16,338.06 | $25,135.48 | $363.00 – $17,699.07 | 79 |
| Laparoscopy excise lesions CPT 58662 | $11,313.76 | $17,405.79 | $363.00 – $17,699.07 | 80 |
| Laparoscopy fundoplasty CPT 43280 | $19,677.81 | $30,273.56 | $363.00 – $17,699.07 | 79 |
| Laparoscopy gastrostomy CPT 43653 | $6,903.31 | $10,620.47 | $363.00 – $9,918.41 | 80 |
| Laparoscopy lymphadenectomy CPT 38571 | $19,394.58 | $29,837.82 | $363.00 – $17,699.07 | 80 |
| Laparoscopy lysis CPT 58660 | $7,314.25 | $11,252.70 | $363.00 – $9,918.41 | 80 |
| Laparoscopy pyeloplasty CPT 50544 | $17,998.58 | $27,690.12 | $363.00 – $17,699.07 | 79 |
| Laparoscopy remove adnexa CPT 58661 | $8,777.57 | $13,503.95 | $363.00 – $9,918.41 | 80 |
| Laparoscopy splenectomy CPT 38120 | $21,255.22 | $32,700.34 | $363.00 – $17,699.07 | 79 |
| Laparoscopy surg colpopexy CPT 57425 | $24,113.30 | $37,097.39 | $250.00 – $17,699.07 | 79 |
| Laparo urethral suspension CPT 51990 | $27,973.19 | $43,035.67 | $363.00 – $17,699.07 | 79 |
| Laparo-vag hyst incl t/o CPT 58552 | $10,175.08 | $15,653.97 | $363.00 – $17,699.07 | 79 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $10,192.43 | $15,680.66 | $363.00 – $17,699.07 | 79 |
| Lap enterectomy 44202 CPT 44202 | $11,411.41 | $17,556.02 | $320.00 – $4,865.49 | 79 |
| Lap enterolysis CPT 44180 | $6,964.22 | $10,714.19 | $363.00 – $9,918.41 | 79 |
| Lap ing hernia repair init CPT 49650 | $14,323.48 | $22,036.13 | $363.00 – $9,918.41 | 80 |
| Lap ing hernia repair recur CPT 49651 | $14,912.23 | $22,941.90 | $363.00 – $9,918.41 | 80 |
| Lap insert tunnel ip cath CPT 49324 | $6,513.44 | $10,020.68 | $320.38 – $9,918.41 | 79 |
| Lap paraesophag hern repair CPT 43281 | $18,706.80 | $28,779.70 | $363.00 – $17,699.07 | 79 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $22,760.26 | $35,015.78 | $22.20 – $17,699.07 | 79 |
| Lap revision perm ip cath CPT 49325 | $6,474.07 | $9,960.11 | $340.53 – $9,918.41 | 79 |
| Lap rmvl gastr adj all parts CPT 43774 | $7,179.54 | $11,045.44 | $23.11 – $12,562.00 | 78 |
| Lap sleeve gastrectomy CPT 43775 | $14,448.46 | $22,228.40 | $90.58 – $12,562.00 | 79 |
| Laps surg prst8ect rpbic rad CPT 55866 | $20,998.02 | $32,304.65 | $46.00 – $17,699.07 | 79 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $6,474.07 | $9,960.11 | $149.05 – $9,918.41 | 79 |
| Laryngoscope w/vc inj CPT 31570 | $3,377.63 | $5,196.36 | $176.98 – $6,267.82 | 80 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,937.28 | $6,057.35 | $191.53 – $6,267.82 | 80 |
| Laryngoscopy w/biopsy CPT 31535 | $4,906.91 | $7,549.09 | $146.39 – $6,267.82 | 80 |
| Laryngoscopy w/bx & op scope CPT 31536 | $3,777.52 | $5,811.57 | $162.13 – $6,267.82 | 80 |
| Larynscop w/tumr exc + scope CPT 31541 | $4,285.51 | $6,593.09 | $202.47 – $6,267.82 | 80 |
| Laser surgery of prostate CPT 52648 | $6,822.11 | $10,495.55 | $363.00 – $8,642.15 | 80 |
| Lead capillary CPT 83655 | $65.65 | $101.00 | $10.77 – $55.28 | 86 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,097.20 | $1,688.00 | $42.00 – $442.86 | 75 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $365.10 | $561.69 | $8.04 – $299.69 | 21 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $6,172.05 | $9,495.46 | $167.53 – $1,192.16 | 78 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,308.91 | $6,629.10 | $397.04 – $6,561.60 | 79 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $123.50 | $190.00 | $1.50 – $48.81 | 21 |
| Levetiracetam therapeutic drug level CPT 80177 | $53.30 | $82.00 | $11.79 – $60.54 | 86 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $41.22 | $63.42 | $2.34 – $84.53 | 21 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $5,293.60 | $8,144.00 | $2,741.93 – $5,467.90 | 54 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $21.61 | $33.25 | $20.00 – $40.00 | 9 |
| Lidocaine therapeutic drug level CPT 80176 | $73.45 | $113.00 | $13.07 – $67.05 | 80 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $5,756.88 | $8,856.74 | $165.68 – $4,865.49 | 80 |
| Lig/band angioaccess av fistula CPT 37607 | $5,026.35 | $7,732.84 | $250.00 – $5,350.75 | 80 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $43.54 | $66.98 | $8.49 – $224.25 | 21 |
| Lipase CPT 83690 | $59.80 | $92.00 | $6.13 – $31.46 | 86 |
| Lipoprotein blood high res frac & quant CPT 83701 | $105.95 | $163.00 | $30.12 – $111.24 | 80 |
| Lipoprotein blood quant CPT 83704 | $113.10 | $174.00 | $30.41 – $144.03 | 86 |
| Lipoprotein direct measurement hdl CPT 83718 | $41.60 | $64.00 | $7.28 – $37.38 | 80 |
| Lipoprotein direct measurement ldl CPT 83721 | $41.60 | $64.00 | $9.34 – $43.58 | 86 |
| Lithium therapeutic drug level CPT 80178 | $52.65 | $81.00 | $5.88 – $30.19 | 86 |
| Liver Function Test CPT 80076 | $22.10 | $34.00 | $7.27 – $37.29 | 86 |
| Liver imaging CPT 78201 | $826.15 | $1,271.00 | $102.00 – $2,862.43 | 81 |
| Liver imag w/vasclr flow CPT 78202 | $913.25 | $1,405.00 | $40.00 – $2,862.43 | 75 |
| Liver/spleen imag static only CPT 78215 | $855.40 | $1,316.00 | $30.00 – $828.29 | 83 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $818.35 | $1,259.00 | $57.00 – $828.29 | 75 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $47.84 | $73.60 | $1.35 – $10.53 | 21 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,737.45 | $2,673.00 | $119.64 – $1,510.54 | 77 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,657.50 | $2,550.00 | $261.00 – $1,207.73 | 77 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,472.25 | $2,265.00 | $90.66 – $958.22 | 77 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,952.30 | $4,542.00 | $184.04 – $1,885.99 | 77 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,356.25 | $3,625.00 | $162.10 – $1,470.99 | 77 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,965.60 | $3,024.00 | $105.76 – $1,470.99 | 77 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $248.95 | $383.00 | $24.41 – $252.18 | 81 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $28,124.25 | $43,268.08 | $250.00 – $17,699.07 | 79 |
| L/s ratio fetal lung CPT 83661 | $198.90 | $306.00 | $19.56 – $100.37 | 80 |
| Lumbar diskogram s&i CPT 72295 | $1,230.45 | $1,893.00 | $78.70 – $3,868.54 | 72 |
| Lung Function Test (Spirometry) CPT 94010 | $275.60 | $424.00 | $23.30 – $386.05 | 74 |
| Lung perfusion imaging CPT 78580 | $1,498.90 | $2,306.00 | $63.00 – $828.29 | 83 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $19,139.25 | $29,445.00 | $206.78 – $16,466.40 | 69 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $28,640.01 | $44,061.56 | $41.96 – $15,912.00 | 70 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $622.05 | $957.00 | $263.81 – $691.80 | 69 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $382.20 | $588.00 | $212.50 – $563.35 | 70 |
| Lymphatics/lymph node imaging CPT 78195 | $10,154.79 | $15,622.76 | $33.00 – $1,577.00 | 87 |
| Lymph vessel x-ray trunk CPT 75805 | $1,145.95 | $1,763.00 | $63.30 – $5,350.75 | 72 |
| Lymph vessel x-ray trunk CPT 75807 | $1,797.25 | $2,765.00 | $91.22 – $6,235.38 | 65 |
| Lysis of labial adhesions CPT 56441 | $5,091.39 | $7,832.91 | $124.38 – $5,075.27 | 79 |
| Macro exam dissect molec study ea CPT 88387 | $78.65 | $121.00 | $5.45 – $36.00 | 18 |
| Macroscopic exam arthropod CPT 87168 | $53.30 | $82.00 | $3.80 – $19.49 | 86 |
| Macroscopic exam parasite CPT 87169 | $48.10 | $74.00 | $3.83 – $19.49 | 86 |
| Magnesium CPT 83735 | $113.75 | $175.00 | $5.96 – $30.59 | 86 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $38.90 | $59.85 | $0.98 – $8.67 | 21 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $83.20 | $128.00 | $32.70 – $237.88 | 65 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $99.45 | $153.00 | $20.78 – $237.88 | 65 |
| Mapping io sentinel lymph node CPT 38900 | $10,447.49 | $16,073.06 | $108.74 – $11,086.48 | 79 |
| Map tachycard site(s) CPT 93609 | $3,700.45 | $5,693.00 | $102.00 – $11,148.00 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $618.80 | $952.00 | $24.00 – $54.48 | 10 |
| Mastoids complete CPT 70130 | $234.65 | $361.00 | $35.00 – $252.18 | 81 |
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.