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 |
|---|---|---|---|---|
| Mayo iodine CPT 83789 | $185.25 | $285.00 | $21.45 – $82.42 | 86 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $131.95 | $203.00 | $24.11 – $43.88 | 67 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $102.70 | $158.00 | $24.11 – $44.73 | 67 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $40.95 | $63.00 | $11.79 – $60.54 | 86 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $61.75 | $95.00 | $11.38 – $58.44 | 80 |
| Mayo legionella antibody CPT 86713 | $98.80 | $152.00 | $13.61 – $69.87 | 86 |
| Mayo leptospira antibody igm CPT 86720 | $117.65 | $181.00 | $14.41 – $60.24 | 86 |
| Mayo lipoprotein electrophoresis CPT 83700 | $48.75 | $75.00 | $10.02 – $51.41 | 80 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $118.30 | $182.00 | $13.78 – $70.70 | 86 |
| Mayo metanephrines plasma CPT 83835 | $91.00 | $140.00 | $15.07 – $68.79 | 86 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $73.45 | $113.00 | $29.55 – $67.08 | 11 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $144.30 | $222.00 | $10.72 – $19.51 | 67 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $196.30 | $302.00 | $16.37 – $29.78 | 67 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $59.15 | $91.00 | $12.94 – $66.41 | 86 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $267.80 | $412.00 | $16.58 – $62.52 | 86 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $488.15 | $751.00 | $94.88 – $263.75 | 79 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $432.90 | $666.00 | $164.73 – $299.78 | 67 |
| Mayo muramidase CPT 85549 | $83.20 | $128.00 | $16.68 – $85.64 | 86 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $510.25 | $785.00 | $16.37 – $29.78 | 67 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $58.50 | $90.00 | $16.06 – $82.42 | 77 |
| Mayo myoglobin CPT 83874 | $64.35 | $99.00 | $11.49 – $58.99 | 86 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $61.75 | $95.00 | $39.04 – $88.62 | 11 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $34.45 | $53.00 | $29.55 – $67.08 | 11 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $68.90 | $106.00 | $29.55 – $67.08 | 11 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $130.65 | $201.00 | $18.87 – $75.12 | 86 |
| Mayo organic acids qualitative each specimen CPT 83919 | $150.15 | $231.00 | $14.63 – $75.12 | 86 |
| Mayo oxalate 24 hour urine CPT 83945 | $68.25 | $105.00 | $12.85 – $58.76 | 86 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $198.90 | $306.00 | $10.26 – $52.69 | 80 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $86.45 | $133.00 | $13.37 – $68.64 | 86 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $464.75 | $715.00 | $10.72 – $55.02 | 86 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $198.90 | $306.00 | $31.58 – $160.20 | 76 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $148.85 | $229.00 | $15.99 – $82.04 | 86 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $51.35 | $79.00 | $12.24 – $62.85 | 86 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $86.45 | $133.00 | $7.51 – $29.29 | 86 |
| Mayo pregnenolone CPT 84140 | $103.35 | $159.00 | $18.39 – $94.40 | 86 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.50 | $110.00 | $14.76 – $75.76 | 86 |
| Mayo proinsulin CPT 84206 | $123.50 | $190.00 | $23.74 – $81.33 | 86 |
| Mayo psaft prostate specific antigen free CPT 84154 | $127.40 | $196.00 | $16.36 – $83.96 | 86 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $477.10 | $734.00 | $12.29 – $41.12 | 86 |
| Mayo receptor assay transferrin soluble CPT 84238 | $219.70 | $338.00 | $32.53 – $166.96 | 86 |
| Mayo renin CPT 84244 | $96.20 | $148.00 | $19.56 – $100.43 | 86 |
| Mayo repu protein electrophoresis urine CPT 84166 | $43.55 | $67.00 | $15.86 – $81.41 | 86 |
| Mayo selenium CPT 84255 | $61.10 | $94.00 | $22.71 – $116.56 | 86 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $141.70 | $218.00 | $13.95 – $70.75 | 83 |
| Mayo serotonin CPT 84260 | $95.55 | $147.00 | $27.56 – $141.44 | 86 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $143.00 | $220.00 | $17.21 – $88.36 | 86 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $83.85 | $129.00 | $12.21 – $62.68 | 86 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $115.70 | $178.00 | $90.28 – $440.20 | 62 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $14.95 | $23.00 | $3.80 – $19.49 | 86 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $451.75 | $695.00 | $110.20 – $953.83 | 86 |
| Mayo tgrp testosterone free CPT 84402 | $91.00 | $140.00 | $22.66 – $116.26 | 86 |
| Mayo tgrp testosterone total CPT 84403 | $92.30 | $142.00 | $22.96 – $117.86 | 86 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $344.50 | $530.00 | $19.95 – $35.89 | 64 |
| Mayo thyroglobulin CPT 84432 | $132.60 | $204.00 | $14.29 – $73.32 | 86 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $135.20 | $208.00 | $9.05 – $46.48 | 86 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $78.65 | $121.00 | $11.02 – $56.57 | 86 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $27.30 | $42.00 | $29.55 – $67.08 | 11 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $91.00 | $140.00 | $45.61 – $164.69 | 82 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $100.75 | $155.00 | $12.60 – $47.50 | 86 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $90.35 | $139.00 | $12.04 – $79.87 | 83 |
| Mayo vasoactive intestinal peptide CPT 84586 | $138.45 | $213.00 | $31.43 – $161.31 | 80 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $138.45 | $213.00 | $18.00 – $92.39 | 80 |
| Mayo vitamin b3 (niacin) CPT 84591 | $134.55 | $207.00 | $14.57 – $48.76 | 86 |
| Mayo vitamin k CPT 84597 | $132.60 | $204.00 | $12.20 – $62.62 | 86 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $96.20 | $148.00 | $11.79 – $60.54 | 86 |
| Measurement post void urine by ultrasound CPT 51798 | $11,313.76 | $17,405.79 | $9.42 – $11,367.77 | 79 |
| #mec-opiates CPT 80356 | $37.70 | $58.00 | $39.04 – $88.62 | 11 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $162.50 | $250.00 | $27.04 – $183.04 | 20 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $4.87 | $7.50 | $0.29 – $1.48 | 16 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,657.50 | $2,550.00 | $107.77 – $239.88 | 58 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $13.00 | $20.00 | $2.19 – $30.32 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $44.93 | $69.12 | $1.95 – $49.94 | 21 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $12,152.82 | $18,696.65 | $198.83 – $12,571.18 | 80 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $53.14 | $81.75 | $7.60 – $414.05 | 20 |
| Metabolic Blood Panel (Basic) CPT 80048 | $18.85 | $29.00 | $7.53 – $38.63 | 86 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $23.40 | $36.00 | $9.39 – $48.24 | 86 |
| Metabolic panel ionized ca CPT 80047 | $73.45 | $113.00 | $11.54 – $70.10 | 86 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $192.24 | $295.75 | $161.00 – $706.00 | 11 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $15.44 | $23.75 | $4.79 – $16.88 | 21 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $35.75 | $55.00 | $0.16 – $0.29 | 11 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $35.75 | $55.00 | $2.95 – $30.94 | 20 |
| Methotrexate therapeutic drug level CPT 80204 | $105.30 | $162.00 | $34.31 – $62.43 | 67 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $723.68 | $1,113.36 | $2.95 – $58.65 | 69 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $98.06 | $150.86 | $3.76 – $79.48 | 21 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $192.20 | $295.69 | $62.40 – $201.60 | 11 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $50.58 | $77.81 | $0.16 – $1.11 | 21 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $60.89 | $93.67 | $4.80 – $17.60 | 12 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $212.79 | $327.37 | $2.16 – $7.84 | 12 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $10.35 | $15.93 | $1.03 – $8.97 | 21 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $7.15 | $11.00 | $0.30 – $0.88 | 5 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $7.15 | $11.00 | $1.50 – $5.00 | 12 |
| Mgmt promoter methylation analysis CPT 81287 | $353.60 | $544.00 | $83.67 – $205.66 | 66 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $163.86 | $252.09 | $14.00 – $202.03 | 21 |
| Microalbumin urine screen CPT 82044 | $42.25 | $65.00 | $2.59 – $11.33 | 86 |
| Microdissection laser CPT 88380 | $624.00 | $960.00 | $58.21 – $319.30 | 18 |
| Microdissection manual CPT 88381 | $215.15 | $331.00 | $91.38 – $305.81 | 27 |
| Microfluid analy tears CPT 83861 | $30.55 | $47.00 | $20.23 – $75.43 | 77 |
| Microsatellite instability CPT 81301 | $528.45 | $813.00 | $294.01 – $888.84 | 86 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $131.59 | $202.45 | $0.13 – $8.83 | 21 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $46.93 | $72.20 | $5.24 – $283.84 | 21 |
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.