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 |
|---|---|---|---|---|
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $148.20 | $228.00 | $50.07 – $393.46 | 21 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,012.27 | $1,557.34 | $20.33 – $385.40 | 72 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $21.94 | $33.75 | $0.68 – $13.08 | 21 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $46.31 | $71.25 | $1.54 – $19.75 | 21 |
| Amylase CPT 82150 | $81.90 | $126.00 | $5.76 – $29.60 | 86 |
| Ana ds-dna CPT 86226 | $55.25 | $85.00 | $10.77 – $55.28 | 80 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $81.25 | $125.00 | $39.43 – $150.55 | 74 |
| Analysis gene f2 20210g>a variant CPT 81240 | $131.95 | $203.00 | $30.81 – $224.64 | 86 |
| Analysis gene f5 leiden variant CPT 81241 | $163.80 | $252.00 | $58.32 – $278.99 | 86 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $61.75 | $95.00 | $28.14 – $75.24 | 74 |
| Analysis tumor CPT 88358 | $103.35 | $159.00 | $32.75 – $267.11 | 79 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $157.30 | $242.00 | $31.58 – $56.80 | 64 |
| Anca screen with reflex to titer -quest CPT 86021 | $132.60 | $204.00 | $13.39 – $68.74 | 86 |
| An cholangiogram percutaneous compl CPT 47531 | $1,589.25 | $2,445.00 | $56.64 – $5,999.40 | 75 |
| An fluoro guide for cvp CPT 77001 | $298.35 | $459.00 | $66.86 – $174.99 | 22 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $7,879.27 | $12,121.95 | $116.56 – $10,481.00 | 79 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $18,327.17 | $28,195.64 | $71.69 – $6,235.38 | 79 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $30,985.38 | $47,669.82 | $61.45 – $18,099.34 | 72 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $22,566.43 | $34,717.58 | $71.02 – $9,667.62 | 76 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $21,471.11 | $33,032.48 | $137.52 – $18,099.34 | 78 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $21,471.11 | $33,032.48 | $277.62 – $18,099.34 | 78 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $22,431.32 | $34,509.73 | $236.98 – $28,740.90 | 78 |
| Ankle arthroscopy/surgery CPT 29891 | $16,023.20 | $24,651.07 | $297.00 – $12,144.34 | 80 |
| Ankle arthroscopy/surgery CPT 29892 | $9,921.37 | $15,263.65 | $320.00 – $12,144.34 | 80 |
| Ankle arthroscopy/surgery CPT 29895 | $4,888.01 | $7,520.01 | $297.00 – $5,515.84 | 80 |
| Ankle arthroscopy/surgery CPT 29897 | $13,439.73 | $20,676.51 | $297.00 – $12,144.34 | 80 |
| Ankle arthroscopy/surgery CPT 29898 | $9,460.65 | $14,554.85 | $250.00 – $5,515.84 | 80 |
| Ankle arthroscopy/surgery CPT 29899 | $19,011.08 | $29,247.81 | $363.00 – $12,144.34 | 80 |
| Ankle X-ray CPT 73610 | $396.50 | $610.00 | $18.00 – $179.57 | 81 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $6,119.64 | $9,414.83 | $36.56 – $735.00 | 80 |
| Anodyne therapy charges pt CPT 97026 | $41.60 | $64.00 | $5.83 – $18.16 | 62 |
| Anora (draw only) CPT 99001 | $14.95 | $23.00 | $6.14 – $23.51 | 6 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $8,012.32 | $12,326.64 | $297.00 – $8,391.97 | 80 |
| Antibody CPT 86744 | $39.65 | $61.00 | $14.22 – $60.24 | 80 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $53.30 | $82.00 | $11.46 – $58.83 | 86 |
| Antibody elution rbc reference CPT 86860 | $61.75 | $95.00 | $6.55 – $267.11 | 78 |
| Antibody htlv/hiv confirm test CPT 86689 | $110.50 | $170.00 | $17.21 – $88.36 | 86 |
| Antibody htlv-i CPT 86687 | $48.75 | $75.00 | $8.09 – $38.31 | 80 |
| Antibody htlv-ii CPT 86688 | $36.40 | $56.00 | $12.45 – $63.96 | 80 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $319.80 | $492.00 | $16.34 – $83.88 | 86 |
| Antibody id rbc panel CPT 86870 | $231.40 | $356.00 | $11.00 – $561.98 | 78 |
| Antibody influenza virus CPT 86710 | $79.95 | $123.00 | $12.05 – $61.89 | 80 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $61.75 | $95.00 | $11.45 – $58.73 | 80 |
| Antibody screen rbc CPT 86850 | $27.95 | $43.00 | $5.00 – $81.70 | 83 |
| Antibody tetanus CPT 86774 | $76.05 | $117.00 | $13.16 – $67.57 | 86 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $4,134.78 | $6,361.20 | $0.89 – $5.54 | 81 |
| Anti mog serum - sendout CPT 86362 | $395.20 | $608.00 | $10.72 – $19.51 | 66 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $59.15 | $91.00 | $10.72 – $19.51 | 67 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $168.35 | $259.00 | $10.72 – $19.51 | 67 |
| Antinuclear antibodies CPT 86038 | $76.05 | $117.00 | $10.75 – $55.17 | 86 |
| Antinuclear antibodies titer CPT 86039 | $78.65 | $121.00 | $9.93 – $50.96 | 86 |
| Antiphosphatidylserine antibody CPT 86148 | $65.00 | $100.00 | $14.29 – $53.08 | 80 |
| Antistreptolysin o screen CPT 86063 | $63.05 | $97.00 | $5.13 – $26.34 | 80 |
| Antistreptolysin o titer CPT 86060 | $65.65 | $101.00 | $6.49 – $33.33 | 86 |
| Antithrombin iii activity CPT 85300 | $193.70 | $298.00 | $10.54 – $54.10 | 86 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $10,708.47 | $16,474.57 | $262.24 – $19,745.50 | 72 |
| Apl(pml-rara) quant - sendout CPT 81315 | $439.40 | $676.00 | $87.45 – $946.50 | 86 |
| Appendix Removal (Laparoscopic) CPT 44970 | $8,190.38 | $12,600.58 | $363.00 – $9,918.41 | 79 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $723.45 | $1,113.00 | $34.80 – $69.79 | 4 |
| Application long leg splint 29505 CPT 29505 | $262.60 | $404.00 | $78.42 – $735.00 | 56 |
| Application lower leg splint 29515 CPT 29515 | $243.10 | $374.00 | $44.09 – $735.00 | 64 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $72.80 | $112.00 | $5.26 – $32.69 | 62 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $44.20 | $68.00 | $10.24 – $58.50 | 62 |
| Apply forearm splintdynamic 29126 CPT 29126 | $248.95 | $383.00 | $68.72 – $735.00 | 56 |
| Apply interstit radiat compl CPT 77778 | $2,910.05 | $4,477.00 | $135.00 – $1,423.12 | 78 |
| Apply intrcav radiat compl CPT 77763 | $2,747.55 | $4,227.00 | $275.72 – $1,922.69 | 72 |
| Apply intrcav radiat interm CPT 77762 | $2,185.30 | $3,362.00 | $211.11 – $1,284.82 | 72 |
| Apply intrcav radiat simple CPT 77761 | $1,639.95 | $2,523.00 | $183.95 – $1,129.02 | 72 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,431.61 | $2,202.48 | $1.68 – $829.40 | 79 |
| #aptt mix-1:1 incubated CPT 87532 | $184.60 | $284.00 | $31.21 – $160.20 | 85 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $260.65 | $401.00 | $12.05 – $61.07 | 60 |
| Aquaporin-4 antibody cba each CPT 86052 | $231.40 | $356.00 | $10.72 – $19.51 | 67 |
| Aquaporin-4 antibody elisa CPT 86051 | $178.75 | $275.00 | $10.26 – $18.66 | 60 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $68.25 | $105.00 | $32.00 – $132.25 | 65 |
| Aquatic exercise - group charge CPT 97150 | $74.10 | $114.00 | $5.94 – $55.08 | 73 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $1,027.65 | $1,581.00 | $0.60 – $587.93 | 72 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $347.75 | $535.00 | $46.80 – $747.74 | 20 |
| Arterial blood draw/perc 36620 CPT 36620 | $492.05 | $757.00 | $39.28 – $824.01 | 15 |
| Artery-vein nonautograft CPT 36830 | $15,278.60 | $23,505.54 | $9.04 – $8,724.17 | 80 |
| Artery xray each vessel 7577426 CPT 75774 | $1,202.50 | $1,850.00 | $42.46 – $235.22 | 13 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,718.65 | $5,721.00 | $64.66 – $10,341.43 | 71 |
| Artery x-rays adrenal gland CPT 75731 | $1,592.50 | $2,450.00 | $83.24 – $5,350.75 | 66 |
| Artery x-rays adrenals CPT 75733 | $2,247.70 | $3,458.00 | $193.94 – $6,235.38 | 66 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,921.40 | $2,956.00 | $57.44 – $6,235.38 | 72 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,437.50 | $3,750.00 | $59.93 – $6,235.38 | 72 |
| Artery x-rays chest CPT 75756 | $995.80 | $1,532.00 | $92.68 – $6,235.38 | 66 |
| Artery x-rays lung CPT 75741 | $1,861.60 | $2,864.00 | $58.60 – $6,235.38 | 72 |
| Artery x-rays lung CPT 75746 | $1,472.90 | $2,266.00 | $69.10 – $5,350.75 | 66 |
| Artery x-rays lungs CPT 75743 | $2,085.20 | $3,208.00 | $59.93 – $6,235.38 | 66 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,598.05 | $3,997.00 | $76.85 – $10,341.43 | 71 |
| Artery x-rays spine CPT 75705 | $2,748.85 | $4,229.00 | $141.94 – $10,341.43 | 71 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $41.60 | $64.00 | $29.31 – $735.00 | 64 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $31.20 | $48.00 | $28.66 – $1,577.00 | 64 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $48.10 | $74.00 | $35.77 – $735.00 | 64 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $64.35 | $99.00 | $36.45 – $735.00 | 64 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $7,255.12 | $11,161.73 | $363.00 – $12,144.34 | 80 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $7,253.04 | $11,158.52 | $132.06 – $12,144.34 | 80 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $4,027.91 | $6,196.79 | $115.11 – $3,482.47 | 79 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,261.65 | $1,941.00 | $57.57 – $1,229.90 | 75 |
| Assay of adp & amp CPT 82030 | $156.00 | $240.00 | $22.95 – $117.77 | 80 |
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.