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 |
|---|---|---|---|---|
| Minocycline hydrochloride HCPCS J2265 | $822.07 | $1,264.72 | $2.62 – $838.00 | 58 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $15,629.24 | $24,044.99 | $69.81 – $13,899.00 | 69 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,882.01 | $4,433.86 | $25.61 – $250.52 | 78 |
| Mlh1 gene CPT 81288 | $326.95 | $503.00 | $160.76 – $317.33 | 74 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $616.85 | $949.00 | $12.05 – $61.07 | 59 |
| Mopath procedure level 5 CPT 81404 | $811.20 | $1,248.00 | $244.46 – $799.68 | 72 |
| Mopath procedure level 6 CPT 81405 | $872.30 | $1,342.00 | $268.05 – $1,091.14 | 72 |
| Mopath procedure level 7 CPT 81406 | $1,511.25 | $2,325.00 | $251.62 – $2,138.75 | 72 |
| Mopath procedure level 9 CPT 81408 | $1,345.50 | $2,070.00 | $960.24 – $3,850.36 | 72 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $621.92 | $956.80 | $2.12 – $11.30 | 21 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $13.00 | $20.00 | $4.06 – $25.18 | 12 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $86.59 | $133.22 | $9.28 – $50.20 | 21 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $6,384.75 | $9,822.70 | $4.52 – $1,268.00 | 84 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $3,766.75 | $5,795.00 | $62.69 – $561.98 | 87 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $3,663.40 | $5,636.00 | $59.68 – $267.11 | 87 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $248.95 | $383.00 | $33.55 – $171.23 | 23 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $4,764.50 | $7,330.00 | $131.85 – $1,577.00 | 84 |
| M/phmtrc alysishquant/semiq CPT 88369 | $317.20 | $488.00 | $43.12 – $211.70 | 23 |
| M/phmtrc alys skeletal musc CPT 88355 | $227.50 | $350.00 | $51.76 – $267.11 | 85 |
| MRA chest w IV cont HCPCS C8909 | $1,537.90 | $2,366.00 | $212.83 – $859.16 | 61 |
| MRA chest wo IV cont HCPCS C8910 | $1,268.15 | $1,951.00 | $206.06 – $671.54 | 61 |
| MRA chest wwo IV cont HCPCS C8911 | $1,710.80 | $2,632.00 | $212.83 – $859.16 | 61 |
| MRA pelvis w IV cont HCPCS C8918 | $1,550.25 | $2,385.00 | $214.81 – $859.16 | 61 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,288.30 | $1,982.00 | $206.06 – $677.23 | 61 |
| MRA spinal canal CPT 72159 | $1,064.70 | $1,638.00 | $162.57 – $2,338.98 | 73 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,685.45 | $2,593.00 | $207.45 – $2,324.45 | 67 |
| MRA w/cont, abd HCPCS C8900 | $1,254.50 | $1,930.00 | $213.96 – $859.16 | 61 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,528.15 | $2,351.00 | $214.81 – $859.16 | 54 |
| MRA without cont, abd HCPCS C8901 | $1,014.65 | $1,561.00 | $206.06 – $680.47 | 61 |
| MRA without cont, lwr ext HCPCS C8913 | $1,892.15 | $2,911.00 | $206.06 – $676.42 | 54 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,762.15 | $2,711.00 | $304.45 – $859.16 | 61 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,627.30 | $4,042.00 | $214.81 – $859.16 | 61 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,751.10 | $2,694.00 | $214.81 – $859.16 | 61 |
| MRI breast without cont bi CPT 77047 | $1,685.45 | $2,593.00 | $125.19 – $524.34 | 77 |
| MRI chest without contrast CPT 71550 | $1,066.65 | $1,641.00 | $191.13 – $2,338.98 | 77 |
| MRI chest without & w/contrast CPT 71552 | $2,087.80 | $3,212.00 | $300.57 – $3,269.20 | 77 |
| MRI chest w IV cont CPT 71551 | $1,378.00 | $2,120.00 | $252.63 – $2,617.57 | 71 |
| MRI guid ndl plc s&i CPT 77021 | $1,359.15 | $2,091.00 | $296.26 – $2,176.69 | 10 |
| MRI loex nonjt w IV cont CPT 73719 | $1,168.70 | $1,798.00 | $158.07 – $2,300.24 | 77 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,607.45 | $2,473.00 | $138.80 – $2,043.48 | 77 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,439.45 | $3,753.00 | $205.15 – $2,782.29 | 77 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,371.50 | $2,110.00 | $141.30 – $2,002.27 | 77 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,451.15 | $3,771.00 | $206.54 – $2,714.46 | 77 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,119.65 | $3,261.00 | $166.83 – $2,259.07 | 77 |
| MRI tmj CPT 70336 | $1,103.70 | $1,698.00 | $168.79 – $778.61 | 77 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,159.60 | $1,784.00 | $191.13 – $2,043.48 | 77 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,394.25 | $2,145.00 | $267.35 – $2,760.50 | 77 |
| MRI upper extremity w/dye CPT 73219 | $1,207.05 | $1,857.00 | $220.70 – $2,290.55 | 71 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,977.95 | $3,043.00 | $304.45 – $859.16 | 54 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,560.65 | $2,401.00 | $151.76 – $646.36 | 54 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,100.80 | $3,232.00 | $304.45 – $859.16 | 61 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,739.40 | $2,676.00 | $200.50 – $859.16 | 61 |
| Mthfr gene analy common variants CPT 81291 | $205.40 | $316.00 | $58.81 – $199.30 | 83 |
| M.tuberculo dna dir probe CPT 87555 | $68.25 | $105.00 | $23.91 – $91.55 | 80 |
| Mucopolysaccharides CPT 83864 | $59.15 | $91.00 | $25.35 – $90.91 | 86 |
| Multiple sleep latency test CPT 95805 | $2,204.15 | $3,391.00 | $101.00 – $1,535.35 | 77 |
| Mumps antibody igg CPT 86735 | $51.35 | $79.00 | $11.61 – $59.57 | 86 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $4.87 | $7.50 | $0.30 – $11.58 | 21 |
| Mycoplasma antibody igm CPT 86738 | $107.90 | $166.00 | $11.78 – $60.49 | 86 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $414.05 | $637.00 | $156.02 – $398.16 | 78 |
| Myelogphy 2/> spine regions CPT 72270 | $887.25 | $1,365.00 | $111.05 – $1,601.80 | 66 |
| Myelography l-s spine CPT 72265 | $963.30 | $1,482.00 | $58.02 – $1,601.80 | 72 |
| Myelography neck spine CPT 72240 | $780.65 | $1,201.00 | $58.15 – $1,601.80 | 72 |
| Myelography thoracic spine CPT 72255 | $888.55 | $1,367.00 | $54.13 – $1,601.80 | 66 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $5,996.19 | $9,224.91 | $96.96 – $1,361.53 | 77 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,687.71 | $4,134.94 | $94.42 – $1,361.53 | 77 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,954.48 | $4,545.35 | $93.11 – $1,361.53 | 77 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $148.85 | $229.00 | $10.26 – $52.69 | 86 |
| Myocrd img pet 1std rst/strs CPT 78491 | $3,500.90 | $5,386.00 | $64.25 – $3,246.95 | 73 |
| Myocrd img pet 1 std w/ct CPT 78429 | $4,577.95 | $7,043.00 | $1,226.22 – $3,246.95 | 60 |
| Myocrd img pet 2rtracer CT CPT 78433 | $7,019.35 | $10,799.00 | $1,605.02 – $6,188.63 | 60 |
| Myocrd img pet mlt rst&strs CPT 78492 | $4,627.35 | $7,119.00 | $75.76 – $3,246.95 | 73 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $3,363.75 | $5,175.00 | $1,226.22 – $3,246.95 | 60 |
| Myringoplasty CPT 69620 | $2,355.67 | $3,624.11 | $363.00 – $5,513.22 | 80 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $308.75 | $475.00 | $3.00 – $12.50 | 12 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $18.51 | $28.47 | $2.85 – $12.82 | 21 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $51.72 | $79.57 | $0.80 – $2.40 | 5 |
| Naltrexone, depot form HCPCS J2315 | $3,610.40 | $5,554.46 | $4.16 – $5,996.40 | 79 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $2,527.41 | $3,888.33 | $49.55 – $2,518.18 | 79 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $3,435.42 | $5,285.26 | $124.70 – $2,931.60 | 80 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $5,642.53 | $8,680.81 | $179.74 – $11,768.20 | 80 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $8,487.97 | $13,058.42 | $123.29 – $11,768.20 | 80 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $7,708.91 | $11,859.86 | $186.76 – $11,768.20 | 80 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $8,818.26 | $13,566.55 | $248.14 – $11,768.20 | 80 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $9,365.91 | $14,409.09 | $288.96 – $11,768.20 | 80 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $20,206.73 | $31,087.27 | $24.05 – $27,354.00 | 70 |
| Natriuretic peptide CPT 83880 | $82.55 | $127.00 | $34.92 – $154.97 | 86 |
| Natural killer cells total count CPT 86357 | $133.90 | $206.00 | $33.56 – $172.20 | 86 |
| Navigational bronchoscopy 31627 CPT 31627 | $13,955.66 | $21,470.24 | $78.92 – $11,768.20 | 79 |
| N block inj hypogas plxs CPT 64517 | $1,526.35 | $2,348.23 | $104.17 – $1,536.17 | 77 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $54.60 | $84.00 | $22.45 – $50.24 | 63 |
| Ndl insj without njx 3+ musc CPT 20561 | $53.95 | $83.00 | $27.48 – $50.24 | 63 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,519.70 | $2,338.00 | $119.36 – $1,508.10 | 77 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,433.25 | $2,205.00 | $261.00 – $1,212.57 | 77 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,324.70 | $2,038.00 | $72.18 – $967.91 | 77 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,869.75 | $4,415.00 | $184.60 – $1,898.11 | 77 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,405.65 | $3,701.00 | $165.99 – $1,667.99 | 77 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,153.45 | $3,313.00 | $105.48 – $1,470.99 | 77 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,617.85 | $2,489.00 | $225.95 – $3,564.75 | 77 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,187.55 | $1,827.00 | $149.30 – $2,496.46 | 77 |
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.