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 |
|---|---|---|---|---|
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,160.90 | $1,786.00 | $138.22 – $2,358.38 | 77 |
| Nelarabine injection HCPCS J9261 | $1,510.27 | $2,323.50 | $63.92 – $941.37 | 78 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $7.15 | $11.00 | $0.74 – $7.31 | 20 |
| Nerve conduction 7-8 studies CPT 95910 | $779.35 | $1,199.00 | $66.36 – $667.17 | 74 |
| Nerve conduction studies 11-12 CPT 95912 | $1,336.40 | $2,056.00 | $81.52 – $667.17 | 74 |
| Nerve conduction studies 1-2 CPT 95907 | $249.60 | $384.00 | $34.39 – $386.05 | 74 |
| Nerve conduction studies 13+ CPT 95913 | $1,570.40 | $2,416.00 | $94.81 – $667.17 | 74 |
| Nerve conduction studies 3-4 CPT 95908 | $440.70 | $678.00 | $43.16 – $386.05 | 74 |
| Nerve conduction studies 5-6 CPT 95909 | $697.45 | $1,073.00 | $52.22 – $386.05 | 74 |
| Nerve conduction studies 9-10 CPT 95911 | $1,227.20 | $1,888.00 | $83.05 – $667.17 | 74 |
| Nerve repair w/allograft CPT 64910 | $14,028.78 | $21,582.74 | $9.04 – $13,759.05 | 79 |
| Neuroplasty digital 1/both same digit CPT 64702 | $2,284.37 | $3,514.42 | $320.00 – $3,319.71 | 80 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $6,030.79 | $9,278.14 | $275.97 – $5,515.84 | 80 |
| New Patient Office Visit (level 2) CPT 99202 | $141.05 | $217.00 | $38.32 – $108.75 | 63 |
| New Patient Office Visit (level 3) CPT 99203 | $214.50 | $330.00 | $66.15 – $170.64 | 63 |
| New Patient Office Visit (level 4) CPT 99204 | $280.15 | $431.00 | $108.36 – $258.45 | 63 |
| New Patient Office Visit (level 5) CPT 99205 | $344.50 | $530.00 | $12.00 – $345.01 | 72 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $247.00 | $380.00 | $20.00 – $60.00 | 12 |
| N-invas est c ffr sw aly cta CPT 75580 | $2,665.00 | $4,100.00 | $815.95 – $2,241.41 | 64 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $63.30 | $97.38 | $1.41 – $5.66 | 12 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $18,438.43 | $28,366.81 | $32.94 – $2,622.80 | 78 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $71,579.91 | $110,122.94 | $197.82 – $63,012.80 | 69 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,186.05 | $1,824.70 | $66.67 – $1,225.99 | 63 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,352.00 | $2,080.00 | $125.00 – $882.14 | 83 |
| Nm imaging bone/joint whole body CPT 78306 | $1,030.25 | $1,585.00 | $59.00 – $828.29 | 83 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,352.65 | $2,081.00 | $137.30 – $828.29 | 83 |
| Nm imaging gastric emptying study CPT 78264 | $1,223.95 | $1,883.00 | $23.00 – $828.29 | 83 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $786.50 | $1,210.00 | $55.00 – $888.37 | 81 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,026.35 | $1,579.00 | $288.58 – $1,196.25 | 81 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $935.80 | $1,439.70 | $99.57 – $1,109.46 | 83 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,847.30 | $2,842.00 | $204.51 – $1,109.46 | 83 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,166.10 | $1,794.00 | $158.80 – $828.29 | 83 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $2,871.05 | $4,417.00 | $42.72 – $534.15 | 83 |
| Non-card vasc flow imaging CPT 78445 | $616.20 | $948.00 | $29.00 – $828.29 | 75 |
| Noninv pace analysis CPT 93724 | $345.15 | $531.00 | $80.52 – $735.00 | 76 |
| Npm1 gene CPT 81310 | $416.65 | $641.00 | $43.78 – $827.06 | 86 |
| Nps surg dilat eust tube bi CPT 69706 | $5,983.00 | $9,204.61 | $186.48 – $10,056.62 | 79 |
| Nps surg dilat eust tube uni CPT 69705 | $4,473.15 | $6,881.77 | $134.33 – $10,056.62 | 79 |
| Nras gene variants exon 2&3 CPT 81311 | $497.25 | $765.00 | $263.10 – $493.56 | 74 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $35,338.55 | $54,367.00 | $825.96 – $7,137.44 | 79 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $14,302.43 | $22,003.74 | $320.00 – $13,759.05 | 74 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $7,376.90 | $11,349.08 | $320.00 – $11,768.20 | 79 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $7,162.79 | $11,019.67 | $138.13 – $11,768.20 | 79 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $8,818.26 | $13,566.55 | $196.09 – $11,768.20 | 79 |
| Nsl/sins ndsc surg max sins CPT 31295 | $8,818.26 | $13,566.55 | $122.08 – $11,768.20 | 79 |
| Nsl/sins ndsc total CPT 31253 | $7,828.25 | $12,043.46 | $320.00 – $11,768.20 | 79 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $9,780.84 | $15,047.45 | $297.00 – $11,768.20 | 79 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $5,177.57 | $7,965.50 | $297.00 – $6,267.82 | 80 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $4,969.18 | $7,644.90 | $4.95 – $10,056.62 | 72 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $31,718.05 | $48,797.00 | $382.34 – $2,170.08 | 71 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $26,433.55 | $40,667.00 | $493.14 – $2,170.08 | 71 |
| Nuclear matrix protein 22 CPT 86386 | $29.90 | $46.00 | $19.37 – $72.92 | 79 |
| Nuclear rx IV admin CPT 79101 | $625.30 | $962.00 | $44.66 – $534.15 | 81 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,597.42 | $5,534.50 | $266.71 – $2,862.43 | 83 |
| Nushield 1 square cm HCPCS Q4160 | $370.50 | $570.00 | $107.77 – $239.88 | 58 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $21,505.98 | $33,086.12 | $80.07 – $15,941.00 | 78 |
| Observation direct referral from physician office for admission HCPCS G0379 | $352.30 | $542.00 | $565.86 – $933.69 | 56 |
| Observation per hour HCPCS G0378 | $103.35 | $159.00 | $38.57 – $56.43 | 3 |
| Obstetrics panel CPT 80055 | $237.25 | $365.00 | $36.52 – $180.64 | 76 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $49,406.51 | $76,010.02 | $58.20 – $66,204.00 | 79 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $61.37 | $94.42 | $0.67 – $8.65 | 21 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $15,732.57 | $24,203.96 | $195.39 – $14,818.40 | 79 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $121.93 | $187.58 | $15.00 – $60.00 | 12 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $16.98 | $26.13 | $0.18 – $30.83 | 21 |
| Open bx/exc inguinofem nodes CPT 38531 | $6,147.61 | $9,457.86 | $250.00 – $6,509.78 | 75 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $274.30 | $422.00 | $18.30 – $252.18 | 75 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $39,500.10 | $60,769.38 | $363.00 – $36,726.03 | 78 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $41,281.24 | $63,509.60 | $9.04 – $48,379.65 | 72 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $117.65 | $181.00 | $21.86 – $105.47 | 64 |
| Orchiopexy ingun/scrot appr CPT 54640 | $4,153.31 | $6,389.71 | $356.61 – $5,999.40 | 80 |
| Organic acids total quant ea spec CPT 83918 | $182.65 | $281.00 | $20.99 – $75.12 | 86 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $2,409.21 | $3,706.47 | $27.93 – $4,236.00 | 79 |
| Oropharyngeal biopsy 42800 CPT 42800 | $5,379.11 | $8,275.55 | $94.07 – $2,518.18 | 79 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $48.16 | $74.10 | $6.48 – $23.78 | 21 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $185.25 | $285.00 | $551.63 – $910.21 | 57 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $5.20 | $8.00 | $772.25 – $1,274.26 | 57 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $5.85 | $9.00 | $116.49 – $192.22 | 57 |
| Orthopantogram CPT 70355 | $190.45 | $293.00 | $7.20 – $179.57 | 81 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $447.20 | $688.00 | $501.67 – $827.79 | 49 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $135.20 | $208.00 | $368.61 – $608.23 | 56 |
| Oscillation chest wall mechanical per session CPT 94669 | $126.10 | $194.00 | $21.55 – $391.51 | 60 |
| Osmolality blood CPT 83930 | $48.75 | $75.00 | $5.88 – $30.19 | 86 |
| Osmolality urine CPT 83935 | $50.70 | $78.00 | $6.07 – $31.13 | 86 |
| Ot evaluation high complexity patient/family CPT 97167 | $481.00 | $740.00 | $88.39 – $162.52 | 65 |
| Ot evaluation low complexity patient/family CPT 97165 | $440.05 | $677.00 | $88.39 – $162.52 | 65 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $457.60 | $704.00 | $88.39 – $162.52 | 65 |
| Other immunoelectrophoresis CPT 86325 | $134.55 | $207.00 | $20.57 – $102.11 | 80 |
| Oth resp proc, group HCPCS G0239 | $104.65 | $161.00 | $10.81 – $58.56 | 64 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $61.75 | $95.00 | $43.64 – $85.69 | 65 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $72.15 | $111.00 | $40.07 – $118.01 | 65 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $65.65 | $101.00 | $23.90 – $93.66 | 65 |
| Ot re-evaluation patient/family CPT 97168 | $384.15 | $591.00 | $60.97 – $110.30 | 60 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $70.20 | $108.00 | $21.76 – $108.37 | 74 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $21.45 | $33.00 | $17.79 – $31.79 | 64 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $68.25 | $105.00 | $18.89 – $33.68 | 64 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $82.55 | $127.00 | $21.76 – $84.81 | 74 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $71.50 | $110.00 | $28.15 – $104.37 | 65 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $72.80 | $112.00 | $28.08 – $108.51 | 65 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $97.50 | $150.00 | $6.00 – $1,918.15 | 20 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $64.84 | $99.75 | $0.60 – $5.79 | 20 |
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.