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 |
|---|---|---|---|---|
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $168.71 | $259.55 | $33.00 – $108.96 | 20 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,656.90 | $5,626.00 | $8.03 – $2,233.68 | 78 |
| Palonosetron hcl HCPCS J2469 | $55.57 | $85.50 | $5.70 – $408.83 | 21 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $44.58 | $68.59 | $12.58 – $578.42 | 20 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $17,316.84 | $26,641.29 | $170.37 – $6,460.60 | 79 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.15 | $11.00 | $1.98 – $6.12 | 11 |
| Papaverin hcl injection HCPCS J2440 | $57.90 | $89.07 | $5.01 – $121.50 | 20 |
| Parathormone (pth) intact CPT 83970 | $177.45 | $273.00 | $36.72 – $188.45 | 86 |
| Parathyroid planar imaging CPT 78070 | $1,297.40 | $1,996.00 | $24.00 – $828.29 | 83 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,517.10 | $2,334.00 | $215.83 – $861.38 | 83 |
| Paravaginal defect repair 57284 CPT 57284 | $16,545.00 | $25,453.84 | $320.00 – $12,571.18 | 79 |
| Paricalcitol HCPCS J2501 | $30.87 | $47.50 | $4.50 – $50.96 | 21 |
| Partial hysterectomy CPT 58180 | $12,411.02 | $19,093.87 | $53.00 – $4,578.00 | 78 |
| Partial removal of penis CPT 54120 | $4,728.98 | $7,275.36 | $320.00 – $5,526.57 | 79 |
| Partial removal of thyroid CPT 60220 | $7,295.29 | $11,223.53 | $363.00 – $9,918.41 | 79 |
| Partial removal of tongue CPT 41120 | $6,084.97 | $9,361.49 | $320.00 – $10,056.62 | 80 |
| Partial thyroid excision CPT 60210 | $6,038.00 | $9,289.23 | $297.00 – $9,918.41 | 79 |
| Passy muir valve metal trach HCPCS L8501 | $125.45 | $193.00 | $145.07 – $239.37 | 49 |
| Pdgfra gene CPT 81314 | $588.25 | $905.00 | $293.09 – $747.99 | 83 |
| Pegaspargase injection HCPCS J9266 | $64,061.20 | $98,555.69 | $254.16 – $55,512.19 | 78 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $12,932.25 | $19,895.77 | $120.50 – $5,483.52 | 70 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $7,908.88 | $12,167.51 | $130.53 – $5,939.52 | 70 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $8,412.62 | $12,942.50 | $158.91 – $7,231.20 | 70 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,206.32 | $6,471.26 | $96.99 – $9,761.45 | 79 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $5,037.51 | $7,750.01 | $124.81 – $5,679.36 | 70 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $64,053.33 | $98,543.58 | $2,417.04 – $112,159.68 | 79 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,738.75 | $2,675.00 | $143.16 – $1,462.08 | 77 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,582.75 | $2,435.00 | $151.76 – $1,205.31 | 77 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,396.85 | $2,149.00 | $71.07 – $669.29 | 77 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,702.35 | $2,619.00 | $202.93 – $2,760.50 | 77 |
| Pelvic MRI (with contrast) CPT 72196 | $1,505.40 | $2,316.00 | $159.48 – $2,297.82 | 77 |
| Pelvic MRI (without contrast) CPT 72195 | $1,184.95 | $1,823.00 | $139.08 – $2,072.54 | 77 |
| Pelvic Ultrasound (complete) CPT 76856 | $403.00 | $620.00 | $40.00 – $263.26 | 81 |
| Pelvic Ultrasound (limited) CPT 76857 | $274.95 | $423.00 | $21.91 – $252.18 | 81 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $13,965.90 | $21,486.00 | $58.59 – $11,664.00 | 78 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $347.75 | $535.00 | $3.53 – $920.26 | 78 |
| Peng benzathine/procaine inj HCPCS J0558 | $375.32 | $577.41 | $19.15 – $435.72 | 72 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $626.67 | $964.11 | $16.98 – $356.70 | 79 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $39.28 | $60.43 | $6.75 – $49.03 | 21 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $301.65 | $464.08 | $0.18 – $0.88 | 5 |
| Pentobarbital sodium inj HCPCS J2515 | $254.15 | $391.00 | $6.78 – $273.80 | 71 |
| Perc cryo ablate renal tum CPT 50593 | $12,923.66 | $19,882.56 | $363.00 – $17,699.07 | 79 |
| Perc d-e cor revasc chro add HCPCS C9608 | $8,185.45 | $12,593.00 | $12,562.00 – $12,562.00 | 4 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $12,348.05 | $18,997.00 | $12,562.00 – $28,740.90 | 61 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $6,289.40 | $9,676.00 | $12,562.00 – $12,562.00 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $7,868.90 | $12,106.00 | $9,667.62 – $18,099.34 | 61 |
| Perc d-e cor stent ather br HCPCS C9603 | $8,808.15 | $13,551.00 | $12,562.00 – $12,562.00 | 4 |
| Perc d-e cor stent ather s HCPCS C9602 | $10,372.05 | $15,957.00 | $12,562.00 – $28,740.90 | 61 |
| Perc drug-el cor stent sing HCPCS C9600 | $8,836.75 | $13,595.00 | $9,667.62 – $18,099.34 | 61 |
| Percut ablate liver rf CPT 47382 | $10,450.50 | $16,077.70 | $297.00 – $2,589.43 | 78 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,157.83 | $1,781.27 | $91.10 – $299.16 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | $51,768.81 | $79,644.32 | $297.00 – $54,504.69 | 75 |
| Peripheral vascular rehab CPT 93668 | $100.75 | $155.00 | $50.63 – $102.46 | 62 |
| Peri-proc device eval icd CPT 93287 | $219.70 | $338.00 | $18.50 – $44.80 | 17 |
| Peri-proc device eval pm CPT 93286 | $224.25 | $345.00 | $16.12 – $38.46 | 17 |
| Perit-vens shunt pat tst CPT 78291 | $662.35 | $1,019.00 | $122.26 – $828.29 | 75 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $19,357.86 | $29,781.33 | $250.00 – $15,720.16 | 79 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $15,678.27 | $24,120.41 | $16.69 – $13,952.40 | 78 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $22,062.17 | $33,941.80 | $59.80 – $14,287.20 | 69 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,304.30 | $6,622.00 | $3.86 – $3,359.60 | 82 |
| Pet CT whole body initial CPT 78816 | $5,006.95 | $7,703.00 | $3.86 – $3,359.60 | 82 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,473.60 | $5,344.00 | $3.86 – $3,246.95 | 82 |
| Pet image ltd area CPT 78811 | $3,518.45 | $5,413.00 | $120.37 – $3,359.60 | 73 |
| Pet image w/ct lmtd CPT 78814 | $3,623.10 | $5,574.00 | $169.18 – $3,359.60 | 80 |
| Ph body fluid CPT 83986 | $41.60 | $64.00 | $3.18 – $16.32 | 86 |
| Phencyclidine (pcp) CPT 83992 | $71.50 | $110.00 | $19.04 – $63.73 | 24 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $105.91 | $162.94 | $4.20 – $108.16 | 20 |
| Phenobarbital therapeutic drug level CPT 80184 | $89.70 | $138.00 | $13.61 – $52.27 | 86 |
| Phentolaine mesylate inj HCPCS J2760 | $1,296.13 | $1,994.05 | $27.37 – $1,564.48 | 79 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $7.15 | $11.00 | $0.05 – $0.10 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.15 | $11.00 | $0.94 – $11.08 | 21 |
| Phenytoin total therapeutic drug level CPT 80185 | $101.40 | $156.00 | $11.79 – $60.54 | 86 |
| Phlebotomy therapeutic CPT 99195 | $137.80 | $212.00 | $79.55 – $284.28 | 65 |
| Phosphorus CPT 84100 | $43.55 | $67.00 | $4.22 – $21.63 | 86 |
| Phosphorus 24 hour urine CPT 84105 | $40.95 | $63.00 | $5.14 – $23.63 | 86 |
| Phys blood bank serv reactj CPT 86078 | $100.75 | $155.00 | $46.95 – $267.11 | 72 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $76.36 | $117.47 | $2.21 – $10.44 | 21 |
| Pinworm exam CPT 87172 | $29.90 | $46.00 | $3.80 – $19.49 | 80 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $37.86 | $58.24 | $2.28 – $19.79 | 21 |
| Place device/marker, non pro HCPCS C9728 | $890.50 | $1,370.00 | $1,166.42 – $2,403.99 | 58 |
| Place gastrostomy tube perc CPT 49440 | $7,185.20 | $11,054.16 | $163.96 – $5,350.75 | 78 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $6,642.69 | $10,219.52 | $163.72 – $5,526.57 | 74 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $497.90 | $766.00 | $72.65 – $735.00 | 5 |
| Placement of seton CPT 46020 | $4,634.17 | $7,129.49 | $9.04 – $4,351.77 | 80 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $16,123.82 | $24,805.88 | $347.68 – $18,099.34 | 78 |
| Place non-slctv cath thoracic arta CPT 36221 | $13,523.25 | $20,805.00 | $158.31 – $5,350.75 | 79 |
| Place right device/marker pros CPT 55876 | $9,693.01 | $14,912.33 | $82.63 – $8,642.15 | 79 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $7,634.09 | $11,744.75 | $222.92 – $5,350.75 | 79 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $13,523.25 | $20,805.00 | $158.31 – $5,350.75 | 79 |
| Place slctv cath subclavian art CPT 36225 | $21,220.20 | $32,646.46 | $258.42 – $8,724.17 | 78 |
| Place slctv cath vertebral art uni CPT 36226 | $17,495.32 | $26,915.87 | $285.43 – $8,724.17 | 78 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $157.95 | $243.00 | $50.67 – $213.75 | 57 |
| Platelet aggregation each agent teg CPT 85576 | $179.40 | $276.00 | $22.16 – $98.09 | 86 |
| Platelet automated CPT 85049 | $16.25 | $25.00 | $3.98 – $20.44 | 86 |
| Platelet pheresis each unit HCPCS P9034 | $1,114.75 | $1,715.00 | $303.09 – $500.11 | 57 |
| Platelet pheresis irr ea HCPCS P9036 | $861.25 | $1,325.00 | $275.03 – $1,536.36 | 57 |
| Platelets each unit HCPCS P9019 | $221.00 | $340.00 | $39.69 – $89.14 | 64 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,760.85 | $2,709.00 | $468.14 – $1,146.14 | 64 |
| Platelets irradiated ea unit HCPCS P9032 | $254.80 | $392.00 | $73.05 – $636.10 | 57 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $330.20 | $508.00 | $71.17 – $233.51 | 64 |
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.