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 |
|---|---|---|---|---|
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $394.55 | $607.00 | $127.09 – $309.77 | 64 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,484.60 | $2,284.00 | $389.81 – $828.11 | 64 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,509.95 | $2,323.00 | $483.98 – $1,101.70 | 64 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,284.40 | $1,976.00 | $500.64 – $983.25 | 61 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $20,373.31 | $31,343.56 | $4.52 – $8,724.17 | 75 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,960.87 | $10,709.03 | $250.00 – $5,526.57 | 74 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $494.00 | $760.00 | $43.62 – $667.17 | 74 |
| Plmt nephroureteral catheter CPT 50433 | $19,357.86 | $29,781.33 | $202.68 – $15,720.16 | 79 |
| #pnh-flow cytometry interp CPT 88187 | $88.40 | $136.00 | $31.60 – $225.90 | 65 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $145.60 | $224.00 | $23.19 – $88.36 | 86 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $44,887.91 | $69,058.32 | $134.17 – $8,013.60 | 69 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,221.40 | $4,956.00 | $709.94 – $2,743.22 | 77 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,903.25 | $6,005.00 | $205.37 – $2,061.09 | 77 |
| Potassium 24 hour urine CPT 84133 | $48.10 | $74.00 | $4.21 – $19.66 | 86 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $72.56 | $111.63 | $0.50 – $18.39 | 21 |
| Potassium serum/plasma/whole blood CPT 84132 | $52.00 | $80.00 | $4.23 – $20.99 | 86 |
| Pq biliary strict dil s&i CPT 74363 | $800.80 | $1,232.00 | $67.58 – $245.87 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $596.70 | $918.00 | $48.30 – $221.71 | 22 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $267.69 | $411.83 | $28.07 – $280.90 | 20 |
| Pr application of long arm splint CPT 29105 | $293.15 | $451.00 | $33.66 – $735.00 | 64 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $34.45 | $53.00 | $9.94 – $66.99 | 65 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $5,526.26 | $8,501.94 | $9.04 – $5,526.57 | 79 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $260.00 | $400.00 | $24.06 – $735.00 | 78 |
| Prealbumin CPT 84134 | $32.50 | $50.00 | $12.98 – $66.55 | 86 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $10.32 | $15.88 | $0.04 – $3.42 | 21 |
| Prednisone 1 mg tablet HCPCS J7512 | $7.05 | $10.84 | $0.03 – $0.06 | 9 |
| Pregabalin - sendout CPT 80366 | $108.55 | $167.00 | $21.35 – $48.46 | 11 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $5,291.04 | $8,140.06 | $161.16 – $3,224.88 | 80 |
| Pregnancy associated plasma protein-a CPT 84163 | $81.90 | $126.00 | $11.03 – $37.99 | 80 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $326.95 | $503.00 | $56.00 – $282.97 | 81 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $386.10 | $594.00 | $42.75 – $252.18 | 81 |
| Pressure max expiratory/inspiratory CPT 94799 | $250.25 | $385.00 | $122.26 – $230.06 | 61 |
| Pressure velocity wire add ves CPT 93572 | $940.55 | $1,447.00 | $234.44 – $735.00 | 5 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $117.65 | $181.00 | $8.00 – $267.11 | 78 |
| Pretreat rbc absorption reference CPT 86978 | $133.25 | $205.00 | $18.72 – $92.49 | 78 |
| Pretreat rbc density gradient separation reference CPT 86972 | $191.10 | $294.00 | $24.00 – $267.11 | 75 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $64.35 | $99.00 | $18.72 – $92.49 | 78 |
| Pretreat rbc w enzyme reference CPT 86971 | $146.25 | $225.00 | $24.00 – $374.11 | 75 |
| Prgrmg dev eval impltbl sys CPT 93260 | $592.80 | $912.00 | $22.35 – $65.55 | 66 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,900.00 | $6,000.00 | $102.00 – $11,148.00 | 14 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $47,422.63 | $72,957.90 | $339.76 – $28,740.90 | 78 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $143.65 | $221.00 | $42.71 – $72.40 | 5 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $3,363.58 | $5,174.74 | $320.00 – $3,319.71 | 80 |
| Probe nasolacrimal duct CPT 68815 | $5,177.57 | $7,965.50 | $173.33 – $6,267.82 | 80 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $926.25 | $1,425.00 | $32.26 – $1,281.66 | 72 |
| Procalcitonin CPT 84145 | $148.20 | $228.00 | $24.21 – $122.28 | 86 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $57.12 | $87.88 | $2.95 – $9.38 | 21 |
| Progesterone CPT 84144 | $55.90 | $86.00 | $18.55 – $95.25 | 86 |
| Prolactin CPT 84146 | $90.35 | $139.00 | $17.24 – $88.48 | 86 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $40.30 | $62.00 | $16.96 – $42.90 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $37.05 | $57.00 | $2.00 – $6.80 | 18 |
| _propoxygc/msur CPT 80367 | $112.45 | $173.00 | $21.35 – $48.46 | 11 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $24.70 | $38.00 | $3.76 – $31.56 | 20 |
| Prostatectomy (turp) CPT 52601 | $6,110.84 | $9,401.29 | $363.00 – $8,642.15 | 80 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $9.75 | $15.00 | $9.61 – $15.86 | 49 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $22.35 | $34.38 | $3.42 – $38.54 | 21 |
| Protein c activity CPT 85303 | $170.95 | $263.00 | $12.31 – $63.15 | 86 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $116.35 | $179.00 | $9.55 – $49.03 | 86 |
| Protein s total CPT 85305 | $152.75 | $235.00 | $10.33 – $52.99 | 86 |
| Protein total 24 hour urine CPT 84156 | $19.50 | $30.00 | $3.26 – $16.72 | 86 |
| Protein total body fluid CPT 84157 | $13.00 | $20.00 | $3.56 – $16.72 | 86 |
| Protein total serum plasma whole blood CPT 84155 | $13.00 | $20.00 | $3.26 – $16.72 | 86 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $48.75 | $75.00 | $3.50 – $18.01 | 80 |
| Prp i/hern init block >5 yr CPT 49507 | $7,937.14 | $12,210.99 | $363.00 – $5,999.40 | 80 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $53.95 | $83.00 | $25.46 – $44.34 | 49 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $18,148.04 | $27,920.06 | $5.25 – $28,740.90 | 71 |
| Prq card revasc mi 1 vsl CPT 92941 | $9,617.40 | $14,796.00 | $320.00 – $14,161.73 | 64 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $9,233.25 | $14,205.00 | $12,562.00 – $12,562.00 | 4 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $8,118.50 | $12,490.00 | $320.00 – $18,099.34 | 72 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $8,033.35 | $12,359.00 | $320.00 – $18,099.34 | 72 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $4,338.75 | $6,675.00 | $17,418.19 – $28,740.90 | 55 |
| Prq trlml c athrc st angiop1 CPT 92933 | $12,938.90 | $19,906.00 | $320.00 – $28,740.90 | 65 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $5,344.30 | $8,222.00 | $10,968.96 – $18,099.34 | 48 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,671.25 | $8,725.00 | $320.00 – $9,692.58 | 73 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $8,408.40 | $12,936.00 | $320.00 – $18,099.34 | 72 |
| Prq trluml revsc ch occ ant CPT 92943 | $9,681.75 | $14,895.00 | $320.00 – $18,099.34 | 72 |
| Pr removal intrauterine device CPT 58301 | $4,449.05 | $6,844.70 | $52.32 – $5,075.27 | 78 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $4,381.83 | $6,741.27 | $148.21 – $2,589.43 | 78 |
| Pr robotic surgical system HCPCS S2900 | $1.30 | $2.00 | not published | 0 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $26.00 | $40.00 | $13.47 – $23.14 | 51 |
| PSA (Prostate) Test CPT 84153 | $137.80 | $212.00 | $16.36 – $83.96 | 86 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $65.00 | $100.00 | $12.56 – $59.63 | 62 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $26.65 | $41.00 | $5.30 – $18.16 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $71.50 | $110.00 | $16.45 – $98.23 | 62 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $72.15 | $111.00 | $12.22 – $40.28 | 62 |
| Pt application of modality traction mechanical CPT 97012 | $72.80 | $112.00 | $12.56 – $50.28 | 62 |
| Pt evaluation high complexity patient/family CPT 97163 | $356.85 | $549.00 | $86.18 – $151.05 | 65 |
| Pt evaluation low complexity patient/family CPT 97161 | $338.00 | $520.00 | $86.18 – $151.05 | 65 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $358.80 | $552.00 | $86.18 – $151.05 | 65 |
| Pt re-evaluation patient/family CPT 97164 | $280.15 | $431.00 | $59.29 – $101.84 | 65 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $106.60 | $164.00 | $28.34 – $121.92 | 60 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $68.25 | $105.00 | $25.31 – $89.02 | 65 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $66.30 | $102.00 | $26.00 – $81.99 | 65 |
| Pt wheelchair management each 15 minutes CPT 97542 | $59.15 | $91.00 | $27.01 – $96.08 | 65 |
| Pulse ox continuous overnight monitoring CPT 94762 | $396.50 | $610.00 | $21.08 – $230.06 | 65 |
| Pulse ox multiple CPT 94761 | $169.65 | $261.00 | $3.31 – $63.56 | 16 |
| Pulse ox single CPT 94760 | $84.50 | $130.00 | $2.13 – $63.56 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $185.25 | $285.00 | $12.24 – $735.00 | 78 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $76.48 | $117.66 | $14.34 – $57.86 | 8 |
| Pyruvate CPT 84210 | $50.05 | $77.00 | $12.88 – $49.57 | 86 |
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.