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 |
|---|---|---|---|---|
| Quest t3 uptake CPT 84479 | $61.10 | $94.00 | $5.75 – $29.56 | 86 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,398.64 | $2,151.75 | $274.63 – $1,679.68 | 72 |
| Radiation handling CPT 77790 | $293.15 | $451.00 | $14.29 – $122.04 | 22 |
| Radiation physics consult CPT 77336 | $28,574.66 | $43,961.02 | $77.27 – $274.64 | 80 |
| Radiation therapy dose plan CPT 77300 | $31,278.00 | $48,120.00 | $28.02 – $274.64 | 80 |
| Radiation treatment aid(s) CPT 77332 | $27,283.10 | $41,974.00 | $13.03 – $274.64 | 80 |
| Radiation treatment aid(s) CPT 77333 | $44,874.70 | $69,038.00 | $12.69 – $274.64 | 80 |
| Radiation treatment aid(s) CPT 77334 | $29,252.60 | $45,004.00 | $54.68 – $765.08 | 80 |
| Radiation treatment delivery CPT 77402 | $9,324.25 | $14,345.00 | $59.00 – $405.48 | 77 |
| Radiation treatment delivery CPT 77412 | $17,482.40 | $26,896.00 | $76.00 – $1,129.02 | 77 |
| Radiology port images(s) CPT 77417 | $19,365.45 | $29,793.00 | $0.94 – $2,170.08 | 79 |
| Radiotherapy dose plan imrt CPT 77301 | $33,706.40 | $51,856.00 | $732.77 – $4,468.21 | 80 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,070.55 | $1,647.00 | $46.00 – $2,862.43 | 83 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,174.25 | $3,345.00 | $172.14 – $2,862.43 | 81 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $5,034.90 | $7,746.00 | $36.00 – $2,862.43 | 83 |
| Radphm lcl tumor plr sgl day CPT 78800 | $612.95 | $943.00 | $30.00 – $828.29 | 81 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $17,334.04 | $26,667.75 | $74.15 – $2,952.20 | 78 |
| Rapid Strep Test CPT 87880 | $35.75 | $55.00 | $12.29 – $41.12 | 86 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $11,264.48 | $17,329.97 | $316.62 – $4,278.42 | 79 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $55,857.15 | $85,934.07 | $220.53 – $91,990.80 | 70 |
| Rbc count only automated CPT 85041 | $34.45 | $53.00 | $2.69 – $13.76 | 86 |
| Rbc deglycerolized each unit HCPCS P9039 | $707.85 | $1,089.00 | $244.66 – $557.30 | 64 |
| Rbc irradiated each unit HCPCS P9038 | $524.55 | $807.00 | $97.88 – $235.07 | 57 |
| Rbc serum pretx incubj drugs CPT 86975 | $98.15 | $151.00 | $41.99 – $700.39 | 66 |
| Rebuild eardrum structures CPT 69636 | $5,228.59 | $8,043.99 | $363.00 – $10,056.62 | 80 |
| Reconstruction tongue fold CPT 41520 | $2,258.61 | $3,474.78 | $203.46 – $5,513.22 | 80 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $4,222.13 | $6,495.58 | $320.00 – $5,513.22 | 80 |
| Red blood cells each unit HCPCS P9021 | $398.45 | $613.00 | $93.35 – $243.73 | 64 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $553.15 | $851.00 | $189.98 – $403.70 | 64 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $519.35 | $799.00 | $136.54 – $299.31 | 64 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $577.20 | $888.00 | $169.40 – $429.62 | 64 |
| Red blood cells washed each unit HCPCS P9022 | $663.65 | $1,021.00 | $159.69 – $596.62 | 64 |
| Red cell sequestration CPT 78140 | $618.80 | $952.00 | $70.97 – $828.29 | 75 |
| Red cell survival study CPT 78130 | $558.35 | $859.00 | $82.00 – $828.29 | 75 |
| Re-explore parathyroids CPT 60502 | $9,823.32 | $15,112.80 | $117.88 – $10,056.62 | 79 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $92.62 | $142.50 | $13.24 – $513.47 | 21 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,427.89 | $2,196.76 | $6.77 – $2,566.00 | 70 |
| Rem endovas vena cava filter CPT 37193 | $5,815.74 | $8,947.30 | $275.72 – $5,350.75 | 79 |
| Removal biliary drg cath CPT 47537 | $989.95 | $1,523.00 | $77.05 – $1,575.27 | 75 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $542.75 | $835.00 | $112.42 – $1,153.00 | 77 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,495.68 | $5,377.97 | $154.26 – $2,640.85 | 80 |
| Removal cerclage without anes CPT 59899 | $672.10 | $1,034.00 | $171.50 – $1,577.00 | 60 |
| Removal cerumen impacted (both sides) CPT 69210 | $2,657.04 | $4,087.75 | $7.00 – $735.00 | 74 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $242.45 | $373.00 | $23.64 – $317.72 | 74 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $2,258.53 | $3,474.66 | $77.67 – $2,589.43 | 79 |
| Removal of adenoids CPT 42830 | $2,566.55 | $3,948.54 | $173.15 – $5,513.22 | 80 |
| Removal of adenoids CPT 42831 | $4,488.40 | $6,905.23 | $188.38 – $5,513.22 | 80 |
| Removal of anal tags CPT 46230 | $3,641.60 | $5,602.46 | $147.27 – $4,351.77 | 79 |
| Removal of epididymis CPT 54860 | $4,153.31 | $6,389.71 | $349.92 – $5,999.40 | 80 |
| Removal of hydrocele CPT 55040 | $4,279.74 | $6,584.22 | $283.35 – $5,999.40 | 80 |
| Removal of intranasal lesion CPT 30117 | $2,795.90 | $4,301.38 | $297.00 – $5,513.22 | 80 |
| Removal of lymph nodes neck CPT 38724 | $15,857.00 | $24,395.38 | $250.00 – $3,098.22 | 75 |
| Removal of nerve lesion CPT 64790 | $5,952.64 | $9,157.91 | $320.00 – $3,319.71 | 80 |
| Removal of nerve lesion CPT 64792 | $4,067.95 | $6,258.39 | $320.00 – $10,886.92 | 80 |
| Removal of salivary stone 42335 CPT 42335 | $5,520.20 | $8,492.61 | $1.65 – $5,513.22 | 79 |
| Removal of testis CPT 54530 | $5,187.65 | $7,981.00 | $320.00 – $5,999.40 | 80 |
| Removal of thyroid CPT 60240 | $10,694.50 | $16,453.07 | $320.00 – $9,918.41 | 79 |
| Removal of thyroid CPT 60252 | $11,665.76 | $17,947.33 | $193.80 – $10,056.62 | 79 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $12,363.59 | $19,020.91 | $277.51 – $16,386.96 | 78 |
| Removal tunnled intprtnl cath CPT 49422 | $2,761.03 | $4,247.74 | $178.08 – $5,350.75 | 80 |
| Remove anal fist subq CPT 46270 | $4,345.39 | $6,685.22 | $250.00 – $4,351.77 | 79 |
| Remove bladder stone CPT 52317 | $10,545.99 | $16,224.60 | $278.43 – $5,526.57 | 78 |
| Remove bladder stone CPT 52318 | $11,883.75 | $18,282.69 | $363.00 – $5,526.57 | 78 |
| Remove cva lumen obstruct CPT 75902 | $460.20 | $708.00 | $57.59 – $162.54 | 13 |
| Remove digit nerve lesion 64776 CPT 64776 | $2,136.61 | $3,287.09 | $250.00 – $3,319.71 | 80 |
| Remove ear canal lesion(s) CPT 69145 | $2,807.37 | $4,319.03 | $208.63 – $4,865.49 | 80 |
| Remove epididymis lesion CPT 54830 | $4,333.25 | $6,666.54 | $9.04 – $5,526.57 | 80 |
| Remove epididymis lesion CPT 54840 | $4,336.55 | $6,671.61 | $269.27 – $5,999.40 | 80 |
| Remove esophagus obstruction CPT 74235 | $275.60 | $424.00 | $73.42 – $309.91 | 9 |
| Remove eyelid lesion CPT 67800 | $4,171.04 | $6,416.99 | $78.66 – $735.00 | 76 |
| Remove in/ex hem groups 2+ CPT 46260 | $6,196.18 | $9,532.58 | $297.00 – $4,351.77 | 79 |
| Remove int/ext hem 1 group CPT 46255 | $5,530.21 | $8,508.01 | $297.00 – $4,351.77 | 79 |
| Remove muti-comp penis pros CPT 54406 | $11,366.37 | $17,486.73 | $308.00 – $5,526.57 | 78 |
| Remove nasal foreign body CPT 30310 | $2,223.36 | $3,420.55 | $167.16 – $5,513.22 | 80 |
| Remove nerve lesion CPT 64784 | $2,410.84 | $3,708.99 | $320.00 – $3,319.71 | 80 |
| Remove renal tube w/fluoro CPT 50389 | $1,058.15 | $1,627.92 | $42.36 – $1,153.00 | 78 |
| Remove/replace penis prosth CPT 54410 | $24,641.32 | $37,909.72 | $171.66 – $34,218.55 | 79 |
| Remove skin nerve lesion CPT 64774 | $5,923.83 | $9,113.59 | $320.00 – $5,515.84 | 80 |
| Remove spinal lamina add-on 63048 CPT 63048 | $21,431.40 | $32,971.39 | $161.92 – $12,144.34 | 79 |
| Remove thyroid duct lesion CPT 60280 | $8,114.56 | $12,483.94 | $320.00 – $9,918.41 | 80 |
| Remove thyroid lesion 60200 CPT 60200 | $5,323.89 | $8,190.60 | $320.00 – $9,918.41 | 80 |
| Remove tonsils and adenoids CPT 42820 | $3,327.85 | $5,119.77 | $233.32 – $10,056.62 | 80 |
| Remove tonsils and adenoids CPT 42821 | $3,556.70 | $5,471.84 | $243.36 – $5,513.22 | 80 |
| Remove vc lesion w/scope 31545 CPT 31545 | $3,943.84 | $6,067.44 | $277.13 – $6,267.82 | 80 |
| Remove ventilating tube CPT 69424 | $2,355.67 | $3,624.11 | $49.79 – $5,513.22 | 79 |
| Renal cyst study s&i CPT 74470 | $704.60 | $1,084.00 | $41.01 – $1,116.50 | 65 |
| Renal function panel CPT 80069 | $31.20 | $48.00 | $7.72 – $39.66 | 86 |
| Renal venogram bil s&i CPT 75833 | $2,398.50 | $3,690.00 | $66.04 – $6,235.38 | 72 |
| Reopen fallopian tube CPT 58350 | $7,258.89 | $11,167.52 | $73.74 – $9,918.41 | 80 |
| Repair arm/leg nerve CPT 64857 | $10,320.68 | $15,877.97 | $363.00 – $10,886.92 | 80 |
| Repair bladder defect CPT 57288 | $7,684.95 | $11,823.00 | $320.00 – $8,391.97 | 80 |
| Repair blood vessel direct hand finger CPT 35207 | $4,808.98 | $7,398.43 | $363.00 – $5,515.84 | 80 |
| Repair blood vessel dir upper extr CPT 35206 | $3,848.26 | $5,920.40 | $297.00 – $5,515.84 | 79 |
| Repair brow defect CPT 67900 | $6,338.83 | $9,752.04 | $250.00 – $3,966.03 | 80 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $7,439.07 | $11,444.72 | $172.57 – $6,509.78 | 80 |
| Repair dental ellis ii fx CPT 41899 | $3,372.69 | $5,188.76 | $1.65 – $735.00 | 74 |
| Repair eardrum structures CPT 69631 | $4,891.44 | $7,525.29 | $363.00 – $10,056.62 | 80 |
| Repair eyelid defect CPT 67904 | $3,357.30 | $5,165.08 | $320.00 – $3,966.03 | 80 |
| Repair nerve add-on 64832 CPT 64832 | $7,710.46 | $11,862.24 | $250.00 – $5,515.84 | 80 |
| Repair of arm nerves CPT 64861 | $3,755.67 | $5,777.96 | $9.10 – $10,886.92 | 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.