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 |
|---|---|---|---|---|
| Repair of circumcision CPT 54163 | $3,617.85 | $5,565.93 | $185.66 – $3,482.47 | 80 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $6,018.64 | $9,259.44 | $363.00 – $5,515.84 | 80 |
| Repair of hydrocele 55060 CPT 55060 | $3,956.16 | $6,086.40 | $297.00 – $5,526.57 | 79 |
| Repair of nasal septum CPT 30520 | $4,649.69 | $7,153.37 | $363.00 – $5,513.22 | 79 |
| Repair paravag defect vag 57285 CPT 57285 | $8,412.20 | $12,941.85 | $297.00 – $12,571.18 | 79 |
| Repair rectum & vagina CPT 57250 | $7,104.57 | $10,930.11 | $297.00 – $8,391.97 | 80 |
| Repeat thyroid surgery CPT 60260 | $8,609.08 | $13,244.74 | $297.00 – $10,056.62 | 79 |
| Replace duod/jej tube perc CPT 49451 | $1,820.49 | $2,800.76 | $70.43 – $1,575.27 | 76 |
| Replace g/c tube perc CPT 49450 | $1,820.49 | $2,800.76 | $108.56 – $1,575.27 | 76 |
| Replace g-j tube perc CPT 49452 | $1,820.49 | $2,800.76 | $108.56 – $1,575.27 | 76 |
| Reposition pm/icd lead CPT 33215 | $4,663.28 | $7,174.27 | $242.45 – $5,350.75 | 79 |
| Reptilase test CPT 85635 | $61.75 | $95.00 | $8.76 – $44.94 | 80 |
| Rerepair ing hernia blocked CPT 49521 | $6,978.78 | $10,736.58 | $363.00 – $10,607.58 | 80 |
| Rerepair ing hernia reduce CPT 49520 | $7,150.22 | $11,000.34 | $363.00 – $5,999.40 | 80 |
| Resect inferior turbinate CPT 30140 | $4,649.69 | $7,153.37 | $138.57 – $5,513.22 | 79 |
| Respirator motion mgmt simul CPT 77293 | $39,213.85 | $60,329.00 | $251.70 – $2,803.36 | 77 |
| #resp virpnl dfa-adenovirus CPT 87260 | $79.30 | $122.00 | $12.29 – $41.12 | 80 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $68.90 | $106.00 | $12.29 – $41.12 | 80 |
| Resuscitation cardiopulmonary CPT 92950 | $654.55 | $1,007.00 | $157.38 – $735.00 | 65 |
| Resuscitation delivery/birthing room CPT 99465 | $612.95 | $943.00 | $134.98 – $1,181.71 | 54 |
| Reticulated platelet assay CPT 85055 | $46.15 | $71.00 | $26.00 – $91.94 | 86 |
| Reticulocyte automated CPT 85045 | $41.60 | $64.00 | $3.55 – $18.23 | 86 |
| Reticulocyte direct measurement automated CPT 85046 | $20.15 | $31.00 | $4.95 – $25.47 | 86 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $34,217.95 | $52,643.00 | $29.95 – $29,810.00 | 69 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $17,939.80 | $27,599.70 | $19.45 – $9,692.58 | 70 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $15,225.00 | $23,423.07 | $13.56 – $28,740.90 | 70 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $15,533.78 | $23,898.13 | $19.45 – $28,740.90 | 69 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $44,908.25 | $69,089.61 | $25.52 – $28,740.90 | 69 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $44,908.25 | $69,089.61 | $25.52 – $28,740.90 | 69 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $29,480.50 | $45,354.61 | $18.20 – $18,099.34 | 68 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $41,311.12 | $63,555.57 | $19.45 – $28,740.90 | 75 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $44,908.25 | $69,089.61 | $25.52 – $28,740.90 | 69 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $11,929.84 | $18,353.60 | $20.88 – $18,099.34 | 69 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $12,613.18 | $19,404.89 | $19.45 – $28,740.90 | 69 |
| Revise arm/leg nerve CPT 64708 | $4,124.78 | $6,345.82 | $250.00 – $5,515.84 | 80 |
| Revise middle ear bone CPT 69660 | $4,445.60 | $6,839.39 | $363.00 – $10,056.62 | 80 |
| Revise middle ear & mastoid CPT 69644 | $6,891.75 | $10,602.70 | $363.00 – $10,056.62 | 80 |
| Revise/remove sling repair CPT 57287 | $7,942.23 | $12,218.82 | $250.00 – $3,536.99 | 78 |
| Revise ulnar nerve at wrist CPT 64719 | $5,523.53 | $8,497.74 | $297.00 – $5,515.84 | 80 |
| Revise vag graft via vagina CPT 57295 | $4,640.38 | $7,139.05 | $363.00 – $5,075.27 | 78 |
| Revision of cervix CPT 59320 | $3,365.23 | $5,177.27 | $118.54 – $5,075.27 | 79 |
| Revision of colostomy CPT 44340 | $5,463.58 | $8,405.51 | $320.00 – $6,154.82 | 77 |
| Revision of iris CPT 66761 | $828.75 | $1,275.00 | $182.25 – $1,153.00 | 74 |
| Revision open av fistula without thromb CPT 36832 | $10,613.38 | $16,328.27 | $297.00 – $8,724.17 | 79 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $19,754.42 | $30,391.41 | $121.41 – $36,455.46 | 80 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $10,641.29 | $16,371.22 | $188.59 – $11,156.93 | 80 |
| Rheumatoid factor qualitative CPT 86430 | $63.70 | $98.00 | $5.46 – $25.90 | 86 |
| Rheumatoid factor quantitative CPT 86431 | $83.20 | $128.00 | $5.04 – $25.90 | 86 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $356.58 | $548.58 | $73.35 – $269.40 | 21 |
| R hrt cath chd abnl nt cnj CPT 93594 | $4,187.95 | $6,443.00 | $2,741.93 – $5,467.90 | 61 |
| R hrt cath chd nml nt cnj CPT 93593 | $4,187.95 | $6,443.00 | $2,741.93 – $5,467.90 | 54 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $472.39 | $726.75 | $102.00 – $336.00 | 8 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $24,799.04 | $38,152.37 | $14.65 – $33,324.00 | 70 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $10,693.54 | $16,451.60 | $73.34 – $2,165.58 | 78 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $17,105.60 | $26,316.31 | $36.17 – $16,939.65 | 78 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $9,624.63 | $14,807.13 | $29.57 – $588.70 | 69 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,160.10 | $12,554.00 | $13.02 – $259.10 | 69 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $5,798.00 | $8,920.00 | $2,741.93 – $5,467.90 | 61 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $5,798.00 | $8,920.00 | $2,741.93 – $5,467.90 | 54 |
| Rmvl hpglsl nstim ary pg CPT 64584 | $8,689.43 | $13,368.35 | $3.30 – $10,886.92 | 75 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $28,088.62 | $43,213.26 | $301.61 – $34,874.16 | 78 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $35,432.25 | $54,511.15 | $313.17 – $54,504.69 | 79 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $25,592.63 | $39,373.27 | $290.12 – $34,874.16 | 78 |
| Rmvl icd pulse gen only CPT 33241 | $36,024.09 | $55,421.67 | $173.27 – $54,504.69 | 79 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $15,885.80 | $24,439.70 | $64.40 – $10,607.58 | 75 |
| Rmvl perm pm pulse gen CPT 33233 | $37,172.58 | $57,188.59 | $185.96 – $54,504.69 | 80 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $18,577.98 | $28,581.51 | $290.36 – $32,420.97 | 79 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $11,558.02 | $17,781.57 | $265.77 – $14,069.17 | 79 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,029.11 | $3,121.71 | $66.06 – $1,229.90 | 75 |
| Rmvl tv pm lead dual CPT 33235 | $59,407.30 | $91,395.84 | $297.00 – $54,504.69 | 79 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $7,283.43 | $11,205.28 | $30.32 – $6,036.00 | 69 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $11,649.36 | $17,922.10 | $10.84 – $5,137.50 | 70 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $5,562.15 | $8,557.15 | $11.88 – $9,458.40 | 70 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $34.88 | $53.66 | $1.20 – $3.60 | 12 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $6,004.18 | $9,237.20 | $77.83 – $2,640.85 | 79 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $629.20 | $968.00 | $42.00 – $828.29 | 81 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,265.55 | $1,947.00 | $46.95 – $2,640.85 | 78 |
| Rpl tun-cvad w subq port CPT 36582 | $4,964.84 | $7,638.21 | $232.71 – $5,350.75 | 80 |
| Rpl tun cvc wo subq port CPT 36581 | $2,726.10 | $4,194.00 | $149.21 – $5,350.75 | 80 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $9,067.56 | $13,950.10 | $13.60 – $6,520.14 | 74 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $8,456.32 | $13,009.72 | $23.11 – $10,607.58 | 75 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $12,444.23 | $19,144.97 | $54.32 – $9,918.41 | 75 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $11,728.05 | $18,043.15 | $17.00 – $10,607.58 | 75 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $5,847.97 | $8,996.87 | $64.40 – $5,999.40 | 75 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $12,216.72 | $18,794.96 | $74.00 – $9,918.41 | 75 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $22,555.93 | $34,701.43 | $18.00 – $1,644.29 | 71 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $15,724.10 | $24,190.93 | $23.24 – $6,520.14 | 73 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $7,192.74 | $11,065.75 | $54.32 – $10,607.58 | 75 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $11,839.69 | $18,214.91 | $6.87 – $9,918.41 | 75 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $13,197.72 | $20,304.19 | $131.47 – $10,056.62 | 75 |
| Rsv assay w/optic CPT 87807 | $130.65 | $201.00 | $11.65 – $41.12 | 86 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $204.10 | $314.00 | $109.86 – $208.74 | 53 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $78.65 | $121.00 | $31.79 – $58.51 | 53 |
| Rubella antibody igg CPT 86762 | $52.00 | $80.00 | $12.80 – $65.72 | 86 |
| Rubeola antibody igg CPT 86765 | $56.55 | $87.00 | $11.46 – $58.83 | 86 |
| Russell viper venom diluted CPT 85613 | $118.95 | $183.00 | $7.87 – $26.34 | 86 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,955.10 | $9,161.70 | $36.28 – $5,200.56 | 69 |
| Salivary glnd img serial img CPT 78231 | $1,264.90 | $1,946.00 | $23.00 – $828.29 | 83 |
| Sarscov coronavirus ag ia CPT 87426 | $81.90 | $126.00 | $31.43 – $57.19 | 69 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $123.50 | $190.00 | $30.94 – $113.78 | 67 |
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.