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 |
|---|---|---|---|---|
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $622.05 | $957.00 | $91.00 – $783.52 | 75 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $534.30 | $822.00 | $73.00 – $439.74 | 75 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $829.40 | $1,276.00 | $73.00 – $561.20 | 75 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $404.95 | $623.00 | $70.00 – $299.59 | 74 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $689.00 | $1,060.00 | $73.00 – $265.32 | 75 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $570.05 | $877.00 | $73.00 – $599.76 | 75 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $460.85 | $709.00 | $73.00 – $338.00 | 75 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $432.25 | $665.00 | $73.00 – $412.74 | 75 |
| Scan proc cranial extra CPT 61782 | $7,828.25 | $12,043.46 | $131.39 – $11,768.20 | 79 |
| Scope plantar fasciotomy CPT 29893 | $4,684.93 | $7,207.58 | $297.00 – $5,515.84 | 80 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $70.85 | $109.00 | $23.84 – $84.00 | 67 |
| Screening Mammogram CPT 77067 | $156.65 | $241.00 | $76.90 – $239.88 | 78 |
| Screening prostate cancer PSA HCPCS G0103 | $68.90 | $106.00 | $17.18 – $83.96 | 70 |
| Sc ther infusion reset pump CPT 96371 | $149.50 | $230.00 | $47.80 – $263.26 | 65 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $11,614.24 | $17,868.06 | $3.30 – $1,278.00 | 78 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $44,075.42 | $67,808.34 | $144.40 – $28,740.90 | 76 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $154.05 | $237.00 | $48.03 – $89.85 | 5 |
| Sedimentation rate erythrocyte automated CPT 85652 | $12.35 | $19.00 | $2.40 – $12.36 | 86 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $38.35 | $59.00 | $12.19 – $37.96 | 6 |
| Semen analysis presence/motility CPT 89321 | $116.35 | $179.00 | $10.85 – $55.02 | 83 |
| Serial casting application 97139app CPT 97139 | $54.60 | $84.00 | $21.79 – $24.40 | 3 |
| Sertraline (zoloft) - sendout CPT 80332 | $209.95 | $323.00 | $27.18 – $61.70 | 11 |
| Set radiation therapy field CPT 77280 | $29,071.90 | $44,726.00 | $113.19 – $681.64 | 80 |
| Set radiation therapy field CPT 77285 | $1,025.70 | $1,578.00 | $248.00 – $1,067.83 | 78 |
| Set radiation therapy field CPT 77290 | $29,764.80 | $45,792.00 | $300.00 – $1,234.99 | 80 |
| Sho arthrs srg compl synvct CPT 29821 | $4,527.40 | $6,965.23 | $250.00 – $5,515.84 | 80 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $6,663.31 | $10,251.25 | $250.00 – $12,144.34 | 80 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $4,626.11 | $7,117.10 | $297.00 – $5,515.84 | 80 |
| Sho arthrs srg prtl synvct CPT 29820 | $6,267.14 | $9,641.75 | $297.00 – $12,144.34 | 80 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $6,928.94 | $10,659.91 | $250.00 – $12,144.34 | 80 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $7,863.07 | $12,097.03 | $363.00 – $12,144.34 | 80 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,519.70 | $2,338.00 | $247.64 – $2,561.85 | 77 |
| Shoulder MRI (with contrast) CPT 73222 | $1,404.65 | $2,161.00 | $204.87 – $2,101.60 | 77 |
| Shoulder MRI (without contrast) CPT 73221 | $2,145.65 | $3,301.00 | $120.75 – $1,470.99 | 77 |
| Shoulder X-ray CPT 73030 | $348.40 | $536.00 | $20.00 – $179.57 | 81 |
| Shrinker prosth above knee HCPCS L8460 | $77.35 | $119.00 | $92.29 – $152.29 | 49 |
| Shrinker prosth below knee HCPCS L8440 | $116.35 | $179.00 | $53.04 – $87.52 | 49 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $408.85 | $629.00 | $49.41 – $252.18 | 72 |
| Sialography s&i CPT 70390 | $532.35 | $819.00 | $78.80 – $524.34 | 72 |
| Sickling rbc CPT 85660 | $39.65 | $61.00 | $4.90 – $25.19 | 86 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,610.45 | $4,016.07 | $60.15 – $1,615.17 | 77 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $3,848.36 | $5,920.56 | $56.00 – $1,615.17 | 77 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,579.33 | $3,968.20 | $98.67 – $2,078.35 | 77 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $4.87 | $7.50 | $0.28 – $0.86 | 7 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $402.80 | $619.70 | $123.35 – $409.68 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,179.10 | $1,814.00 | $106.13 – $1,556.54 | 77 |
| Sinus CT scan (with contrast) CPT 70487 | $1,015.30 | $1,562.00 | $86.04 – $1,261.02 | 77 |
| Sinus CT scan (without contrast) CPT 70486 | $807.95 | $1,243.00 | $76.07 – $1,018.77 | 77 |
| Sinus/juglr venogram s&i CPT 75860 | $2,327.65 | $3,581.00 | $64.27 – $6,235.38 | 72 |
| Sirolimus, oral HCPCS J7520 | $11.54 | $17.75 | $1.06 – $14.48 | 21 |
| Skin Biopsy CPT 11102 | $273.65 | $421.00 | $27.75 – $706.04 | 73 |
| Sleep Study (Polysomnography) CPT 95810 | $3,377.40 | $5,196.00 | $122.00 – $1,965.15 | 77 |
| Sleep study unattended CPT 95806 | $512.20 | $788.00 | $81.63 – $386.05 | 68 |
| Sling pelv split sam med HCPCS L0621 | $195.00 | $300.00 | $75.05 – $123.83 | 49 |
| Slp stdy unatnd w/anal CPT 95801 | $570.05 | $877.00 | $50.63 – $132.43 | 65 |
| Small bowel endoscopy CPT 44360 | $2,463.36 | $3,789.79 | $100.39 – $1,575.27 | 77 |
| Small bowel endoscopy CPT 44366 | $3,024.66 | $4,653.32 | $192.56 – $3,224.88 | 80 |
| Small bowel endoscopy CPT 44369 | $4,696.82 | $7,225.87 | $197.38 – $3,224.88 | 80 |
| Small bowel endoscopy CPT 44382 | $2,912.99 | $4,481.53 | $61.24 – $1,575.27 | 77 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $61.75 | $95.00 | $4.79 – $24.56 | 86 |
| Smear gram stain CPT 87205 | $79.95 | $123.00 | $3.80 – $19.49 | 86 |
| Smear nasal eosinophil CPT 89190 | $28.60 | $44.00 | $5.15 – $21.68 | 80 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $142.35 | $219.00 | $5.33 – $27.37 | 86 |
| Smear wet mount CPT 87210 | $90.35 | $139.00 | $5.18 – $19.49 | 86 |
| Snrpn/ube3a gene CPT 81331 | $397.80 | $612.00 | $45.43 – $123.45 | 79 |
| Sodium 24 hour urine CPT 84300 | $48.75 | $75.00 | $4.50 – $22.21 | 86 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $37.50 | $57.70 | $2.50 – $7.40 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $37.50 | $57.70 | $1.25 – $4.78 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $37.50 | $57.70 | $0.63 – $2.48 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $37.50 | $57.70 | $8.00 – $54.00 | 11 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $98.18 | $151.05 | $10.95 – $92.73 | 21 |
| Sodium serum/plasma/whole blood CPT 84295 | $54.60 | $84.00 | $4.28 – $21.95 | 86 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $8.89 | $13.68 | $0.87 – $7.80 | 65 |
| Special physics consult CPT 77370 | $35,338.55 | $54,367.00 | $109.00 – $330.44 | 80 |
| Special radiation dosimetry CPT 77331 | $15,778.75 | $24,275.00 | $16.08 – $274.64 | 80 |
| Special radiation treatment CPT 77470 | $29,123.90 | $44,806.00 | $29.94 – $1,129.02 | 80 |
| Special teletx port plan CPT 77321 | $19,228.30 | $29,582.00 | $37.19 – $765.08 | 80 |
| Specific gravity body fluid CPT 84315 | $9.75 | $15.00 | $1.78 – $6.66 | 80 |
| Specimen fat stain CPT 89125 | $38.35 | $59.00 | $5.23 – $19.70 | 80 |
| Sperm antibody test CPT 89325 | $57.20 | $88.00 | $9.60 – $48.71 | 77 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,139.83 | $3,292.04 | $55.88 – $1,268.00 | 77 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $621.40 | $956.00 | $33.19 – $667.17 | 74 |
| Spleen imaging CPT 78185 | $614.25 | $945.00 | $38.00 – $828.29 | 81 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $33.15 | $51.00 | $59.27 – $97.80 | 57 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $41.60 | $64.00 | $95.95 – $158.33 | 57 |
| Split blood or products CPT 86985 | $121.55 | $187.00 | $5.00 – $267.11 | 75 |
| Sputum specimen collection CPT 89220 | $104.65 | $161.00 | $9.66 – $267.11 | 75 |
| Srs linear based CPT 77372 | $30,236.70 | $46,518.00 | $739.93 – $13,466.86 | 79 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $401.70 | $618.00 | $94.20 – $300.82 | 65 |
| Staph a dna amp probe CPT 87640 | $113.10 | $174.00 | $31.58 – $160.20 | 83 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $303.55 | $467.00 | $90.88 – $356.38 | 64 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $36,293.56 | $55,836.25 | $58.05 – $15,990.73 | 79 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $37,885.61 | $58,285.56 | $56.05 – $14,501.43 | 70 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $25,009.61 | $38,476.33 | $58.05 – $15,307.77 | 79 |
| St evaluate speech sound production CPT 92522 | $401.70 | $618.00 | $95.88 – $291.65 | 65 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $503.10 | $774.00 | $196.99 – $603.61 | 65 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $795.60 | $1,224.00 | $46.87 – $284.76 | 74 |
| St evaluation swallow function CPT 92610 | $433.55 | $667.00 | $54.86 – $231.60 | 65 |
| Strep a ag ia CPT 87430 | $111.15 | $171.00 | $12.29 – $41.12 | 86 |
| Strep b dna amp probe CPT 87653 | $78.65 | $121.00 | $31.58 – $160.20 | 83 |
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.