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 |
|---|---|---|---|---|
| Uppr gi scope w/submuc inj CPT 43236 | $4,831.79 | $7,433.53 | $112.42 – $1,575.27 | 77 |
| Urea nitrogen CPT 84520 | $57.85 | $89.00 | $3.51 – $18.04 | 86 |
| Urea nitrogen 24 hour urine CPT 84540 | $46.15 | $71.00 | $4.95 – $21.68 | 86 |
| Ureteral reflux study CPT 78740 | $514.15 | $791.00 | $16.00 – $828.29 | 75 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $303.55 | $467.00 | $25.71 – $524.34 | 72 |
| Urethrocystography void s&i CPT 74455 | $460.85 | $709.00 | $73.84 – $524.34 | 72 |
| Uric acid blood CPT 84550 | $16.25 | $25.00 | $4.02 – $20.63 | 86 |
| Uric acid urine CPT 84560 | $50.05 | $77.00 | $4.52 – $21.68 | 86 |
| Urinalysis microscopic only CPT 81015 | $20.15 | $31.00 | $2.71 – $13.88 | 86 |
| Urinalysis (with microscopy) CPT 81001 | $11.05 | $17.00 | $2.82 – $14.46 | 86 |
| Urinalysis (without microscopy) CPT 81003 | $44.20 | $68.00 | $2.00 – $10.24 | 86 |
| Urine Culture Test CPT 87086 | $28.60 | $44.00 | $7.18 – $36.84 | 86 |
| Urine pregnancy test CPT 81025 | $59.80 | $92.00 | $7.66 – $28.87 | 86 |
| Urography, antegrade CPT 74425 | $879.45 | $1,353.00 | $27.44 – $859.16 | 72 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $10,133.22 | $15,589.57 | $12.25 – $12,079.60 | 79 |
| Vaccine dtap < 7 years im CPT 90700 | $87.80 | $135.07 | $21.47 – $48.74 | 20 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $331.79 | $510.44 | $88.22 – $135.88 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $94.86 | $145.94 | $25.09 – $56.95 | 20 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $40.64 | $62.52 | $11.39 – $42.16 | 11 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $220.64 | $339.45 | $56.70 – $225.44 | 24 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $90.64 | $139.45 | $25.80 – $58.57 | 24 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $263.92 | $406.03 | $13.80 – $112.90 | 24 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $60.95 | $93.77 | $13.12 – $30.86 | 24 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $773.60 | $1,190.16 | $183.11 – $415.66 | 20 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $544.51 | $837.71 | $160.31 – $228.72 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $295.60 | $454.77 | $34.64 – $125.40 | 20 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $921.62 | $1,417.87 | $279.05 – $384.92 | 15 |
| Vaccine rabies im CPT 90675 | $945.46 | $1,454.56 | $262.98 – $959.24 | 79 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,837.26 | $2,826.55 | $463.47 – $624.81 | 8 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,837.26 | $2,826.55 | $463.47 – $624.81 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $150.77 | $231.95 | $28.80 – $76.12 | 21 |
| Vaccine varicella live subcutaneous CPT 90716 | $590.84 | $908.99 | $51.53 – $302.90 | 20 |
| Vag hyst including t/o CPT 58262 | $10,319.63 | $15,876.36 | $363.00 – $8,391.97 | 79 |
| Vaginal bx CPT 58999 | $3,875.42 | $5,962.18 | $11.54 – $735.00 | 76 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $20.69 | $31.83 | $5.00 – $16.00 | 5 |
| Valproic acid total therapeutic drug level CPT 80164 | $90.35 | $139.00 | $12.04 – $61.89 | 86 |
| Valvuloplasty aortic CPT 92986 | $9,421.75 | $14,495.00 | $823.57 – $9,692.58 | 70 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $660.76 | $1,016.55 | $1.50 – $6.00 | 5 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $29.92 | $46.03 | $8.25 – $28.50 | 5 |
| Vancomycin peak therapeutic drug level CPT 80202 | $98.15 | $151.00 | $12.04 – $61.89 | 86 |
| Varicella zoster antibody igg CPT 86787 | $64.35 | $99.00 | $11.46 – $58.83 | 86 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $324.51 | $499.25 | $12.00 – $39.20 | 12 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $23,003.79 | $35,390.45 | $20.96 – $23,850.00 | 79 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,495.00 | $2,300.00 | $194.09 – $667.17 | 64 |
| Veeg unmon 2-12 hrs CPT 95711 | $889.85 | $1,369.00 | $121.31 – $386.05 | 64 |
| Vein x-ray adrenal gland CPT 75840 | $2,160.60 | $3,324.00 | $61.72 – $6,235.38 | 72 |
| Vein x-ray eye socket CPT 75880 | $1,182.35 | $1,819.00 | $62.16 – $1,418.65 | 66 |
| Vein x-ray kidney CPT 75831 | $2,209.35 | $3,399.00 | $57.16 – $6,235.38 | 72 |
| Vein x-ray liver CPT 75891 | $2,246.40 | $3,456.00 | $60.77 – $6,235.38 | 66 |
| Vein x-ray liver w/hemodynam CPT 75889 | $2,376.40 | $3,656.00 | $60.21 – $6,235.38 | 81 |
| Vein x-ray skull CPT 75870 | $1,904.50 | $2,930.00 | $102.74 – $5,350.75 | 72 |
| Vein x-ray spleen/liver CPT 75810 | $1,444.30 | $2,222.00 | $89.01 – $5,350.75 | 65 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $221.00 | $340.00 | $7.40 – $13.49 | 4 |
| Venipuncture <3 yrs other vein CPT 36406 | $45.50 | $70.00 | $15.31 – $15.31 | 4 |
| Venogram ext bil s&i CPT 75822 | $1,702.35 | $2,619.00 | $54.68 – $3,670.04 | 72 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,138.15 | $1,751.00 | $49.41 – $2,640.85 | 72 |
| Venous mech thrombectomy CPT 37187 | $22,431.32 | $34,509.73 | $313.16 – $28,740.90 | 78 |
| Venous sampling s&i CPT 75893 | $2,241.85 | $3,449.00 | $71.34 – $10,341.43 | 71 |
| Ven thrombosis images bilat CPT 78458 | $744.90 | $1,146.00 | $74.00 – $828.29 | 75 |
| Ventilator each subsequent day CPT 94003 | $919.75 | $1,415.00 | $55.07 – $1,104.55 | 65 |
| Ventilator initial day CPT 94002 | $1,085.50 | $1,670.00 | $81.35 – $1,104.55 | 65 |
| Version cephalic external CPT 59412 | $1,129.05 | $1,737.00 | $81.59 – $5,075.27 | 67 |
| Very long chain fatty acids CPT 82726 | $151.45 | $233.00 | $17.57 – $82.42 | 86 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $145.91 | $224.48 | $35.20 – $101.20 | 20 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $91.31 | $140.48 | $16.66 – $157.17 | 20 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $211.25 | $325.00 | $5.67 – $205.93 | 20 |
| Virus isolation addl studies ea CPT 87253 | $72.15 | $111.00 | $17.97 – $92.23 | 80 |
| Vital capacity test CPT 94150 | $79.30 | $122.00 | $7.00 – $230.06 | 74 |
| Vitamin b-12 CPT 82607 | $53.95 | $83.00 | $13.41 – $68.81 | 86 |
| Vitamin D Test CPT 82306 | $105.95 | $163.00 | $26.33 – $135.20 | 86 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $280.80 | $432.00 | $97.87 – $735.00 | 7 |
| Volume measurement urine timed CPT 81050 | $10.40 | $16.00 | $3.24 – $13.69 | 86 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $226.13 | $347.89 | $14.80 – $204.75 | 21 |
| Vulvectomy simple partial CPT 56620 | $6,160.86 | $9,478.25 | $250.00 – $5,075.27 | 79 |
| Warde 1003990 aldosterone CPT 82088 | $145.60 | $224.00 | $36.25 – $186.07 | 86 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $97.50 | $150.00 | $24.73 – $126.94 | 86 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $107.25 | $165.00 | $11.47 – $58.86 | 86 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $209.95 | $323.00 | $22.46 – $115.27 | 86 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $83.20 | $128.00 | $13.79 – $70.75 | 86 |
| Warde 1015200 kappa light chain free CPT 83521 | $126.10 | $194.00 | $15.36 – $27.95 | 67 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $120.90 | $186.00 | $7.13 – $36.62 | 86 |
| Warde 3008005 oligoclonal bands CPT 83916 | $155.35 | $239.00 | $24.36 – $91.79 | 86 |
| Warde 3016000 west nile virus antibody CPT 86788 | $74.75 | $115.00 | $14.99 – $76.91 | 86 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $70.85 | $109.00 | $12.80 – $65.72 | 86 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $144.30 | $222.00 | $10.90 – $55.96 | 86 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $31.85 | $49.00 | $7.92 – $40.63 | 86 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $64.35 | $99.00 | $15.99 – $82.04 | 86 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $248.30 | $382.00 | $128.37 – $230.88 | 64 |
| Warde 3400852 arsenic CPT 82175 | $202.80 | $312.00 | $16.87 – $86.63 | 86 |
| Warde 3708165 mercury urine CPT 83825 | $87.75 | $135.00 | $14.46 – $74.22 | 86 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $196.30 | $302.00 | $16.37 – $29.78 | 67 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $89.05 | $137.00 | $10.72 – $19.51 | 67 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $192.40 | $296.00 | $7.20 – $30.16 | 86 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $120.25 | $185.00 | $22.60 – $97.97 | 86 |
| Warde aldolase CPT 82085 | $50.70 | $78.00 | $8.64 – $44.29 | 86 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $185.25 | $285.00 | $15.01 – $76.98 | 86 |
| Warde amiodarone therapeutic drug level CPT 80151 | $56.55 | $87.00 | $16.58 – $30.17 | 60 |
| Warde analysis gene hfe common variants CPT 81256 | $249.60 | $384.00 | $58.14 – $298.42 | 86 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $663.65 | $1,021.00 | $80.62 – $748.57 | 86 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $110.50 | $170.00 | $20.14 – $45.72 | 11 |
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.