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 |
|---|---|---|---|---|
| Assay of corticosterone CPT 82528 | $76.70 | $118.00 | $20.03 – $102.79 | 86 |
| Assay of estrogen CPT 84233 | $325.65 | $501.00 | $78.17 – $294.09 | 80 |
| Assay of feces porphyrins CPT 84126 | $213.85 | $329.00 | $34.75 – $116.30 | 80 |
| Assay of galactose CPT 82760 | $27.95 | $43.00 | $9.96 – $36.98 | 86 |
| Assay of interleukin-6 (il-6) CPT 83529 | $154.05 | $237.00 | $15.36 – $27.95 | 67 |
| Assay of leflunomide CPT 80193 | $135.85 | $209.00 | $34.31 – $62.43 | 60 |
| Assay of neonatal thyroxine CPT 84437 | $6.50 | $10.00 | $5.75 – $29.56 | 86 |
| Assay of osteocalcin CPT 83937 | $117.65 | $181.00 | $26.55 – $136.27 | 86 |
| Assay of prostaglandin CPT 84150 | $321.10 | $494.00 | $34.05 – $113.95 | 86 |
| Assay of salicylate CPT 80179 | $25.35 | $39.00 | $16.58 – $30.17 | 67 |
| Assay of somatostatin CPT 84307 | $171.60 | $264.00 | $16.26 – $83.46 | 86 |
| Assay of thiocyanate CPT 84430 | $55.25 | $85.00 | $10.34 – $53.10 | 80 |
| Assay of tyrosine CPT 84510 | $88.40 | $136.00 | $8.75 – $29.29 | 86 |
| Assay of urine sulfate CPT 84392 | $31.20 | $48.00 | $4.88 – $21.68 | 86 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $182.65 | $281.00 | $82.89 – $321.15 | 62 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $14.95 | $23.00 | $3.80 – $19.49 | 86 |
| Ast/sgot CPT 84450 | $13.65 | $21.00 | $4.61 – $23.63 | 86 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $27,163.27 | $41,789.64 | $92.13 – $15,405.60 | 78 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $22,921.13 | $35,263.27 | $58.05 – $15,990.73 | 79 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $26,474.85 | $40,730.54 | $71.69 – $15,990.73 | 79 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $101.32 | $155.88 | $0.75 – $9.50 | 21 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $113.75 | $175.00 | $68.95 – $95.20 | 5 |
| Autologous blood process CPT 86890 | $299.00 | $460.00 | $49.00 – $267.11 | 72 |
| Automated diff wbc count CPT 85004 | $33.80 | $52.00 | $5.75 – $29.56 | 80 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $4,913.31 | $7,558.94 | $102.99 – $4,100.60 | 78 |
| Av fuse uppr arm basilic CPT 36819 | $11,438.02 | $17,596.95 | $4.52 – $8,724.17 | 80 |
| Av fuse uppr arm cephalic CPT 36818 | $10,192.43 | $15,680.66 | $4.52 – $8,724.17 | 80 |
| Av fusion direct any site CPT 36821 | $6,542.54 | $10,065.44 | $320.00 – $5,350.75 | 80 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $26,683.15 | $41,051.00 | $54.59 – $45,544.40 | 66 |
| Azacitidine injection HCPCS J9025 | $370.50 | $570.00 | $29.00 – $1,282.55 | 19 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.87 | $7.50 | $0.19 – $1.19 | 12 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $19.14 | $29.45 | $2.13 – $55.21 | 21 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $176.60 | $271.70 | $20.70 – $83.00 | 12 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $473.52 | $728.50 | $178.02 – $2,700.24 | 79 |
| Baclofen eval charges CPT 97750 | $74.75 | $115.00 | $27.35 – $103.47 | 71 |
| Bacterial meningitis antigen CPT 86403 | $128.05 | $197.00 | $10.26 – $46.52 | 86 |
| Bacterial vaginosis pcr CPT 87801 | $245.05 | $377.00 | $50.12 – $320.47 | 86 |
| #bac vag cand-c. albicans naa CPT 87481 | $146.90 | $226.00 | $31.21 – $160.20 | 85 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $4,342.40 | $6,680.62 | $146.26 – $5,075.27 | 79 |
| B cells total count CPT 86355 | $134.55 | $207.00 | $33.56 – $172.20 | 86 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $420.48 | $646.90 | $3.22 – $320.50 | 69 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $5,014.16 | $7,714.10 | $56.07 – $8,504.80 | 79 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $802.75 | $1,235.00 | $2.01 – $1,056.12 | 79 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $5,634.39 | $8,668.30 | $12.59 – $5,377.63 | 78 |
| #_benzodiazconfur CPT 80346 | $83.85 | $129.00 | $30.06 – $68.24 | 11 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $92.62 | $142.50 | $7.81 – $51.40 | 21 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $98.15 | $151.00 | $22.64 – $116.17 | 86 |
| Beta-2 microglobulin CPT 82232 | $81.90 | $126.00 | $14.39 – $73.87 | 86 |
| Beta-amyloid 1-40 CPT 82233 | $253.50 | $390.00 | $126.47 – $223.00 | 60 |
| Beta-amyloid 1-42 CPT 82234 | $253.50 | $390.00 | $126.47 – $223.00 | 60 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $10.20 | $15.69 | $3.46 – $25.70 | 21 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $7,258.65 | $11,167.16 | $72.23 – $1,580.15 | 78 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $6,355.79 | $9,778.14 | $23.39 – $465.60 | 69 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $5,588.44 | $8,597.60 | $25.31 – $503.90 | 69 |
| Bevacizumab injection HCPCS C9257 | $35.75 | $55.00 | $1.81 – $143.90 | 65 |
| B-hexosaminidase ea assay CPT 83080 | $211.25 | $325.00 | $15.01 – $76.98 | 80 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,436.61 | $2,210.17 | $44.61 – $1,536.17 | 77 |
| Bilicheck CPT 88720 | $30.55 | $47.00 | $4.47 – $22.88 | 86 |
| Bilirubin direct CPT 82248 | $18.20 | $28.00 | $4.47 – $22.88 | 86 |
| Bilirubin total CPT 82247 | $18.20 | $28.00 | $4.47 – $22.88 | 86 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $36.40 | $56.00 | $41.99 – $69.28 | 56 |
| Biofeedback, pt CPT 90901 | $42.25 | $65.00 | $15.65 – $65.31 | 57 |
| Biopsy abdominal mass CPT 49180 | $4,252.10 | $6,541.70 | $66.06 – $2,589.43 | 79 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $7,703.29 | $11,851.21 | $320.00 – $29,577.20 | 80 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $6,844.95 | $10,530.70 | $57.93 – $4,865.49 | 73 |
| Biopsy needle liver percutaneous CPT 47000 | $3,599.96 | $5,538.40 | $70.33 – $2,589.43 | 79 |
| Biopsy needle lymph node superficial CPT 38505 | $3,556.15 | $5,471.00 | $68.63 – $2,589.43 | 79 |
| Biopsy of heart lining CPT 93505 | $3,508.70 | $5,398.00 | $222.00 – $5,350.75 | 78 |
| Biopsy of prostate CPT 55700 | $8,013.34 | $12,328.21 | $161.88 – $1,824.23 | 74 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $4,374.43 | $6,729.90 | $265.45 – $4,351.77 | 79 |
| Biopsy of salivary gland 42400 CPT 42400 | $3,275.35 | $5,039.00 | $43.08 – $1,229.90 | 79 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $3,715.70 | $5,716.46 | $12.49 – $2,518.18 | 80 |
| Biopsy/removal lymph nodes CPT 38525 | $10,302.25 | $15,849.62 | $250.00 – $6,509.78 | 80 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $6,731.40 | $10,356.00 | $101.40 – $2,589.43 | 79 |
| Biopsy tongue anterior two-thirds CPT 41100 | $4,108.92 | $6,321.41 | $86.85 – $1,153.00 | 76 |
| Biospy of bladder CPT 53899 | $2,655.25 | $4,085.00 | $4.52 – $1,093.24 | 79 |
| Biotinidase - quest CPT 82261 | $87.75 | $135.00 | $15.01 – $76.98 | 86 |
| Bivalirudin HCPCS J0583 | $141.05 | $217.00 | $35.00 – $145.00 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $2,944.80 | $4,530.46 | $24.01 – $735.00 | 79 |
| Bld prd mix CPT 86965 | $152.75 | $235.00 | $5.00 – $267.11 | 68 |
| Bld push tfuj 2 yr/< CPT 36440 | $537.55 | $827.00 | $372.69 – $766.24 | 56 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $81.85 | $125.92 | $18.92 – $581.55 | 20 |
| Block plantar digital nerve CPT 64455 | $4,759.13 | $7,321.74 | $28.06 – $2,521.06 | 78 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,543.98 | $2,375.36 | $20.43 – $1,153.00 | 21 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,186.19 | $1,824.91 | $4.12 – $1,153.00 | 21 |
| Blood Clotting (PT/INR) Test CPT 85610 | $53.30 | $82.00 | $3.82 – $17.97 | 86 |
| Blood Clotting (PTT) Test CPT 85730 | $65.00 | $100.00 | $5.35 – $27.41 | 86 |
| Blood Count (CBC) Test CPT 85025 | $17.55 | $27.00 | $6.91 – $35.51 | 86 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $14.30 | $22.00 | $5.75 – $29.56 | 86 |
| Blood count spun microhematocrit CPT 85013 | $24.05 | $37.00 | $3.23 – $11.55 | 80 |
| Blood Culture Test CPT 87040 | $37.05 | $57.00 | $9.18 – $47.15 | 86 |
| Blood draw capillary 36416 CPT 36416 | $3,093.64 | $4,759.45 | $2.67 – $2,078.35 | 83 |
| Blood gases o2 saturation direct measurement CPT 82805 | $102.70 | $158.00 | $38.71 – $129.97 | 86 |
| Blood gases ph venous CPT 82800 | $31.20 | $48.00 | $9.78 – $38.63 | 86 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $52.00 | $80.00 | $14.16 – $72.63 | 86 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $35.75 | $55.00 | $3.76 – $14.86 | 86 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $35.75 | $55.00 | $3.90 – $14.86 | 86 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $29.90 | $46.00 | $4.44 – $14.86 | 80 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $33.80 | $52.00 | $3.38 – $15.69 | 86 |
| Blood split unit HCPCS P9011 | $364.00 | $560.00 | $68.23 – $252.26 | 65 |
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.