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 |
|---|---|---|---|---|
| X-ray fallopian tube CPT 74742 | $337.35 | $519.00 | $47.79 – $167.71 | 4 |
| X-ray femur >=2 views (both sides) CPT 73552 | $426.40 | $656.00 | $21.18 – $179.57 | 78 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $226.20 | $348.00 | $16.00 – $179.57 | 81 |
| X-ray foot 2 views (both sides) CPT 73620 | $375.70 | $578.00 | $17.75 – $179.57 | 81 |
| X-ray forearm 2 views (both sides) CPT 73090 | $257.40 | $396.00 | $18.03 – $179.57 | 81 |
| X-ray hand 2 views (both sides) CPT 73120 | $258.05 | $397.00 | $17.00 – $252.18 | 81 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $248.95 | $383.00 | $13.00 – $179.57 | 81 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $260.65 | $401.00 | $38.63 – $252.18 | 78 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $170.95 | $263.00 | $25.52 – $252.18 | 78 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $204.75 | $315.00 | $31.17 – $252.18 | 78 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $333.45 | $513.00 | $37.49 – $445.81 | 78 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $131.95 | $203.00 | $18.85 – $179.57 | 78 |
| X-ray humerus >= 2 views left CPT 73060 | $331.50 | $510.00 | $20.25 – $179.57 | 81 |
| X-ray joint survey 1 view CPT 77077 | $241.15 | $371.00 | $25.52 – $252.18 | 81 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $271.70 | $418.00 | $21.91 – $179.57 | 81 |
| X-ray knee 3 views (both sides) CPT 73562 | $357.50 | $550.00 | $26.63 – $179.57 | 81 |
| X-ray knee ap standing bilateral CPT 73565 | $169.00 | $260.00 | $22.00 – $179.57 | 81 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $220.35 | $339.00 | $19.97 – $179.57 | 81 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $117.65 | $181.00 | $24.97 – $252.18 | 81 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $336.05 | $517.00 | $33.02 – $252.18 | 81 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $393.90 | $606.00 | $39.13 – $252.18 | 81 |
| X-ray male genital tract CPT 74440 | $197.60 | $304.00 | $66.62 – $524.34 | 66 |
| X-ray mandible complete > 4 views CPT 70110 | $215.80 | $332.00 | $26.00 – $252.18 | 81 |
| X-ray mandible ltd <4 views CPT 70100 | $159.25 | $245.00 | $16.00 – $179.57 | 81 |
| X-ray nasal bones complete > 3 views CPT 70160 | $211.25 | $325.00 | $23.00 – $179.57 | 81 |
| X-ray neck soft tissue CPT 70360 | $192.40 | $296.00 | $10.00 – $179.57 | 81 |
| X-ray nose to rectum for foreign body child CPT 76010 | $135.20 | $208.00 | $7.20 – $179.57 | 81 |
| X-ray of mammary ducts CPT 77054 | $351.65 | $541.00 | $80.19 – $524.34 | 66 |
| X-ray optic foramina CPT 70190 | $128.05 | $197.00 | $13.00 – $179.57 | 75 |
| X-ray pelvis 1-2 views CPT 72170 | $241.15 | $371.00 | $16.36 – $252.18 | 81 |
| X-ray pelvis complete > 3 views CPT 72190 | $252.85 | $389.00 | $25.25 – $252.18 | 81 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $317.20 | $488.00 | $27.94 – $859.16 | 81 |
| X-ray ribs 2 views left CPT 71100 | $189.80 | $292.00 | $17.00 – $179.57 | 81 |
| X-ray ribs 3 views bilateral CPT 71110 | $239.20 | $368.00 | $25.00 – $252.18 | 81 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $213.85 | $329.00 | $17.00 – $252.18 | 81 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $265.85 | $409.00 | $31.08 – $252.18 | 81 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $167.05 | $257.00 | $21.00 – $252.18 | 81 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $213.85 | $329.00 | $17.00 – $179.57 | 81 |
| X-ray scapula complete (both sides) CPT 73010 | $349.05 | $537.00 | $12.75 – $252.18 | 81 |
| X-ray sella turcica CPT 70240 | $124.15 | $191.00 | $17.00 – $179.57 | 75 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $274.30 | $422.00 | $11.92 – $179.57 | 81 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $189.80 | $292.00 | $22.75 – $179.57 | 81 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $389.35 | $599.00 | $29.30 – $1,116.50 | 72 |
| X-ray skull < 4 views CPT 70250 | $177.45 | $273.00 | $22.00 – $252.18 | 81 |
| X-ray skull > 4 views complete CPT 70260 | $321.10 | $494.00 | $26.08 – $252.18 | 81 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $339.95 | $523.00 | $48.00 – $252.18 | 81 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $337.35 | $519.00 | $35.00 – $410.00 | 81 |
| X-ray small intestine follow-through study CPT 74248 | $411.45 | $633.00 | $41.35 – $70.85 | 7 |
| X-ray spine single view CPT 72020 | $145.60 | $224.00 | $13.86 – $179.57 | 81 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $177.45 | $273.00 | $18.00 – $179.57 | 81 |
| X-ray sternum > 2 views CPT 71120 | $130.65 | $201.00 | $14.00 – $179.57 | 81 |
| X-ray surgical specimen CPT 76098 | $308.75 | $475.00 | $14.00 – $1,116.50 | 81 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $396.50 | $610.00 | $29.00 – $410.00 | 81 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $168.35 | $259.00 | $22.00 – $179.57 | 81 |
| X-ray thoracic spine 2 views CPT 72070 | $202.15 | $311.00 | $19.41 – $252.18 | 81 |
| X-ray thoracic spine 3 views CPT 72072 | $218.40 | $336.00 | $24.14 – $252.18 | 81 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $187.85 | $289.00 | $20.53 – $179.57 | 81 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $164.45 | $253.00 | $23.51 – $179.57 | 78 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $359.45 | $553.00 | $42.84 – $252.18 | 78 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $300.30 | $462.00 | $19.97 – $179.57 | 81 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $206.05 | $317.00 | $13.00 – $179.57 | 81 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $471.25 | $725.00 | $41.00 – $410.00 | 81 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $612.30 | $942.00 | $30.00 – $410.00 | 81 |
| X-ray wrist 2 views (both sides) CPT 73100 | $403.00 | $620.00 | $19.00 – $179.57 | 81 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $233.35 | $359.00 | $35.00 – $410.00 | 75 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $90.15 | $138.70 | $1.48 – $112.40 | 72 |
| Zidovudine, oral, 100 mg HCPCS S0104 | $76.05 | $117.00 | $38.16 – $118.08 | 7 |
| Zika virus dna/rna amp probe CPT 87662 | $587.60 | $904.00 | $45.64 – $143.80 | 71 |
| Zika virus igm antibody CPT 86794 | $240.50 | $370.00 | $14.99 – $47.22 | 78 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $101.24 | $155.76 | $11.84 – $68.08 | 12 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $7,286.50 | $11,210.00 | $7.09 – $2,126.99 | 78 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $3,682.90 | $5,666.00 | $33.03 – $6,262.00 | 63 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $604.50 | $930.00 | $22.40 – $957.21 | 21 |
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.