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 |
|---|---|---|---|---|
| Blood typing abo CPT 86900 | $10.40 | $16.00 | $2.66 – $208.60 | 86 |
| Blood typing ag donor ea ag CPT 86902 | $13.65 | $21.00 | $5.22 – $561.98 | 86 |
| Blood typing patient serum CPT 86904 | $46.15 | $71.00 | $12.97 – $92.49 | 86 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $27.30 | $42.00 | $3.41 – $561.98 | 86 |
| Blood typing rh (d) CPT 86901 | $10.40 | $16.00 | $2.66 – $79.45 | 86 |
| Blood typing rh phenotype complete reference CPT 86906 | $43.55 | $67.00 | $6.89 – $58.56 | 86 |
| Blood volume CPT 78122 | $755.95 | $1,163.00 | $64.88 – $1,109.46 | 75 |
| Bone Density Scan (DEXA) CPT 77080 | $321.10 | $494.00 | $53.89 – $352.03 | 81 |
| Bone imaging multiple areas CPT 78305 | $987.35 | $1,519.00 | $46.00 – $828.29 | 81 |
| Bone/joint imaging ltd area CPT 78300 | $739.70 | $1,138.00 | $23.00 – $828.29 | 83 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,230.08 | $4,969.35 | $53.49 – $4,865.49 | 66 |
| Bone marrow imaging mult CPT 78103 | $672.75 | $1,035.00 | $65.00 – $828.29 | 75 |
| Bone marrow interpretation CPT 85097 | $213.20 | $328.00 | $36.80 – $1,263.17 | 72 |
| Bone survey-lead poisoning CPT 77074 | $336.70 | $518.00 | $37.23 – $252.18 | 81 |
| Boot j walker l HCPCS L4386 | $63.70 | $98.00 | $192.16 – $317.07 | 57 |
| Boot mlti podous univ xlg HCPCS L4396 | $260.65 | $401.00 | $203.46 – $335.72 | 57 |
| Boot softgait shrt m HCPCS L4387 | $33.80 | $52.00 | $192.16 – $317.07 | 57 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $325.00 | $500.00 | $312.13 – $515.04 | 57 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $204.75 | $315.00 | $15.15 – $77.77 | 86 |
| Borrelia miyamotoi amp prb CPT 87478 | $173.55 | $267.00 | $31.58 – $56.80 | 64 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $86.12 | $132.50 | $77.70 – $2,254.79 | 20 |
| Bowel imaging CPT 78290 | $880.10 | $1,354.00 | $79.00 – $888.37 | 81 |
| Brace afo lg left 6607 HCPCS L1930 | $365.30 | $562.00 | $355.56 – $586.70 | 57 |
| Brace afopos solid ankle cust HCPCS L1960 | $523.25 | $805.00 | $624.85 – $1,031.03 | 57 |
| Brace ank air stirrup univ HCPCS L4350 | $59.15 | $91.00 | $103.63 – $171.00 | 49 |
| Brace ankle joint dflxn assist HCPCS L2210 | $76.05 | $117.00 | $75.77 – $125.03 | 57 |
| Brace ankle stablizing lg HCPCS L1902 | $158.60 | $244.00 | $119.99 – $197.98 | 49 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $427.05 | $657.00 | $498.23 – $822.11 | 57 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $1,864.85 | $2,869.00 | $1,801.59 – $2,972.71 | 57 |
| Brace back t-lso custom HCPCS L0486 | $2,080.00 | $3,200.00 | $2,161.74 – $3,566.98 | 57 |
| Brace cust back lso HCPCS L0631 | $1,267.50 | $1,950.00 | $1,244.27 – $2,053.11 | 49 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $364.00 | $560.00 | $406.08 – $670.04 | 49 |
| Brace knee extender plus 22-30in HCPCS L1832 | $733.85 | $1,129.00 | $685.36 – $1,130.87 | 57 |
| Brace knee postop tscope xl HCPCS L1845 | $858.65 | $1,321.00 | $1,055.87 – $1,742.24 | 57 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $169.00 | $260.00 | $120.56 – $198.94 | 49 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,272.70 | $1,958.00 | $1,472.50 – $2,429.70 | 57 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,277.25 | $1,965.00 | $1,205.44 – $1,989.04 | 49 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $289.25 | $445.00 | $275.83 – $455.13 | 57 |
| Brace tlso flex cust HCPCS L0450 | $703.30 | $1,082.00 | $142.34 – $234.87 | 49 |
| Brace wrist classic lft sm HCPCS L3908 | $61.10 | $94.00 | $66.09 – $109.05 | 57 |
| Brach/thor cath 1st CPT 36215 | $19,302.69 | $29,696.44 | $252.32 – $18,099.34 | 78 |
| Brach/thor cath 2nd CPT 36216 | $19,302.69 | $29,696.44 | $217.27 – $18,099.34 | 78 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $145.60 | $224.00 | $291.88 – $578.67 | 57 |
| Brachytx isodose complex CPT 77318 | $2,568.80 | $3,952.00 | $213.66 – $765.08 | 68 |
| Brachytx isodose intermed CPT 77317 | $1,491.75 | $2,295.00 | $157.48 – $765.08 | 75 |
| Brachytx isodose plan simple CPT 77316 | $10,860.20 | $16,708.00 | $120.66 – $765.08 | 81 |
| Braf gene CPT 81210 | $452.40 | $696.00 | $70.42 – $599.85 | 86 |
| Brain flow imaging only CPT 78610 | $531.70 | $818.00 | $20.00 – $1,109.46 | 75 |
| Brain image 4+ views CPT 78605 | $744.25 | $1,145.00 | $43.00 – $1,109.46 | 28 |
| Brain image w/flow < 4 views CPT 78601 | $932.10 | $1,434.00 | $46.00 – $828.29 | 28 |
| Brain image w/flow 4 + views CPT 78606 | $1,291.55 | $1,987.00 | $56.00 – $1,109.46 | 28 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,308.80 | $3,552.00 | $224.84 – $3,535.68 | 77 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,795.95 | $2,763.00 | $144.77 – $2,312.36 | 77 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,574.30 | $2,422.00 | $134.87 – $2,351.10 | 77 |
| Brain MRI (with and without contrast) CPT 70553 | $2,925.65 | $4,501.00 | $183.49 – $1,895.70 | 77 |
| Brain MRI (with contrast) CPT 70552 | $2,343.90 | $3,606.00 | $162.10 – $1,658.29 | 77 |
| Brain MRI (without contrast) CPT 70551 | $1,973.40 | $3,036.00 | $110.20 – $1,470.99 | 77 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $39.00 | $60.00 | $45.05 – $74.33 | 57 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $29,968.61 | $46,105.56 | $263.35 – $26,214.50 | 78 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $13,629.90 | $20,969.07 | $55.52 – $11,768.20 | 79 |
| Bronch ebus samplng 1/2 node CPT 31652 | $13,629.90 | $20,969.07 | $183.06 – $11,768.20 | 79 |
| Bronch ebus samplng 3/> node CPT 31653 | $15,551.36 | $23,925.17 | $202.70 – $11,768.20 | 78 |
| Bronchial challenge CPT 94070 | $679.90 | $1,046.00 | $51.00 – $667.17 | 74 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $18,001.54 | $27,694.68 | $40.23 – $11,768.20 | 79 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $13,423.44 | $20,651.45 | $146.69 – $6,267.82 | 80 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $18,001.54 | $27,694.68 | $52.15 – $11,768.20 | 79 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $14,237.67 | $21,904.11 | $155.48 – $11,768.20 | 80 |
| Bronchoscopy treat blockage CPT 31641 | $15,071.24 | $23,186.52 | $207.24 – $6,267.82 | 80 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $16,964.30 | $26,098.92 | $129.76 – $6,267.82 | 80 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $7.15 | $11.00 | $0.54 – $1.32 | 12 |
| Bundled special stain group 1 microorganisms CPT 88312 | $4,740.63 | $7,293.28 | $13.00 – $193.70 | 87 |
| Bundled special stain group 2 CPT 88313 | $4,019.85 | $6,184.38 | $7.00 – $208.60 | 87 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $24.24 | $37.29 | $0.12 – $0.48 | 12 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $3.25 | $5.00 | $1.33 – $12.70 | 10 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.25 | $5.00 | $2.64 – $25.14 | 10 |
| Buprenorphine and metabolite - sendout CPT 80348 | $191.75 | $295.00 | $29.55 – $67.08 | 10 |
| Buprenorphine oral 1mg HCPCS J0571 | $4.52 | $6.95 | $0.80 – $1.72 | 11 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $30.91 | $47.55 | $3.94 – $20.62 | 20 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $7,879.42 | $12,122.18 | $320.00 – $10,056.62 | 80 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $7,439.07 | $11,444.72 | $214.89 – $6,509.78 | 80 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $4,542.45 | $6,988.38 | $127.31 – $5,075.27 | 78 |
| Bx pancreas pq ndl CPT 48102 | $4,606.55 | $7,087.00 | $188.26 – $2,589.43 | 79 |
| Bx perianal mass CPT 46999 | $4,716.22 | $7,255.73 | $22.00 – $1,615.17 | 76 |
| Bx pleura pq ndl CPT 32400 | $5,065.58 | $7,793.20 | $67.33 – $2,589.43 | 79 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $8,272.61 | $12,727.10 | $4.52 – $5,526.57 | 70 |
| Bx prst8 ndl sat sampling CPT 55706 | $6,413.93 | $9,867.58 | $185.58 – $5,526.57 | 78 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $3,935.86 | $6,055.17 | $52.44 – $1,599.70 | 76 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $3,937.06 | $6,057.01 | $46.66 – $5,075.27 | 78 |
| C-1 esterase, berinert HCPCS J0597 | $8,951.58 | $13,771.66 | $74.42 – $14,110.00 | 72 |
| C1 esterase inhibitor func - sendout CPT 86161 | $198.90 | $306.00 | $10.67 – $54.84 | 86 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $25,799.18 | $39,691.04 | $226.41 – $51,513.60 | 79 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $37.05 | $57.00 | $13.20 – $83.63 | 20 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,612.00 | $2,480.00 | $40.46 – $2,592.00 | 20 |
| Calcium 24 hour urine CPT 82340 | $65.00 | $100.00 | $5.36 – $27.55 | 86 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $62.43 | $96.05 | $7.50 – $20.00 | 4 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $15.47 | $23.80 | $1.50 – $6.00 | 12 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $121.96 | $187.63 | $8.00 – $32.00 | 12 |
| Calcium ionized CPT 82330 | $88.40 | $136.00 | $12.17 – $60.30 | 86 |
| Calcium total CPT 82310 | $48.75 | $75.00 | $4.59 – $23.56 | 86 |
| Calculi urinary-sendout CPT 82360 | $134.55 | $207.00 | $11.45 – $58.76 | 86 |
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.