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 |
|---|---|---|---|---|
| Calculus analysis qual CPT 82355 | $116.35 | $179.00 | $10.30 – $52.84 | 86 |
| Calprotectin fecal CPT 83993 | $123.50 | $190.00 | $17.46 – $89.62 | 86 |
| Campylobacter antibody CPT 86625 | $75.40 | $116.00 | $11.67 – $59.91 | 80 |
| Candida dna CPT 87480 | $34.45 | $53.00 | $17.83 – $91.55 | 86 |
| Carbamazepine free CPT 80157 | $66.30 | $102.00 | $11.79 – $60.54 | 80 |
| Carbamazepine total therapeutic drug level CPT 80156 | $77.35 | $119.00 | $12.96 – $66.49 | 86 |
| Carbohydrate deficient transf - sendout CPT 82373 | $83.85 | $129.00 | $10.28 – $82.42 | 86 |
| Carbon dioxide CPT 82374 | $40.95 | $63.00 | $4.34 – $22.32 | 86 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $141.09 | $217.06 | $40.08 – $3,117.62 | 20 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $185.25 | $285.00 | $13.44 – $291.60 | 62 |
| Carboxyhemoglobin quantitative CPT 82375 | $105.30 | $162.00 | $10.96 – $56.25 | 86 |
| Carcinoembryonic ag (cea) CPT 82378 | $172.90 | $266.00 | $16.86 – $86.61 | 86 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $828.10 | $1,274.00 | $138.07 – $2,862.43 | 81 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $313.30 | $482.00 | $107.33 – $223.89 | 65 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $178.75 | $275.00 | $107.33 – $107.33 | 1 |
| Cardiolipin antibody iga CPT 86147 | $139.75 | $215.00 | $22.64 – $116.17 | 86 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,294.15 | $1,991.00 | $76.00 – $1,153.00 | 76 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $8,616.90 | $13,256.77 | $54.55 – $1,086.00 | 78 |
| Carotene CPT 82380 | $103.35 | $159.00 | $8.20 – $42.12 | 80 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,127.75 | $1,735.00 | $70.00 – $467.76 | 75 |
| Car outp meas drg cath chd CPT 93598 | $261.95 | $403.00 | not published | 0 |
| Carpal Tunnel Release Surgery CPT 64721 | $2,326.82 | $3,579.73 | $320.00 – $3,319.71 | 80 |
| Car seat/bed test 60 minutes CPT 94780 | $99.45 | $153.00 | $19.14 – $73.86 | 62 |
| Car seat/bed test additional 30 minutes CPT 94781 | $50.05 | $77.00 | $27.22 – $31.39 | 2 |
| Cataract Surgery CPT 66984 | $3,037.74 | $4,673.44 | $363.00 – $3,877.24 | 80 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,191.30 | $12,602.00 | $176.70 – $5,467.90 | 77 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $50.05 | $77.00 | $3.00 – $15.12 | 83 |
| Cath left heart/lv gram CPT 93452 | $5,373.55 | $8,267.00 | $134.65 – $5,467.90 | 77 |
| Cath left heart transseptal punc CPT 93462 | $6,088.55 | $9,367.00 | $178.89 – $4,578.00 | 8 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $8,380.45 | $12,893.00 | $229.30 – $5,467.90 | 77 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $8,340.15 | $12,831.00 | $174.09 – $5,467.90 | 77 |
| Cath plc art/grft/angio right hrt CPT 93457 | $10,253.10 | $15,774.00 | $194.88 – $5,467.90 | 77 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,891.55 | $5,987.00 | $76.89 – $5,467.90 | 77 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $984.59 | $1,514.75 | $46.54 – $735.00 | 77 |
| Cath stripping venous s&i CPT 75901 | $516.10 | $794.00 | $171.01 – $448.04 | 13 |
| Cauterization of cervix 57510 CPT 57510 | $5,754.48 | $8,853.04 | $91.29 – $8,391.97 | 79 |
| Cdna analysis for variants CPT 81403 | $525.20 | $808.00 | $125.76 – $356.54 | 79 |
| Cebpa gene full sequence CPT 81218 | $423.15 | $651.00 | $215.17 – $747.99 | 76 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $34.12 | $52.49 | $0.81 – $10.33 | 21 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $30.26 | $46.55 | $2.48 – $33.05 | 21 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $721.15 | $1,109.46 | $4.16 – $630.40 | 72 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $33.96 | $52.25 | $3.22 – $27.56 | 21 |
| Ceftazidime and avibactam HCPCS J0714 | $1,346.57 | $2,071.64 | $102.72 – $1,558.08 | 79 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $18.52 | $28.50 | $0.45 – $26.88 | 21 |
| #celiac hla-dq2 CPT 81377 | $295.10 | $454.00 | $84.27 – $2,113.14 | 79 |
| Cell count body fluid CPT 89050 | $49.40 | $76.00 | $4.20 – $21.58 | 86 |
| Cell count w differential body fluid CPT 89051 | $19.50 | $30.00 | $4.98 – $25.13 | 86 |
| Cell cryopreserve/storage CPT 88240 | $31.85 | $49.00 | $11.63 – $46.12 | 79 |
| Cell function assay w/stim CPT 86352 | $315.90 | $486.00 | $0.54 – $620.31 | 80 |
| Cell marker study CPT 88182 | $56.55 | $87.00 | $34.00 – $210.45 | 85 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $25,792.84 | $39,681.29 | $28.15 – $19,656.00 | 69 |
| Cerebrospinal fld flw imag CPT 78645 | $743.60 | $1,144.00 | $69.00 – $1,109.46 | 81 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $14,337.63 | $22,057.90 | $3.79 – $5,752.00 | 79 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,869.68 | $5,953.35 | $78.82 – $1,569.10 | 78 |
| #cf-97variants CPT 81220 | $575.90 | $886.00 | $372.00 – $1,071.55 | 79 |
| Cftr gene dup/delet variants CPT 81222 | $895.05 | $1,377.00 | $108.34 – $837.61 | 71 |
| Change cystostomy tube; complex 51710 CPT 51710 | $12,137.93 | $18,673.74 | $66.15 – $8,642.15 | 80 |
| Change cystostomy tube simple CPT 51705 | $4,336.40 | $6,671.38 | $42.61 – $3,482.47 | 79 |
| Change of ureter tube/stent CPT 50688 | $4,666.92 | $7,179.88 | $64.21 – $3,482.47 | 80 |
| Change of windpipe airway 31502 CPT 31502 | $2,861.18 | $4,401.81 | $27.76 – $2,931.60 | 79 |
| Chemo adm cns w/lmbr punct CPT 96450 | $481.65 | $741.00 | $243.07 – $523.06 | 68 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $2,023.45 | $3,113.00 | $6.39 – $7,266.00 | 74 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $130.00 | $200.00 | $62.15 – $1,153.00 | 9 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $461.50 | $710.00 | $91.38 – $1,225.99 | 75 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $2,023.45 | $3,113.00 | $84.52 – $7,266.00 | 81 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $1,590.58 | $2,447.05 | $94.73 – $735.00 | 69 |
| Chemodenerv musc migraine 64615 CPT 64615 | $2,938.15 | $4,520.23 | $93.83 – $3,754.10 | 70 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $2,923.41 | $4,497.55 | $85.55 – $4,117.40 | 81 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $89.05 | $137.00 | $91.87 – $1,577.00 | 64 |
| Chemo extend IV infus w/pump HCPCS G0498 | $462.15 | $711.00 | $282.76 – $517.86 | 61 |
| Chemo ia push tecnique CPT 96420 | $290.55 | $447.00 | $89.21 – $523.06 | 68 |
| Chemo intralesional over 7 CPT 96406 | $148.85 | $229.00 | $34.72 – $336.83 | 68 |
| Chemo intralesional up to 7 96405 CPT 96405 | $98.80 | $152.00 | $60.68 – $126.98 | 61 |
| Chemotx admn pertl cav impl CPT 96446 | $390.00 | $600.00 | $16.48 – $523.06 | 68 |
| Chest 2 vws w oblique CPT 71048 | $286.65 | $441.00 | $26.08 – $252.18 | 78 |
| Chest apical lordotic proj CPT 71047 | $282.10 | $434.00 | $23.93 – $179.57 | 78 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,790.75 | $2,755.00 | $119.08 – $1,498.41 | 77 |
| Chest CT scan (with contrast) CPT 71260 | $1,519.70 | $2,338.00 | $95.38 – $1,205.31 | 77 |
| Chest CT scan (without contrast) CPT 71250 | $982.15 | $1,511.00 | $71.34 – $955.82 | 77 |
| Chest X-ray CPT 71046 | $265.85 | $409.00 | $19.41 – $179.57 | 78 |
| Chest X-ray (single view) CPT 71045 | $145.60 | $224.00 | $11.86 – $179.57 | 78 |
| Chg pr pul rehab for copd patients CPT 94626 | $308.75 | $475.00 | $22.46 – $105.47 | 61 |
| Chlamydia culture CPT 87110 | $88.40 | $136.00 | $17.43 – $89.45 | 80 |
| Chlamydia type CPT 87140 | $33.15 | $51.00 | $4.95 – $25.47 | 80 |
| Chlnggrphy intraop addl s&i CPT 74301 | $233.35 | $359.00 | $12.98 – $141.45 | 18 |
| Chloramphenicol sodium injec HCPCS J0720 | $150.21 | $231.09 | $5.75 – $157.62 | 71 |
| Chloride CPT 82435 | $48.75 | $75.00 | $4.09 – $20.99 | 86 |
| Chloride 24 hour urine CPT 82436 | $58.50 | $90.00 | $5.11 – $22.94 | 86 |
| Chloroprocaine hcl injection HCPCS J2401 | $78.79 | $121.22 | $9.00 – $42.00 | 12 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $599.87 | $922.87 | $10.66 – $216.22 | 21 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $17.66 | $27.17 | $10.33 – $88.42 | 21 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $245.70 | $378.00 | $282.76 – $572.40 | 61 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $520.65 | $801.00 | $24.00 – $141.45 | 18 |
| Cholesterol CPT 82465 | $48.10 | $74.00 | $3.87 – $19.84 | 86 |
| Cholesterol body fluid CPT 84999 | $1,218.10 | $1,874.00 | $116.70 – $116.70 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $89.70 | $138.00 | $11.91 – $58.06 | 86 |
| Cholinesterase CPT 82480 | $58.50 | $90.00 | $7.00 – $35.97 | 86 |
| Chrom analysis CPT 88273 | $68.90 | $106.00 | $30.96 – $146.70 | 80 |
| Chromatography CPT 83021 | $136.50 | $210.00 | $16.06 – $82.42 | 86 |
| Chromogenic substrate assay CPT 85130 | $218.40 | $336.00 | $8.50 – $29.99 | 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.