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 |
|---|---|---|---|---|
| Chromo high res and frag x - sendout CPT 81243 | $224.25 | $345.00 | $50.74 – $157.43 | 79 |
| Chromosome analysis 15-20 cell count CPT 88262 | $455.00 | $700.00 | $111.62 – $569.05 | 86 |
| Chromosome analysis 5 CPT 88261 | $404.95 | $623.00 | $235.13 – $806.88 | 80 |
| Chromosome count additional CPT 88285 | $46.80 | $72.00 | $23.94 – $86.73 | 86 |
| Chromosome karyotype study CPT 88280 | $38.35 | $59.00 | $29.77 – $114.59 | 86 |
| Chronic urticaria - sendout CPT 86343 | $99.45 | $153.00 | $11.08 – $56.92 | 86 |
| Chylomicron screen, bf - sendout CPT 82664 | $163.15 | $251.00 | $46.87 – $156.85 | 80 |
| Cidofovir injection HCPCS J0740 | $1,491.10 | $2,294.00 | $301.10 – $1,951.08 | 79 |
| Cilastatin sodium injection HCPCS J0743 | $92.57 | $142.41 | $14.40 – $69.10 | 21 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $24.70 | $38.00 | $0.83 – $27.81 | 21 |
| Circum 28 days or older CPT 54161 | $3,817.88 | $5,873.66 | $163.60 – $3,482.47 | 80 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $617.93 | $950.66 | $119.74 – $1,577.00 | 79 |
| Circumcision (newborn) CPT 54150 | $617.93 | $950.66 | $119.74 – $1,577.00 | 79 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $1,144.00 | $1,760.00 | $12.35 – $318.48 | 20 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $480.35 | $739.00 | $293.09 – $747.99 | 83 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $996.12 | $1,532.50 | $7.28 – $1,107.76 | 78 |
| Clearance of airways CPT 31720 | $144.30 | $222.00 | $42.23 – $1,153.00 | 66 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $44.77 | $68.88 | $1.84 – $7.12 | 12 |
| Cllr miami j sm HCPCS L0174 | $490.10 | $754.00 | $309.67 – $510.98 | 57 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $4,329.00 | $6,660.00 | $14.10 – $5,298.63 | 71 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $96.77 | $148.87 | $6.45 – $64.08 | 21 |
| Closure paravalvlr leak pq CPT 33999 | $8,207.99 | $12,627.68 | $10.15 – $1,153.00 | 76 |
| Clot factor xii hageman CPT 85280 | $110.50 | $170.00 | $17.21 – $88.36 | 86 |
| Clot factor xiii fibrin scrn CPT 85291 | $98.15 | $151.00 | $8.10 – $40.63 | 80 |
| Clot factor xiii fibrin stab CPT 85290 | $115.70 | $178.00 | $14.53 – $74.64 | 86 |
| Clozapine, 25 mg HCPCS S0136 | $4.87 | $7.50 | $0.72 – $2.40 | 7 |
| Cmbn ant pst colprhy CPT 57260 | $12,152.82 | $18,696.65 | $297.00 – $12,571.18 | 80 |
| #cmvcul-virus inoculation shell CPT 87254 | $133.25 | $205.00 | $6.99 – $89.29 | 86 |
| Cmv pcr-sendout CPT 87496 | $61.75 | $95.00 | $31.58 – $160.20 | 83 |
| Co2 monitor per day CPT 94681 | $518.05 | $797.00 | $34.00 – $667.17 | 74 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $11,888.50 | $18,290.00 | $870.00 – $9,760.00 | 25 |
| Coagulation time activated teg CPT 85347 | $61.75 | $95.00 | $3.81 – $18.28 | 86 |
| Cold agglutinin screen (arc) CPT 86156 | $61.75 | $95.00 | $7.18 – $30.59 | 86 |
| Cold agglutinin titer CPT 86157 | $69.55 | $107.00 | $7.17 – $36.81 | 86 |
| Colistimethate sodium inj HCPCS J0770 | $86.42 | $132.96 | $12.16 – $53.05 | 21 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $5.85 | $9.00 | $29.92 – $49.37 | 56 |
| Collar cerv ascend 172 reg HCPCS L0172 | $235.30 | $362.00 | $158.88 – $262.16 | 57 |
| Collar cerv patriot adlt HCPCS L0150 | $28.60 | $44.00 | $121.82 – $201.01 | 49 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $875.19 | $1,346.45 | $23.02 – $1,268.00 | 75 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $785.85 | $1,209.00 | $28.46 – $735.00 | 75 |
| Collection of venous blood by venipuncture CPT 36415 | $198.25 | $305.00 | $3.00 – $120.96 | 75 |
| Colonoscopy (diagnostic) CPT 45378 | $2,142.53 | $3,296.20 | $11.20 – $1,458.02 | 76 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $2,911.49 | $4,479.22 | $161.47 – $2,078.35 | 77 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $3,037.12 | $4,672.49 | $181.62 – $2,078.35 | 77 |
| Colonoscopy submucous njx CPT 45381 | $3,963.24 | $6,097.30 | $161.84 – $2,078.35 | 77 |
| Colonoscopy thru stoma spx CPT 44388 | $2,681.90 | $4,126.00 | $127.03 – $1,615.17 | 77 |
| Colonoscopy w/ablation CPT 45388 | $2,975.70 | $4,578.00 | $217.27 – $2,078.35 | 76 |
| Colonoscopy w/balloon dilat CPT 45386 | $3,429.86 | $5,276.71 | $170.79 – $2,078.35 | 77 |
| Colonoscopy w/control bleed CPT 45382 | $3,116.20 | $4,794.16 | $207.48 – $2,078.35 | 77 |
| Colonoscopy (with biopsy) CPT 45380 | $3,337.08 | $5,133.97 | $161.84 – $2,078.35 | 77 |
| Colonoscopy with biopsy CPT 44389 | $2,749.31 | $4,229.71 | $139.23 – $2,078.35 | 77 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,960.72 | $4,554.96 | $204.17 – $2,078.35 | 77 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $5,416.56 | $8,333.17 | $18.20 – $8,391.97 | 79 |
| Colpopexy extraperitoneal CPT 57282 | $11,986.68 | $18,441.05 | $297.00 – $12,571.18 | 79 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $5,648.57 | $8,690.11 | $145.62 – $5,075.27 | 78 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $61.75 | $95.00 | $42.14 – $267.11 | 78 |
| Compatibility test each unit electronic CPT 86923 | $61.75 | $95.00 | $6.80 – $267.11 | 75 |
| Compatibility test each unit immediate spin technique CPT 86920 | $44.85 | $69.00 | $14.05 – $267.11 | 78 |
| Compatibility test incubate CPT 86921 | $44.85 | $69.00 | $18.72 – $267.11 | 78 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $858.00 | $1,320.00 | $196.65 – $1,093.24 | 76 |
| Complement antigen each component c3 CPT 86160 | $132.60 | $204.00 | $10.67 – $54.84 | 86 |
| Complete removal of vulva CPT 56625 | $4,032.44 | $6,203.76 | $250.00 – $5,075.27 | 79 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $4,636.89 | $7,133.67 | $172.57 – $735.00 | 77 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $6,190.52 | $9,523.88 | $189.23 – $1,283.64 | 77 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $5,102.90 | $7,850.61 | $253.19 – $5,513.22 | 80 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $3,973.09 | $6,112.44 | $102.87 – $2,589.43 | 79 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $3,549.77 | $5,461.18 | $172.57 – $2,589.43 | 79 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $5,755.09 | $8,853.99 | $61.55 – $2,589.43 | 79 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $6,833.79 | $10,513.53 | $53.98 – $4,865.49 | 80 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,678.65 | $4,121.00 | $331.49 – $801.97 | 59 |
| Concentration infection agents any type CPT 87015 | $36.40 | $56.00 | $5.94 – $30.49 | 86 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $4,703.42 | $7,236.03 | $205.40 – $5,075.27 | 79 |
| Conization of cervix CPT 57520 | $3,852.15 | $5,926.39 | $241.34 – $5,075.27 | 79 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,195.05 | $1,838.54 | $3.68 – $1,457.36 | 79 |
| Consultation pathology during surgery CPT 88329 | $7,400.98 | $11,386.12 | $26.05 – $850.58 | 87 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $208.65 | $321.00 | $19.50 – $1,263.17 | 85 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $6,845.85 | $10,532.07 | $10.72 – $4,554.10 | 87 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $7,758.53 | $11,936.20 | $31.20 – $726.40 | 87 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $6,836.91 | $10,518.33 | $25.06 – $1,458.70 | 87 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $3,827.76 | $5,888.86 | $26.05 – $674.19 | 87 |
| Consult comp w/report rfrd material CPT 88325 | $2,943.85 | $4,529.00 | $36.44 – $567.50 | 87 |
| Contrast baths charges CPT 97034 | $44.20 | $68.00 | $11.94 – $55.88 | 62 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,467.40 | $3,796.00 | $49.96 – $6,235.38 | 72 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,289.65 | $5,061.00 | $56.88 – $10,341.43 | 71 |
| Contrast x-ray gallbladder CPT 74290 | $233.35 | $359.00 | $34.00 – $410.00 | 75 |
| Contrast x-ray of ankle CPT 73615 | $438.75 | $675.00 | $84.12 – $859.16 | 75 |
| Contrast x-ray of elbow CPT 73085 | $419.90 | $646.00 | $62.18 – $859.16 | 72 |
| Contrast x-ray of hip CPT 73525 | $761.15 | $1,171.00 | $84.12 – $859.16 | 72 |
| Contrast x-ray of knee joint CPT 73580 | $447.85 | $689.00 | $66.90 – $859.16 | 72 |
| Contrast x-ray of wrist CPT 73115 | $301.60 | $464.00 | $90.23 – $859.16 | 72 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $16,419.24 | $25,260.37 | $250.00 – $8,642.15 | 80 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $2,575.79 | $3,962.76 | $44.96 – $10,056.62 | 79 |
| Coombs direct CPT 86880 | $74.75 | $115.00 | $4.79 – $92.49 | 86 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $121.55 | $187.00 | $5.09 – $267.11 | 86 |
| Coombs indirect titer reference CPT 86886 | $144.30 | $222.00 | $4.61 – $267.11 | 86 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,594.45 | $2,453.00 | $535.59 – $1,206.98 | 64 |
| Core ndl bx lng/med perq CPT 32408 | $5,485.48 | $8,439.20 | $120.78 – $2,589.43 | 74 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,925.20 | $16,808.00 | $186.62 – $5,467.90 | 77 |
| Coronary angio/lv gram/lt heart CPT 93458 | $7,267.00 | $11,180.00 | $165.64 – $5,467.90 | 77 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $12,306.45 | $18,933.00 | $207.90 – $5,467.90 | 77 |
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.