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 |
|---|---|---|---|---|
| Coronary art/grft angio s&i CPT 93455 | $9,557.60 | $14,704.00 | $156.71 – $5,467.90 | 77 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $8,321.95 | $12,803.00 | $135.87 – $5,467.90 | 77 |
| Cortisol acth stimulation test - sendout CPT 80400 | $212.55 | $327.00 | $29.02 – $148.92 | 86 |
| Cortisol total am CPT 82533 | $61.75 | $95.00 | $14.50 – $74.43 | 86 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $329.07 | $506.26 | $18.54 – $207.02 | 21 |
| Co-treatment - group 15 mins, st CPT 92508 | $141.05 | $217.00 | $5.94 – $73.37 | 72 |
| Counseling smoke cess interm >10mins CPT 99407 | $71.50 | $110.00 | $20.54 – $66.99 | 64 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $42.90 | $66.00 | $35.39 – $64.36 | 64 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $482.95 | $743.00 | $418.98 – $691.33 | 49 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $482.95 | $743.00 | $418.98 – $691.33 | 49 |
| #covid19rsv-rsv CPT 87634 | $146.25 | $225.00 | $62.44 – $196.72 | 78 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $68.25 | $105.00 | $11.59 – $59.46 | 80 |
| C-peptide CPT 84681 | $60.45 | $93.00 | $18.51 – $95.00 | 86 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,641.90 | $2,526.00 | $92.00 – $1,109.46 | 81 |
| C-reactive protein CPT 86140 | $24.70 | $38.00 | $4.61 – $23.63 | 86 |
| C-reactive protein high sensitivity CPT 86141 | $130.00 | $200.00 | $11.52 – $59.10 | 86 |
| Create eardrum opening CPT 69436 | $2,342.29 | $3,603.53 | $128.41 – $5,513.22 | 80 |
| Creatine kinase CPT 82550 | $23.40 | $36.00 | $5.79 – $29.72 | 86 |
| Creatine kinase isoenzymes CPT 82552 | $89.05 | $137.00 | $11.91 – $61.17 | 86 |
| Creatine kinase mb CPT 82553 | $108.55 | $167.00 | $10.27 – $52.71 | 86 |
| Creatinine CPT 82565 | $78.65 | $121.00 | $4.55 – $23.39 | 86 |
| Creatinine 24 hour urine CPT 82570 | $65.00 | $100.00 | $4.61 – $23.63 | 86 |
| Creatinine clearance urine CPT 82575 | $83.85 | $129.00 | $8.41 – $43.13 | 86 |
| #creutz-prot.,western blot CPT 84182 | $239.20 | $368.00 | $24.55 – $82.18 | 86 |
| Critical care 30-74 minutes CPT 99291 | $2,858.05 | $4,397.00 | $718.31 – $1,647.27 | 57 |
| Critical care each additional 30 minutes CPT 99292 | $692.25 | $1,065.00 | $106.50 – $196.48 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | $6,443.97 | $9,913.80 | $1,779.64 – $6,794.64 | 63 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $37.70 | $58.00 | $11.71 – $39.20 | 80 |
| Cryoprecipitate each unit HCPCS P9012 | $119.60 | $184.00 | $39.75 – $116.47 | 64 |
| Cryptosporidium antigen CPT 87272 | $45.50 | $70.00 | $10.66 – $41.12 | 80 |
| Crystal identification light microscopy CPT 89060 | $31.85 | $49.00 | $6.52 – $32.67 | 86 |
| Csf leakage imaging CPT 78650 | $1,319.50 | $2,030.00 | $75.00 – $2,862.43 | 81 |
| CT 3d report other modality w/workstation CPT 76377 | $344.50 | $530.00 | $20.00 – $131.71 | 22 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,587.95 | $2,443.00 | $142.90 – $1,985.32 | 77 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,178.80 | $3,352.00 | $143.14 – $2,036.52 | 77 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,170.00 | $1,800.00 | $143.14 – $1,893.28 | 77 |
| Cta neck without &/or w/contrast CPT 70498 | $1,894.10 | $2,914.00 | $143.14 – $2,564.29 | 77 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,463.20 | $5,328.00 | $239.84 – $2,951.85 | 77 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,756.95 | $2,703.00 | $143.19 – $1,888.42 | 77 |
| CT Angiogram of the Head CPT 70496 | $1,124.50 | $1,730.00 | $143.14 – $2,445.59 | 77 |
| CT angio hrt w/3d image CPT 75574 | $2,144.35 | $3,299.00 | $142.87 – $2,057.99 | 77 |
| CT angio pelvis CPT 72191 | $1,517.75 | $2,335.00 | $151.76 – $2,028.92 | 77 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,329.90 | $2,046.00 | $142.90 – $1,672.84 | 77 |
| CT bone density axial CPT 77078 | $292.50 | $450.00 | $70.12 – $686.92 | 77 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,495.00 | $2,300.00 | $166.66 – $403.20 | 52 |
| CT guidance for needle placement CPT 77012 | $1,118.65 | $1,721.00 | $58.85 – $669.29 | 10 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,085.50 | $1,670.00 | $47.46 – $306.45 | 22 |
| CT guid parench tis ablat CPT 77013 | $618.80 | $952.00 | $191.31 – $2,400.53 | 15 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $64.35 | $99.00 | $54.87 – $669.29 | 76 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,177.80 | $1,812.00 | $143.11 – $1,842.39 | 71 |
| CT limited or localized follow-up study CPT 76380 | $618.80 | $952.00 | $29.00 – $299.59 | 77 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,372.15 | $2,111.00 | $97.15 – $1,212.57 | 77 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,271.40 | $1,956.00 | $71.62 – $955.82 | 77 |
| CT lwr extremity w/o&w/dye CPT 73702 | $963.95 | $1,483.00 | $119.64 – $1,597.74 | 77 |
| CT neck soft tissue w/contrast CPT 70491 | $1,430.00 | $2,200.00 | $103.53 – $1,200.46 | 77 |
| CT neck soft tissue without contrast CPT 70490 | $1,015.95 | $1,563.00 | $78.01 – $955.82 | 77 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,655.55 | $2,547.00 | $142.00 – $1,491.15 | 77 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $892.45 | $1,373.00 | $130.75 – $1,709.18 | 77 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $646.10 | $994.00 | $110.20 – $1,520.23 | 77 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $611.65 | $941.00 | $85.48 – $1,273.14 | 77 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,849.95 | $5,923.00 | $212.92 – $1,883.59 | 77 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,197.35 | $4,919.00 | $188.51 – $1,585.62 | 77 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,460.90 | $3,786.00 | $88.54 – $878.29 | 77 |
| CT thoracic spine w/contrast CPT 72129 | $1,652.95 | $2,543.00 | $151.76 – $1,212.57 | 77 |
| CT thoracic spine without contrast CPT 72128 | $1,470.95 | $2,263.00 | $71.90 – $963.06 | 77 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $241.15 | $371.00 | $75.21 – $213.62 | 67 |
| CT t-spine w /wo contrast CPT 72130 | $1,796.60 | $2,764.00 | $118.01 – $1,529.91 | 77 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,078.35 | $1,659.00 | $126.31 – $1,193.21 | 77 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,136.85 | $1,749.00 | $85.22 – $955.82 | 77 |
| CT uppr extremity w/o&w/dye CPT 73202 | $865.80 | $1,332.00 | $143.16 – $1,614.70 | 77 |
| Culture aerobic additional method definitive id each CPT 87077 | $18.85 | $29.00 | $7.19 – $36.92 | 86 |
| Culture afb any source CPT 87116 | $38.35 | $59.00 | $9.61 – $49.34 | 86 |
| Culture anaerobic additional method definitive id each CPT 87076 | $78.65 | $121.00 | $7.19 – $36.92 | 86 |
| Culture anaerobic except blood CPT 87075 | $132.60 | $204.00 | $8.42 – $39.93 | 86 |
| Culture bact stool aero addl path ea CPT 87046 | $33.80 | $52.00 | $3.37 – $43.10 | 86 |
| Culture body fluid CPT 87070 | $159.90 | $246.00 | $7.67 – $39.32 | 86 |
| Culture fungi definitive id mold CPT 87107 | $68.90 | $106.00 | $9.18 – $37.36 | 86 |
| Culture fungi definitive id yeast CPT 87106 | $37.05 | $57.00 | $9.18 – $37.36 | 86 |
| Culture fungi other (except blood) CPT 87102 | $98.80 | $152.00 | $7.48 – $38.36 | 86 |
| Culture fungi skin/hair/nail CPT 87101 | $85.80 | $132.00 | $6.86 – $26.34 | 86 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $39.00 | $60.00 | $13.00 – $49.96 | 86 |
| Culture mycoplasma any source CPT 87109 | $128.70 | $198.00 | $13.69 – $70.26 | 80 |
| Culture quantitative aerobic other source CPT 87071 | $72.80 | $112.00 | $6.74 – $43.10 | 86 |
| Culture screening strep group a CPT 87081 | $130.65 | $201.00 | $5.90 – $30.27 | 86 |
| Culture typing immunologic CPT 87147 | $40.95 | $63.00 | $4.61 – $23.63 | 86 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $708.50 | $1,090.00 | $193.96 – $352.97 | 67 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $34.45 | $53.00 | $31.21 – $160.20 | 86 |
| Culture urine each isolate CPT 87088 | $29.25 | $45.00 | $7.20 – $36.98 | 86 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $37.70 | $58.00 | $12.74 – $65.38 | 80 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.15 | $11.00 | $0.76 – $5.06 | 21 |
| Cyclic citrullinated peptide antibody CPT 86200 | $69.55 | $107.00 | $11.52 – $59.10 | 86 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,074.57 | $1,653.18 | $0.57 – $292.00 | 69 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $35.75 | $55.00 | $0.84 – $4.13 | 20 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $224.14 | $344.83 | $20.59 – $274.10 | 21 |
| Cyclosporine 2 hour CPT 80158 | $145.60 | $224.00 | $16.06 – $82.42 | 86 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $10.12 | $15.57 | $0.72 – $2.66 | 21 |
| Cyclosporine oral 100 mg HCPCS J7502 | $29.85 | $45.92 | $1.63 – $10.62 | 21 |
| Cyp2c19 gene com variants CPT 81225 | $621.40 | $956.00 | $199.24 – $976.53 | 76 |
| Cyp3a4 gene common variants CPT 81230 | $518.05 | $797.00 | $157.33 – $396.82 | 69 |
| Cystatin c CPT 82610 | $96.85 | $149.00 | $16.47 – $62.06 | 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.