Supplies, drugs & other prices at Mercy Hospital Fort Smith
Fort Smith, AR · every code in this section with a posted price and a Medicare benchmark.
93 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,342.60 | $3,604 | 3.1× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,468.35 | $2,259 | 1.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,122.55 | $1,727 | 3.3× |
| Adm tocilizu covid-19 1st (M0249) | $482.95 | $743 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $482.95 | $743 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $9.75 | $15 | 0.2× |
| Admin influenza virus vac (G0008) | $11.05 | $17 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $11.05 | $17 | 0.2× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $61.10 | $94 | 2.0× |
| Catheterize for urine spec (P9612) | $50.05 | $77 | 5.4× |
| Chemo extend iv infus w/pump (G0498) | $462.15 | $711 | 1.4× |
| Cyp1a2 gene analysis common variants (0031U) | $503.10 | $774 | 2.9× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $672.75 | $1,035 | 1.0× |
| Diab manage trn per indiv (G0108) | $119.60 | $184 | 2.1× |
| Diab manage trn ind/group (G0109) | $64.35 | $99 | 4.0× |
| Direct refer hospital observ (G0379) | $352.30 | $542 | 0.6× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $2,112.50 | $3,250 | 2.4× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$11,522.55 | $17,727 | 0.3× |
| Extrnl counterpulse, per tx (G0166) | $369.85 | $569 | 2.9× |
| Fern test (Q0114) range across 2 matching MRF lines |
$47.45–$58.50 | $73–$90 | varies |
| Hbot, full body chamber, 30m (G0277) | $564.20 | $868 | 4.2× |
| Home sleep test/type 3 porta (G0399) | $622.05 | $957 | 3.0× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $218.40 | $336 | 5.0× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,644.50–$2,795.65 | $2,530–$4,301 | varies |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $45,598.80 | $70,152 | 1.5× |
| Intrav inf, toci, first dose (M0237) | $482.95 | $743 | 1.1× |
| Intrav inf, toci, second dos (M0238) | $482.95 | $743 | 1.1× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $272.35 | $419 | 2.2× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $843.05 | $1,297 | 1.7× |
| Mra w/cont, abd (C8900) | $1,254.50 | $1,930 | 3.7× |
| Mra w/cont, chest (C8909) | $1,537.90 | $2,366 | 4.6× |
| Mra w/cont, lwr ext (C8912) | $1,528.15 | $2,351 | 4.5× |
| Mra w/cont, pelvis (C8918) | $1,550.25 | $2,385 | 4.6× |
| Mra w/o cont, abd (C8901) | $1,014.65 | $1,561 | 4.4× |
| Mra w/o cont, chest (C8910) | $1,268.15 | $1,951 | 5.5× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$1,261.65–$1,892.15 | $1,941–$2,911 | varies |
| Mra w/o cont, pelvis (C8919) | $1,288.30 | $1,982 | 5.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,762.15 | $2,711 | 5.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,710.80 | $2,632 | 5.1× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,210.30–$2,627.30 | $1,862–$4,042 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,751.10 | $2,694 | 5.2× |
| Mri w/cont, breast, bi (C8906) | $1,977.95 | $3,043 | 5.9× |
| Mri w/cont, breast, uni (C8903) | $1,560.65 | $2,401 | 9.2× |
| Mri w/o fol w/cont, breast, (C8908) | $2,100.80 | $3,232 | 6.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,739.40 | $2,676 | 5.1× |
| Neuro csf prion prtn qual (0035U) | $184.60 | $284 | 0.3× |
| Oth resp proc, group (G0239) | $104.65 | $161 | 2.9× |
| Pathogen test for platelets (P9100) | $60.45 | $93 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) | $12,348.05 | $18,997 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $7,868.90 | $12,106 | 0.7× |
| Perc d-e cor stent ather s (C9602) | $10,372.05 | $15,957 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $8,836.75 | $13,595 | 0.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,988.80 | $10,752 | 1.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $12,950.60 | $19,924 | 1.2× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) | $12,711.40 | $19,556 | 0.7× |
| Place device/marker, non pro (C9728) | $890.50 | $1,370 | 0.7× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $113.10 | $174 | 3.1× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $131.30 | $202 | 3.6× |
| Psa screening (G0103) | $68.90 | $106 | 3.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $615.55 | $947 | 0.9× |
| Relocation pg wcs lv pacg battery component only (0862T) | $2,930.85 | $4,509 | 1.5× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $2,930.85 | $4,509 | 1.5× |
| Removal pg wcs lv pacing both components (0861T) | $2,930.85 | $4,509 | 0.8× |
| Revasc intra lithotrip-ather (C9766) | $10,641.15 | $16,371 | 0.6× |
| Revasc intra lithotrip-stent (C9765) | $11,635.65 | $17,901 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $8,580 | $13,200 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $19,448 | $29,920 | 1.1× |
| Revasc lithotr-ather tib/per (C9774) | $14,221.35 | $21,879 | 0.8× |
| Revasc lithotr-stent tib/per (C9773) | $11,635.65 | $17,901 | 0.7× |
| Revasc lithotrip tibi/perone (C9772) | $10,951.20 | $16,848 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $19,448 | $29,920 | 1.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $70.85 | $109 | 2.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $17,324.45 | $26,653 | 0.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $19,249.10 | $29,614 | 1.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $17,324.45 | $26,653 | 0.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $19,249.10 | $29,614 | 1.0× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,978 | $6,120 | 1.3× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $1,929.85 | $2,969 | 0.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $2,078.05 | $3,197 | 0.7× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $1,929.85 | $2,969 | 0.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $17,324.45 | $26,653 | 0.9× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) likely a partial charge, not the full procedure |
$2,078.05 | $3,197 | 0.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) likely a partial charge, not the full procedure |
$2,078.05 | $3,197 | 0.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) likely a partial charge, not the full procedure |
$2,078.05 | $3,197 | 0.1× |
| Tomosynthesis, mammo (G0279) | $63.70 | $98 | 5.0× |
| Tpmt and Nudt15 Genotype (0034U) | $364 | $560 | 0.8× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,667.60–$3,452.80 | $4,104–$5,312 | varies |
| Trluml Perip Athrc Brchiocph (0237T) | $8,819.20 | $13,568 | 0.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $11,758.50 | $18,090 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $1,669.20 | $2,568 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $2,119.65 | $3,261 | 2.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,316.90 | $2,026 | 2.0× |
| Visit to determ ldct elig (G0296) range across 3 matching MRF lines |
$14.30–$61.75 | $22–$95 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.