Visits & medical services prices at Mercy Hospital Fort Smith

Fort Smith, AR · every code in this section with a posted price and a Medicare benchmark.

258 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $9,898.85 $15,229 1.3×
Aep hearing status deter broadband stimuli i&r (92651) $254.15 $391 1.2×
Aep Neurodiagnostic I&R (92653) $254.15 $391 1.2×
Aep threshold estimation mlt frequencies i&r (92652) $328.90 $506 1.6×
Airway inhalation treatment (94640) $105.95 $163 0.5×
Analyze neurostim no prog (95970) $52.65 $81 0.4×
Appl on-body injector for timed subq injection (96377) $105.30 $162 2.3×
Application of heat wave therapy (97024) $29.90 $46 4.1×
Assessment of aphasia (96105) $182.65 $281 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $340.28 $523.50 3.1×
Biofeedback training any modality (90901) $42.25 $65 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $621.40 $956 1.7×
Canalith Repositioning (95992) $106.60 $164 2.6×
Capsule endoscopy (91110) $636.35 $979 0.7×
Car seat/bed test 60 min (94780) $99.45 $153 2.7×
Cardiac Stress Tst,Tracing Only (93017) $966.55 $1,487 4.6×
Cardiopulmonary exercise testing (94621) $686.40 $1,056 1.9×
Cardiopulmonary resuscitation (92950) $638.62 $982.50 3.1×
Cardioversion (92960) $1,294.15 $1,991 2.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $9,557.60 $14,704 3.0×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $8,340.15 $12,831 2.7×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $10,925.20 $16,808 3.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,267 $11,180 2.3×
Cbt 1st hour (94644) $86.45 $133 0.7×
Chemo Admin Peritoneal Cavity (96446) $390 $600 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $157.95 $243 2.3×
Chemo IV push addl drug (96411) $256.75 $395 3.7×
Chemo Iv Push Sngl Drug (96409) $263.90 $406 0.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $442.65 $681 1.4×
Chemother, IV infusion, 1 hr (96413) $258.70 $398 0.8×
Chemother, IV infusion, ea add hr (96415) $235.30 $362 3.4×
Chemother,Ia Push Technique (96420) $290.55 $447 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $200.20 $308 2.9×
Chemotx Admn Cns Req Spinal Puncture (96450) $481.65 $741 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $256.10 $394 3.7×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $245.70 $378 0.8×
Color/duplex Doppler, complete (93975) $622.05 $957 2.7×
Color/duplex Doppler, limited (93976) $534.30 $822 5.3×
Coronary artery angio s&i (93454) $8,321.95 $12,803 2.7×
Cpap initiation and management (94660) $659.75 $1,015 3.1×
Cpt initial (94667) $99.45 $153 0.8×
Critical care (99291) $2,858.05 $4,397 3.6×
Debridement Open Wound 20 Sq Cm< (97597) $260 $400 1.3×
Demo &/or eval,pt use,aerosol device (94664) $126.10 $194 0.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $649.35 $999 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $829.40 $1,276 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $570.05 $877 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $460.85 $709 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $530.40 $816 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $432.25 $665 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $689 $1,060 6.8×
Duplex hemodialysis access (93990) $488.80 $752 4.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $824.20 $1,268 3.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $598 $920 5.9×
Duplex scan extracranial art compl bi study (93880) $1,127.75 $1,735 4.9×
Echo Heart Xthoracic,Limited (93308) $773.50 $1,190 3.3×
Echo transesophageal (93312) $1,948.70 $2,998 3.7×
EEG awake asleep (95819) $271.70 $418 1.3×
EEG awake drowsy (95816) $234 $360 1.1×
EEG cerebral death evaluation (95824) $808.60 $1,244 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $340.60 $524 1.6×
EKG (93005) $236.60 $364 4.1×
EKG rhythm strip (93041) $133.90 $206 2.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $42.25 $65 0.5×
Elec alys implt cplx cn npgt prgrmg (95977) $44.85 $69 0.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $31.52 $48.50 0.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $662.35 $1,019 3.2×
EMG four extremities (95864) $563.55 $867 4.5×
EMG one extremity (95860) $338 $520 2.6×
EMG three extremities (95863) $482.30 $742 3.9×
EMG two extremities (95861) $401.70 $618 3.1×
Endomyocardial biopsy (93505) $3,508.70 $5,398 1.1×
Ep & ablate supravent arrhyt (93653) $24,087.70 $37,058 1.0×
Ep & ablate ventric tachy (93654) $20,367.75 $31,335 0.8×
Ep Analyze Pacer Sys (93724) $345.15 $531 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,158.50 $14,090 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,388.55 $11,367 1.0×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,935.40 $4,516 2.5×
Er level 1 (99281) $183.30 $282 2.2×
Er level ii (99282) $767.65 $1,181 5.2×
Er level iii (99283) $964.60 $1,484 3.6×
Er level IV (99284) $1,355.25 $2,085 3.4×
Er level v (99285) $2,004.60 $3,084 3.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $271.05 $417 3.8×
Evaluation of speech fluency (92521) $342.55 $527 2.6×
Evaluation of speech sound production (92522) $310.38 $477.50 2.8×
Evaluation of swallowing function (92610) $331.50 $510 3.9×
Evaluation with prescription of speech-generating alternative (92607) $183.30 $282 1.5×
Evoked auditory test,limited (92587) $214.50 $330 1.0×
Exercise tst brncspsm (94617) $269.10 $414 2.1×
External ECG rec>48hr<7d recording (93242) $325.65 $501 9.0×
External ECG rec>7d<15d recording (93246) $546.65 $841 15.1×
External Ecg Scanning Analysis Report (93226) $309.40 $476 5.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $408.20 $628 2.0×
Flow volume loop (94375) $245.05 $377 1.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $156 $240 0.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $631.80 $972 3.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,290.25 $1,985 1.6×
Group Therapeutic Procedures (97150) $62.40 $96 3.5×
Hemodialysis (90935) $1,400.10 $2,154 2.1×
Holter Monitor Recording (93225) $302.25 $465 2.3×
Hydrotherapy (97036) $79.95 $123 2.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $42.90 $66 1.1×
Immunization Admin (90471) $15.92 $24.50 0.2×
Injection intra arterial (96373) $104 $160 0.5×
Ins swan ganz bedside (93503) $2,002 $3,080 1.3×
Interrogate subq defib (93261) $327.60 $504 9.1×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93146) $7,023.25 $10,805 56.4×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93145) $7,023.25 $10,805 56.4×
Intralesional Chemo Admin,8+ Lesn (96406) $148.85 $229 0.7×
Intralesional Chemo Admin,<8 Lesn (96405) $98.80 $152 1.4×
Intraventricular pacing (93612) $4,267.25 $6,565 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $95.55 $147 1.7×
IV infusion hydration each additional hour (96361) $162.50 $250 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $178.75 $275 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $185.25 $285 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $185.25 $285 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $168.35 $259 3.7×
IV push initial (96374) $136.50 $210 0.7×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $5,293.60 $8,144 1.7×
Manual therapy 15 min (97140) $65.65 $101 2.4×
Massage 15 min (97124) $66.30 $102 2.2×
Mechanical chest wall oscillation (94669) $126.10 $194 0.6×
Mechanical traction (97012) $72.80 $112 5.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52 $80 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $52 $80 1.4×
Methacholine challenge (94070) $679.90 $1,046 1.9×
Mnt Group Ea 30 Min (97804) $52 $80 3.1×
Motility study esophagus (91010) $1,231.10 $1,894 3.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $580.45 $893 6.3×
Multiple sleep latency test (95805) $2,204.15 $3,391 2.7×
Neg press wnd tx </=50 sq cm (97607) $315.25 $485 0.8×
Neg press wound tx >50 cm (97608) $393.25 $605 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $300.95 $463 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $299.65 $461 0.8×
Nerve conduction studies 13/> studies (95913) $404.30 $622 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $144.95 $223 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $291.85 $449 0.8×
Nerve conduction studies; 1-2 studies (95907) $114.40 $176 0.5×
Nerve conduction studies; 11-12 studies (95912) $341.25 $525 0.9×
Nerve conduction studies; 5-6 studies (95909) $172.25 $265 0.8×
Nerve conduction studies; 7-8 studies (95910) $236.60 $364 0.7×
Neurological procedure unlisted (95999) $138.45 $213 1.1×
Newborn resuscitation (99465) $612.95 $943 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $411.12 $632.50 3.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $822.90 $1,266 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $360.42 $554.50 2.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $518.05 $797 1.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $117.65 $181 2.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $72.15 $111 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $59.80 $92 1.9×
Ot Contrast Bath Ea 15 Min (97034) $44.20 $68 3.2×
Ot eval high complex 60 min (97167) $373.10 $574 3.7×
Ot eval low complex 30 min (97165) $298.35 $459 3.0×
Ot eval mod complex 45 min (97166) $344.50 $530 3.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $55.90 $86 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $56.55 $87 1.4×
Ot Range Motion Measure,Each Extrem (95851) $49.40 $76 1.9×
Ot re-eval est plan care (97168) $284.05 $437 4.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $313.30 $482 2.5×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $178.75 $275 1.4×
Paraffin bath (97018) $66.30 $102 11.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $204.10 $314 1.0×
Peripheral arterial disease rehab per session (93668) $100.75 $155 1.8×
Phy/qhp op pulm rhb w/mntr (94626) $308.75 $475 5.4×
Phy/qhp op pulm rhb w/o mntr (94625) $252.85 $389 4.4×
Plethysmography (94726) $494 $760 1.4×
Pm device progr eval dual (93280) $151.45 $233 4.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,903.25 $6,005 4.7×
Polysom <6 yrs 4/> paramtrs (95782) $2,359.50 $3,630 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,946.78 $4,533.50 3.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $592.80 $912 16.4×
Prq balloon valvuloplasty aortic valve (92986) $9,421.75 $14,495 1.7×
Prq card revasc chronic 1vsl (92943) $9,681.75 $14,895 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $8,033.35 $12,359 0.7×
Prq Card Stent/Ath/Angio (92933) $12,938.90 $19,906 0.7×
Prq revasc byp graft 1 vsl (92937) $8,118.50 $12,490 0.7×
Prq tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure
$4,338.75 $6,675 0.2×
Prq trl rvs ch occ ant&rtrgr (92945)
unusually low: confirm this is the full procedure
$5,344.30 $8,222 0.5×
Prq trluml coronary angio/atherect one art/brnch (92924) $8,408.40 $12,936 0.8×
Prq trluml coronary angioplasty one art/branch (92920) $5,671.25 $8,725 1.0×
Pt Aquatic Therapy/Exercises (97113) $68.25 $105 1.8×
Pt Electric Current Therapy (97033) $71.50 $110 3.8×
Pt Electrical Stimulation (97032) $65 $100 4.4×
Pt eval high complex 45 min (97163) $287.30 $442 2.9×
Pt eval low complex 20 min (97161) $230.42 $354.50 2.4×
Pt Gait Training Therapy (97116) $68.25 $105 2.3×
Pt Infrared Therapy (97026) $39.65 $61 5.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $71.50 $110 2.2×
Pt Physical Performance Test (97750) $74.75 $115 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $249.28 $383.50 2.5×
Pt re-evaluation (97164) $207.02 $318.50 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $72.80 $112 2.2×
Pt Ultrasound Therapy (97035) $72.15 $111 5.0×
Pt Whirlpool Therapy (97022) $114.40 $176 7.3×
Pulm function test by gas (94727) $287.30 $442 1.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $8,191.30 $12,602 2.6×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $12,306.45 $18,933 3.9×
R hrt art/grft angio (93457) $10,253.10 $15,774 3.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $4,187.95 $6,443 1.3×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,187.95 $6,443 1.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $8,380.45 $12,893 2.7×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $5,798 $8,920 1.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $5,798 $8,920 1.8×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $78.65 $121 2.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $258.70 $398 7.2×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $83.20 $128 1.5×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $61.10 $94 1.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $204.10 $314 1.6×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $57.20 $88 1.6×
Right heart cath (93451) $3,891.55 $5,987 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $235.95 $363 1.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $46.80 $72 2.2×
Rt Chest Wall Manipulation,Subsequent (94668) $83.20 $128 0.6×
Sc Ther Infusion Reset Pump (96371) $149.50 $230 2.1×
Sensory Integration Ea 15 Min (97533) $52.65 $81 0.9×
Short-latency somatosens ep std lwr limbs (95926) $917.80 $1,412 4.4×
Sleep study unattended (95806) $512.20 $788 2.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $430.30 $662 2.1×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $570.05 $877 10.0×
Smoking cessation > 10 min (99407) $71.50 $110 2.0×
Speech group therapy (92508) $98.15 $151 4.1×
Speech sound lang comprehen (92523) $341.90 $526 1.5×
Spirometry (94010) $275.60 $424 1.3×
Standardized Cognitive Performance Testing (96125) $303.55 $467 3.0×
Stress Tte Complete (93351) $1,452.75 $2,235 2.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $122.20 $188 2.7×
Surfactant Admin Thru Tube (94610) $157.30 $242 0.7×
Temp transcutaneous pacing (92953) $761.15 $1,171 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $68.25 $105 3.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $21.45 $33 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $195 $300 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $104 $160 1.5×
Therapeutic Activities (97530) $70.20 $108 2.0×
Therapeutic phlebotomy (99195) $137.80 $212 1.1×
Tilt Table Eval (93660) $1,633.45 $2,513 4.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $34.45 $53 0.9×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $640.25 $985 2.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,030.60 $3,124 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $714.35 $1,099 3.1×
Tx atrial fib pulm vein isol (93656) $34,596.25 $53,225 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $213.20 $328 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $203.45 $313 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $136.50 $210 3.0×
Ultraviolet Light Therapy (96900) $118.95 $183 3.3×
Unlisted Cardiovascular Service/Procedure (93799) $3,645.20 $5,608 29.2×
Unlisted Diagnostic Gastroenterology Procedure (91299) $104 $160 0.8×
Unlisted pulmonary service/procedure (94799) $118.95 $183 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,097.20 $1,688 4.7×
Vasc Duplex Scan Extracranial,Limited (93882) $404.95 $623 4.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $542.75 $835 2.6×
Vasopneumatic device (97016) $44.20 $68 3.7×
Veeg by tech 2-12 hours unmonitored (95711) $889.85 $1,369 4.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,495 $2,300 4.1×
Ventilation assist & mgmt inpatient 1st day (94002) $1,047.15 $1,611 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $872.62 $1,342.50 1.5×
Vital capacity total (94150) $79.30 $122 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $59.15 $91 1.9×