CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Fort Smith

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,238

about 1.1× the $5,676 Medicare rate · typically $5,645–$9,023

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,400

About the fair price

about $162 over the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $6,238 This hospital $6,400 Cash price $13,647 Hospital's list price $20,996

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

Highest price of the 9 AR hospitals we have prices for — worth calling around.

Cheapest $3,373 Priciest $6,400

Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,238 (about 1.1× the $5,676 Medicare rate). Mercy Hospital Fort Smith charges insurers about $6,400, or about $13,647 in cash — about the fair price. Located in Fort Smith, AR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,400 - $9,749	113%
Blue Cross Blue Shieldmajor	$6,268 - $8,498	110%
Aetnamajor	$2,993 - $8,264	53%
Cignamajor	$6,856 - $8,894	121%
Humanamajor	$2,993 - $7,444	53%
Ambetter (Centene)	$5,672	100%
Independent Health	$6,400	113%
+ 33 smaller / regional plans	$4,659 - $9,980

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 13,647), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Fort Smith is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Fort Smith

Compare: Digestive disorders treatment (inpatient stay) at other AR hospitals

Mercy Hospital Booneville · Booneville $3,373
Mercy Hospital Berryville · Berryville $3,720
Ouachita County Medical Center · Camden $5,016
Mercy Hospital Waldron · Waldron $5,270
Baxter Health · Mountain Home $5,323
Arkansas Heart Hospital, LLC · Little Rock $5,525
National Park Medical Center · Hot Springs $5,641
Lawrence Memorial Hospital · Walnut Ridge $5,770

Insurance negotiated median for the same procedure, sorted lowest first.