CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercy Hospital Fort Smith

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 0.8× the $95 Medicare rate · typically $55–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $16 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $74 This hospital $58 Cash price $198 Hospital's list price $304

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

A typical price — 4 charge more and 3 charge less, among the 9 AR hospitals compared.

Cheapest $47 Priciest $64

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $74 (about 0.8× the $95 Medicare rate). Mercy Hospital Fort Smith charges insurers about $58, or about $198 in cash — below the fair price — a good deal. 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 $38 - $1,171 40%
Blue Cross Blue Shieldmajor $58 - $83 61%
Aetnamajor $50 - $1,198 53%
Cignamajor $36 - $853 38%
Humanamajor $50 - $1,198 53%
Ambetter (Centene) $86 90%
HealthLink $38 - $973 40%
Independent Health $58 61%
+ 45 smaller / regional plans $11 - $1,198
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 7301 Rogers Ave, Fort Smith, AR 72903
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals