Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
Smith, AR
See all hospitals reporting CPT 0795T →Price type
Mercy Hospital Fort Smith’s median price of $18.3k is 8% below the median hospital's median price ($19.9k), higher than 29% of the 1,503 hospitals reporting CPT 0795T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid hb ftsm ark medicaid facility · case rate · outpatient | $297.00 | $297.00 | $297.00 – $297.00 |
| 2 | Caresource hb ftsm caresource medicaid facility · case rate · outpatient | $302.94 | $302.94 | $302.94 – $302.94 |
| 3 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7,404 | $7,404 | $7,404 – $7,404 |
| 4 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7,404 | $7,404 | $7,404 – $7,404 |
| 5 | Aetna hb ftsm managed medicare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 6 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 7 | First Health hb ftsm managed medicare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 8 | Humana hb ftsm humana mcr facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 9 | Medica hb ftsm managed medicare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 10 | Medicare hb ftsm medicare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 11 | Tricare hb ftsm tricare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 12 | UnitedHealthcare hb ftsm managed medicare facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 13 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $18,302 | $18,302 | $18,302 – $18,302 |
| 14 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $18,862 | $18,862 | $18,862 – $18,862 |
| 15 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $19,048 | $19,048 | $19,048 – $19,048 |
| 16 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $19,235 | $19,235 | $19,235 – $19,235 |
| 17 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $22,739 | $22,739 | $22,739 – $22,739 |
| 18 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $23,691 | $23,691 | $23,691 – $23,691 |
| 19 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $24,535 | $24,535 | $24,535 – $24,535 |
| 20 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $24,535 | $24,535 | $24,535 – $24,535 |
| 21 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $25,172 | $25,172 | $25,172 – $25,172 |
| 22 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $26,119 | $26,119 | $26,119 – $26,119 |
Last updated: Jun 8, 2026
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