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
Intro Cath Dialysis Circuit W Stent
Smith, AR
See all hospitals reporting CPT 36903 →Price type
Mercy Hospital Fort Smith’s median price of $10.5k is 13% below the median hospital's median price ($12.0k), higher than 30% of the 1,997 hospitals reporting CPT 36903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 37 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 | Blue Cross Blue Shield hb ftsm managed medicare facility · fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 2 | Medicaid hb ftsm ark medicaid facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 3 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 4 | Caresource hb ftsm caresource medicaid facility · case rate · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 5 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 6 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 8 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Ambetter hb ftsm novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 10 | Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 11 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 12 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 13 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 14 | Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 15 | Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 16 | Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 17 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 18 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 19 | Aetna hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 20 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 21 | First Health hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 22 | Humana hb ftsm humana mcr facility · other · outpatient | $11.0k | $11.0k | — | — | 1–10 | $11.0k – $11.0k |
| 23 | Medica hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 24 | Medicare hb ftsm medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 25 | Tricare hb ftsm tricare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
Last updated: Jun 8, 2026
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