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
STENT SOLITAIRE X REVASC 6X24MM THROMB SFR4-6-24-06
Smith, AR
See all hospitals reporting HCPCS C1757 →Price type
Mercy Hospital Fort Smith’s median price of $884 is 59% below the median hospital's median price ($2.2k), higher than 27% of the 1,527 hospitals reporting HCPCS C1757. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 12 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 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $478 | $1.3k | $1.5k | 115% | — | $19 – $5.3k |
| 2 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $478 | $1.3k | $1.5k | 115% | — | $19 – $5.3k |
| 3 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges | $573 | $1.5k | $1.8k | 115% | — | $22 – $6.3k |
| 4 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $2.9k | $3.3k | 115% | — | $42 – $12.0k |
| 5 | Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $3.0k | $3.5k | 115% | — | $44 – $12.4k |
| 6 | Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $3.0k | $3.5k | 115% | — | $44 – $12.4k |
| 7 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $3.0k | $3.5k | 115% | — | $44 – $12.6k |
| 8 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $3.0k | $3.5k | 115% | 91–910 | $44 – $12.6k |
| 9 | First Health hb ftsm first health_ccn facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $3.9k | $4.5k | 115% | — | $57 – $16.2k |
| 10 | Aetna hb ftsm coventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $4.1k | $4.7k | 115% | — | $59 – $16.8k |
| 11 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $4.1k | $4.7k | 115% | — | $59 – $16.8k |
| 12 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $4.3k | $5.0k | 115% | — | $63 – $17.9k |
Last updated: Jun 8, 2026
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