Breast MRI with contrast, one side at Mercy Hospital Fort Smith

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI Breast W Cont Lt

Smith, AR

See all hospitals reporting HCPCS C8903 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Fort Smith’s median price of $469 is 54% above the median hospital's median price ($305), higher than 66% of the 1,350 hospitals reporting HCPCS C8903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C8903 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 14 payers, 24 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 mo medicaid facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
2	Aetna hb ftsm managed medicare facility · other · outpatient	$167	$167	—	—	—	$167 – $167
3	Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient	$167	$167	—	—	—	$167 – $167
4	First Health hb ftsm managed medicare facility · other · outpatient	$167	$167	—	—	—	$167 – $167
5	Humana hb ftsm humana mcr facility · other · outpatient	$167	$167	—	—	—	$167 – $167
6	Medica hb ftsm managed medicare facility · other · outpatient	$167	$167	—	—	—	$167 – $167
7	Medicare hb ftsm medicare facility · other · outpatient	$167	$167	—	—	—	$167 – $167
8	UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient	$167	$167	—	—	—	$167 – $167
9	WellCare hb ftsm novasys mcr 103% facility · other · outpatient	$172	$172	—	—	—	$172 – $172
10	Devoted hb ftsm devoted health mcr facility · other · outpatient	$173	$173	—	—	—	$173 – $173
11	Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient	$175	$175	—	—	—	$175 – $175
12	UnitedHealthcare hb ftsm managed medicare facility · fee schedule · outpatient	$201	$201	—	—	—	$201 – $201
13	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$410	$410	—	—	—	$410 – $410
14	Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
15	Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
16	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$646	$646	—	—	—	$646 – $646
17	Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
18	Cigna hb ftsm cigna facility · per diem · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Aetna hb ftsm coventry/aetna facility · per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	First Health hb ftsm first health_ccn facility · per diem · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
23	Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
24	MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Last updated: Jun 8, 2026

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See Breast MRI with contrast, one side pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.