Bevacizumab injection, per 0.25 mg 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

BEVACIZUMAB 25 MG/ML INTRAVITREAL INJECTION|RX AMT DISCARD/NOT ADMIN TO PT

Smith, AR

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Fort Smith’s median price of $7 is 196% above the median hospital's median price ($2), higher than 84% of the 1,192 hospitals reporting HCPCS C9257. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9257 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 16 payers, 26 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 managed medicare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
2	Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
3	First Health hb ftsm managed medicare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
4	Humana hb ftsm humana mcr facility · other · outpatient	$2	$2	—	—	—	$2 – $2
5	Medica hb ftsm managed medicare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
6	Medicare hb ftsm medicare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
7	Tricare hb ftsm tricare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
8	UnitedHealthcare hb ftsm managed medicare facility · other · outpatient	$2	$2	—	—	—	$2 – $2
9	UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient	$2	$2	—	—	—	$2 – $2
10	WellCare hb ftsm novasys mcr 103% facility · other · outpatient	$2	$2	—	—	—	$2 – $2
11	Devoted hb ftsm devoted health mcr facility · other · outpatient	$2	$2	—	—	—	$2 – $2
12	Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient	$2	$2	—	—	—	$2 – $2
13	Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient	$3	$3	—	—	—	$3 – $3
14	Medicaid hb ftsm mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$9	$9	$2	22%	—	$7 – $11
15	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
16	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
17	Anthem hb ftsm blue cross facility · fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
18	Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
19	Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
20	Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	$3	22%	—	$9 – $14
21	Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	$3	22%	—	$9 – $14
22	Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges	$22	$22	$5	22%	—	$17 – $28
23	Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	$8	22%	—	$26 – $41
24	MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	$9	22%	—	$30 – $47
25	Aetna hb ftsm coventry/aetna facility · fee schedule · outpatient	$126	$126	—	—	—	$126 – $126

Page 1 of 2 · 26 rates

Last updated: Jun 8, 2026

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