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
ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION
Smith, AR
See all hospitals reporting HCPCS C9399 →Price type
Mercy Hospital Fort Smith’s median price of $692 is 56% below the median hospital's median price ($1.6k), higher than 36% of the 1,132 hospitals reporting HCPCS C9399. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 13 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 · percent of total billed charges · outpatientfrom % of charges | $276 | $527 | $543 | 103% | — | $17 – $1.6k |
| 2 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $345 | $658 | $678 | 103% | — | $21 – $2.0k |
| 3 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $345 | $658 | $678 | 103% | — | $21 – $2.0k |
| 4 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges | $414 | $790 | $814 | 103% | — | $26 – $2.4k |
| 5 | Ambetter hb ftsm novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $714 | $1.2k | $1.0k | 90% | — | $119 – $3.1k |
| 6 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $690 | $1.3k | $1.4k | 103% | — | $43 – $4.0k |
| 7 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $690 | $1.3k | $1.4k | 103% | — | $43 – $4.0k |
| 8 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $690 | $1.3k | $1.4k | 103% | — | $43 – $4.0k |
| 9 | Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $814 | $1.6k | $1.6k | 103% | — | $51 – $4.8k |
| 10 | Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $814 | $1.6k | $1.6k | 103% | — | $51 – $4.8k |
| 11 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $2.0k | $2.0k | 103% | — | $64 – $6.1k |
| 12 | Aetna hb ftsm coventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $2.1k | $2.2k | 103% | — | $69 – $6.5k |
| 13 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $2.2k | $2.3k | 103% | — | $73 – $6.9k |
Last updated: Jun 8, 2026
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