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
Revasc Cabg Des/Ather/Angio Incl Distal Prot Rc
Smith, AR
See all hospitals reporting HCPCS C9604 →Price type
Mercy Hospital Fort Smith’s median price of $11.0k is 24% below the median hospital's median price ($14.4k), higher than 13% of the 1,826 hospitals reporting HCPCS C9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 22 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 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 2 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 3 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 4 | Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 5 | Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 6 | Cigna hb ftsm cigna facility · case rate · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 7 | Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 8 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 9 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 10 | Aetna hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 11 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 12 | First Health hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 13 | Humana hb ftsm humana mcr facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 14 | Medica hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 15 | Medicare hb ftsm medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 16 | Tricare hb ftsm tricare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 17 | UnitedHealthcare hb ftsm managed medicare facility · other · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 18 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $11.0k | $11.0k | — | — | 5–50 | $11.0k – $11.0k |
| 19 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 20 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 21 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 22 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
Last updated: Jun 8, 2026
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