Chloramphenicol sodium succinate injection, up to 1 gram 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION

Smith, AR

See all hospitals reporting HCPCS J0720 →

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How this price compares nationally

Mercy Hospital Fort Smith’s median price of $50 is 33% below the median hospital's median price ($75), higher than 22% of the 1,312 hospitals reporting HCPCS J0720. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0720 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 15 payers, 27 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 ark medicaid facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	Medicaid hb ftsm mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
4	Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
5	Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
6	Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
7	Aetna hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
8	Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
9	First Health hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
10	Humana hb ftsm humana mcr facility · other · outpatient	$49	$49	—	—	—	$49 – $49
11	Medica hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
12	Medicare hb ftsm medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
13	UnitedHealthcare hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
14	UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient	$49	$49	—	—	—	$49 – $49
15	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
16	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
17	WellCare hb ftsm novasys mcr 103% facility · other · outpatient	$51	$51	—	—	—	$51 – $51
18	Devoted hb ftsm devoted health mcr facility · other · outpatient	$51	$51	—	—	—	$51 – $51
19	Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient	$52	$52	—	—	—	$52 – $52
20	Anthem hb ftsm blue cross facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
21	Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
22	Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
23	Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
24	Aetna hb ftsm coventry/aetna facility · fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
25	First Health hb ftsm first health_ccn facility · fee schedule · outpatient	$158	$158	—	—	—	$158 – $158

Page 1 of 2 · 27 rates

Last updated: Jun 8, 2026

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