Non-pneumatic walking boot, pre-cast 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fa Boot Slimln Cast Ad X-Small

Smith, AR

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Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Fort Smith’s median price of $192 is 1% below the median hospital's median price ($195), higher than 47% of the 1,451 hospitals reporting HCPCS L4386. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4386 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 13 payers, 19 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	$16	$16	$9	56%	—	$7 – $25
2	Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	$9	56%	—	$7 – $25
3	Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges	$47	$47	$26	56%	—	$21 – $74
4	First Health hb ftsm first health_ccn facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$27	56%	—	$22 – $76
5	Aetna hb ftsm coventry/aetna facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	$28	56%	—	$22 – $78
6	MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges	$54	$54	$30	56%	—	$24 – $83
7	Aetna hb ftsm managed medicare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
8	Blue Cross Blue Shield hb ftsm managed medicare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
9	First Health hb ftsm managed medicare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
10	Humana hb ftsm humana mcr facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
11	Medica hb ftsm managed medicare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
12	Medicare hb ftsm medicare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
13	Tricare hb ftsm tricare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
14	UnitedHealthcare hb ftsm managed medicare facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
15	UnitedHealthcare hb ftsm uhc mcr 100% facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
16	WellCare hb ftsm novasys mcr 103% facility · fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
17	Devoted hb ftsm devoted health mcr facility · fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
18	Cigna hb ftsm healthspring cigna mcr 105% facility · fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
19	Ambetter hb ftsm novasys ambetter exchange facility · fee schedule · outpatient	$274	$274	—	—	—	$274 – $274

Last updated: Jun 8, 2026

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