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.
Generation details were not recorded for this description.
Original text from hospital filings
DEXTROAMPHETAMINE SULFATE ER 15 MG CAPSULE,EXTENDED RELEASE
Smith, AR
See all hospitals reporting HCPCS S0160 →Price type
Mercy Hospital Fort Smith’s median price of $8 is 376% above the median hospital's median price ($2), higher than 89% of the 806 hospitals reporting HCPCS S0160. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Aetna hb ftsm coventry/aetna facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 8 | First Health hb ftsm first health_ccn facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 11 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
Last updated: Jun 8, 2026
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