RC 459

Emergency room visit, other services 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Non Emergency Medicaid Level 4

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 $396 is 54% below the median hospital's median price ($857), higher than 20% of the 435 hospitals reporting RC 459. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 459 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 17 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 · case rate · outpatient	$12	$12	—	—	—	$12 – $12
2	Caresource hb ftsm caresource medicaid facility · case rate · outpatient	$12	$12	—	—	—	$12 – $12
3	Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient	$247	$278	$168	60%	—	$78 – $546
4	Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient	$247	$278	$168	60%	—	$78 – $546
5	Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient	$247	$278	$168	60%	—	$78 – $546
6	Aetna hb ftsm managed medicare facility · other · outpatient	$259	$290	$175	60%	220–229	$80 – $566
7	Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient	$259	$290	$175	60%	42–69	$80 – $566
8	First Health hb ftsm managed medicare facility · other · outpatient	$259	$290	$175	60%	—	$80 – $566
9	Humana hb ftsm humana mcr facility · other · outpatient	$259	$290	$175	60%	196–205	$80 – $566
10	Medica hb ftsm managed medicare facility · other · outpatient	$259	$290	$175	60%	—	$80 – $566
11	Medicare hb ftsm medicare facility · other · outpatient	$259	$290	$175	60%	974	$80 – $566
12	Tricare hb ftsm tricare facility · other · outpatient	$259	$290	$175	60%	167–194	$80 – $566
13	UnitedHealthcare hb ftsm managed medicare facility · other · outpatient	$259	$290	$175	60%	2–20	$80 – $566
14	UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient	$259	$290	$175	60%	2,257–2,266	$80 – $566
15	WellCare hb ftsm novasys mcr 103% facility · other · outpatient	$267	$298	$180	60%	33–60	$83 – $583
16	Devoted hb ftsm devoted health mcr facility · other · outpatient	$270	$301	$182	60%	—	$83 – $589
17	Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient	$273	$304	$184	60%	3–30	$84 – $595
18	Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient	$370	$413	$250	60%	54–81	$114 – $808
19	Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient	$534	$571	$160	28%	—	$389 – $839
20	Aetna hb ftsm coventry/aetna facility · case rate · outpatient	$854	$854	—	—	—	$854 – $854
21	Cigna hb ftsm cigna facility · per diem · outpatient	$782	$955	$361	38%	47–65	$611 – $1.5k
22	Anthem hb ftsm blue cross facility · fee schedule · outpatient	$898	$961	$270	28%	—	$655 – $1.4k
23	Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient	$898	$961	$270	28%	—	$655 – $1.4k
24	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · case rate · outpatient	$871	$1.0k	$163	16%	—	$871 – $1.2k
25	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · case rate · outpatient	$871	$1.0k	$163	16%	—	$871 – $1.2k

Page 1 of 2 · 27 rates

Last updated: Jun 8, 2026

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