RC 616
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
Mra Extr Lwr W and WO Cont Rt
Smith, AR
See all hospitals reporting RC 616 →Price type
Mercy Hospital Fort Smith’s median price of $473 is 63% below the median hospital's median price ($1.3k), higher than 16% of the 1,151 hospitals reporting RC 616. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 26 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 | UnitedHealthcare hb ftsm managed medicare facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 2 | Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient | $304 | $268 | $48 | 18% | — | $206 – $304 |
| 3 | Aetna hb ftsm managed medicare facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 4 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 5 | First Health hb ftsm managed medicare facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 6 | Humana hb ftsm humana mcr facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 7 | Medica hb ftsm managed medicare facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 8 | Medicare hb ftsm medicare facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 9 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $331 | $292 | $51 | 17% | — | $227 – $331 |
| 10 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $342 | $301 | $52 | 17% | — | $234 – $342 |
| 11 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $345 | $304 | $53 | 17% | — | $236 – $345 |
| 12 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $348 | $307 | $53 | 17% | — | $238 – $348 |
| 13 | Tricare hb ftsm tricare facility · other · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 14 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $473 | $473 | — | — | — | $473 – $473 |
| 15 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $537 | $602 | $176 | 29% | — | $466 – $1.0k |
| 16 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $537 | $602 | $176 | 29% | — | $466 – $1.0k |
| 17 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $676 | $676 | — | — | — | $676 – $676 |
| 18 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges | $644 | $722 | $211 | 29% | — | $559 – $1.2k |
| 19 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $859 | $734 | $162 | 22% | — | $524 – $859 |
| 20 | Cigna hb ftsm cigna facility · per diem · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.4k | $415 | 29% | — | $1.1k – $2.4k |
| 22 | Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.4k | $415 | 29% | — | $1.1k – $2.4k |
| 23 | Aetna hb ftsm coventry/aetna facility · per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | First Health hb ftsm first health_ccn facility · per diem · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $563 | 29% | — | $1.5k – $3.2k |
Last updated: Jun 8, 2026
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