RC 771

Vaccine administration, single or combined dose 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

Admin Hepatitis B Vaccine

Smith, AR

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Fort Smith’s median price of $44 is 21% below the median hospital's median price ($56), higher than 30% of the 1,963 hospitals reporting RC 771. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 771 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 16 payers, 45 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 managed medicare facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
2	First Health hb ftsm managed medicare facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
3	Humana hb ftsm humana mcr facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
4	Medica hb ftsm managed medicare facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
5	Medicare hb ftsm medicare facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
6	UnitedHealthcare hb ftsm managed medicare facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
7	UnitedHealthcare hb ftsm uhc mcr 100% facility · fee schedule · outpatient	$14	$14	$6	44%	—	$8 – $21
8	WellCare hb ftsm novasys mcr 103% facility · fee schedule · outpatient	$15	$15	$6	44%	—	$8 – $21
9	Devoted hb ftsm devoted health mcr facility · fee schedule · outpatient	$15	$15	$7	44%	—	$8 – $21
10	Cigna hb ftsm healthspring cigna mcr 105% facility · fee schedule · outpatient	$15	$15	$7	44%	—	$8 – $22
11	Blue Cross Blue Shield hb ftsm managed medicare facility · fee schedule · outpatient	$19	$17	$5	33%	—	$8 – $21
12	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · per diem · outpatient	$20	$20	—	—	—	$20 – $20
13	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · per diem · outpatient	$20	$20	—	—	5–50	$20 – $20
14	Tricare hb ftsm tricare facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
15	Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient	$18	$29	$25	86%	—	$2 – $63
16	Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient	$18	$29	$25	86%	—	$2 – $63
17	Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient	$18	$29	$25	86%	—	$2 – $63
18	Ambetter hb ftsm novasys ambetter exchange facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
19	Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient	$41	$48	$11	23%	—	$40 – $64
20	Tricare hb ftsm tricare facility · other · outpatient	$44	$51	$12	24%	—	$39 – $68
21	Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient	$61	$52	$12	23%	—	$35 – $61
22	Anthem hb ftsm blue cross facility · fee schedule · outpatient	$46	$54	$12	23%	—	$45 – $72
23	Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient	$46	$54	$12	23%	—	$45 – $72
24	Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient	$64	$73	$17	24%	1–10	$55 – $98
25	Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges	$10	$91	$108	118%	—	$0 – $223

Page 1 of 2 · 45 rates

Last updated: Jun 8, 2026

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