RC 960
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
Chemodenerv 1 Extr 1-4 Pf
Smith, AR
See all hospitals reporting RC 960 →Price type
Mercy Hospital Fort Smith’s median price of $133 is 18% below the median hospital's median price ($161), higher than 43% of the 579 hospitals reporting RC 960. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 60 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 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Caresource hb ftsm caresource medicaid facility · case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $18 | $20 | $12 | 63% | 2–20 | $2 – $49 |
| 4 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $18 | $20 | $12 | 63% | — | $2 – $49 |
| 5 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · percent of total billed charges · outpatientfrom % of charges | $29 | $35 | $31 | 91% | — | $2 – $179 |
| 6 | Ambetter hb ftsm novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | $17 | 39% | — | $20 – $76 |
| 7 | Tricare hb ftsm tricare facility · fee schedule · outpatient | $54 | $62 | $42 | 68% | — | $7 – $148 |
| 8 | Anthem hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $57 | $68 | $62 | 91% | — | $4 – $352 |
| 9 | Blue Cross Blue Shield hb ftsm blue cross facility · percent of total billed charges · outpatientfrom % of charges | $57 | $68 | $62 | 91% | 2–20 | $4 – $352 |
| 10 | Medicare hb ftsm medicare facility · fee schedule · outpatient | $52 | $76 | $81 | 107% | — | $7 – $360 |
| 11 | Aetna hb ftsm managed medicare facility · fee schedule · outpatient | $51 | $76 | $86 | 112% | — | $7 – $360 |
| 12 | First Health hb ftsm managed medicare facility · fee schedule · outpatient | $51 | $76 | $86 | 112% | — | $7 – $360 |
| 13 | Humana hb ftsm humana mcr facility · fee schedule · outpatient | $51 | $76 | $86 | 112% | — | $7 – $360 |
| 14 | Medica hb ftsm managed medicare facility · fee schedule · outpatient | $51 | $76 | $86 | 112% | — | $7 – $360 |
| 15 | UnitedHealthcare hb ftsm managed medicare facility · fee schedule · outpatient | $51 | $76 | $86 | 112% | — | $7 – $360 |
| 16 | UnitedHealthcare hb ftsm uhc mcr 100% facility · fee schedule · outpatient | $51 | $76 | $86 | 112% | — | $7 – $360 |
| 17 | WellCare hb ftsm novasys mcr 103% facility · fee schedule · outpatient | $54 | $78 | $84 | 107% | — | $7 – $371 |
| 18 | Devoted hb ftsm devoted health mcr facility · fee schedule · outpatient | $53 | $80 | $89 | 112% | — | $8 – $374 |
| 19 | Cigna hb ftsm healthspring cigna mcr 105% facility · fee schedule · outpatient | $53 | $80 | $90 | 112% | — | $8 – $378 |
| 20 | Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges | $70 | $95 | $91 | 96% | 214–340 | $3 – $558 |
| 21 | Ambetter hb ftsm novasys ambetter exchange facility · fee schedule · outpatient | $86 | $103 | $69 | 67% | — | $12 – $236 |
| 22 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $79 | $107 | $99 | 93% | — | $4 – $587 |
| 23 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $79 | $107 | $99 | 93% | 604–838 | $4 – $587 |
| 24 | First Health hb ftsm first health_ccn facility · percent of total billed charges · outpatientfrom % of charges | $94 | $129 | $124 | 96% | 8–80 | $5 – $757 |
| 25 | Aetna hb ftsm coventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $98 | $133 | $128 | 96% | 99–279 | $5 – $783 |
Last updated: Jun 8, 2026
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