Emergency visit, highest (level 5) at Mercy Hospital Fort Smith. CPT 99285.
What Mercy Hospital Fort Smith publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$2,005cash price (self-pay)
$3,084list price
$12.00–$3,700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Summit Community Care [20368] | Hb Ftsm Ark Medicaid | $51.00 |
| Medicaid [20240] | Hb Ftsm Ark Medicaid | $51.00 |
| Arkansas Department Of Health [20036] | Hb Ftsm Ark Medicaid | $51.00 |
| Summit Community Care Contracted [320368] | Hb Ftsm Summit | $51.00 |
| Caresource Medicaid [20460] | Hb Ftsm Caresource Medicaid | $52.02 |
| Caresource Medicaid Contracted [320460] | Hb Ftsm Caresource Medicaid | $52.02 |
| Empower Healthcare Solutions Medicaid [20118] | Hb Ftsm Passe Empower | $64.77 |
| Empower Healthcare Solutions Medicaid Contracted [320118] | Hb Ftsm Pa | $64.77 |
| Arkansas Total Care [20039] | Hb Ftsm Passe Ar Total Care | $116 |
| Arkansas Total Care Contracted [320039] | Hb Ftsm Passe Ar Total Care | $116 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Ftsm Medicare | $566 |
| Essence Healthcare Medicare Contracted [320122] | Hb Ftsm Managed Medi | $566 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Ftsm Medicare | $566 |
| Globalhealth Contracted [320145] | Hb Ftsm Managed Medicare | $566 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ftsm Managed M | $566 |
| Humana Medicare Advantage Contracted [320194] | Hb Ftsm Humana Mcr | $566 |
| Medical Associates Health [20444] | Hb Ftsm Managed Medicare | $566 |
| Elara Caring Aspire Hospice [20433] | Hb Ftsm Managed Medicare | $566 |
| Halo Hcr Inc Hospice [20432] | Hb Ftsm Managed Medicare | $566 |
| Wellfirst Health Mcr [20443] | Hb Ftsm Managed Medicare | $566 |
| Kindful Hospice [20434] | Hb Ftsm Managed Medicare | $566 |
| Cigna Medicare Advantage Contracted [320072] | Hb Ftsm Healthspring Ci | $595 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Schaefer Qcg | $733 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Bartel | $733 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Tall Tree | $733 |
| Edison Health Solutions Contracted [320502] | Hb Ftsm Dec Woodard | $733 |
| Aither Health Contracted [320449] | Hb Ftsm Dec Laclede - New 07.01.25 | $733 |
| Aither Health Contracted [320449] | Hb Ftsm Dec Woodard | $733 |
| Yuzu Health Contracted [320521] | Hb Ftsm Dec Level Health - New 01.01 | $733 |
| Home State Health Plan Contracted [320187] | Hb Ftsm Novasys Ambetter | $808 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.