Arkansas / Mercy Hospital Fort Smith
CMS certification 040062 · Fort Smith, AR · 1 entry in CMS's price-transparency list
Mercy Hospital Fort Smith: charges and Medicare payments
Mercy Hospital Fort Smith reported 3,413 Medicare inpatient stays across 89 DRGs in 2024. Across them it charged 2.99 times what it was paid — among the lower ratios in Arkansas, number 23 of 32 hospitals with at least 100 stays (state median 3.99×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 579 stays at an average charge of $44,079, 51% below the national average. It also billed 4,104 outpatient services, charging 3.83 times what Medicare paid.
- 1Medicare inpatient stays 3,413
- 2Charge ÷ paid, inpatient 2.99×
- 3Rank in AR (highest ratio = 1) 23 of 32
- 4CMS price-transparency actions 1
Inpatient stays
For the 89 DRGs that can be compared with the national average, Mercy Hospital Fort Smith charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 579 | $44,079 | -51% | $13,846 |
| 291 Heart Failure and Shock with MCC | 199 | $28,152 | -50% | $9,460 |
| 189 Pulmonary Edema and Respiratory Failure | 106 | $29,194 | -49% | $9,466 |
| 177 Respiratory Infections and Inflammations with MCC | 95 | $35,649 | -49% | $11,579 |
| 378 Gastrointestinal Hemorrhage with CC | 92 | $24,150 | -50% | $7,725 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 84 | $25,995 | -47% | $8,029 |
| 193 Simple Pneumonia and Pleurisy with MCC | 79 | $28,894 | -52% | $9,697 |
| 689 Kidney and Urinary Tract Infections with MCC | 77 | $22,585 | -56% | $8,579 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 72 | $33,895 | -54% | $11,768 |
| 690 Kidney and Urinary Tract Infections without MCC | 68 | $19,052 | -50% | $6,262 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 68 | $85,961 | -62% | $32,360 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 64 | $39,205 | -48% | $11,456 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 63 | $28,290 | -49% | $7,931 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 62 | $21,875 | -39% | $5,996 |
| 683 Renal Failure with CC | 61 | $19,255 | -53% | $6,942 |
| 481 Hip and Femur Procedures except Major Joint with CC | 59 | $33,488 | -67% | $14,777 |
| 377 Gastrointestinal Hemorrhage with MCC | 57 | $38,900 | -54% | $12,944 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 57 | $38,219 | -63% | $14,572 |
| 682 Renal Failure with MCC | 56 | $31,330 | -52% | $10,942 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $18,992 | -49% | $6,140 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $29,812 | -51% | $9,753 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 44 | $37,576 | -62% | $13,648 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 44 | $56,118 | -51% | $13,786 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 40 | $27,069 | -46% | $7,123 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $24,391 | -39% | $6,368 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 39 | $28,102 | -50% | $9,346 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 37 | $55,470 | -59% | $18,571 |
| 811 Red Blood Cell Disorders with MCC | 33 | $33,917 | -50% | $10,719 |
| 312 Syncope and Collapse | 30 | $23,735 | -48% | $6,817 |
| 637 Diabetes with MCC | 29 | $36,754 | -45% | $10,633 |
| 330 Major Small and Large Bowel Procedures with CC | 27 | $47,250 | -60% | $17,135 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 27 | $45,167 | -67% | $19,998 |
| 603 Cellulitis without MCC | 27 | $18,221 | -51% | $7,029 |
| 389 Gastrointestinal Obstruction with CC | 26 | $16,147 | -59% | $6,360 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $28,551 | -53% | $9,988 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 25 | $35,752 | -62% | $12,261 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $44,178 | -55% | $14,735 |
| 314 Other Circulatory System Diagnoses with MCC | 22 | $50,755 | -46% | $14,952 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $69,877 | -57% | $20,318 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 22 | $21,109 | -56% | $7,855 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 22 | $31,855 | -66% | $14,132 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $25,091 | -50% | $8,360 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $21,973 | -43% | $6,170 |
| 303 Atherosclerosis without MCC | 21 | $21,587 | -39% | $5,513 |
| 638 Diabetes with CC | 21 | $23,546 | -43% | $7,039 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 21 | $129,694 | -60% | $43,857 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $41,708 | -36% | $10,402 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 20 | $32,694 | -58% | $11,894 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 19 | $37,525 | -56% | $12,507 |
| 644 Endocrine Disorders with CC | 19 | $29,782 | -38% | $8,525 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 18 | $50,728 | -55% | $15,960 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $21,781 | -54% | $7,723 |
| 812 Red Blood Cell Disorders without MCC | 18 | $25,433 | -43% | $7,164 |
| 100 Seizures with MCC | 17 | $38,266 | -59% | $13,529 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $39,414 | -38% | $7,290 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 17 | $26,019 | -67% | $12,183 |
| 393 Other Digestive System Diagnoses with MCC | 17 | $34,321 | -55% | $12,405 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $53,607 | -60% | $20,000 |
| 069 Transient Ischemia without Thrombolytic | 16 | $23,404 | -54% | $6,337 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $65,604 | -69% | $29,994 |
Showing the 60 most frequent of 89 DRGs.
Outpatient services
Against the Arkansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Fort Smith charged $44,079 on average, 22% less than the Arkansas average of $56,298, and was paid $13,846 against a state average of $14,253. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Fort Smith charged $28,152 on average, 24% less than the Arkansas average of $37,089, and was paid $9,460 against a state average of $9,423. For Pulmonary Edema and Respiratory Failure (DRG 189), Mercy Hospital Fort Smith charged $29,194 on average, 24% less than the Arkansas average of $38,336, and was paid $9,466 against a state average of $9,184. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Hospital Fort Smith charged $35,649 on average, 26% less than the Arkansas average of $48,304, and was paid $11,579 against a state average of $11,852. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $25,758 was 39% below the state average of $42,388. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,106 was 1% below the state average of $15,198. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,206 was 4% above the state average of $14,661. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,963 was 27% below the state average of $8,211.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Fort Smith in Fort Smith, AR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-16 (CMS case 3886)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.