Mercy Hospital Boonville
880 W. Main Street, Booneville, AR · Mercy · · NPI 1992133714
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $158.60 | $244.00 | $38.50 – $61.04 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $120.90 | $186.00 | $41.09 – $65.54 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $120.90 | $186.00 | $40.93 – $44.59 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $120.90 | $186.00 | $164.56 – $268.63 | 8 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $94.90 | $146.00 | $63.38 – $87.73 | 8 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $1,629.93 | $2,507.58 | $191.00 – $969.50 | 11 |
| Inj testosterone cypionate HCPCS J1071 | $13.00 | $20.00 | $1.50 – $4.50 | 15 |
| Insertion catheter bladder non indwelling CPT 51701 | $90.35 | $139.00 | $20.97 – $567.50 | 18 |
| Insertion catheter bladder temporary simple CPT 51702 | $165.75 | $255.00 | $21.56 – $567.50 | 18 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $439.40 | $676.00 | $73.85 – $2,802.90 | 10 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,309.75 | $2,015.00 | $297.00 – $2,073.07 | 15 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,654.90 | $2,546.00 | $280.30 – $2,802.90 | 10 |
| Insitu hybridization manual CPT 88368 | $319.80 | $492.00 | $126.22 – $485.42 | 20 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $241.15 | $371.00 | $62.13 – $305.08 | 20 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $260.65 | $401.00 | $53.26 – $339.02 | 20 |
| Insulin total CPT 83525 | $58.50 | $90.00 | $10.17 – $52.17 | 20 |
| Intrauterine transfusion ftl CPT 36460 | $963.95 | $1,483.00 | $389.32 – $568.14 | 7 |
| Intrinsic factor antibody CPT 86340 | $61.10 | $94.00 | $13.41 – $68.81 | 20 |
| Intubation endotracheal emergency procedure CPT 31500 | $453.70 | $698.00 | $124.95 – $199.25 | 10 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $146.66 | $225.63 | $1.40 – $4.40 | 7 |
| Iron CPT 83540 | $40.30 | $62.00 | $5.75 – $29.56 | 20 |
| Iron binding capacity CPT 83550 | $56.55 | $87.00 | $7.77 – $39.93 | 20 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $200.51 | $308.47 | $23.00 – $73.00 | 15 |
| Irradiation of blood product each unit reference CPT 86945 | $116.35 | $179.00 | $14.05 – $59.17 | 16 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $93.60 | $144.00 | $20.94 – $74.75 | 8 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $153.40 | $236.00 | $63.38 – $89.80 | 8 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $153.40 | $236.00 | $16.94 – $61.45 | 8 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $153.40 | $236.00 | $41.09 – $133.45 | 8 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $153.40 | $236.00 | $90.58 – $268.63 | 16 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $756.60 | $1,164.00 | $55.00 – $410.00 | 20 |
| John cunningham antibody CPT 86711 | $1,005.55 | $1,547.00 | $15.02 – $65.72 | 20 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $77.35 | $119.00 | $7.27 – $32.02 | 21 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $11.58 | $17.82 | $0.33 – $22.11 | 19 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $475.15 | $731.00 | $44.00 – $280.90 | 20 |
| Knee X-ray CPT 73564 | $482.30 | $742.00 | $30.25 – $252.18 | 20 |
| Kras gene addl variants CPT 81276 | $346.45 | $533.00 | $171.89 – $447.62 | 20 |
| Kras gene variants exon 2 CPT 81275 | $552.50 | $850.00 | $171.89 – $660.87 | 20 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.15 | $11.00 | $0.58 – $2.52 | 7 |
| Lactate dehydrogenase (ldh) CPT 83615 | $61.75 | $95.00 | $5.37 – $27.55 | 20 |
| Lactated ringers intravenous solution HCPCS J7120 | $37.50 | $57.70 | $2.41 – $6.98 | 7 |
| Lactic acid CPT 83605 | $195.65 | $301.00 | $10.29 – $48.76 | 21 |
| Lactoferrin fecal qualitative CPT 83630 | $82.55 | $127.00 | $16.66 – $89.62 | 20 |
| Laparo cholecystectomy/explr CPT 47564 | $1,981.85 | $3,049.00 | $966.18 – $9,271.35 | 10 |
| Laparo cholecystectomy/graph CPT 47563 | $1,539.20 | $2,368.00 | $598.19 – $5,195.58 | 29 |
| Laparo partial colectomy 44204 CPT 44204 | $2,386.15 | $3,671.00 | $1,302.48 – $2,064.96 | 10 |
| Laparoscopy fundoplasty CPT 43280 | $2,086.50 | $3,210.00 | $886.59 – $9,271.35 | 29 |
| Lap enterolysis CPT 44180 | $2,005.25 | $3,085.00 | $789.18 – $5,195.58 | 10 |
| Lap ing hernia repair init CPT 49650 | $6,323.13 | $9,727.90 | $53.81 – $5,195.58 | 59 |
| Lap ing hernia repair recur CPT 49651 | $1,406.60 | $2,164.00 | $499.01 – $5,195.58 | 10 |
| Lead capillary CPT 83655 | $61.75 | $95.00 | $10.77 – $55.28 | 20 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $878.15 | $1,351.00 | $42.00 – $442.86 | 16 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $12.01 | $18.48 | $2.50 – $48.81 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | $63.05 | $97.00 | $11.79 – $60.54 | 21 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $19.45 | $29.93 | $3.78 – $84.53 | 15 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $21.61 | $33.25 | $20.00 – $20.00 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $78.65 | $121.00 | $13.07 – $67.05 | 20 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $553.80 | $852.00 | $172.44 – $1,442.85 | 10 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $192.66 | $296.40 | $8.94 – $224.25 | 15 |
| Lipase CPT 83690 | $68.90 | $106.00 | $6.13 – $31.46 | 23 |
| Lipoprotein blood high res frac & quant CPT 83701 | $90.35 | $139.00 | $30.12 – $111.24 | 20 |
| Lipoprotein blood quant CPT 83704 | $102.05 | $157.00 | $30.41 – $144.03 | 20 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.90 | $66.00 | $7.28 – $37.38 | 20 |
| Lipoprotein direct measurement ldl CPT 83721 | $42.90 | $66.00 | $9.34 – $43.58 | 20 |
| Lithium therapeutic drug level CPT 80178 | $62.40 | $96.00 | $5.88 – $30.19 | 20 |
| Liver Function Test CPT 80076 | $89.05 | $137.00 | $7.27 – $37.29 | 20 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $2,028.65 | $3,121.00 | $1,224.60 – $1,941.48 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.00 | $20.00 | $1.35 – $10.53 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,754.35 | $2,699.00 | $119.64 – $1,510.54 | 20 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,674.40 | $2,576.00 | $261.00 – $1,207.73 | 20 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,450.80 | $2,232.00 | $94.70 – $958.22 | 20 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $232.70 | $358.00 | $24.41 – $252.18 | 20 |
| L/s ratio fetal lung CPT 83661 | $173.55 | $267.00 | $19.56 – $100.37 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $233.35 | $359.00 | $23.30 – $189.11 | 16 |
| Macro exam dissect molec study ea CPT 88387 | $76.70 | $118.00 | $7.22 – $29.55 | 12 |
| Macroscopic exam arthropod CPT 87168 | $14.95 | $23.00 | $3.80 – $19.49 | 20 |
| Macroscopic exam parasite CPT 87169 | $35.10 | $54.00 | $3.83 – $19.49 | 20 |
| Magnesium CPT 83735 | $96.20 | $148.00 | $5.96 – $30.59 | 67 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $38.90 | $59.85 | $0.98 – $8.67 | 15 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $70.85 | $109.00 | $32.70 – $151.00 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $83.85 | $129.00 | $20.78 – $151.00 | 8 |
| Mastectomy partial CPT 19301 | $1,245.40 | $1,916.00 | $575.39 – $3,410.03 | 10 |
| Mastoids complete CPT 70130 | $219.05 | $337.00 | $35.00 – $252.18 | 20 |
| M.avium-intra dna dir prob CPT 87560 | $70.85 | $109.00 | $24.27 – $91.55 | 20 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $100.10 | $154.00 | $12.86 – $66.02 | 20 |
| Mayo aathr protein s free CPT 85306 | $174.20 | $268.00 | $13.63 – $69.98 | 20 |
| Mayo activated protein c resistance assay CPT 85307 | $100.10 | $154.00 | $13.63 – $69.98 | 20 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $209.30 | $322.00 | $34.31 – $60.24 | 11 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $93.60 | $144.00 | $15.08 – $40.50 | 13 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $118.30 | $182.00 | $13.15 – $67.50 | 20 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $89.05 | $137.00 | $40.50 – $103.49 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $102.70 | $158.00 | $11.95 – $61.34 | 20 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $58.50 | $90.00 | $13.41 – $68.81 | 20 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $110.50 | $170.00 | $23.60 – $53.57 | 10 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $108.55 | $167.00 | $21.35 – $48.46 | 10 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $657.80 | $1,012.00 | $108.19 – $276.67 | 12 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $284.05 | $437.00 | $64.66 – $418.52 | 20 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $472.55 | $727.00 | $121.86 – $310.99 | 19 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,524.25 | $2,345.00 | $625.50 – $2,233.22 | 20 |
| Mayo androstenedione CPT 82157 | $115.05 | $177.00 | $26.04 – $133.67 | 20 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $119.60 | $184.00 | $12.99 – $66.67 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.