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 |
|---|---|---|---|---|
| Npm1 gene CPT 81310 | $430.95 | $663.00 | $43.78 – $827.06 | 67 |
| Nras gene variants exon 2&3 CPT 81311 | $514.80 | $792.00 | $263.10 – $493.56 | 59 |
| Obstetrics panel CPT 80055 | $245.05 | $377.00 | $36.52 – $180.64 | 20 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $23.02 | $35.42 | $2.43 – $25.95 | 15 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $121.93 | $187.58 | $15.00 – $56.00 | 7 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $30.83 | 15 |
| Open bx/exc inguinofem nodes CPT 38531 | $1,229.80 | $1,892.00 | $393.61 – $624.03 | 10 |
| Organic acids total quant ea spec CPT 83918 | $188.50 | $290.00 | $20.99 – $75.12 | 20 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $48.16 | $74.10 | $6.48 – $37.35 | 15 |
| Osmolality blood CPT 83930 | $40.95 | $63.00 | $5.88 – $30.19 | 20 |
| Osmolality urine CPT 83935 | $42.90 | $66.00 | $6.07 – $31.13 | 21 |
| Ot evaluation high complexity patient/family CPT 97167 | $572.65 | $881.00 | $89.56 – $162.52 | 8 |
| Ot evaluation low complexity patient/family CPT 97165 | $523.25 | $805.00 | $89.56 – $162.52 | 8 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $544.05 | $837.00 | $89.56 – $162.52 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $59.80 | $92.00 | $45.21 – $85.69 | 8 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $70.85 | $109.00 | $41.39 – $118.01 | 8 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $63.70 | $98.00 | $23.93 – $93.66 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $457.60 | $704.00 | $61.51 – $110.30 | 8 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $68.25 | $105.00 | $21.76 – $108.37 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $20.80 | $32.00 | $19.38 – $31.30 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $65.65 | $101.00 | $20.28 – $32.33 | 7 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $98.15 | $151.00 | $21.76 – $84.81 | 16 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $70.20 | $108.00 | $29.72 – $104.37 | 8 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $71.50 | $110.00 | $28.72 – $108.51 | 8 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $34.89 | $53.68 | $4.28 – $43.31 | 15 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $30.87 | $47.50 | $0.87 – $5.79 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $9.26 | $14.25 | $5.08 – $13.29 | 7 |
| Parathormone (pth) intact CPT 83970 | $195.00 | $300.00 | $36.72 – $188.45 | 65 |
| Partial removal finger bone CPT 26236 | $3,146.00 | $4,840.00 | $385.57 – $1,425.19 | 10 |
| Pdgfra gene CPT 81314 | $497.90 | $766.00 | $293.09 – $747.99 | 20 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $1,417.00 | $2,180.00 | $596.14 – $945.13 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,705.60 | $2,624.00 | $143.16 – $1,462.08 | 20 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,552.85 | $2,389.00 | $158.53 – $1,205.31 | 20 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,370.20 | $2,108.00 | $71.07 – $669.29 | 20 |
| Pelvic Ultrasound (complete) CPT 76856 | $508.30 | $782.00 | $40.00 – $263.26 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $347.10 | $534.00 | $21.91 – $252.18 | 20 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $626.67 | $964.11 | $33.96 – $499.32 | 19 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $39.21 | $60.33 | $6.00 – $43.58 | 15 |
| Ph body fluid CPT 83986 | $35.75 | $55.00 | $3.18 – $16.32 | 20 |
| Phencyclidine (pcp) CPT 83992 | $74.75 | $115.00 | $19.92 – $63.73 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $106.60 | $164.00 | $13.61 – $52.27 | 20 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $7.15 | $11.00 | $0.05 – $0.05 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.15 | $11.00 | $0.94 – $11.08 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $98.80 | $152.00 | $11.79 – $60.54 | 20 |
| Phlebotomy therapeutic CPT 99195 | $134.55 | $207.00 | $79.55 – $284.28 | 8 |
| Phosphorus CPT 84100 | $37.05 | $57.00 | $4.22 – $21.63 | 21 |
| Phosphorus 24 hour urine CPT 84105 | $42.25 | $65.00 | $5.14 – $23.63 | 66 |
| Phys blood bank serv reactj CPT 86078 | $78.65 | $121.00 | $46.95 – $222.02 | 12 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $39.62 | $60.95 | $2.21 – $9.49 | 15 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $616.20 | $948.00 | $392.93 – $622.96 | 10 |
| Pinworm exam CPT 87172 | $24.70 | $38.00 | $3.80 – $19.49 | 20 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $20.07 | $30.88 | $2.28 – $19.79 | 15 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $133.90 | $206.00 | $50.67 – $89.58 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $152.10 | $234.00 | $22.16 – $98.09 | 20 |
| Platelet automated CPT 85049 | $59.80 | $92.00 | $3.98 – $20.44 | 20 |
| Platelet pheresis each unit HCPCS P9034 | $943.15 | $1,451.00 | $360.70 – $471.54 | 7 |
| Platelet pheresis irr ea HCPCS P9036 | $891.15 | $1,371.00 | $275.03 – $870.70 | 7 |
| Platelets each unit HCPCS P9019 | $187.20 | $288.00 | $39.69 – $109.04 | 7 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,532.70 | $2,358.00 | $468.14 – $1,169.86 | 7 |
| Platelets irradiated ea unit HCPCS P9032 | $215.80 | $332.00 | $73.05 – $203.03 | 7 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $280.15 | $431.00 | $71.17 – $184.81 | 7 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $334.10 | $514.00 | $127.09 – $378.91 | 7 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,127.10 | $1,734.00 | $392.45 – $471.03 | 7 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,127.10 | $1,734.00 | $459.47 – $751.77 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,256.45 | $1,933.00 | $389.81 – $685.71 | 7 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,278.55 | $1,967.00 | $483.98 – $901.06 | 7 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,088.10 | $1,674.00 | $815.93 – $815.93 | 3 |
| #pnh-flow cytometry interp CPT 88187 | $85.80 | $132.00 | $31.60 – $225.90 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,412.50 | $5,250.00 | $205.37 – $2,061.09 | 16 |
| Potassium 24 hour urine CPT 84133 | $40.30 | $62.00 | $4.21 – $19.66 | 21 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $37.50 | $57.70 | $0.50 – $18.39 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $44.20 | $68.00 | $4.23 – $20.99 | 20 |
| Pr application of long arm splint CPT 29105 | $247.65 | $381.00 | $35.03 – $72.86 | 10 |
| Pr application splint static short arm CPT 29125 | $163.80 | $252.00 | $37.52 – $59.49 | 10 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $35.75 | $55.00 | $12.99 – $62.25 | 8 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $219.70 | $338.00 | $24.06 – $246.02 | 22 |
| Prealbumin CPT 84134 | $87.10 | $134.00 | $12.98 – $66.55 | 21 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.87 | $7.50 | $0.12 – $4.38 | 15 |
| Prednisone 1 mg tablet HCPCS J7512 | $6.55 | $10.08 | $0.01 – $0.01 | 4 |
| Pregabalin - sendout CPT 80366 | $130.00 | $200.00 | $21.35 – $48.46 | 10 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $605.80 | $932.00 | $167.73 – $1,689.30 | 10 |
| Pregnancy associated plasma protein-a CPT 84163 | $70.85 | $109.00 | $11.67 – $36.92 | 20 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $412.75 | $635.00 | $56.00 – $282.97 | 20 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $486.85 | $749.00 | $42.75 – $252.18 | 20 |
| Prep skin to 100cm2 other CPT 15004 | $680.55 | $1,047.00 | $215.95 – $342.37 | 10 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $727.35 | $1,119.00 | $183.24 – $296.83 | 10 |
| Pressure max expiratory/inspiratory CPT 94799 | $100.75 | $155.00 | $189.11 – $189.11 | 3 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $99.45 | $153.00 | $8.00 – $222.02 | 20 |
| Pretreat rbc absorption reference CPT 86978 | $137.80 | $212.00 | $18.72 – $71.62 | 20 |
| Pretreat rbc density gradient separation reference CPT 86972 | $161.85 | $249.00 | $24.00 – $222.02 | 17 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $54.60 | $84.00 | $18.72 – $59.17 | 20 |
| Pretreat rbc w enzyme reference CPT 86971 | $152.10 | $234.00 | $24.00 – $457.62 | 17 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $183.30 | $282.00 | $70.66 – $1,442.85 | 10 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $448.50 | $690.00 | $134.19 – $1,442.85 | 52 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $215.80 | $332.00 | $108.47 – $187.02 | 29 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $156.00 | $240.00 | $71.29 – $113.02 | 10 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $117.65 | $181.00 | $65.71 – $113.75 | 29 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $73.45 | $113.00 | $41.07 – $70.37 | 29 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $409.50 | $630.00 | $160.45 – $254.38 | 10 |
| Pr incision & drainage abscess simple/single CPT 10060 | $217.75 | $335.00 | $92.83 – $147.17 | 10 |
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.