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 |
|---|---|---|---|---|
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,498.90 | $2,306.00 | $599.56 – $5,195.58 | 29 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $1,476.80 | $2,272.00 | $461.36 – $5,556.59 | 29 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $863.20 | $1,328.00 | $277.41 – $3,142.68 | 29 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $934.70 | $1,438.00 | $383.83 – $5,195.58 | 29 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,914.25 | $2,945.00 | $1,037.49 – $1,644.84 | 10 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,792.05 | $2,757.00 | $740.82 – $1,174.50 | 10 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,498.90 | $2,306.00 | $717.23 – $1,137.10 | 10 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $1,498.90 | $2,306.00 | $513.18 – $5,556.59 | 29 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $934.70 | $1,438.00 | $479.24 – $5,195.58 | 10 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $863.20 | $1,328.00 | $354.22 – $3,142.68 | 10 |
| Rsv assay w/optic CPT 87807 | $111.15 | $171.00 | $11.65 – $41.12 | 20 |
| Rubella antibody igg CPT 86762 | $44.20 | $68.00 | $12.80 – $65.72 | 20 |
| Rubeola antibody igg CPT 86765 | $47.45 | $73.00 | $11.46 – $58.83 | 20 |
| Russell viper venom diluted CPT 85613 | $111.15 | $171.00 | $8.24 – $26.34 | 20 |
| Sarscov coronavirus ag ia CPT 87426 | $70.20 | $108.00 | $31.43 – $48.40 | 11 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $104.00 | $160.00 | $42.39 – $73.57 | 11 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $67.60 | $104.00 | $35.47 – $56.23 | 10 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $888.55 | $1,367.00 | $91.00 – $783.52 | 16 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $508.95 | $783.00 | $73.00 – $439.74 | 16 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $658.45 | $1,013.00 | $73.00 – $561.20 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $557.70 | $858.00 | $73.00 – $265.32 | 16 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $718.25 | $1,105.00 | $73.00 – $599.76 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $68.90 | $106.00 | $26.49 – $84.00 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $625.95 | $963.00 | $149.74 – $293.28 | 29 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $625.95 | $963.00 | $149.57 – $293.03 | 52 |
| Screening prostate cancer PSA HCPCS G0103 | $58.50 | $90.00 | $17.18 – $83.96 | 12 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $150.15 | $231.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $25.35 | $39.00 | $2.40 – $12.36 | 65 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $32.50 | $50.00 | $12.19 – $37.96 | 5 |
| Semen analysis presence/motility CPT 89321 | $114.40 | $176.00 | $12.05 – $55.02 | 17 |
| Serial casting application 97139app CPT 97139 | $57.85 | $89.00 | $29.85 – $29.85 | 3 |
| Sertraline (zoloft) - sendout CPT 80332 | $250.25 | $385.00 | $27.18 – $61.70 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $171.60 | $264.00 | $48.62 – $117.58 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $206.05 | $317.00 | $57.89 – $133.76 | 10 |
| Shoulder X-ray CPT 73030 | $497.90 | $766.00 | $20.00 – $179.57 | 20 |
| Sickling rbc CPT 85660 | $37.05 | $57.00 | $4.90 – $25.19 | 20 |
| Sigmoidoscopy and biopsy CPT 45331 | $364.00 | $560.00 | $62.60 – $241.78 | 10 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,485.90 | $2,286.00 | $107.98 – $1,556.54 | 20 |
| Sinus CT scan (with contrast) CPT 70487 | $1,280.50 | $1,970.00 | $86.04 – $1,261.02 | 20 |
| Sinus CT scan (without contrast) CPT 70486 | $1,018.55 | $1,567.00 | $76.07 – $1,018.77 | 20 |
| Skin Biopsy CPT 11102 | $232.05 | $357.00 | $85.94 – $567.50 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $3,063.45 | $4,713.00 | $122.00 – $1,965.15 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $52.65 | $81.00 | $4.79 – $24.56 | 20 |
| Smear gram stain CPT 87205 | $82.55 | $127.00 | $3.80 – $19.49 | 67 |
| Smear nasal eosinophil CPT 89190 | $27.30 | $42.00 | $5.15 – $21.68 | 20 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $68.25 | $105.00 | $5.33 – $27.37 | 20 |
| Smear wet mount CPT 87210 | $76.70 | $118.00 | $5.18 – $19.49 | 20 |
| Snrpn/ube3a gene CPT 81331 | $337.35 | $519.00 | $45.43 – $121.90 | 20 |
| Sodium 24 hour urine CPT 84300 | $40.95 | $63.00 | $4.50 – $22.21 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $37.50 | $57.70 | $2.50 – $7.48 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $37.50 | $57.70 | $1.25 – $3.74 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $37.50 | $57.70 | $0.63 – $1.87 | 7 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $37.50 | $57.70 | $8.00 – $38.00 | 7 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $98.18 | $151.05 | $10.95 – $92.73 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $45.50 | $70.00 | $4.28 – $21.95 | 20 |
| Specific gravity body fluid CPT 84315 | $9.10 | $14.00 | $1.86 – $5.96 | 20 |
| Specimen fat stain CPT 89125 | $37.70 | $58.00 | $5.23 – $19.70 | 20 |
| Sperm antibody test CPT 89325 | $89.05 | $137.00 | $10.67 – $48.71 | 17 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $525.20 | $808.00 | $33.19 – $364.20 | 16 |
| Split blood or products CPT 86985 | $102.70 | $158.00 | $5.00 – $222.02 | 16 |
| Sputum specimen collection CPT 89220 | $101.40 | $156.00 | $9.66 – $222.02 | 20 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $416.00 | $640.00 | $97.72 – $300.82 | 8 |
| Staph a dna amp probe CPT 87640 | $95.55 | $147.00 | $34.42 – $160.20 | 18 |
| St evaluate speech sound production CPT 92522 | $416.00 | $640.00 | $99.10 – $291.65 | 8 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $425.75 | $655.00 | $202.75 – $603.61 | 8 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $822.90 | $1,266.00 | $46.87 – $284.76 | 16 |
| St evaluation swallow function CPT 92610 | $366.60 | $564.00 | $75.41 – $231.60 | 8 |
| Strep a ag ia CPT 87430 | $94.25 | $145.00 | $12.87 – $41.12 | 20 |
| Strep b dna amp probe CPT 87653 | $120.90 | $186.00 | $35.09 – $160.20 | 17 |
| Str markers specimen anal CPT 81265 | $703.30 | $1,082.00 | $207.31 – $981.81 | 20 |
| St treatment speech individual CPT 92507 | $248.30 | $382.00 | $21.76 – $251.33 | 16 |
| St treatment swallow dysfunction/oral CPT 92526 | $227.50 | $350.00 | $75.02 – $272.73 | 8 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.80 – $5.43 | 15 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $151.29 | $232.75 | $6.42 – $143.08 | 15 |
| Surgical pathology level 1 gross examination only CPT 88300 | $77.35 | $119.00 | $9.00 – $35.24 | 20 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $150.80 | $232.00 | $18.00 – $66.00 | 20 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $6,103.97 | $9,390.72 | $22.00 – $91.95 | 20 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $4,504.82 | $6,930.50 | $28.00 – $92.99 | 20 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $357.50 | $550.00 | $53.00 – $591.30 | 20 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $443.30 | $682.00 | $46.00 – $1,096.37 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $33.15 | $51.00 | $4.23 – $21.68 | 20 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $35.10 | $54.00 | $4.23 – $21.68 | 21 |
| Susceptibility mic per plate CPT 87186 | $55.25 | $85.00 | $7.69 – $26.34 | 67 |
| Sweat collection by iontophoresis CPT 89230 | $61.10 | $94.00 | $2.47 – $70.77 | 20 |
| Synvisc or synvisc-one HCPCS J7325 | $919.93 | $1,415.28 | $120.96 – $448.48 | 19 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $60.45 | $93.00 | $3.91 – $20.08 | 20 |
| T3 (triiodothyronine) free CPT 84481 | $63.70 | $98.00 | $15.07 – $77.34 | 65 |
| T3 (triiodothyronine) total CPT 84480 | $73.45 | $113.00 | $12.61 – $64.71 | 65 |
| T4 (thyroxine) free CPT 84439 | $51.35 | $79.00 | $8.02 – $41.17 | 67 |
| T4 (thyroxine) total CPT 84436 | $52.65 | $81.00 | $6.11 – $28.45 | 21 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.18 – $6.04 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $145.60 | $224.00 | $12.21 – $62.68 | 20 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,473.55 | $2,267.00 | $675.59 – $1,170.62 | 12 |
| Target gsa panel organ neop CPT 81445 | $1,907.10 | $2,934.00 | $531.83 – $997.91 | 12 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $165.75 | $255.00 | $87.22 – $342.10 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $76.70 | $118.00 | $55.13 – $282.98 | 20 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $114.40 | $176.00 | $41.79 – $183.79 | 21 |
| T cells absolute cd 4 count CPT 86361 | $151.45 | $233.00 | $23.82 – $91.94 | 20 |
| T cells total count CPT 86359 | $114.40 | $176.00 | $33.56 – $172.20 | 21 |
| Telehealth original site facility fee HCPCS Q3014 | $35.10 | $54.00 | $2.54 – $47.95 | 12 |
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.