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 |
|---|---|---|---|---|
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,718.98 | $25,721.51 | $2,053.00 – $24,614.00 | 19 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $60.83 | $93.58 | $2.14 – $8.17 | 15 |
| Test for porphobilinogen CPT 84106 | $48.75 | $75.00 | $5.18 – $19.55 | 20 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $52.00 | $80.00 | $35.50 – $81.15 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $101.40 | $156.00 | $12.58 – $64.60 | 20 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $44.20 | $68.00 | $32.05 – $103.72 | 8 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $44.20 | $68.00 | $27.89 – $88.94 | 8 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $26.36 | $40.55 | $3.52 – $10.62 | 7 |
| Thrombin time CPT 85670 | $43.55 | $67.00 | $5.13 – $26.34 | 20 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $74.75 | $115.00 | $5.75 – $29.56 | 20 |
| Thyroglobulin antibody CPT 86800 | $100.75 | $155.00 | $14.15 – $72.63 | 20 |
| Thyroid (TSH) Test CPT 84443 | $57.85 | $89.00 | $14.94 – $76.75 | 67 |
| Thyroid Ultrasound CPT 76536 | $455.00 | $700.00 | $54.00 – $274.67 | 20 |
| Thyroxine binding globulin (tbg) CPT 84442 | $79.95 | $123.00 | $13.15 – $67.50 | 20 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $284.05 | $437.00 | $72.40 – $351.85 | 15 |
| Tissue culture placenta CPT 88235 | $416.00 | $640.00 | $91.26 – $291.78 | 20 |
| Tissue culture skin/biopsy CPT 88233 | $382.85 | $589.00 | $91.26 – $291.78 | 20 |
| Tissue exam koh skin/hair/nails CPT 87220 | $122.85 | $189.00 | $3.80 – $15.75 | 20 |
| Tissue transglutaminase iga CPT 86364 | $162.50 | $250.00 | $10.26 – $18.00 | 11 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $7.15 | $11.00 | $1.97 – $19.11 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $72.15 | $111.00 | $14.35 – $73.59 | 20 |
| Toxoplasma antibody igg CPT 86777 | $35.75 | $55.00 | $12.80 – $65.72 | 21 |
| Toxoplasma antibody igm CPT 86778 | $75.40 | $116.00 | $12.82 – $65.75 | 20 |
| Tpmt gene com vrnts CPT 81335 | $381.55 | $587.00 | $155.49 – $396.82 | 20 |
| Transferrin CPT 84466 | $35.75 | $55.00 | $11.35 – $58.32 | 21 |
| Transfusion blood/blood component(s) CPT 36430 | $1,874.60 | $2,884.00 | $68.00 – $389.32 | 12 |
| Treat elbow fracture CPT 24620 | $1,084.85 | $1,669.00 | $517.23 – $1,425.19 | 10 |
| Treat fracture of radius CPT 25505 | $753.35 | $1,159.00 | $444.28 – $1,425.19 | 10 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $80.60 | $124.00 | $46.65 – $151.00 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $80.60 | $124.00 | $13.58 – $41.08 | 5 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $80.60 | $124.00 | $6.00 – $249.04 | 16 |
| Treatment of thigh fracture CPT 27510 | $1,663.35 | $2,559.00 | $614.01 – $1,425.19 | 10 |
| Treatment of toe fracture 28510 CPT 28510 | $226.20 | $348.00 | $108.05 – $180.49 | 10 |
| Treponema pallidum antibody CPT 86780 | $84.50 | $130.00 | $11.78 – $60.30 | 21 |
| Trg gene rearrangement anal CPT 81342 | $403.00 | $620.00 | $110.20 – $919.97 | 21 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $28.90 | $44.46 | $3.60 – $18.34 | 15 |
| Trichinella antibody CPT 86784 | $50.70 | $78.00 | $11.17 – $57.37 | 20 |
| #tricyclicantidprssnt CPT 80337 | $115.05 | $177.00 | $27.18 – $61.70 | 10 |
| Triglycerides CPT 84478 | $48.75 | $75.00 | $5.11 – $26.23 | 20 |
| Troponin quantitative CPT 84484 | $143.65 | $221.00 | $11.09 – $44.92 | 67 |
| Ua w/micro/comp poc CPT 81000 | $53.95 | $83.00 | $3.58 – $14.46 | 20 |
| Ugt1a1 gene analy common variants CPT 81350 | $740.35 | $1,139.00 | $120.26 – $450.50 | 17 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $325.65 | $501.00 | $67.46 – $252.18 | 20 |
| Ultrasound chest CPT 76604 | $401.70 | $618.00 | $23.00 – $252.18 | 20 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $497.25 | $765.00 | $23.58 – $115.82 | 8 |
| Ultrasound joint complete left CPT 76881 | $464.75 | $715.00 | $9.14 – $253.91 | 20 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $379.60 | $584.00 | $11.99 – $252.18 | 20 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $264.55 | $407.00 | $17.50 – $74.31 | 16 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $391.30 | $602.00 | $26.00 – $252.18 | 20 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $449.80 | $692.00 | $47.74 – $252.18 | 20 |
| Ultrasound prostate/transrectal CPT 76872 | $351.00 | $540.00 | $46.00 – $252.18 | 20 |
| Ultrasound retroperitoneal limited CPT 76775 | $212.55 | $327.00 | $15.00 – $252.18 | 20 |
| Ultrasound scrotum and contents CPT 76870 | $508.95 | $783.00 | $31.00 – $252.18 | 20 |
| Ultrasound transvaginal non obstetric CPT 76830 | $360.10 | $554.00 | $68.00 – $268.44 | 20 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,794.22 | $2,760.34 | $100.39 – $567.50 | 37 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $4,686.25 | $7,209.62 | $112.42 – $824.01 | 37 |
| Urea nitrogen CPT 84520 | $48.75 | $75.00 | $3.51 – $18.04 | 20 |
| Urea nitrogen 24 hour urine CPT 84540 | $39.00 | $60.00 | $4.95 – $21.68 | 66 |
| Uric acid blood CPT 84550 | $44.20 | $68.00 | $4.02 – $20.63 | 21 |
| Uric acid urine CPT 84560 | $42.25 | $65.00 | $4.52 – $21.68 | 20 |
| Urinalysis microscopic only CPT 81015 | $23.40 | $36.00 | $2.71 – $13.88 | 20 |
| Urinalysis (with microscopy) CPT 81001 | $33.15 | $51.00 | $2.82 – $14.46 | 21 |
| Urinalysis (without microscopy) CPT 81003 | $42.90 | $66.00 | $2.00 – $10.24 | 20 |
| Urine Culture Test CPT 87086 | $47.45 | $73.00 | $7.18 – $36.84 | 24 |
| Urine pregnancy test CPT 81025 | $63.70 | $98.00 | $7.66 – $28.87 | 20 |
| Vaccine dtap < 7 years im CPT 90700 | $87.80 | $135.07 | $21.47 – $86.40 | 15 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $263.92 | $406.03 | $13.80 – $252.99 | 19 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $60.95 | $93.77 | $13.12 – $67.71 | 19 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $950.58 | $1,462.43 | $279.05 – $948.15 | 11 |
| Vaccine rabies im CPT 90675 | $945.46 | $1,454.56 | $262.98 – $962.61 | 19 |
| Vaccine tdap >=7 years im CPT 90715 | $150.77 | $231.95 | $28.80 – $118.38 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $137.13 | $210.97 | $14.00 – $102.90 | 15 |
| Valproic acid total therapeutic drug level CPT 80164 | $97.50 | $150.00 | $12.04 – $61.89 | 67 |
| Vancomycin peak therapeutic drug level CPT 80202 | $95.55 | $147.00 | $12.04 – $61.89 | 22 |
| Varicella zoster antibody igg CPT 86787 | $65.65 | $101.00 | $11.46 – $58.83 | 20 |
| Venipuncture <3 yrs other vein CPT 36406 | $46.80 | $72.00 | $15.31 – $15.31 | 4 |
| Ventilator each subsequent day CPT 94003 | $833.30 | $1,282.00 | $57.15 – $723.98 | 8 |
| Ventilator initial day CPT 94002 | $910.00 | $1,400.00 | $81.35 – $723.98 | 8 |
| Very long chain fatty acids CPT 82726 | $157.30 | $242.00 | $17.57 – $82.42 | 20 |
| Virus isolation addl studies ea CPT 87253 | $117.65 | $181.00 | $17.97 – $92.23 | 20 |
| Vitamin b-12 CPT 82607 | $49.40 | $76.00 | $13.41 – $68.81 | 20 |
| Vitamin D Test CPT 82306 | $81.25 | $125.00 | $26.33 – $135.20 | 22 |
| Volume measurement urine timed CPT 81050 | $13.65 | $21.00 | $3.24 – $13.69 | 21 |
| Warde 1003990 aldosterone CPT 82088 | $122.85 | $189.00 | $36.25 – $186.07 | 21 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $100.10 | $154.00 | $24.73 – $126.94 | 20 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $117.65 | $181.00 | $11.47 – $58.86 | 20 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $195.00 | $300.00 | $22.46 – $115.27 | 20 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $70.85 | $109.00 | $13.79 – $70.75 | 20 |
| Warde 1015200 kappa light chain free CPT 83521 | $112.45 | $173.00 | $15.36 – $26.98 | 11 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $119.60 | $184.00 | $7.13 – $36.62 | 20 |
| Warde 3008005 oligoclonal bands CPT 83916 | $131.95 | $203.00 | $24.36 – $91.79 | 20 |
| Warde 3016000 west nile virus antibody CPT 86788 | $77.35 | $119.00 | $14.99 – $76.91 | 20 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $73.45 | $113.00 | $12.80 – $65.72 | 20 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $131.95 | $203.00 | $10.90 – $55.96 | 20 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $81.25 | $125.00 | $7.92 – $40.63 | 65 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $65.00 | $100.00 | $15.99 – $82.04 | 65 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $241.80 | $372.00 | $139.92 – $230.88 | 54 |
| Warde 3400852 arsenic CPT 82175 | $171.60 | $264.00 | $16.87 – $86.63 | 20 |
| Warde 3708165 mercury urine CPT 83825 | $81.25 | $125.00 | $14.46 – $74.22 | 20 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $203.45 | $313.00 | $16.37 – $28.74 | 11 |
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.