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 |
|---|---|---|---|---|
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $243.10 | $374.00 | $38.63 – $252.18 | 20 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $215.80 | $332.00 | $25.52 – $252.18 | 20 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $258.70 | $398.00 | $31.17 – $252.18 | 20 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $310.70 | $478.00 | $37.49 – $252.18 | 20 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $166.40 | $256.00 | $18.85 – $179.57 | 20 |
| X-ray humerus >= 2 views left CPT 73060 | $429.65 | $661.00 | $20.25 – $179.57 | 20 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $384.15 | $591.00 | $21.91 – $179.57 | 20 |
| X-ray knee 3 views (both sides) CPT 73562 | $461.50 | $710.00 | $26.63 – $179.57 | 20 |
| X-ray knee ap standing bilateral CPT 73565 | $213.85 | $329.00 | $22.00 – $179.57 | 20 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $309.40 | $476.00 | $19.97 – $179.57 | 20 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $148.85 | $229.00 | $24.97 – $252.18 | 20 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $423.80 | $652.00 | $33.02 – $252.18 | 20 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $496.60 | $764.00 | $39.13 – $252.18 | 20 |
| X-ray mandible complete > 4 views CPT 70110 | $273.00 | $420.00 | $26.00 – $252.18 | 20 |
| X-ray mandible ltd <4 views CPT 70100 | $200.85 | $309.00 | $16.00 – $179.57 | 20 |
| X-ray nasal bones complete > 3 views CPT 70160 | $266.50 | $410.00 | $23.00 – $179.57 | 20 |
| X-ray neck soft tissue CPT 70360 | $217.10 | $334.00 | $10.00 – $179.57 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $152.10 | $234.00 | $7.20 – $179.57 | 20 |
| X-ray pelvis 1-2 views CPT 72170 | $225.55 | $347.00 | $16.36 – $252.18 | 20 |
| X-ray pelvis complete > 3 views CPT 72190 | $236.60 | $364.00 | $25.25 – $252.18 | 20 |
| X-ray ribs 2 views left CPT 71100 | $239.85 | $369.00 | $17.00 – $179.57 | 20 |
| X-ray ribs 3 views bilateral CPT 71110 | $302.25 | $465.00 | $25.00 – $252.18 | 20 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $270.40 | $416.00 | $17.00 – $252.18 | 20 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $335.40 | $516.00 | $31.08 – $252.18 | 20 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $211.25 | $325.00 | $21.00 – $252.18 | 20 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $258.05 | $397.00 | $17.00 – $179.57 | 20 |
| X-ray scapula complete (both sides) CPT 73010 | $343.85 | $529.00 | $12.75 – $252.18 | 20 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $365.30 | $562.00 | $11.92 – $179.57 | 20 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $239.20 | $368.00 | $22.75 – $179.57 | 20 |
| X-ray skull < 4 views CPT 70250 | $224.25 | $345.00 | $22.00 – $252.18 | 20 |
| X-ray skull > 4 views complete CPT 70260 | $404.95 | $623.00 | $26.08 – $252.18 | 20 |
| X-ray spine single view CPT 72020 | $183.95 | $283.00 | $13.86 – $179.57 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $190.45 | $293.00 | $18.00 – $179.57 | 20 |
| X-ray sternum > 2 views CPT 71120 | $165.75 | $255.00 | $14.00 – $179.57 | 20 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $213.20 | $328.00 | $22.00 – $179.57 | 20 |
| X-ray thoracic spine 2 views CPT 72070 | $218.40 | $336.00 | $19.41 – $252.18 | 20 |
| X-ray thoracic spine 3 views CPT 72072 | $248.30 | $382.00 | $24.14 – $252.18 | 20 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $175.50 | $270.00 | $20.53 – $179.57 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $154.05 | $237.00 | $23.51 – $179.57 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $335.40 | $516.00 | $42.84 – $252.18 | 20 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $424.45 | $653.00 | $19.97 – $179.57 | 20 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $281.45 | $433.00 | $13.00 – $179.57 | 20 |
| X-ray wrist 2 views (both sides) CPT 73100 | $375.70 | $578.00 | $19.00 – $179.57 | 20 |
| Zika virus dna/rna amp probe CPT 87662 | $280.80 | $432.00 | $45.64 – $143.80 | 20 |
| Zika virus igm antibody CPT 86794 | $211.25 | $325.00 | $14.99 – $47.22 | 20 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $145.11 | $223.25 | $14.38 – $31.42 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $362.70 | $558.00 | $22.40 – $957.21 | 15 |
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.