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 |
|---|---|---|---|---|
| Borrelia miyamotoi amp prb CPT 87478 | $161.20 | $248.00 | $35.09 – $54.80 | 7 |
| Braf gene CPT 81210 | $421.20 | $648.00 | $70.42 – $599.85 | 21 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $7.15 | $11.00 | $0.58 – $1.72 | 7 |
| Bundled special stain group 1 microorganisms CPT 88312 | $4,877.91 | $7,504.47 | $13.00 – $193.70 | 20 |
| Bundled special stain group 2 CPT 88313 | $110.50 | $170.00 | $7.00 – $155.26 | 20 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $43.38 | $66.74 | $3.00 – $9.00 | 7 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.25 | $5.00 | $3.99 – $7.01 | 7 |
| Buprenorphine oral 1mg HCPCS J0571 | $3.25 | $5.00 | $1.36 – $3.98 | 7 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $30.91 | $47.55 | $3.94 – $14.22 | 15 |
| Bx breast perq without image 19100 CPT 19100 | $242.45 | $373.00 | $56.92 – $1,442.85 | 10 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $631.15 | $971.00 | $223.65 – $3,410.03 | 10 |
| Bx of breast open 19101 CPT 19101 | $549.90 | $846.00 | $196.68 – $3,410.03 | 10 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $100.75 | $155.00 | $23.93 – $61.09 | 10 |
| C1 esterase inhibitor func - sendout CPT 86161 | $205.40 | $316.00 | $10.67 – $54.84 | 20 |
| Calcium 24 hour urine CPT 82340 | $55.25 | $85.00 | $5.36 – $27.55 | 21 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $60.98 | $93.82 | $11.00 – $23.00 | 7 |
| Calcium ionized CPT 82330 | $74.75 | $115.00 | $12.17 – $60.30 | 21 |
| Calcium total CPT 82310 | $50.70 | $78.00 | $4.59 – $23.56 | 20 |
| Calculi urinary-sendout CPT 82360 | $114.40 | $176.00 | $11.45 – $58.76 | 20 |
| Calculus analysis qual CPT 82355 | $98.80 | $152.00 | $10.30 – $52.84 | 20 |
| Calprotectin fecal CPT 83993 | $183.30 | $282.00 | $17.46 – $89.62 | 20 |
| Campylobacter antibody CPT 86625 | $63.70 | $98.00 | $11.67 – $59.91 | 20 |
| Candida dna CPT 87480 | $35.75 | $55.00 | $17.83 – $91.55 | 22 |
| Carbamazepine free CPT 80157 | $64.35 | $99.00 | $11.79 – $60.54 | 20 |
| Carbamazepine total therapeutic drug level CPT 80156 | $92.30 | $142.00 | $12.96 – $66.49 | 21 |
| Carbohydrate deficient transf - sendout CPT 82373 | $85.80 | $132.00 | $10.28 – $82.42 | 20 |
| Carbon dioxide CPT 82374 | $35.10 | $54.00 | $4.34 – $22.32 | 20 |
| Carboxyhemoglobin quantitative CPT 82375 | $89.05 | $137.00 | $10.96 – $56.25 | 20 |
| Carcinoembryonic ag (cea) CPT 82378 | $146.25 | $225.00 | $16.86 – $86.61 | 20 |
| Cardiolipin antibody iga CPT 86147 | $118.30 | $182.00 | $22.64 – $116.17 | 20 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,095.90 | $1,686.00 | $76.00 – $819.48 | 16 |
| Carotene CPT 82380 | $106.60 | $164.00 | $8.20 – $42.12 | 20 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,029.60 | $1,584.00 | $70.00 – $467.76 | 16 |
| Carpal Tunnel Release Surgery CPT 64721 | $962.00 | $1,480.00 | $369.70 – $1,738.97 | 29 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $345.80 | $532.00 | $49.77 – $102.34 | 7 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $48.75 | $75.00 | $3.00 – $14.02 | 20 |
| Cauterization chemical granulation tissue CPT 17250 | $114.40 | $176.00 | $32.75 – $74.26 | 10 |
| Cdna analysis for variants CPT 81403 | $444.60 | $684.00 | $125.76 – $356.54 | 20 |
| Cebpa gene full sequence CPT 81218 | $438.10 | $674.00 | $215.17 – $747.99 | 20 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $18.06 | $27.79 | $1.62 – $20.66 | 15 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $19.61 | $30.17 | $2.48 – $33.05 | 15 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $834.66 | $1,284.09 | $29.60 – $483.60 | 19 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $29.50 | $45.38 | $3.30 – $27.56 | 15 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $18.52 | $28.50 | $0.90 – $53.75 | 15 |
| #celiac hla-dq2 CPT 81377 | $250.25 | $385.00 | $84.27 – $2,113.14 | 20 |
| Cell count body fluid CPT 89050 | $53.30 | $82.00 | $4.20 – $21.58 | 20 |
| Cell count w differential body fluid CPT 89051 | $72.80 | $112.00 | $4.98 – $25.13 | 63 |
| Cell cryopreserve/storage CPT 88240 | $37.70 | $58.00 | $11.63 – $46.12 | 20 |
| Cell function assay w/stim CPT 86352 | $326.95 | $503.00 | $0.54 – $620.31 | 20 |
| Cell marker study CPT 88182 | $84.50 | $130.00 | $34.00 – $210.45 | 20 |
| #cf-97variants CPT 81220 | $487.50 | $750.00 | $372.00 – $1,071.55 | 20 |
| Cftr gene dup/delet variants CPT 81222 | $757.25 | $1,165.00 | $108.34 – $837.61 | 20 |
| Change cystostomy tube simple CPT 51705 | $170.95 | $263.00 | $44.35 – $84.16 | 10 |
| Chest 2 vws w oblique CPT 71048 | $304.20 | $468.00 | $26.08 – $252.18 | 20 |
| Chest apical lordotic proj CPT 71047 | $260.65 | $401.00 | $24.41 – $179.57 | 20 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,714.05 | $2,637.00 | $119.08 – $1,498.41 | 20 |
| Chest CT scan (with contrast) CPT 71260 | $1,291.55 | $1,987.00 | $158.53 – $1,205.31 | 20 |
| Chest CT scan (without contrast) CPT 71250 | $940.55 | $1,447.00 | $71.34 – $955.82 | 20 |
| Chest X-ray CPT 71046 | $220.35 | $339.00 | $19.41 – $179.57 | 20 |
| Chest X-ray (single view) CPT 71045 | $135.20 | $208.00 | $11.86 – $179.57 | 20 |
| Chlamydia culture CPT 87110 | $74.75 | $115.00 | $17.43 – $89.45 | 20 |
| Chlamydia type CPT 87140 | $34.45 | $53.00 | $4.95 – $25.47 | 20 |
| Chlnggrphy intraop addl s&i CPT 74301 | $193.70 | $298.00 | $12.98 – $141.45 | 13 |
| Chloride CPT 82435 | $40.95 | $63.00 | $4.09 – $20.99 | 20 |
| Chloride 24 hour urine CPT 82436 | $53.95 | $83.00 | $5.11 – $22.94 | 21 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $20.44 | $31.45 | $10.33 – $87.98 | 15 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $432.90 | $666.00 | $24.00 – $141.45 | 13 |
| Cholesterol CPT 82465 | $49.40 | $76.00 | $3.87 – $19.84 | 20 |
| Cholesterol (Lipid) Test CPT 80061 | $73.45 | $113.00 | $11.91 – $58.06 | 62 |
| Cholinesterase CPT 82480 | $49.40 | $76.00 | $7.00 – $35.97 | 20 |
| Chrom analysis CPT 88273 | $81.90 | $126.00 | $30.96 – $146.70 | 20 |
| Chromatography CPT 83021 | $122.85 | $189.00 | $16.06 – $82.42 | 20 |
| Chromogenic substrate assay CPT 85130 | $184.60 | $284.00 | $8.90 – $28.45 | 20 |
| Chromo high res and frag x - sendout CPT 81243 | $190.45 | $293.00 | $50.74 – $146.78 | 20 |
| Chromosome analysis 15-20 cell count CPT 88262 | $541.45 | $833.00 | $111.62 – $569.05 | 20 |
| Chromosome analysis 5 CPT 88261 | $394.55 | $607.00 | $235.13 – $806.88 | 20 |
| Chromosome count additional CPT 88285 | $44.85 | $69.00 | $23.94 – $86.73 | 20 |
| Chromosome karyotype study CPT 88280 | $37.70 | $58.00 | $29.77 – $114.59 | 21 |
| Chronic urticaria - sendout CPT 86343 | $115.70 | $178.00 | $11.08 – $56.92 | 67 |
| Chylomicron screen, bf - sendout CPT 82664 | $137.80 | $212.00 | $49.06 – $156.85 | 20 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $497.25 | $765.00 | $293.09 – $747.99 | 20 |
| Clearance of airways CPT 31720 | $121.55 | $187.00 | $181.12 – $266.82 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $44.77 | $68.88 | $2.13 – $4.88 | 7 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $250.90 | $386.00 | $102.59 – $162.65 | 10 |
| Clot factor xii hageman CPT 85280 | $102.05 | $157.00 | $17.21 – $88.36 | 20 |
| Clot factor xiii fibrin scrn CPT 85291 | $84.50 | $130.00 | $8.10 – $40.63 | 20 |
| Clot factor xiii fibrin stab CPT 85290 | $107.25 | $165.00 | $14.53 – $74.64 | 20 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $601.90 | $926.00 | $299.58 – $524.91 | 10 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $386.10 | $594.00 | $201.38 – $351.11 | 10 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $370.50 | $570.00 | $169.94 – $298.28 | 10 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $248.30 | $382.00 | $68.07 – $107.92 | 10 |
| Clsd tx fracture of radius 25500 CPT 25500 | $440.05 | $677.00 | $246.79 – $391.26 | 10 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $243.10 | $374.00 | $120.09 – $190.39 | 10 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $354.25 | $545.00 | $133.29 – $211.32 | 10 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $655.20 | $1,008.00 | $303.61 – $488.43 | 10 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,132.95 | $1,743.00 | $497.86 – $1,425.19 | 10 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,011.40 | $1,556.00 | $461.83 – $1,425.19 | 10 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $842.40 | $1,296.00 | $373.34 – $706.01 | 10 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $537.55 | $827.00 | $270.60 – $430.36 | 10 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $683.80 | $1,052.00 | $282.33 – $447.60 | 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.