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 |
|---|---|---|---|---|
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $429.00 | $660.00 | $190.15 – $301.47 | 10 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $614.25 | $945.00 | $335.64 – $569.62 | 10 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $378.95 | $583.00 | $181.47 – $293.03 | 10 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $501.80 | $772.00 | $233.43 – $370.08 | 10 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $322.40 | $496.00 | $28.11 – $119.80 | 10 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,042.60 | $1,604.00 | $431.89 – $1,425.19 | 10 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $473.20 | $728.00 | $254.77 – $403.91 | 10 |
| #cmvcul-virus inoculation shell CPT 87254 | $137.80 | $212.00 | $6.99 – $89.29 | 20 |
| Cmv pcr-sendout CPT 87496 | $262.60 | $404.00 | $35.09 – $160.20 | 17 |
| Coagulation time activated teg CPT 85347 | $55.25 | $85.00 | $3.81 – $18.28 | 22 |
| Cold agglutinin screen (arc) CPT 86156 | $57.85 | $89.00 | $7.18 – $30.59 | 20 |
| Cold agglutinin titer CPT 86157 | $72.15 | $111.00 | $7.17 – $36.81 | 20 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $73.45 | $113.00 | $23.02 – $23.02 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $114.40 | $176.00 | $114.79 – $114.79 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $16.25 | $25.00 | $3.00 – $8.09 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | $3,227.54 | $4,965.44 | $155.67 – $1,157.91 | 21 |
| Colonoscopy submucous njx CPT 45381 | $5,264.38 | $8,099.04 | $161.84 – $567.50 | 37 |
| Colonoscopy w/ablation CPT 45388 | $991.25 | $1,525.00 | $226.13 – $2,028.38 | 10 |
| Colonoscopy w/control bleed CPT 45382 | $1,005.55 | $1,547.00 | $215.94 – $566.01 | 10 |
| Colonoscopy with ablation CPT 44401 | $868.40 | $1,336.00 | $202.73 – $1,962.41 | 10 |
| Colonoscopy (with biopsy) CPT 45380 | $5,264.38 | $8,099.04 | $161.84 – $567.50 | 37 |
| Colonoscopy (with polyp removal) CPT 45385 | $5,547.42 | $8,534.50 | $204.17 – $567.50 | 37 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $94.90 | $146.00 | $42.14 – $222.02 | 20 |
| Compatibility test each unit electronic CPT 86923 | $95.55 | $147.00 | $6.80 – $222.02 | 17 |
| Compatibility test each unit immediate spin technique CPT 86920 | $94.90 | $146.00 | $14.05 – $222.02 | 20 |
| Compatibility test incubate CPT 86921 | $94.90 | $146.00 | $18.72 – $222.02 | 20 |
| Complement antigen each component c3 CPT 86160 | $112.45 | $173.00 | $10.67 – $54.84 | 20 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $852.80 | $1,312.00 | $220.04 – $365.83 | 10 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $937.30 | $1,442.00 | $237.60 – $407.02 | 10 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $230.75 | $355.00 | $64.06 – $109.88 | 10 |
| Concentration infection agents any type CPT 87015 | $57.20 | $88.00 | $5.94 – $30.49 | 63 |
| Condylomata destruction 56420 CPT 56420 | $352.95 | $543.00 | $92.26 – $160.65 | 10 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,195.05 | $1,838.54 | $3.68 – $1,160.23 | 19 |
| Consultation pathology during surgery CPT 88329 | $96.20 | $148.00 | $33.43 – $114.87 | 12 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $223.60 | $344.00 | $19.50 – $1,096.37 | 20 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $92.30 | $142.00 | $23.10 – $47.22 | 12 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $198.90 | $306.00 | $88.11 – $222.02 | 12 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $181.35 | $279.00 | $49.47 – $171.89 | 12 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $195.00 | $300.00 | $33.43 – $270.87 | 12 |
| Consult comp w/report rfrd material CPT 88325 | $282.75 | $435.00 | $49.47 – $425.58 | 12 |
| Contrast baths charges CPT 97034 | $53.30 | $82.00 | $20.13 – $55.88 | 4 |
| Control nosebleed pack+caut 30905 CPT 30905 | $497.25 | $765.00 | $92.11 – $146.04 | 10 |
| Control of nosebleed ant comp 30903 CPT 30903 | $401.70 | $618.00 | $65.48 – $114.79 | 10 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $217.75 | $335.00 | $46.79 – $133.79 | 10 |
| Coombs direct CPT 86880 | $63.05 | $97.00 | $4.79 – $81.15 | 21 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $102.70 | $158.00 | $5.09 – $222.02 | 20 |
| Coombs indirect titer reference CPT 86886 | $134.55 | $207.00 | $4.61 – $222.02 | 20 |
| Cortisol acth stimulation test - sendout CPT 80400 | $252.85 | $389.00 | $29.02 – $148.92 | 20 |
| Cortisol total am CPT 82533 | $81.90 | $126.00 | $14.50 – $74.43 | 20 |
| Co-treatment - group 15 mins, st CPT 92508 | $119.60 | $184.00 | $5.94 – $73.37 | 13 |
| Counseling smoke cess interm >10mins CPT 99407 | $60.45 | $93.00 | $24.37 – $38.59 | 7 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $41.60 | $64.00 | $37.45 – $57.54 | 7 |
| #covid19rsv-rsv CPT 87634 | $152.10 | $234.00 | $62.44 – $196.72 | 20 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $70.85 | $109.00 | $11.59 – $59.46 | 20 |
| C-peptide CPT 84681 | $62.40 | $96.00 | $18.51 – $95.00 | 20 |
| C-reactive protein CPT 86140 | $53.30 | $82.00 | $4.61 – $23.63 | 67 |
| C-reactive protein high sensitivity CPT 86141 | $110.50 | $170.00 | $11.52 – $59.10 | 20 |
| C-reactive protein, quantitative CPT 86406 | $74.10 | $114.00 | $9.46 – $48.57 | 67 |
| Creatine kinase CPT 82550 | $46.80 | $72.00 | $5.79 – $29.72 | 20 |
| Creatine kinase isoenzymes CPT 82552 | $92.30 | $142.00 | $11.91 – $61.17 | 20 |
| Creatine kinase mb CPT 82553 | $100.75 | $155.00 | $10.27 – $52.71 | 67 |
| Creatinine CPT 82565 | $65.65 | $101.00 | $4.55 – $23.39 | 20 |
| Creatinine 24 hour urine CPT 82570 | $55.25 | $85.00 | $4.61 – $23.63 | 20 |
| Creatinine clearance urine CPT 82575 | $85.80 | $132.00 | $8.41 – $43.13 | 20 |
| #creutz-prot.,western blot CPT 84182 | $247.00 | $380.00 | $25.70 – $82.18 | 20 |
| Critical care 30-74 minutes CPT 99291 | $1,392.30 | $2,142.00 | $191.78 – $1,213.97 | 13 |
| Critical care each additional 30 minutes CPT 99292 | $351.00 | $540.00 | $96.48 – $152.97 | 10 |
| Crotalidae poly immune fab HCPCS J0840 | $6,443.97 | $9,913.80 | $1,779.64 – $5,320.44 | 11 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $39.00 | $60.00 | $12.25 – $39.20 | 20 |
| Cryoprecipitate each unit HCPCS P9012 | $111.80 | $172.00 | $39.75 – $105.04 | 7 |
| Crystal identification light microscopy CPT 89060 | $55.25 | $85.00 | $6.52 – $32.67 | 66 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,002.00 | $3,080.00 | $142.90 – $1,985.32 | 20 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,120.30 | $3,262.00 | $143.14 – $2,036.52 | 20 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $939.25 | $1,445.00 | $143.14 – $1,893.28 | 20 |
| Cta neck without &/or w/contrast CPT 70498 | $1,890.85 | $2,909.00 | $143.14 – $2,564.29 | 20 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,226.60 | $4,964.00 | $239.84 – $2,951.85 | 20 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,428.70 | $2,198.00 | $143.19 – $1,888.42 | 20 |
| CT Angiogram of the Head CPT 70496 | $1,047.15 | $1,611.00 | $143.14 – $2,445.59 | 20 |
| CT bone density axial CPT 77078 | $326.30 | $502.00 | $70.12 – $686.92 | 20 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $842.40 | $1,296.00 | $97.15 – $1,212.57 | 20 |
| CT lower extremity without contrast (both sides) CPT 73700 | $788.45 | $1,213.00 | $71.62 – $955.82 | 20 |
| CT lwr extremity w/o&w/dye CPT 73702 | $920.40 | $1,416.00 | $119.64 – $1,597.74 | 20 |
| CT neck soft tissue w/contrast CPT 70491 | $1,383.85 | $2,129.00 | $103.53 – $1,200.46 | 20 |
| CT neck soft tissue without contrast CPT 70490 | $982.80 | $1,512.00 | $78.01 – $955.82 | 20 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,600.95 | $2,463.00 | $142.00 – $1,491.15 | 20 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $831.35 | $1,279.00 | $130.75 – $1,709.18 | 20 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $813.80 | $1,252.00 | $110.20 – $1,520.23 | 20 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $771.55 | $1,187.00 | $85.48 – $1,273.14 | 20 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,636.75 | $5,595.00 | $212.92 – $1,883.59 | 20 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,020.55 | $4,647.00 | $188.51 – $1,585.62 | 20 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,325.05 | $3,577.00 | $88.54 – $878.29 | 20 |
| CT thoracic spine w/contrast CPT 72129 | $1,573.00 | $2,420.00 | $158.53 – $1,212.57 | 20 |
| CT thoracic spine without contrast CPT 72128 | $1,399.45 | $2,153.00 | $71.90 – $963.06 | 20 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $889.85 | $1,369.00 | $126.31 – $1,193.21 | 20 |
| CT upper extremity without contrast (both sides) CPT 73200 | $843.05 | $1,297.00 | $85.22 – $955.82 | 20 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,019.20 | $1,568.00 | $143.16 – $1,614.70 | 20 |
| Culture aerobic additional method definitive id each CPT 87077 | $52.00 | $80.00 | $7.19 – $36.92 | 67 |
| Culture afb any source CPT 87116 | $71.50 | $110.00 | $9.61 – $49.34 | 20 |
| Culture anaerobic additional method definitive id each CPT 87076 | $65.65 | $101.00 | $7.19 – $36.92 | 21 |
| Culture anaerobic except blood CPT 87075 | $112.45 | $173.00 | $8.42 – $39.93 | 60 |
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.