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 |
|---|---|---|---|---|
| Culture bact stool aero addl path ea CPT 87046 | $18.20 | $28.00 | $3.37 – $43.10 | 67 |
| Culture body fluid CPT 87070 | $141.05 | $217.00 | $7.67 – $39.32 | 67 |
| Culture fungi definitive id mold CPT 87107 | $58.50 | $90.00 | $9.18 – $37.36 | 20 |
| Culture fungi definitive id yeast CPT 87106 | $32.50 | $50.00 | $9.18 – $37.36 | 66 |
| Culture fungi other (except blood) CPT 87102 | $92.30 | $142.00 | $7.48 – $38.36 | 20 |
| Culture fungi skin/hair/nail CPT 87101 | $89.05 | $137.00 | $6.86 – $26.34 | 20 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $88.40 | $136.00 | $13.00 – $49.96 | 20 |
| Culture mycoplasma any source CPT 87109 | $108.55 | $167.00 | $13.69 – $70.26 | 20 |
| Culture quantitative aerobic other source CPT 87071 | $224.25 | $345.00 | $6.74 – $43.10 | 20 |
| Culture screening strep group a CPT 87081 | $111.15 | $171.00 | $5.90 – $30.27 | 20 |
| Culture typing added method CPT 87158 | $43.55 | $67.00 | $6.88 – $23.86 | 20 |
| Culture typing immunologic CPT 87147 | $35.75 | $55.00 | $4.61 – $23.63 | 67 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $733.20 | $1,128.00 | $193.96 – $336.09 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $35.75 | $55.00 | $31.21 – $160.20 | 67 |
| Culture urine each isolate CPT 87088 | $75.40 | $116.00 | $7.20 – $36.98 | 66 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $39.00 | $60.00 | $12.74 – $65.38 | 20 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $10.50 | $16.15 | $1.27 – $5.06 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $72.15 | $111.00 | $11.52 – $59.10 | 21 |
| Cyclosporine 2 hour CPT 80158 | $156.00 | $240.00 | $16.06 – $82.42 | 67 |
| Cyp2c19 gene com variants CPT 81225 | $642.20 | $988.00 | $199.24 – $976.53 | 17 |
| Cyp3a4 gene common variants CPT 81230 | $438.75 | $675.00 | $174.81 – $396.82 | 17 |
| Cystatin c CPT 82610 | $94.90 | $146.00 | $16.47 – $62.06 | 20 |
| Cystic fibrosis cftr CPT 81223 | $1,041.95 | $1,603.00 | $443.85 – $2,026.66 | 20 |
| Cystine urine quantitative CPT 82131 | $87.75 | $135.00 | $20.44 – $76.98 | 20 |
| Cytogenetics 25-99 CPT 88274 | $156.00 | $240.00 | $37.70 – $158.92 | 20 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $77.35 | $119.00 | $12.80 – $65.72 | 21 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $81.25 | $125.00 | $14.99 – $76.91 | 20 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $117.00 | $180.00 | $49.47 – $126.85 | 20 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $42.25 | $65.00 | $20.75 – $84.00 | 22 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $52.65 | $81.00 | $18.02 – $68.92 | 20 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $157.95 | $243.00 | $22.00 – $161.51 | 20 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $95.55 | $147.00 | $11.00 – $129.32 | 20 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $60.45 | $93.00 | $7.22 – $25.84 | 20 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $96.20 | $148.00 | $48.67 – $222.02 | 20 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $251.55 | $387.00 | $49.47 – $216.54 | 12 |
| Cytopath smear other source CPT 88160 | $81.90 | $126.00 | $9.00 – $109.61 | 20 |
| Cytopath smear oth prep screen & interp CPT 88161 | $96.20 | $148.00 | $22.99 – $96.10 | 12 |
| Cytopath tbs c/v manual CPT 88164 | $55.90 | $86.00 | $7.39 – $48.27 | 20 |
| Cytotoxic antibody screening CPT 86807 | $286.65 | $441.00 | $33.22 – $122.83 | 20 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $60.95 | $93.77 | $14.00 – $230.41 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $935.77 | $1,439.64 | $74.25 – $260.48 | 19 |
| Dch validity tests CPT 81002 | $39.00 | $60.00 | $3.10 – $11.68 | 20 |
| Deamidated gliadin antibody iga CPT 86258 | $167.05 | $257.00 | $10.72 – $18.82 | 11 |
| Debridement (>20 cm) charge pt CPT 97598 | $215.15 | $331.00 | $20.80 – $69.44 | 19 |
| Debridement bone <= 20 sq cm CPT 11044 | $657.15 | $1,011.00 | $189.02 – $1,442.85 | 10 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $206.70 | $318.00 | $52.37 – $111.42 | 10 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $57.20 | $88.00 | $20.97 – $34.83 | 10 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $464.10 | $714.00 | $129.64 – $205.53 | 10 |
| Decalcification CPT 88311 | $58.50 | $90.00 | $9.02 – $29.51 | 20 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $117.65 | $181.00 | $6.00 – $249.04 | 16 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,401.10 | $6,770.92 | $865.80 – $5,056.20 | 19 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $358.80 | $552.00 | $114.79 – $268.82 | 10 |
| Depo-estradiol cypionate inj HCPCS J1000 | $796.39 | $1,225.22 | $22.80 – $641.25 | 15 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $11.58 | $17.82 | $4.83 – $51.10 | 15 |
| Desoxycorticosterone CPT 82633 | $74.10 | $114.00 | $27.56 – $141.44 | 20 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $200.20 | $308.00 | $69.99 – $121.85 | 10 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $251.55 | $387.00 | $94.09 – $156.34 | 10 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $287.95 | $443.00 | $107.89 – $178.74 | 10 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $186.55 | $287.00 | $73.49 – $167.90 | 52 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $199.55 | $307.00 | $84.09 – $144.25 | 10 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $239.20 | $368.00 | $95.93 – $163.73 | 10 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $135.85 | $209.00 | $55.71 – $88.32 | 10 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $191.75 | $295.00 | $69.99 – $128.24 | 10 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $224.25 | $345.00 | $87.94 – $154.53 | 10 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $100.10 | $154.00 | $44.24 – $70.14 | 10 |
| Destruction 2-14 lesions 17003 CPT 17003 | $14.30 | $22.00 | $1.66 – $5.69 | 10 |
| Destruction benign lesions < 14 lesions CPT 17110 | $177.45 | $273.00 | $57.22 – $97.46 | 10 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $279.50 | $430.00 | $108.24 – $181.83 | 10 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $261.95 | $403.00 | $103.41 – $179.54 | 10 |
| Developmental screen/score/document 96110 CPT 96110 | $210.60 | $324.00 | $9.70 – $23.43 | 5 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.87 | $7.50 | $0.24 – $0.72 | 7 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $7.15 | $11.00 | $0.22 – $33.60 | 15 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $37.50 | $57.70 | $2.36 – $7.60 | 7 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $37.50 | $57.70 | $1.12 – $23.30 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $37.50 | $57.70 | $1.80 – $5.52 | 7 |
| Dextrose 5 % IV bolus HCPCS J7070 | $37.50 | $57.70 | $3.60 – $11.04 | 7 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $110.50 | $170.00 | $19.77 – $101.49 | 21 |
| Diabetes (HbA1c) Test CPT 83036 | $46.15 | $71.00 | $8.64 – $44.29 | 22 |
| Diag laparo separate proc 49320 CPT 49320 | $6,962.80 | $10,712.00 | $288.50 – $7,262.27 | 21 |
| Diathermy eg microwave CPT 97024 | $34.45 | $53.00 | $9.85 – $19.20 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $13.00 | $20.00 | $6.15 – $17.55 | 15 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.15 | $11.00 | $3.47 – $14.78 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $75.40 | $116.00 | $11.81 – $60.64 | 21 |
| Dilate esophagus 1/mult pass CPT 43450 | $263.90 | $406.00 | $68.74 – $160.03 | 10 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $9.29 | $14.30 | $0.73 – $7.08 | 15 |
| Disaccharidases CPT 82657 | $298.35 | $459.00 | $19.72 – $82.42 | 20 |
| Dna antibody native/double stranded CPT 86225 | $121.55 | $187.00 | $12.22 – $62.72 | 22 |
| Dna gardnerella CPT 87510 | $39.00 | $60.00 | $17.83 – $91.55 | 22 |
| Dna probe chlamydia CPT 87490 | $59.80 | $92.00 | $20.24 – $91.55 | 20 |
| Dna probe gc CPT 87590 | $96.20 | $148.00 | $23.91 – $91.55 | 20 |
| Dna trichomonas CPT 87660 | $39.00 | $60.00 | $17.83 – $91.55 | 22 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $90.31 | $138.94 | $7.39 – $48.92 | 15 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $60.98 | $93.82 | $3.55 – $10.80 | 12 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $696.80 | $1,072.00 | $73.00 – $340.07 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $403.00 | $620.00 | $27.30 – $222.76 | 16 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $74.59 | $114.76 | $35.00 – $35.00 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $299.65 | $461.00 | $106.07 – $172.70 | 10 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $301.60 | $464.00 | $121.90 – $199.33 | 10 |
| Drain blood from under nail 11740 CPT 11740 | $68.90 | $106.00 | $29.06 – $114.79 | 10 |
| Drain finger abscess;simple 26010 CPT 26010 | $442.00 | $680.00 | $131.95 – $292.44 | 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.