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 |
|---|---|---|---|---|
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $886.60 | $1,364.00 | $375.88 – $2,548.70 | 52 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $727.35 | $1,119.00 | $260.67 – $1,442.85 | 52 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,069.90 | $1,646.00 | $281.06 – $1,425.19 | 10 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $332.15 | $511.00 | $99.81 – $183.71 | 10 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $588.90 | $906.00 | $256.31 – $1,442.85 | 10 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $908.05 | $1,397.00 | $292.13 – $1,442.85 | 10 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $965.25 | $1,485.00 | $284.23 – $1,442.85 | 31 |
| External chromosome analysis 20-25 cells CPT 88264 | $389.35 | $599.00 | $128.63 – $569.05 | 21 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $8.00 – $71.62 | 17 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $363.35 | $559.00 | $91.26 – $291.78 | 21 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $135.85 | $209.00 | $15.95 – $81.87 | 22 |
| Facial bones <3 CPT 70140 | $203.45 | $313.00 | $18.86 – $179.57 | 20 |
| Factor ix CPT 85250 | $102.05 | $157.00 | $16.94 – $86.92 | 20 |
| Factor viii CPT 85240 | $102.05 | $157.00 | $15.92 – $81.74 | 20 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.15 | $11.00 | $1.20 – $1.20 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $72.15 | $111.00 | $4.54 – $23.23 | 20 |
| Fatty acids nonesterified CPT 82725 | $39.65 | $61.00 | $16.70 – $60.77 | 20 |
| #fecal-sodium CPT 84302 | $35.75 | $55.00 | $4.32 – $22.21 | 20 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $125.45 | $193.00 | $16.58 – $29.11 | 11 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $13.00 | $20.00 | $0.85 – $8.31 | 15 |
| Ferritin CPT 82728 | $76.05 | $117.00 | $12.12 – $62.20 | 62 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,337.05 | $2,057.00 | $675.16 – $2,237.77 | 20 |
| Fetal fibronectin CPT 82731 | $304.85 | $469.00 | $57.29 – $294.09 | 67 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $85.80 | $132.00 | $6.88 – $35.32 | 20 |
| Fetal hemoglobin rosette CPT 85461 | $35.10 | $54.00 | $8.33 – $27.88 | 20 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $70.85 | $109.00 | $6.75 – $86.37 | 20 |
| #_fet/norfentcnfrmur CPT 80354 | $85.80 | $132.00 | $29.55 – $67.08 | 10 |
| Fibrin degradation d dimer quantitative CPT 85379 | $84.50 | $130.00 | $9.05 – $46.48 | 22 |
| Fibrin degrade semiquant CPT 85378 | $90.35 | $139.00 | $8.65 – $32.57 | 20 |
| Fibrinogen activity CPT 85384 | $57.20 | $88.00 | $8.65 – $38.76 | 20 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $39.00 | $60.00 | $7.37 – $24.18 | 20 |
| Fibrinolytic antiplasmin CPT 85410 | $70.20 | $108.00 | $6.86 – $35.20 | 20 |
| Fibrinolytic plasminogen CPT 85415 | $73.45 | $113.00 | $15.29 – $78.53 | 20 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $59.80 | $92.00 | $5.81 – $29.29 | 20 |
| Finasteride, 5 mg HCPCS S0138 | $4.87 | $7.50 | $0.44 – $0.44 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $125.45 | $193.00 | $16.58 – $29.11 | 11 |
| Flexible Sigmoidoscopy CPT 45330 | $3,485.58 | $5,362.43 | $49.95 – $1,157.91 | 21 |
| Flow cytometry interp 16 or more CPT 88189 | $126.10 | $194.00 | $73.62 – $351.68 | 12 |
| Flow cytometry marker each additional CPT 88185 | $52.65 | $81.00 | $19.72 – $155.26 | 17 |
| Flow cytometry one marker technical component CPT 88184 | $195.65 | $301.00 | $43.18 – $457.62 | 20 |
| #flow interp 9 - 15 markers CPT 88188 | $105.30 | $162.00 | $54.19 – $284.28 | 12 |
| Flt3 gene CPT 81245 | $352.95 | $543.00 | $83.33 – $555.25 | 20 |
| Flt3 gene analysis CPT 81246 | $331.50 | $510.00 | $73.83 – $138.63 | 12 |
| Fluidotherapy charges pt CPT 97022 | $111.80 | $172.00 | $14.72 – $70.80 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $183.95 | $283.00 | $10.72 – $55.02 | 67 |
| Folic acid CPT 82746 | $67.60 | $104.00 | $13.08 – $67.13 | 20 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $224.96 | $346.09 | $100.00 – $100.00 | 3 |
| Foot X-ray CPT 73630 | $488.15 | $751.00 | $21.91 – $179.57 | 20 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $66.38 | $102.13 | $13.40 – $123.49 | 16 |
| _fragile x methylation-sendout CPT 81244 | $232.70 | $358.00 | $39.93 – $99.29 | 20 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $170.30 | $262.00 | $61.16 – $107.57 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $191.75 | $295.00 | $52.21 – $120.67 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | $101.40 | $156.00 | $5.00 – $222.02 | 13 |
| Frozen blood freeze/thaw CPT 86932 | $225.55 | $347.00 | $45.00 – $202.43 | 13 |
| Fructosamine glycated protein CPT 82985 | $50.70 | $78.00 | $14.91 – $68.81 | 20 |
| Ftl cgen abnor four anal CPT 81511 | $195.00 | $300.00 | $153.50 – $295.53 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,300.65 | $2,001.00 | $498.91 – $790.98 | 10 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.15 | $11.00 | $1.20 – $1.20 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $126.75 | $195.00 | $18.74 – $96.18 | 20 |
| Galactose transferase test CPT 82776 | $13.65 | $21.00 | $9.17 – $29.29 | 20 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $8,198.26 | $12,612.71 | $53.81 – $5,195.58 | 60 |
| Gammaglobulin iga CPT 82784 | $104.00 | $160.00 | $8.24 – $26.34 | 20 |
| Gammaglobulin ige CPT 82785 | $96.85 | $149.00 | $14.64 – $73.92 | 21 |
| Gamma glutamyltransferase CPT 82977 | $55.25 | $85.00 | $6.40 – $32.88 | 20 |
| Gamunex-c/gammaked HCPCS J1561 | $6,173.96 | $9,498.40 | $657.60 – $2,930.00 | 19 |
| Gardner vag dna quant CPT 87512 | $96.20 | $148.00 | $23.52 – $75.18 | 17 |
| Gba gene CPT 81251 | $265.20 | $408.00 | $42.03 – $491.82 | 20 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $21.71 | $33.40 | $2.47 – $11.46 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $84.50 | $130.00 | $14.57 – $74.82 | 20 |
| Ghs abscess perianal iandd CPT 46050 | $445.90 | $686.00 | $90.59 – $201.35 | 52 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $57.20 | $88.00 | $8.73 – $35.09 | 20 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $222.30 | $342.00 | $90.96 – $418.29 | 20 |
| Ghs antibodies (torch) igm CPT 86694 | $102.05 | $157.00 | $12.80 – $65.72 | 20 |
| Ghs bladder cath - complex-foley CPT 51703 | $174.20 | $268.00 | $139.33 – $567.50 | 12 |
| Ghs bleeding time (ivy) CPT 85002 | $55.90 | $86.00 | $4.29 – $20.58 | 20 |
| Ghs change cysto/gastrost CPT 43762 | $293.15 | $451.00 | $32.08 – $189.93 | 10 |
| Ghs chemo IV push, ea addtl CPT 96411 | $256.75 | $395.00 | $63.38 – $179.42 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $100.75 | $155.00 | $31.21 – $160.20 | 20 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $475.15 | $731.00 | $261.35 – $440.97 | 10 |
| Ghs closed reduction ankle dislocation CPT 27840 | $765.05 | $1,177.00 | $347.09 – $648.81 | 10 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,020.50 | $1,570.00 | $420.50 – $1,425.19 | 10 |
| Ghs community re-entry 15 minutes CPT 97537 | $58.50 | $90.00 | $95.02 – $95.02 | 1 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $105.30 | $162.00 | $23.57 – $37.38 | 10 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $178.10 | $274.00 | $35.54 – $56.35 | 10 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $160.55 | $247.00 | $40.29 – $114.79 | 10 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,027.65 | $1,581.00 | $339.77 – $575.53 | 10 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $338.65 | $521.00 | $94.14 – $228.85 | 10 |
| Ghs fat & muscle CPT 89160 | $31.85 | $49.00 | $4.31 – $16.84 | 20 |
| Ghs fb removal from muscle - complicated CPT 20525 | $811.85 | $1,249.00 | $205.98 – $2,548.70 | 52 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $52.65 | $81.00 | $2.26 – $11.30 | 67 |
| Ghs fish cytogen CPT 88271 | $270.40 | $416.00 | $19.05 – $97.79 | 20 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $117.65 | $181.00 | $45.53 – $183.35 | 20 |
| Ghs gastric intub aspiration lavage CPT 43753 | $276.90 | $426.00 | $19.11 – $19.11 | 4 |
| Ghs hcv amplificaiton CPT 87521 | $203.45 | $313.00 | $35.09 – $160.20 | 17 |
| Ghs hgb stability-thal CPT 83068 | $82.55 | $127.00 | $8.42 – $38.63 | 67 |
| Ghs histoplasma antigen CPT 87385 | $137.80 | $212.00 | $11.79 – $41.12 | 20 |
| Ghs HIV antibody CPT 86703 | $111.15 | $171.00 | $7.91 – $62.58 | 20 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $308.75 | $475.00 | $91.95 – $293.96 | 20 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $914.55 | $1,407.00 | $394.48 – $625.42 | 10 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $480.35 | $739.00 | $154.80 – $294.77 | 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.