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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst simple CPT 10080 | $342.55 | $527.00 | $96.42 – $213.04 | 10 |
| Ghs immun0electrophoresis CPT 86320 | $50.70 | $78.00 | $26.61 – $102.34 | 20 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $315.25 | $485.00 | $98.31 – $178.39 | 10 |
| Ghs inhibitor screen CPT 85335 | $222.95 | $343.00 | $11.45 – $58.76 | 67 |
| Ghs insertion of needle - bone CPT 36680 | $252.20 | $388.00 | $52.69 – $85.42 | 10 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $674.05 | $1,037.00 | $207.01 – $335.55 | 10 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $936.65 | $1,441.00 | $271.34 – $568.68 | 52 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $438.10 | $674.00 | $120.56 – $193.59 | 10 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $349.70 | $538.00 | $151.18 – $355.35 | 10 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $322.40 | $496.00 | $124.17 – $225.85 | 10 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $404.95 | $623.00 | $120.90 – $226.72 | 10 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $434.20 | $668.00 | $139.15 – $244.04 | 10 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $486.20 | $748.00 | $161.73 – $272.44 | 10 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $449.15 | $691.00 | $157.99 – $267.77 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $570.70 | $878.00 | $168.10 – $288.76 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $623.35 | $959.00 | $177.94 – $329.38 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $873.60 | $1,344.00 | $270.21 – $433.48 | 10 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $709.80 | $1,092.00 | $321.31 – $509.40 | 10 |
| Ghs mbp CPT 83873 | $84.50 | $130.00 | $15.30 – $78.56 | 20 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $124.15 | $191.00 | $20.61 – $52.17 | 10 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $139.75 | $215.00 | $9.67 – $17.37 | 10 |
| Ghs nailbed repair/nail removal CPT 11760 | $378.30 | $582.00 | $97.01 – $159.48 | 10 |
| Ghs o2 saturation CPT 82810 | $59.15 | $91.00 | $8.69 – $39.86 | 20 |
| Ghs ot dds rom CPT 95851 | $51.35 | $79.00 | $10.54 – $24.96 | 8 |
| Ghs ot prosthetic training/15 min CPT 97761 | $60.45 | $93.00 | $36.39 – $103.47 | 8 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $62.40 | $96.00 | $53.54 – $91.76 | 5 |
| Ghs ot work hardening-additional hours CPT 97546 | $100.10 | $154.00 | $160.43 – $160.43 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $306.15 | $471.00 | $35.42 – $819.48 | 16 |
| Ghs phenylketonurid CPT 84030 | $53.30 | $82.00 | $4.89 – $25.00 | 20 |
| Ghs plngl fx pm cl CPT 26725 | $654.55 | $1,007.00 | $291.70 – $462.46 | 10 |
| Ghs ppd (tb intradermal) CPT 86580 | $32.50 | $50.00 | $8.00 – $35.24 | 20 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $37.05 | $57.00 | $8.59 – $44.12 | 20 |
| Ghs protoporphyrins fract CPT 84202 | $70.85 | $109.00 | $12.76 – $65.48 | 20 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $213.85 | $329.00 | $401.68 – $401.68 | 1 |
| Ghs quinidine CPT 80194 | $65.65 | $101.00 | $12.99 – $66.67 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | $310.70 | $478.00 | $105.10 – $179.38 | 10 |
| Ghs reticulocyte count CPT 85044 | $27.30 | $42.00 | $3.83 – $19.66 | 20 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $132.60 | $204.00 | $12.37 – $41.12 | 20 |
| Ghs sedimentation rate CPT 85651 | $44.85 | $69.00 | $3.80 – $16.21 | 20 |
| Ghs semen analysis fert CPT 89320 | $135.20 | $208.00 | $12.31 – $55.02 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $55.25 | $85.00 | $6.65 – $31.48 | 21 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $476.45 | $733.00 | $83.41 – $154.01 | 10 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $439.40 | $676.00 | $66.74 – $123.97 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $398.45 | $613.00 | $66.47 – $115.54 | 10 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $607.75 | $935.00 | $124.42 – $202.55 | 10 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $193.05 | $297.00 | $91.09 – $346.92 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $501.15 | $771.00 | $165.00 – $261.60 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $436.80 | $672.00 | $271.28 – $430.09 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | $73.45 | $113.00 | $13.08 – $61.04 | 20 |
| Ghs vaginal delivery only CPT 59409 | $1,639.30 | $2,522.00 | $658.25 – $1,043.59 | 10 |
| Gi inhouse confirmation CPT 87045 | $80.60 | $124.00 | $8.40 – $43.10 | 22 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $780.15 | $1,200.23 | $111.91 – $455.84 | 11 |
| Glucagon plasma - sendout CPT 82943 | $70.85 | $109.00 | $12.71 – $65.23 | 20 |
| Glucose 1 hr post dose CPT 82950 | $55.25 | $85.00 | $4.23 – $21.68 | 20 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $53.95 | $83.00 | $5.38 – $27.63 | 20 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $24.70 | $38.00 | $2.92 – $10.71 | 20 |
| Glucose blood quantitative CPT 82947 | $50.70 | $78.00 | $3.50 – $17.93 | 20 |
| Glucose body fluid CPT 82945 | $50.70 | $78.00 | $3.50 – $17.93 | 62 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $100.10 | $154.00 | $11.45 – $58.76 | 20 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $42.25 | $65.00 | $3.49 – $17.90 | 20 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.15 | $11.00 | $0.58 – $1.55 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $128.05 | $197.00 | $16.53 – $84.83 | 21 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $111.15 | $171.00 | $16.47 – $84.54 | 21 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $39.00 | $60.00 | $28.53 – $71.23 | 12 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $334.10 | $514.00 | $129.91 – $129.91 | 4 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $334.10 | $514.00 | $128.13 – $128.13 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $10.81 | $16.63 | $1.21 – $15.39 | 15 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $18.85 | $29.00 | $5.77 – $20.24 | 5 |
| Hand X-ray CPT 73130 | $455.65 | $701.00 | $24.14 – $179.57 | 20 |
| Haptoglobin quantitative CPT 83010 | $104.00 | $160.00 | $11.19 – $57.41 | 20 |
| Hba1/hba2 full gene sequence CPT 81259 | $451.10 | $694.00 | $533.69 – $1,362.00 | 20 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $406.25 | $625.00 | $180.03 – $459.45 | 20 |
| Hbb full gene sequence CPT 81364 | $425.10 | $654.00 | $288.71 – $736.80 | 20 |
| Hbb gene dup/del variants CPT 81363 | $456.30 | $702.00 | $180.03 – $459.45 | 20 |
| Hcg free betachain test CPT 84704 | $72.80 | $112.00 | $11.67 – $36.92 | 20 |
| Hcg qualitative CPT 84703 | $96.20 | $148.00 | $6.69 – $34.35 | 20 |
| Hcg quantitative CPT 84702 | $94.25 | $145.00 | $11.54 – $36.92 | 64 |
| Head CT scan (with and without contrast) CPT 70470 | $1,578.85 | $2,429.00 | $98.54 – $948.54 | 20 |
| Head CT scan (with contrast) CPT 70460 | $1,311.70 | $2,018.00 | $82.45 – $766.85 | 20 |
| Head CT scan (without contrast) CPT 70450 | $1,003.60 | $1,544.00 | $57.46 – $669.29 | 20 |
| Helicobacter pylori antibody igm CPT 86677 | $76.70 | $118.00 | $14.99 – $66.27 | 20 |
| Hematocrit CPT 85014 | $30.55 | $47.00 | $2.11 – $10.80 | 20 |
| Hemoglobin CPT 85018 | $27.30 | $42.00 | $2.11 – $10.80 | 20 |
| Hemoglobin fetal qualitative CPT 83033 | $59.80 | $92.00 | $7.12 – $25.93 | 20 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $32.50 | $50.00 | $7.29 – $26.41 | 20 |
| Hemoglobin plasma CPT 83051 | $44.20 | $68.00 | $6.50 – $33.40 | 20 |
| Hemolysins and agglutinins incubated CPT 86941 | $59.80 | $92.00 | $10.77 – $51.41 | 20 |
| Hemophilus influenza antibdy CPT 86684 | $96.85 | $149.00 | $14.09 – $67.01 | 20 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $440.70 | $678.00 | $180.56 – $286.27 | 10 |
| Heparin assay CPT 85520 | $104.65 | $161.00 | $11.15 – $35.60 | 20 |
| Heparin bolus from bag HCPCS J1644 | $50.95 | $78.38 | $2.00 – $52.66 | 15 |
| Heparin neutralization CPT 85525 | $59.15 | $91.00 | $10.53 – $52.27 | 20 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.06 – $2.29 | 12 |
| Hepatitis a antibody igm CPT 86709 | $80.60 | $124.00 | $10.02 – $51.41 | 66 |
| Hepatitis b core antibody igm CPT 86705 | $52.00 | $80.00 | $10.47 – $53.77 | 20 |
| Hepatitis b core antibody total CPT 86704 | $42.90 | $66.00 | $10.72 – $55.02 | 22 |
| Hepatitis b surface antibody CPT 86706 | $62.40 | $96.00 | $9.55 – $49.03 | 20 |
| Hepatitis c antibody CPT 86803 | $98.80 | $152.00 | $12.69 – $65.17 | 20 |
| Hereditary colon ca dsordrs CPT 81435 | $2,845.05 | $4,377.00 | $584.90 – $1,329.56 | 12 |
| Hernia Repair (Inguinal) CPT 49505 | $1,013.35 | $1,559.00 | $442.88 – $3,142.68 | 29 |
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.