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 |
|---|---|---|---|---|
| Herpes simplex 1 ag if CPT 87274 | $63.05 | $97.00 | $10.66 – $41.12 | 20 |
| Herpes simplex 2 ag if CPT 87273 | $58.50 | $90.00 | $10.66 – $41.12 | 20 |
| Herpes simplex type 1 antibody igg CPT 86695 | $117.65 | $181.00 | $11.73 – $43.24 | 20 |
| Herpes simplex type 2 antibody igg CPT 86696 | $125.45 | $193.00 | $17.21 – $88.36 | 20 |
| Herpes simplex virus isolation CPT 87255 | $114.40 | $176.00 | $30.12 – $154.61 | 20 |
| Heterophile antibodies screening CPT 86308 | $67.60 | $104.00 | $4.61 – $23.63 | 21 |
| Hexa gene CPT 81255 | $293.15 | $451.00 | $45.76 – $291.49 | 20 |
| Hip X-ray CPT 73502 | $176.15 | $271.00 | $27.84 – $179.57 | 20 |
| Histamine CPT 83088 | $174.20 | $268.00 | $26.27 – $127.40 | 20 |
| Histochemical stains add-on CPT 88314 | $131.30 | $202.00 | $40.00 – $159.43 | 20 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $332.15 | $511.00 | $96.72 – $431.80 | 67 |
| Hla typing a b or c CPT 86813 | $279.50 | $430.00 | $51.59 – $264.78 | 20 |
| Hla typing dr/dq CPT 86816 | $233.35 | $359.00 | $26.84 – $127.21 | 20 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $48.74 | $74.98 | $20.10 – $20.10 | 3 |
| Homocysteine CPT 83090 | $120.25 | $185.00 | $15.94 – $76.98 | 20 |
| Homogenization tissue CPT 87176 | $42.90 | $66.00 | $5.23 – $25.06 | 21 |
| Homovanillic acid (hva) CPT 83150 | $59.80 | $92.00 | $12.89 – $41.20 | 20 |
| Hpv types 16 & 18 only CPT 87625 | $93.60 | $144.00 | $36.07 – $108.42 | 67 |
| H pylori (c-13) breath CPT 83013 | $122.85 | $189.00 | $41.33 – $132.11 | 20 |
| H pylori drug admin CPT 83014 | $19.50 | $30.00 | $6.99 – $35.89 | 20 |
| Human epididymis protein 4 (he4) CPT 86305 | $156.65 | $241.00 | $18.51 – $95.00 | 12 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $6,347.25 | $9,765.00 | $855.00 – $4,600.00 | 11 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $7.15 | $11.00 | $4.08 – $15.91 | 15 |
| Hydration IV infusion each additional hour CPT 96361 | $125.45 | $193.00 | $41.09 – $55.12 | 8 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $125.45 | $193.00 | $166.46 – $268.63 | 8 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $78.03 | $120.04 | $4.94 – $62.37 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $13.00 | $20.00 | $0.27 – $1.23 | 7 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $94.39 | $145.21 | $2.19 – $53.82 | 15 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $73.45 | $113.00 | $15.92 – $79.99 | 20 |
| Iaadi respiratory synctial virus CPT 87280 | $57.85 | $89.00 | $11.94 – $41.12 | 20 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $132.60 | $204.00 | $31.21 – $160.20 | 20 |
| Idh1 common variants CPT 81120 | $415.35 | $639.00 | $171.89 – $438.68 | 24 |
| Idh2 common variants CPT 81121 | $458.25 | $705.00 | $263.10 – $671.44 | 20 |
| Igh gene rearrange amp meth CPT 81261 | $401.05 | $617.00 | $110.20 – $903.93 | 20 |
| Igh@ var region somatic mutation analy CPT 81263 | $580.45 | $893.00 | $193.38 – $1,344.60 | 63 |
| Igk rearrangeabn clonal pop CPT 81264 | $335.40 | $516.00 | $83.31 – $681.73 | 20 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $191.75 | $295.00 | $40.26 – $199.21 | 20 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $189.80 | $292.00 | $68.15 – $457.62 | 20 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $4,877.91 | $7,504.47 | $39.60 – $222.02 | 20 |
| Immune complex assay CPT 86332 | $118.30 | $182.00 | $21.68 – $111.26 | 20 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $166.40 | $256.00 | $18.51 – $95.00 | 62 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $98.80 | $152.00 | $18.51 – $95.00 | 21 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $68.90 | $106.00 | $10.66 – $51.84 | 20 |
| Immunodiffusion nes CPT 86329 | $102.70 | $158.00 | $12.50 – $64.10 | 20 |
| Immunofixation electrophoresis serum CPT 86334 | $176.80 | $272.00 | $19.87 – $102.00 | 20 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $171.60 | $264.00 | $40.62 – $127.74 | 20 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $206.05 | $317.00 | $11.58 – $457.62 | 20 |
| Immunoglobulin assay CPT 86023 | $114.40 | $176.00 | $11.08 – $56.90 | 20 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $285.35 | $439.00 | $106.83 – $1,442.85 | 10 |
| Infect ag drug suscept pheno predict CPT 87900 | $382.85 | $589.00 | $115.94 – $595.09 | 67 |
| Infect ag eia influenza a or b ea CPT 87400 | $43.55 | $67.00 | $6.43 – $41.12 | 20 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $523.25 | $805.00 | $114.50 – $587.74 | 67 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $689.65 | $1,061.00 | $229.00 – $1,175.38 | 67 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $91.65 | $141.00 | $32.77 – $141.95 | 17 |
| Infect ag ia optc obs influenza CPT 87804 | $63.05 | $97.00 | $12.45 – $41.12 | 20 |
| Infect ag if influenza a CPT 87276 | $63.05 | $97.00 | $12.87 – $41.12 | 20 |
| Infect ag if influenza b CPT 87275 | $85.80 | $132.00 | $10.90 – $41.12 | 20 |
| Infect ag if nos ea CPT 87299 | $58.50 | $90.00 | $12.87 – $41.12 | 20 |
| Infect ag if varicella zoster CPT 87290 | $68.25 | $105.00 | $11.94 – $41.12 | 20 |
| Infect ag na herpes simplex quant CPT 87530 | $210.60 | $324.00 | $38.11 – $195.58 | 20 |
| Infect ag na hpv high-risk types CPT 87624 | $104.65 | $161.00 | $31.21 – $108.42 | 20 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $219.70 | $338.00 | $85.21 – $388.49 | 20 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $139.10 | $214.00 | $45.64 – $79.08 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $629.20 | $968.00 | $242.38 – $1,902.84 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $85.15 | $131.00 | $10.66 – $41.12 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $78.65 | $121.00 | $11.94 – $41.12 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $79.30 | $122.00 | $12.29 – $41.12 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $63.70 | $98.00 | $10.66 – $41.12 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $71.50 | $110.00 | $6.12 – $22.45 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $53.95 | $83.00 | $9.19 – $47.18 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $76.05 | $117.00 | $9.19 – $47.18 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $83.85 | $129.00 | $21.42 – $109.98 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $152.10 | $234.00 | $10.66 – $41.12 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $93.60 | $144.00 | $10.66 – $41.12 | 67 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $35.75 | $55.00 | $10.66 – $41.12 | 22 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $276.90 | $426.00 | $31.21 – $160.20 | 25 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $98.80 | $152.00 | $31.21 – $160.20 | 20 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $145.60 | $224.00 | $33.15 – $160.20 | 22 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $725.40 | $1,116.00 | $416.78 – $1,297.80 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $181.35 | $279.00 | $31.21 – $160.20 | 21 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $124.15 | $191.00 | $31.21 – $160.20 | 20 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $246.35 | $379.00 | $37.07 – $160.20 | 20 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $97.50 | $150.00 | $31.21 – $160.20 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $139.10 | $214.00 | $45.64 – $83.06 | 57 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $264.55 | $407.00 | $126.87 – $195.40 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $362.05 | $557.00 | $126.87 – $195.40 | 11 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $97.50 | $150.00 | $35.09 – $160.20 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $130.00 | $200.00 | $31.21 – $160.20 | 67 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $167.70 | $258.00 | $68.85 – $113.60 | 54 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $609.05 | $937.00 | $416.78 – $2,456.85 | 17 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $404.95 | $623.00 | $38.11 – $195.58 | 20 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $127.40 | $196.00 | $38.11 – $195.58 | 66 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $131.30 | $202.00 | $38.11 – $195.58 | 22 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $232.70 | $358.00 | $75.70 – $388.49 | 67 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $338.65 | $521.00 | $92.72 – $585.72 | 20 |
| Initiation & management bipap/cpap initial day CPT 94660 | $795.60 | $1,224.00 | $121.06 – $249.04 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $27.10 | $41.69 | $6.00 – $17.88 | 7 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $3,655.90 | $5,624.46 | $1,693.80 – $1,693.80 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $245.70 | $378.00 | $36.56 – $65.09 | 10 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $150.80 | $232.00 | $33.76 – $53.53 | 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.