Mercy Hospital Ozark
801 W., River Ozark, AR · Mercy · · NPI 1275504128
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $74.10 | $114.00 | $26.04 – $133.67 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $103.35 | $159.00 | $20.29 – $104.19 | 17 |
| 5' nucleotidase - sendout CPT 83915 | $34.45 | $53.00 | $9.92 – $50.90 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $71.50 | $110.00 | $11.83 – $74.31 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $59.80 | $92.00 | $10.68 – $54.84 | 17 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,215.20 | $3,408.00 | $143.16 – $1,411.22 | 17 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,761.50 | $2,710.00 | $158.53 – $1,200.46 | 17 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,237.60 | $1,904.00 | $70.23 – $669.29 | 17 |
| Abdominal paracentesis w/image guidance CPT 49083 | $520.65 | $801.00 | $86.96 – $248.19 | 49 |
| Abdominal Ultrasound (complete) CPT 76700 | $553.80 | $852.00 | $56.00 – $294.37 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $411.45 | $633.00 | $20.00 – $252.18 | 17 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $440.05 | $677.00 | $64.83 – $180.09 | 49 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $33.34 | $51.30 | $5.00 – $15.00 | 4 |
| Acetaminophen level CPT 80143 | $146.90 | $226.00 | $16.58 – $30.17 | 55 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $97.26 | $149.63 | $21.62 – $65.42 | 11 |
| Acetone qualitative CPT 82009 | $27.95 | $43.00 | $4.02 – $20.63 | 64 |
| Acetylcholine receptor modulating antibody CPT 86043 | $203.45 | $313.00 | $10.72 – $18.82 | 8 |
| Acetylcholinesterase assay CPT 82013 | $185.25 | $285.00 | $10.93 – $51.00 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $339.66 | $522.55 | $33.00 – $235.63 | 11 |
| Acne surgery 10040 CPT 10040 | $161.85 | $249.00 | $39.91 – $100.04 | 49 |
| Acute hepatitis panel CPT 80074 | $212.55 | $327.00 | $42.37 – $217.48 | 61 |
| #acylcarnitineprfl CPT 82017 | $126.10 | $194.00 | $15.01 – $76.98 | 17 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $9.26 | $14.25 | $0.96 – $5.79 | 11 |
| Adh-sendout CPT 84588 | $93.60 | $144.00 | $30.19 – $154.97 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $157.56 | $242.40 | $18.00 – $146.64 | 11 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $252.20 | $388.00 | $63.38 – $87.73 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $252.20 | $388.00 | $63.38 – $181.64 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $252.20 | $388.00 | $295.37 – $432.56 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $256.75 | $395.00 | $268.63 – $317.21 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $154.05 | $237.00 | $63.38 – $94.99 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $195.00 | $300.00 | $63.38 – $215.45 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $20.15 | $31.00 | $63.38 – $87.73 | 5 |
| Administration immunization each additional component CPT 90461 | $0.65 | $1.00 | $38.30 – $38.30 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $0.65 | $1.00 | $12.70 – $38.30 | 2 |
| Administration immunization first component each vaccine CPT 90460 | $20.15 | $31.00 | $18.34 – $74.98 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | $11.05 | $17.00 | $2.46 – $55.12 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $11.05 | $17.00 | $2.46 – $55.12 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $73.45 | $113.00 | $6.92 – $23.63 | 61 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $277.87 | $427.50 | $49.70 – $160.83 | 15 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $277.87 | $427.50 | $49.70 – $160.83 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $83.85 | $129.00 | $5.14 – $26.41 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $45.50 | $70.00 | $4.40 – $22.59 | 17 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $93.60 | $144.00 | $16.94 – $27.95 | 54 |
| Alkaline phosphatase CPT 84075 | $66.30 | $102.00 | $4.61 – $23.63 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $46.15 | $71.00 | $15.95 – $50.26 | 63 |
| Allergen egg white ige CPT 86003 | $52.00 | $80.00 | $4.64 – $23.83 | 63 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $49.40 | $76.00 | $7.97 – $36.41 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $269.10 | $414.00 | $148.25 – $362.88 | 8 |
| Alpha-fetoprotein amniotic CPT 82106 | $102.70 | $158.00 | $15.12 – $76.60 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $131.30 | $202.00 | $14.92 – $76.60 | 64 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $8,866.36 | $13,640.56 | $71.26 – $554.28 | 15 |
| Alt/sgpt CPT 84460 | $26.65 | $41.00 | $4.71 – $24.16 | 17 |
| Aluminum - quest CPT 82108 | $91.65 | $141.00 | $12.47 – $39.88 | 17 |
| Amantadine (symmetrel)-sendout CPT 80375 | $178.10 | $274.00 | $21.35 – $48.46 | 9 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $23.16 | $35.63 | $2.70 – $14.76 | 11 |
| Amino acids quant 2-5 CPT 82136 | $148.20 | $228.00 | $17.44 – $76.98 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $33.47 | $51.49 | $19.70 – $19.70 | 3 |
| Aminolevulinic acid delta CPT 82135 | $85.15 | $131.00 | $14.63 – $75.12 | 17 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $142.64 | $219.45 | $12.60 – $39.25 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $7.15 | $11.00 | $1.95 – $62.54 | 11 |
| Amitriptyline (elavil) -sendout CPT 80335 | $81.25 | $125.00 | $27.18 – $61.70 | 9 |
| Ammonia CPT 82140 | $104.65 | $161.00 | $12.49 – $39.93 | 18 |
| Amphetamine confirm urine -sendout CPT 80324 | $104.00 | $160.00 | $23.60 – $53.57 | 9 |
| Amphetamines 5 or more CPT 80326 | $101.40 | $156.00 | $23.60 – $60.75 | 9 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $148.20 | $228.00 | $50.07 – $393.46 | 11 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,012.27 | $1,557.34 | $103.60 – $363.54 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $21.94 | $33.75 | $0.71 – $13.08 | 11 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $16.54 | $25.44 | $1.64 – $19.75 | 11 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $873.60 | $1,344.00 | $362.09 – $2,889.37 | 49 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $1,520.35 | $2,339.00 | $591.40 – $957.30 | 49 |
| Amputate thigh through femur 27590 CPT 27590 | $1,698.45 | $2,613.00 | $646.92 – $1,047.17 | 49 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,486.55 | $2,287.00 | $738.76 – $1,195.83 | 49 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $1,264.90 | $1,946.00 | $538.59 – $871.82 | 49 |
| Amputation toe interphalangeal joint CPT 28825 | $850.85 | $1,309.00 | $146.16 – $2,889.37 | 49 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $932.75 | $1,435.00 | $150.90 – $2,889.37 | 49 |
| Amylase CPT 82150 | $70.20 | $108.00 | $5.76 – $29.60 | 18 |
| Ana ds-dna CPT 86226 | $46.15 | $71.00 | $10.77 – $55.28 | 17 |
| Analysis gene f2 20210g>a variant CPT 81240 | $275.60 | $424.00 | $30.81 – $224.64 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $300.95 | $463.00 | $58.32 – $278.99 | 16 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $157.95 | $243.00 | $35.09 – $54.80 | 7 |
| Anca screen with reflex to titer -quest CPT 86021 | $112.45 | $173.00 | $13.39 – $68.74 | 17 |
| Ankle X-ray CPT 73610 | $566.15 | $871.00 | $18.00 – $179.57 | 17 |
| Anora (draw only) CPT 99001 | $16.25 | $25.00 | $6.14 – $23.51 | 5 |
| Anoscopy control bleeding 46614 CPT 46614 | $360.10 | $554.00 | $55.85 – $143.25 | 49 |
| Antibody CPT 86744 | $39.65 | $61.00 | $14.22 – $60.24 | 17 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $55.25 | $85.00 | $11.46 – $58.83 | 17 |
| Antibody elution rbc reference CPT 86860 | $94.90 | $146.00 | $6.55 – $222.02 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $114.40 | $176.00 | $17.21 – $88.36 | 17 |
| Antibody htlv-i CPT 86687 | $50.70 | $78.00 | $8.09 – $38.31 | 17 |
| Antibody htlv-ii CPT 86688 | $37.70 | $58.00 | $12.45 – $63.96 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $331.50 | $510.00 | $16.34 – $83.88 | 17 |
| Antibody id rbc panel CPT 86870 | $204.10 | $314.00 | $11.00 – $457.62 | 16 |
| Antibody influenza virus CPT 86710 | $82.55 | $127.00 | $12.05 – $61.89 | 17 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $59.15 | $91.00 | $11.45 – $58.73 | 17 |
| Antibody screen rbc CPT 86850 | $66.30 | $102.00 | $5.00 – $70.77 | 16 |
| Anti mog serum - sendout CPT 86362 | $409.50 | $630.00 | $10.72 – $18.82 | 8 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $55.25 | $85.00 | $10.72 – $18.82 | 9 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $159.90 | $246.00 | $10.72 – $18.82 | 8 |
| Antinuclear antibodies CPT 86038 | $64.35 | $99.00 | $10.75 – $55.17 | 19 |
| Antinuclear antibodies titer CPT 86039 | $70.85 | $109.00 | $9.93 – $50.96 | 19 |
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.