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 |
|---|---|---|---|---|
| Reticulocyte automated CPT 85045 | $35.75 | $55.00 | $3.55 – $18.23 | 17 |
| Reticulocyte direct measurement automated CPT 85046 | $55.90 | $86.00 | $4.95 – $25.47 | 17 |
| Revision of colostomy CPT 44340 | $1,011.40 | $1,556.00 | $543.83 – $880.30 | 49 |
| Rheumatoid factor qualitative CPT 86430 | $57.20 | $88.00 | $5.46 – $25.90 | 62 |
| Rheumatoid factor quantitative CPT 86431 | $63.05 | $97.00 | $5.04 – $25.90 | 19 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $356.58 | $548.58 | $73.35 – $222.00 | 11 |
| Rho d immune globulin inj HCPCS J2790 | $247.84 | $381.30 | $83.36 – $273.76 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $2,143.91 | $3,298.32 | $747.70 – $2,316.10 | 15 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $578.50 | $890.00 | $207.67 – $336.16 | 49 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $38.26 | $58.86 | $1.40 – $3.60 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,792.05 | $2,757.00 | $839.70 – $1,359.22 | 49 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $1,498.90 | $2,306.00 | $632.37 – $5,556.59 | 49 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,498.90 | $2,306.00 | $599.56 – $12,352.94 | 54 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $8,161.26 | $12,555.79 | $18.56 – $13,228.08 | 58 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $6,831.08 | $10,509.35 | $19.84 – $7,315.90 | 54 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $934.70 | $1,438.00 | $383.83 – $12,352.94 | 54 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,914.25 | $2,945.00 | $1,016.15 – $1,644.84 | 49 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,792.05 | $2,757.00 | $725.58 – $1,174.50 | 49 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,498.90 | $2,306.00 | $702.48 – $1,137.10 | 49 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $7,505.12 | $11,546.34 | $19.84 – $13,228.08 | 58 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $934.70 | $1,438.00 | $469.38 – $5,195.58 | 49 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $863.20 | $1,328.00 | $346.93 – $3,142.68 | 49 |
| Rpr rem hernia init reduce CPT 49550 | $1,012.70 | $1,558.00 | $496.89 – $3,142.68 | 49 |
| Rsv assay w/optic CPT 87807 | $111.15 | $171.00 | $11.65 – $41.12 | 17 |
| Rubella antibody igg CPT 86762 | $44.20 | $68.00 | $12.80 – $65.72 | 17 |
| Rubeola antibody igg CPT 86765 | $47.45 | $73.00 | $11.46 – $58.83 | 17 |
| Russell viper venom diluted CPT 85613 | $111.15 | $171.00 | $8.24 – $26.34 | 17 |
| Sarscov coronavirus ag ia CPT 87426 | $70.20 | $108.00 | $31.43 – $48.40 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $104.00 | $160.00 | $42.39 – $73.57 | 8 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $67.60 | $104.00 | $34.74 – $56.23 | 49 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $740.35 | $1,139.00 | $91.00 – $783.52 | 12 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $508.95 | $783.00 | $73.00 – $439.74 | 12 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $557.05 | $857.00 | $73.00 – $265.32 | 12 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $647.40 | $996.00 | $73.00 – $599.76 | 12 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $560.30 | $862.00 | $73.00 – $338.00 | 12 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $483.60 | $744.00 | $73.00 – $412.74 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $68.90 | $106.00 | $26.49 – $84.00 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $625.95 | $963.00 | $149.74 – $1,662.68 | 54 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $625.95 | $963.00 | $149.57 – $1,900.20 | 54 |
| Screening prostate cancer PSA HCPCS G0103 | $58.50 | $90.00 | $17.18 – $83.96 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $150.15 | $231.00 | $48.03 – $48.03 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $25.35 | $39.00 | $2.40 – $12.36 | 17 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $32.50 | $50.00 | $12.19 – $37.96 | 2 |
| Semen analysis presence/motility CPT 89321 | $114.40 | $176.00 | $12.05 – $55.02 | 17 |
| Serial casting application 97139app CPT 97139 | $57.85 | $89.00 | $29.85 – $29.85 | 3 |
| Sertraline (zoloft) - sendout CPT 80332 | $250.25 | $385.00 | $27.18 – $61.70 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $122.20 | $188.00 | $34.31 – $99.14 | 49 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $171.60 | $264.00 | $47.62 – $117.58 | 49 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $206.05 | $317.00 | $56.70 – $133.76 | 49 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $114.40 | $176.00 | $31.14 – $90.30 | 49 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $177.45 | $273.00 | $38.70 – $105.24 | 49 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $182.00 | $280.00 | $56.83 – $126.28 | 49 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $128.70 | $198.00 | $26.03 – $85.73 | 49 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $157.30 | $242.00 | $39.28 – $104.18 | 49 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $170.30 | $262.00 | $45.60 – $117.71 | 49 |
| Shoulder X-ray CPT 73030 | $499.85 | $769.00 | $20.00 – $179.57 | 17 |
| Sickling rbc CPT 85660 | $37.05 | $57.00 | $4.90 – $25.19 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | $364.00 | $560.00 | $61.31 – $241.78 | 49 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $611.65 | $941.00 | $100.58 – $255.43 | 49 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $184.70 | $284.15 | $0.79 – $0.79 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $402.80 | $619.70 | $434.09 – $434.09 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,485.90 | $2,286.00 | $107.98 – $1,556.54 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $1,279.85 | $1,969.00 | $86.04 – $1,261.02 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $1,017.90 | $1,566.00 | $76.07 – $1,018.77 | 17 |
| Skin Biopsy CPT 11102 | $232.05 | $357.00 | $28.29 – $567.50 | 58 |
| Sleep Study (Polysomnography) CPT 95810 | $3,070.60 | $4,724.00 | $122.00 – $1,965.15 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | $556.40 | $856.00 | $48.83 – $166.81 | 49 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $52.65 | $81.00 | $4.79 – $24.56 | 17 |
| Smear gram stain CPT 87205 | $82.55 | $127.00 | $3.80 – $19.49 | 17 |
| Smear nasal eosinophil CPT 89190 | $27.30 | $42.00 | $5.15 – $21.68 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $68.25 | $105.00 | $5.33 – $27.37 | 17 |
| Smear wet mount CPT 87210 | $76.70 | $118.00 | $5.18 – $19.49 | 17 |
| Snrpn/ube3a gene CPT 81331 | $337.35 | $519.00 | $45.43 – $121.90 | 16 |
| Sodium 24 hour urine CPT 84300 | $40.95 | $63.00 | $4.50 – $22.21 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $37.50 | $57.70 | $2.50 – $7.48 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $37.50 | $57.70 | $8.00 – $38.00 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $45.50 | $70.00 | $4.28 – $21.95 | 18 |
| Specific gravity body fluid CPT 84315 | $9.10 | $14.00 | $1.86 – $5.96 | 17 |
| Specimen fat stain CPT 89125 | $37.70 | $58.00 | $5.23 – $19.70 | 17 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $525.20 | $808.00 | $33.19 – $364.20 | 12 |
| Split blood or products CPT 86985 | $102.70 | $158.00 | $5.00 – $222.02 | 12 |
| Sputum specimen collection CPT 89220 | $101.40 | $156.00 | $9.66 – $222.02 | 17 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $416.00 | $640.00 | $97.72 – $300.82 | 5 |
| Staph a dna amp probe CPT 87640 | $95.55 | $147.00 | $34.42 – $160.20 | 18 |
| St evaluate speech sound production CPT 92522 | $416.00 | $640.00 | $99.10 – $291.65 | 5 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $425.75 | $655.00 | $202.75 – $603.61 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $822.90 | $1,266.00 | $46.87 – $284.76 | 12 |
| St evaluation swallow function CPT 92610 | $366.60 | $564.00 | $75.41 – $231.60 | 5 |
| Strep a ag ia CPT 87430 | $94.25 | $145.00 | $12.87 – $41.12 | 17 |
| Strep b dna amp probe CPT 87653 | $120.90 | $186.00 | $35.09 – $160.20 | 17 |
| Streptomycin injection HCPCS J3000 | $231.56 | $356.25 | $1.99 – $77.53 | 11 |
| Str markers specimen anal CPT 81265 | $703.30 | $1,082.00 | $207.31 – $981.81 | 16 |
| St treatment speech individual CPT 92507 | $248.30 | $382.00 | $21.76 – $251.33 | 12 |
| St treatment swallow dysfunction/oral CPT 92526 | $199.55 | $307.00 | $75.02 – $272.73 | 5 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.80 – $5.43 | 11 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $38.72 | $59.57 | $5.76 – $5.76 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $151.29 | $232.75 | $6.42 – $143.08 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $77.35 | $119.00 | $9.00 – $35.24 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $150.80 | $232.00 | $18.00 – $73.72 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $1,437.19 | $2,211.06 | $22.00 – $93.17 | 18 |
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.