Mercy Hospital Waldron
1341 W. 6th Street, Waldron, AR · Mercy · · NPI 1912978875
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 |
|---|---|---|---|---|
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $9.26 | $14.25 | $2.50 – $48.81 | 13 |
| Levetiracetam therapeutic drug level CPT 80177 | $63.05 | $97.00 | $11.79 – $60.54 | 19 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $19.45 | $29.93 | $3.78 – $84.53 | 13 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $325.98 | $501.51 | $53.90 – $220.20 | 7 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $21.61 | $33.25 | $20.00 – $20.00 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $78.65 | $121.00 | $13.07 – $67.05 | 19 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $553.80 | $852.00 | $194.25 – $1,442.85 | 51 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $192.66 | $296.40 | $8.94 – $224.25 | 13 |
| Lipase CPT 83690 | $68.90 | $106.00 | $6.13 – $31.46 | 23 |
| Lipoprotein blood high res frac & quant CPT 83701 | $90.35 | $139.00 | $30.12 – $111.24 | 19 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.90 | $66.00 | $7.28 – $37.38 | 19 |
| Lipoprotein direct measurement ldl CPT 83721 | $42.90 | $66.00 | $9.34 – $43.58 | 19 |
| Lithium therapeutic drug level CPT 80178 | $62.40 | $96.00 | $5.88 – $30.19 | 19 |
| Liver Function Test CPT 80076 | $89.05 | $137.00 | $7.27 – $37.29 | 19 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.00 | $20.00 | $1.35 – $10.53 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,754.35 | $2,699.00 | $119.64 – $1,510.54 | 19 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,673.75 | $2,575.00 | $261.00 – $1,207.73 | 19 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,450.15 | $2,231.00 | $94.70 – $958.22 | 19 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $232.70 | $358.00 | $24.41 – $252.18 | 19 |
| L/s ratio fetal lung CPT 83661 | $173.55 | $267.00 | $19.56 – $100.37 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $233.35 | $359.00 | $23.30 – $189.11 | 14 |
| Macroscopic exam arthropod CPT 87168 | $14.95 | $23.00 | $3.80 – $19.49 | 19 |
| Macroscopic exam parasite CPT 87169 | $35.10 | $54.00 | $3.83 – $19.49 | 19 |
| Magnesium CPT 83735 | $96.20 | $148.00 | $5.96 – $30.59 | 19 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $50.02 | $76.95 | $0.98 – $8.67 | 13 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $70.85 | $109.00 | $32.70 – $151.00 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $83.85 | $129.00 | $20.78 – $151.00 | 8 |
| Mastoids complete CPT 70130 | $218.40 | $336.00 | $35.00 – $252.18 | 19 |
| M.avium-intra dna dir prob CPT 87560 | $70.85 | $109.00 | $24.27 – $91.55 | 19 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $100.10 | $154.00 | $12.86 – $66.02 | 19 |
| Mayo aathr protein s free CPT 85306 | $174.20 | $268.00 | $13.63 – $69.98 | 19 |
| Mayo activated protein c resistance assay CPT 85307 | $100.10 | $154.00 | $13.63 – $69.98 | 19 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $209.30 | $322.00 | $34.31 – $60.24 | 11 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $93.60 | $144.00 | $15.08 – $40.50 | 11 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $118.30 | $182.00 | $13.15 – $67.50 | 19 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $89.05 | $137.00 | $40.50 – $103.49 | 8 |
| Mayo alpha 1 antitrypsin CPT 82103 | $102.70 | $158.00 | $11.95 – $61.34 | 19 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $58.50 | $90.00 | $13.41 – $68.81 | 19 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $110.50 | $170.00 | $23.60 – $53.57 | 8 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $108.55 | $167.00 | $21.35 – $48.46 | 8 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $657.80 | $1,012.00 | $108.19 – $276.67 | 12 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $284.05 | $437.00 | $64.66 – $418.52 | 18 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $472.55 | $727.00 | $121.86 – $310.99 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,524.25 | $2,345.00 | $625.50 – $2,233.22 | 18 |
| Mayo androstenedione CPT 82157 | $115.05 | $177.00 | $26.04 – $133.67 | 19 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $119.60 | $184.00 | $12.99 – $66.67 | 19 |
| Mayo antithrombin iii antigen CPT 85301 | $102.05 | $157.00 | $9.62 – $49.36 | 19 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $83.20 | $128.00 | $13.39 – $68.74 | 19 |
| Mayo avwpr vw factor activity CPT 85397 | $157.95 | $243.00 | $27.45 – $104.75 | 19 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $276.90 | $426.00 | $35.09 – $54.80 | 7 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $81.90 | $126.00 | $28.09 – $63.76 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $37.05 | $57.00 | $9.05 – $46.48 | 19 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $460.85 | $709.00 | $67.19 – $661.24 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $373.75 | $575.00 | $111.73 – $734.33 | 18 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $81.90 | $126.00 | $11.47 – $58.90 | 19 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $24.05 | $37.00 | $21.35 – $48.46 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $87.10 | $134.00 | $11.73 – $60.24 | 19 |
| Mayo brcmg brucella antibody igm CPT 86622 | $85.80 | $132.00 | $7.94 – $40.79 | 19 |
| Mayo c1 esterase inhibitor CPT 83883 | $172.25 | $265.00 | $12.10 – $62.06 | 19 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $99.45 | $153.00 | $21.35 – $48.46 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $107.90 | $166.00 | $15.01 – $76.98 | 19 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $84.50 | $130.00 | $23.82 – $91.94 | 19 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $250.25 | $385.00 | $108.71 – $558.00 | 18 |
| Mayo ceruloplasmin CPT 82390 | $75.40 | $116.00 | $9.55 – $49.03 | 62 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $150.80 | $232.00 | $12.56 – $64.49 | 19 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $98.80 | $152.00 | $11.46 – $58.83 | 19 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $67.60 | $104.00 | $10.51 – $53.98 | 19 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $52.00 | $80.00 | $11.28 – $57.93 | 19 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $326.30 | $502.00 | $91.26 – $291.78 | 19 |
| Mayo chromium CPT 82495 | $70.85 | $109.00 | $9.98 – $32.83 | 65 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $81.90 | $126.00 | $23.01 – $52.23 | 8 |
| Mayo coccidioides antibody CPT 86635 | $63.05 | $97.00 | $10.20 – $52.36 | 19 |
| Mayo cocou cortisone urine CPT 82542 | $218.40 | $336.00 | $21.43 – $82.42 | 19 |
| Mayo cortisol free CPT 82530 | $119.60 | $184.00 | $14.86 – $76.29 | 19 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $70.20 | $108.00 | $37.47 – $57.72 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $79.30 | $122.00 | $10.78 – $55.37 | 19 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $89.05 | $137.00 | $30.06 – $68.24 | 8 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $107.90 | $166.00 | $29.55 – $67.08 | 8 |
| Mayo cyanide CPT 82600 | $55.90 | $86.00 | $17.26 – $88.55 | 19 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $519.35 | $799.00 | $143.50 – $1,620.27 | 19 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $74.75 | $115.00 | $11.79 – $55.61 | 19 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $104.65 | $161.00 | $22.48 – $115.38 | 65 |
| Mayo dihydrotestosterone CPT 82642 | $94.90 | $146.00 | $29.28 – $76.11 | 14 |
| Mayo efpo chloride stool CPT 82438 | $81.90 | $126.00 | $4.45 – $22.32 | 19 |
| Mayo estriol CPT 82677 | $98.80 | $152.00 | $21.51 – $110.40 | 19 |
| Mayo estrone CPT 82679 | $92.30 | $142.00 | $22.19 – $113.95 | 19 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $55.90 | $86.00 | $14.53 – $74.64 | 19 |
| Mayo everolimus therapeutic drug level CPT 80169 | $161.85 | $249.00 | $12.21 – $62.68 | 12 |
| Mayo factor ii CPT 85210 | $92.30 | $142.00 | $9.17 – $29.29 | 19 |
| Mayo factor v CPT 85220 | $102.05 | $157.00 | $15.70 – $57.20 | 23 |
| Mayo factor vii CPT 85230 | $102.05 | $157.00 | $15.92 – $81.74 | 19 |
| Mayo factor viii vw factor antigen CPT 85246 | $102.05 | $157.00 | $20.40 – $104.75 | 19 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $141.70 | $218.00 | $20.40 – $104.75 | 19 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $133.25 | $205.00 | $20.40 – $104.75 | 19 |
| Mayo factor x CPT 85260 | $102.05 | $157.00 | $15.92 – $81.74 | 19 |
| Mayo factor xi CPT 85270 | $102.05 | $157.00 | $15.92 – $81.74 | 19 |
| Mayo fat/lipids feces quantitative CPT 82710 | $72.15 | $111.00 | $14.94 – $53.13 | 19 |
| Mayo fbl culture fungi blood CPT 87103 | $79.95 | $123.00 | $12.88 – $41.17 | 19 |
| Mayo ffspg allergen clam igg CPT 86001 | $26.00 | $40.00 | $7.46 – $23.83 | 16 |
| Mayo fibrinogen antigen CPT 85385 | $111.80 | $172.00 | $12.13 – $38.76 | 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.