Mercy Primary Care - Bernie
810 N Walnut St, Bernie, MO · Mercy · · NPI 1679820286
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 layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $335.25 | $447.00 | $135.62 – $447.00 | 20 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $368.25 | $491.00 | $149.67 – $491.00 | 20 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $366.00 | $488.00 | $149.83 – $488.00 | 20 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $20.25 | $27.00 | $3.61 – $18.54 | 17 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $21.00 | $28.00 | $8.92 – $28.00 | 20 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $432.75 | $577.00 | $25.04 – $170.53 | 20 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $105.75 | $141.00 | $15.92 – $71.48 | 20 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $146.25 | $195.00 | $24.09 – $101.88 | 20 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $67.50 | $90.00 | $36.35 – $90.00 | 20 |
| Ghs ppd (tb intradermal) CPT 86580 | $22.50 | $30.00 | $2.90 – $22.18 | 17 |
| Ghs protein, misc fluid CPT 84160 | $17.25 | $23.00 | $2.36 – $11.78 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $274.50 | $366.00 | $84.13 – $366.00 | 20 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $31.50 | $42.00 | $6.67 – $33.37 | 17 |
| Ghs reticulocyte count CPT 85044 | $19.50 | $26.00 | $1.77 – $9.27 | 17 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $49.50 | $66.00 | $5.84 – $29.21 | 17 |
| Ghs sedimentation rate CPT 85651 | $23.25 | $31.00 | $1.77 – $8.97 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | $42.75 | $57.00 | $4.13 – $20.66 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $24.00 | $32.00 | $3.14 – $15.71 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $202.50 | $270.00 | $99.22 – $270.00 | 20 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $348.00 | $464.00 | $78.62 – $377.91 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $159.75 | $213.00 | $71.79 – $213.00 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $166.50 | $222.00 | $98.63 – $222.00 | 20 |
| Ghs st - eval for alt comm CPT 92567 | $34.50 | $46.00 | $10.60 – $35.28 | 20 |
| Ghs urine, porphyrins quant CPT 84120 | $121.50 | $162.00 | $6.18 – $30.90 | 17 |
| Gi inhouse confirmation CPT 87045 | $43.50 | $58.00 | $3.96 – $20.60 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $864.75 | $1,153.00 | $146.33 – $196.49 | 15 |
| Glucose 1 hr post dose CPT 82950 | $48.00 | $64.00 | $2.06 – $10.30 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $12.75 | $17.00 | $1.33 – $7.21 | 17 |
| Glucose blood quantitative CPT 82947 | $20.25 | $27.00 | $1.62 – $8.25 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $63.00 | $84.00 | $42.65 – $84.00 | 19 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $87.00 | $116.00 | $5.45 – $27.81 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $65.25 | $87.00 | $1.62 – $8.24 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $49.50 | $66.00 | $7.80 – $40.17 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $52.50 | $70.00 | $7.78 – $39.14 | 17 |
| Hand-held pefr meter a4614 HCPCS A4614 | $17.25 | $23.00 | $11.05 – $23.00 | 17 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $12.75 | $17.00 | $2.37 – $5.70 | 4 |
| Hand X-ray CPT 73130 | $98.25 | $131.00 | $6.80 – $15.00 | 20 |
| Haptoglobin quantitative CPT 83010 | $28.50 | $38.00 | $5.28 – $26.78 | 17 |
| Hcg qualitative CPT 84703 | $23.25 | $31.00 | $3.16 – $16.48 | 17 |
| Hcg quantitative CPT 84702 | $57.00 | $76.00 | $6.34 – $31.61 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | $74.25 | $99.00 | $50.60 – $99.00 | 20 |
| Head CT scan (with contrast) CPT 70460 | $59.25 | $79.00 | $50.50 – $79.00 | 20 |
| Head CT scan (without contrast) CPT 70450 | $49.50 | $66.00 | $38.18 – $66.00 | 20 |
| Helicobacter pylori antibody igm CPT 86677 | $64.50 | $86.00 | $7.08 – $35.39 | 17 |
| Hematocrit CPT 85014 | $10.50 | $14.00 | $1.03 – $5.15 | 17 |
| Hemoglobin CPT 85018 | $15.75 | $21.00 | $1.03 – $5.15 | 17 |
| Heparin neutralization CPT 85525 | $16.50 | $22.00 | $4.97 – $22.00 | 17 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $11.73 | $15.64 | $0.02 – $0.02 | 14 |
| Hepatitis a antibody igm CPT 86709 | $75.75 | $101.00 | $4.73 – $23.69 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $77.25 | $103.00 | $4.94 – $24.72 | 17 |
| Hepatitis b core antibody total CPT 86704 | $25.50 | $34.00 | $5.06 – $25.75 | 17 |
| Hepatitis b surface antibody CPT 86706 | $27.00 | $36.00 | $4.51 – $22.66 | 17 |
| Hepatitis c antibody CPT 86803 | $42.75 | $57.00 | $5.99 – $30.90 | 17 |
| Hepatobiliary system imaging CPT 78226 | $34.50 | $46.00 | $24.16 – $46.00 | 20 |
| Herpes simplex type 1 antibody igg CPT 86695 | $32.25 | $43.00 | $5.54 – $27.81 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $32.25 | $43.00 | $8.13 – $40.64 | 17 |
| Herpes simplex virus isolation CPT 87255 | $138.00 | $184.00 | $14.22 – $73.13 | 17 |
| Heterophile antibodies screening CPT 86308 | $20.25 | $27.00 | $2.21 – $11.33 | 17 |
| Hip X-ray CPT 73502 | $10.50 | $14.00 | $7.46 – $14.00 | 20 |
| Hla i low res one antigen equiv ea CPT 81374 | $163.50 | $218.00 | $31.22 – $156.09 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $138.75 | $185.00 | $71.36 – $185.00 | 17 |
| Home health re-certification physician g0179 HCPCS G0179 | $58.50 | $78.00 | $33.57 – $78.00 | 17 |
| Home sleep test/type 3 porta HCPCS G0399 | $636.00 | $848.00 | $206.94 – $278.08 | 4 |
| Home visit est patient 99348 CPT 99348 | $62.25 | $83.00 | $53.10 – $83.00 | 20 |
| Homocysteine CPT 83090 | $63.00 | $84.00 | $7.53 – $37.63 | 17 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $69.00 | $92.00 | $21.35 – $72.56 | 20 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $13.50 | $18.00 | $12.31 – $18.00 | 15 |
| Hysteroscopy biopsy CPT 58558 | $793.50 | $1,058.00 | $165.52 – $1,058.00 | 20 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $213.75 | $285.00 | $206.03 – $237.47 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | $30.00 | $40.00 | $5.64 – $28.18 | 17 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $49.50 | $66.00 | $7.67 – $37.99 | 16 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,119.00 | $1,492.00 | $434.66 – $1,492.00 | 20 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $429.00 | $572.00 | $228.71 – $572.00 | 20 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $83.25 | $111.00 | $34.14 – $111.00 | 17 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $66.00 | $88.00 | $8.74 – $43.70 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $30.75 | $41.00 | $8.74 – $41.00 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $60.00 | $80.00 | $9.38 – $46.91 | 17 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $191.25 | $255.00 | $82.47 – $255.00 | 20 |
| Incision of tongue fold CPT 41010 | $477.00 | $636.00 | $75.78 – $458.21 | 20 |
| Infect ag eia influenza a or b ea CPT 87400 | $48.00 | $64.00 | $5.93 – $29.67 | 17 |
| Infect ag ia optc obs influenza CPT 87804 | $42.00 | $56.00 | $7.08 – $34.76 | 17 |
| Infect ag if influenza a CPT 87276 | $30.00 | $40.00 | $6.75 – $33.75 | 17 |
| Infect ag if influenza b CPT 87275 | $30.00 | $40.00 | $5.14 – $25.73 | 17 |
| Infect ag if nos ea CPT 87299 | $30.00 | $40.00 | $6.76 – $33.81 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $88.50 | $118.00 | $40.24 – $118.00 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $30.00 | $40.00 | $5.03 – $25.75 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $124.50 | $166.00 | $5.80 – $29.02 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $86.25 | $115.00 | $5.03 – $25.16 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $141.00 | $188.00 | $6.04 – $30.20 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $24.00 | $32.00 | $4.34 – $21.69 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $33.00 | $44.00 | $5.03 – $25.75 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $30.00 | $40.00 | $5.03 – $25.16 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $111.00 | $148.00 | $14.74 – $75.19 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $99.75 | $133.00 | $14.74 – $75.19 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $83.25 | $111.00 | $15.65 – $78.27 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $88.50 | $118.00 | $14.74 – $75.19 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $127.50 | $170.00 | $14.74 – $73.69 | 17 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $99.75 | $133.00 | $14.74 – $75.19 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $77.25 | $103.00 | $21.14 – $103.00 | 15 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $33.00 | $44.00 | $14.89 – $44.00 | 17 |
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.