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 |
|---|---|---|---|---|
| Rho d immune globulin inj HCPCS J2790 | $144.03 | $192.04 | $78.90 – $83.36 | 15 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $31.50 | $42.00 | $13.16 – $40.91 | 17 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $414.00 | $552.00 | $95.23 – $323.10 | 20 |
| Rmvl ext fixj sys under anes CPT 20694 | $937.50 | $1,250.00 | $241.89 – $1,012.50 | 20 |
| Rotavirus antibody CPT 86759 | $52.50 | $70.00 | $7.66 – $38.28 | 17 |
| Rsv assay w/optic CPT 87807 | $69.75 | $93.00 | $5.50 – $27.51 | 17 |
| Rubella antibody igg CPT 86762 | $39.00 | $52.00 | $6.04 – $30.90 | 17 |
| Rubeola antibody igg CPT 86765 | $28.50 | $38.00 | $5.41 – $27.81 | 17 |
| Russell viper venom diluted CPT 85613 | $58.50 | $78.00 | $4.02 – $20.60 | 17 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $94.50 | $126.00 | $104.03 – $126.00 | 20 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $75.00 | $100.00 | $51.49 – $100.00 | 20 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $84.75 | $113.00 | $74.27 – $113.00 | 20 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $63.75 | $85.00 | $27.84 – $85.00 | 20 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $39.75 | $53.00 | $26.88 – $53.00 | 20 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $28.50 | $38.00 | $14.62 – $38.00 | 20 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $24.00 | $32.00 | $28.71 – $32.00 | 20 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $24.00 | $32.00 | $17.42 – $32.00 | 20 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $33.00 | $44.00 | $17.93 – $44.00 | 20 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.00 | $76.00 | $7.58 – $37.91 | 16 |
| Screening prostate cancer PSA HCPCS G0103 | $46.50 | $62.00 | $8.11 – $40.55 | 16 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $21.00 | $28.00 | $3.10 – $7.67 | 7 |
| Semen analysis presence/motility CPT 89321 | $16.50 | $22.00 | $5.06 – $22.00 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $168.75 | $225.00 | $33.37 – $225.00 | 20 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $198.75 | $265.00 | $43.66 – $265.00 | 20 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $279.00 | $372.00 | $51.61 – $329.38 | 20 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $112.50 | $150.00 | $26.34 – $150.00 | 20 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $123.00 | $164.00 | $34.22 – $164.00 | 20 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $142.50 | $190.00 | $43.66 – $190.00 | 20 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $143.25 | $191.00 | $23.77 – $191.00 | 20 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $112.50 | $150.00 | $35.70 – $150.00 | 20 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $185.25 | $247.00 | $41.51 – $247.00 | 20 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $1,077.00 | $1,436.00 | $760.97 – $1,436.00 | 20 |
| Shoulder MRI (without contrast) CPT 73221 | $81.75 | $109.00 | $60.72 – $109.00 | 20 |
| Shoulder X-ray CPT 73030 | $72.00 | $96.00 | $6.93 – $17.00 | 20 |
| Sinus CT scan (with and without contrast) CPT 70488 | $83.25 | $111.00 | $50.60 – $111.00 | 20 |
| Sinus CT scan (without contrast) CPT 70486 | $66.75 | $89.00 | $38.47 – $88.76 | 20 |
| Skin Biopsy CPT 11102 | $181.50 | $242.00 | $26.25 – $208.19 | 20 |
| Skin test unlisted antigen ea CPT 86486 | $8.25 | $11.00 | $2.20 – $11.00 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $265.50 | $354.00 | $80.91 – $266.67 | 20 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $21.00 | $28.00 | $3.58 – $24.71 | 18 |
| Smear gram stain CPT 87205 | $17.25 | $23.00 | $1.77 – $9.27 | 17 |
| Smear nasal eosinophil CPT 89190 | $18.00 | $24.00 | $2.51 – $12.16 | 17 |
| Smear wet mount CPT 87210 | $44.25 | $59.00 | $2.51 – $12.22 | 17 |
| Sodium 24 hour urine CPT 84300 | $15.00 | $20.00 | $2.13 – $10.63 | 17 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $250.50 | $334.00 | $71.52 – $76.18 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $23.25 | $31.00 | $2.02 – $10.30 | 17 |
| Sperm isolation simple CPT 89260 | $45.00 | $60.00 | $25.75 – $25.75 | 2 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $111.75 | $149.00 | $9.44 – $23.09 | 20 |
| Splint finger 4 prong foam sm HCPCS A4570 | $15.75 | $21.00 | $4.89 – $16.69 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $63.00 | $84.00 | $15.86 – $61.90 | 20 |
| Strapping of elbow or wrist 29260 CPT 29260 | $124.50 | $166.00 | $18.86 – $63.29 | 20 |
| Strep a ag ia CPT 87430 | $39.75 | $53.00 | $7.06 – $35.30 | 17 |
| Streptomycin injection HCPCS J3000 | $23.25 | $31.00 | $26.36 – $31.00 | 15 |
| Stress test pulmonary CPT 94618 | $49.50 | $66.00 | $15.21 – $50.67 | 20 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $144.00 | $192.00 | $6.51 – $56.48 | 7 |
| Susceptibility mic per plate CPT 87186 | $34.50 | $46.00 | $3.63 – $18.54 | 17 |
| Synvisc or synvisc-one HCPCS J7325 | $296.25 | $395.00 | $6.96 – $9.53 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $23.25 | $31.00 | $7.11 – $31.00 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $112.50 | $150.00 | $5.96 – $29.87 | 17 |
| T4 (thyroxine) free CPT 84439 | $23.25 | $31.00 | $3.79 – $19.57 | 17 |
| T4 (thyroxine) total CPT 84436 | $22.50 | $30.00 | $2.89 – $14.43 | 17 |
| Tacrolimus therapeutic drug level CPT 80197 | $121.50 | $162.00 | $5.77 – $28.84 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $263.25 | $351.00 | $26.03 – $130.16 | 17 |
| T cells absolute cd 4 count CPT 86361 | $109.50 | $146.00 | $11.25 – $56.24 | 17 |
| Telehealth original site facility fee HCPCS Q3014 | $38.25 | $51.00 | $25.00 – $33.71 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $281.25 | $375.00 | $375.00 – $375.00 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $41.25 | $55.00 | $5.94 – $29.87 | 17 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $9.75 | $13.00 | $1.55 – $1.82 | 15 |
| Thrombin time CPT 85670 | $58.50 | $78.00 | $2.42 – $12.36 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $58.50 | $78.00 | $2.72 – $13.59 | 17 |
| Thyroglobulin antibody CPT 86800 | $99.00 | $132.00 | $6.68 – $33.99 | 17 |
| Thyroid (TSH) Test CPT 84443 | $50.25 | $67.00 | $7.06 – $36.05 | 17 |
| Thyroid Ultrasound CPT 76536 | $33.75 | $45.00 | $24.55 – $45.00 | 20 |
| Thyroxine binding globulin (tbg) CPT 84442 | $95.25 | $127.00 | $6.21 – $31.93 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $30.00 | $40.00 | $1.77 – $9.27 | 17 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $6.75 | $9.00 | $1.64 – $2.37 | 15 |
| Total hysterectomy CPT 58150 | $2,754.00 | $3,672.00 | $765.82 – $2,083.01 | 20 |
| Total Knee Replacement CPT 27447 | $2,115.75 | $2,821.00 | $965.28 – $2,580.17 | 20 |
| Toxoplasma antibody igg CPT 86777 | $82.50 | $110.00 | $6.04 – $30.90 | 17 |
| Transferrin CPT 84466 | $39.00 | $52.00 | $5.36 – $26.80 | 17 |
| Treat finger fracture each CPT 26742 | $707.25 | $943.00 | $241.71 – $925.97 | 20 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $18.75 | $25.00 | $7.54 – $22.10 | 20 |
| Treatment of ankle fracture 27786 CPT 27786 | $213.00 | $284.00 | $205.38 – $284.00 | 20 |
| Treatment of heel fracture 28400 CPT 28400 | $295.50 | $394.00 | $162.73 – $394.00 | 20 |
| Treatment of toe fracture 28510 CPT 28510 | $144.00 | $192.00 | $84.73 – $192.00 | 20 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $90.58 | $120.82 | $0.71 – $0.90 | 15 |
| Triglycerides CPT 84478 | $21.75 | $29.00 | $2.41 – $12.36 | 17 |
| Trim nondyst nails CPT 11719 | $14.25 | $19.00 | $7.43 – $19.00 | 20 |
| Troponin quantitative CPT 84484 | $38.25 | $51.00 | $5.24 – $26.19 | 17 |
| Tx closed hip disl traumatic without anes CPT 27250 | $395.25 | $527.00 | $171.95 – $392.94 | 20 |
| Ua w/micro/comp poc CPT 81000 | $12.00 | $16.00 | $1.77 – $8.44 | 17 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $33.00 | $44.00 | $18.06 – $44.00 | 20 |
| Ultrasound chest CPT 76604 | $273.75 | $365.00 | $21.05 – $61.94 | 20 |
| Ultrasound joint complete left CPT 76881 | $35.25 | $47.00 | $13.77 – $47.00 | 20 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $24.00 | $32.00 | $17.48 – $32.00 | 20 |
| Ultrasound scrotum and contents CPT 76870 | $39.00 | $52.00 | $28.77 – $52.00 | 20 |
| Ultrasound transvaginal non obstetric CPT 76830 | $41.25 | $55.00 | $31.32 – $55.00 | 20 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $94.50 | $126.00 | $66.00 – $126.00 | 20 |
| Urea nitrogen CPT 84520 | $21.75 | $29.00 | $1.62 – $8.30 | 17 |
| Uric acid blood CPT 84550 | $21.75 | $29.00 | $1.90 – $9.49 | 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.