Mercy Hospital Carthage
3125 Dr. Russell Smith Way, Carthage, MO · Mercy · · NPI 1003201955
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 | $121.55 | $187.00 | $24.89 – $108.42 | 18 |
| 3d recon without postprocess indpndt CPT 76376 | $545.35 | $839.00 | $13.03 – $100.47 | 10 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,649.67 | $5,614.88 | $46.16 – $1,624.00 | 11 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,009.80 | $3,092.00 | $101.17 – $905.91 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,781.65 | $2,741.00 | $101.17 – $904.21 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,552.85 | $2,389.00 | $59.96 – $435.12 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,225.60 | $3,424.00 | $204.04 – $2,040.03 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $2,174.90 | $3,346.00 | $191.82 – $1,915.19 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $1,177.15 | $1,811.00 | $110.75 – $1,102.83 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $498.55 | $767.00 | $109.70 – $936.61 | 45 |
| Abdominal Ultrasound (complete) CPT 76700 | $677.95 | $1,043.00 | $59.96 – $272.52 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $450.45 | $693.00 | $49.68 – $208.16 | 18 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $399.75 | $615.00 | $74.34 – $936.61 | 45 |
| Ablation cryo abd perit om CPT 49999 | $837.20 | $1,288.00 | $799.25 – $936.61 | 7 |
| Ablation of upper extremity nerves rf CPT 64999 | $6,583.23 | $10,128.05 | $3.32 – $13,022.06 | 16 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $45.63 | $70.20 | $5.00 – $7.00 | 10 |
| Acetaminophen level CPT 80143 | $133.25 | $205.00 | $15.84 – $69.02 | 19 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $169.00 | $260.00 | $21.62 – $25.59 | 10 |
| Acetone qualitative CPT 82009 | $57.20 | $88.00 | $3.84 – $16.74 | 27 |
| Acetylcholine receptor modulating antibody CPT 86043 | $171.60 | $264.00 | $10.24 – $44.62 | 18 |
| Acetylcholinesterase assay CPT 82013 | $140.40 | $216.00 | $10.45 – $45.51 | 18 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $464.80 | $715.07 | $22.20 – $33.00 | 10 |
| Acne surgery 10040 CPT 10040 | $152.10 | $234.00 | $57.92 – $260.86 | 46 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $25.35 | $39.00 | $12.27 – $14.71 | 5 |
| Actinotherapy uv light CPT 96900 | $104.65 | $161.00 | $12.99 – $51.53 | 12 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $40.30 | $62.00 | $22.97 – $32.16 | 7 |
| Acute hepatitis panel CPT 80074 | $274.95 | $423.00 | $40.49 – $176.37 | 24 |
| #acylcarnitineprfl CPT 82017 | $149.50 | $230.00 | $15.01 – $62.47 | 18 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $202.80 | $312.00 | $0.96 – $2.01 | 10 |
| Adh-sendout CPT 84588 | $153.40 | $236.00 | $28.85 – $125.68 | 18 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $156.86 | $241.32 | $2.60 – $18.00 | 10 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $408.85 | $629.00 | $30.00 – $93.45 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $314.60 | $484.00 | $63.38 – $93.45 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $429.65 | $661.00 | $113.77 – $435.45 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $306.80 | $472.00 | $42.83 – $435.45 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $185.90 | $286.00 | $42.83 – $93.45 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $185.90 | $286.00 | $42.83 – $93.45 | 12 |
| Administration immunization 1 vaccine CPT 90471 | $44.20 | $68.00 | $14.72 – $93.45 | 12 |
| Administration immunization each additional component CPT 90461 | $0.65 | $1.00 | $8.65 – $8.65 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $44.85 | $69.00 | $12.70 – $14.72 | 7 |
| Administration immunization first component each vaccine CPT 90460 | $30.55 | $47.00 | $18.34 – $22.06 | 5 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $34.45 | $53.00 | $39.34 – $93.45 | 12 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $29.90 | $46.00 | $10.48 – $10.48 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $35.10 | $54.00 | $48.36 – $48.36 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $37.05 | $57.00 | $2.46 – $48.36 | 5 |
| Administration vaccine pneumococcal HCPCS G0009 | $33.80 | $52.00 | $2.46 – $48.36 | 5 |
| Aep hearing status deter i&r CPT 92651 | $234.65 | $361.00 | $72.15 – $408.81 | 12 |
| Aep neurodiagnostic i&r CPT 92653 | $234.65 | $361.00 | $72.57 – $408.81 | 12 |
| Aep thrshld est mlt freq i&r CPT 92652 | $564.20 | $868.00 | $98.21 – $408.81 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $73.45 | $113.00 | $6.61 – $28.81 | 25 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $197.73 | $304.20 | $49.70 – $77.50 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $106.60 | $164.00 | $5.14 – $21.40 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $29.90 | $46.00 | $4.40 – $18.33 | 18 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $99.45 | $153.00 | $17.09 – $63.95 | 13 |
| Alkaline phosphatase CPT 84075 | $35.75 | $55.00 | $4.61 – $19.18 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | $43.55 | $67.00 | $15.95 – $66.39 | 18 |
| Allergen egg white ige CPT 86003 | $61.10 | $94.00 | $4.64 – $19.33 | 18 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,410.50 | $2,170.00 | $5.54 – $758.00 | 8 |
| Alpha-fetoprotein amniotic CPT 82106 | $70.85 | $109.00 | $14.45 – $62.95 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $142.35 | $219.00 | $14.25 – $62.10 | 26 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $20,020.82 | $30,801.26 | $96.74 – $274.92 | 11 |
| Alt/sgpt CPT 84460 | $31.85 | $49.00 | $4.71 – $19.63 | 18 |
| Aluminum - quest CPT 82108 | $114.40 | $176.00 | $21.66 – $94.35 | 18 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $778.05 | $1,197.00 | $49.73 – $120.51 | 10 |
| Amantadine (symmetrel)-sendout CPT 80375 | $173.55 | $267.00 | $17.88 – $76.17 | 9 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $60.42 | $92.95 | $5.40 – $9.10 | 10 |
| Amino acids quant 2-5 CPT 82136 | $166.40 | $256.00 | $17.44 – $72.62 | 18 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $45.80 | $70.46 | $10.95 – $10.95 | 3 |
| Aminolevulinic acid delta CPT 82135 | $79.95 | $123.00 | $14.63 – $60.91 | 18 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $92.91 | $142.94 | $5.17 – $12.12 | 10 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $195.19 | $300.30 | $12.60 – $19.05 | 7 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.46 | $13.01 | $1.95 – $3.70 | 10 |
| Amitriptyline (elavil) -sendout CPT 80335 | $94.25 | $145.00 | $23.71 – $76.17 | 9 |
| Ammonia CPT 82140 | $82.55 | $127.00 | $12.38 – $53.95 | 19 |
| Amphetamine confirm urine -sendout CPT 80324 | $98.15 | $151.00 | $10.48 – $76.17 | 9 |
| Amphetamines 5 or more CPT 80326 | $81.25 | $125.00 | $10.48 – $23.59 | 8 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $202.80 | $312.00 | $43.29 – $50.07 | 10 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,385.21 | $2,131.09 | $21.36 – $165.15 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $30.02 | $46.19 | $0.59 – $0.72 | 10 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.57 | $45.50 | $1.33 – $2.18 | 10 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,582.10 | $2,434.00 | $788.67 – $7,493.24 | 40 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $1,321.45 | $2,033.00 | $569.06 – $3,378.88 | 40 |
| Amylase CPT 82150 | $105.95 | $163.00 | $5.76 – $24.00 | 19 |
| Ana ds-dna CPT 86226 | $125.45 | $193.00 | $10.77 – $44.84 | 18 |
| Anal/urinary muscle study CPT 51784 | $322.40 | $496.00 | $50.60 – $205.41 | 15 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $238.55 | $367.00 | $46.37 – $120.51 | 24 |
| Analysis gene f2 20210g>a variant CPT 81240 | $315.90 | $486.00 | $58.43 – $243.25 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $339.95 | $523.00 | $65.26 – $271.69 | 16 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $305.50 | $470.00 | $26.57 – $48.96 | 24 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $629.20 | $968.00 | $42.47 – $120.51 | 12 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $130.00 | $200.00 | $29.83 – $129.94 | 15 |
| Anca screen with reflex to titer -quest CPT 86021 | $154.05 | $237.00 | $9.75 – $55.73 | 18 |
| An fluoro guide for cvp CPT 77001 | $498.55 | $767.00 | $58.56 – $286.33 | 44 |
| Ankle arthroscopy/surgery CPT 29892 | $16,609.33 | $25,552.82 | $2,317.55 – $14,826.76 | 16 |
| Ankle X-ray CPT 73610 | $378.30 | $582.00 | $23.58 – $115.59 | 18 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $379.60 | $584.00 | $47.15 – $393.73 | 45 |
| Anora (draw only) CPT 99001 | $18.20 | $28.00 | $6.44 – $6.44 | 3 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $47.45 | $73.00 | $10.95 – $47.69 | 18 |
| Antibody elution rbc reference CPT 86860 | $155.35 | $239.00 | $6.55 – $224.98 | 18 |
| Antibody htlv/hiv confirm test CPT 86689 | $170.95 | $263.00 | $17.21 – $71.65 | 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.