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 |
|---|---|---|---|---|
| Ghs musc tst done w/n tst non ext CPT 95887 | $135.20 | $208.00 | $29.86 – $93.75 | 42 |
| Ghs nailbed repair/nail removal CPT 11760 | $563.55 | $867.00 | $112.91 – $763.21 | 46 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,142.61 | $3,296.32 | $29.35 – $1,807.26 | 49 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,142.61 | $3,296.32 | $66.06 – $1,442.34 | 52 |
| Ghs nerve block axillary nerve CPT 64417 | $1,322.88 | $2,035.20 | $235.70 – $1,807.26 | 13 |
| Ghs nerve block brachial plexus CPT 64415 | $19,631.57 | $30,202.42 | $66.03 – $4,573.89 | 64 |
| Ghs nerve block celiac plexus CPT 64530 | $722.80 | $1,112.00 | $92.10 – $988.40 | 46 |
| Ghs nerve block interscaline CPT 64510 | $2,408.03 | $3,704.66 | $0.88 – $1,807.26 | 49 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,216.38 | $3,409.81 | $75.39 – $1,807.26 | 40 |
| Ghs nerve block sciatic nerve CPT 64445 | $19,886.72 | $30,594.96 | $74.54 – $14,826.76 | 51 |
| Ghs nerve block suprascapular CPT 64418 | $1,322.88 | $2,035.20 | $58.20 – $1,442.34 | 51 |
| Ghs ng placement w fluoro guidance CPT 43752 | $190.45 | $293.00 | $35.28 – $523.86 | 45 |
| Ghs opcc repair cvp w subq port CPT 36576 | $604.50 | $930.00 | $186.96 – $2,039.39 | 46 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $50.70 | $78.00 | $22.30 – $33.22 | 45 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $56.55 | $87.00 | $22.30 – $43.60 | 45 |
| Ghs ot dds rom CPT 95851 | $61.10 | $94.00 | $6.77 – $31.52 | 12 |
| Ghs ot prosthetic training/15 min CPT 97761 | $82.55 | $127.00 | $20.19 – $54.44 | 12 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $70.20 | $108.00 | $6.40 – $80.87 | 13 |
| Ghs ot work hardening-additional hours CPT 97546 | $73.45 | $113.00 | $17.16 – $25.00 | 4 |
| Ghs pacing - transcutaneous CPT 92953 | $583.05 | $897.00 | $582.74 – $859.09 | 10 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $324.35 | $499.00 | $61.58 – $85.02 | 39 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $5,154.50 | $7,930.00 | $53.42 – $1,807.26 | 50 |
| Ghs peritonsillar abscess i andd CPT 42700 | $360.10 | $554.00 | $132.77 – $451.31 | 46 |
| Ghs phenylketonurid CPT 84030 | $35.75 | $55.00 | $4.68 – $20.37 | 18 |
| Ghs plngl fx pm cl CPT 26725 | $687.05 | $1,057.00 | $204.50 – $356.05 | 46 |
| Ghs ppd (tb intradermal) CPT 86580 | $54.60 | $84.00 | $5.38 – $32.25 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $65.65 | $101.00 | $8.59 – $35.77 | 18 |
| Ghs protoporphyrins fract CPT 84202 | $42.90 | $66.00 | $12.20 – $53.14 | 18 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $204.10 | $314.00 | $34.32 – $34.32 | 3 |
| Ghs quinidine CPT 80194 | $67.60 | $104.00 | $12.99 – $54.06 | 18 |
| Ghs removal intranasal foreign body CPT 30300 | $375.70 | $578.00 | $83.94 – $179.38 | 46 |
| Ghs reticulocyte count CPT 85044 | $38.35 | $59.00 | $3.83 – $15.96 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $139.75 | $215.00 | $11.82 – $51.51 | 18 |
| Ghs sedimentation rate CPT 85651 | $29.25 | $45.00 | $3.80 – $15.81 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | $76.05 | $117.00 | $6.65 – $27.70 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $535.60 | $824.00 | $97.28 – $524.51 | 46 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $535.60 | $824.00 | $131.87 – $524.51 | 46 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $488.15 | $751.00 | $119.42 – $524.51 | 46 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $447.85 | $689.00 | $76.92 – $260.86 | 46 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $410.15 | $631.00 | $74.53 – $260.86 | 46 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $601.25 | $925.00 | $96.69 – $260.86 | 46 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $664.95 | $1,023.00 | $148.50 – $228.42 | 46 |
| Ghs sleep study unattended CPT 95800 | $581.75 | $895.00 | $73.43 – $222.98 | 12 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $99.45 | $153.00 | $42.87 – $46.00 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | $241.15 | $371.00 | $93.47 – $316.98 | 46 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $261.95 | $403.00 | $91.09 – $136.46 | 10 |
| Ghs strapping shoulder - 29240 CPT 29240 | $137.15 | $211.00 | $19.21 – $169.23 | 46 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $473.20 | $728.00 | $187.21 – $763.21 | 46 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $876.20 | $1,348.00 | $255.29 – $1,944.67 | 46 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $432.25 | $665.00 | $204.50 – $320.06 | 46 |
| Ghs urine, porphyrins quant CPT 84120 | $120.90 | $186.00 | $12.50 – $54.47 | 18 |
| Ghs vaginal delivery only CPT 59409 | $1,814.80 | $2,792.00 | $706.07 – $4,174.15 | 45 |
| Gi inhouse confirmation CPT 87045 | $46.80 | $72.00 | $8.40 – $34.96 | 19 |
| Glassia injection HCPCS J0257 | $2,830.75 | $4,355.00 | $5.87 – $834.00 | 11 |
| Glove finger flexion right lg xl HCPCS L3912 | $22.75 | $35.00 | $101.06 – $136.03 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,067.57 | $1,642.42 | $111.91 – $211.52 | 11 |
| Glucagon plasma - sendout CPT 82943 | $60.45 | $93.00 | $12.71 – $52.92 | 18 |
| Glucose 1 hr post dose CPT 82950 | $46.15 | $71.00 | $4.23 – $17.59 | 18 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $16.90 | $26.00 | $2.92 – $12.15 | 18 |
| Glucose blood quantitative CPT 82947 | $46.15 | $71.00 | $3.50 – $14.55 | 18 |
| Glucose body fluid CPT 82945 | $48.10 | $74.00 | $3.50 – $14.55 | 24 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $92.30 | $142.00 | $11.45 – $47.66 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $30.55 | $47.00 | $3.49 – $14.52 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.15 | $11.00 | $0.38 – $0.63 | 10 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $4,127.14 | $6,349.44 | $11.99 – $805.00 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $76.05 | $117.00 | $16.53 – $68.80 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $106.60 | $164.00 | $16.47 – $68.58 | 19 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $6,628.00 | $10,196.93 | $777.50 – $1,071.86 | 7 |
| Great toe with reduction 28495 CPT 28495 | $575.25 | $885.00 | $145.24 – $254.72 | 46 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $1.21 – $1.23 | 7 |
| Hand X-ray CPT 73130 | $350.35 | $539.00 | $24.14 – $115.59 | 18 |
| Haptoglobin quantitative CPT 83010 | $126.10 | $194.00 | $11.19 – $46.58 | 18 |
| Hba1/hba2 full gene sequence CPT 81259 | $442.00 | $680.00 | $533.69 – $2,221.80 | 16 |
| Hbb full gene sequence CPT 81364 | $426.40 | $656.00 | $288.71 – $1,201.92 | 16 |
| Hbb gene dup/del variants CPT 81363 | $442.00 | $680.00 | $180.03 – $749.49 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $455.00 | $700.00 | $73.85 – $181.04 | 12 |
| Hcg qualitative CPT 84703 | $52.65 | $81.00 | $6.69 – $27.85 | 18 |
| Hcg quantitative CPT 84702 | $152.10 | $234.00 | $12.79 – $55.73 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $1,464.45 | $2,253.00 | $98.54 – $611.95 | 15 |
| Head CT scan (with contrast) CPT 70460 | $1,437.80 | $2,212.00 | $82.45 – $508.20 | 15 |
| Head CT scan (without contrast) CPT 70450 | $858.65 | $1,321.00 | $57.46 – $355.24 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $139.75 | $215.00 | $14.32 – $62.40 | 18 |
| Hematocrit CPT 85014 | $17.55 | $27.00 | $2.01 – $8.78 | 18 |
| Hemoglobin CPT 85018 | $22.10 | $34.00 | $2.01 – $8.78 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $79.30 | $122.00 | $6.97 – $30.36 | 18 |
| Hemoglobin plasma CPT 83051 | $101.40 | $156.00 | $6.21 – $27.07 | 18 |
| Hemophilus influenza antibdy CPT 86684 | $65.00 | $100.00 | $13.46 – $58.66 | 18 |
| Heparin assay CPT 85520 | $172.25 | $265.00 | $11.64 – $48.47 | 18 |
| Heparin bolus from bag HCPCS J1644 | $69.71 | $107.25 | $0.18 – $0.32 | 10 |
| Heparin neutralization CPT 85525 | $64.35 | $99.00 | $10.53 – $43.84 | 18 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.02 – $0.03 | 6 |
| Hepatitis a antibody igm CPT 86709 | $152.75 | $235.00 | $10.02 – $41.70 | 26 |
| Hepatitis b core antibody igm CPT 86705 | $161.20 | $248.00 | $10.47 – $43.58 | 18 |
| Hepatitis b core antibody total CPT 86704 | $108.55 | $167.00 | $10.72 – $44.62 | 19 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,339.32 | $5,137.41 | $142.10 – $953.80 | 8 |
| Hepatitis b surface antibody CPT 86706 | $82.55 | $127.00 | $9.55 – $39.77 | 18 |
| Hepatitis c antibody CPT 86803 | $117.65 | $181.00 | $12.69 – $52.84 | 18 |
| Hepatobiliary system imaging CPT 78226 | $1,538.55 | $2,367.00 | $218.05 – $924.58 | 19 |
| Hereditary colon ca dsordrs CPT 81435 | $2,479.75 | $3,815.00 | $795.93 – $2,165.88 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | $8,739.17 | $13,444.87 | $476.63 – $7,315.90 | 54 |
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.