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 |
|---|---|---|---|---|
| Herpes simplex type 1 antibody igg CPT 86695 | $92.30 | $142.00 | $11.21 – $48.84 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | $113.75 | $175.00 | $17.21 – $71.65 | 18 |
| Herpes simplex virus isolation CPT 87255 | $115.05 | $177.00 | $28.78 – $125.38 | 18 |
| Heterophile antibodies screening CPT 86308 | $53.30 | $82.00 | $4.61 – $19.18 | 18 |
| Hip X-ray CPT 73502 | $213.85 | $329.00 | $30.80 – $125.39 | 18 |
| Histamine CPT 83088 | $182.00 | $280.00 | $20.76 – $109.35 | 18 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $328.90 | $506.00 | $129.03 – $629.14 | 25 |
| Hla typing dr/dq CPT 86816 | $218.40 | $336.00 | $26.84 – $111.72 | 18 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $142.46 | $219.17 | $9.60 – $9.60 | 3 |
| Home sleep test/type 2 porta HCPCS G0398 | $347.75 | $535.00 | $222.98 – $222.98 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $606.45 | $933.00 | $222.98 – $222.98 | 1 |
| Homocysteine CPT 83090 | $173.55 | $267.00 | $15.94 – $66.36 | 18 |
| Homogenization tissue CPT 87176 | $50.05 | $77.00 | $5.23 – $21.77 | 18 |
| Hpv types 16 & 18 only CPT 87625 | $89.70 | $138.00 | $36.07 – $150.16 | 27 |
| H pylori (c-13) breath CPT 83013 | $112.45 | $173.00 | $57.26 – $249.43 | 18 |
| H pylori drug admin CPT 83014 | $30.55 | $47.00 | $6.99 – $29.11 | 18 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $7,166.25 | $11,025.00 | $1.76 – $2,300.00 | 7 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $235.75 | $362.70 | $54.00 – $79.50 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $71.99 | $110.76 | $4.08 – $7.58 | 10 |
| Hydration IV infusion each additional hour CPT 96361 | $194.35 | $299.00 | $16.83 – $60.57 | 12 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $175.50 | $270.00 | $49.81 – $276.60 | 12 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $849.44 | $1,306.83 | $20.94 – $30.95 | 10 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1,441.44 | $2,217.60 | $0.39 – $0.42 | 6 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $129.16 | $198.71 | $12.31 – $24.72 | 10 |
| Hysterosalpingography s&i CPT 74740 | $595.40 | $916.00 | $63.01 – $317.33 | 18 |
| Hysteroscopy ablation CPT 58563 | $7,628.46 | $11,736.09 | $1,611.29 – $10,221.60 | 16 |
| Hysteroscopy remove fb CPT 58562 | $4,956.09 | $7,624.75 | $1,012.78 – $6,614.48 | 16 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $533.92 | $821.41 | $185.29 – $314.64 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $546.00 | $840.00 | $39.42 – $134.91 | 10 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $2,365.28 | $3,638.90 | $204.66 – $435.52 | 8 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,091.35 | $1,679.00 | $512.74 – $4,259.59 | 46 |
| Idh1 common variants CPT 81120 | $418.60 | $644.00 | $91.57 – $313.45 | 30 |
| Idh2 common variants CPT 81121 | $418.60 | $644.00 | $263.10 – $1,095.31 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $402.35 | $619.00 | $176.11 – $733.16 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $592.80 | $912.00 | $288.92 – $1,090.61 | 21 |
| Igk rearrangeabn clonal pop CPT 81264 | $323.05 | $497.00 | $153.64 – $639.62 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $205.40 | $316.00 | $45.47 – $187.74 | 13 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $172.90 | $266.00 | $76.97 – $472.24 | 16 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $213.20 | $328.00 | $32.75 – $224.98 | 18 |
| Imatinib 100 mg tab HCPCS S0088 | $35.75 | $55.00 | $17.36 – $17.36 | 3 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $20.15 | $31.00 | $129.86 – $174.80 | 4 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $63.05 | $97.00 | $52.70 – $71.85 | 4 |
| Immobilizer shldr sling med HCPCS L3660 | $8.45 | $13.00 | $110.86 – $149.24 | 4 |
| Immune complex assay CPT 86332 | $131.95 | $203.00 | $21.68 – $90.24 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $11,917.13 | $18,334.05 | $48.75 – $1,395.80 | 11 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $5,255.93 | $8,086.05 | $81.34 – $2,385.60 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $78.65 | $121.00 | $18.51 – $77.06 | 26 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $145.60 | $224.00 | $18.51 – $77.06 | 19 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $66.95 | $103.00 | $10.66 – $44.36 | 18 |
| Immunodiffusion nes CPT 86329 | $98.80 | $152.00 | $12.50 – $52.03 | 18 |
| Immunofixation electrophoresis serum CPT 86334 | $188.50 | $290.00 | $19.87 – $82.73 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $157.30 | $242.00 | $43.71 – $282.24 | 13 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $150.15 | $231.00 | $32.75 – $374.48 | 18 |
| Immunoglobulin assay CPT 86023 | $140.40 | $216.00 | $10.59 – $46.14 | 18 |
| Implant neuroelectrodes CPT 64553 | $460.20 | $708.00 | $176.79 – $16,371.29 | 46 |
| Implant neuroelectrodes CPT 64555 | $845.65 | $1,301.00 | $170.74 – $11,298.48 | 46 |
| Implant spine infusion pump CPT 62362 | $1,311.70 | $2,018.00 | $384.50 – $35,215.98 | 46 |
| Impl neurostim electr perc CPT 63650 | $12,083.80 | $18,590.46 | $2.00 – $13,022.06 | 51 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,402.67 | $5,234.87 | $301.40 – $17,931.86 | 64 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $269.10 | $414.00 | $116.88 – $2,127.08 | 46 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $2,204.80 | $3,392.00 | $854.24 – $7,493.24 | 40 |
| Incision of breast lesion CPT 19020 | $723.45 | $1,113.00 | $304.03 – $2,127.08 | 46 |
| Incision of burn scab initi CPT 16035 | $1,049.10 | $1,614.00 | $173.15 – $419.79 | 46 |
| Incobotulinumtoxin a HCPCS J0588 | $609.70 | $938.00 | $5.42 – $387.50 | 11 |
| Infect ag drug suscept pheno predict CPT 87900 | $387.40 | $596.00 | $115.94 – $482.69 | 25 |
| Infect ag eia influenza a or b ea CPT 87400 | $95.55 | $147.00 | $12.01 – $52.32 | 18 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $589.55 | $907.00 | $229.00 – $953.34 | 27 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $87.75 | $135.00 | $27.85 – $121.35 | 15 |
| Infect ag ia optc obs influenza CPT 87804 | $59.80 | $92.00 | $14.72 – $61.28 | 18 |
| Infect ag if varicella zoster CPT 87290 | $84.50 | $130.00 | $11.94 – $49.69 | 18 |
| Infect ag na hpv high-risk types CPT 87624 | $115.05 | $177.00 | $31.21 – $129.94 | 19 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $165.75 | $255.00 | $85.21 – $354.75 | 18 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $133.90 | $206.00 | $41.43 – $162.01 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $646.75 | $995.00 | $372.39 – $1,543.34 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $154.70 | $238.00 | $10.18 – $44.36 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $143.00 | $220.00 | $11.94 – $49.69 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $100.75 | $155.00 | $11.75 – $51.18 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $81.25 | $125.00 | $10.18 – $44.36 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $158.60 | $244.00 | $12.79 – $53.25 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $65.65 | $101.00 | $9.19 – $38.25 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $66.95 | $103.00 | $9.19 – $38.25 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $87.10 | $134.00 | $21.42 – $89.17 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $141.05 | $217.00 | $10.66 – $44.36 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $97.50 | $150.00 | $10.18 – $44.36 | 27 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $47.45 | $73.00 | $10.66 – $44.36 | 19 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $301.60 | $464.00 | $31.21 – $129.94 | 18 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $136.50 | $210.00 | $31.21 – $129.94 | 18 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $176.80 | $272.00 | $33.15 – $138.01 | 19 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $771.55 | $1,187.00 | $412.61 – $1,543.34 | 15 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $95.55 | $147.00 | $29.83 – $129.94 | 18 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $121.55 | $187.00 | $31.21 – $129.94 | 18 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $251.55 | $387.00 | $35.43 – $154.34 | 18 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $143.65 | $221.00 | $31.21 – $129.94 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $120.25 | $185.00 | $43.61 – $190.00 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $218.40 | $336.00 | $121.24 – $528.16 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $331.50 | $510.00 | $121.24 – $528.16 | 18 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $98.15 | $151.00 | $29.83 – $129.94 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $136.50 | $210.00 | $31.21 – $129.94 | 16 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $155.35 | $239.00 | $68.85 – $259.88 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $615.55 | $947.00 | $412.61 – $1,543.34 | 15 |
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.