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 |
|---|---|---|---|---|
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $367.25 | $565.00 | $36.41 – $158.64 | 18 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $258.70 | $398.00 | $36.41 – $158.64 | 26 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $365.95 | $563.00 | $36.41 – $158.64 | 19 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $395.20 | $608.00 | $75.70 – $315.13 | 27 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $288.60 | $444.00 | $121.24 – $528.16 | 18 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,414.09 | $3,713.99 | $33.43 – $455.20 | 11 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,038.05 | $1,597.00 | $24.55 – $305.00 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,957.61 | $3,011.71 | $24.97 – $287.30 | 11 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $167.70 | $258.00 | $18.16 – $226.13 | 8 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $174.85 | $269.00 | $118.33 – $155.72 | 40 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $241.80 | $372.00 | $161.84 – $199.64 | 40 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $133.90 | $206.00 | $71.06 – $107.91 | 40 |
| Initiation & management bipap/cpap initial day CPT 94660 | $629.20 | $968.00 | $190.73 – $267.02 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $11,386.40 | $17,517.54 | $18.91 – $7,929.00 | 11 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $12,417.10 | $19,103.23 | $169.05 – $7,364.10 | 11 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $37.08 | $57.04 | $5.28 – $7.98 | 10 |
| Inj ceftolozane tazobactam HCPCS J0695 | $809.64 | $1,245.60 | $9.22 – $266.60 | 11 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $3,003.00 | $4,620.00 | $1,027.17 – $5,077.84 | 11 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | $1,774.50 | $2,730.00 | $3.21 – $454.00 | 7 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $6,618.42 | $10,182.19 | $29.11 – $2,342.40 | 4 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,472.90 | $2,266.00 | $4.30 – $1,057.00 | 4 |
| Inj, durolane 1 mg HCPCS J7318 | $4,710.88 | $7,247.51 | $6.72 – $585.00 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $20,107.14 | $30,934.06 | $406.28 – $11,458.10 | 13 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $484.90 | $746.00 | $45.43 – $316.98 | 50 |
| Injection epidural blood patch or clot CPT 62273 | $1,544.56 | $2,376.24 | $102.13 – $1,442.34 | 40 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $8,488.57 | $13,059.34 | $13.08 – $5,120.52 | 11 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,481.02 | $2,278.50 | $6.71 – $949.00 | 11 |
| Injection, renflexis HCPCS Q5104 | $1,560.16 | $2,400.25 | $28.61 – $365.70 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,160.25 | $1,785.00 | $590.36 – $988.40 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $20,107.14 | $30,934.06 | $68.78 – $1,442.34 | 51 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $21,382.06 | $32,895.47 | $44.76 – $1,442.34 | 49 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,488.38 | $5,366.74 | $111.60 – $1,807.26 | 51 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $4,000.67 | $6,154.87 | $60.94 – $1,807.26 | 48 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $4,000.67 | $6,154.87 | $106.15 – $1,807.26 | 50 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $3,954.18 | $6,083.35 | $52.79 – $1,807.26 | 48 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,954.18 | $6,083.35 | $90.22 – $1,807.26 | 50 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,909.32 | $4,475.87 | $108.08 – $1,442.34 | 25 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,731.22 | $4,201.87 | $100.03 – $1,442.34 | 25 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $211.25 | $325.00 | $40.09 – $316.98 | 46 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $128.05 | $197.00 | $38.28 – $316.98 | 46 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $204.75 | $315.00 | $43.54 – $316.98 | 46 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $154.05 | $237.00 | $24.42 – $60.57 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $154.05 | $237.00 | $15.60 – $15.60 | 3 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $154.05 | $237.00 | $24.42 – $276.60 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $103.35 | $159.00 | $16.83 – $93.45 | 12 |
| Injection treatment of nerve CPT 64681 | $753.35 | $1,159.00 | $257.29 – $1,633.41 | 46 |
| Inject sacroiliac joint CPT 27096 | $739.05 | $1,137.00 | $73.35 – $172.91 | 44 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,007.50 | $1,550.00 | $100.34 – $728.94 | 22 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $790.40 | $1,216.00 | $86.60 – $913.36 | 22 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $31,522.65 | $48,496.39 | $75.20 – $21,860.00 | 11 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $91.65 | $141.00 | $31.54 – $260.86 | 46 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1,380.53 | $2,123.89 | $1.37 – $970.00 | 8 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $508.52 | $782.34 | $7.15 – $103.70 | 7 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $21,612.27 | $33,249.65 | $101.43 – $26,233.52 | 13 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $59.57 | $91.65 | $7.10 – $11.16 | 10 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $19,774.63 | $30,422.51 | $43.22 – $21,141.00 | 7 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,067.95 | $1,643.00 | $169.11 – $295.01 | 39 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $4,632.95 | $7,127.61 | $18.63 – $3,256.25 | 7 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $922.66 | $1,419.48 | $5.76 – $676.00 | 4 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $1,595.32 | $2,454.34 | $19.15 – $850.88 | 11 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $4,043.08 | $6,220.13 | $4.32 – $548.00 | 7 |
| Insert cath pleura with image CPT 32557 | $632.45 | $973.00 | $156.43 – $2,039.39 | 45 |
| Insert cath pleura without image CPT 32556 | $588.25 | $905.00 | $126.68 – $2,490.41 | 45 |
| Insertion catheter bladder non indwelling CPT 51701 | $23,414.72 | $36,022.65 | $38.74 – $271.86 | 14 |
| Insertion catheter bladder temporary simple CPT 51702 | $7,299.29 | $11,229.67 | $25.94 – $1,330.69 | 51 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,114.10 | $1,714.00 | $212.24 – $4,633.03 | 46 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $492.70 | $758.00 | $87.58 – $4,132.10 | 46 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,408.55 | $2,167.00 | $517.82 – $3,211.00 | 15 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $8,551.11 | $13,155.56 | $335.92 – $6,451.74 | 54 |
| Insitu hybridization auto CPT 88367 | $286.65 | $441.00 | $52.02 – $472.24 | 18 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $311.35 | $479.00 | $70.17 – $330.49 | 13 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $350.35 | $539.00 | $52.02 – $443.21 | 18 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,339.00 | $2,060.00 | $208.87 – $4,633.03 | 45 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $45,409.73 | $69,861.12 | $4.34 – $63,052.12 | 54 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,496.30 | $2,302.00 | $265.39 – $4,132.10 | 46 |
| Ins tun intraperit dia cath CPT 49421 | $1,062.75 | $1,635.00 | $236.58 – $4,633.03 | 46 |
| Insulin total CPT 83525 | $40.30 | $62.00 | $10.17 – $42.33 | 18 |
| Int hrhc lig 1 hroid without img CPT 46945 | $447.85 | $689.00 | $220.78 – $3,600.27 | 46 |
| Intrinsic factor antibody CPT 86340 | $117.00 | $180.00 | $13.41 – $55.84 | 18 |
| Intubation endotracheal emergency procedure CPT 31500 | $594.10 | $914.00 | $124.95 – $314.14 | 46 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $187.04 | $287.76 | $3.80 – $6.60 | 7 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $362.82 | $558.19 | $1.40 – $2.20 | 7 |
| Iron CPT 83540 | $66.95 | $103.00 | $5.50 – $23.96 | 18 |
| Iron binding capacity CPT 83550 | $66.30 | $102.00 | $7.77 – $32.36 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $41.35 | $63.62 | $17.40 – $26.32 | 11 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $253.12 | $389.42 | $23.00 – $32.00 | 10 |
| Irradiation of blood product each unit reference CPT 86945 | $82.55 | $127.00 | $13.63 – $90.13 | 16 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $119.60 | $184.00 | $20.94 – $77.97 | 10 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $222.95 | $343.00 | $24.42 – $93.45 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $222.95 | $343.00 | $16.94 – $16.94 | 4 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $222.95 | $343.00 | $23.14 – $60.57 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $222.95 | $343.00 | $86.94 – $276.60 | 12 |
| Ivp w/nephrotomography CPT 74415 | $697.45 | $1,073.00 | $101.17 – $457.71 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $854.75 | $1,315.00 | $93.26 – $391.01 | 18 |
| John cunningham antibody CPT 86711 | $1,017.90 | $1,566.00 | $15.02 – $62.54 | 16 |
| J-tube placement CPT 44015 | $619.45 | $953.00 | $123.70 – $177.62 | 40 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $88.40 | $136.00 | $6.94 – $30.25 | 19 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $27.59 | $42.45 | $0.33 – $1.65 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $443.30 | $682.00 | $59.96 – $256.45 | 18 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $5,711.26 | $8,786.55 | $1,048.57 – $6,685.74 | 16 |
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.