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 |
|---|---|---|---|---|
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $5,933.74 | $9,128.83 | $1,048.57 – $6,685.74 | 16 |
| Knee arthroscopy/surgery CPT 29873 | $6,515.18 | $10,023.35 | $1,048.57 – $6,685.74 | 16 |
| Knee arthroscopy/surgery CPT 29876 | $6,545.12 | $10,069.41 | $1,048.57 – $6,685.74 | 16 |
| Knee arthroscopy/surgery CPT 29880 | $5,912.85 | $9,096.69 | $1,048.57 – $6,685.74 | 16 |
| Knee MRI (with and without contrast) CPT 73723 | $2,486.90 | $3,826.00 | $206.69 – $2,469.13 | 15 |
| Knee MRI (with contrast) CPT 73722 | $2,267.20 | $3,488.00 | $205.43 – $2,047.91 | 15 |
| Knee MRI (without contrast) CPT 73721 | $2,304.90 | $3,546.00 | $120.47 – $1,192.53 | 15 |
| Knee X-ray CPT 73564 | $583.70 | $898.00 | $30.25 – $139.62 | 18 |
| Kras gene addl variants CPT 81276 | $343.20 | $528.00 | $171.89 – $715.60 | 16 |
| Kras gene variants exon 2 CPT 81275 | $564.20 | $868.00 | $171.89 – $715.60 | 16 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $43.55 | $67.00 | $18.84 – $23.99 | 39 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $16.90 | $26.00 | $0.29 – $0.57 | 7 |
| Lactate dehydrogenase (ldh) CPT 83615 | $63.70 | $98.00 | $5.37 – $22.37 | 18 |
| Lactated ringers intravenous solution HCPCS J7120 | $23.40 | $36.00 | $2.38 – $3.59 | 10 |
| Lactic acid CPT 83605 | $178.10 | $274.00 | $10.08 – $42.84 | 19 |
| Lactoferrin fecal qualitative CPT 83630 | $90.35 | $139.00 | $16.75 – $72.95 | 19 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $20,497.41 | $31,534.48 | $36.49 – $6,422.40 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | $11,752.13 | $18,080.20 | $654.41 – $12,352.94 | 54 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $232.05 | $357.00 | $5,195.58 – $7,659.48 | 10 |
| Laparoscopy aspiration CPT 49322 | $921.70 | $1,418.00 | $375.81 – $7,659.48 | 46 |
| Laparoscopye procstom 43659 CPT 43659 | $19,396.02 | $29,840.03 | $31.11 – $12,352.94 | 13 |
| Laparoscopy excise lesions CPT 58662 | $6,878.22 | $10,581.88 | $711.41 – $12,352.94 | 51 |
| Laparoscopy fundoplasty CPT 43280 | $27,340.40 | $42,062.16 | $978.74 – $21,720.14 | 52 |
| Lap close enterostomy with resect 44227 CPT 44227 | $4,102.15 | $6,311.00 | $1,453.04 – $2,057.79 | 40 |
| Lap enterectomy 44202 CPT 44202 | $2,061.15 | $3,171.00 | $1,218.45 – $1,708.75 | 40 |
| Lap enterolysis CPT 44180 | $1,927.90 | $2,966.00 | $940.58 – $7,659.48 | 45 |
| Lap gastric bypass/roux-en-y CPT 43644 | $3,747.90 | $5,766.00 | $1,528.07 – $2,141.82 | 40 |
| Lap ing hernia repair init CPT 49650 | $13,315.15 | $20,484.85 | $394.15 – $12,352.94 | 54 |
| Lap ing hernia repair recur CPT 49651 | $1,409.20 | $2,168.00 | $564.51 – $7,659.48 | 46 |
| Lap insert tunnel ip cath CPT 49324 | $8,670.54 | $13,339.30 | $69.09 – $12,352.94 | 52 |
| Lap paraesophag hern repair CPT 43281 | $13,038.93 | $20,059.89 | $24.42 – $21,720.14 | 50 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $3,414.45 | $5,253.00 | $1,525.99 – $2,158.24 | 40 |
| Lap revision perm ip cath CPT 49325 | $1,161.55 | $1,787.00 | $421.17 – $7,659.48 | 46 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,799.85 | $2,769.00 | $846.32 – $4,994.67 | 45 |
| Lead capillary CPT 83655 | $89.05 | $137.00 | $10.77 – $44.84 | 18 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $802.10 | $1,234.00 | $79.38 – $317.33 | 12 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,799.93 | $4,307.58 | $176.07 – $680.73 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.37 | $26.72 | $2.00 – $3.50 | 10 |
| Levetiracetam therapeutic drug level CPT 80177 | $141.70 | $218.00 | $11.79 – $49.06 | 19 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $25.77 | $39.65 | $1.89 – $2.86 | 10 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $38.02 | $58.50 | $20.00 – $20.00 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $103.35 | $159.00 | $13.07 – $54.40 | 18 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $698.75 | $1,075.00 | $206.92 – $2,127.08 | 46 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $139.42 | $214.50 | $8.22 – $15.21 | 10 |
| Lipase CPT 83690 | $55.25 | $85.00 | $6.13 – $25.51 | 18 |
| Lipoprotein blood high res frac & quant CPT 83701 | $83.85 | $129.00 | $20.80 – $125.38 | 18 |
| Lipoprotein blood quant CPT 83704 | $98.80 | $152.00 | $30.41 – $126.61 | 18 |
| Lipoprotein direct measurement hdl CPT 83718 | $75.40 | $116.00 | $7.28 – $30.33 | 18 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.80 | $52.00 | $9.34 – $38.88 | 18 |
| Lithium therapeutic drug level CPT 80178 | $67.60 | $104.00 | $5.88 – $24.48 | 18 |
| Liver Function Test CPT 80076 | $63.70 | $98.00 | $7.27 – $30.25 | 18 |
| Liver/spleen imag static only CPT 78215 | $945.10 | $1,454.00 | $132.92 – $556.67 | 18 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $949.00 | $1,460.00 | $85.13 – $527.53 | 18 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $169.21 | $260.33 | $11.30 – $26.30 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.00 | $20.00 | $1.35 – $1.93 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,141.10 | $3,294.00 | $101.17 – $741.10 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,572.35 | $2,419.00 | $206.69 – $600.05 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,086.15 | $1,671.00 | $59.96 – $441.93 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,112.20 | $4,788.00 | $184.04 – $1,833.64 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,541.50 | $3,910.00 | $162.10 – $1,610.66 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,862.90 | $2,866.00 | $105.76 – $1,048.56 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $249.60 | $384.00 | $24.41 – $139.62 | 18 |
| L/s ratio fetal lung CPT 83661 | $234.65 | $361.00 | $19.56 – $81.43 | 18 |
| Lung function test (mbc/mvv) CPT 94200 | $98.15 | $151.00 | $12.62 – $77.97 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $232.70 | $358.00 | $23.30 – $222.98 | 12 |
| Lung perfusion imaging CPT 78580 | $1,336.40 | $2,056.00 | $152.08 – $918.97 | 19 |
| Lymphatics/lymph node imaging CPT 78195 | $1,275.95 | $1,963.00 | $223.96 – $945.26 | 18 |
| Macroscopic exam arthropod CPT 87168 | $42.90 | $66.00 | $3.80 – $15.81 | 18 |
| Macroscopic exam parasite CPT 87169 | $43.55 | $67.00 | $3.83 – $15.96 | 18 |
| Magnesium CPT 83735 | $87.75 | $135.00 | $5.96 – $24.81 | 18 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $27.04 | $41.60 | $0.82 – $1.46 | 10 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $71.50 | $110.00 | $32.70 – $169.23 | 10 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $101.40 | $156.00 | $20.78 – $169.23 | 10 |
| Mast mod rad CPT 19307 | $2,364.70 | $3,638.00 | $1,211.69 – $8,561.51 | 45 |
| Mastoids complete CPT 70130 | $235.30 | $362.00 | $38.30 – $159.87 | 18 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $101.40 | $156.00 | $12.86 – $53.55 | 18 |
| Mayo aathr protein s free CPT 85306 | $182.65 | $281.00 | $13.63 – $56.73 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $161.20 | $248.00 | $13.63 – $56.73 | 18 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $200.85 | $309.00 | $34.31 – $142.82 | 16 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $116.35 | $179.00 | $15.50 – $76.17 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $94.25 | $145.00 | $13.15 – $54.73 | 18 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $87.75 | $135.00 | $11.86 – $76.17 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $127.40 | $196.00 | $11.95 – $49.77 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $247.00 | $380.00 | $12.82 – $55.84 | 18 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $109.20 | $168.00 | $10.48 – $32.65 | 8 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $102.05 | $157.00 | $19.97 – $76.17 | 9 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $633.75 | $975.00 | $108.19 – $450.40 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $312.65 | $481.00 | $81.53 – $339.42 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $516.10 | $794.00 | $116.45 – $507.31 | 18 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,474.85 | $2,269.00 | $986.00 – $4,295.48 | 18 |
| Mayo androstenedione CPT 82157 | $195.65 | $301.00 | $24.89 – $108.42 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $141.05 | $217.00 | $12.99 – $54.06 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $133.90 | $206.00 | $9.62 – $40.03 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $99.45 | $153.00 | $12.79 – $55.73 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $161.85 | $249.00 | $26.23 – $114.27 | 18 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $185.25 | $285.00 | $29.83 – $129.94 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $72.80 | $112.00 | $15.58 – $76.17 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $63.70 | $98.00 | $9.05 – $37.70 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $421.85 | $649.00 | $128.83 – $536.34 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $386.75 | $595.00 | $190.90 – $794.74 | 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.