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 |
|---|---|---|---|---|
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,254.85 | $3,469.00 | $101.17 – $739.40 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,641.25 | $2,525.00 | $206.69 – $598.35 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,326.65 | $2,041.00 | $59.96 – $445.33 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,547.35 | $3,919.00 | $184.60 – $1,839.08 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,408.90 | $3,706.00 | $165.99 – $1,648.71 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,794.00 | $2,760.00 | $105.48 – $1,043.12 | 15 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,152.80 | $3,312.00 | $206.69 – $2,238.27 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,590.55 | $2,447.00 | $131.00 – $1,366.30 | 15 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $113.10 | $174.00 | $64.55 – $85.83 | 39 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $7.15 | $11.00 | $0.60 – $1.70 | 10 |
| Nerve conduction 7-8 studies CPT 95910 | $815.75 | $1,255.00 | $29.14 – $408.81 | 47 |
| Nerve conduction studies 11-12 CPT 95912 | $1,188.85 | $1,829.00 | $53.97 – $696.59 | 47 |
| Nerve conduction studies 1-2 CPT 95907 | $239.85 | $369.00 | $29.14 – $222.98 | 47 |
| Nerve conduction studies 13+ CPT 95913 | $1,472.90 | $2,266.00 | $173.63 – $696.59 | 47 |
| Nerve conduction studies 3-4 CPT 95908 | $424.45 | $653.00 | $29.14 – $408.81 | 47 |
| Nerve conduction studies 5-6 CPT 95909 | $636.35 | $979.00 | $29.14 – $408.81 | 47 |
| Nerve conduction studies 9-10 CPT 95911 | $995.80 | $1,532.00 | $53.97 – $696.59 | 47 |
| Neurolysis celiac plexus CPT 64680 | $795.60 | $1,224.00 | $162.58 – $1,547.03 | 46 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $280.15 | $431.00 | $82.22 – $205.41 | 45 |
| New Patient Office Visit (level 2) CPT 99202 | $128.05 | $197.00 | $41.40 – $63.23 | 40 |
| New Patient Office Visit (level 3) CPT 99203 | $156.00 | $240.00 | $72.10 – $98.08 | 40 |
| New Patient Office Visit (level 4) CPT 99204 | $230.10 | $354.00 | $117.76 – $155.34 | 40 |
| New Patient Office Visit (level 5) CPT 99205 | $289.90 | $446.00 | $161.31 – $256.58 | 46 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $107.82 | $165.88 | $17.50 – $32.50 | 10 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $95.06 | $146.25 | $14.10 – $20.70 | 7 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $572.00 | $880.00 | $56.46 – $931.72 | 46 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,528.80 | $2,352.00 | $218.05 – $948.71 | 19 |
| Nm imaging bone/joint whole body CPT 78306 | $1,357.85 | $2,089.00 | $191.52 – $918.97 | 19 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,795.30 | $2,762.00 | $137.64 – $918.97 | 19 |
| Nm imaging gastric emptying study CPT 78264 | $1,129.70 | $1,738.00 | $218.05 – $933.79 | 19 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,509.30 | $2,322.00 | $218.05 – $960.22 | 19 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,894.69 | $2,914.91 | $283.02 – $1,258.17 | 19 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,484.20 | $3,821.85 | $99.85 – $1,248.14 | 19 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,313.65 | $2,021.00 | $211.76 – $895.86 | 18 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,017.25 | $1,565.00 | $162.36 – $686.58 | 18 |
| Npm1 gene CPT 81310 | $525.20 | $808.00 | $219.28 – $912.86 | 25 |
| Nras gene variants exon 2&3 CPT 81311 | $514.80 | $792.00 | $263.10 – $1,095.31 | 25 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,382.92 | $5,204.50 | $298.61 – $2,976.05 | 19 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $150.15 | $231.00 | $104.83 – $126.39 | 40 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $107.90 | $166.00 | $72.33 – $87.55 | 40 |
| Observation direct referral from physician office for admission HCPCS G0379 | $421.85 | $649.00 | $614.98 – $614.98 | 1 |
| Observation per hour HCPCS G0378 | $74.10 | $114.00 | $5.20 – $86.90 | 8 |
| Obstetrics panel CPT 80055 | $407.55 | $627.00 | $42.53 – $177.04 | 18 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $413.40 | $636.00 | $50.24 – $211.61 | 18 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $44,750.09 | $68,846.30 | $61.16 – $26,148.00 | 11 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $31.50 | $48.46 | $1.62 – $1.78 | 7 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $14,251.13 | $21,924.82 | $205.34 – $6,196.20 | 11 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $149.73 | $230.36 | $15.00 – $26.60 | 10 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $3,534.82 | $5,438.18 | $46.91 – $888.30 | 11 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $0.26 | 10 |
| Open bx/exc inguinofem nodes CPT 38531 | $1,138.15 | $1,751.00 | $394.41 – $5,027.16 | 22 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $65.91 | $101.40 | $13.80 – $13.99 | 7 |
| Oscillation chest wall mechanical per session CPT 94669 | $131.95 | $203.00 | $226.13 – $226.13 | 1 |
| Osmolality blood CPT 83930 | $57.85 | $89.00 | $5.88 – $24.48 | 18 |
| Osmolality urine CPT 83935 | $57.85 | $89.00 | $6.07 – $25.25 | 18 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $68.25 | $105.00 | $22.30 – $57.81 | 45 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $72.80 | $112.00 | $22.30 – $72.41 | 45 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $80.60 | $124.00 | $22.30 – $87.77 | 45 |
| Ot evaluation high complexity patient/family CPT 97167 | $539.50 | $830.00 | $55.76 – $136.12 | 12 |
| Ot evaluation low complexity patient/family CPT 97165 | $489.45 | $753.00 | $55.76 – $136.12 | 12 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $516.10 | $794.00 | $55.76 – $136.12 | 12 |
| Other immunoelectrophoresis CPT 86325 | $126.75 | $195.00 | $19.66 – $85.65 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $79.95 | $123.00 | $45.21 – $67.21 | 10 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $89.05 | $137.00 | $41.39 – $61.71 | 10 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $87.10 | $134.00 | $22.37 – $40.00 | 13 |
| Ot re-evaluation patient/family CPT 97168 | $475.80 | $732.00 | $56.56 – $93.89 | 12 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $80.60 | $124.00 | $28.44 – $46.65 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $22.10 | $34.00 | $18.70 – $28.37 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $72.80 | $112.00 | $20.03 – $29.69 | 10 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $87.10 | $134.00 | $25.94 – $40.00 | 13 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $94.25 | $145.00 | $27.18 – $43.35 | 13 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $78.65 | $121.00 | $19.46 – $43.24 | 13 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $14.58 | $22.43 | $0.87 – $2.04 | 10 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $158.35 | $243.62 | $33.87 – $48.87 | 10 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $12.67 | $19.50 | $2.76 – $2.76 | 3 |
| Parathormone (pth) intact CPT 83970 | $147.55 | $227.00 | $35.09 – $152.86 | 25 |
| Parathyroid planar imaging CPT 78070 | $815.75 | $1,255.00 | $193.44 – $814.23 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,153.10 | $1,774.00 | $218.05 – $933.79 | 19 |
| Pdgfra gene CPT 81314 | $475.15 | $731.00 | $293.09 – $1,220.18 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $14,600.93 | $22,462.97 | $126.64 – $1,474.08 | 11 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $8,929.38 | $13,737.51 | $137.18 – $2,313.36 | 8 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $9,498.12 | $14,612.50 | $167.01 – $2,383.44 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,749.07 | $7,306.26 | $101.94 – $1,817.04 | 11 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $5,687.51 | $8,750.01 | $131.17 – $2,614.20 | 11 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $72,318.27 | $111,258.88 | $3,885.64 – $42,501.92 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,964.95 | $3,023.00 | $101.17 – $905.91 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,054.65 | $3,161.00 | $101.17 – $904.21 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,769.30 | $2,722.00 | $59.96 – $440.23 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,100.50 | $4,770.00 | $202.93 – $2,029.16 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $2,239.25 | $3,445.00 | $162.66 – $1,618.81 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $1,929.85 | $2,969.00 | $131.00 – $1,385.33 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $424.45 | $653.00 | $59.96 – $253.00 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $359.45 | $553.00 | $21.91 – $139.62 | 18 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $857.55 | $1,319.31 | $32.96 – $256.68 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $18.42 | $28.34 | $6.00 – $10.24 | 10 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,584.39 | $2,437.53 | $120.30 – $120.30 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $422.50 | $650.00 | $84.59 – $281.83 | 22 |
| Ph body fluid CPT 83986 | $53.30 | $82.00 | $3.18 – $13.26 | 18 |
| Phencyclidine (pcp) CPT 83992 | $77.35 | $119.00 | $16.80 – $116.94 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $58.50 | $90.00 | $29.08 – $39.95 | 10 |
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.