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 |
|---|---|---|---|---|
| Phenobarbital therapeutic drug level CPT 80184 | $146.90 | $226.00 | $13.61 – $56.66 | 18 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $7.15 | $11.00 | $0.05 – $0.05 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.15 | $11.00 | $0.94 – $1.92 | 10 |
| Phenytoin total therapeutic drug level CPT 80185 | $74.75 | $115.00 | $11.79 – $49.06 | 19 |
| Phlebotomy therapeutic CPT 99195 | $173.55 | $267.00 | $79.55 – $169.23 | 12 |
| Phosphorus CPT 84100 | $41.60 | $64.00 | $4.22 – $17.55 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $52.00 | $80.00 | $5.14 – $21.40 | 27 |
| Phys blood bank serv reactj CPT 86078 | $140.40 | $216.00 | $32.75 – $224.98 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $62.07 | $95.49 | $6.63 – $12.45 | 10 |
| Pinworm exam CPT 87172 | $40.30 | $62.00 | $3.80 – $15.81 | 18 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $51.80 | $79.69 | $2.18 – $3.24 | 10 |
| Placement of seton CPT 46020 | $485.55 | $747.00 | $233.42 – $3,600.27 | 46 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $150.80 | $232.00 | $25.50 – $193.38 | 12 |
| Platelet aggregation each agent teg CPT 85576 | $146.25 | $225.00 | $21.17 – $92.24 | 18 |
| Platelet automated CPT 85049 | $26.65 | $41.00 | $3.98 – $16.59 | 18 |
| Platelet pheresis each unit HCPCS P9034 | $910.65 | $1,401.00 | $25.50 – $521.37 | 12 |
| Platelet pheresis irr ea HCPCS P9036 | $979.55 | $1,507.00 | $25.50 – $978.55 | 12 |
| Platelets each unit HCPCS P9019 | $171.60 | $264.00 | $25.50 – $99.73 | 12 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,484.60 | $2,284.00 | $51.00 – $1,020.71 | 12 |
| Platelets irradiated ea unit HCPCS P9032 | $180.05 | $277.00 | $25.50 – $405.15 | 12 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $274.95 | $423.00 | $25.50 – $165.12 | 12 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $252.20 | $388.00 | $25.50 – $269.64 | 12 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,146.60 | $1,764.00 | $25.50 – $392.45 | 12 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,374.75 | $2,115.00 | $25.50 – $602.88 | 12 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,162.85 | $1,789.00 | $25.50 – $639.49 | 12 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,530.10 | $2,354.00 | $25.50 – $887.02 | 12 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,254.50 | $1,930.00 | $550.70 – $770.99 | 7 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $464.10 | $714.00 | $47.46 – $408.81 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,306.55 | $5,087.00 | $400.83 – $1,335.66 | 12 |
| Potassium 24 hour urine CPT 84133 | $61.75 | $95.00 | $4.20 – $17.52 | 19 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $50.70 | $78.00 | $0.50 – $1.25 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $42.90 | $66.00 | $4.20 – $17.63 | 18 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $366.31 | $563.55 | $91.90 – $126.58 | 7 |
| Pr application of long arm splint CPT 29105 | $214.50 | $330.00 | $48.39 – $167.81 | 46 |
| Pr application splint static short arm CPT 29125 | $224.90 | $346.00 | $38.74 – $169.23 | 46 |
| Pr biopsy skin punch single lesion CPT 11104 | $261.95 | $403.00 | $38.23 – $830.64 | 34 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $37.05 | $57.00 | $12.99 – $39.12 | 10 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $304.20 | $468.00 | $24.26 – $208.00 | 48 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $120.90 | $186.00 | $70.76 – $121.91 | 49 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $178.75 | $275.00 | $86.23 – $173.76 | 38 |
| Prealbumin CPT 84134 | $104.65 | $161.00 | $12.40 – $54.03 | 18 |
| Pr ecg 12 lead report only CPT 93010 | $37.70 | $58.00 | $6.17 – $16.49 | 38 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $113.10 | $174.00 | $16.30 – $59.55 | 40 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $6.77 | $10.41 | $1.17 – $1.71 | 7 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.87 | $7.50 | $0.01 – $0.01 | 7 |
| Pregabalin - sendout CPT 80366 | $84.50 | $130.00 | $17.88 – $76.17 | 9 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $750.10 | $1,154.00 | $206.66 – $2,490.41 | 46 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $367.25 | $565.00 | $59.96 – $307.08 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $446.55 | $687.00 | $59.13 – $246.10 | 18 |
| Pressure max expiratory/inspiratory CPT 94799 | $104.00 | $160.00 | $96.48 – $205.41 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $92.30 | $142.00 | $11.24 – $224.98 | 16 |
| Pretreat rbc absorption reference CPT 86978 | $151.45 | $233.00 | $18.72 – $108.35 | 16 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $116.35 | $179.00 | $13.63 – $90.13 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | $83.85 | $129.00 | $13.63 – $224.98 | 13 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $220.35 | $339.00 | $79.71 – $2,127.08 | 46 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $496.60 | $764.00 | $160.80 – $2,127.08 | 46 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $392.60 | $604.00 | $101.26 – $419.79 | 46 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $323.05 | $497.00 | $154.00 – $308.73 | 38 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $210.60 | $324.00 | $116.02 – $209.64 | 49 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $154.05 | $237.00 | $73.41 – $122.26 | 40 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $193.70 | $298.00 | $103.79 – $125.14 | 40 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $119.60 | $184.00 | $70.09 – $115.86 | 49 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $74.75 | $115.00 | $38.10 – $72.49 | 49 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $462.80 | $712.00 | $177.64 – $419.79 | 46 |
| Pr incision & drainage abscess simple/single CPT 10060 | $209.95 | $323.00 | $96.00 – $207.19 | 46 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $328.90 | $506.00 | $110.67 – $314.68 | 46 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $268.45 | $413.00 | $100.81 – $419.79 | 46 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $169.00 | $260.00 | $12.47 – $42.71 | 16 |
| Procalcitonin CPT 84145 | $215.80 | $332.00 | $23.60 – $100.80 | 18 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $9.78 | $15.04 | $2.52 – $3.68 | 10 |
| Progesterone CPT 84144 | $81.25 | $125.00 | $18.55 – $77.24 | 18 |
| Prolactin CPT 84146 | $72.80 | $112.00 | $17.24 – $71.76 | 26 |
| Promethazine hcl injection HCPCS J2550 | $7.81 | $12.02 | $3.57 – $4.19 | 10 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $45.63 | $70.20 | $2.60 – $2.60 | 3 |
| _propoxygc/msur CPT 80367 | $96.20 | $148.00 | $10.40 – $76.17 | 9 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $33.80 | $52.00 | $8.00 – $14.22 | 10 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $44.72 | $68.80 | $3.42 – $7.17 | 10 |
| Protein c activity CPT 85303 | $120.25 | $185.00 | $12.31 – $51.25 | 18 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $110.50 | $170.00 | $9.55 – $39.77 | 19 |
| Protein s total CPT 85305 | $178.75 | $275.00 | $10.33 – $42.99 | 18 |
| Protein total 24 hour urine CPT 84156 | $57.85 | $89.00 | $3.26 – $13.59 | 18 |
| Protein total body fluid CPT 84157 | $73.45 | $113.00 | $3.56 – $14.81 | 23 |
| Protein total serum plasma whole blood CPT 84155 | $37.05 | $57.00 | $3.26 – $13.59 | 19 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $45.50 | $70.00 | $3.50 – $14.59 | 18 |
| Prp i/hern init block >5 yr CPT 49507 | $8,887.72 | $13,673.42 | $445.96 – $7,315.90 | 42 |
| Pr removal drug delivery implant CPT 11982 | $301.60 | $464.00 | $63.53 – $912.80 | 38 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $199.55 | $307.00 | $47.23 – $169.23 | 46 |
| Pr removal intrauterine device CPT 58301 | $197.60 | $304.00 | $67.77 – $399.35 | 46 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $5,378.89 | $8,275.22 | $187.77 – $830.64 | 52 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $357.50 | $550.00 | $55.92 – $260.86 | 46 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $391.95 | $603.00 | $59.68 – $260.86 | 46 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $320.45 | $493.00 | $45.09 – $260.86 | 46 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $319.80 | $492.00 | $59.49 – $260.86 | 46 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $1,847.95 | $2,843.00 | $710.83 – $2,130.68 | 46 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $642.85 | $989.00 | $161.56 – $2,039.39 | 45 |
| PSA (Prostate) Test CPT 84153 | $143.65 | $221.00 | $16.36 – $68.10 | 18 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $68.90 | $106.00 | $8.58 – $20.00 | 10 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $34.45 | $53.00 | $15.57 – $20.00 | 4 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $103.35 | $159.00 | $8.58 – $25.33 | 10 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $72.15 | $111.00 | $12.33 – $18.82 | 9 |
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.