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 |
|---|---|---|---|---|
| Pt application of modality traction mechanical CPT 97012 | $52.65 | $81.00 | $13.82 – $20.00 | 10 |
| Pt evaluation high complexity patient/family CPT 97163 | $378.95 | $583.00 | $57.45 – $132.72 | 12 |
| Pt evaluation low complexity patient/family CPT 97161 | $328.90 | $506.00 | $71.82 – $132.72 | 12 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $355.55 | $547.00 | $71.82 – $132.72 | 12 |
| Pt re-evaluation patient/family CPT 97164 | $315.25 | $485.00 | $53.19 – $91.31 | 12 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.60 | $124.00 | $24.24 – $38.98 | 12 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $65.00 | $100.00 | $11.41 – $40.04 | 13 |
| Pt wheelchair management each 15 minutes CPT 97542 | $81.25 | $125.00 | $27.99 – $41.60 | 12 |
| Pulse ox continuous overnight monitoring CPT 94762 | $239.85 | $369.00 | $21.08 – $205.41 | 12 |
| Pulse ox multiple CPT 94761 | $156.00 | $240.00 | $3.31 – $15.60 | 7 |
| Pulse ox single CPT 94760 | $59.80 | $92.00 | $9.03 – $9.03 | 3 |
| Punc of shunt for asp or inj CPT 61070 | $427.05 | $657.00 | $49.29 – $728.94 | 46 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $425.10 | $654.00 | $23.81 – $271.86 | 13 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $263.25 | $405.00 | $93.39 – $419.79 | 46 |
| Puncture spinal lumbar diagnostic CPT 62270 | $338.65 | $521.00 | $78.58 – $728.94 | 46 |
| Pyruvate CPT 84210 | $153.40 | $236.00 | $12.31 – $53.62 | 18 |
| Quest t3 uptake CPT 84479 | $68.25 | $105.00 | $5.75 – $23.96 | 18 |
| Rabies ig ht&sol human im/sc CPT 90377 | $1,696.29 | $2,609.67 | $247.58 – $692.34 | 11 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,307.80 | $2,012.00 | $560.71 – $1,713.87 | 19 |
| Rapid Strep Test CPT 87880 | $48.75 | $75.00 | $14.05 – $61.21 | 18 |
| Rbc deglycerolized each unit HCPCS P9039 | $455.65 | $701.00 | $25.50 – $858.24 | 12 |
| Rbc irradiated each unit HCPCS P9038 | $383.50 | $590.00 | $25.50 – $195.89 | 12 |
| Rbc serum pretx incubj drugs CPT 86975 | $130.65 | $201.00 | $21.31 – $523.86 | 13 |
| Red blood cells each unit HCPCS P9021 | $353.60 | $544.00 | $51.00 – $189.47 | 12 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $850.85 | $1,309.00 | $25.50 – $637.21 | 12 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $618.80 | $952.00 | $87.00 – $292.57 | 12 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $446.55 | $687.00 | $87.00 – $238.93 | 12 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $645.45 | $993.00 | $25.50 – $335.81 | 12 |
| Red blood cells washed each unit HCPCS P9022 | $482.95 | $743.00 | $87.00 – $521.03 | 12 |
| Refill maint impl spine pump CPT 95991 | $193.70 | $298.00 | $40.42 – $316.98 | 45 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $105.62 | $162.50 | $10.72 – $16.88 | 10 |
| Rem/biv cast full arm/leg CPT 29705 | $135.20 | $208.00 | $46.64 – $288.83 | 46 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,612.14 | $2,480.21 | $7.11 – $983.00 | 11 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $474.50 | $730.00 | $138.77 – $821.07 | 46 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $629.85 | $969.00 | $192.50 – $2,039.39 | 46 |
| Removal cerumen impacted (both sides) CPT 69210 | $157.30 | $242.00 | $33.26 – $77.97 | 43 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $212.55 | $327.00 | $23.64 – $260.86 | 13 |
| Removal foreign body foot subcutaneous right CPT 28190 | $503.75 | $775.00 | $133.25 – $731.26 | 46 |
| Removal foreign body gum 41805 CPT 41805 | $657.15 | $1,011.00 | $180.24 – $1,944.67 | 46 |
| Removal of anal fissure CPT 46200 | $770.25 | $1,185.00 | $321.34 – $3,600.27 | 46 |
| Removal of breast lesion CPT 19120 | $1,077.70 | $1,658.00 | $394.12 – $8,000.48 | 38 |
| Removal of foreign body CPT 27372 | $780.65 | $1,201.00 | $395.32 – $3,757.35 | 46 |
| Removal of hydrocele CPT 55040 | $1,102.40 | $1,696.00 | $340.78 – $4,633.03 | 46 |
| Removal of ovary(s) 58940 CPT 58940 | $1,305.85 | $2,009.00 | $490.67 – $644.49 | 40 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $215.15 | $331.00 | $69.83 – $409.96 | 50 |
| Removal sutr and stapl no anes CPT 15854 | $236.60 | $364.00 | $13.28 – $13.28 | 4 |
| Removal sutr or stapl no anes CPT 15853 | $140.40 | $216.00 | $9.70 – $9.70 | 4 |
| Removal tunnled intprtnl cath CPT 49422 | $883.35 | $1,359.00 | $229.56 – $4,132.10 | 46 |
| Remove anal fist subq CPT 46270 | $6,224.74 | $9,576.53 | $390.63 – $5,671.56 | 51 |
| Remove armpit lymph nodes CPT 38745 | $11,504.66 | $17,699.47 | $666.66 – $12,352.94 | 42 |
| Remove ext hem groups 2+ CPT 46250 | $921.70 | $1,418.00 | $315.26 – $3,600.27 | 46 |
| Remove in/ex hem groups 2+ CPT 46260 | $820.30 | $1,262.00 | $367.01 – $5,671.56 | 38 |
| Remove int/ext hem 1 group CPT 46255 | $1,080.30 | $1,662.00 | $339.88 – $5,671.56 | 38 |
| Remove pilonidal cyst compl CPT 11772 | $1,207.70 | $1,858.00 | $553.05 – $5,935.26 | 38 |
| Remove pilonidal cyst exten CPT 11771 | $889.85 | $1,369.00 | $437.63 – $3,757.35 | 46 |
| Remove spinal canal catheter 62355 CPT 62355 | $1,296.75 | $1,995.00 | $266.95 – $2,563.64 | 46 |
| Remove spine eltrd perq aray CPT 63661 | $8,065.38 | $12,408.28 | $69.09 – $3,990.04 | 50 |
| Remove spine infusion device CPT 62365 | $1,335.75 | $2,055.00 | $294.76 – $8,407.40 | 46 |
| Renal function panel CPT 80069 | $85.80 | $132.00 | $7.72 – $32.14 | 18 |
| Reopening of recent laparotomy 49002 CPT 49002 | $1,606.80 | $2,472.00 | $917.12 – $1,291.89 | 40 |
| Repair blood vessel dir lower extr CPT 35226 | $1,589.90 | $2,446.00 | $599.80 – $1,037.79 | 45 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $756.60 | $1,164.00 | $266.54 – $574.01 | 46 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,511.90 | $2,326.00 | $542.43 – $2,101.05 | 46 |
| Repair ing hernia sliding CPT 49525 | $1,263.60 | $1,944.00 | $582.51 – $4,633.03 | 46 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $590.20 | $908.00 | $197.97 – $1,189.17 | 46 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $820.95 | $1,263.00 | $298.32 – $1,217.67 | 46 |
| Reptilase test CPT 85635 | $70.85 | $109.00 | $8.76 – $36.47 | 18 |
| Rerepair ing hernia reduce CPT 49520 | $8,730.54 | $13,431.60 | $577.37 – $7,315.90 | 54 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $2,348.53 | $3,613.12 | $11.48 – $1,545.00 | 11 |
| Resuscitation cardiopulmonary CPT 92950 | $716.30 | $1,102.00 | $114.74 – $408.81 | 47 |
| Resuscitation delivery/birthing room CPT 99465 | $512.85 | $789.00 | $134.98 – $859.09 | 10 |
| Reticulated platelet assay CPT 85055 | $53.30 | $82.00 | $30.38 – $132.35 | 26 |
| Reticulocyte automated CPT 85045 | $63.70 | $98.00 | $3.55 – $14.78 | 18 |
| Reticulocyte direct measurement automated CPT 85046 | $64.35 | $99.00 | $4.95 – $20.63 | 18 |
| Revise spine eltrd perq aray CPT 63663 | $1,545.70 | $2,378.00 | $454.89 – $8,615.92 | 45 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | $2,008.50 | $3,090.00 | $1,039.32 – $3,659.48 | 40 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $8,065.38 | $12,408.28 | $69.09 – $7,143.66 | 54 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $620.75 | $955.00 | $143.39 – $4,514.80 | 46 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $618.80 | $952.00 | $125.35 – $4,514.80 | 46 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,657.85 | $4,089.00 | $1,831.17 – $2,563.64 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $24.05 | $37.00 | $5.04 – $21.00 | 18 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $402.58 | $619.36 | $72.45 – $108.90 | 10 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $22,462.76 | $34,558.09 | $15.39 – $13,002.00 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $9,687.21 | $14,903.40 | $77.08 – $5,543.00 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $8,719.08 | $13,413.97 | $31.08 – $2,276.00 | 11 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $1,484.77 | $2,284.26 | $21.54 – $436.80 | 11 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $1,484.77 | $2,284.26 | $13.68 – $386.90 | 11 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $286.65 | $441.00 | $137.12 – $2,127.08 | 46 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $563.55 | $867.00 | $174.11 – $174.11 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $6,576.28 | $10,117.35 | $11.39 – $4,015.00 | 7 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $6,279.84 | $9,661.30 | $12.48 – $3,679.20 | 11 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $18.30 | $28.15 | $1.40 – $1.80 | 7 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $2,161.90 | $3,326.00 | $902.13 – $941.75 | 5 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $2,227.55 | $3,427.00 | $5,556.59 – $8,191.68 | 10 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,910.35 | $2,939.00 | $666.64 – $12,352.94 | 18 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $1,900.60 | $2,924.00 | $511.98 – $13,228.08 | 18 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $10,911.28 | $16,786.59 | $35.09 – $7,315.90 | 20 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $16,234.38 | $24,975.97 | $69.09 – $12,352.94 | 20 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $2,278.90 | $3,506.00 | $1,093.26 – $1,138.32 | 5 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $2,161.90 | $3,326.00 | $780.07 – $812.09 | 5 |
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.