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 |
|---|---|---|---|---|
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,910.35 | $2,939.00 | $756.81 – $787.28 | 5 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $1,910.35 | $2,939.00 | $571.31 – $13,228.08 | 18 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $1,163.50 | $1,790.00 | $5,195.58 – $7,659.48 | 10 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $1,009.45 | $1,553.00 | $3,142.68 – $4,633.03 | 10 |
| Rpr fem hernia init blocked CPT 49553 | $1,889.55 | $2,907.00 | $642.68 – $4,633.03 | 46 |
| Rpr rem hernia init reduce CPT 49550 | $973.70 | $1,498.00 | $585.14 – $4,633.03 | 46 |
| Rsv assay w/optic CPT 87807 | $64.35 | $99.00 | $11.65 – $48.51 | 18 |
| Rubella antibody igg CPT 86762 | $52.00 | $80.00 | $12.23 – $53.29 | 18 |
| Rubeola antibody igg CPT 86765 | $94.90 | $146.00 | $10.95 – $47.69 | 18 |
| Russell viper venom diluted CPT 85613 | $81.25 | $125.00 | $8.14 – $35.47 | 18 |
| Sarscov coronavirus ag ia CPT 87426 | $73.45 | $113.00 | $31.43 – $130.83 | 18 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $110.50 | $170.00 | $30.94 – $260.28 | 18 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $193.70 | $298.00 | $133.91 – $161.46 | 40 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $101.40 | $156.00 | $65.85 – $81.79 | 40 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $134.55 | $207.00 | $90.27 – $108.83 | 40 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $66.95 | $103.00 | $35.58 – $52.38 | 40 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $889.85 | $1,369.00 | $79.38 – $317.33 | 12 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $640.90 | $986.00 | $35.62 – $139.62 | 12 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $635.05 | $977.00 | $79.38 – $317.33 | 12 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $317.20 | $488.00 | $35.62 – $139.62 | 12 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $446.55 | $687.00 | $35.62 – $139.62 | 12 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $465.40 | $716.00 | $94.70 – $139.62 | 12 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $588.90 | $906.00 | $79.38 – $317.33 | 12 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $399.10 | $614.00 | $35.62 – $139.62 | 12 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $527.80 | $812.00 | $35.62 – $139.62 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $76.70 | $118.00 | $26.22 – $98.09 | 13 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $601.90 | $926.00 | $186.51 – $1,662.68 | 45 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $575.90 | $886.00 | $163.85 – $1,900.20 | 33 |
| Screening Mammogram CPT 77067 | $118.30 | $182.00 | $72.25 – $318.51 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $130.65 | $201.00 | $17.18 – $71.50 | 16 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $158.60 | $244.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $41.60 | $64.00 | $2.40 – $10.00 | 26 |
| Semen analysis presence/motility CPT 89321 | $115.05 | $177.00 | $11.94 – $44.62 | 13 |
| Sertraline (zoloft) - sendout CPT 80332 | $215.15 | $331.00 | $23.71 – $76.17 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $109.85 | $169.00 | $39.93 – $260.86 | 46 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $8,217.11 | $12,641.71 | $1,048.57 – $14,826.76 | 16 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $7,242.57 | $11,142.41 | $1,048.57 – $6,685.74 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $8,472.56 | $13,034.71 | $2,317.55 – $14,826.76 | 16 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,364.70 | $3,638.00 | $206.69 – $2,477.28 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $2,214.55 | $3,407.00 | $204.87 – $2,045.19 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $2,117.70 | $3,258.00 | $120.75 – $1,192.53 | 15 |
| Shoulder X-ray CPT 73030 | $312.00 | $480.00 | $21.64 – $115.59 | 18 |
| Sickling rbc CPT 85660 | $61.75 | $95.00 | $4.68 – $20.40 | 18 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $4.87 | $7.50 | $0.39 – $0.39 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $577.26 | $888.10 | $198.52 – $198.52 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,475.50 | $2,270.00 | $101.17 – $671.43 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $1,191.45 | $1,833.00 | $86.04 – $530.25 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $1,284.40 | $1,976.00 | $59.96 – $470.78 | 15 |
| Skin Biopsy CPT 11102 | $327.60 | $504.00 | $39.96 – $419.79 | 24 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $513.50 | $790.00 | $112.65 – $2,168.64 | 40 |
| Sleep Study (Polysomnography) CPT 95810 | $3,161.60 | $4,864.00 | $383.02 – $1,335.66 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $83.20 | $128.00 | $4.79 – $19.96 | 18 |
| Smear gram stain CPT 87205 | $60.45 | $93.00 | $3.80 – $15.81 | 18 |
| Smear nasal eosinophil CPT 89190 | $39.65 | $61.00 | $4.92 – $21.44 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $83.20 | $128.00 | $5.33 – $22.18 | 16 |
| Smear wet mount CPT 87210 | $65.00 | $100.00 | $5.02 – $21.55 | 18 |
| Snrpn/ube3a gene CPT 81331 | $337.35 | $519.00 | $45.43 – $189.11 | 16 |
| Sodium 24 hour urine CPT 84300 | $66.95 | $103.00 | $4.30 – $18.74 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $23.40 | $36.00 | $1.99 – $3.33 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $23.40 | $36.00 | $1.25 – $2.01 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $23.40 | $36.00 | $0.63 – $1.04 | 10 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $23.40 | $36.00 | $8.00 – $25.00 | 10 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $134.35 | $206.70 | $10.95 – $15.90 | 10 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $802.75 | $1,235.00 | $72.97 – $107.15 | 10 |
| Sodium serum/plasma/whole blood CPT 84295 | $50.05 | $77.00 | $4.20 – $17.81 | 18 |
| Specific gravity body fluid CPT 84315 | $26.65 | $41.00 | $2.92 – $12.15 | 18 |
| Specimen fat stain CPT 89125 | $45.50 | $70.00 | $5.23 – $21.77 | 18 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $445.25 | $685.00 | $33.19 – $408.81 | 12 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $108.55 | $167.00 | $54.74 – $73.68 | 4 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $124.15 | $191.00 | $102.97 – $102.97 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,628.90 | $2,506.00 | $694.71 – $3,659.48 | 46 |
| Split blood or products CPT 86985 | $99.45 | $153.00 | $13.63 – $224.98 | 16 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $416.00 | $640.00 | $66.74 – $145.07 | 12 |
| Staph a dna amp probe CPT 87640 | $103.35 | $159.00 | $34.74 – $129.94 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $221.65 | $341.00 | $90.88 – $100.16 | 5 |
| St evaluate speech sound production CPT 92522 | $416.00 | $640.00 | $67.70 – $147.66 | 12 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $416.00 | $640.00 | $182.72 – $303.36 | 12 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $422.50 | $650.00 | $81.03 – $120.35 | 12 |
| St evaluation swallow function CPT 92610 | $369.20 | $568.00 | $57.86 – $112.99 | 12 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $157.95 | $243.00 | $24.58 – $167.81 | 11 |
| Strapping of chest CPT 29200 | $140.40 | $216.00 | $27.94 – $167.81 | 11 |
| Strapping of elbow or wrist 29260 CPT 29260 | $133.90 | $206.00 | $25.41 – $77.97 | 11 |
| Strapping of hand or finger CPT 29280 | $130.00 | $200.00 | $26.20 – $78.95 | 11 |
| Strapping of hip CPT 29520 | $133.90 | $206.00 | $30.16 – $169.23 | 11 |
| Strapping of knee CPT 29530 | $154.70 | $238.00 | $25.71 – $169.23 | 11 |
| Strapping of toes 29550 CPT 29550 | $123.50 | $190.00 | $16.91 – $77.97 | 11 |
| Strep a ag ia CPT 87430 | $90.35 | $139.00 | $14.29 – $62.25 | 18 |
| Strep b dna amp probe CPT 87653 | $126.10 | $194.00 | $34.74 – $129.94 | 15 |
| Stress test pulmonary CPT 94618 | $340.60 | $524.00 | $29.88 – $169.23 | 12 |
| Str markers specimen anal CPT 81265 | $750.10 | $1,154.00 | $207.31 – $863.06 | 16 |
| St treatment speech individual CPT 92507 | $322.40 | $496.00 | $67.94 – $101.87 | 12 |
| St treatment swallow dysfunction/oral CPT 92526 | $289.90 | $446.00 | $70.82 – $112.20 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.80 – $1.21 | 10 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $52.98 | $81.51 | $2.24 – $2.24 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $46.47 | $71.50 | $6.42 – $54.02 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $27.95 | $43.00 | $60.63 – $81.61 | 4 |
| Surg dx exam anorectal CPT 45990 | $471.25 | $725.00 | $108.78 – $3,600.27 | 46 |
| Surgical pathology level 1 gross examination only CPT 88300 | $5,320.43 | $8,185.28 | $9.61 – $51.71 | 19 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $73.45 | $113.00 | $15.27 – $83.72 | 18 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $9,602.34 | $14,772.83 | $27.00 – $100.91 | 19 |
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.