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 |
|---|---|---|---|---|
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $3,052.40 | $4,696.00 | $30.36 – $186.34 | 19 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $6,346.46 | $9,763.78 | $52.02 – $1,922.61 | 19 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $584.35 | $899.00 | $52.02 – $1,072.46 | 18 |
| Susceptibility agar dilution per agent CPT 87181 | $40.30 | $62.00 | $4.23 – $17.59 | 18 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $35.75 | $55.00 | $4.23 – $17.59 | 20 |
| Susceptibility mic per plate CPT 87186 | $100.75 | $155.00 | $7.69 – $32.03 | 18 |
| Synvisc or synvisc-one HCPCS J7325 | $3,115.89 | $4,793.67 | $7.80 – $636.96 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $50.70 | $78.00 | $3.91 – $16.29 | 18 |
| T3 (triiodothyronine) free CPT 84481 | $118.30 | $182.00 | $15.07 – $62.73 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $65.00 | $100.00 | $12.61 – $52.51 | 27 |
| T4 (thyroxine) free CPT 84439 | $74.10 | $114.00 | $8.02 – $33.40 | 18 |
| T4 (thyroxine) total CPT 84436 | $67.60 | $104.00 | $6.11 – $25.44 | 18 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.18 – $0.22 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | $217.75 | $335.00 | $12.00 – $50.84 | 18 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $35.75 | $55.00 | $0.28 – $0.28 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,495.65 | $2,301.00 | $89.83 – $2,812.54 | 16 |
| Target gsa panel organ neop CPT 81445 | $2,178.80 | $3,352.00 | $89.83 – $2,214.06 | 16 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $159.90 | $246.00 | $85.00 – $370.30 | 18 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $195.00 | $300.00 | $55.13 – $229.51 | 18 |
| Tc-99m labeled rbc HCPCS A9560 | $333.45 | $513.00 | $146.00 – $146.00 | 3 |
| Tc-99m maa HCPCS A9540 | $231.40 | $356.00 | $43.80 – $43.80 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $214.50 | $330.00 | $82.49 – $82.49 | 3 |
| Tc-99m medronate HCPCS A9503 | $20.15 | $31.00 | $18.98 – $37.83 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $31.85 | $49.00 | $2.47 – $2.47 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $226.20 | $348.00 | $113.95 – $113.95 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | $217.10 | $334.00 | $77.24 – $390.36 | 7 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $302.90 | $466.00 | $112.08 – $124.49 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $195.65 | $301.00 | $39.93 – $173.97 | 19 |
| T cells total count CPT 86359 | $131.95 | $203.00 | $32.07 – $139.71 | 19 |
| Telehealth original site facility fee HCPCS Q3014 | $35.75 | $55.00 | $22.88 – $42.49 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $18,876.27 | $29,040.41 | $192.77 – $12,551.50 | 11 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $16.90 | $26.00 | $2.14 – $4.00 | 10 |
| Test for porphobilinogen CPT 84106 | $101.40 | $156.00 | $5.18 – $21.55 | 18 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $49.40 | $76.00 | $25.50 – $77.97 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $602.55 | $927.00 | $31.33 – $408.81 | 12 |
| Tetanus immune globulin inj HCPCS J1670 | $2,770.16 | $4,261.79 | $572.07 – $842.49 | 11 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $9,460.16 | $14,554.09 | $18.37 – $5,611.20 | 11 |
| Theophylline therapeutic drug level CPT 80198 | $135.85 | $209.00 | $12.58 – $52.36 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $43.55 | $67.00 | $26.14 – $32.05 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $35.75 | $55.00 | $21.88 – $27.89 | 5 |
| Ther/proph/diag inj ia CPT 96373 | $98.15 | $151.00 | $24.42 – $276.60 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $42.04 | $64.68 | $3.52 – $5.22 | 7 |
| Thrombin time CPT 85670 | $60.45 | $93.00 | $5.13 – $21.37 | 18 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $39.65 | $61.00 | $5.50 – $23.96 | 18 |
| Thyroglobulin antibody CPT 86800 | $124.15 | $191.00 | $14.15 – $58.91 | 18 |
| Thyroid imaging CPT 78013 | $670.80 | $1,032.00 | $128.48 – $554.37 | 18 |
| Thyroid (TSH) Test CPT 84443 | $74.75 | $115.00 | $14.94 – $62.21 | 18 |
| Thyroid Ultrasound CPT 76536 | $475.80 | $732.00 | $59.96 – $292.08 | 18 |
| Thyroid uptake measurement CPT 78012 | $459.55 | $707.00 | $60.19 – $527.53 | 18 |
| Thyroxine binding globulin (tbg) CPT 84442 | $165.75 | $255.00 | $13.15 – $54.73 | 18 |
| Tissue culture placenta CPT 88235 | $414.05 | $637.00 | $127.76 – $556.56 | 18 |
| Tissue culture skin/biopsy CPT 88233 | $386.75 | $595.00 | $119.62 – $521.12 | 18 |
| Tissue exam koh skin/hair/nails CPT 87220 | $40.30 | $62.00 | $3.80 – $15.81 | 18 |
| Tissue transglutaminase iga CPT 86364 | $97.50 | $150.00 | $7.49 – $42.70 | 18 |
| Tl-201 thallium diag per mci HCPCS A9505 | $172.25 | $265.00 | $27.56 – $47.68 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $338.00 | $520.00 | $1.97 – $3.59 | 10 |
| Tobramycin peak therapeutic drug level CPT 80200 | $213.20 | $328.00 | $14.35 – $59.73 | 18 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,480.12 | $8,430.95 | $5.78 – $676.00 | 11 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $66.95 | $103.00 | $11.34 – $82.77 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $66.30 | $102.00 | $15.67 – $82.77 | 18 |
| Toxoplasma antibody igg CPT 86777 | $107.25 | $165.00 | $12.23 – $53.29 | 19 |
| Toxoplasma antibody igm CPT 86778 | $102.70 | $158.00 | $12.25 – $53.36 | 18 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $77.35 | $119.00 | $40.26 – $72.01 | 12 |
| Transferrin CPT 84466 | $132.60 | $204.00 | $11.35 – $47.25 | 19 |
| Transfusion blood/blood component(s) CPT 36430 | $1,934.72 | $2,976.49 | $87.00 – $901.46 | 14 |
| Treat elbow dislocation CPT 24605 | $1,094.60 | $1,684.00 | $465.29 – $2,101.05 | 46 |
| Treat finger fracture each CPT 26742 | $820.95 | $1,263.00 | $266.38 – $2,101.05 | 46 |
| Treat fracture of radius CPT 25505 | $759.85 | $1,169.00 | $445.60 – $2,101.05 | 46 |
| Treat kneecap dislocation CPT 27562 | $1,063.40 | $1,636.00 | $204.50 – $1,533.72 | 46 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $70.20 | $108.00 | $46.56 – $169.23 | 12 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $63.70 | $98.00 | $13.58 – $46.56 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $70.20 | $108.00 | $6.64 – $267.02 | 12 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $5,065.79 | $7,793.53 | $1,012.78 – $6,614.48 | 16 |
| Treatment of ankle fracture 27786 CPT 27786 | $575.25 | $885.00 | $204.50 – $334.03 | 46 |
| Treatment of fibula fracture 27780 CPT 27780 | $531.70 | $818.00 | $204.50 – $325.49 | 46 |
| Treatment of toe fracture 28510 CPT 28510 | $274.95 | $423.00 | $108.05 – $254.72 | 46 |
| Treat sternum fracture CPT 21820 | $327.60 | $504.00 | $133.60 – $266.38 | 46 |
| Treat wrist dislocation CPT 25675 | $808.60 | $1,244.00 | $204.50 – $468.54 | 46 |
| Treponema pallidum antibody CPT 86780 | $74.10 | $114.00 | $11.78 – $49.03 | 19 |
| Trg gene rearrangement anal CPT 81342 | $351.65 | $541.00 | $179.23 – $746.15 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $35.91 | $55.25 | $2.96 – $5.04 | 10 |
| #tricyclicantidprssnt CPT 80337 | $143.65 | $221.00 | $23.71 – $26.31 | 8 |
| Triglycerides CPT 84478 | $85.15 | $131.00 | $5.11 – $21.26 | 18 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $2,065.70 | $3,178.00 | $752.94 – $7,240.96 | 36 |
| Troponin quantitative CPT 84484 | $70.20 | $108.00 | $11.09 – $46.18 | 18 |
| Tx closed hip disl traumatic without anes CPT 27250 | $929.50 | $1,430.00 | $160.18 – $266.38 | 46 |
| Ua w/micro/comp poc CPT 81000 | $39.65 | $61.00 | $3.58 – $14.89 | 18 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $24,387.95 | $37,519.92 | $72.36 – $15,745.50 | 11 |
| Ugt1a1 gene analy common variants CPT 81350 | $668.85 | $1,029.00 | $90.63 – $866.50 | 15 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $401.70 | $618.00 | $67.46 – $279.43 | 18 |
| Ultrasound breast complete CPT 76641 | $139.75 | $215.00 | $56.90 – $238.04 | 18 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $458.25 | $705.00 | $44.13 – $182.85 | 18 |
| Ultrasound chest CPT 76604 | $382.20 | $588.00 | $25.25 – $139.62 | 18 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $312.65 | $481.00 | $17.75 – $139.62 | 18 |
| Ultrasound encephalogram CPT 76506 | $314.60 | $484.00 | $59.96 – $288.63 | 18 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $451.75 | $695.00 | $41.33 – $165.62 | 18 |
| Ultrasound guidance for vascular access CPT 76937 | $351.00 | $540.00 | $12.30 – $87.38 | 10 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $527.80 | $812.00 | $23.58 – $96.62 | 10 |
| Ultrasound joint complete left CPT 76881 | $572.00 | $880.00 | $9.14 – $139.62 | 18 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $484.25 | $745.00 | $23.61 – $139.62 | 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.