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 |
|---|---|---|---|---|
| X-ray mandible ltd <4 views CPT 70100 | $248.30 | $382.00 | $16.75 – $115.59 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $267.15 | $411.00 | $24.69 – $115.59 | 18 |
| X-ray neck soft tissue CPT 70360 | $185.25 | $285.00 | $18.86 – $115.59 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $155.35 | $239.00 | $17.47 – $115.59 | 18 |
| X-ray pelvis 1-2 views CPT 72170 | $165.75 | $255.00 | $16.36 – $139.62 | 18 |
| X-ray pelvis complete > 3 views CPT 72190 | $307.45 | $473.00 | $25.25 – $139.62 | 18 |
| X-ray ribs 2 views left CPT 71100 | $194.35 | $299.00 | $21.91 – $115.59 | 18 |
| X-ray ribs 3 views bilateral CPT 71110 | $317.20 | $488.00 | $25.25 – $139.62 | 18 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $274.95 | $423.00 | $24.69 – $139.62 | 18 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $545.35 | $839.00 | $31.08 – $139.62 | 18 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $272.35 | $419.00 | $23.86 – $139.62 | 18 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $272.35 | $419.00 | $20.25 – $115.59 | 18 |
| X-ray scapula complete (both sides) CPT 73010 | $281.45 | $433.00 | $12.75 – $139.62 | 18 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $382.20 | $588.00 | $11.92 – $115.59 | 18 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $397.80 | $612.00 | $22.75 – $115.59 | 18 |
| X-ray skull < 4 views CPT 70250 | $277.55 | $427.00 | $22.75 – $139.62 | 18 |
| X-ray skull > 4 views complete CPT 70260 | $337.35 | $519.00 | $26.08 – $139.62 | 18 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $545.35 | $839.00 | $69.96 – $296.69 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $882.70 | $1,358.00 | $41.35 – $174.83 | 7 |
| X-ray spine single view CPT 72020 | $183.30 | $282.00 | $13.86 – $115.59 | 18 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $260.65 | $401.00 | $25.80 – $115.59 | 18 |
| X-ray sternum > 2 views CPT 71120 | $232.05 | $357.00 | $20.25 – $115.59 | 18 |
| X-ray surgical specimen CPT 76098 | $332.80 | $512.00 | $23.02 – $719.83 | 18 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $286.65 | $441.00 | $83.01 – $351.84 | 18 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $281.45 | $433.00 | $34.69 – $143.76 | 18 |
| X-ray thoracic spine 2 views CPT 72070 | $140.40 | $216.00 | $19.41 – $139.62 | 18 |
| X-ray thoracic spine 3 views CPT 72072 | $249.60 | $384.00 | $24.14 – $139.62 | 18 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $166.40 | $256.00 | $20.53 – $115.59 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $241.15 | $371.00 | $25.25 – $115.59 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $319.80 | $492.00 | $46.07 – $190.90 | 18 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $359.45 | $553.00 | $19.97 – $115.59 | 18 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $347.75 | $535.00 | $19.14 – $115.59 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $592.15 | $911.00 | $80.79 – $342.68 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $384.80 | $592.00 | $70.79 – $298.99 | 18 |
| X-ray wrist 2 views (both sides) CPT 73100 | $347.75 | $535.00 | $21.64 – $115.59 | 18 |
| Zika virus dna/rna amp probe CPT 87662 | $281.45 | $433.00 | $45.64 – $190.00 | 16 |
| Zika virus igm antibody CPT 86794 | $191.75 | $295.00 | $14.99 – $62.40 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $252.52 | $388.50 | $25.40 – $37.95 | 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.