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 |
|---|---|---|---|---|
| Cell count w differential body fluid CPT 89051 | $40.30 | $62.00 | $4.76 – $20.74 | 25 |
| Cell cryopreserve/storage CPT 88240 | $89.05 | $137.00 | $11.63 – $48.40 | 16 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $12,987.71 | $19,981.10 | $3.99 – $1,312.00 | 11 |
| #cf-97variants CPT 81220 | $455.00 | $700.00 | $495.09 – $2,061.09 | 16 |
| Cftr gene dup/delet variants CPT 81222 | $731.90 | $1,126.00 | $386.99 – $1,611.06 | 16 |
| Change cystostomy tube simple CPT 51705 | $261.30 | $402.00 | $52.64 – $258.01 | 46 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $9,118.52 | $14,028.50 | $6.71 – $4,745.00 | 46 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $295.75 | $455.00 | $84.75 – $104.73 | 39 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $5,394.02 | $8,298.50 | $119.73 – $1,442.34 | 48 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $9,914.45 | $15,253.00 | $109.21 – $1,442.34 | 48 |
| Chemodenervation anal musc CPT 46505 | $692.90 | $1,066.00 | $238.77 – $1,586.71 | 43 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $2,101.77 | $3,233.50 | $116.19 – $627.20 | 49 |
| Chemodenerv musc migraine 64615 CPT 64615 | $3,801.20 | $5,848.00 | $123.45 – $627.20 | 48 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $4,235.40 | $6,516.00 | $111.18 – $627.20 | 48 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $4,070.95 | $6,263.00 | $117.19 – $1,442.34 | 48 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $333.45 | $513.00 | $139.36 – $728.94 | 45 |
| Chest 2 vws w oblique CPT 71048 | $309.40 | $476.00 | $26.08 – $139.62 | 18 |
| Chest apical lordotic proj CPT 71047 | $291.20 | $448.00 | $24.41 – $115.59 | 18 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,846.65 | $2,841.00 | $101.17 – $739.40 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $1,250.60 | $1,924.00 | $101.17 – $600.05 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $1,263.60 | $1,944.00 | $59.96 – $441.93 | 15 |
| Chest X-ray CPT 71046 | $184.60 | $284.00 | $19.41 – $115.59 | 18 |
| Chest X-ray (single view) CPT 71045 | $138.45 | $213.00 | $14.42 – $115.59 | 18 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $691.60 | $1,064.00 | $64.12 – $272.52 | 18 |
| Chlamydia culture CPT 87110 | $77.35 | $119.00 | $17.43 – $72.58 | 18 |
| Chlamydia type CPT 87140 | $33.80 | $52.00 | $4.95 – $20.63 | 18 |
| Chloride CPT 82435 | $45.50 | $70.00 | $4.09 – $17.03 | 18 |
| Chloride 24 hour urine CPT 82436 | $57.85 | $89.00 | $4.89 – $21.29 | 19 |
| Chloroprocaine hcl injection HCPCS J2401 | $107.82 | $165.88 | $18.00 – $36.00 | 7 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $27.98 | $43.04 | $23.77 – $39.52 | 10 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $503.75 | $775.00 | $44.20 – $124.56 | 10 |
| Cholesterol CPT 82465 | $59.80 | $92.00 | $3.87 – $16.11 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $88.40 | $136.00 | $11.91 – $49.58 | 18 |
| Cholinesterase CPT 82480 | $46.80 | $72.00 | $7.00 – $29.14 | 18 |
| Cholinesterase challenge CPT 95857 | $292.50 | $450.00 | $54.74 – $408.81 | 10 |
| Chrom analysis CPT 88273 | $78.65 | $121.00 | $30.96 – $128.90 | 18 |
| Chromatography CPT 83021 | $108.55 | $167.00 | $16.06 – $66.88 | 18 |
| Chromogenic substrate assay CPT 85130 | $196.30 | $302.00 | $10.58 – $44.03 | 16 |
| Chromo high res and frag x - sendout CPT 81243 | $253.50 | $390.00 | $50.74 – $211.22 | 18 |
| Chromosome analysis 15-20 cell count CPT 88262 | $520.65 | $801.00 | $111.62 – $464.69 | 18 |
| Chromosome count additional CPT 88285 | $41.60 | $64.00 | $22.87 – $99.65 | 18 |
| Chromosome karyotype study CPT 88280 | $34.45 | $53.00 | $29.77 – $123.94 | 19 |
| Chylomicron screen, bf - sendout CPT 82664 | $152.10 | $234.00 | $48.00 – $227.73 | 16 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $433.55 | $667.00 | $293.09 – $1,220.18 | 16 |
| Clearance of airways CPT 31720 | $122.20 | $188.00 | $100.43 – $267.02 | 11 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $55.14 | $84.83 | $1.91 – $2.44 | 10 |
| Cllr miami j sm HCPCS L0174 | $102.70 | $158.00 | $255.91 – $344.48 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $541.45 | $833.00 | $204.50 – $359.03 | 46 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $904.15 | $1,391.00 | $266.38 – $2,101.05 | 46 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $282.75 | $435.00 | $109.85 – $254.72 | 46 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,274.00 | $1,960.00 | $578.58 – $2,101.05 | 46 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $441.35 | $679.00 | $162.52 – $429.60 | 46 |
| Clos txnose fx without stablz 21315 CPT 21315 | $495.95 | $763.00 | $147.70 – $1,944.67 | 46 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,781.35 | $4,279.00 | $1,395.99 – $1,982.33 | 40 |
| Clot factor xii hageman CPT 85280 | $202.15 | $311.00 | $16.45 – $71.65 | 18 |
| Clot factor xiii fibrin scrn CPT 85291 | $101.40 | $156.00 | $8.10 – $33.73 | 18 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $784.55 | $1,207.00 | $204.50 – $341.91 | 46 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $620.10 | $954.00 | $204.50 – $351.50 | 46 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $599.95 | $923.00 | $204.50 – $365.84 | 46 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $384.80 | $592.00 | $169.94 – $254.72 | 46 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,032.20 | $1,588.00 | $204.50 – $454.35 | 46 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $253.50 | $390.00 | $77.49 – $254.72 | 46 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,636.05 | $2,517.00 | $761.21 – $2,101.05 | 46 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $263.90 | $406.00 | $119.98 – $254.72 | 46 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $349.05 | $537.00 | $138.19 – $254.72 | 46 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $570.70 | $878.00 | $204.50 – $361.56 | 46 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,291.55 | $1,987.00 | $499.34 – $2,101.05 | 46 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,028.30 | $1,582.00 | $455.35 – $2,101.05 | 46 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $866.45 | $1,333.00 | $204.50 – $477.64 | 46 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $478.40 | $736.00 | $204.50 – $322.28 | 46 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $668.20 | $1,028.00 | $204.50 – $342.32 | 46 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $352.95 | $543.00 | $204.50 – $269.17 | 46 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $443.30 | $682.00 | $194.19 – $254.72 | 46 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $681.85 | $1,049.00 | $204.50 – $398.02 | 46 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $363.35 | $559.00 | $177.19 – $254.72 | 46 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $425.75 | $655.00 | $204.50 – $280.14 | 46 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,025.70 | $1,578.00 | $391.39 – $2,101.05 | 46 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $867.10 | $1,334.00 | $388.39 – $2,101.05 | 46 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $953.55 | $1,467.00 | $266.38 – $2,101.05 | 46 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,110.20 | $1,708.00 | $395.75 – $2,101.05 | 46 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $306.15 | $471.00 | $32.41 – $308.67 | 46 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $388.70 | $598.00 | $88.51 – $254.72 | 46 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,179.10 | $1,814.00 | $428.26 – $2,101.05 | 46 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $474.50 | $730.00 | $204.50 – $307.36 | 46 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $924.30 | $1,422.00 | $344.71 – $2,101.05 | 46 |
| Cltx palatal/max fx wire fix CPT 21421 | $1,473.55 | $2,267.00 | $581.72 – $4,257.56 | 46 |
| #cmvcul-virus inoculation shell CPT 87254 | $124.80 | $192.00 | $16.63 – $72.43 | 18 |
| Cmv pcr-sendout CPT 87496 | $140.40 | $216.00 | $29.83 – $129.94 | 15 |
| Co2 monitor per day CPT 94681 | $454.35 | $699.00 | $40.60 – $408.81 | 12 |
| Coagulation time activated teg CPT 85347 | $65.00 | $100.00 | $3.64 – $15.85 | 19 |
| Cold agglutinin screen (arc) CPT 86156 | $99.45 | $153.00 | $7.18 – $29.88 | 18 |
| Cold agglutinin titer CPT 86157 | $50.70 | $78.00 | $7.17 – $29.85 | 18 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $2,704.00 | $4,160.00 | $1,179.54 – $1,656.93 | 40 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $5.20 | $8.00 | $41.92 – $41.92 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | $57.85 | $89.00 | $113.00 – $152.10 | 4 |
| Collar cerv patriot adlt HCPCS L0150 | $18.20 | $28.00 | $169.81 – $169.81 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $643.17 | $989.50 | $23.02 – $271.86 | 13 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $230.10 | $354.00 | $1.00 – $271.86 | 13 |
| Collection of venous blood by venipuncture CPT 36415 | $2,324.02 | $3,575.42 | $3.00 – $573.94 | 20 |
| Colonoscopy (diagnostic) CPT 45378 | $2,166.45 | $3,333.00 | $190.43 – $1,662.68 | 49 |
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.