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 |
|---|---|---|---|---|
| Colonoscopy submucous njx CPT 45381 | $4,116.45 | $6,333.00 | $202.35 – $2,445.12 | 54 |
| Colonoscopy w/control bleed CPT 45382 | $3,874.13 | $5,960.20 | $382.28 – $2,445.12 | 13 |
| Colonoscopy (with biopsy) CPT 45380 | $3,931.01 | $6,047.71 | $202.35 – $2,445.12 | 54 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,693.62 | $4,144.03 | $257.13 – $2,445.12 | 54 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $107.90 | $166.00 | $21.31 – $224.98 | 16 |
| Compatibility test each unit electronic CPT 86923 | $56.55 | $87.00 | $13.63 – $224.98 | 15 |
| Compatibility test each unit immediate spin technique CPT 86920 | $70.20 | $108.00 | $14.05 – $224.98 | 16 |
| Compatibility test incubate CPT 86921 | $48.10 | $74.00 | $13.63 – $224.98 | 16 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $740.35 | $1,139.00 | $221.29 – $876.26 | 14 |
| Complement antigen each component c3 CPT 86160 | $121.55 | $187.00 | $10.67 – $44.44 | 18 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,678.95 | $2,583.00 | $245.83 – $1,510.16 | 50 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $209.30 | $322.00 | $8.25 – $408.81 | 15 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $864.50 | $1,330.00 | $347.98 – $795.08 | 46 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,009.45 | $1,553.00 | $314.24 – $574.01 | 46 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $300.30 | $462.00 | $132.38 – $366.69 | 40 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $260.65 | $401.00 | $86.85 – $366.69 | 40 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,329.90 | $2,046.00 | $75.21 – $430.98 | 42 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,819.70 | $4,338.00 | $360.27 – $1,445.61 | 4 |
| Concentration infection agents any type CPT 87015 | $65.00 | $100.00 | $5.94 – $24.74 | 18 |
| Condylomata destruction 56420 CPT 56420 | $397.15 | $611.00 | $95.44 – $208.77 | 46 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $6,346.46 | $9,763.78 | $1,012.78 – $6,614.48 | 16 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $102.05 | $157.00 | $15.27 – $79.47 | 13 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $143.65 | $221.00 | $30.99 – $224.98 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $202.15 | $311.00 | $23.95 – $101.95 | 18 |
| Contrast baths charges CPT 97034 | $55.25 | $85.00 | $7.06 – $20.00 | 10 |
| Contrast x-ray of hip CPT 73525 | $700.05 | $1,077.00 | $84.12 – $468.85 | 18 |
| Contrast x-ray of wrist CPT 73115 | $657.80 | $1,012.00 | $90.23 – $468.85 | 18 |
| Control nosebleed pack+caut 30905 CPT 30905 | $452.40 | $696.00 | $106.81 – $185.90 | 46 |
| Control of nosebleed ant comp 30903 CPT 30903 | $429.00 | $660.00 | $80.26 – $185.90 | 46 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $245.05 | $377.00 | $57.71 – $169.23 | 46 |
| Coombs direct CPT 86880 | $60.45 | $93.00 | $4.79 – $77.97 | 18 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $94.25 | $145.00 | $5.09 – $224.98 | 18 |
| Coombs indirect titer reference CPT 86886 | $145.60 | $224.00 | $4.61 – $224.98 | 18 |
| Cortisol acth stimulation test - sendout CPT 80400 | $165.75 | $255.00 | $29.02 – $120.79 | 18 |
| Cortisol total am CPT 82533 | $117.00 | $180.00 | $14.50 – $60.36 | 18 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $338.84 | $521.30 | $20.65 – $40.91 | 10 |
| Co-treatment - group 15 mins, st CPT 92508 | $134.55 | $207.00 | $10.77 – $31.89 | 12 |
| Counseling smoke cess interm >10mins CPT 99407 | $50.05 | $77.00 | $24.37 – $39.12 | 10 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $40.30 | $62.00 | $37.45 – $54.50 | 10 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $451.75 | $695.00 | $455.35 – $455.35 | 1 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $451.75 | $695.00 | $455.35 – $455.35 | 1 |
| #covid19rsv-rsv CPT 87634 | $128.70 | $198.00 | $62.44 – $259.95 | 18 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $43.55 | $67.00 | $11.08 – $48.25 | 18 |
| C-peptide CPT 84681 | $126.75 | $195.00 | $17.69 – $77.06 | 18 |
| C-reactive protein CPT 86140 | $46.15 | $71.00 | $4.61 – $19.18 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $57.85 | $89.00 | $11.01 – $47.95 | 18 |
| C-reactive protein, quantitative CPT 86406 | $79.30 | $122.00 | $9.46 – $39.40 | 27 |
| Creatine kinase CPT 82550 | $80.60 | $124.00 | $5.79 – $24.11 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $107.90 | $166.00 | $11.91 – $49.58 | 18 |
| Creatine kinase mb CPT 82553 | $98.80 | $152.00 | $10.27 – $42.77 | 27 |
| Creatinine CPT 82565 | $52.00 | $80.00 | $4.55 – $18.96 | 18 |
| Creatinine 24 hour urine CPT 82570 | $57.85 | $89.00 | $4.61 – $19.18 | 18 |
| Creatinine clearance urine CPT 82575 | $129.35 | $199.00 | $8.41 – $35.03 | 18 |
| #creutz-prot.,western blot CPT 84182 | $215.80 | $332.00 | $25.15 – $108.16 | 16 |
| Critical care 30-74 minutes CPT 99291 | $1,396.85 | $2,149.00 | $122.27 – $1,106.20 | 47 |
| Critical care each additional 30 minutes CPT 99292 | $488.15 | $751.00 | $58.86 – $135.43 | 42 |
| Crotalidae poly immune fab HCPCS J0840 | $7,275.45 | $11,193.00 | $1,779.64 – $2,717.25 | 11 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $88.40 | $136.00 | $11.98 – $52.36 | 18 |
| Cryoprecipitate each unit HCPCS P9012 | $155.35 | $239.00 | $17.50 – $83.45 | 12 |
| Crystal identification light microscopy CPT 89060 | $64.35 | $99.00 | $6.52 – $27.14 | 27 |
| CT 3d report other modality w/workstation CPT 76377 | $741.65 | $1,141.00 | $33.83 – $195.54 | 10 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,948.70 | $2,998.00 | $101.17 – $904.32 | 15 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,494.70 | $3,838.00 | $101.17 – $904.21 | 15 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,634.45 | $4,053.00 | $101.17 – $904.32 | 15 |
| Cta neck without &/or w/contrast CPT 70498 | $2,180.10 | $3,354.00 | $101.17 – $904.32 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,096.30 | $6,302.00 | $206.69 – $1,490.65 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,057.90 | $3,166.00 | $101.17 – $904.32 | 15 |
| CT Angiogram of the Head CPT 70496 | $1,359.80 | $2,092.00 | $101.17 – $904.32 | 15 |
| CT angio pelvis CPT 72191 | $2,039.05 | $3,137.00 | $101.17 – $904.32 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,834.95 | $2,823.00 | $101.17 – $904.32 | 15 |
| CT guidance for needle placement CPT 77012 | $1,805.05 | $2,777.00 | $58.85 – $367.15 | 10 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,223.30 | $1,882.00 | $47.46 – $295.77 | 10 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,543.45 | $3,913.00 | $97.15 – $601.75 | 15 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,652.30 | $2,542.00 | $59.96 – $443.63 | 15 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,732.90 | $2,666.00 | $101.17 – $741.10 | 15 |
| CT neck soft tissue w/contrast CPT 70491 | $2,007.85 | $3,089.00 | $101.17 – $642.51 | 15 |
| CT neck soft tissue without contrast CPT 70490 | $1,389.70 | $2,138.00 | $59.96 – $482.69 | 15 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,059.85 | $3,169.00 | $101.17 – $785.26 | 15 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,855.10 | $2,854.00 | $101.17 – $810.78 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,540.50 | $2,370.00 | $101.17 – $683.27 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,428.05 | $2,197.00 | $59.96 – $526.85 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,674.10 | $4,114.00 | $206.69 – $1,330.71 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,199.60 | $3,384.00 | $188.51 – $1,179.51 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,925.95 | $2,963.00 | $88.54 – $545.68 | 15 |
| CT thoracic spine w/contrast CPT 72129 | $1,602.90 | $2,466.00 | $101.17 – $603.45 | 15 |
| CT thoracic spine without contrast CPT 72128 | $1,326.65 | $2,041.00 | $59.96 – $445.33 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $2,174.90 | $3,346.00 | $101.17 – $747.85 | 15 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,448.20 | $2,228.00 | $126.31 – $788.67 | 15 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,291.55 | $1,987.00 | $59.96 – $537.06 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,688.70 | $2,598.00 | $101.17 – $904.21 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $42.90 | $66.00 | $7.19 – $29.92 | 18 |
| Culture afb any source CPT 87116 | $155.35 | $239.00 | $9.61 – $39.99 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $70.20 | $108.00 | $7.19 – $29.92 | 18 |
| Culture anaerobic except blood CPT 87075 | $172.25 | $265.00 | $8.42 – $35.07 | 18 |
| Culture bact stool aero addl path ea CPT 87046 | $73.45 | $113.00 | $8.02 – $34.96 | 26 |
| Culture body fluid CPT 87070 | $143.00 | $220.00 | $7.35 – $31.92 | 18 |
| Culture fungi definitive id mold CPT 87107 | $66.95 | $103.00 | $9.18 – $38.22 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $73.45 | $113.00 | $9.18 – $38.22 | 18 |
| Culture fungi other (except blood) CPT 87102 | $92.95 | $143.00 | $7.48 – $31.14 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $85.15 | $131.00 | $6.86 – $28.55 | 18 |
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.