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 |
|---|---|---|---|---|
| Culture mycobacteria definitive id each isolate CPT 87118 | $89.70 | $138.00 | $12.42 – $54.10 | 18 |
| Culture mycoplasma any source CPT 87109 | $74.75 | $115.00 | $13.08 – $56.99 | 18 |
| Culture screening strep group a CPT 87081 | $89.70 | $138.00 | $5.90 – $24.55 | 18 |
| Culture typing immunologic CPT 87147 | $57.20 | $88.00 | $4.61 – $19.18 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $634.40 | $976.00 | $141.74 – $807.48 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $37.05 | $57.00 | $31.21 – $129.94 | 27 |
| Culture urine each isolate CPT 87088 | $37.05 | $57.00 | $7.20 – $29.96 | 19 |
| Cv stress test i&r only 93018 CPT 93018 | $87.10 | $134.00 | $12.38 – $34.65 | 46 |
| Cv stress test/supervision only 93016 CPT 93016 | $91.00 | $140.00 | $18.72 – $30.54 | 46 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $14.36 | $22.10 | $0.64 – $1.39 | 10 |
| Cyclic citrullinated peptide antibody CPT 86200 | $113.75 | $175.00 | $11.52 – $47.95 | 18 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $529.11 | $814.01 | $0.60 – $182.00 | 7 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $35.75 | $55.00 | $1.68 – $5.78 | 7 |
| Cyclosporine 2 hour CPT 80158 | $243.10 | $374.00 | $15.34 – $66.84 | 27 |
| Cyp2c19 gene com variants CPT 81225 | $585.65 | $901.00 | $288.44 – $1,078.91 | 13 |
| Cyp3a4 gene common variants CPT 81230 | $395.20 | $608.00 | $173.06 – $647.32 | 13 |
| Cystatin c CPT 82610 | $90.35 | $139.00 | $16.47 – $68.58 | 16 |
| Cystic fibrosis cftr CPT 81223 | $986.05 | $1,517.00 | $443.85 – $1,847.80 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $569.40 | $876.00 | $21.91 – $468.85 | 18 |
| Cytogenetics 25-99 CPT 88274 | $93.60 | $144.00 | $37.70 – $156.93 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $87.10 | $134.00 | $12.23 – $53.29 | 19 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $91.65 | $141.00 | $14.32 – $62.40 | 18 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $58.50 | $90.00 | $32.75 – $127.72 | 18 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $89.70 | $138.00 | $23.67 – $98.54 | 21 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $95.55 | $147.00 | $17.85 – $75.02 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $92.30 | $142.00 | $32.15 – $141.68 | 18 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $94.90 | $146.00 | $15.27 – $136.38 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $118.30 | $182.00 | $32.75 – $298.50 | 18 |
| Cytopath smear other source CPT 88160 | $68.25 | $105.00 | $15.27 – $159.97 | 18 |
| Cytopath tbs c/v manual CPT 88164 | $57.20 | $88.00 | $13.53 – $64.10 | 18 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,047.52 | $6,226.96 | $16.07 – $2,270.00 | 11 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $126.75 | $195.00 | $15.00 – $20.00 | 10 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $8,804.25 | $13,545.00 | $3.11 – $109.50 | 11 |
| Dch validity tests CPT 81002 | $24.05 | $37.00 | $3.01 – $12.89 | 18 |
| Deamidated gliadin antibody iga CPT 86258 | $102.70 | $158.00 | $7.49 – $44.62 | 18 |
| Debridement (>20 cm) charge pt CPT 97598 | $263.90 | $406.00 | $11.41 – $208.00 | 44 |
| Debridement bone <= 20 sq cm CPT 11044 | $612.95 | $943.00 | $232.62 – $2,127.08 | 46 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $111.15 | $171.00 | $57.18 – $68.94 | 39 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $182.65 | $281.00 | $101.20 – $122.02 | 39 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $222.95 | $343.00 | $61.56 – $435.25 | 46 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $85.15 | $131.00 | $27.04 – $34.83 | 39 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $691.60 | $1,064.00 | $278.97 – $731.26 | 46 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $231.40 | $356.00 | $156.78 – $763.21 | 46 |
| Decalcification CPT 88311 | $5,358.13 | $8,243.27 | $6.36 – $4,259.59 | 19 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $270.40 | $416.00 | $28.83 – $341.10 | 11 |
| Decompress small bowel CPT 44021 | $1,803.75 | $2,775.00 | $854.45 – $1,203.97 | 40 |
| Deep muscle biopsy 20205 CPT 20205 | $3,628.95 | $5,583.00 | $153.89 – $5,935.26 | 50 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $136.50 | $210.00 | $14.95 – $267.02 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,988.05 | $6,135.46 | $30.37 – $2,561.40 | 11 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $441.35 | $679.00 | $114.79 – $230.59 | 46 |
| Desoxycorticosterone CPT 82633 | $142.35 | $219.00 | $27.56 – $114.72 | 16 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,446.67 | $8,379.49 | $225.03 – $3,990.04 | 50 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $5,585.68 | $8,593.35 | $69.10 – $3,990.04 | 48 |
| Destruction anal lesion(s) CPT 46924 | $9,237.64 | $14,211.76 | $168.39 – $5,671.56 | 40 |
| Destruction benign lesions < 14 lesions CPT 17110 | $185.90 | $286.00 | $66.20 – $260.86 | 46 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $646.75 | $995.00 | $191.04 – $1,018.11 | 46 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $7,255.19 | $11,161.83 | $60.58 – $3,990.04 | 50 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $7,255.19 | $11,161.83 | $221.81 – $3,990.04 | 50 |
| Developmental screen/score/document 96110 CPT 96110 | $341.90 | $526.00 | $9.70 – $32.76 | 7 |
| Devel tst phys/qhp 1st hr CPT 96112 | $294.45 | $453.00 | $88.37 – $205.41 | 11 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $193.05 | $297.00 | $53.76 – $53.76 | 4 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $181.35 | $279.00 | $18.58 – $115.59 | 16 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $6.12 | $9.42 | $0.09 – $0.18 | 7 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $12.67 | $19.50 | $0.22 – $0.36 | 10 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $25.35 | $39.00 | $1.18 – $1.99 | 10 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $23.40 | $36.00 | $5.25 – $11.65 | 10 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $23.40 | $36.00 | $1.75 – $2.96 | 10 |
| Dextrose 5 % IV bolus HCPCS J7070 | $25.35 | $39.00 | $2.94 – $4.44 | 10 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $169.65 | $261.00 | $19.77 – $82.32 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $91.00 | $140.00 | $8.64 – $35.96 | 18 |
| Diag laparo separate proc 49320 CPT 49320 | $1,045.20 | $1,608.00 | $330.43 – $7,659.48 | 46 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $154.05 | $237.00 | $40.68 – $169.23 | 46 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $165.10 | $254.00 | $59.88 – $384.06 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $108.55 | $167.00 | $48.20 – $301.29 | 18 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $14.40 | $22.15 | $8.55 – $9.01 | 7 |
| Dicyclomine injection HCPCS J0500 | $51.97 | $79.95 | $11.33 – $17.05 | 10 |
| Diffusing capacity CPT 94729 | $306.15 | $471.00 | $42.11 – $47.81 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.15 | $11.00 | $5.84 – $9.57 | 10 |
| Digoxin total therapeutic drug level CPT 80162 | $60.45 | $93.00 | $11.81 – $49.18 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $177.90 | $273.69 | $41.04 – $141.72 | 10 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $48.22 | $74.18 | $1.20 – $1.20 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.15 | $11.00 | $0.71 – $1.31 | 10 |
| Disability dlco CPT 94727 | $225.55 | $347.00 | $38.05 – $222.98 | 10 |
| Disaccharidases CPT 82657 | $22.10 | $34.00 | $19.72 – $82.10 | 18 |
| Dna antibody native/double stranded CPT 86225 | $126.75 | $195.00 | $12.22 – $50.88 | 19 |
| Dna gardnerella CPT 87510 | $55.25 | $85.00 | $17.04 – $74.25 | 20 |
| Dna trichomonas CPT 87660 | $55.25 | $85.00 | $17.83 – $74.25 | 20 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $95.06 | $146.25 | $7.39 – $11.65 | 10 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $60.21 | $92.63 | $9.60 – $9.60 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $328.90 | $506.00 | $46.90 – $169.23 | 12 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $102.08 | $157.04 | $18.00 – $18.00 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $369.85 | $569.00 | $125.29 – $731.26 | 46 |
| Drainage external ear complex 69005 CPT 69005 | $419.25 | $645.00 | $155.31 – $2,127.08 | 46 |
| Drainage external ear simple 69000 CPT 69000 | $313.30 | $482.00 | $117.07 – $731.26 | 46 |
| Drainage mouth roof lesion CPT 42000 | $326.30 | $502.00 | $101.63 – $451.31 | 46 |
| Drainage of arm bursa 23931 CPT 23931 | $582.40 | $896.00 | $153.07 – $2,127.08 | 46 |
| Drainage of mouth lesion CPT 41008 | $734.50 | $1,130.00 | $265.90 – $4,257.56 | 46 |
| Drainage of nose lesion sept 30020 CPT 30020 | $380.90 | $586.00 | $115.48 – $556.95 | 46 |
| Drain blood from under nail 11740 CPT 11740 | $66.95 | $103.00 | $31.22 – $169.23 | 46 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $440.70 | $678.00 | $84.77 – $728.94 | 46 |
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.