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 |
|---|---|---|---|---|
| Drain finger abscess;simple 26010 CPT 26010 | $456.30 | $702.00 | $132.91 – $292.44 | 46 |
| Drain lower leg lesion 27603 CPT 27603 | $1,031.55 | $1,587.00 | $386.44 – $3,757.35 | 46 |
| Drain neck/chest lesion 21501 CPT 21501 | $819.65 | $1,261.00 | $318.80 – $3,757.35 | 46 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $282.75 | $435.00 | $110.36 – $207.19 | 46 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $176.80 | $272.00 | $53.28 – $260.86 | 46 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $412.10 | $634.00 | $133.41 – $419.79 | 46 |
| Drng of eyelid abscess 67700 CPT 67700 | $398.45 | $613.00 | $112.69 – $409.55 | 46 |
| Drng of finger abscess comp 26011 CPT 26011 | $692.25 | $1,065.00 | $180.82 – $2,127.08 | 46 |
| Drng of mouth lesion 40801 CPT 40801 | $388.05 | $597.00 | $214.10 – $1,189.17 | 46 |
| Drng of scrotum abscess 55100 CPT 55100 | $586.95 | $903.00 | $166.26 – $2,127.08 | 46 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $44.91 | $69.10 | $3.40 – $7.83 | 7 |
| Drug assay caffeine CPT 80155 | $127.40 | $196.00 | $19.30 – $142.82 | 16 |
| Drug assay posaconazole CPT 80187 | $133.90 | $206.00 | $23.04 – $100.39 | 18 |
| Drug assay voriconazole CPT 80285 | $106.60 | $164.00 | $23.04 – $100.39 | 18 |
| Drug of abuse screen urine CPT 80305 | $99.45 | $153.00 | $11.21 – $46.66 | 18 |
| Drug test prsmv instrmnt CPT 80306 | $126.10 | $194.00 | $15.25 – $63.47 | 27 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $206.70 | $318.00 | $55.27 – $230.10 | 18 |
| Drvvt confirm - quest CPT 85597 | $133.90 | $206.00 | $15.99 – $66.58 | 18 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,629.66 | $7,122.55 | $10.50 – $3,990.04 | 13 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $813.80 | $1,252.00 | $79.38 – $317.33 | 12 |
| Dxa bone density axl vrt fx CPT 77085 | $377.65 | $581.00 | $32.72 – $139.62 | 18 |
| Ear irrigation 69209 CPT 69209 | $128.05 | $197.00 | $12.75 – $77.97 | 19 |
| Ecg 12 lead tracing only CPT 93005 | $156.65 | $241.00 | $5.25 – $77.97 | 12 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $113.75 | $175.00 | $5.25 – $77.97 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $415.35 | $639.00 | $15.25 – $169.23 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $510.25 | $785.00 | $29.69 – $77.97 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,079.35 | $3,199.00 | $168.33 – $719.83 | 47 |
| Echocardiography doppler color flow mapping CPT 93325 | $462.80 | $712.00 | $56.93 – $56.93 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,988.05 | $4,597.00 | $654.39 – $1,037.21 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $705.25 | $1,085.00 | $79.38 – $317.33 | 12 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $414.05 | $637.00 | $39.81 – $39.81 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | $542.10 | $834.00 | $24.15 – $93.26 | 12 |
| E coli 0157 ag ia CPT 87335 | $78.65 | $121.00 | $11.26 – $46.88 | 18 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $830.70 | $1,278.00 | $101.68 – $420.26 | 47 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $375.70 | $578.00 | $97.64 – $696.59 | 45 |
| Eeg during surgery CPT 95955 | $513.50 | $790.00 | $27.30 – $161.88 | 7 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $834.60 | $1,284.00 | $101.68 – $408.81 | 47 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,323.40 | $2,036.00 | $101.68 – $505.84 | 47 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $761.15 | $1,171.00 | $101.68 – $424.40 | 47 |
| Eeg recording awake and asleep CPT 95819 | $742.30 | $1,142.00 | $101.68 – $469.64 | 47 |
| E equine encephalitis igg CPT 86652 | $46.15 | $71.00 | $11.21 – $48.84 | 18 |
| Egd control bleeding any CPT 43255 | $4,812.62 | $7,404.03 | $616.42 – $3,920.94 | 16 |
| Egd esophagogastrc fndoplsty CPT 43210 | $8,726.25 | $13,425.00 | $443.77 – $13,668.07 | 23 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $421.20 | $648.00 | $146.65 – $2,490.41 | 46 |
| Egd lesion ablation CPT 43270 | $2,820.35 | $4,339.00 | $617.03 – $3,920.94 | 15 |
| Egd remove foreign body CPT 43247 | $554.45 | $853.00 | $182.23 – $1,261.90 | 46 |
| Egd remove lesion snare CPT 43251 | $4,089.34 | $6,291.29 | $172.19 – $3,920.94 | 42 |
| Egd varices ligation CPT 43244 | $2,739.58 | $4,214.74 | $616.42 – $3,920.94 | 16 |
| Egfr gene com variants CPT 81235 | $646.75 | $995.00 | $288.71 – $1,201.92 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $195.00 | $300.00 | $29.83 – $129.94 | 16 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $122.20 | $188.00 | $14.61 – $14.61 | 1 |
| EKG tracing for initial prev HCPCS G0404 | $113.75 | $175.00 | $29.87 – $29.87 | 1 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $226.85 | $349.00 | $35.79 – $393.73 | 46 |
| Elect analysis of infusion pump 62367 CPT 62367 | $131.95 | $203.00 | $25.53 – $393.73 | 46 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $367.25 | $565.00 | $35.79 – $393.73 | 45 |
| Electrical stimulation/unattended 97014 CPT 97014 | $57.85 | $89.00 | $10.91 – $20.00 | 9 |
| Electrolyte panel CPT 80051 | $49.40 | $76.00 | $6.00 – $25.96 | 18 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $86.45 | $133.00 | $38.62 – $53.56 | 16 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $144.30 | $222.00 | $31.36 – $98.18 | 20 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $349.05 | $537.00 | $41.38 – $197.54 | 47 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $512.85 | $789.00 | $50.60 – $247.41 | 47 |
| Emg needle test 1-extremity CPT 95860 | $254.15 | $391.00 | $41.38 – $169.23 | 47 |
| Emg needle test 4-extremities CPT 95864 | $483.60 | $744.00 | $50.60 – $283.47 | 47 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $187.85 | $289.00 | $80.33 – $408.81 | 12 |
| Encephalitis, california igg/igm CPT 86651 | $53.95 | $83.00 | $11.21 – $48.84 | 18 |
| Encephalitis, st louis igg/igm CPT 86653 | $57.20 | $88.00 | $11.21 – $48.84 | 18 |
| Encephalitis, western equine igg/igm CPT 86654 | $48.10 | $74.00 | $11.21 – $48.84 | 18 |
| Endoscopy swallow (fees) vid CPT 92612 | $261.95 | $403.00 | $54.45 – $258.06 | 12 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $33.55 | $51.61 | $2.12 – $3.32 | 10 |
| Enterectomy small intestine addl 44121 CPT 44121 | $650.00 | $1,000.00 | $211.04 – $302.35 | 40 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,442.05 | $3,757.00 | $1,074.54 – $1,512.44 | 40 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,150.85 | $3,309.00 | $1,157.00 – $1,622.75 | 40 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,466.75 | $3,795.00 | $1,236.11 – $3,981.41 | 40 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $4,337.77 | $6,673.49 | $52.73 – $1,807.26 | 49 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $10.39 | $15.99 | $5.79 – $5.79 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $13.94 | $21.45 | $9.99 – $9.99 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,028.42 | $1,582.19 | $7.80 – $442.00 | 11 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $2,431.97 | $3,741.50 | $7.98 – $448.40 | 11 |
| Epstein barr early antigen antibody CPT 86663 | $94.90 | $146.00 | $11.15 – $48.58 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | $94.90 | $146.00 | $13.00 – $56.62 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $83.20 | $128.00 | $15.42 – $67.17 | 18 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $4,137.23 | $6,364.97 | $21.14 – $2,898.00 | 11 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $586.43 | $902.20 | $18.32 – $26.34 | 10 |
| ER Visit (level 1, minor) CPT 99281 | $393.25 | $605.00 | $21.51 – $129.23 | 48 |
| ER Visit (level 2) CPT 99282 | $560.30 | $862.00 | $41.97 – $235.31 | 48 |
| ER Visit (level 3) CPT 99283 | $877.17 | $1,349.50 | $62.90 – $418.34 | 48 |
| ER Visit (level 4) CPT 99284 | $1,579.50 | $2,430.00 | $105.00 – $639.45 | 48 |
| ER Visit (level 5, high severity) CPT 99285 | $4,340.51 | $6,677.71 | $105.00 – $912.65 | 48 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $547.14 | $841.75 | $1.68 – $3.28 | 10 |
| Esoph egd dilation <30 mm CPT 43249 | $3,287.54 | $5,057.75 | $616.42 – $3,920.94 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | $102.70 | $158.00 | $7.76 – $24.12 | 43 |
| Established Patient Office Visit (level 2) CPT 99212 | $111.80 | $172.00 | $25.47 – $49.44 | 40 |
| Established Patient Office Visit (level 3) CPT 99213 | $130.65 | $201.00 | $50.95 – $79.99 | 40 |
| Established Patient Office Visit (level 4) CPT 99214 | $162.50 | $250.00 | $78.54 – $113.10 | 40 |
| Established Patient Office Visit (level 5) CPT 99215 | $229.45 | $353.00 | $108.47 – $307.70 | 50 |
| Estradiol total CPT 82670 | $115.05 | $177.00 | $24.85 – $103.46 | 19 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $100.94 | $155.30 | $7.45 – $11.26 | 10 |
| Estrogens total-sendout CPT 82672 | $107.90 | $166.00 | $19.30 – $80.36 | 18 |
| Ethylene glycol -sendout CPT 82693 | $123.50 | $190.00 | $13.25 – $55.17 | 18 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $232.70 | $358.00 | $109.47 – $118.06 | 5 |
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.