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 |
|---|---|---|---|---|
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $179.40 | $276.00 | $83.39 – $363.30 | 18 |
| Evaluation of speech fluency 92521 CPT 92521 | $395.20 | $608.00 | $80.95 – $177.35 | 12 |
| Event monitor CPT 93270 | $328.25 | $505.00 | $6.92 – $48.96 | 12 |
| Evoked oa emissions ltd CPT 92587 | $202.80 | $312.00 | $18.91 – $408.81 | 12 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $234.65 | $361.00 | $23.29 – $23.29 | 4 |
| Evoked potential visual not glaucoma CPT 95930 | $759.85 | $1,169.00 | $101.68 – $408.81 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $1,539.85 | $2,369.00 | $542.27 – $3,757.35 | 46 |
| Exc abd les sc 3 cm/> CPT 22903 | $1,049.75 | $1,615.00 | $333.66 – $5,935.26 | 36 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $918.45 | $1,413.00 | $307.40 – $5,935.26 | 36 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,300.65 | $2,001.00 | $309.60 – $3,374.74 | 38 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $835.25 | $1,285.00 | $341.00 – $3,374.74 | 38 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,844.70 | $2,838.00 | $670.94 – $5,935.26 | 48 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $534.30 | $822.00 | $174.65 – $3,374.74 | 50 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $210.60 | $324.00 | $79.15 – $731.26 | 46 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $349.70 | $538.00 | $142.32 – $731.26 | 46 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $298.35 | $459.00 | $108.40 – $731.26 | 46 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $428.35 | $659.00 | $154.18 – $2,127.08 | 46 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $601.25 | $925.00 | $240.20 – $5,935.26 | 38 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $238.55 | $367.00 | $102.30 – $419.79 | 46 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $343.20 | $528.00 | $130.64 – $1,446.94 | 38 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $1,314.95 | $2,023.00 | $518.85 – $3,757.35 | 45 |
| Exc forearm les sc 3 cm/> CPT 25071 | $669.50 | $1,030.00 | $424.13 – $2,127.08 | 45 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $773.50 | $1,190.00 | $278.97 – $3,757.35 | 46 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,265.55 | $1,947.00 | $602.27 – $5,935.26 | 48 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $2,600.65 | $4,001.00 | $697.90 – $3,757.35 | 45 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $865.15 | $1,331.00 | $329.73 – $2,127.08 | 45 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $315.90 | $486.00 | $125.53 – $1,446.94 | 50 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $288.60 | $444.00 | $133.51 – $2,127.08 | 46 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $722.15 | $1,111.00 | $110.56 – $1,446.94 | 50 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $694.85 | $1,069.00 | $241.79 – $3,374.74 | 50 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,206.40 | $1,856.00 | $426.96 – $3,374.74 | 48 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $252.85 | $389.00 | $120.28 – $2,127.08 | 46 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $388.05 | $597.00 | $149.20 – $731.26 | 46 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $523.25 | $805.00 | $211.67 – $2,127.08 | 46 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $316.55 | $487.00 | $118.92 – $731.26 | 46 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $394.55 | $607.00 | $162.32 – $419.79 | 46 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $472.55 | $727.00 | $191.04 – $1,446.94 | 50 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,953.90 | $3,006.00 | $552.53 – $5,935.26 | 36 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $542.75 | $835.00 | $176.42 – $5,935.26 | 38 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $738.40 | $1,136.00 | $252.39 – $3,757.35 | 46 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $978.25 | $1,505.00 | $338.37 – $5,935.26 | 36 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $732.55 | $1,127.00 | $287.42 – $3,374.74 | 38 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,420.25 | $2,185.00 | $295.43 – $3,374.74 | 38 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $955.50 | $1,470.00 | $317.74 – $5,935.26 | 36 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $1,205.10 | $1,854.00 | $472.15 – $3,757.35 | 45 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $356.20 | $548.00 | $111.95 – $1,235.73 | 46 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,001.65 | $1,541.00 | $323.02 – $2,127.08 | 46 |
| Exercise tst brncspsm w/ecg CPT 94617 | $292.50 | $450.00 | $71.00 – $169.23 | 12 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $1,589.25 | $2,445.00 | $676.92 – $947.14 | 40 |
| Exploration retroperitoneal area 49010 CPT 49010 | $1,550.25 | $2,385.00 | $812.17 – $6,685.28 | 40 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,105.65 | $1,701.00 | $348.65 – $2,127.08 | 46 |
| Explore small intestine 44020 CPT 44020 | $1,894.10 | $2,914.00 | $856.34 – $1,201.97 | 40 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $834.60 | $1,284.00 | $307.00 – $3,374.74 | 48 |
| External chromosome analysis 20-25 cells CPT 88264 | $363.35 | $559.00 | $128.63 – $535.49 | 19 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $69.55 | $107.00 | $13.63 – $108.35 | 13 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $329.55 | $507.00 | $122.19 – $532.31 | 19 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $139.75 | $215.00 | $15.95 – $66.39 | 19 |
| Facial bones <3 CPT 70140 | $221.00 | $340.00 | $18.86 – $115.59 | 18 |
| Factor ix CPT 85250 | $229.45 | $353.00 | $16.18 – $70.51 | 18 |
| Factor viii CPT 85240 | $183.30 | $282.00 | $15.92 – $66.28 | 18 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.15 | $11.00 | $0.40 – $0.40 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $66.95 | $103.00 | $4.54 – $18.89 | 18 |
| Fatty acids nonesterified CPT 82725 | $55.25 | $85.00 | $15.95 – $69.51 | 18 |
| #fecal-sodium CPT 84302 | $44.20 | $68.00 | $4.20 – $18.00 | 18 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $131.95 | $203.00 | $15.84 – $69.02 | 18 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $252.72 | $388.80 | $0.85 – $1.40 | 10 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $457.29 | $703.53 | $1.15 – $83.00 | 11 |
| Ferritin CPT 82728 | $117.00 | $180.00 | $12.12 – $50.47 | 18 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $5,043.05 | $7,758.54 | $0.37 – $229.50 | 11 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,120.60 | $1,724.00 | $671.00 – $2,810.76 | 18 |
| Fetal fibronectin CPT 82731 | $405.60 | $624.00 | $57.29 – $238.51 | 27 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $96.20 | $148.00 | $6.88 – $28.62 | 18 |
| Fetal hemoglobin rosette CPT 85461 | $76.70 | $118.00 | $8.33 – $34.66 | 18 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $67.60 | $104.00 | $16.42 – $71.54 | 18 |
| Fetal non stress test CPT 59025 | $394.55 | $607.00 | $42.56 – $208.77 | 11 |
| #_fet/norfentcnfrmur CPT 80354 | $38.35 | $59.00 | $10.40 – $76.17 | 9 |
| Fibrin degradation d dimer quantitative CPT 85379 | $96.20 | $148.00 | $9.05 – $37.70 | 20 |
| Fibrinogen activity CPT 85384 | $42.90 | $66.00 | $8.65 – $35.99 | 18 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $40.30 | $62.00 | $7.22 – $57.32 | 16 |
| Fibrinolytic antiplasmin CPT 85410 | $63.70 | $98.00 | $6.60 – $28.55 | 18 |
| Fibrinolytic plasminogen CPT 85415 | $66.95 | $103.00 | $14.61 – $63.65 | 18 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $145.60 | $224.00 | $5.81 – $24.18 | 18 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $716.25 | $1,101.92 | $1.03 – $435.00 | 11 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $998.68 | $1,536.43 | $0.36 – $259.20 | 8 |
| Finasteride, 5 mg HCPCS S0138 | $4.87 | $7.50 | $0.22 – $0.22 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $596.05 | $917.00 | $56.99 – $419.79 | 50 |
| Flecainide (tambocor)-sendout CPT 80181 | $131.95 | $203.00 | $15.84 – $69.02 | 18 |
| Flexible Sigmoidoscopy CPT 45330 | $2,252.25 | $3,465.00 | $56.57 – $1,662.68 | 49 |
| Flow cytometry marker each additional CPT 88185 | $79.95 | $123.00 | $15.27 – $76.17 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $188.50 | $290.00 | $15.27 – $472.24 | 18 |
| #flow interp 9 - 15 markers CPT 88188 | $129.35 | $199.00 | $15.27 – $217.44 | 14 |
| Flt3 gene CPT 81245 | $422.50 | $650.00 | $147.22 – $612.88 | 16 |
| Flt3 gene analysis CPT 81246 | $466.70 | $718.00 | $73.83 – $307.35 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $38.02 | $58.50 | $2.39 – $4.48 | 10 |
| Fluidotherapy charges pt CPT 97022 | $93.60 | $144.00 | $14.41 – $20.87 | 13 |
| Fluorescent antibody titer dna CPT 86256 | $172.25 | $265.00 | $10.72 – $44.62 | 27 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $376.35 | $579.00 | $29.27 – $267.92 | 44 |
| Fluoroguide needle placement CPT 77002 | $430.95 | $663.00 | $35.92 – $310.46 | 44 |
| Fluoroscopy up to 1 hour CPT 76000 | $312.00 | $480.00 | $23.30 – $317.33 | 18 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $36.18 | $55.66 | $1.94 – $2.51 | 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.