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 |
|---|---|---|---|---|
| Folic acid CPT 82746 | $114.40 | $176.00 | $13.08 – $54.43 | 25 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $307.83 | $473.59 | $45.00 – $45.00 | 3 |
| Fondaparinux sodium HCPCS J1652 | $97.51 | $150.02 | $3.35 – $5.25 | 10 |
| Foot X-ray CPT 73630 | $365.30 | $562.00 | $21.91 – $115.59 | 18 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $90.84 | $139.75 | $1.38 – $8.00 | 7 |
| _fragile x methylation-sendout CPT 81244 | $209.30 | $322.00 | $39.93 – $166.23 | 18 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,310.10 | $3,554.00 | $960.18 – $1,352.80 | 40 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $190.45 | $293.00 | $61.16 – $93.34 | 10 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $180.05 | $277.00 | $23.50 – $110.66 | 12 |
| Fructosamine glycated protein CPT 82985 | $79.95 | $123.00 | $14.40 – $62.06 | 18 |
| Ftl cgen abnor four anal CPT 81511 | $187.20 | $288.00 | $151.97 – $568.41 | 13 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $8.87 | $13.65 | $0.60 – $0.60 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $350.67 | $539.50 | $38.00 – $38.00 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $599.78 | $922.74 | $214.60 – $214.60 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $126.10 | $194.00 | $17.91 – $78.02 | 18 |
| Galactose transferase test CPT 82776 | $8.45 | $13.00 | $10.44 – $43.47 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $9,589.79 | $14,753.53 | $601.42 – $12,352.94 | 54 |
| Gammaglobulin iga CPT 82784 | $102.70 | $158.00 | $8.27 – $34.44 | 24 |
| Gammaglobulin ige CPT 82785 | $56.55 | $87.00 | $13.99 – $60.95 | 19 |
| Gamma glutamyltransferase CPT 82977 | $53.95 | $83.00 | $6.40 – $26.66 | 18 |
| Gamunex-c/gammaked HCPCS J1561 | $13,941.20 | $21,448.00 | $50.60 – $140.24 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $410.97 | $632.26 | $28.74 – $57.85 | 10 |
| Gardner vag dna quant CPT 87512 | $112.45 | $173.00 | $35.50 – $154.64 | 15 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $15.26 | $23.48 | $2.17 – $3.83 | 10 |
| Gentamicin peak therapeutic drug level CPT 80170 | $209.30 | $322.00 | $14.57 – $60.66 | 18 |
| Ghs abscess perianal iandd CPT 46050 | $8,103.50 | $12,466.93 | $94.91 – $1,900.20 | 40 |
| Ghs abscess postoperative iandd complex CPT 10180 | $516.75 | $795.00 | $175.89 – $3,757.35 | 46 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $52.65 | $81.00 | $8.73 – $36.33 | 18 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $200.20 | $308.00 | $90.96 – $378.67 | 16 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $275.60 | $424.00 | $16.67 – $169.23 | 47 |
| Ghs antibodies (torch) igm CPT 86694 | $112.45 | $173.00 | $12.23 – $53.29 | 18 |
| Ghs bladder cath - complex-foley CPT 51703 | $291.20 | $448.00 | $78.98 – $205.41 | 46 |
| Ghs bleeding time (ivy) CPT 85002 | $62.40 | $96.00 | $4.10 – $17.85 | 18 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,158.97 | $1,783.03 | $95.35 – $1,807.26 | 49 |
| Ghs change cysto/gastrost CPT 43762 | $582.40 | $896.00 | $38.92 – $258.01 | 22 |
| Ghs chemo IV push, ea addtl CPT 96411 | $248.30 | $382.00 | $42.83 – $93.45 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $134.55 | $207.00 | $29.83 – $129.94 | 18 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $461.50 | $710.00 | $204.50 – $300.73 | 46 |
| Ghs closed reduction ankle dislocation CPT 27840 | $795.60 | $1,224.00 | $204.50 – $561.93 | 46 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,254.50 | $1,930.00 | $415.72 – $2,101.05 | 46 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,212.25 | $1,865.00 | $486.36 – $2,101.05 | 46 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,543.10 | $2,374.00 | $699.30 – $3,659.48 | 46 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,049.75 | $1,615.00 | $491.58 – $2,101.05 | 46 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $797.55 | $1,227.00 | $204.50 – $571.54 | 46 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $554.45 | $853.00 | $204.50 – $360.81 | 46 |
| Ghs community re-entry 15 minutes CPT 97537 | $82.55 | $127.00 | $4.85 – $40.00 | 5 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $119.60 | $184.00 | $33.66 – $523.86 | 46 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $128.05 | $197.00 | $25.20 – $169.23 | 46 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $185.25 | $285.00 | $41.70 – $523.86 | 46 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $190.45 | $293.00 | $51.47 – $169.23 | 46 |
| Ghs dislocation elbow closed treatment CPT 24600 | $746.20 | $1,148.00 | $204.50 – $398.03 | 46 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $272.35 | $419.00 | $93.73 – $936.61 | 45 |
| Ghs excision ingrown nail CPT 11765 | $208.00 | $320.00 | $91.37 – $524.51 | 46 |
| Ghs fb removal from muscle - complicated CPT 20525 | $780.65 | $1,201.00 | $227.26 – $5,935.26 | 38 |
| Ghs fb removal - incisional CPT 10121 | $467.35 | $719.00 | $184.66 – $2,127.08 | 46 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $57.85 | $89.00 | $5.93 – $25.85 | 27 |
| Ghs fish cytogen CPT 88271 | $284.05 | $437.00 | $19.05 – $79.32 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $112.45 | $173.00 | $45.53 – $189.56 | 18 |
| Ghs gastric intub aspiration lavage CPT 43753 | $283.40 | $436.00 | $19.11 – $408.81 | 10 |
| Ghs hgb stability-thal CPT 83068 | $92.95 | $143.00 | $8.42 – $35.07 | 27 |
| Ghs histoplasma antigen CPT 87385 | $159.25 | $245.00 | $11.26 – $49.06 | 18 |
| Ghs HIV antibody CPT 86703 | $95.55 | $147.00 | $7.91 – $50.77 | 18 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $578.50 | $890.00 | $215.16 – $2,689.32 | 46 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $915.85 | $1,409.00 | $414.76 – $2,306.48 | 46 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $515.45 | $793.00 | $168.87 – $731.26 | 46 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $293.80 | $452.00 | $100.01 – $731.26 | 46 |
| Ghs immun0electrophoresis CPT 86320 | $134.55 | $207.00 | $26.61 – $110.79 | 18 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $364.65 | $561.00 | $106.27 – $258.01 | 46 |
| Ghs inhibitor screen CPT 85335 | $204.10 | $314.00 | $11.08 – $47.66 | 27 |
| Ghs init tx 1st degree burn CPT 16000 | $170.30 | $262.00 | $46.93 – $260.86 | 46 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $572.00 | $880.00 | $174.54 – $988.40 | 46 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,158.97 | $1,783.03 | $90.21 – $1,807.26 | 40 |
| Ghs inj tendon origin/insertion CPT 20551 | $280.15 | $431.00 | $39.84 – $627.20 | 50 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $2,567.54 | $3,950.06 | $63.78 – $1,807.26 | 49 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,890.87 | $4,447.49 | $131.90 – $1,807.26 | 49 |
| Ghs insertion of needle - bone CPT 36680 | $243.10 | $374.00 | $52.69 – $523.86 | 46 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $764.40 | $1,176.00 | $228.42 – $419.79 | 46 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $757.25 | $1,165.00 | $280.63 – $763.21 | 46 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $12,478.99 | $19,198.44 | $302.21 – $4,215.94 | 40 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $488.15 | $751.00 | $136.57 – $327.80 | 46 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $105.30 | $162.00 | $15.83 – $48.36 | 5 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $408.85 | $629.00 | $151.53 – $523.86 | 46 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $4,295.05 | $6,607.77 | $148.17 – $830.64 | 52 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $497.90 | $766.00 | $148.25 – $524.51 | 46 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $535.60 | $824.00 | $169.65 – $419.79 | 46 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $618.15 | $951.00 | $170.49 – $419.79 | 46 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $570.70 | $878.00 | $170.49 – $419.79 | 46 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $718.90 | $1,106.00 | $170.49 – $419.79 | 46 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $8,351.17 | $12,847.96 | $176.16 – $830.64 | 40 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $588.90 | $906.00 | $214.26 – $763.21 | 46 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $776.10 | $1,194.00 | $222.41 – $524.51 | 46 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $635.05 | $977.00 | $266.46 – $763.21 | 46 |
| Ghs mbp CPT 83873 | $140.40 | $216.00 | $15.30 – $63.69 | 18 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $159.90 | $246.00 | $25.63 – $52.17 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $95.55 | $147.00 | $73.98 – $109.83 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $169.00 | $260.00 | $66.84 – $96.66 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $146.25 | $225.00 | $9.58 – $11.55 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $131.30 | $202.00 | $52.85 – $77.86 | 16 |
| Ghs musc test done w/n test comp CPT 95886 | $301.60 | $464.00 | $56.86 – $108.07 | 42 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $287.30 | $442.00 | $52.54 – $68.48 | 42 |
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.