Mercy Hospital Stoddard
1200 N One Mile Rd, Dexter, MO · Mercy · · NPI 1801990825
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 |
|---|---|---|---|---|
| 3d recon without postprocess indpndt CPT 76376 | $215.15 | $331.00 | $13.67 – $13.67 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,128.29 | $4,812.75 | $43.87 – $3,892.88 | 43 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $82.55 | $127.00 | $10.81 – $42.04 | 53 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,148.25 | $3,305.00 | $151.76 – $1,127.17 | 49 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,329.90 | $2,046.00 | $151.76 – $1,127.17 | 49 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,075.10 | $1,654.00 | $90.66 – $671.83 | 49 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| Abdominal MRI (with contrast) CPT 74182 | $1,450.15 | $2,231.00 | $304.45 – $2,241.93 | 49 |
| Abdominal MRI (without contrast) CPT 74181 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| Abdominal Ultrasound (complete) CPT 76700 | $583.70 | $898.00 | $90.66 – $671.83 | 49 |
| Abdominal Ultrasound (limited) CPT 76705 | $474.50 | $730.00 | $90.66 – $671.83 | 49 |
| Acetaminophen level CPT 80143 | $158.60 | $244.00 | $16.78 – $65.24 | 52 |
| Acetone qualitative CPT 82009 | $66.95 | $103.00 | $4.07 – $15.82 | 53 |
| Acetylcholine receptor modulating antibody CPT 86043 | $39.65 | $61.00 | $10.85 – $42.18 | 52 |
| Acute hepatitis panel CPT 80074 | $285.35 | $439.00 | $42.87 – $166.71 | 53 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $16.90 | $26.00 | $60.68 – $462.70 | 49 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $65.65 | $101.00 | $60.68 – $462.70 | 49 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $728.00 | $1,120.00 | $282.76 – $2,122.61 | 49 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $343.20 | $528.00 | $90.15 – $2,122.61 | 49 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $105.95 | $163.00 | $60.68 – $462.70 | 49 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $132.60 | $204.00 | $60.68 – $462.70 | 49 |
| Administration immunization 1 vaccine CPT 90471 | $76.05 | $117.00 | $19.54 – $462.70 | 48 |
| Administration immunization each additional component CPT 90461 | $25.35 | $39.00 | $8.23 – $29.37 | 41 |
| Administration immunization each additional vaccine CPT 90472 | $63.70 | $98.00 | $14.34 – $14.34 | 1 |
| Administration immunization first component each vaccine CPT 90460 | $36.40 | $56.00 | $20.99 – $74.90 | 41 |
| Administration vaccine hepatitis b HCPCS G0010 | $59.80 | $92.00 | $46.01 – $300.90 | 43 |
| Administration vaccine influenza virus HCPCS G0008 | $76.05 | $117.00 | $46.01 – $300.90 | 43 |
| Administration vaccine pneumococcal HCPCS G0009 | $61.75 | $95.00 | $46.01 – $300.90 | 43 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $10,121.53 | $15,571.58 | $41.40 – $14,647.50 | 43 |
| Albumin body fluid quantitative each specimen CPT 82042 | $53.95 | $83.00 | $7.00 – $27.23 | 53 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $190.12 | $292.50 | $52.07 – $130.17 | 40 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $110.50 | $170.00 | $5.20 – $20.23 | 53 |
| Albumin serum plasma or whole blood CPT 82040 | $53.30 | $82.00 | $4.46 – $17.33 | 53 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $193.70 | $298.00 | $15.54 – $60.45 | 52 |
| Alkaline phosphatase CPT 84075 | $48.75 | $75.00 | $4.66 – $18.13 | 53 |
| Allergen alpha lactalbumin ige CPT 86008 | $48.75 | $75.00 | $16.14 – $62.76 | 53 |
| Allergen egg white ige CPT 86003 | $42.90 | $66.00 | $4.70 – $18.27 | 53 |
| Alpha-fetoprotein tumor marker CPT 82105 | $156.65 | $241.00 | $15.09 – $58.70 | 53 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $17,160.70 | $26,401.08 | $93.28 – $659.05 | 43 |
| Alt/sgpt CPT 84460 | $51.35 | $79.00 | $4.77 – $18.55 | 53 |
| Ammonia CPT 82140 | $97.50 | $150.00 | $13.11 – $51.00 | 53 |
| Amylase CPT 82150 | $73.45 | $113.00 | $5.83 – $22.68 | 53 |
| Analysis gene f2 20210g>a variant CPT 81240 | $204.10 | $314.00 | $59.12 – $229.92 | 53 |
| Analysis gene f5 leiden variant CPT 81241 | $252.85 | $389.00 | $66.03 – $256.80 | 53 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $44.85 | $69.00 | $31.58 – $122.82 | 52 |
| Anca screen with reflex to titer -quest CPT 86021 | $37.70 | $58.00 | $13.55 – $52.68 | 53 |
| Ankle X-ray CPT 73610 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| Anodyne therapy charges pt CPT 97026 | $17.55 | $27.00 | $5.91 – $21.35 | 48 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $35.10 | $54.00 | $11.59 – $45.08 | 53 |
| Antibody elution rbc reference CPT 86860 | $83.20 | $128.00 | $80.06 – $1,094.86 | 49 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $93.60 | $144.00 | $16.53 – $64.30 | 53 |
| Antibody id rbc panel CPT 86870 | $153.40 | $236.00 | $109.95 – $2,303.45 | 49 |
| Antibody screen rbc CPT 86850 | $82.55 | $127.00 | $16.12 – $334.88 | 53 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $39.00 | $60.00 | $10.85 – $42.18 | 52 |
| Antinuclear antibodies CPT 86038 | $128.05 | $197.00 | $10.88 – $42.32 | 53 |
| Antinuclear antibodies titer CPT 86039 | $80.60 | $124.00 | $10.04 – $39.06 | 53 |
| Antiphosphatidylserine antibody CPT 86148 | $249.60 | $384.00 | $14.46 – $56.25 | 51 |
| Antistreptolysin o titer CPT 86060 | $91.00 | $140.00 | $6.57 – $25.55 | 53 |
| Antithrombin iii activity CPT 85300 | $413.40 | $636.00 | $10.67 – $41.48 | 53 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $35.75 | $55.00 | $5.36 – $19.32 | 48 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $979.52 | $1,506.96 | $1.66 – $805.35 | 43 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $93.60 | $144.00 | $32.00 – $120.33 | 48 |
| Assay of osteocalcin CPT 83937 | $167.70 | $258.00 | $26.87 – $104.48 | 53 |
| Assay of salicylate CPT 80179 | $107.25 | $165.00 | $16.78 – $65.24 | 52 |
| Assay of tyrosine CPT 84510 | $34.45 | $53.00 | $9.57 – $37.21 | 53 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $210.60 | $324.00 | $82.89 – $323.75 | 46 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $63.05 | $97.00 | $3.84 – $14.95 | 53 |
| Ast/sgot CPT 84450 | $45.50 | $70.00 | $4.66 – $18.13 | 53 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $29,104.33 | $44,775.90 | $92.21 – $26,759.88 | 43 |
| Bacterial vaginosis pcr CPT 87801 | $40.95 | $63.00 | $63.18 – $245.70 | 53 |
| B cells total count CPT 86355 | $217.10 | $334.00 | $33.96 – $132.06 | 53 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $5,373.15 | $8,266.39 | $56.10 – $2,352.42 | 43 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $860.92 | $1,324.50 | $2.12 – $161.88 | 43 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $113.75 | $175.00 | $22.91 – $89.08 | 53 |
| Beta-2 microglobulin CPT 82232 | $91.00 | $140.00 | $14.56 – $56.63 | 53 |
| Beta-amyloid 1-40 CPT 82233 | $378.95 | $583.00 | $126.47 – $451.22 | 39 |
| Beta-amyloid 1-42 CPT 82234 | $378.95 | $583.00 | $126.47 – $451.22 | 39 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,708.52 | $2,628.50 | $23.28 – $1,009.75 | 43 |
| Bilirubin direct CPT 82248 | $50.05 | $77.00 | $4.52 – $17.57 | 53 |
| Bilirubin total CPT 82247 | $70.20 | $108.00 | $4.52 – $17.57 | 53 |
| Biotinidase - quest CPT 82261 | $31.20 | $48.00 | $15.18 – $59.05 | 53 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $533.65 | $821.00 | $25.08 – $1,605.57 | 48 |
| Bld push tfuj 2 yr/< CPT 36440 | $1,790.10 | $2,754.00 | $372.69 – $2,705.37 | 46 |
| Blood Clotting (PT/INR) Test CPT 85610 | $45.50 | $70.00 | $3.86 – $15.02 | 53 |
| Blood Clotting (PTT) Test CPT 85730 | $59.15 | $91.00 | $5.41 – $21.04 | 53 |
| Blood Count (CBC) Test CPT 85025 | $92.95 | $143.00 | $6.99 – $27.20 | 53 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $27.95 | $43.00 | $5.82 – $22.65 | 53 |
| Blood Culture Test CPT 87040 | $96.85 | $149.00 | $9.29 – $36.12 | 53 |
| Blood draw capillary 36416 CPT 36416 | $130.65 | $201.00 | $4.52 – $17.57 | 50 |
| Blood gases ph venous CPT 82800 | $21.45 | $33.00 | $9.90 – $38.50 | 53 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.20 | $88.00 | $14.33 – $55.72 | 53 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $32.50 | $50.00 | $3.81 – $14.81 | 53 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $47.45 | $73.00 | $3.94 – $15.33 | 53 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $36.40 | $56.00 | $4.79 – $18.62 | 51 |
| Blood typing abo CPT 86900 | $37.70 | $58.00 | $4.93 – $855.03 | 53 |
| Blood typing ag donor ea ag CPT 86902 | $284.05 | $437.00 | $6.23 – $2,303.45 | 53 |
| Blood typing patient serum CPT 86904 | $57.85 | $89.00 | $26.96 – $379.10 | 53 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $51.35 | $79.00 | $3.76 – $2,303.45 | 53 |
| Blood typing rh (d) CPT 86901 | $39.00 | $60.00 | $4.93 – $240.01 | 53 |
| Blood typing rh phenotype complete reference CPT 86906 | $85.15 | $131.00 | $7.60 – $240.01 | 53 |
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.