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 |
|---|---|---|---|---|
| X-ray facial bones complete > 3 views CPT 70150 | $291.85 | $449.00 | $90.66 – $671.83 | 49 |
| X-ray femur >=2 views (both sides) CPT 73552 | $310.70 | $478.00 | $75.06 – $559.25 | 49 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $310.70 | $478.00 | $75.06 – $559.25 | 49 |
| X-ray foot 2 views (both sides) CPT 73620 | $252.85 | $389.00 | $75.06 – $559.25 | 49 |
| X-ray forearm 2 views (both sides) CPT 73090 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| X-ray hand 2 views (both sides) CPT 73120 | $234.00 | $360.00 | $90.66 – $671.83 | 49 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $260.00 | $400.00 | $75.06 – $559.25 | 49 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $306.80 | $472.00 | $90.66 – $671.83 | 49 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $273.00 | $420.00 | $21.04 – $559.25 | 49 |
| X-ray humerus >= 2 views left CPT 73060 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $260.00 | $400.00 | $75.06 – $559.25 | 49 |
| X-ray knee 3 views (both sides) CPT 73562 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| X-ray knee ap standing bilateral CPT 73565 | $117.00 | $180.00 | $28.70 – $559.25 | 49 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $373.10 | $574.00 | $90.66 – $671.83 | 49 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $326.95 | $503.00 | $90.66 – $671.83 | 49 |
| X-ray mandible complete > 4 views CPT 70110 | $249.60 | $384.00 | $90.66 – $671.83 | 49 |
| X-ray mandible ltd <4 views CPT 70100 | $191.10 | $294.00 | $26.72 – $559.25 | 49 |
| X-ray nasal bones complete > 3 views CPT 70160 | $249.60 | $384.00 | $75.06 – $559.25 | 49 |
| X-ray neck soft tissue CPT 70360 | $179.40 | $276.00 | $75.06 – $559.25 | 49 |
| X-ray optic foramina CPT 70190 | $232.05 | $357.00 | $75.06 – $533.66 | 47 |
| X-ray pelvis 1-2 views CPT 72170 | $148.85 | $229.00 | $90.66 – $671.83 | 49 |
| X-ray pelvis complete > 3 views CPT 72190 | $217.75 | $335.00 | $90.66 – $671.83 | 49 |
| X-ray ribs 2 views left CPT 71100 | $141.70 | $218.00 | $75.06 – $559.25 | 49 |
| X-ray ribs 3 views bilateral CPT 71110 | $306.80 | $472.00 | $90.66 – $671.83 | 49 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $280.80 | $432.00 | $90.66 – $671.83 | 49 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $327.60 | $504.00 | $90.66 – $671.83 | 49 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $202.80 | $312.00 | $90.66 – $671.83 | 49 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $280.15 | $431.00 | $75.06 – $559.25 | 49 |
| X-ray scapula complete (both sides) CPT 73010 | $417.95 | $643.00 | $90.66 – $671.83 | 49 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $245.05 | $377.00 | $12.24 – $533.66 | 47 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $241.80 | $372.00 | $75.06 – $559.25 | 49 |
| X-ray skull < 4 views CPT 70250 | $229.45 | $353.00 | $90.66 – $671.83 | 49 |
| X-ray skull > 4 views complete CPT 70260 | $306.80 | $472.00 | $90.66 – $671.83 | 49 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $396.50 | $610.00 | $151.76 – $1,127.17 | 49 |
| X-ray spine single view CPT 72020 | $134.55 | $207.00 | $75.06 – $559.25 | 49 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $183.30 | $282.00 | $26.44 – $559.25 | 49 |
| X-ray sternum > 2 views CPT 71120 | $209.30 | $322.00 | $75.06 – $559.25 | 49 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $388.05 | $597.00 | $81.22 – $1,127.17 | 49 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $280.80 | $432.00 | $35.81 – $559.25 | 49 |
| X-ray thoracic spine 2 views CPT 72070 | $249.60 | $384.00 | $90.66 – $671.83 | 49 |
| X-ray thoracic spine 3 views CPT 72072 | $295.75 | $455.00 | $90.66 – $671.83 | 49 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $415.35 | $639.00 | $75.06 – $559.25 | 49 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $108.55 | $167.00 | $26.72 – $559.25 | 49 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $304.20 | $468.00 | $90.66 – $671.83 | 49 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $293.80 | $452.00 | $75.06 – $559.25 | 49 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $590.20 | $908.00 | $151.76 – $1,127.17 | 49 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $579.15 | $891.00 | $151.76 – $1,127.17 | 49 |
| X-ray wrist 2 views (both sides) CPT 73100 | $214.50 | $330.00 | $75.06 – $559.25 | 49 |
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.