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 |
|---|---|---|---|---|
| Bone Density Scan (DEXA) CPT 77080 | $295.10 | $454.00 | $90.66 – $671.83 | 49 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $199.55 | $307.00 | $15.33 – $59.61 | 53 |
| Borrelia miyamotoi amp prb CPT 87478 | $40.95 | $63.00 | $31.58 – $122.82 | 52 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,561.95 | $2,403.00 | $220.99 – $2,241.93 | 49 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,450.15 | $2,231.00 | $145.73 – $2,241.93 | 49 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,337.70 | $2,058.00 | $135.79 – $1,533.30 | 49 |
| Brain MRI (with and without contrast) CPT 70553 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| Brain MRI (with contrast) CPT 70552 | $1,450.15 | $2,231.00 | $159.07 – $2,241.93 | 49 |
| Brain MRI (without contrast) CPT 70551 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| Bundled special stain group 1 microorganisms CPT 88312 | $66.95 | $103.00 | $45.55 – $334.88 | 49 |
| Bundled special stain group 2 CPT 88313 | $129.35 | $199.00 | $59.08 – $855.03 | 49 |
| C1 esterase inhibitor func - sendout CPT 86161 | $128.70 | $198.00 | $10.80 – $42.00 | 53 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $27,642.81 | $42,527.40 | $226.66 – $47,691.00 | 43 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,950.00 | $3,000.00 | $1,420.86 – $2,925.30 | 3 |
| Calcium 24 hour urine CPT 82340 | $79.30 | $122.00 | $5.43 – $21.11 | 53 |
| Calcium ionized CPT 82330 | $170.30 | $262.00 | $12.31 – $47.88 | 53 |
| Calcium total CPT 82310 | $48.75 | $75.00 | $4.64 – $18.06 | 53 |
| Calculi urinary-sendout CPT 82360 | $135.20 | $208.00 | $11.58 – $45.05 | 53 |
| Calprotectin fecal CPT 83993 | $416.00 | $640.00 | $17.67 – $68.71 | 53 |
| Candida dna CPT 87480 | $59.80 | $92.00 | $18.05 – $70.18 | 53 |
| Carbamazepine total therapeutic drug level CPT 80156 | $162.50 | $250.00 | $13.11 – $51.00 | 53 |
| Carbon dioxide CPT 82374 | $54.60 | $84.00 | $4.39 – $17.08 | 53 |
| Carboxyhemoglobin quantitative CPT 82375 | $66.95 | $103.00 | $11.09 – $43.12 | 53 |
| Carcinoembryonic ag (cea) CPT 82378 | $191.75 | $295.00 | $17.06 – $66.36 | 53 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $451.10 | $694.00 | $211.09 – $8,319.73 | 49 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $153.40 | $236.00 | $107.33 – $828.40 | 49 |
| Cardiolipin antibody iga CPT 86147 | $134.55 | $207.00 | $22.91 – $89.08 | 53 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,222.65 | $1,881.00 | $90.03 – $4,247.35 | 49 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $9,233.23 | $14,204.97 | $55.17 – $1,928.15 | 43 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $735.80 | $1,132.00 | $206.06 – $1,533.30 | 49 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $105.30 | $162.00 | $7.31 – $32.69 | 53 |
| Ceftazidime and avibactam HCPCS J0714 | $921.34 | $1,417.44 | $102.76 – $1,469.30 | 43 |
| Cell count body fluid CPT 89050 | $42.90 | $66.00 | $4.25 – $16.52 | 53 |
| Cell count w differential body fluid CPT 89051 | $81.25 | $125.00 | $5.04 – $19.60 | 53 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $27,636.02 | $42,516.95 | $29.20 – $35,157.50 | 43 |
| Chemo extend IV infus w/pump HCPCS G0498 | $634.40 | $976.00 | $282.76 – $2,122.61 | 49 |
| Chest 2 vws w oblique CPT 71048 | $254.80 | $392.00 | $25.87 – $671.83 | 49 |
| Chest apical lordotic proj CPT 71047 | $141.05 | $217.00 | $24.16 – $559.25 | 49 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,313.65 | $2,021.00 | $151.76 – $1,127.17 | 49 |
| Chest CT scan (with contrast) CPT 71260 | $1,300.65 | $2,001.00 | $151.76 – $1,127.17 | 49 |
| Chest CT scan (without contrast) CPT 71250 | $1,075.10 | $1,654.00 | $90.66 – $671.83 | 49 |
| Chest X-ray CPT 71046 | $156.00 | $240.00 | $75.06 – $559.25 | 49 |
| Chest X-ray (single view) CPT 71045 | $117.00 | $180.00 | $75.06 – $559.25 | 49 |
| Chg pr pul rehab for copd patients CPT 94626 | $284.05 | $437.00 | $50.63 – $379.10 | 48 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $646.10 | $994.00 | $151.76 – $1,127.17 | 49 |
| Chloride CPT 82435 | $70.20 | $108.00 | $4.14 – $16.10 | 53 |
| Chloride 24 hour urine CPT 82436 | $39.65 | $61.00 | $5.18 – $20.13 | 53 |
| Cholesterol CPT 82465 | $53.30 | $82.00 | $3.92 – $15.23 | 53 |
| Cholesterol (Lipid) Test CPT 80061 | $140.40 | $216.00 | $12.05 – $46.87 | 53 |
| Chromatography CPT 83021 | $87.10 | $134.00 | $16.25 – $63.21 | 53 |
| Chromo high res and frag x - sendout CPT 81243 | $270.40 | $416.00 | $51.34 – $199.64 | 53 |
| Chromosome analysis 15-20 cell count CPT 88262 | $581.10 | $894.00 | $112.94 – $439.22 | 53 |
| Chronic urticaria - sendout CPT 86343 | $52.00 | $80.00 | $11.21 – $43.61 | 53 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $617.17 | $949.50 | $8.56 – $340.55 | 43 |
| Clearance of airways CPT 31720 | $59.15 | $91.00 | $43.62 – $1,407.20 | 48 |
| Co2 monitor per day CPT 94681 | $81.25 | $125.00 | $34.42 – $2,397.98 | 49 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $3,271.83 | $5,033.59 | $25.87 – $855.03 | 49 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $928.20 | $1,428.00 | $28.70 – $855.03 | 49 |
| Collection of venous blood by venipuncture CPT 36415 | $635.05 | $977.00 | $7.31 – $90.93 | 54 |
| Colonoscopy (diagnostic) CPT 45378 | $5,510.84 | $8,478.21 | $155.90 – $5,976.15 | 45 |
| Colonoscopy submucous njx CPT 45381 | $6,622.69 | $10,188.75 | $168.33 – $7,689.88 | 49 |
| Colonoscopy (with biopsy) CPT 45380 | $5,976.11 | $9,194.01 | $168.33 – $7,689.88 | 49 |
| Colonoscopy (with polyp removal) CPT 45385 | $6,017.71 | $9,258.01 | $212.04 – $7,689.88 | 49 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $105.95 | $163.00 | $94.99 – $1,094.86 | 49 |
| Compatibility test each unit immediate spin technique CPT 86920 | $114.40 | $176.00 | $88.84 – $1,094.86 | 49 |
| Compatibility test incubate CPT 86921 | $66.95 | $103.00 | $80.06 – $1,094.86 | 49 |
| Complement antigen each component c3 CPT 86160 | $240.50 | $370.00 | $10.80 – $42.00 | 53 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,060.50 | $3,170.00 | $342.80 – $2,241.93 | 43 |
| Concentration infection agents any type CPT 87015 | $45.50 | $70.00 | $6.01 – $23.38 | 53 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $7,351.64 | $11,310.21 | $25.30 – $7,689.88 | 49 |
| Coombs direct CPT 86880 | $117.00 | $180.00 | $8.89 – $379.10 | 53 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $26.65 | $41.00 | $5.61 – $1,094.86 | 53 |
| Cortisol total am CPT 82533 | $166.40 | $256.00 | $14.67 – $57.05 | 53 |
| Counseling smoke cess interm >10mins CPT 99407 | $66.30 | $102.00 | $21.15 – $240.75 | 48 |
| #covid19rsv-rsv CPT 87634 | $137.15 | $211.00 | $63.18 – $245.70 | 53 |
| C-peptide CPT 84681 | $173.55 | $267.00 | $18.73 – $72.84 | 53 |
| C-reactive protein CPT 86140 | $82.55 | $127.00 | $4.66 – $18.13 | 53 |
| C-reactive protein high sensitivity CPT 86141 | $14.30 | $22.00 | $11.66 – $45.33 | 53 |
| Creatine kinase CPT 82550 | $74.75 | $115.00 | $5.86 – $22.79 | 53 |
| Creatine kinase mb CPT 82553 | $115.05 | $177.00 | $10.40 – $40.43 | 53 |
| Creatinine CPT 82565 | $53.30 | $82.00 | $4.61 – $17.92 | 53 |
| Creatinine 24 hour urine CPT 82570 | $120.25 | $185.00 | $4.66 – $18.13 | 53 |
| Creatinine clearance urine CPT 82575 | $105.30 | $162.00 | $8.51 – $33.11 | 53 |
| #creutz-prot.,western blot CPT 84182 | $130.65 | $201.00 | $26.29 – $102.24 | 53 |
| Critical care 30-74 minutes CPT 99291 | $804.05 | $1,237.00 | $718.31 – $5,065.40 | 46 |
| Crotalidae poly immune fab HCPCS J0840 | $6,236.10 | $9,594.00 | $1,806.04 – $6,513.96 | 41 |
| Crystal identification light microscopy CPT 89060 | $16.25 | $25.00 | $6.60 – $25.66 | 53 |
| CT 3d report other modality w/workstation CPT 76377 | $612.95 | $943.00 | $35.55 – $35.55 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,403.35 | $2,159.00 | $151.76 – $1,127.17 | 49 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,328.95 | $3,583.00 | $151.76 – $1,127.17 | 49 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,385.50 | $3,670.00 | $151.76 – $1,127.17 | 49 |
| Cta neck without &/or w/contrast CPT 70498 | $1,403.35 | $2,159.00 | $151.76 – $1,127.17 | 49 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,949.05 | $4,537.00 | $304.45 – $2,241.93 | 49 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,148.25 | $3,305.00 | $151.76 – $1,127.17 | 49 |
| CT Angiogram of the Head CPT 70496 | $1,403.35 | $2,159.00 | $151.76 – $1,127.17 | 49 |
| CT angio hrt w/3d image CPT 75574 | $2,257.45 | $3,473.00 | $182.95 – $2,241.93 | 49 |
| CT angio pelvis CPT 72191 | $1,403.35 | $2,159.00 | $151.76 – $1,127.17 | 49 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $171.60 | $264.00 | $61.95 – $559.25 | 49 |
| CT limited or localized follow-up study CPT 76380 | $587.60 | $904.00 | $74.41 – $559.25 | 49 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,900.60 | $2,924.00 | $95.74 – $1,127.17 | 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.