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 |
|---|---|---|---|---|
| CT lower extremity without contrast (both sides) CPT 73700 | $1,744.60 | $2,684.00 | $90.66 – $671.83 | 49 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,403.70 | $3,698.00 | $118.16 – $1,127.17 | 49 |
| CT neck soft tissue w/contrast CPT 70491 | $1,262.95 | $1,943.00 | $151.76 – $1,127.17 | 49 |
| CT neck soft tissue without contrast CPT 70490 | $1,147.90 | $1,766.00 | $90.66 – $671.83 | 49 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,403.35 | $2,159.00 | $151.76 – $1,127.17 | 49 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,403.35 | $2,159.00 | $151.76 – $1,127.17 | 49 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,329.90 | $2,046.00 | $108.51 – $1,127.17 | 49 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,065.35 | $1,639.00 | $90.66 – $671.83 | 49 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,525.25 | $3,885.00 | $304.45 – $2,241.93 | 49 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,374.45 | $3,653.00 | $304.45 – $2,241.93 | 49 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,148.25 | $3,305.00 | $206.06 – $1,533.30 | 49 |
| CT thoracic spine w/contrast CPT 72129 | $1,329.90 | $2,046.00 | $96.30 – $1,127.17 | 49 |
| CT thoracic spine without contrast CPT 72128 | $1,168.70 | $1,798.00 | $90.66 – $671.83 | 49 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $237.90 | $366.00 | $90.66 – $671.83 | 48 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,260.70 | $3,478.00 | $124.12 – $2,241.93 | 49 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,744.60 | $2,684.00 | $90.66 – $671.83 | 49 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,403.70 | $3,698.00 | $151.76 – $1,127.17 | 49 |
| Culture aerobic additional method definitive id each CPT 87077 | $74.75 | $115.00 | $7.27 – $28.28 | 53 |
| Culture afb any source CPT 87116 | $139.75 | $215.00 | $9.72 – $37.80 | 53 |
| Culture anaerobic additional method definitive id each CPT 87076 | $135.85 | $209.00 | $7.27 – $28.28 | 53 |
| Culture anaerobic except blood CPT 87075 | $172.90 | $266.00 | $8.52 – $33.15 | 53 |
| Culture body fluid CPT 87070 | $139.10 | $214.00 | $7.76 – $30.17 | 53 |
| Culture fungi definitive id mold CPT 87107 | $43.55 | $67.00 | $9.29 – $36.12 | 53 |
| Culture fungi definitive id yeast CPT 87106 | $111.15 | $171.00 | $9.29 – $36.12 | 53 |
| Culture fungi other (except blood) CPT 87102 | $152.75 | $235.00 | $7.57 – $29.44 | 53 |
| Culture fungi skin/hair/nail CPT 87101 | $125.45 | $193.00 | $6.94 – $26.99 | 53 |
| Culture mycoplasma any source CPT 87109 | $63.05 | $97.00 | $13.85 – $53.87 | 51 |
| Culture screening strep group a CPT 87081 | $64.35 | $99.00 | $5.97 – $23.21 | 53 |
| Culture typing immunologic CPT 87147 | $16.25 | $25.00 | $4.66 – $18.13 | 53 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $488.80 | $752.00 | $196.25 – $763.21 | 52 |
| Culture urine each isolate CPT 87088 | $102.70 | $158.00 | $7.28 – $28.32 | 53 |
| Cyclic citrullinated peptide antibody CPT 86200 | $170.95 | $263.00 | $11.66 – $45.33 | 53 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,187.92 | $1,827.57 | $0.76 – $217.00 | 43 |
| Cyclosporine 2 hour CPT 80158 | $269.75 | $415.00 | $16.25 – $63.18 | 53 |
| Cystatin c CPT 82610 | $107.90 | $166.00 | $16.67 – $64.82 | 53 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $107.25 | $165.00 | $12.95 – $50.37 | 53 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $105.95 | $163.00 | $15.17 – $58.98 | 53 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $49.40 | $76.00 | $23.95 – $93.14 | 53 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,469.30 | $5,337.39 | $14.72 – $5,442.50 | 43 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $27,400.17 | $42,154.11 | $53.99 – $34,442.10 | 43 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $7,546.50 | $11,610.00 | $3.01 – $1,050.00 | 43 |
| Dch validity tests CPT 81002 | $3.90 | $6.00 | $3.13 – $12.18 | 53 |
| Deamidated gliadin antibody iga CPT 86258 | $34.45 | $53.00 | $10.85 – $42.18 | 52 |
| Debridement (>20 cm) charge pt CPT 97598 | $332.15 | $511.00 | $20.90 – $20.90 | 1 |
| Decalcification CPT 88311 | $15.60 | $24.00 | $7.13 – $21.98 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $31,926.24 | $49,117.29 | $32.43 – $2,122.61 | 49 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $27.95 | $43.00 | $17.11 – $1,407.20 | 48 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,668.80 | $13,336.62 | $28.95 – $6,140.40 | 43 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $16.98 | $26.12 | $6.61 – $13.62 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $156.00 | $240.00 | $19.05 – $559.25 | 49 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $842.89 | $1,296.75 | $48.79 – $224.63 | 43 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $176.80 | $272.00 | $20.01 – $77.81 | 53 |
| Diabetes (HbA1c) Test CPT 83036 | $87.10 | $134.00 | $8.74 – $33.99 | 53 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $176.15 | $271.00 | $94.03 – $387.45 | 49 |
| Diagnostic Mammogram (one breast) CPT 77065 | $246.35 | $379.00 | $73.27 – $303.95 | 49 |
| Digoxin total therapeutic drug level CPT 80162 | $129.35 | $199.00 | $11.95 – $46.48 | 53 |
| Disaccharidases CPT 82657 | $15.60 | $24.00 | $19.95 – $77.60 | 53 |
| Dna antibody native/double stranded CPT 86225 | $87.75 | $135.00 | $12.37 – $48.09 | 53 |
| Dna gardnerella CPT 87510 | $59.80 | $92.00 | $18.05 – $70.18 | 53 |
| Dna trichomonas CPT 87660 | $59.80 | $92.00 | $18.05 – $70.18 | 53 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $905.45 | $1,393.00 | $109.89 – $855.03 | 49 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $864.24 | $1,329.60 | $70.50 – $764.96 | 43 |
| Drug of abuse screen urine CPT 80305 | $92.30 | $142.00 | $11.34 – $44.10 | 53 |
| Drug test prsmv instrmnt CPT 80306 | $191.10 | $294.00 | $15.43 – $59.99 | 53 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $50.05 | $77.00 | $55.93 – $217.49 | 53 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,086.80 | $1,672.00 | $137.50 – $1,533.30 | 49 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $10,737.75 | $16,519.62 | $84.51 – $14,918.75 | 43 |
| Ecg 12 lead tracing only CPT 93005 | $139.75 | $215.00 | $50.63 – $379.10 | 49 |
| Ecg external < 48 hours recording CPT 93225 | $384.80 | $592.00 | $109.89 – $855.03 | 49 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $72.80 | $112.00 | $33.46 – $240.01 | 48 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $118.95 | $183.00 | $33.46 – $240.01 | 48 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $999.05 | $1,537.00 | $467.42 – $3,511.41 | 49 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,495.65 | $2,301.00 | $467.42 – $5,037.63 | 48 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $603.85 | $929.00 | $206.06 – $1,533.30 | 49 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $582.40 | $896.00 | $212.16 – $1,387.59 | 49 |
| Egd guide wire insertion CPT 43248 | $5,750.22 | $8,846.50 | $139.91 – $5,828.49 | 49 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $51.35 | $79.00 | $31.58 – $122.82 | 52 |
| Electrical stimulation/unattended 97014 CPT 97014 | $89.70 | $138.00 | $9.92 – $14.88 | 9 |
| Electrolyte panel CPT 80051 | $85.15 | $131.00 | $6.31 – $24.54 | 53 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,778.81 | $8,890.47 | $7.89 – $8,274.00 | 43 |
| Endoscopy swallow (fees) vid CPT 92612 | $529.75 | $815.00 | $51.81 – $251.36 | 46 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $881.50 | $1,356.16 | $7.73 – $264.95 | 43 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $2,084.55 | $3,207.00 | $7.17 – $268.80 | 43 |
| Epstein barr early antigen antibody CPT 86663 | $15.60 | $24.00 | $11.81 – $45.92 | 53 |
| Epstein barr nuclear antigen antibody CPT 86664 | $198.25 | $305.00 | $13.76 – $53.52 | 53 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $198.25 | $305.00 | $16.33 – $63.49 | 53 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,444.67 | $5,299.50 | $75.30 – $3,660.30 | 43 |
| ER Visit (level 1, minor) CPT 99281 | $40.95 | $63.00 | $10.61 – $541.88 | 49 |
| ER Visit (level 2) CPT 99282 | $204.75 | $315.00 | $38.98 – $986.70 | 49 |
| ER Visit (level 3) CPT 99283 | $448.82 | $690.50 | $67.05 – $1,754.21 | 49 |
| ER Visit (level 4) CPT 99284 | $1,313.00 | $2,020.00 | $114.23 – $2,681.46 | 49 |
| ER Visit (level 5, high severity) CPT 99285 | $3,660.21 | $5,631.10 | $165.56 – $3,827.03 | 49 |
| Esoph egd dilation <30 mm CPT 43249 | $7,716.16 | $11,871.01 | $128.74 – $12,331.34 | 49 |
| Established Patient Office Visit (level 1) CPT 99211 | $180.05 | $277.00 | $7.39 – $26.36 | 41 |
| Established Patient Office Visit (level 2) CPT 99212 | $209.95 | $323.00 | $29.80 – $106.33 | 41 |
| Established Patient Office Visit (level 3) CPT 99213 | $242.45 | $373.00 | $55.06 – $196.46 | 41 |
| Established Patient Office Visit (level 4) CPT 99214 | $635.70 | $978.00 | $81.06 – $289.21 | 41 |
| Established Patient Office Visit (level 5) CPT 99215 | $538.85 | $829.00 | $120.23 – $428.96 | 41 |
| Estradiol total CPT 82670 | $322.40 | $496.00 | $25.15 – $97.79 | 53 |
| Estrogens total-sendout CPT 82672 | $79.30 | $122.00 | $19.53 – $75.95 | 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.