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 |
|---|---|---|---|---|
| Eval aud rehab status/first hr 92626 CPT 92626 | $188.50 | $290.00 | $57.21 – $826.91 | 48 |
| Event monitor CPT 93270 | $117.00 | $180.00 | $31.79 – $239.83 | 49 |
| External chromosome analysis 20-25 cells CPT 88264 | $177.45 | $273.00 | $130.15 – $506.14 | 53 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $177.45 | $273.00 | $129.38 – $503.13 | 53 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $344.50 | $530.00 | $16.14 – $62.76 | 53 |
| Factor ix CPT 85250 | $166.40 | $256.00 | $17.14 – $66.64 | 53 |
| Factor viii CPT 85240 | $73.45 | $113.00 | $16.11 – $62.65 | 53 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,907.23 | $12,164.97 | $30.67 – $10,500.00 | 43 |
| Fat/lipids feces qualitative CPT 82705 | $72.15 | $111.00 | $4.59 – $17.85 | 53 |
| Fatty acids nonesterified CPT 82725 | $78.00 | $120.00 | $16.89 – $65.70 | 53 |
| #fecal-sodium CPT 84302 | $50.05 | $77.00 | $4.37 – $17.01 | 53 |
| Feno poc CPT 95012 | $130.65 | $201.00 | $16.78 – $240.01 | 49 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $228.65 | $351.77 | $1.08 – $199.50 | 43 |
| Ferritin CPT 82728 | $139.75 | $215.00 | $12.27 – $47.71 | 53 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,560.65 | $2,401.00 | $0.22 – $553.35 | 43 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $350.35 | $539.00 | $61.11 – $671.83 | 49 |
| Fibrin degradation d dimer quantitative CPT 85379 | $125.45 | $193.00 | $9.16 – $35.63 | 53 |
| Fibrinogen activity CPT 85384 | $59.15 | $91.00 | $8.75 – $34.02 | 53 |
| Flow cytometry marker each additional CPT 88185 | $85.15 | $131.00 | $54.53 – $54.53 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $93.60 | $144.00 | $166.28 – $2,303.45 | 49 |
| Fluidotherapy charges pt CPT 97022 | $109.20 | $168.00 | $13.55 – $50.47 | 48 |
| Fluorescent antibody titer dna CPT 86256 | $120.90 | $186.00 | $10.85 – $42.18 | 53 |
| Fluoroscopy up to 1 hour CPT 76000 | $377.00 | $580.00 | $24.45 – $1,533.30 | 49 |
| Folic acid CPT 82746 | $148.20 | $228.00 | $13.23 – $51.45 | 53 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,925.00 | $4,500.00 | $6.41 – $2,110.50 | 41 |
| Foot X-ray CPT 73630 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $45.42 | $69.88 | $1.31 – $3.27 | 40 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $240.50 | $370.00 | $71.86 – $540.79 | 48 |
| Fructosamine glycated protein CPT 82985 | $12.35 | $19.00 | $15.08 – $58.66 | 53 |
| Galactose transferase test CPT 82776 | $15.60 | $24.00 | $10.57 – $41.09 | 53 |
| Gammaglobulin iga CPT 82784 | $104.00 | $160.00 | $8.37 – $32.55 | 53 |
| Gammaglobulin ige CPT 82785 | $146.90 | $226.00 | $14.81 – $57.61 | 53 |
| Gamma glutamyltransferase CPT 82977 | $68.90 | $106.00 | $6.48 – $25.20 | 53 |
| Gamunex-c/gammaked HCPCS J1561 | $11,949.60 | $18,384.00 | $48.78 – $1,681.05 | 43 |
| Gardner vag dna quant CPT 87512 | $50.05 | $77.00 | $37.58 – $146.16 | 53 |
| Gentamicin peak therapeutic drug level CPT 80170 | $180.05 | $277.00 | $14.74 – $57.33 | 53 |
| Ghs bladder cath - complex-foley CPT 51703 | $169.00 | $260.00 | $64.54 – $826.91 | 48 |
| Ghs chemo >8 hrs CPT 96416 | $634.40 | $976.00 | $282.76 – $2,122.61 | 49 |
| Ghs chemo IV push, ea addtl CPT 96411 | $130.65 | $201.00 | $60.68 – $462.70 | 49 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $98.80 | $152.00 | $31.58 – $122.82 | 51 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $61.75 | $95.00 | $6.28 – $24.43 | 53 |
| Ghs fish cytogen CPT 88271 | $252.20 | $388.00 | $19.28 – $74.97 | 53 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $310.70 | $478.00 | $46.07 – $179.17 | 53 |
| Ghs gastric intub aspiration lavage CPT 43753 | $360.10 | $554.00 | $19.61 – $1,387.59 | 48 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $90.35 | $139.00 | $46.01 – $300.90 | 44 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $138.45 | $213.00 | $20.27 – $20.27 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $55.25 | $85.00 | $10.58 – $10.58 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $61.75 | $95.00 | $35.35 – $130.80 | 46 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $74.75 | $115.00 | $52.51 – $192.22 | 48 |
| Ghs phenylketonurid CPT 84030 | $98.80 | $152.00 | $4.95 – $19.25 | 53 |
| Ghs picc line insert < 5 CPT 36568 | $1,721.85 | $2,649.00 | $81.57 – $10,115.86 | 48 |
| Ghs ppd (tb intradermal) CPT 86580 | $85.80 | $132.00 | $20.88 – $185.84 | 49 |
| Ghs pr without cont pulse ox CPT 94625 | $261.30 | $402.00 | $50.63 – $379.10 | 48 |
| Ghs reticulocyte count CPT 85044 | $79.30 | $122.00 | $3.88 – $15.09 | 53 |
| Ghs sedimentation rate CPT 85651 | $24.70 | $38.00 | $3.84 – $14.95 | 53 |
| Ghs st - re-eval for alt comm CPT 92597 | $393.90 | $606.00 | $62.78 – $235.90 | 46 |
| Ghs urine, porphyrins quant CPT 84120 | $99.45 | $153.00 | $13.24 – $51.49 | 53 |
| Gi inhouse confirmation CPT 87045 | $159.90 | $246.00 | $8.50 – $33.04 | 53 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $591.50 | $910.00 | $143.55 – $685.27 | 43 |
| Glucose 1 hr post dose CPT 82950 | $139.10 | $214.00 | $4.28 – $16.63 | 53 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $9.75 | $15.00 | $2.95 – $11.48 | 51 |
| Glucose blood quantitative CPT 82947 | $51.35 | $79.00 | $3.54 – $13.76 | 53 |
| Glucose body fluid CPT 82945 | $53.30 | $82.00 | $3.54 – $13.76 | 53 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $67.60 | $104.00 | $11.58 – $45.05 | 53 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $26.00 | $40.00 | $3.53 – $13.72 | 53 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $12.15 | $18.69 | $0.73 – $1.51 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $4,880.83 | $7,508.97 | $11.07 – $1,930.25 | 43 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $183.95 | $283.00 | $16.72 – $65.03 | 53 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $179.40 | $276.00 | $16.67 – $64.82 | 53 |
| Hand X-ray CPT 73130 | $299.65 | $461.00 | $75.06 – $559.25 | 49 |
| Haptoglobin quantitative CPT 83010 | $97.50 | $150.00 | $11.32 – $44.03 | 53 |
| Hcg qualitative CPT 84703 | $79.30 | $122.00 | $6.77 – $26.32 | 53 |
| Hcg quantitative CPT 84702 | $201.50 | $310.00 | $13.55 – $52.68 | 53 |
| Head CT scan (with and without contrast) CPT 70470 | $1,248.00 | $1,920.00 | $151.76 – $1,127.17 | 49 |
| Head CT scan (with contrast) CPT 70460 | $1,329.90 | $2,046.00 | $151.76 – $1,127.17 | 49 |
| Head CT scan (without contrast) CPT 70450 | $1,075.10 | $1,654.00 | $90.66 – $671.83 | 49 |
| Helicobacter pylori antibody igm CPT 86677 | $133.90 | $206.00 | $15.17 – $58.98 | 51 |
| Hematocrit CPT 85014 | $27.95 | $43.00 | $2.13 – $8.30 | 53 |
| Hemoglobin CPT 85018 | $31.20 | $48.00 | $2.13 – $8.30 | 53 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $107.25 | $165.00 | $7.38 – $28.70 | 53 |
| Hemoglobin plasma CPT 83051 | $47.45 | $73.00 | $6.58 – $25.59 | 53 |
| Heparin assay CPT 85520 | $185.25 | $285.00 | $11.78 – $45.82 | 53 |
| Hepatitis a antibody igm CPT 86709 | $12.35 | $19.00 | $10.13 – $39.41 | 53 |
| Hepatitis b core antibody igm CPT 86705 | $14.30 | $22.00 | $10.59 – $41.20 | 53 |
| Hepatitis b core antibody total CPT 86704 | $22.75 | $35.00 | $10.85 – $42.18 | 53 |
| Hepatitis b surface antibody CPT 86706 | $151.45 | $233.00 | $9.67 – $37.59 | 53 |
| Hepatitis c antibody CPT 86803 | $155.35 | $239.00 | $12.84 – $49.95 | 53 |
| Hepatobiliary system imaging CPT 78226 | $1,067.30 | $1,642.00 | $213.64 – $2,569.04 | 49 |
| Herpes simplex type 1 antibody igg CPT 86695 | $117.00 | $180.00 | $11.87 – $46.17 | 53 |
| Herpes simplex type 2 antibody igg CPT 86696 | $113.75 | $175.00 | $17.42 – $67.73 | 53 |
| Heterophile antibodies screening CPT 86308 | $72.15 | $111.00 | $4.66 – $18.13 | 53 |
| Hip X-ray CPT 73502 | $232.70 | $358.00 | $75.06 – $559.25 | 49 |
| Histamine CPT 83088 | $294.45 | $453.00 | $26.58 – $103.36 | 53 |
| Hla ii typing 1 loc hr CPT 81382 | $224.90 | $346.00 | $111.31 – $432.88 | 53 |
| Hla i low res one antigen equiv ea CPT 81374 | $53.30 | $82.00 | $66.90 – $260.16 | 51 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $163.80 | $252.00 | $152.91 – $594.65 | 53 |
| Homocysteine CPT 83090 | $180.05 | $277.00 | $16.13 – $62.72 | 53 |
| Homovanillic acid (hva) CPT 83150 | $42.25 | $65.00 | $20.17 – $78.44 | 53 |
| H pylori (c-13) breath CPT 83013 | $96.20 | $148.00 | $60.62 – $235.76 | 53 |
| H pylori drug admin CPT 83014 | $31.85 | $49.00 | $7.07 – $27.51 | 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.