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 |
|---|---|---|---|---|
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $6,142.50 | $9,450.00 | $1.68 – $4,410.00 | 43 |
| Hydration IV infusion each additional hour CPT 96361 | $455.00 | $700.00 | $39.33 – $300.90 | 49 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $235.30 | $362.00 | $179.61 – $1,366.89 | 49 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $201.50 | $310.00 | $16.11 – $62.65 | 51 |
| Icatibant injection HCPCS J1744 | $2,730.01 | $4,200.01 | $5,936.91 – $12,223.05 | 3 |
| Igh@ var region somatic mutation analy CPT 81263 | $456.95 | $703.00 | $265.07 – $1,030.82 | 53 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $7,351.64 | $11,310.21 | $157.46 – $7,689.88 | 50 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $8,028.40 | $12,351.39 | $65.89 – $1,094.86 | 50 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $169.00 | $260.00 | $18.73 – $72.84 | 53 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $150.80 | $232.00 | $18.73 – $72.84 | 53 |
| Immunofixation electrophoresis serum CPT 86334 | $165.10 | $254.00 | $20.11 – $78.19 | 53 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $113.75 | $175.00 | $63.18 – $245.70 | 52 |
| Infect ag drug suscept pheno predict CPT 87900 | $508.95 | $783.00 | $117.32 – $456.23 | 53 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $213.85 | $329.00 | $115.86 – $450.56 | 53 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $169.00 | $260.00 | $231.71 – $901.08 | 53 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $39.65 | $61.00 | $29.49 – $114.70 | 53 |
| Infect ag ia optc obs influenza CPT 87804 | $102.70 | $158.00 | $14.90 – $57.93 | 53 |
| Infect ag na hpv high-risk types CPT 87624 | $81.90 | $126.00 | $31.58 – $122.82 | 53 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $252.85 | $389.00 | $86.22 – $335.30 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $215.80 | $332.00 | $10.78 – $41.93 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $50.70 | $78.00 | $12.44 – $48.37 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $110.50 | $170.00 | $10.78 – $41.93 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $210.60 | $324.00 | $12.94 – $50.33 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $116.35 | $179.00 | $9.30 – $36.16 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $55.25 | $85.00 | $21.67 – $84.28 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $154.05 | $237.00 | $10.78 – $41.93 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $188.50 | $290.00 | $10.78 – $41.93 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $22.10 | $34.00 | $10.78 – $41.93 | 53 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $460.85 | $709.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $91.00 | $140.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $206.70 | $318.00 | $33.54 – $130.45 | 53 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $315.25 | $485.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $129.35 | $199.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $91.00 | $140.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $131.95 | $203.00 | $46.18 – $179.59 | 54 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $68.25 | $105.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $80.60 | $124.00 | $31.58 – $122.82 | 53 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $91.00 | $140.00 | $68.85 – $245.63 | 39 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,292.20 | $1,988.00 | $375.10 – $1,458.73 | 53 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $525.85 | $809.00 | $38.56 – $149.94 | 53 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $120.25 | $185.00 | $38.56 – $149.94 | 53 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $280.80 | $432.00 | $38.56 – $149.94 | 53 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $254.80 | $392.00 | $76.59 – $297.85 | 53 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,165.61 | $1,793.25 | $30.45 – $1,091.30 | 43 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,314.36 | $3,560.55 | $25.54 – $688.80 | 43 |
| Initiation & management bipap/cpap initial day CPT 94660 | $664.95 | $1,023.00 | $31.12 – $1,407.20 | 48 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,574.00 | $3,960.00 | $1,775.04 – $3,654.49 | 3 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $7,827.94 | $12,042.98 | $27.38 – $5,783.40 | 43 |
| Injection, daratumumab 10 mg HCPCS J9145 | $8,046.53 | $12,379.28 | $69.43 – $9,777.60 | 43 |
| Injection, fulvestrant HCPCS J9395 | $251.55 | $387.00 | $237.32 – $488.60 | 3 |
| Injection, renflexis HCPCS Q5104 | $1,844.19 | $2,837.22 | $26.29 – $876.75 | 43 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $92.30 | $142.00 | $39.33 – $300.90 | 49 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $106.60 | $164.00 | $179.61 – $1,366.89 | 49 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $62.40 | $96.00 | $60.68 – $462.70 | 49 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $40,007.73 | $61,550.36 | $33.67 – $59,517.36 | 43 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,213.90 | $3,406.00 | $5.34 – $3,626.00 | 43 |
| Inj ivig privigen 500 mg HCPCS J1459 | $15,414.36 | $23,714.40 | $48.59 – $1,765.05 | 43 |
| Inj meropenem (wg crit care) HCPCS J2183 | $69.50 | $106.93 | $27.54 – $56.70 | 3 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | $2,423.22 | $3,728.03 | $10.78 – $663.25 | 43 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $5,479.19 | $8,429.52 | $17.70 – $7,805.00 | 43 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $4,781.40 | $7,356.00 | $4.35 – $6,566.00 | 43 |
| Inj, uzedy, 1 mg HCPCS J2799 | $6,658.53 | $10,243.90 | $24.68 – $10,972.50 | 43 |
| Insertion catheter bladder non indwelling CPT 51701 | $148.20 | $228.00 | $21.22 – $855.03 | 48 |
| Insertion catheter bladder temporary simple CPT 51702 | $237.90 | $366.00 | $21.79 – $855.03 | 48 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,125.85 | $4,809.00 | $82.86 – $10,115.86 | 48 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $7,351.64 | $11,310.21 | $161.30 – $7,689.88 | 49 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $7,351.64 | $11,310.21 | $109.36 – $7,689.88 | 49 |
| Insulin total CPT 83525 | $82.55 | $127.00 | $10.29 – $40.01 | 53 |
| Intrinsic factor antibody CPT 86340 | $73.45 | $113.00 | $13.57 – $52.78 | 53 |
| Intubation endotracheal emergency procedure CPT 31500 | $252.85 | $389.00 | $197.97 – $1,452.44 | 46 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $22,520.14 | $34,646.37 | $183.61 – $32,096.75 | 43 |
| Iron CPT 83540 | $72.15 | $111.00 | $5.82 – $22.65 | 53 |
| Iron binding capacity CPT 83550 | $72.15 | $111.00 | $7.87 – $30.59 | 53 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $20.68 | $31.81 | $17.76 – $63.11 | 43 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $117.00 | $180.00 | $50.63 – $379.10 | 49 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $184.60 | $284.00 | $60.68 – $462.70 | 49 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $57.20 | $88.00 | $39.33 – $300.90 | 49 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $361.40 | $556.00 | $179.61 – $1,366.89 | 49 |
| Jak2 targeted sequence analysis CPT 81279 | $312.65 | $481.00 | $166.68 – $648.20 | 52 |
| John cunningham antibody CPT 86711 | $1,181.70 | $1,818.00 | $15.20 – $59.12 | 53 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $13.80 | $21.23 | $0.33 – $2.45 | 43 |
| Kidney function study CPT 78725 | $2,848.95 | $4,383.00 | $70.26 – $2,569.04 | 50 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $474.50 | $730.00 | $90.66 – $671.83 | 49 |
| Knee MRI (with and without contrast) CPT 73723 | $2,528.50 | $3,890.00 | $304.45 – $2,241.93 | 49 |
| Knee MRI (without contrast) CPT 73721 | $2,274.35 | $3,499.00 | $206.06 – $1,533.30 | 49 |
| Knee X-ray CPT 73564 | $410.80 | $632.00 | $90.66 – $671.83 | 49 |
| Lactate dehydrogenase (ldh) CPT 83615 | $53.30 | $82.00 | $5.44 – $21.14 | 53 |
| Lactic acid CPT 83605 | $156.00 | $240.00 | $10.41 – $40.50 | 53 |
| Lead capillary CPT 83655 | $83.20 | $128.00 | $10.90 – $42.39 | 53 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $999.05 | $1,537.00 | $206.06 – $1,533.30 | 49 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $3,310.79 | $5,093.52 | $172.85 – $1,631.91 | 43 |
| Levetiracetam therapeutic drug level CPT 80177 | $157.30 | $242.00 | $11.93 – $46.38 | 53 |
| Lipase CPT 83690 | $85.80 | $132.00 | $6.20 – $24.12 | 53 |
| Lipoprotein blood quant CPT 83704 | $159.25 | $245.00 | $30.77 – $119.67 | 53 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.75 | $75.00 | $7.37 – $28.67 | 51 |
| Lipoprotein direct measurement ldl CPT 83721 | $48.75 | $75.00 | $9.45 – $36.75 | 53 |
| Lithium therapeutic drug level CPT 80178 | $83.85 | $129.00 | $5.95 – $23.14 | 53 |
| Liver Function Test CPT 80076 | $170.30 | $262.00 | $7.35 – $28.60 | 53 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,361.10 | $2,094.00 | $151.76 – $1,127.17 | 49 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,329.90 | $2,046.00 | $95.74 – $2,241.93 | 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.