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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,147.90 | $1,766.00 | $90.66 – $671.83 | 49 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,450.15 | $2,231.00 | $159.35 – $2,241.93 | 49 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,602.25 | $2,465.00 | $206.06 – $1,533.30 | 49 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $223.60 | $344.00 | $90.66 – $671.83 | 49 |
| Lung Function Test (Spirometry) CPT 94010 | $185.90 | $286.00 | $133.38 – $1,387.59 | 49 |
| Lung perfusion imaging CPT 78580 | $893.75 | $1,375.00 | $149.46 – $2,569.04 | 49 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $20,507.17 | $31,549.50 | $208.07 – $28,858.20 | 43 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $30,686.56 | $47,210.10 | $41.94 – $44,058.00 | 43 |
| Lymphatics/lymph node imaging CPT 78195 | $1,589.25 | $2,445.00 | $219.61 – $3,489.27 | 49 |
| Magnesium CPT 83735 | $117.00 | $180.00 | $6.03 – $23.45 | 53 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $91.00 | $140.00 | $33.29 – $815.90 | 46 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $120.25 | $185.00 | $23.35 – $815.90 | 46 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $40.95 | $63.00 | $13.01 – $50.61 | 53 |
| Mayo aathr protein s free CPT 85306 | $386.75 | $595.00 | $13.79 – $53.62 | 53 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $155.35 | $239.00 | $13.30 – $51.73 | 53 |
| Mayo alpha 1 antitrypsin CPT 82103 | $92.95 | $143.00 | $12.10 – $47.04 | 53 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $191.10 | $294.00 | $13.57 – $52.78 | 53 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $269.75 | $415.00 | $109.47 – $425.71 | 53 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $338.00 | $520.00 | $82.49 – $320.81 | 53 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,065.05 | $3,177.00 | $1,044.00 – $4,060.00 | 53 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $97.50 | $150.00 | $13.14 – $51.10 | 53 |
| Mayo antithrombin iii antigen CPT 85301 | $133.25 | $205.00 | $9.73 – $37.84 | 53 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $70.20 | $108.00 | $13.55 – $52.68 | 53 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $39.00 | $60.00 | $31.58 – $122.82 | 52 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $182.65 | $281.00 | $9.16 – $35.63 | 53 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $186.55 | $287.00 | $130.36 – $506.94 | 53 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $26.65 | $41.00 | $11.61 – $45.15 | 53 |
| Mayo c1 esterase inhibitor CPT 83883 | $113.75 | $175.00 | $12.24 – $47.60 | 53 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $110.50 | $170.00 | $15.18 – $59.05 | 53 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $185.90 | $286.00 | $110.00 – $427.77 | 53 |
| Mayo ceruloplasmin CPT 82390 | $65.65 | $101.00 | $9.67 – $37.59 | 53 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $76.05 | $117.00 | $10.64 – $41.37 | 51 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $173.55 | $267.00 | $104.84 – $407.72 | 53 |
| Mayo coccidioides antibody CPT 86635 | $53.30 | $82.00 | $10.32 – $40.15 | 53 |
| Mayo cocou cortisone urine CPT 82542 | $438.75 | $675.00 | $21.68 – $84.32 | 53 |
| Mayo cortisol free CPT 82530 | $146.90 | $226.00 | $15.04 – $58.49 | 53 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $62.40 | $96.00 | $37.92 – $147.46 | 54 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $99.45 | $153.00 | $10.91 – $42.42 | 53 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $187.85 | $289.00 | $11.93 – $46.38 | 53 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $276.25 | $425.00 | $22.74 – $88.45 | 53 |
| Mayo estriol CPT 82677 | $266.50 | $410.00 | $21.76 – $84.63 | 53 |
| Mayo estrone CPT 82679 | $244.40 | $376.00 | $22.46 – $87.33 | 53 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $41.60 | $64.00 | $14.71 – $57.19 | 53 |
| Mayo everolimus therapeutic drug level CPT 80169 | $85.80 | $132.00 | $12.36 – $48.06 | 53 |
| Mayo factor ii CPT 85210 | $166.40 | $256.00 | $11.68 – $45.43 | 51 |
| Mayo factor vii CPT 85230 | $168.35 | $259.00 | $16.11 – $62.65 | 53 |
| Mayo factor viii vw factor antigen CPT 85246 | $94.25 | $145.00 | $20.65 – $80.29 | 53 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $68.90 | $106.00 | $20.65 – $80.29 | 53 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $115.70 | $178.00 | $20.65 – $80.29 | 53 |
| Mayo factor x CPT 85260 | $166.40 | $256.00 | $16.11 – $62.65 | 51 |
| Mayo fat/lipids feces quantitative CPT 82710 | $74.75 | $115.00 | $15.12 – $58.80 | 51 |
| Mayo ffspg allergen clam igg CPT 86001 | $101.40 | $156.00 | $7.04 – $27.37 | 53 |
| Mayo fibrinogen antigen CPT 85385 | $75.40 | $116.00 | $13.01 – $50.61 | 51 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $40.30 | $62.00 | $409.61 – $409.61 | 1 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $193.70 | $298.00 | $31.58 – $122.82 | 53 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $263.25 | $405.00 | $31.58 – $122.82 | 53 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $96.85 | $149.00 | $12.41 – $48.27 | 53 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $250.25 | $385.00 | $23.23 – $90.34 | 53 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $116.35 | $179.00 | $8.00 – $31.12 | 53 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $109.20 | $168.00 | $12.17 – $47.32 | 53 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $184.60 | $284.00 | $24.45 – $95.10 | 53 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $247.65 | $381.00 | $15.54 – $60.45 | 53 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $39.00 | $60.00 | $13.49 – $52.47 | 53 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $137.15 | $211.00 | $18.73 – $72.84 | 53 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $86.45 | $133.00 | $18.73 – $72.84 | 53 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $98.80 | $152.00 | $31.58 – $122.82 | 53 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $520.65 | $801.00 | $38.56 – $149.94 | 53 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $338.00 | $520.00 | $64.97 – $252.67 | 53 |
| Mayo infliximab therapeutic drug level CPT 80230 | $98.80 | $152.00 | $34.71 – $135.00 | 53 |
| Mayo insulin antibodies CPT 86337 | $290.55 | $447.00 | $19.27 – $74.94 | 53 |
| Mayo iodine CPT 83789 | $15.60 | $24.00 | $21.70 – $84.39 | 53 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $81.25 | $125.00 | $24.40 – $94.89 | 52 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $55.25 | $85.00 | $11.93 – $46.38 | 53 |
| Mayo legionella antibody CPT 86713 | $39.65 | $61.00 | $13.77 – $53.55 | 53 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $55.25 | $85.00 | $13.94 – $54.22 | 53 |
| Mayo metanephrines plasma CPT 83835 | $365.95 | $563.00 | $15.25 – $59.29 | 53 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $319.15 | $491.00 | $16.56 – $64.40 | 52 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $108.55 | $167.00 | $13.10 – $50.93 | 53 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $198.90 | $306.00 | $16.78 – $65.24 | 53 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $516.75 | $795.00 | $123.30 – $479.50 | 53 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $201.50 | $310.00 | $166.68 – $648.20 | 52 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $726.05 | $1,117.00 | $16.56 – $64.40 | 52 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $158.60 | $244.00 | $16.25 – $63.18 | 53 |
| Mayo myoglobin CPT 83874 | $154.05 | $237.00 | $11.63 – $45.22 | 53 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $162.50 | $250.00 | $19.09 – $74.24 | 53 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $132.60 | $204.00 | $13.53 – $52.61 | 53 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $154.05 | $237.00 | $10.85 – $42.18 | 53 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $103.35 | $159.00 | $16.18 – $62.93 | 53 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $152.10 | $234.00 | $12.38 – $48.16 | 53 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $59.15 | $91.00 | $7.60 – $29.54 | 53 |
| Mayo pregnenolone CPT 84140 | $85.80 | $132.00 | $18.60 – $72.35 | 53 |
| Mayo proinsulin CPT 84206 | $297.70 | $458.00 | $24.02 – $93.42 | 53 |
| Mayo psaft prostate specific antigen free CPT 84154 | $27.95 | $43.00 | $16.55 – $64.37 | 53 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $333.45 | $513.00 | $16.56 – $64.40 | 53 |
| Mayo receptor assay transferrin soluble CPT 84238 | $209.95 | $323.00 | $32.91 – $128.00 | 53 |
| Mayo renin CPT 84244 | $204.75 | $315.00 | $19.79 – $76.97 | 53 |
| Mayo repu protein electrophoresis urine CPT 84166 | $91.65 | $141.00 | $16.05 – $62.41 | 53 |
| Mayo selenium CPT 84255 | $41.60 | $64.00 | $22.98 – $89.36 | 53 |
| Mayo serotonin CPT 84260 | $232.05 | $357.00 | $27.88 – $108.43 | 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.