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 |
|---|---|---|---|---|
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $65.65 | $101.00 | $17.42 – $67.73 | 53 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $57.20 | $88.00 | $12.36 – $48.06 | 53 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $76.05 | $117.00 | $3.84 – $14.95 | 53 |
| Mayo tau phosphorylated 217 each CPT 84393 | $757.25 | $1,165.00 | $126.47 – $451.22 | 39 |
| Mayo tgrp testosterone free CPT 84402 | $230.75 | $355.00 | $22.92 – $89.15 | 53 |
| Mayo tgrp testosterone total CPT 84403 | $240.50 | $370.00 | $23.23 – $90.34 | 53 |
| Mayo thyroglobulin CPT 84432 | $41.60 | $64.00 | $14.45 – $56.21 | 53 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $123.50 | $190.00 | $9.16 – $35.63 | 53 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $115.05 | $177.00 | $11.15 – $43.37 | 53 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $143.65 | $221.00 | $46.15 – $179.48 | 53 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $86.45 | $133.00 | $12.74 – $49.56 | 53 |
| Mayo vitamin k CPT 84597 | $241.80 | $372.00 | $12.35 – $48.02 | 53 |
| Measurement post void urine by ultrasound CPT 51798 | $148.85 | $229.00 | $10.86 – $379.10 | 48 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $8,965.32 | $13,792.80 | $31.22 – $10,965.50 | 43 |
| Metabolic Blood Panel (Basic) CPT 80048 | $132.60 | $204.00 | $7.61 – $29.61 | 53 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $217.75 | $335.00 | $9.50 – $36.96 | 53 |
| Metabolic panel ionized ca CPT 80047 | $203.45 | $313.00 | $12.36 – $48.06 | 53 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $495.15 | $761.77 | $10.09 – $1,375.50 | 43 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $41.66 | $64.09 | $8.16 – $16.80 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $88.50 | $136.15 | $3.54 – $7.28 | 3 |
| Microbe susceptible mlc CPT 87187 | $42.90 | $66.00 | $36.15 – $140.60 | 51 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $16,746.46 | $25,763.78 | $69.78 – $24,332.00 | 43 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $6,043.99 | $9,298.45 | $276.05 – $7,689.88 | 49 |
| MRA spinal canal CPT 72159 | $1,561.95 | $2,403.00 | $216.73 – $1,004.63 | 42 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,655.25 | $4,085.00 | $208.78 – $1,004.63 | 42 |
| MRI chest without contrast CPT 71550 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| MRI chest without & w/contrast CPT 71552 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| MRI chest w IV cont CPT 71551 | $1,450.15 | $2,231.00 | $673.51 – $4,807.13 | 47 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,274.35 | $3,499.00 | $206.06 – $1,533.30 | 49 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,528.50 | $3,890.00 | $304.45 – $2,241.93 | 49 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,299.35 | $1,999.00 | $138.31 – $1,533.30 | 49 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,407.25 | $2,165.00 | $163.33 – $2,241.93 | 49 |
| MRI tmj CPT 70336 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,274.35 | $3,499.00 | $206.06 – $1,533.30 | 49 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,655.25 | $4,085.00 | $304.45 – $2,241.93 | 49 |
| Mthfr gene analy common variants CPT 81291 | $261.30 | $402.00 | $58.81 – $228.69 | 53 |
| Mumps antibody igg CPT 86735 | $94.25 | $145.00 | $11.75 – $45.68 | 53 |
| Mycoplasma antibody igm CPT 86738 | $159.90 | $246.00 | $11.92 – $46.34 | 53 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $137.15 | $211.00 | $10.38 – $40.36 | 53 |
| Natriuretic peptide CPT 83880 | $146.90 | $226.00 | $35.33 – $137.41 | 53 |
| Natural killer cells total count CPT 86357 | $98.15 | $151.00 | $33.96 – $132.06 | 53 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,413.75 | $2,175.00 | $117.31 – $1,127.17 | 49 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,329.90 | $2,046.00 | $95.45 – $2,241.93 | 49 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,147.90 | $1,766.00 | $90.66 – $671.83 | 49 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,450.15 | $2,231.00 | $162.47 – $2,241.93 | 49 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,561.95 | $2,403.00 | $221.83 – $2,241.93 | 49 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,450.15 | $2,231.00 | $150.27 – $2,241.93 | 49 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| New Patient Office Visit (level 2) CPT 99202 | $227.50 | $350.00 | $39.40 – $140.56 | 41 |
| New Patient Office Visit (level 3) CPT 99203 | $231.40 | $356.00 | $68.60 – $244.76 | 41 |
| New Patient Office Visit (level 4) CPT 99204 | $384.80 | $592.00 | $112.05 – $399.77 | 41 |
| New Patient Office Visit (level 5) CPT 99205 | $384.80 | $592.00 | $153.49 – $547.61 | 41 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $19,756.29 | $30,394.29 | $32.99 – $27,720.00 | 43 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,010.75 | $1,555.00 | $218.75 – $2,569.04 | 50 |
| Nm imaging bone/joint whole body CPT 78306 | $1,263.60 | $1,944.00 | $187.49 – $2,569.04 | 50 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $789.75 | $1,215.00 | $138.38 – $2,569.04 | 49 |
| Nm imaging gastric emptying study CPT 78264 | $1,508.65 | $2,321.00 | $216.19 – $2,569.04 | 50 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,058.71 | $3,167.24 | $290.64 – $3,489.27 | 50 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,036.10 | $1,594.00 | $100.67 – $3,489.27 | 49 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $854.75 | $1,315.00 | $205.98 – $3,489.27 | 49 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $858.00 | $1,320.00 | $159.96 – $2,569.04 | 50 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,560.37 | $5,477.50 | $300.58 – $8,319.73 | 50 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $23,042.95 | $35,450.70 | $80.25 – $27,461.00 | 43 |
| Observation direct referral from physician office for admission HCPCS G0379 | $105.95 | $163.00 | $585.16 – $3,827.03 | 43 |
| Observation per hour HCPCS G0378 | $52.65 | $81.00 | $56.43 – $84.65 | 6 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $388.05 | $597.00 | $50.28 – $671.83 | 49 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $245.70 | $378.00 | $23.28 – $23.28 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $16,857.16 | $25,934.10 | $184.77 – $7,427.00 | 43 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $3,795.09 | $5,838.60 | $41.03 – $4,258.80 | 43 |
| Organic acids total quant ea spec CPT 83918 | $845.00 | $1,300.00 | $21.24 – $82.60 | 53 |
| Osmolality blood CPT 83930 | $16.25 | $25.00 | $5.95 – $23.14 | 53 |
| Osmolality urine CPT 83935 | $104.65 | $161.00 | $6.14 – $23.87 | 53 |
| Ot evaluation high complexity patient/family CPT 97167 | $105.30 | $162.00 | $88.39 – $329.95 | 48 |
| Ot evaluation low complexity patient/family CPT 97165 | $105.30 | $162.00 | $88.39 – $329.95 | 48 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $105.30 | $162.00 | $88.39 – $329.95 | 48 |
| Oth resp proc, group HCPCS G0239 | $74.10 | $114.00 | $36.70 – $240.01 | 43 |
| Oth resp proc, indiv HCPCS G0238 | $53.95 | $83.00 | $28.42 – $185.84 | 43 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $61.75 | $95.00 | $43.64 – $159.81 | 48 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $61.75 | $95.00 | $40.07 – $147.98 | 46 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $93.60 | $144.00 | $23.90 – $91.18 | 48 |
| Ot re-evaluation patient/family CPT 97168 | $74.75 | $115.00 | $60.97 – $223.30 | 48 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $83.85 | $129.00 | $30.29 – $113.61 | 48 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $56.55 | $87.00 | $17.80 – $63.49 | 48 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $56.55 | $87.00 | $19.06 – $68.01 | 48 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $94.25 | $145.00 | $25.31 – $95.55 | 48 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $42.90 | $66.00 | $28.15 – $107.49 | 48 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $74.75 | $115.00 | $28.08 – $105.67 | 48 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,474.05 | $5,344.69 | $5.91 – $4,242.00 | 43 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $7,126.88 | $10,964.43 | $14.79 – $8,233.68 | 43 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $18,554.59 | $28,545.53 | $171.07 – $6,039.25 | 43 |
| Parathormone (pth) intact CPT 83970 | $70.85 | $109.00 | $37.15 – $144.48 | 53 |
| Parathyroid planar imaging CPT 78070 | $445.90 | $686.00 | $190.89 – $2,569.04 | 49 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,794.65 | $2,761.00 | $217.33 – $2,569.04 | 50 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $12,515.08 | $19,253.97 | $124.96 – $2,452.80 | 43 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $8,141.25 | $12,525.00 | $133.31 – $5,713.68 | 43 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,070.63 | $6,262.51 | $77.99 – $4,355.82 | 43 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,413.75 | $2,175.00 | $151.76 – $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.