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 |
|---|---|---|---|---|
| Pelvic CT scan (with contrast) CPT 72193 | $1,329.90 | $2,046.00 | $151.76 – $1,127.17 | 49 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,168.70 | $1,798.00 | $90.66 – $671.83 | 49 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| Pelvic MRI (with contrast) CPT 72196 | $1,450.15 | $2,231.00 | $160.49 – $2,241.93 | 49 |
| Pelvic MRI (without contrast) CPT 72195 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| Pelvic Ultrasound (complete) CPT 76856 | $479.05 | $737.00 | $90.66 – $671.83 | 49 |
| Pelvic Ultrasound (limited) CPT 76857 | $256.10 | $394.00 | $90.66 – $671.83 | 49 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $14,964.30 | $23,022.00 | $60.09 – $20,496.00 | 43 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $373.42 | $574.50 | $3.96 – $652.75 | 43 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $428.78 | $659.66 | $30.87 – $615.30 | 43 |
| Peripheral vascular rehab CPT 93668 | $123.50 | $190.00 | $50.63 – $379.10 | 48 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16,798.98 | $25,844.58 | $16.69 – $24,828.30 | 43 |
| Phenobarbital therapeutic drug level CPT 80184 | $158.60 | $244.00 | $13.77 – $53.55 | 53 |
| Phentolaine mesylate inj HCPCS J2760 | $886.83 | $1,364.35 | $252.56 – $1,527.79 | 43 |
| Phenytoin total therapeutic drug level CPT 80185 | $143.65 | $221.00 | $11.93 – $46.38 | 53 |
| Phlebotomy therapeutic CPT 99195 | $166.40 | $256.00 | $109.89 – $855.03 | 49 |
| Phosphorus CPT 84100 | $53.30 | $82.00 | $4.27 – $16.59 | 53 |
| Phosphorus 24 hour urine CPT 84105 | $52.65 | $81.00 | $5.20 – $20.23 | 53 |
| Platelet aggregation each agent teg CPT 85576 | $163.15 | $251.00 | $22.42 – $87.19 | 53 |
| Platelet automated CPT 85049 | $66.30 | $102.00 | $4.03 – $15.68 | 53 |
| Platelet pheresis each unit HCPCS P9034 | $1,035.45 | $1,593.00 | $303.09 – $1,943.39 | 48 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,769.95 | $2,723.00 | $415.25 – $3,217.93 | 48 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,032.85 | $1,589.00 | $500.64 – $3,820.70 | 48 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $135.85 | $209.00 | $265.46 – $2,397.98 | 49 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $135.85 | $209.00 | $23.46 – $91.25 | 53 |
| Potassium 24 hour urine CPT 84133 | $51.35 | $79.00 | $4.26 – $16.56 | 53 |
| Potassium serum/plasma/whole blood CPT 84132 | $53.30 | $82.00 | $4.28 – $16.66 | 53 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $50.70 | $78.00 | $10.25 – $240.75 | 48 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $377.65 | $581.00 | $29.99 – $1,289.32 | 48 |
| Prealbumin CPT 84134 | $179.40 | $276.00 | $13.13 – $51.07 | 53 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $512.20 | $788.00 | $75.58 – $671.83 | 49 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $274.30 | $422.00 | $59.93 – $671.83 | 49 |
| Pressure max expiratory/inspiratory CPT 94799 | $252.85 | $389.00 | $126.43 – $826.91 | 49 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $139.10 | $214.00 | $50.63 – $379.10 | 49 |
| Pretreat rbc w enzyme reference CPT 86971 | $38.35 | $59.00 | $58.95 – $1,094.86 | 49 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $200.20 | $308.00 | $10.61 – $10.61 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $528.12 | $812.50 | $210.73 – $680.12 | 41 |
| Procalcitonin CPT 84145 | $59.80 | $92.00 | $24.50 – $95.27 | 53 |
| Progesterone CPT 84144 | $224.25 | $345.00 | $18.77 – $73.01 | 53 |
| Prolactin CPT 84146 | $225.55 | $347.00 | $17.44 – $67.83 | 53 |
| Protein c activity CPT 85303 | $363.35 | $559.00 | $12.46 – $48.44 | 53 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $83.85 | $129.00 | $9.67 – $37.59 | 53 |
| Protein total 24 hour urine CPT 84156 | $133.90 | $206.00 | $3.30 – $12.85 | 53 |
| Protein total body fluid CPT 84157 | $93.60 | $144.00 | $3.60 – $14.00 | 53 |
| Protein total serum plasma whole blood CPT 84155 | $81.25 | $125.00 | $3.30 – $12.85 | 53 |
| PSA (Prostate) Test CPT 84153 | $158.60 | $244.00 | $16.55 – $64.37 | 53 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $70.85 | $109.00 | $12.56 – $48.76 | 48 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $81.90 | $126.00 | $16.45 – $62.09 | 48 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $62.40 | $96.00 | $12.22 – $47.08 | 48 |
| Pt application of modality traction mechanical CPT 97012 | $51.35 | $79.00 | $12.56 – $47.57 | 48 |
| Pt evaluation high complexity patient/family CPT 97163 | $105.30 | $162.00 | $86.18 – $321.83 | 48 |
| Pt evaluation low complexity patient/family CPT 97161 | $105.30 | $162.00 | $86.18 – $321.83 | 48 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $105.30 | $162.00 | $86.18 – $321.83 | 48 |
| Pt re-evaluation patient/family CPT 97164 | $74.75 | $115.00 | $59.29 – $220.26 | 48 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $89.70 | $138.00 | $11.64 – $29.11 | 38 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $66.95 | $103.00 | $25.31 – $95.55 | 48 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $50.05 | $77.00 | $26.00 – $95.94 | 48 |
| Pulse ox continuous overnight monitoring CPT 94762 | $222.95 | $343.00 | $20.47 – $789.07 | 47 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $582.40 | $896.00 | $12.56 – $855.03 | 49 |
| Quest t3 uptake CPT 84479 | $72.15 | $111.00 | $5.82 – $22.65 | 53 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $6,767.57 | $10,411.65 | $269.95 – $9,325.40 | 41 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $18,573.02 | $28,573.88 | $74.04 – $26,057.50 | 43 |
| Rapid Strep Test CPT 87880 | $92.95 | $143.00 | $14.88 – $57.86 | 53 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $10,901.10 | $16,770.93 | $374.93 – $3,953.04 | 43 |
| Rbc count only automated CPT 85041 | $28.60 | $44.00 | $2.72 – $10.57 | 53 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $479.05 | $737.00 | $155.15 – $1,163.11 | 48 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,381.83 | $2,125.89 | $6.77 – $2,355.50 | 43 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $185.25 | $285.00 | $169.39 – $1,289.32 | 48 |
| Renal function panel CPT 80069 | $37.05 | $57.00 | $7.81 – $30.38 | 53 |
| Resuscitation cardiopulmonary CPT 92950 | $532.35 | $819.00 | $164.11 – $1,387.59 | 48 |
| Reticulocyte automated CPT 85045 | $40.30 | $62.00 | $3.59 – $13.97 | 53 |
| Rheumatoid factor qualitative CPT 86430 | $91.00 | $140.00 | $5.53 – $21.49 | 53 |
| Rheumatoid factor quantitative CPT 86431 | $36.40 | $56.00 | $5.10 – $19.85 | 53 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $2,297.88 | $3,535.20 | $72.75 – $2,657.55 | 43 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $2,068.83 | $3,182.82 | $30.68 – $1,091.30 | 43 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,743.80 | $13,452.00 | $13.43 – $4,637.50 | 43 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $11,273.57 | $17,343.96 | $10.90 – $4,812.50 | 43 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $5,382.72 | $8,281.11 | $11.96 – $8,820.00 | 43 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,854.80 | $4,392.00 | $48.94 – $10,115.86 | 48 |
| Rsv assay w/optic CPT 87807 | $52.00 | $80.00 | $11.79 – $45.85 | 53 |
| Rubella antibody igg CPT 86762 | $85.15 | $131.00 | $12.95 – $50.37 | 53 |
| Rubeola antibody igg CPT 86765 | $42.25 | $65.00 | $11.59 – $45.08 | 53 |
| Russell viper venom diluted CPT 85613 | $91.65 | $141.00 | $8.62 – $33.53 | 53 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,381.30 | $9,817.39 | $36.10 – $9,137.52 | 43 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $956.15 | $1,471.00 | $206.06 – $1,533.30 | 49 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $754.00 | $1,160.00 | $90.66 – $671.83 | 49 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $396.50 | $610.00 | $206.06 – $1,533.30 | 49 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $311.35 | $479.00 | $85.51 – $671.83 | 49 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $561.60 | $864.00 | $90.66 – $671.83 | 49 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,032.85 | $1,589.00 | $206.06 – $1,533.30 | 49 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $572.00 | $880.00 | $90.66 – $671.83 | 49 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $544.05 | $837.00 | $90.66 – $671.83 | 49 |
| Screening Mammogram CPT 77067 | $181.35 | $279.00 | $77.53 – $321.34 | 49 |
| Sedimentation rate erythrocyte automated CPT 85652 | $67.60 | $104.00 | $2.43 – $9.45 | 53 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,528.50 | $3,890.00 | $304.45 – $2,241.93 | 49 |
| Shoulder MRI (with contrast) CPT 73222 | $2,465.45 | $3,793.00 | $201.93 – $5,037.63 | 49 |
| Shoulder MRI (without contrast) CPT 73221 | $2,274.35 | $3,499.00 | $206.06 – $1,533.30 | 49 |
| Shoulder X-ray CPT 73030 | $331.50 | $510.00 | $75.06 – $559.25 | 49 |
| Sickling rbc CPT 85660 | $29.25 | $45.00 | $4.96 – $19.29 | 53 |
| Sigmoidoscopy and biopsy CPT 45331 | $5,782.63 | $8,896.35 | $62.33 – $5,976.15 | 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.