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 |
|---|---|---|---|---|
| Sinus CT scan (with and without contrast) CPT 70488 | $1,248.00 | $1,920.00 | $106.80 – $1,127.17 | 49 |
| Sinus CT scan (with contrast) CPT 70487 | $1,329.90 | $2,046.00 | $151.76 – $1,127.17 | 49 |
| Sinus CT scan (without contrast) CPT 70486 | $1,075.10 | $1,654.00 | $90.66 – $671.83 | 49 |
| Skin Biopsy CPT 11102 | $793.00 | $1,220.00 | $28.67 – $2,612.34 | 48 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $48.75 | $75.00 | $4.85 – $18.87 | 53 |
| Smear gram stain CPT 87205 | $66.30 | $102.00 | $3.84 – $14.95 | 53 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $106.60 | $164.00 | $5.39 – $20.97 | 53 |
| Smear wet mount CPT 87210 | $66.30 | $102.00 | $5.24 – $20.37 | 53 |
| Sodium 24 hour urine CPT 84300 | $51.35 | $79.00 | $4.55 – $17.71 | 53 |
| Sodium serum/plasma/whole blood CPT 84295 | $57.20 | $88.00 | $4.33 – $16.84 | 53 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $7.15 | $11.00 | $0.87 – $2.16 | 40 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $384.80 | $592.00 | $265.46 – $2,397.98 | 49 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $200.85 | $309.00 | $94.20 – $363.69 | 48 |
| Staph a dna amp probe CPT 87640 | $116.35 | $179.00 | $31.58 – $122.82 | 53 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $237.90 | $366.00 | $95.30 – $340.03 | 41 |
| St evaluate speech sound production CPT 92522 | $193.05 | $297.00 | $95.88 – $370.93 | 48 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $399.75 | $615.00 | $196.99 – $749.04 | 48 |
| St evaluation swallow function CPT 92610 | $152.10 | $234.00 | $55.05 – $196.42 | 46 |
| Stress test pulmonary CPT 94618 | $81.25 | $125.00 | $109.89 – $855.03 | 49 |
| St treatment speech individual CPT 92507 | $235.95 | $363.00 | $66.15 – $252.11 | 48 |
| St treatment swallow dysfunction/oral CPT 92526 | $471.25 | $725.00 | $72.86 – $277.06 | 46 |
| Surgical pathology level 1 gross examination only CPT 88300 | $31.20 | $48.00 | $10.25 – $185.84 | 49 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $74.75 | $115.00 | $21.90 – $240.01 | 49 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $97.50 | $150.00 | $26.15 – $334.88 | 49 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $5,976.11 | $9,194.01 | $45.55 – $334.88 | 50 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $291.85 | $449.00 | $171.31 – $2,303.45 | 49 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $485.55 | $747.00 | $237.21 – $5,177.47 | 49 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $10.40 | $16.00 | $4.28 – $16.63 | 53 |
| Susceptibility mic per plate CPT 87186 | $126.75 | $195.00 | $7.79 – $30.28 | 53 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $38.35 | $59.00 | $3.96 – $15.40 | 53 |
| T3 (triiodothyronine) free CPT 84481 | $395.85 | $609.00 | $15.25 – $59.29 | 53 |
| T3 (triiodothyronine) total CPT 84480 | $107.90 | $166.00 | $12.76 – $49.63 | 53 |
| T4 (thyroxine) free CPT 84439 | $174.20 | $268.00 | $8.12 – $31.57 | 53 |
| T4 (thyroxine) total CPT 84436 | $72.15 | $111.00 | $6.18 – $24.05 | 53 |
| Tacrolimus therapeutic drug level CPT 80197 | $193.05 | $297.00 | $12.36 – $48.06 | 53 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $779.79 | $1,199.68 | $0.24 – $504.00 | 43 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $89.05 | $137.00 | $90.00 – $350.00 | 53 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $113.75 | $175.00 | $55.78 – $216.93 | 53 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $213.20 | $328.00 | $42.28 – $164.43 | 53 |
| T cells total count CPT 86359 | $213.20 | $328.00 | $33.96 – $132.06 | 53 |
| Telehealth original site facility fee HCPCS Q3014 | $30.55 | $47.00 | $27.59 – $41.39 | 5 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,665.05 | $25,638.54 | $193.69 – $15,044.75 | 43 |
| Test stress cardiovascular tracing only CPT 93017 | $490.75 | $755.00 | $212.16 – $1,387.59 | 49 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $11,189.61 | $17,214.79 | $17.25 – $13,450.50 | 43 |
| Theophylline therapeutic drug level CPT 80198 | $143.65 | $221.00 | $12.73 – $49.49 | 53 |
| Therapeutic procd strg endur HCPCS G0237 | $46.80 | $72.00 | $10.82 – $185.84 | 43 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $40.30 | $62.00 | $24.87 – $88.73 | 41 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $40.30 | $62.00 | $20.82 – $74.27 | 41 |
| Thrombin time CPT 85670 | $59.80 | $92.00 | $5.19 – $20.20 | 53 |
| Thyroglobulin antibody CPT 86800 | $87.10 | $134.00 | $14.32 – $55.69 | 53 |
| Thyroid (TSH) Test CPT 84443 | $174.20 | $268.00 | $15.12 – $58.80 | 53 |
| Thyroid Ultrasound CPT 76536 | $373.75 | $575.00 | $90.66 – $671.83 | 49 |
| Thyroxine binding globulin (tbg) CPT 84442 | $126.10 | $194.00 | $13.30 – $51.73 | 53 |
| Tissue exam koh skin/hair/nails CPT 87220 | $53.30 | $82.00 | $3.84 – $14.95 | 53 |
| Tissue transglutaminase iga CPT 86364 | $37.70 | $58.00 | $10.38 – $40.36 | 52 |
| Tobramycin peak therapeutic drug level CPT 80200 | $222.95 | $343.00 | $14.52 – $56.46 | 53 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $6,481.36 | $9,971.33 | $5.42 – $1,621.20 | 43 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $141.70 | $218.00 | $10.79 – $81.19 | 49 |
| Tomosynthesis breast screen bilateral CPT 77063 | $57.20 | $88.00 | $19.87 – $81.19 | 49 |
| Toxoplasma antibody igg CPT 86777 | $61.10 | $94.00 | $12.95 – $50.37 | 53 |
| Toxoplasma antibody igm CPT 86778 | $61.10 | $94.00 | $12.97 – $50.44 | 53 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $9,630.06 | $14,815.47 | $383.64 – $13,407.45 | 43 |
| Transferrin CPT 84466 | $116.35 | $179.00 | $11.48 – $44.66 | 53 |
| Transfusion blood/blood component(s) CPT 36430 | $3,254.32 | $5,006.64 | $40.42 – $2,835.10 | 49 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $3,806.45 | $5,856.08 | $72.03 – $3,999.45 | 43 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $3,322.98 | $5,112.27 | $55.31 – $2,272.20 | 43 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $72.80 | $112.00 | $53.15 – $855.03 | 48 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $72.15 | $111.00 | $173.39 – $1,407.20 | 48 |
| Treponema pallidum antibody CPT 86780 | $73.45 | $113.00 | $11.92 – $46.34 | 53 |
| Triglycerides CPT 84478 | $65.00 | $100.00 | $5.17 – $20.09 | 53 |
| Troponin quantitative CPT 84484 | $135.85 | $209.00 | $11.22 – $43.65 | 53 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $232.70 | $358.00 | $90.66 – $671.83 | 49 |
| Ultrasound breast complete CPT 76641 | $729.30 | $1,122.00 | $90.66 – $671.83 | 49 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $599.95 | $923.00 | $75.06 – $559.25 | 49 |
| Ultrasound chest CPT 76604 | $477.75 | $735.00 | $90.66 – $671.83 | 49 |
| Ultrasound joint complete left CPT 76881 | $626.60 | $964.00 | $90.66 – $671.83 | 49 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $599.95 | $923.00 | $90.66 – $671.83 | 49 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $232.70 | $358.00 | $35.24 – $35.24 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $232.70 | $358.00 | $17.88 – $17.88 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $388.05 | $597.00 | $77.89 – $1,533.30 | 49 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $311.35 | $479.00 | $59.93 – $671.83 | 49 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $388.05 | $597.00 | $43.18 – $671.83 | 49 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $477.75 | $735.00 | $48.86 – $671.83 | 49 |
| Ultrasound retroperitoneal limited CPT 76775 | $230.10 | $354.00 | $90.66 – $671.83 | 49 |
| Ultrasound scrotum and contents CPT 76870 | $474.50 | $730.00 | $90.66 – $671.83 | 49 |
| Ultrasound transabd ea addl gest CPT 76812 | $232.70 | $358.00 | $92.61 – $92.61 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $583.70 | $898.00 | $90.66 – $671.83 | 49 |
| Ultraviolet therapy CPT 97028 | $43.55 | $67.00 | $7.06 – $18.74 | 43 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,561.95 | $2,403.00 | $304.45 – $2,241.93 | 49 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,450.15 | $2,231.00 | $160.78 – $2,241.93 | 49 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,337.70 | $2,058.00 | $206.06 – $1,533.30 | 49 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $7,432.50 | $11,434.61 | $104.11 – $5,828.49 | 49 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $6,420.05 | $9,877.00 | $116.61 – $5,828.49 | 49 |
| Urea nitrogen CPT 84520 | $57.20 | $88.00 | $3.56 – $13.83 | 53 |
| Urea nitrogen 24 hour urine CPT 84540 | $3.25 | $5.00 | $5.00 – $19.46 | 53 |
| Uric acid blood CPT 84550 | $48.75 | $75.00 | $4.07 – $15.82 | 53 |
| Uric acid urine CPT 84560 | $118.95 | $183.00 | $4.57 – $17.78 | 53 |
| Urinalysis microscopic only CPT 81015 | $18.85 | $29.00 | $2.75 – $10.68 | 53 |
| Urinalysis (with microscopy) CPT 81001 | $62.40 | $96.00 | $2.85 – $11.10 | 53 |
| Urinalysis (without microscopy) CPT 81003 | $20.15 | $31.00 | $2.03 – $7.88 | 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.