Mercy Orthopedic Hospital Springfield
3050 E River Bluff Blvd, Ozark, MO · Mercy · · NPI 1578504056
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 |
|---|---|---|---|---|
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $397.47 | $611.50 | $7.60 – $11.20 | 7 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $89.60 | $137.85 | $10.60 – $14.85 | 8 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $429.08 | $660.12 | $135.00 – $294.00 | 8 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $318.50 | $490.00 | $16.06 – $123.29 | 80 |
| Galactose transferase test CPT 82776 | $9.75 | $15.00 | $8.95 – $61.83 | 80 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $14,143.77 | $21,759.64 | $363.00 – $11,456.19 | 75 |
| Gallium illuccix 1 millicure HCPCS A9596 | $747.50 | $1,150.00 | $469.43 – $1,587.24 | 56 |
| Gammaglobulin iga CPT 82784 | $120.90 | $186.00 | $7.09 – $54.46 | 80 |
| Gammaglobulin ige CPT 82785 | $65.65 | $101.00 | $12.54 – $96.33 | 80 |
| Gamma glutamyltransferase CPT 82977 | $98.15 | $151.00 | $5.49 – $42.14 | 80 |
| Gamunex-c/gammaked HCPCS J1561 | $11,989.43 | $18,445.28 | $48.14 – $532.43 | 58 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $294.00 | $452.31 | $28.74 – $72.91 | 16 |
| Gardner vag dna quant CPT 87512 | $89.70 | $138.00 | $23.52 – $244.38 | 77 |
| Gastric analy w/ph ea spec CPT 82930 | $49.40 | $76.00 | $5.11 – $35.34 | 39 |
| Gastroesophageal reflux study CPT 78262 | $1,602.25 | $2,465.00 | $64.00 – $1,345.10 | 27 |
| Gastroesophageal reflux test CPT 91034 | $1,321.45 | $2,033.00 | $65.00 – $3,772.00 | 57 |
| Gated heart multiple CPT 78473 | $2,522.65 | $3,881.00 | $61.00 – $1,345.10 | 27 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $115.91 | $178.33 | $2.87 – $6.92 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $21.25 | $32.69 | $2.17 – $4.94 | 16 |
| Gentamicin peak therapeutic drug level CPT 80170 | $182.00 | $280.00 | $12.48 – $95.86 | 80 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,688.70 | $2,598.00 | $65.00 – $3,772.00 | 58 |
| Ghs abscess perianal iandd CPT 46050 | $9,008.32 | $13,858.96 | $94.38 – $5,504.39 | 75 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,506.10 | $5,394.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $45.50 | $70.00 | $7.48 – $51.67 | 41 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,985.10 | $3,054.00 | $77.92 – $600.26 | 78 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $328.25 | $505.00 | $9.90 – $252.12 | 56 |
| Ghs antibodies (torch) igm CPT 86694 | $140.40 | $216.00 | $10.97 – $84.21 | 80 |
| Ghs bladder cath - complex-foley CPT 51703 | $923.65 | $1,421.00 | $50.57 – $2,083.00 | 77 |
| Ghs bleeding time (ivy) CPT 85002 | $87.75 | $135.00 | $3.67 – $26.39 | 41 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $578.27 | $889.65 | $47.08 – $2,083.00 | 75 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,017.90 | $1,566.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,066.65 | $1,641.00 | $33.11 – $3,772.00 | 57 |
| Ghs chemo >8 hrs CPT 96416 | $533.00 | $820.00 | $113.77 – $955.63 | 58 |
| Ghs chemo IV push, ea addtl CPT 96411 | $348.40 | $536.00 | $42.83 – $416.40 | 58 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $183.30 | $282.00 | $26.74 – $205.35 | 41 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $759.85 | $1,169.00 | $98.19 – $3,772.00 | 34 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,331.20 | $2,048.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $11,891.52 | $18,294.65 | $250.00 – $6,200.39 | 77 |
| Ghs community re-entry 15 minutes CPT 97537 | $233.35 | $359.00 | $4.85 – $254.87 | 51 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $3,762.79 | $5,788.91 | $28.34 – $3,772.00 | 75 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $331.66 | $510.24 | $45.81 – $3,772.00 | 72 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $331.66 | $510.24 | $35.54 – $3,772.00 | 75 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $391.95 | $603.00 | $35.94 – $3,772.00 | 75 |
| Ghs cutdown placement under 1 yr CPT 36420 | $486.20 | $748.00 | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $103.35 | $159.00 | $11.59 – $89.00 | 80 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $3,268.20 | $5,028.00 | $70.79 – $3,772.00 | 57 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $458.90 | $706.00 | $133.38 – $4,341.04 | 58 |
| Ghs eye exam CPT 92002 | $129.35 | $199.00 | $36.15 – $252.29 | 54 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $7,415.65 | $11,408.69 | $91.51 – $2,083.00 | 72 |
| Ghs fat & muscle CPT 89160 | $73.45 | $113.00 | $3.70 – $25.55 | 41 |
| Ghs fb removal foot - deep - left CPT 28192 | $5,739.50 | $8,830.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $1,989.65 | $3,061.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $2,429.05 | $3,737.00 | $130.04 – $3,129.75 | 75 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $82.55 | $127.00 | $2.26 – $40.87 | 80 |
| Ghs fish cytogen CPT 88271 | $310.05 | $477.00 | $16.32 – $125.34 | 80 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $150.15 | $231.00 | $39.01 – $269.60 | 80 |
| Ghs flow volume loop CPT 94375 | $214.50 | $330.00 | $13.00 – $451.28 | 58 |
| Ghs gastric intub aspiration lavage CPT 43753 | $391.30 | $602.00 | $19.11 – $451.28 | 54 |
| Ghs hcv amplificaiton CPT 87521 | $265.20 | $408.00 | $26.74 – $205.35 | 38 |
| Ghs histoplasma antigen CPT 87385 | $185.25 | $285.00 | $10.10 – $70.15 | 80 |
| Ghs HIV antibody CPT 86703 | $150.15 | $231.00 | $7.91 – $80.22 | 80 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $2,021.50 | $3,110.00 | $80.88 – $559.00 | 41 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $7,740.64 | $11,908.68 | $250.00 – $3,771.00 | 74 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,316.25 | $2,025.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $476.45 | $733.00 | not published | 0 |
| Ghs immun0electrophoresis CPT 86320 | $94.25 | $145.00 | $22.80 – $157.57 | 34 |
| Ghs inf midline insertion CPT 36140 | $19,457.60 | $29,934.77 | $76.17 – $6,143.41 | 57 |
| Ghs inhibitor screen CPT 85335 | $242.45 | $373.00 | $9.81 – $75.32 | 80 |
| Ghs init tx 1st degree burn CPT 16000 | $387.40 | $596.00 | not published | 0 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $9,388.60 | $14,444.00 | $156.35 – $2,417.25 | 74 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,298.86 | $3,536.71 | $90.34 – $2,083.00 | 75 |
| Ghs inj tendon origin/insertion CPT 20551 | $328.25 | $505.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $793.65 | $1,221.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $4,184.70 | $6,438.00 | $109.94 – $2,083.00 | 74 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $11,292.19 | $17,372.60 | $150.46 – $3,129.75 | 77 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $25,120.50 | $38,646.93 | $241.53 – $13,750.42 | 77 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $15,341.36 | $23,602.09 | $242.83 – $3,129.75 | 77 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $18,545.28 | $28,531.20 | $26.39 – $6,143.41 | 57 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $174.20 | $268.00 | $15.83 – $88.73 | 48 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $900.90 | $1,386.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $7,974.26 | $12,268.10 | $112.30 – $3,129.75 | 75 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,805.59 | $2,777.83 | $112.30 – $2,083.00 | 72 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $7,326.33 | $11,271.27 | $112.30 – $3,129.75 | 75 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $7,775.33 | $11,962.04 | $112.30 – $2,083.00 | 72 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $7,815.53 | $12,023.90 | $112.30 – $3,129.75 | 75 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $7,838.94 | $12,059.91 | $112.30 – $5,504.39 | 75 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $11,750.03 | $18,076.97 | $127.78 – $7,419.69 | 77 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,084.58 | $1,668.58 | $127.78 – $2,307.00 | 74 |
| Ghs mbp CPT 83873 | $215.15 | $331.00 | $13.11 – $100.69 | 80 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $175.50 | $270.00 | $20.27 – $52.17 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $146.90 | $226.00 | $73.98 – $73.98 | 4 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $159.25 | $245.00 | $66.84 – $68.66 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $273.00 | $420.00 | $9.67 – $10.58 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $121.55 | $187.00 | $52.18 – $52.85 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $465.40 | $716.00 | $9.63 – $94.28 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,038.05 | $1,597.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $3,275.82 | $5,039.73 | $20.87 – $2,083.00 | 74 |
| Ghs nerve blk intercostal, single level CPT 64420 | $22,936.17 | $35,286.42 | $210.45 – $13,750.42 | 75 |
| Ghs nerve block axillary nerve CPT 64417 | $18,931.32 | $29,125.11 | $363.00 – $13,750.42 | 77 |
| Ghs nerve block brachial plexus CPT 64415 | $23,426.18 | $36,040.28 | $63.57 – $13,750.42 | 73 |
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.