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 |
|---|---|---|---|---|
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $320.45 | $493.00 | $35.62 – $743.63 | 60 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $931.45 | $1,433.00 | $73.00 – $728.80 | 60 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,174.55 | $1,807.00 | $73.00 – $1,507.04 | 60 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $806.00 | $1,240.00 | $35.62 – $780.71 | 60 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $864.50 | $1,330.00 | $35.62 – $746.11 | 60 |
| Scan proc cranial extra CPT 61782 | $21,903.09 | $33,697.06 | $138.41 – $13,373.78 | 72 |
| Scan proc spinal CPT 61783 | $50,222.83 | $77,265.90 | $31.70 – $51,418.58 | 59 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $5,435.28 | $8,361.97 | $100.93 – $3,772.00 | 76 |
| Scope plantar fasciotomy CPT 29893 | $8,263.11 | $12,712.47 | $297.00 – $6,200.39 | 77 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $73.45 | $113.00 | $20.19 – $147.37 | 34 |
| Screening Mammogram CPT 77067 | $410.15 | $631.00 | $72.25 – $408.67 | 67 |
| Screening prostate cancer PSA HCPCS G0103 | $159.90 | $246.00 | $14.71 – $107.65 | 39 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $26.65 | $41.00 | $2.75 – $2.75 | 4 |
| Sc ther infusion reset pump CPT 96371 | $354.25 | $545.00 | $16.83 – $414.95 | 58 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $50,542.95 | $77,758.39 | $210.80 – $34,738.19 | 73 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $104.65 | $161.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $53.30 | $82.00 | $2.06 – $15.80 | 80 |
| Semen analysis presence/motility CPT 89321 | $74.75 | $115.00 | $9.18 – $70.52 | 75 |
| Sensorimotor examination CPT 92060 | $59.80 | $92.00 | $50.63 – $111.79 | 13 |
| Sertraline (zoloft) - sendout CPT 80332 | $154.70 | $238.00 | $15.67 – $104.33 | 12 |
| Set radiation therapy field CPT 77280 | $29,050.45 | $44,693.00 | $74.83 – $2,307.00 | 68 |
| Set radiation therapy field CPT 77285 | $1,458.60 | $2,244.00 | $201.24 – $3,409.87 | 60 |
| Set radiation therapy field CPT 77290 | $34,732.10 | $53,434.00 | $201.24 – $3,282.59 | 60 |
| Sever cranial nerve CPT 64771 | $27,933.49 | $42,974.60 | $297.00 – $13,750.42 | 77 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $272.35 | $419.00 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $21,612.66 | $33,250.24 | $363.00 – $13,750.42 | 73 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $15,755.12 | $24,238.65 | $363.00 – $6,200.39 | 77 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $15,295.32 | $23,531.26 | $297.00 – $7,145.61 | 77 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $18,804.67 | $28,930.26 | $297.00 – $7,145.61 | 75 |
| Shoe post-op mens m HCPCS L3260 | $55.90 | $86.00 | $50.00 – $50.00 | 3 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $23,053.43 | $35,466.81 | $363.00 – $13,750.42 | 75 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,010.20 | $7,708.00 | $206.69 – $2,678.75 | 74 |
| Shoulder MRI (with contrast) CPT 73222 | $5,245.50 | $8,070.00 | $201.93 – $2,652.85 | 74 |
| Shoulder MRI (without contrast) CPT 73221 | $4,387.50 | $6,750.00 | $120.71 – $1,249.42 | 74 |
| Shoulder X-ray CPT 73030 | $614.25 | $945.00 | $20.00 – $241.75 | 73 |
| Shrinker prosth above knee HCPCS L8460 | $63.70 | $98.00 | $82.49 – $84.12 | 2 |
| Shrinker prosth below knee HCPCS L8440 | $19.50 | $30.00 | $51.89 – $52.92 | 2 |
| Sialography s&i CPT 70390 | $789.75 | $1,215.00 | $79.24 – $912.30 | 73 |
| Sialolithotomy 42330 CPT 42330 | $10,743.69 | $16,528.76 | $138.95 – $11,217.99 | 75 |
| Sickling rbc CPT 85660 | $45.50 | $70.00 | $4.20 – $32.23 | 80 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,717.58 | $4,180.90 | $62.33 – $2,083.00 | 74 |
| Sigmoidoscopy for bleeding CPT 45334 | $3,233.22 | $4,974.18 | $1.32 – $2,267.62 | 72 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $3,195.97 | $4,916.88 | $58.18 – $2,083.00 | 72 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,849.60 | $4,384.00 | $135.48 – $3,772.00 | 67 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,450.85 | $5,309.00 | $102.54 – $2,267.62 | 74 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $2,014.92 | $3,099.88 | $105.07 – $2,083.00 | 74 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $676.65 | $1,041.00 | $17.64 – $242.92 | 58 |
| Sig w/tndsc balloon dilation CPT 45340 | $5,259.16 | $8,091.01 | $2.38 – $2,267.62 | 72 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $182.99 | $281.52 | $0.39 – $97.32 | 6 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $394.33 | $606.66 | $160.13 – $231.72 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,018.90 | $3,106.00 | $101.17 – $1,113.32 | 74 |
| Sinus CT scan (with contrast) CPT 70487 | $1,863.55 | $2,867.00 | $84.66 – $1,070.25 | 74 |
| Sinus CT scan (without contrast) CPT 70486 | $1,717.95 | $2,643.00 | $59.96 – $764.96 | 74 |
| Sinus/juglr venogram s&i CPT 75860 | $2,601.30 | $4,002.00 | $64.80 – $9,532.99 | 73 |
| Sirolimus, oral HCPCS J7520 | $11.43 | $17.58 | $1.06 – $2.70 | 13 |
| Skin Biopsy CPT 11102 | $404.95 | $623.00 | $28.67 – $3,772.00 | 57 |
| Sleep Study (Polysomnography) CPT 95810 | $4,153.50 | $6,390.00 | $122.00 – $1,627.30 | 56 |
| Sleep study unattended CPT 95806 | $913.25 | $1,405.00 | $38.63 – $409.17 | 56 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $373.10 | $574.00 | $10.77 – $10.77 | 1 |
| Sling pelv split sam med HCPCS L0621 | $57.20 | $88.00 | $56.72 – $204.02 | 6 |
| Slitting of prepuce CPT 54001 | $7,058.79 | $10,859.67 | $44.47 – $2,307.00 | 77 |
| Slp stdy unatnd w/anal CPT 95801 | $554.45 | $853.00 | $43.17 – $111.79 | 53 |
| Slp ther svc non-spch gen CPT 92606 | $319.15 | $491.00 | $69.82 – $69.82 | 4 |
| Sm-153 lexidron ther HCPCS A9604 | $14,863.55 | $22,867.00 | $3,099.76 – $23,773.00 | 15 |
| Small bowel endoscopy CPT 44360 | $3,471.12 | $5,340.18 | $120.44 – $3,636.30 | 77 |
| Small bowel endoscopy CPT 44366 | $3,393.08 | $5,220.13 | $199.53 – $3,636.30 | 77 |
| Small bowel endoscopy CPT 44376 | $6,214.91 | $9,561.40 | $235.99 – $3,636.30 | 77 |
| Small bowel endoscopy/biopsy CPT 44361 | $3,908.37 | $6,012.88 | $132.84 – $3,636.30 | 77 |
| Small bowel endoscopy br/wa CPT 44380 | $4,307.94 | $6,627.60 | $49.32 – $2,083.00 | 74 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $90.35 | $139.00 | $4.11 – $31.55 | 80 |
| Smear gram stain CPT 87205 | $81.25 | $125.00 | $3.25 – $25.01 | 80 |
| Smear nasal eosinophil CPT 89190 | $61.10 | $94.00 | $4.41 – $30.49 | 41 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $83.20 | $128.00 | $4.56 – $35.08 | 71 |
| Smear wet mount CPT 87210 | $74.10 | $114.00 | $4.43 – $30.65 | 80 |
| Snrpn/ube3a gene CPT 81331 | $508.95 | $783.00 | $34.72 – $268.96 | 78 |
| Sodium 24 hour urine CPT 84300 | $96.85 | $149.00 | $3.86 – $28.44 | 80 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $68.25 | $105.00 | $1.99 – $5.01 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $68.25 | $105.00 | $1.25 – $2.91 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $68.25 | $105.00 | $0.63 – $1.50 | 16 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $68.25 | $105.00 | $8.00 – $25.00 | 13 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $96.12 | $147.87 | $10.95 – $25.65 | 16 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $574.27 | $883.50 | $72.97 – $159.40 | 16 |
| Sodium serum/plasma/whole blood CPT 84295 | $50.70 | $78.00 | $3.67 – $28.17 | 80 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $8.71 | $13.40 | $0.87 – $4.05 | 45 |
| Special physics consult CPT 77370 | $73,102.90 | $112,466.00 | $109.00 – $1,230.50 | 60 |
| Special radiation dosimetry CPT 77331 | $419.90 | $646.00 | $16.08 – $474.87 | 60 |
| Special radiation treatment CPT 77470 | $50,831.28 | $78,201.97 | $29.94 – $1,997.50 | 60 |
| Special teletx port plan CPT 77321 | $9,573.85 | $14,729.00 | $37.19 – $1,258.24 | 60 |
| Specific gravity body fluid CPT 84315 | $26.65 | $41.00 | $1.86 – $17.27 | 41 |
| Specimen fat stain CPT 89125 | $53.95 | $83.00 | $4.48 – $30.97 | 41 |
| Sperm antibody test CPT 89325 | $89.70 | $138.00 | $8.13 – $62.46 | 36 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $12,300.17 | $18,923.34 | $363.00 – $5,259.84 | 77 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,886.65 | $4,441.00 | $70.79 – $3,772.00 | 57 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $505.70 | $778.00 | $28.14 – $707.13 | 58 |
| Spleen imaging CPT 78185 | $1,515.15 | $2,331.00 | $38.00 – $1,345.10 | 66 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $33.15 | $51.00 | $54.74 – $129.69 | 46 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $152.10 | $234.00 | $79.87 – $181.25 | 43 |
| Split blood or products CPT 86985 | $137.80 | $212.00 | $5.00 – $322.85 | 58 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $7,689.50 | $11,830.00 | $811.30 – $7,878.04 | 15 |
| Srs linear based CPT 77372 | $36,708.10 | $56,474.00 | $739.93 – $30,110.11 | 60 |
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.