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 |
|---|---|---|---|---|
| X-ray elbow 2 views (both sides) CPT 73070 | $419.90 | $646.00 | $17.75 – $241.75 | 73 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $478.40 | $736.00 | $19.00 – $241.75 | 73 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $469.95 | $723.00 | $36.00 – $455.25 | 73 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $648.05 | $997.00 | $46.48 – $912.30 | 73 |
| X-ray exam entire spi 6/> vw CPT 72084 | $731.90 | $1,126.00 | $55.80 – $912.30 | 73 |
| X-ray exam of arm infant CPT 73092 | $564.20 | $868.00 | $19.62 – $455.25 | 73 |
| X-ray exam of eye sockets CPT 70200 | $288.60 | $444.00 | $14.00 – $455.25 | 73 |
| X-ray exam of femur 1 CPT 73551 | $266.50 | $410.00 | $17.75 – $241.75 | 73 |
| X-ray exam of jaw joint CPT 70328 | $175.50 | $270.00 | $14.00 – $241.75 | 73 |
| X-ray exam of jaw joint CPT 70332 | $2,522.65 | $3,881.00 | $46.59 – $912.30 | 73 |
| X-ray exam of mastoids CPT 70120 | $350.35 | $539.00 | $23.00 – $455.25 | 73 |
| X-ray exam of perineum CPT 74775 | $496.60 | $764.00 | $54.47 – $912.30 | 34 |
| X-ray exam of sinuses CPT 70210 | $185.25 | $285.00 | $14.00 – $241.75 | 73 |
| X-ray exam si joints CPT 72200 | $291.20 | $448.00 | $14.00 – $455.25 | 73 |
| X-ray exam thorac spine4/>vw CPT 72074 | $378.95 | $583.00 | $27.47 – $455.25 | 73 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $339.95 | $523.00 | $8.84 – $241.75 | 73 |
| X-ray facial bones complete > 3 views CPT 70150 | $256.10 | $394.00 | $18.00 – $455.25 | 73 |
| X-ray fallopian tube CPT 74742 | $707.20 | $1,088.00 | $53.20 – $227.19 | 17 |
| X-ray femur >=2 views (both sides) CPT 73552 | $517.40 | $796.00 | $21.18 – $241.75 | 73 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $466.70 | $718.00 | $16.00 – $241.75 | 73 |
| X-ray foot 2 views (both sides) CPT 73620 | $369.85 | $569.00 | $17.75 – $241.75 | 73 |
| X-ray forearm 2 views (both sides) CPT 73090 | $515.45 | $793.00 | $18.03 – $241.75 | 73 |
| X-ray hand 2 views (both sides) CPT 73120 | $355.55 | $547.00 | $17.00 – $455.25 | 73 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $432.90 | $666.00 | $13.00 – $241.75 | 73 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $365.95 | $563.00 | $38.63 – $455.25 | 73 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $514.15 | $791.00 | $25.52 – $455.25 | 73 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $681.85 | $1,049.00 | $31.17 – $455.25 | 73 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $871.65 | $1,341.00 | $37.49 – $912.30 | 73 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $262.60 | $404.00 | $18.85 – $241.75 | 73 |
| X-ray humerus >= 2 views left CPT 73060 | $540.80 | $832.00 | $20.25 – $241.75 | 73 |
| X-ray joint survey 1 view CPT 77077 | $193.70 | $298.00 | $25.52 – $455.25 | 73 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $435.50 | $670.00 | $21.91 – $241.75 | 73 |
| X-ray knee 3 views (both sides) CPT 73562 | $442.00 | $680.00 | $26.63 – $241.75 | 73 |
| X-ray knee ap standing bilateral CPT 73565 | $202.15 | $311.00 | $22.00 – $241.75 | 73 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $267.15 | $411.00 | $19.62 – $241.75 | 73 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $405.60 | $624.00 | $24.97 – $245.18 | 73 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $545.35 | $839.00 | $33.02 – $455.25 | 73 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $384.80 | $592.00 | $39.13 – $455.25 | 73 |
| X-ray mandible complete > 4 views CPT 70110 | $270.40 | $416.00 | $26.00 – $455.25 | 73 |
| X-ray mandible ltd <4 views CPT 70100 | $212.55 | $327.00 | $16.00 – $241.75 | 73 |
| X-ray nasal bones complete > 3 views CPT 70160 | $193.70 | $298.00 | $23.00 – $241.75 | 73 |
| X-ray neck soft tissue CPT 70360 | $234.65 | $361.00 | $10.00 – $241.75 | 73 |
| X-ray nose to rectum for foreign body child CPT 76010 | $287.95 | $443.00 | $7.20 – $241.75 | 73 |
| X-ray of mammary ducts CPT 77054 | $1,066.65 | $1,641.00 | $62.74 – $912.30 | 34 |
| X-ray optic foramina CPT 70190 | $397.80 | $612.00 | $13.00 – $241.75 | 34 |
| X-ray pelvis 1-2 views CPT 72170 | $348.40 | $536.00 | $16.36 – $455.25 | 73 |
| X-ray pelvis complete > 3 views CPT 72190 | $342.55 | $527.00 | $25.25 – $455.25 | 73 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $793.65 | $1,221.00 | $48.01 – $1,815.97 | 73 |
| X-ray ribs 2 views left CPT 71100 | $281.45 | $433.00 | $17.00 – $241.75 | 73 |
| X-ray ribs 3 views bilateral CPT 71110 | $292.50 | $450.00 | $25.00 – $455.25 | 73 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $583.70 | $898.00 | $17.00 – $455.25 | 73 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $463.45 | $713.00 | $30.98 – $455.25 | 73 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $227.50 | $350.00 | $21.00 – $455.25 | 73 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $289.90 | $446.00 | $17.00 – $241.75 | 73 |
| X-ray scapula complete (both sides) CPT 73010 | $458.25 | $705.00 | $12.75 – $245.18 | 73 |
| X-ray sella turcica CPT 70240 | $224.25 | $345.00 | $17.00 – $241.75 | 34 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $334.10 | $514.00 | $11.92 – $241.75 | 73 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $237.25 | $365.00 | $22.75 – $241.75 | 73 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $529.10 | $814.00 | $29.41 – $1,815.97 | 73 |
| X-ray skull < 4 views CPT 70250 | $322.40 | $496.00 | $22.00 – $455.25 | 73 |
| X-ray skull > 4 views complete CPT 70260 | $319.80 | $492.00 | $26.08 – $455.25 | 73 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $702.65 | $1,081.00 | $48.00 – $455.25 | 73 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $426.40 | $656.00 | $35.00 – $580.52 | 73 |
| X-ray small intestine follow-through study CPT 74248 | $910.00 | $1,400.00 | $40.35 – $287.98 | 12 |
| X-ray spine single view CPT 72020 | $308.75 | $475.00 | $13.67 – $241.75 | 73 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $338.65 | $521.00 | $18.00 – $241.75 | 73 |
| X-ray sternum > 2 views CPT 71120 | $196.30 | $302.00 | $14.00 – $241.75 | 73 |
| X-ray surgical specimen CPT 76098 | $516.10 | $794.00 | $13.53 – $1,815.97 | 73 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $482.30 | $742.00 | $29.00 – $654.48 | 73 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $319.80 | $492.00 | $22.00 – $241.75 | 73 |
| X-ray thoracic spine 2 views CPT 72070 | $377.00 | $580.00 | $19.41 – $455.25 | 73 |
| X-ray thoracic spine 3 views CPT 72072 | $469.30 | $722.00 | $24.14 – $455.25 | 73 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $302.90 | $466.00 | $20.53 – $241.75 | 73 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $229.45 | $353.00 | $23.51 – $241.75 | 73 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $333.45 | $513.00 | $42.84 – $455.25 | 73 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $516.10 | $794.00 | $19.97 – $241.75 | 73 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $472.55 | $727.00 | $13.00 – $241.75 | 73 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $458.90 | $706.00 | $41.00 – $661.47 | 73 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $635.05 | $977.00 | $30.00 – $569.01 | 73 |
| X-ray wrist 2 views (both sides) CPT 73100 | $471.90 | $726.00 | $19.00 – $241.75 | 73 |
| Xyntha inj HCPCS J7185 | $7,669.48 | $11,799.20 | $1.56 – $800.18 | 58 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $62,955.10 | $96,854.00 | $55,744.88 – $107,966.64 | 8 |
| Zidovudine, oral, 100 mg HCPCS S0104 | $75.35 | $115.92 | $2.20 – $3.50 | 6 |
| Zika virus dna/rna amp probe CPT 87662 | $422.50 | $650.00 | $39.10 – $300.31 | 37 |
| Zika virus igm antibody CPT 86794 | $163.15 | $251.00 | $12.84 – $98.59 | 76 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $142.06 | $218.55 | $9.16 – $28.76 | 16 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $6,975.80 | $10,732.00 | $7.09 – $1,843.24 | 58 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $403.65 | $621.00 | $25.40 – $330.63 | 16 |
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.