Mercy Hospital Lincoln
1000 E. Cherry Street, Troy, MO · Mercy · · NPI 1962808733
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $133.25 | $205.00 | $29.28 – $41.46 | 13 |
| 17-hydroxypregnenolone CPT 84143 | $107.90 | $166.00 | $19.48 – $31.62 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,277.60 | $3,504.00 | $654.39 – $1,037.21 | 6 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,404.00 | $2,160.00 | $288.48 – $1,037.21 | 6 |
| 5' nucleotidase - sendout CPT 83915 | $81.25 | $125.00 | $11.15 – $15.80 | 13 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $100.75 | $155.00 | $18.99 – $23.50 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,910.36 | $6,015.94 | $1,498.75 – $1,498.75 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $76.05 | $117.00 | $12.01 – $17.01 | 13 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,070.25 | $3,185.00 | $212.46 – $233.71 | 6 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,718.60 | $2,644.00 | $212.46 – $233.71 | 6 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,459.90 | $2,246.00 | $126.92 – $139.62 | 6 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,664.05 | $5,637.00 | $426.23 – $468.85 | 6 |
| Abdominal MRI (with contrast) CPT 74182 | $2,651.35 | $4,079.00 | $426.23 – $468.85 | 6 |
| Abdominal MRI (without contrast) CPT 74181 | $2,271.10 | $3,494.00 | $288.48 – $317.33 | 6 |
| Abdominal Ultrasound (complete) CPT 76700 | $872.95 | $1,343.00 | $126.92 – $548.00 | 9 |
| Abdominal Ultrasound (limited) CPT 76705 | $551.20 | $848.00 | $126.92 – $194.87 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $460.20 | $708.00 | $799.25 – $1,230.85 | 6 |
| Ablation cryo abd perit om CPT 49999 | $2,096.25 | $3,225.00 | $799.25 – $1,230.85 | 6 |
| Ablation cryo thigh/knee CPT 27599 | $130.65 | $201.00 | $204.50 – $314.93 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,238.90 | $1,906.00 | $251.65 – $251.65 | 6 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $35.10 | $54.00 | $8.00 – $8.00 | 3 |
| Acetaminophen level CPT 80143 | $146.90 | $226.00 | $18.64 – $25.84 | 15 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $130.00 | $200.00 | $34.27 – $34.27 | 3 |
| Acetone qualitative CPT 82009 | $47.45 | $73.00 | $4.00 – $10.17 | 49 |
| Acetylcholine receptor modulating antibody CPT 86043 | $220.35 | $339.00 | $12.05 – $16.71 | 9 |
| Acetylcholinesterase assay CPT 82013 | $135.85 | $209.00 | $12.29 – $17.03 | 13 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $173.06 | $266.25 | $30.00 – $30.00 | 3 |
| Acne surgery 10040 CPT 10040 | $161.85 | $249.00 | $237.15 – $260.86 | 6 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $248.30 | $382.00 | $153.80 – $517.06 | 7 |
| Actinotherapy uv light CPT 96900 | $36.40 | $56.00 | $46.84 – $72.44 | 7 |
| Acute hepatitis panel CPT 80074 | $325.00 | $500.00 | $42.13 – $107.17 | 45 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $36.56 | $56.25 | $16.00 – $16.00 | 3 |
| #acylcarnitineprfl CPT 82017 | $205.40 | $316.00 | $16.87 – $23.89 | 13 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $17.80 | $27.38 | $2.13 – $2.13 | 3 |
| Adh-sendout CPT 84588 | $185.90 | $286.00 | $33.94 – $47.05 | 13 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $98.60 | $151.70 | $14.20 – $14.20 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $319.15 | $491.00 | $84.95 – $109.94 | 7 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $298.35 | $459.00 | $84.95 – $253.72 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $319.15 | $491.00 | $395.86 – $512.70 | 7 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $282.75 | $435.00 | $395.16 – $435.45 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $204.10 | $314.00 | $84.95 – $122.98 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $176.80 | $272.00 | $84.95 – $255.02 | 7 |
| Administration immunization 1 vaccine CPT 90471 | $67.60 | $104.00 | $84.95 – $93.45 | 6 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $41.60 | $64.00 | $84.95 – $93.45 | 6 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $17,354.18 | $26,698.74 | $5,649.00 – $5,649.00 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $128.70 | $198.00 | $20.05 – $28.40 | 13 |
| After cataract laser surgery CPT 66821 | $1,214.78 | $1,868.90 | $701.51 – $1,035.15 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $19,651.83 | $30,233.59 | $1,542.00 – $1,542.00 | 3 |
| Albumin body fluid quantitative each specimen CPT 82042 | $71.50 | $110.00 | $6.70 – $17.51 | 45 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $292.50 | $450.00 | $71.07 – $71.07 | 3 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $73.45 | $113.00 | $5.78 – $13.01 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $61.75 | $95.00 | $4.95 – $7.01 | 14 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $110.50 | $170.00 | $17.27 – $38.86 | 47 |
| Alkaline phosphatase CPT 84075 | $70.20 | $108.00 | $5.18 – $7.33 | 13 |
| Allergen alpha lactalbumin ige CPT 86008 | $42.25 | $65.00 | $15.86 – $40.34 | 47 |
| Allergen egg white ige CPT 86003 | $53.95 | $83.00 | $4.62 – $11.75 | 46 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $46.15 | $71.00 | $7.97 – $11.29 | 13 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,608.75 | $2,475.00 | $719.00 – $719.00 | 3 |
| Alpha-fetoprotein amniotic CPT 82106 | $148.20 | $228.00 | $17.00 – $23.76 | 13 |
| Alpha-fetoprotein tumor marker CPT 82105 | $161.20 | $248.00 | $14.83 – $37.73 | 49 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $21,450.88 | $33,001.35 | $251.28 – $251.28 | 3 |
| Alt/sgpt CPT 84460 | $64.35 | $99.00 | $5.30 – $7.50 | 13 |
| Aluminum - quest CPT 82108 | $148.20 | $228.00 | $25.48 – $36.08 | 13 |
| Amantadine (symmetrel)-sendout CPT 80375 | $180.05 | $277.00 | $26.67 – $28.76 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $46.47 | $71.50 | $8.30 – $8.30 | 3 |
| Amino acid screen, urine CPT 82128 | $81.90 | $126.00 | $13.87 – $19.63 | 13 |
| Amino acids quant 2-5 CPT 82136 | $169.00 | $260.00 | $19.61 – $27.18 | 13 |
| Aminolevulinic acid delta CPT 82135 | $101.40 | $156.00 | $16.45 – $23.31 | 13 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $71.47 | $109.95 | $13.94 – $13.94 | 3 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $150.15 | $231.00 | $16.95 – $16.95 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $7.15 | $11.00 | $2.75 – $2.75 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | $118.95 | $183.00 | $26.67 – $87.80 | 3 |
| Ammonia CPT 82140 | $117.00 | $180.00 | $14.57 – $20.64 | 14 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $2,903.55 | $4,467.00 | $3,872.36 – $4,259.59 | 6 |
| Amphetamine confirm urine -sendout CPT 80324 | $122.20 | $188.00 | $26.67 – $28.76 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $23.11 | $35.55 | $0.79 – $0.79 | 3 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.25 | $45.00 | $1.78 – $1.78 | 3 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $512.20 | $788.00 | $262.99 – $364.50 | 11 |
| Amylase CPT 82150 | $92.30 | $142.00 | $6.48 – $9.18 | 13 |
| Ana ds-dna CPT 86226 | $106.60 | $164.00 | $12.11 – $17.15 | 13 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $254.15 | $391.00 | $109.55 – $120.51 | 6 |
| Analysis gene f2 20210g>a variant CPT 81240 | $352.30 | $542.00 | $45.55 – $91.04 | 13 |
| Analysis gene f5 leiden variant CPT 81241 | $318.50 | $490.00 | $57.83 – $101.69 | 13 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $188.50 | $290.00 | $44.51 – $48.96 | 6 |
| Analysis tumor CPT 88358 | $174.85 | $269.00 | $30.65 – $224.98 | 13 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $152.10 | $234.00 | $35.09 – $48.63 | 12 |
| Anca screen with reflex to titer -quest CPT 86021 | $134.55 | $207.00 | $3.48 – $20.87 | 13 |
| Ankle arthroscopy/surgery CPT 29898 | $16,806.73 | $25,856.51 | $2,765.97 – $4,081.47 | 6 |
| Ankle X-ray CPT 73610 | $518.05 | $797.00 | $60.21 – $115.59 | 7 |
| Anodyne therapy charges pt CPT 97026 | $37.05 | $57.00 | $8.27 – $9.10 | 6 |
| Anora (draw only) CPT 99001 | $17.55 | $27.00 | $6.22 – $6.22 | 3 |
| Anoscopy remove fb 46608 CPT 46608 | $523.25 | $805.00 | $777.21 – $1,196.90 | 6 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $92.30 | $142.00 | $12.88 – $18.25 | 13 |
| Antibody elution rbc reference CPT 86860 | $146.90 | $226.00 | $19.78 – $224.98 | 13 |
| Antibody htlv/hiv confirm test CPT 86689 | $180.70 | $278.00 | $19.35 – $27.41 | 13 |
| Antibody htlv-i CPT 86687 | $74.75 | $115.00 | $9.09 – $12.60 | 13 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $289.25 | $445.00 | $14.99 – $25.46 | 13 |
| Antibody id rbc panel CPT 86870 | $216.45 | $333.00 | $27.11 – $472.24 | 13 |
| Antibody influenza virus CPT 86710 | $76.05 | $117.00 | $10.83 – $18.79 | 13 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $59.80 | $92.00 | $12.87 – $18.23 | 13 |
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.