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 |
|---|---|---|---|---|
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $474.50 | $730.00 | $476.83 – $524.51 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $529.75 | $815.00 | $476.83 – $524.51 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $626.60 | $964.00 | $476.83 – $524.51 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $518.70 | $798.00 | $476.83 – $524.51 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $454.35 | $699.00 | $237.15 – $260.86 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $429.65 | $661.00 | $237.15 – $260.86 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $509.60 | $784.00 | $237.15 – $260.86 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $570.70 | $878.00 | $169.39 – $260.86 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $657.15 | $1,011.00 | $237.15 – $260.86 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $286.00 | $440.00 | $251.65 – $387.54 | 6 |
| Ghs strapping shoulder - 29240 CPT 29240 | $196.95 | $303.00 | $153.85 – $169.23 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | $414.05 | $637.00 | $87.89 – $96.68 | 6 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $596.70 | $918.00 | $521.83 – $803.62 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $326.30 | $502.00 | $340.59 – $524.51 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $841.10 | $1,294.00 | $1,767.88 – $1,944.67 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $443.95 | $683.00 | $204.50 – $314.93 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $849.55 | $1,307.00 | $204.50 – $314.93 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $131.95 | $203.00 | $14.71 – $20.83 | 13 |
| Ghs vaginal delivery only CPT 59409 | $2,079.35 | $3,199.00 | $3,794.69 – $4,174.15 | 6 |
| Ghs windowing of cast CPT 29730 | $120.90 | $186.00 | $134.52 – $207.16 | 6 |
| Gi inhouse confirmation CPT 87045 | $121.55 | $187.00 | $9.44 – $13.36 | 15 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,375.40 | $2,116.00 | $799.25 – $2,523.19 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $910.00 | $1,400.00 | $220.75 – $220.75 | 3 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $821.21 | $1,263.40 | $191.81 – $191.81 | 3 |
| Glucagon plasma - sendout CPT 82943 | $130.65 | $201.00 | $14.29 – $19.80 | 13 |
| Glucose 1 hr post dose CPT 82950 | $61.10 | $94.00 | $4.75 – $6.73 | 13 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $58.50 | $90.00 | $6.05 – $8.57 | 13 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $8.45 | $13.00 | $3.19 – $4.54 | 13 |
| Glucose blood quantitative CPT 82947 | $59.80 | $92.00 | $3.93 – $5.56 | 13 |
| Glucose body fluid CPT 82945 | $73.45 | $113.00 | $3.48 – $8.84 | 46 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $96.85 | $149.00 | $150.06 – $150.06 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $133.25 | $205.00 | $12.87 – $18.23 | 13 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $54.60 | $84.00 | $3.92 – $5.55 | 13 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.15 | $11.00 | $0.51 – $0.51 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,231.04 | $8,047.76 | $778.50 – $778.50 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $159.90 | $246.00 | $18.58 – $26.32 | 13 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $165.10 | $254.00 | $18.52 – $26.23 | 13 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,087.94 | $4,750.67 | $1,041.07 – $1,041.07 | 3 |
| Great toe with reduction 28495 CPT 28495 | $358.15 | $551.00 | $204.50 – $314.93 | 6 |
| G-tube reposition CPT 43761 | $397.80 | $612.00 | $207.33 – $319.29 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $0.98 – $0.98 | 3 |
| Hand X-ray CPT 73130 | $520.65 | $801.00 | $59.37 – $115.59 | 7 |
| Haptoglobin quantitative CPT 83010 | $122.20 | $188.00 | $12.58 – $17.82 | 13 |
| Hba1/hba2 full gene sequence CPT 81259 | $443.95 | $683.00 | $600.00 – $831.60 | 13 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $445.25 | $685.00 | $202.40 – $280.53 | 13 |
| Hbb full gene sequence CPT 81364 | $426.40 | $656.00 | $324.58 – $449.86 | 13 |
| Hbb gene dup/del variants CPT 81363 | $450.45 | $693.00 | $202.40 – $280.53 | 13 |
| Hcg qualitative CPT 84703 | $89.70 | $138.00 | $7.52 – $10.64 | 13 |
| Hcg quantitative CPT 84702 | $137.15 | $211.00 | $9.89 – $20.87 | 13 |
| Head CT scan (with and without contrast) CPT 70470 | $1,849.90 | $2,846.00 | $212.46 – $233.71 | 6 |
| Head CT scan (with contrast) CPT 70460 | $1,554.80 | $2,392.00 | $212.46 – $233.71 | 6 |
| Head CT scan (without contrast) CPT 70450 | $1,175.20 | $1,808.00 | $126.92 – $139.62 | 6 |
| Helicobacter pylori antibody igm CPT 86677 | $125.45 | $193.00 | $16.85 – $23.36 | 13 |
| Hematocrit CPT 85014 | $33.80 | $52.00 | $2.37 – $3.35 | 13 |
| Hemoglobin CPT 85018 | $32.50 | $50.00 | $2.37 – $3.35 | 13 |
| Hemoglobin fetal qualitative CPT 83033 | $54.60 | $84.00 | $7.97 – $11.09 | 13 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $53.30 | $82.00 | $8.20 – $11.37 | 13 |
| Hemoglobin plasma CPT 83051 | $134.55 | $207.00 | $7.31 – $10.35 | 13 |
| Hemophilus influenza antibdy CPT 86684 | $178.75 | $275.00 | $15.84 – $22.44 | 13 |
| Heparin assay CPT 85520 | $185.25 | $285.00 | $11.88 – $18.14 | 13 |
| Heparin bolus from bag HCPCS J1644 | $53.62 | $82.50 | $1.20 – $1.20 | 3 |
| Heparin neutralization CPT 85525 | $87.10 | $134.00 | $6.58 – $16.42 | 13 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.03 – $0.03 | 3 |
| Hepatitis a antibody igm CPT 86709 | $111.15 | $171.00 | $11.26 – $25.34 | 47 |
| Hepatitis b core antibody igm CPT 86705 | $133.90 | $206.00 | $11.77 – $16.67 | 13 |
| Hepatitis b core antibody total CPT 86704 | $114.40 | $176.00 | $12.05 – $17.07 | 14 |
| Hepatitis b surface antibody CPT 86706 | $113.75 | $175.00 | $10.74 – $15.21 | 14 |
| Hepatitis c antibody CPT 86803 | $139.75 | $215.00 | $14.27 – $20.22 | 14 |
| Hepatobiliary system imaging CPT 78226 | $1,416.35 | $2,179.00 | $479.57 – $586.09 | 7 |
| Hereditary colon ca dsordrs CPT 81435 | $2,581.15 | $3,971.00 | $558.02 – $1,807.28 | 12 |
| Hernia Repair (Inguinal) CPT 49505 | $12,111.26 | $18,632.71 | $3,008.46 – $4,439.28 | 6 |
| Herpes simplex 1 ag if CPT 87274 | $68.25 | $105.00 | $11.98 – $16.99 | 13 |
| Herpes simplex 2 ag if CPT 87273 | $66.30 | $102.00 | $11.98 – $16.99 | 13 |
| Herpes simplex type 1 antibody igg CPT 86695 | $107.25 | $165.00 | $13.19 – $18.68 | 13 |
| Herpes simplex type 2 antibody igg CPT 86696 | $102.70 | $158.00 | $19.35 – $27.41 | 13 |
| Heterophile antibodies screening CPT 86308 | $20.80 | $32.00 | $5.18 – $7.33 | 13 |
| Hexa gene CPT 81255 | $258.70 | $398.00 | $51.45 – $71.32 | 13 |
| Hip X-ray CPT 73502 | $285.35 | $439.00 | $58.45 – $115.59 | 7 |
| Histamine CPT 83088 | $162.50 | $250.00 | $7.39 – $40.93 | 13 |
| Histochemical stains add-on CPT 88314 | $176.80 | $272.00 | $56.14 – $85.05 | 7 |
| Hla class i high defin qual CPT 86832 | $1,586.65 | $2,441.00 | $174.40 – $448.73 | 13 |
| Hla class ii high defin qual CPT 86833 | $1,670.50 | $2,570.00 | $158.55 – $451.56 | 13 |
| Hla ii typing 1 loc hr CPT 81382 | $670.15 | $1,031.00 | $117.06 – $171.92 | 13 |
| Hla ii typing ag equiv lr CPT 81375 | $1,102.40 | $1,696.00 | $208.93 – $305.95 | 13 |
| Hla i typing 1 locus hr CPT 81380 | $668.85 | $1,029.00 | $167.77 – $245.68 | 13 |
| Hla i typing complete lr CPT 81372 | $1,045.20 | $1,608.00 | $209.08 – $559.37 | 13 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $324.35 | $499.00 | $89.52 – $382.28 | 49 |
| Hla i typing low res one locus ea CPT 81373 | $320.45 | $493.00 | $105.41 – $176.62 | 13 |
| Hla typing a b or c CPT 86813 | $685.75 | $1,055.00 | $58.00 – $82.14 | 13 |
| Hla typing dr/dq CPT 86816 | $215.80 | $332.00 | $30.17 – $41.81 | 13 |
| Homocysteine CPT 83090 | $179.40 | $276.00 | $17.92 – $24.84 | 13 |
| Homogenization tissue CPT 87176 | $48.10 | $74.00 | $5.88 – $8.33 | 14 |
| Homovanillic acid (hva) CPT 83150 | $83.85 | $129.00 | $14.77 – $31.06 | 13 |
| Hpv types 16 & 18 only CPT 87625 | $124.15 | $191.00 | $33.21 – $91.24 | 49 |
| H pylori (c-13) breath CPT 83013 | $184.60 | $284.00 | $67.36 – $95.40 | 13 |
| H pylori drug admin CPT 83014 | $37.05 | $57.00 | $7.86 – $11.14 | 13 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $7,678.12 | $11,812.50 | $2,530.00 – $2,530.00 | 3 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $181.35 | $279.00 | $72.00 – $72.00 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $13.65 | $21.00 | $5.88 – $5.88 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $165.75 | $255.00 | $53.82 – $60.57 | 7 |
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.