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 |
|---|---|---|---|---|
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $750.75 | $1,155.00 | $590.36 – $909.15 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $44.20 | $68.00 | $251.65 – $387.54 | 6 |
| Injection, daratumumab 10 mg HCPCS J9145 | $2,161.54 | $3,325.45 | $947.90 – $947.90 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $600.60 | $924.00 | $590.36 – $909.15 | 6 |
| Injection, fulvestrant HCPCS J9395 | $268.45 | $413.00 | $153.20 – $153.20 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $9,094.90 | $13,992.15 | $4,825.16 – $4,825.16 | 3 |
| Injection, renflexis HCPCS Q5104 | $1,975.76 | $3,039.63 | $371.60 – $371.60 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $16,806.73 | $25,856.51 | $53.17 – $142.64 | 54 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $728.00 | $1,120.00 | $590.36 – $909.15 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,548.95 | $2,383.00 | $758.96 – $1,138.44 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,973.16 | $3,035.63 | $1,138.44 – $1,679.88 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,973.16 | $3,035.63 | $758.96 – $1,138.44 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,277.91 | $3,504.47 | $1,138.44 – $1,679.88 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,277.36 | $3,503.63 | $758.96 – $1,138.44 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,730.32 | $4,200.50 | $590.36 – $590.36 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,212.27 | $3,403.50 | $590.36 – $590.36 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $183.95 | $283.00 | $251.65 – $387.54 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $365.30 | $562.00 | $251.65 – $387.54 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $314.60 | $484.00 | $251.65 – $387.54 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $150.15 | $231.00 | $55.06 – $79.95 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $150.15 | $231.00 | $195.50 – $276.60 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $92.95 | $143.00 | $81.41 – $93.45 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $14,348.33 | $22,074.36 | $70.43 – $141.46 | 53 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $39,972.36 | $61,495.94 | $19,534.00 – $19,534.00 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | $7,987.52 | $12,288.49 | $3,117.24 – $3,117.24 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $23.40 | $36.00 | $237.15 – $260.86 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $180.05 | $277.00 | $169.39 – $249.95 | 6 |
| Inj, invega hafyera/trinza HCPCS J2427 | $26,725.80 | $41,116.62 | $9,494.94 – $9,494.94 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | $2,408.50 | $3,705.38 | $673.20 – $673.20 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $703.46 | $1,082.25 | $356.00 – $356.00 | 3 |
| Inj multihance HCPCS A9577 | $94.51 | $145.40 | $12.05 – $12.05 | 3 |
| Inj ogivri 10 mg HCPCS Q5114 | $2,464.71 | $3,791.86 | $757.35 – $757.35 | 3 |
| Inj ontruzant 10 mg HCPCS Q5112 | $3,468.49 | $5,336.14 | $547.65 – $547.65 | 3 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $25,575.35 | $39,346.70 | $13,386.00 – $13,386.00 | 3 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $9,568.48 | $14,720.74 | $1,916.76 – $1,916.76 | 3 |
| Inj, releuko 1 mcg HCPCS Q5125 | $826.80 | $1,272.00 | $138.00 – $138.00 | 3 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $28,316.68 | $43,564.13 | $14,167.80 – $14,167.80 | 3 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $48,926.93 | $75,272.20 | $24,725.50 – $24,725.50 | 3 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $1,167.32 | $1,795.88 | $599.20 – $599.20 | 3 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $1,030.61 | $1,585.56 | $448.80 – $448.80 | 3 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $1,777.20 | $2,734.15 | $511.00 – $511.00 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $217.75 | $335.00 | $153.85 – $169.23 | 6 |
| Insertion catheter bladder temporary simple CPT 51702 | $17,849.01 | $27,460.02 | $153.85 – $169.23 | 6 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $641.55 | $987.00 | $3,756.45 – $4,132.10 | 6 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,497.60 | $2,304.00 | $1,324.28 – $1,954.11 | 6 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $793.65 | $1,221.00 | $9,877.17 – $10,864.88 | 6 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $7,315.66 | $11,254.86 | $2,683.18 – $3,959.30 | 6 |
| Insert pessary/other device CPT 57160 | $156.65 | $241.00 | $171.50 – $264.11 | 6 |
| Insitu hybridization auto CPT 88367 | $319.80 | $492.00 | $90.91 – $472.24 | 13 |
| Insitu hybridization manual CPT 88368 | $414.05 | $637.00 | $113.82 – $472.24 | 13 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $269.75 | $415.00 | $48.74 – $124.76 | 7 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $289.25 | $445.00 | $101.78 – $224.98 | 13 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $1,554.15 | $2,391.00 | $6,451.56 – $7,096.72 | 6 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,372.80 | $2,112.00 | $3,756.45 – $4,132.10 | 6 |
| Insulin total CPT 83525 | $92.95 | $143.00 | $11.43 – $16.19 | 13 |
| Intranasal biopsy 30100 CPT 30100 | $53.30 | $82.00 | $1,767.88 – $1,944.67 | 6 |
| Intrauterine transfusion ftl CPT 36460 | $1,004.25 | $1,545.00 | $521.77 – $573.94 | 6 |
| Intrinsic factor antibody CPT 86340 | $97.50 | $150.00 | $15.08 – $21.35 | 13 |
| Intubation endotracheal emergency procedure CPT 31500 | $700.05 | $1,077.00 | $197.97 – $304.87 | 6 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $210.01 | $323.10 | $5.40 – $5.40 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $279.10 | $429.38 | $3.00 – $3.00 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $96,539.94 | $148,522.99 | $12,513.50 – $12,513.50 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $304.21 | $468.02 | $4.80 – $4.80 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $7,984.64 | $12,284.06 | $3,797.76 – $3,797.76 | 3 |
| Iron CPT 83540 | $83.20 | $128.00 | $5.72 – $14.56 | 49 |
| Iron binding capacity CPT 83550 | $83.20 | $128.00 | $8.74 – $12.38 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $31.81 | $48.94 | $24.21 – $24.21 | 3 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $211.09 | $324.75 | $32.00 – $32.00 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $85.80 | $132.00 | $18.50 – $51.53 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $140.40 | $216.00 | $70.88 – $89.20 | 7 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $2,427.96 | $3,735.33 | $1,128.80 – $1,128.80 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $185.90 | $286.00 | $84.95 – $115.87 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $185.90 | $286.00 | $55.06 – $76.70 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $185.90 | $286.00 | $248.98 – $276.60 | 7 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $685.75 | $1,055.00 | $212.46 – $233.71 | 7 |
| John cunningham antibody CPT 86711 | $1,164.15 | $1,791.00 | $16.89 – $23.41 | 13 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $72.15 | $111.00 | $8.17 – $11.57 | 13 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $21.22 | $32.65 | $0.44 – $0.44 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,195.35 | $1,839.00 | $476.21 – $706.64 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $750.75 | $1,155.00 | $126.92 – $243.14 | 7 |
| Knee arthroscopy/surgery CPT 29879 | $10,888.27 | $16,751.18 | $2,765.97 – $4,081.47 | 6 |
| Knee arthroscopy/surgery CPT 29882 | $10,888.27 | $16,751.18 | $2,765.97 – $4,081.47 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | $4,221.75 | $6,495.00 | $426.23 – $468.85 | 6 |
| Knee MRI (with contrast) CPT 73722 | $2,406.30 | $3,702.00 | $942.91 – $1,037.21 | 6 |
| Knee MRI (without contrast) CPT 73721 | $3,703.05 | $5,697.00 | $288.48 – $317.33 | 6 |
| Knee X-ray CPT 73564 | $669.50 | $1,030.00 | $76.30 – $139.62 | 7 |
| Kras gene addl variants CPT 81276 | $328.25 | $505.00 | $138.10 – $267.85 | 13 |
| Kras gene variants exon 2 CPT 81275 | $684.45 | $1,053.00 | $137.00 – $267.85 | 13 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $13.00 | $20.00 | $0.47 – $0.47 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $73.45 | $113.00 | $6.04 – $8.55 | 13 |
| Lactated ringers intravenous solution HCPCS J7120 | $40.30 | $62.00 | $3.19 – $3.19 | 3 |
| Lactic acid CPT 83605 | $193.70 | $298.00 | $11.57 – $16.03 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $107.90 | $166.00 | $19.70 – $27.80 | 13 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $25,990.82 | $39,985.88 | $5,686.80 – $5,686.80 | 3 |
| Laparoscopy excise lesions CPT 58662 | $7,920.91 | $12,186.02 | $4,973.69 – $7,339.18 | 6 |
| Laparoscopy remove adnexa CPT 58661 | $10,071.76 | $15,495.02 | $4,973.69 – $7,339.18 | 6 |
| Lap ing hernia repair init CPT 49650 | $14,531.57 | $22,356.26 | $4,973.69 – $7,339.18 | 6 |
| Lap ing hernia repair recur CPT 49651 | $14,069.81 | $21,645.86 | $4,973.69 – $7,339.18 | 6 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $768.30 | $1,182.00 | $2,058.11 – $2,263.92 | 6 |
| Laryngoscopy telescopic CPT 31579 | $677.30 | $1,042.00 | $331.03 – $509.79 | 6 |
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.