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 |
|---|---|---|---|---|
| Laryngoscopy w/fb removal CPT 31530 | $784.55 | $1,207.00 | $2,058.11 – $2,263.92 | 6 |
| Lead capillary CPT 83655 | $90.35 | $139.00 | $12.11 – $17.15 | 13 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,074.45 | $1,653.00 | $288.48 – $780.28 | 7 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $286.00 | $440.00 | $5.14 – $5.14 | 3 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $7,088.72 | $10,905.73 | $228.67 – $228.67 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $14,832.12 | $22,818.64 | $2,361.82 – $2,361.82 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $60.12 | $92.50 | $2.50 – $2.50 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $131.95 | $203.00 | $12.55 – $18.37 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $43.39 | $66.75 | $2.89 – $2.89 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $343.13 | $527.90 | $80.10 – $80.10 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $22.75 | $35.00 | $20.00 – $20.00 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $130.00 | $200.00 | $14.69 – $20.80 | 13 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $61.42 | $94.50 | $11.01 – $11.01 | 3 |
| Lipase CPT 83690 | $106.60 | $164.00 | $6.89 – $9.76 | 18 |
| Lipoprotein blood high res frac & quant CPT 83701 | $104.65 | $161.00 | $32.85 – $46.92 | 13 |
| Lipoprotein blood quant CPT 83704 | $143.65 | $221.00 | $34.19 – $47.39 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $69.55 | $107.00 | $8.19 – $11.60 | 13 |
| Lipoprotein direct measurement ldl CPT 83721 | $68.25 | $105.00 | $10.50 – $14.55 | 13 |
| Lithium therapeutic drug level CPT 80178 | $94.90 | $146.00 | $6.61 – $9.36 | 13 |
| Liver elastography 91200 CPT 91200 | $445.25 | $685.00 | $186.73 – $205.41 | 6 |
| Liver Function Test CPT 80076 | $148.85 | $229.00 | $8.17 – $11.57 | 13 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $57.51 | $88.48 | $1.89 – $1.89 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,921.40 | $2,956.00 | $212.46 – $233.71 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,793.35 | $2,759.00 | $426.23 – $468.85 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,422.85 | $2,189.00 | $126.92 – $139.62 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,631.85 | $4,049.00 | $426.23 – $468.85 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,702.05 | $4,157.00 | $426.23 – $468.85 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,003.30 | $3,082.00 | $288.48 – $317.33 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $308.10 | $474.00 | $72.92 – $139.62 | 7 |
| L/s ratio fetal lung CPT 83661 | $222.30 | $342.00 | $21.99 – $31.14 | 13 |
| Lung function test (mbc/mvv) CPT 94200 | $163.15 | $251.00 | $65.33 – $77.97 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $273.65 | $421.00 | $93.78 – $205.41 | 7 |
| Lung perfusion imaging CPT 78580 | $1,052.35 | $1,619.00 | $439.79 – $527.53 | 7 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $21,982.48 | $33,819.20 | $11,289.20 – $11,289.20 | 3 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $32,894.79 | $50,607.37 | $5,727.00 – $5,727.00 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | $1,201.20 | $1,848.00 | $642.40 – $731.12 | 7 |
| Macro exam dissect molec study ea CPT 88387 | $71.50 | $110.00 | $6.27 – $9.31 | 7 |
| Macroscopic exam arthropod CPT 87168 | $46.15 | $71.00 | $4.27 – $6.05 | 13 |
| Macroscopic exam parasite CPT 87169 | $46.80 | $72.00 | $4.31 – $6.05 | 13 |
| Magnesium CPT 83735 | $84.50 | $130.00 | $5.93 – $15.08 | 47 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $40.95 | $63.00 | $1.10 – $1.10 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $90.35 | $139.00 | $76.00 – $169.23 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $118.95 | $183.00 | $78.37 – $169.23 | 7 |
| Mastectomy partial CPT 19301 | $529.10 | $814.00 | $4,570.15 – $5,027.16 | 6 |
| Mastoids complete CPT 70130 | $239.85 | $369.00 | $99.17 – $139.62 | 7 |
| Mast simple complete CPT 19303 | $767.65 | $1,181.00 | $7,783.19 – $8,561.51 | 6 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $135.85 | $209.00 | $14.46 – $20.48 | 13 |
| Mayo aathr protein s free CPT 85306 | $211.25 | $325.00 | $15.32 – $21.70 | 13 |
| Mayo activated protein c resistance assay CPT 85307 | $174.20 | $268.00 | $15.32 – $21.70 | 13 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $208.00 | $320.00 | $38.57 – $53.45 | 12 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $115.05 | $177.00 | $26.67 – $28.76 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $109.85 | $169.00 | $14.78 – $20.95 | 13 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $144.30 | $222.00 | $26.67 – $28.76 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $135.85 | $209.00 | $13.44 – $19.03 | 13 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $98.15 | $151.00 | $15.08 – $21.35 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $109.85 | $169.00 | $26.67 – $28.76 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $696.80 | $1,072.00 | $116.04 – $168.58 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $334.75 | $515.00 | $86.77 – $127.03 | 13 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $536.90 | $826.00 | $137.00 – $189.88 | 13 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,418.30 | $2,182.00 | $518.80 – $1,607.76 | 13 |
| Mayo androstenedione CPT 82157 | $152.10 | $234.00 | $29.28 – $41.46 | 13 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $125.45 | $193.00 | $14.60 – $20.68 | 13 |
| Mayo antithrombin iii antigen CPT 85301 | $109.20 | $168.00 | $10.81 – $15.31 | 13 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $98.80 | $152.00 | $15.05 – $21.33 | 13 |
| Mayo avwpr vw factor activity CPT 85397 | $249.60 | $384.00 | $30.30 – $42.77 | 13 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $251.55 | $387.00 | $35.09 – $48.63 | 12 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $73.45 | $113.00 | $26.67 – $28.76 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $96.20 | $148.00 | $9.03 – $14.11 | 13 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $436.80 | $672.00 | $94.70 – $200.75 | 13 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $400.40 | $616.00 | $150.17 – $297.47 | 13 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $92.30 | $142.00 | $12.90 – $18.28 | 13 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $27.30 | $42.00 | $26.67 – $28.76 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $92.30 | $142.00 | $13.19 – $18.68 | 13 |
| Mayo brcmg brucella antibody igm CPT 86622 | $99.45 | $153.00 | $8.93 – $12.65 | 13 |
| Mayo c1 esterase inhibitor CPT 83883 | $159.90 | $246.00 | $13.60 – $19.25 | 13 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $107.25 | $165.00 | $26.67 – $28.76 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $163.15 | $251.00 | $16.87 – $23.89 | 13 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $104.00 | $160.00 | $12.99 – $37.11 | 13 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $318.50 | $490.00 | $115.68 – $169.40 | 13 |
| Mayo ceruloplasmin CPT 82390 | $96.20 | $148.00 | $9.50 – $24.17 | 46 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $151.45 | $233.00 | $14.12 – $20.01 | 13 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $127.40 | $196.00 | $12.88 – $18.25 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $71.50 | $110.00 | $11.82 – $16.75 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $66.95 | $103.00 | $12.68 – $17.97 | 13 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $347.75 | $535.00 | $116.49 – $165.01 | 13 |
| Mayo chromium CPT 82495 | $88.40 | $136.00 | $17.94 – $45.63 | 49 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $98.80 | $152.00 | $26.67 – $28.76 | 2 |
| Mayo coccidioides antibody CPT 86635 | $74.10 | $114.00 | $11.47 – $16.25 | 13 |
| Mayo cocou cortisone urine CPT 82542 | $213.85 | $329.00 | $23.92 – $33.39 | 13 |
| Mayo cortisol free CPT 82530 | $143.65 | $221.00 | $16.71 – $23.67 | 14 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $68.90 | $106.00 | $42.13 – $58.40 | 12 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $96.85 | $149.00 | $5.00 – $16.80 | 13 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $521.95 | $803.00 | $162.74 – $653.34 | 13 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $99.45 | $153.00 | $13.25 – $18.77 | 13 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $172.90 | $266.00 | $22.35 – $56.86 | 49 |
| Mayo dihydrotestosterone CPT 82642 | $120.90 | $186.00 | $29.28 – $40.58 | 13 |
| Mayo efpo chloride stool CPT 82438 | $66.95 | $103.00 | $5.00 – $6.93 | 13 |
| Mayo estriol CPT 82677 | $115.70 | $178.00 | $24.18 – $34.25 | 13 |
| Mayo estrone CPT 82679 | $128.70 | $198.00 | $24.95 – $35.35 | 13 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $113.10 | $174.00 | $16.34 – $23.15 | 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.