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 |
|---|---|---|---|---|
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $82,214.33 | $126,483.58 | $43,201.60 – $43,201.60 | 3 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,470.30 | $2,262.00 | $479.57 – $735.36 | 7 |
| Nm imaging bone/joint whole body CPT 78306 | $6,142.50 | $9,450.00 | $479.57 – $527.53 | 7 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,524.25 | $2,345.00 | $479.57 – $527.53 | 7 |
| Nm imaging gastric emptying study CPT 78264 | $1,173.25 | $1,805.00 | $479.57 – $616.79 | 7 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $973.70 | $1,498.00 | $479.57 – $739.59 | 7 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,443.00 | $2,220.00 | $642.40 – $804.67 | 7 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,927.25 | $2,965.00 | $302.59 – $706.64 | 7 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,399.45 | $2,153.00 | $561.51 – $706.64 | 7 |
| Npm1 gene CPT 81310 | $582.40 | $896.00 | $59.65 – $554.67 | 48 |
| Nras gene variants exon 2&3 CPT 81311 | $477.10 | $734.00 | $207.16 – $665.53 | 49 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,869.80 | $7,492.00 | $997.13 – $1,713.87 | 7 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $24,700.84 | $38,001.29 | $10,930.00 – $10,930.00 | 3 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $666.25 | $1,025.00 | $44.61 – $267.10 | 54 |
| Observation per hour HCPCS G0378 | $72.15 | $111.00 | $79.00 – $86.90 | 6 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $56,746.59 | $87,302.45 | $23,829.00 – $23,829.00 | 3 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $64.60 | $99.38 | $2.64 – $2.64 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $18,069.67 | $27,799.50 | $5,333.80 – $5,333.80 | 3 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $128.34 | $197.45 | $21.60 – $21.60 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $4,067.13 | $6,257.12 | $1,827.60 – $1,827.60 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.24 – $0.24 | 3 |
| Organic acids total quant ea spec CPT 83918 | $338.65 | $521.00 | $21.69 – $32.71 | 13 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $39.00 | $60.00 | $8.56 – $8.56 | 3 |
| Oscillation chest wall mechanical per session CPT 94669 | $143.65 | $221.00 | $468.00 – $468.00 | 1 |
| Osmolality blood CPT 83930 | $69.55 | $107.00 | $6.61 – $9.36 | 14 |
| Osmolality urine CPT 83935 | $68.25 | $105.00 | $6.82 – $9.65 | 13 |
| Ot evaluation high complexity patient/family CPT 97167 | $782.60 | $1,204.00 | $123.75 – $136.12 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | $728.00 | $1,120.00 | $123.75 – $136.12 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $752.05 | $1,157.00 | $123.75 – $136.12 | 6 |
| Other immunoelectrophoresis CPT 86325 | $150.80 | $232.00 | $23.13 – $32.06 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $87.10 | $134.00 | $61.10 – $67.21 | 6 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $76.70 | $118.00 | $56.10 – $61.71 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $89.05 | $137.00 | $33.46 – $36.81 | 6 |
| Ot re-evaluation patient/family CPT 97168 | $614.25 | $945.00 | $85.36 – $93.89 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $89.05 | $137.00 | $42.41 – $46.65 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $24.05 | $37.00 | $25.79 – $28.37 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $90.35 | $139.00 | $26.99 – $29.69 | 6 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $100.75 | $155.00 | $35.43 – $38.98 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $86.45 | $133.00 | $39.41 – $43.35 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $90.35 | $139.00 | $39.31 – $43.24 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $163.93 | $252.20 | $7.00 – $7.00 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.15 | $11.00 | $3.60 – $3.60 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $35.75 | $55.00 | $3.90 – $3.90 | 3 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,187.95 | $6,443.00 | $1,095.00 – $1,095.00 | 3 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $8,908.60 | $13,705.54 | $3,155.88 – $3,155.88 | 3 |
| Palonosetron hcl HCPCS J2469 | $162.50 | $250.00 | $4.70 – $4.70 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $121.81 | $187.40 | $45.36 – $45.36 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $19,889.31 | $30,598.94 | $2,325.40 – $2,325.40 | 3 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $16.50 | $25.38 | $11.64 – $11.64 | 3 |
| Parathormone (pth) intact CPT 83970 | $268.45 | $413.00 | $36.51 – $92.88 | 45 |
| Parathyroid planar imaging CPT 78070 | $910.00 | $1,400.00 | $312.76 – $527.53 | 7 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,445.60 | $2,224.00 | $479.57 – $595.65 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $4,517.04 | $6,949.30 | $2,710.49 – $3,999.60 | 6 |
| Pdgfra gene CPT 81314 | $504.40 | $776.00 | $230.78 – $456.70 | 13 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $199.55 | $307.00 | $237.15 – $473.67 | 7 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $15,643.86 | $24,067.47 | $1,973.76 – $1,973.76 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $9,567.19 | $14,718.76 | $2,137.80 – $2,137.80 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,176.56 | $15,656.25 | $2,602.80 – $2,602.80 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,088.28 | $7,828.13 | $1,588.68 – $1,588.68 | 3 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $6,093.76 | $9,375.01 | $2,044.32 – $2,044.32 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,050.75 | $3,155.00 | $212.46 – $233.71 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,977.95 | $3,043.00 | $212.46 – $233.71 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,492.40 | $2,296.00 | $126.92 – $139.62 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,850.25 | $4,385.00 | $426.23 – $468.85 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | $2,051.40 | $3,156.00 | $426.23 – $468.85 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $2,146.30 | $3,302.00 | $288.48 – $317.33 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $619.45 | $953.00 | $126.92 – $227.05 | 7 |
| Pelvic Ultrasound (limited) CPT 76857 | $471.90 | $726.00 | $126.92 – $205.03 | 7 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $16,040.52 | $24,677.72 | $7,998.00 – $7,998.00 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,703.48 | $4,159.20 | $256.86 – $256.86 | 3 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $13.67 | $21.03 | $8.32 – $8.32 | 3 |
| Penile injection CPT 54235 | $199.55 | $307.00 | $207.33 – $319.29 | 6 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,218.76 | $1,875.02 | $107.68 – $107.68 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $583.70 | $898.00 | $207.33 – $319.29 | 6 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $18,007.29 | $27,703.52 | $9,567.60 – $9,567.60 | 3 |
| Ph body fluid CPT 83986 | $48.10 | $74.00 | $3.58 – $5.07 | 14 |
| Phencyclidine (pcp) CPT 83992 | $83.85 | $129.00 | $19.46 – $44.16 | 7 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $35.94 | $55.30 | $38.94 – $38.94 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $117.65 | $181.00 | $14.99 – $21.21 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $7.15 | $11.00 | $0.05 – $0.05 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $135.20 | $208.00 | $13.25 – $18.77 | 14 |
| Phlebotomy therapeutic CPT 99195 | $206.70 | $318.00 | $153.85 – $301.74 | 7 |
| Phosphorus CPT 84100 | $66.30 | $102.00 | $4.19 – $10.67 | 49 |
| Phosphorus 24 hour urine CPT 84105 | $52.65 | $81.00 | $5.11 – $13.01 | 48 |
| Phys blood bank serv reactj CPT 86078 | $154.70 | $238.00 | $46.44 – $224.98 | 13 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $41.70 | $64.16 | $11.28 – $11.28 | 3 |
| Pinworm exam CPT 87172 | $45.50 | $70.00 | $4.27 – $6.05 | 13 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $39.84 | $61.30 | $2.92 – $2.92 | 3 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $174.85 | $269.00 | $175.80 – $193.38 | 6 |
| Platelet aggregation each agent teg CPT 85576 | $161.20 | $248.00 | $24.91 – $34.53 | 13 |
| Platelet automated CPT 85049 | $55.25 | $85.00 | $4.48 – $6.33 | 13 |
| Platelet pheresis each unit HCPCS P9034 | $875.55 | $1,347.00 | $473.97 – $521.37 | 6 |
| Platelet pheresis irr ea HCPCS P9036 | $976.30 | $1,502.00 | $701.34 – $771.48 | 6 |
| Platelets each unit HCPCS P9019 | $251.55 | $387.00 | $90.66 – $99.73 | 6 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,511.25 | $2,325.00 | $927.92 – $1,020.71 | 6 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $277.55 | $427.00 | $150.11 – $165.12 | 6 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,010.10 | $1,554.00 | $271.21 – $298.33 | 6 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,303.90 | $2,006.00 | $548.07 – $602.88 | 6 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,091.35 | $1,679.00 | $581.35 – $639.49 | 6 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,212.90 | $1,866.00 | $806.39 – $887.02 | 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.