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 |
|---|---|---|---|---|
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,236.95 | $1,903.00 | $700.90 – $770.99 | 6 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $391.30 | $602.00 | $162.10 – $408.81 | 7 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $198.90 | $306.00 | $23.06 – $58.66 | 49 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $11,053.50 | $17,005.39 | $5,494.20 – $5,494.20 | 3 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,582.50 | $7,050.00 | $1,214.23 – $3,295.93 | 7 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,669.60 | $7,184.00 | $1,214.23 – $2,158.11 | 7 |
| Potassium 24 hour urine CPT 84133 | $50.05 | $77.00 | $4.73 – $6.56 | 13 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $76.37 | $117.50 | $0.80 – $0.80 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $44.85 | $69.00 | $4.76 – $6.59 | 13 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $281.77 | $433.50 | $139.31 – $139.31 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,362.75 | $3,635.00 | $3,872.36 – $4,259.59 | 6 |
| Pr application of long arm splint CPT 29105 | $243.75 | $375.00 | $134.52 – $207.16 | 6 |
| Pr application splint static short arm CPT 29125 | $223.60 | $344.00 | $153.85 – $169.23 | 6 |
| Pr biopsy skin punch single lesion CPT 11104 | $369.20 | $568.00 | $340.59 – $524.51 | 6 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $35.10 | $54.00 | $35.56 – $39.12 | 6 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $305.50 | $470.00 | $169.39 – $260.86 | 6 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $132.60 | $204.00 | $58.97 – $303.48 | 28 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $185.90 | $286.00 | $86.23 – $152.49 | 54 |
| Prealbumin CPT 84134 | $96.20 | $148.00 | $14.59 – $20.65 | 15 |
| Pr ecg 12 lead report only CPT 93010 | $33.80 | $52.00 | $6.17 – $503.40 | 54 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.87 | $7.50 | $3.69 – $3.69 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.87 | $7.50 | $0.01 – $0.01 | 3 |
| Pregabalin - sendout CPT 80366 | $124.15 | $191.00 | $26.67 – $28.76 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | $81.25 | $125.00 | $9.89 – $20.87 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $585.00 | $900.00 | $126.92 – $204.19 | 7 |
| Pressure max expiratory/inspiratory CPT 94799 | $105.30 | $162.00 | $186.73 – $211.69 | 7 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $95.55 | $147.00 | $22.01 – $224.98 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $180.70 | $278.00 | $22.01 – $77.97 | 13 |
| Pretreat rbc density gradient separation reference CPT 86972 | $138.45 | $213.00 | $25.84 – $224.98 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $130.65 | $201.00 | $18.50 – $77.97 | 13 |
| Pretreat rbc w enzyme reference CPT 86971 | $87.75 | $135.00 | $14.67 – $224.98 | 13 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $317.20 | $488.00 | $1,933.71 – $2,127.08 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,457.95 | $2,243.00 | $170.27 – $173.68 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $466.05 | $717.00 | $340.59 – $524.51 | 6 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $323.05 | $497.00 | $81.54 – $248.81 | 54 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $228.15 | $351.00 | $110.86 – $217.42 | 54 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $113.75 | $175.00 | $58.46 – $151.95 | 28 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $74.75 | $115.00 | $31.75 – $294.82 | 28 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $578.50 | $890.00 | $340.59 – $524.51 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | $260.65 | $401.00 | $169.39 – $260.86 | 6 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $642.20 | $988.00 | $259.32 – $399.35 | 6 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $799.50 | $1,230.00 | $340.59 – $524.51 | 6 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,950.00 | $3,000.00 | $461.33 – $461.33 | 3 |
| Procalcitonin CPT 84145 | $235.30 | $362.00 | $24.08 – $61.25 | 47 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $23.57 | $36.26 | $3.37 – $3.37 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $262.60 | $404.00 | $777.21 – $1,196.90 | 6 |
| Progesterone CPT 84144 | $159.90 | $246.00 | $20.86 – $29.55 | 14 |
| Prolactin CPT 84146 | $180.70 | $278.00 | $17.14 – $43.61 | 48 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $61.10 | $94.00 | $31.14 – $38.64 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $97.50 | $150.00 | $2.40 – $2.40 | 3 |
| _propoxygc/msur CPT 80367 | $107.25 | $165.00 | $26.67 – $28.76 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $28.66 | $44.10 | $6.30 – $6.30 | 3 |
| Protein c activity CPT 85303 | $219.05 | $337.00 | $13.84 – $19.19 | 13 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $122.20 | $188.00 | $10.74 – $15.21 | 13 |
| Protein s total CPT 85305 | $198.90 | $306.00 | $11.61 – $16.43 | 13 |
| Protein total 24 hour urine CPT 84156 | $72.15 | $111.00 | $3.67 – $5.19 | 13 |
| Protein total body fluid CPT 84157 | $72.15 | $111.00 | $3.54 – $9.00 | 43 |
| Protein total serum plasma whole blood CPT 84155 | $63.05 | $97.00 | $3.67 – $5.19 | 13 |
| Prothrombin complex kcentra HCPCS J7168 | $6,922.50 | $10,650.00 | $2,395.00 – $2,395.00 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $106.60 | $164.00 | $3.94 – $5.47 | 13 |
| Prp i/hern init block >5 yr CPT 49507 | $13,000.90 | $20,001.38 | $3,008.46 – $4,439.28 | 6 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $68.90 | $106.00 | $26.23 – $44.12 | 44 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $219.05 | $337.00 | $153.85 – $169.23 | 6 |
| Pr removal intrauterine device CPT 58301 | $219.70 | $338.00 | $363.05 – $399.35 | 6 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $706.55 | $1,087.00 | $340.59 – $524.51 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $382.85 | $589.00 | $237.15 – $260.86 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $410.80 | $632.00 | $237.15 – $260.86 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $278.20 | $428.00 | $237.15 – $260.86 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $360.10 | $554.00 | $237.15 – $260.86 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $611.65 | $941.00 | $1,853.99 – $2,039.39 | 6 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $32.50 | $50.00 | $13.78 – $23.18 | 22 |
| PSA (Prostate) Test CPT 84153 | $128.70 | $198.00 | $18.39 – $26.06 | 16 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $143.65 | $221.00 | $191.76 – $210.93 | 6 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $143.65 | $221.00 | $191.76 – $210.93 | 6 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $146.90 | $226.00 | $191.76 – $210.93 | 6 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $74.75 | $115.00 | $17.58 – $19.34 | 6 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $101.40 | $156.00 | $23.03 – $25.33 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $88.40 | $136.00 | $17.11 – $18.82 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $86.45 | $133.00 | $17.58 – $19.34 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $534.30 | $822.00 | $120.65 – $132.72 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | $479.05 | $737.00 | $120.65 – $132.72 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $503.75 | $775.00 | $120.65 – $132.72 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $406.90 | $626.00 | $83.01 – $91.31 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $83.20 | $128.00 | $35.43 – $38.98 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $79.30 | $122.00 | $36.40 – $40.04 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $90.35 | $139.00 | $37.81 – $41.60 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $240.50 | $370.00 | $70.07 – $205.41 | 7 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $1,334.45 | $2,053.00 | $16.96 – $169.23 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $321.10 | $494.00 | $340.59 – $524.51 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $399.75 | $615.00 | $590.36 – $909.15 | 6 |
| Pyruvate CPT 84210 | $128.05 | $197.00 | $14.35 – $20.07 | 13 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,277.25 | $1,965.00 | $330.63 – $527.53 | 7 |
| Quest t3 uptake CPT 84479 | $70.20 | $108.00 | $6.47 – $9.17 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,691.90 | $2,602.92 | $749.70 – $749.70 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,692.60 | $2,604.00 | $743.83 – $1,713.87 | 7 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $3,987.54 | $6,134.67 | $2,024.00 – $2,024.00 | 3 |
| Rapid Strep Test CPT 87880 | $29.25 | $45.00 | $15.95 – $22.92 | 13 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,725.28 | $4,192.74 | $1,539.99 – $1,539.99 | 3 |
| Rbc deglycerolized each unit HCPCS P9039 | $915.20 | $1,408.00 | $780.22 – $858.24 | 6 |
| Rbc irradiated each unit HCPCS P9038 | $343.85 | $529.00 | $178.08 – $195.89 | 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.