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 |
|---|---|---|---|---|
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $55.90 | $86.00 | $169.39 – $260.86 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $58.50 | $90.00 | $340.59 – $524.51 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $74.10 | $114.00 | $340.59 – $524.51 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $174.85 | $269.00 | $237.15 – $260.86 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $174.20 | $268.00 | $237.15 – $260.86 | 6 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $58.50 | $90.00 | $169.39 – $260.86 | 6 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $141.70 | $218.00 | $476.83 – $524.51 | 6 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $160.55 | $247.00 | $237.15 – $260.86 | 6 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $213.85 | $329.00 | $237.15 – $260.86 | 6 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,843.10 | $4,374.00 | $426.23 – $468.85 | 6 |
| Shoulder MRI (with contrast) CPT 73222 | $2,483.00 | $3,820.00 | $942.91 – $1,037.21 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | $3,392.35 | $5,219.00 | $288.48 – $317.33 | 6 |
| Shoulder X-ray CPT 73030 | $592.15 | $911.00 | $52.59 – $115.59 | 7 |
| Sickling rbc CPT 85660 | $66.95 | $103.00 | $5.51 – $7.81 | 13 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $424.01 | $652.32 | $147.46 – $147.46 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,824.55 | $2,807.00 | $212.46 – $233.71 | 6 |
| Sinus CT scan (with contrast) CPT 70487 | $1,520.35 | $2,339.00 | $212.46 – $233.71 | 6 |
| Sinus CT scan (without contrast) CPT 70486 | $1,229.15 | $1,891.00 | $126.92 – $139.62 | 6 |
| Skin Biopsy CPT 11102 | $343.20 | $528.00 | $169.39 – $169.39 | 6 |
| Sleep study attended CPT 95807 | $1,629.55 | $2,507.00 | $633.26 – $1,420.40 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | $4,093.05 | $6,297.00 | $1,214.23 – $1,986.07 | 7 |
| Sleep study unattended CPT 95806 | $960.70 | $1,478.00 | $186.73 – $416.52 | 7 |
| Slitting of prepuce CPT 54001 | $400.40 | $616.00 | $2,444.83 – $2,689.32 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $86.45 | $133.00 | $5.39 – $7.61 | 13 |
| Smear gram stain CPT 87205 | $59.15 | $91.00 | $4.27 – $5.92 | 13 |
| Smear nasal eosinophil CPT 89190 | $55.25 | $85.00 | $5.79 – $8.02 | 13 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $90.35 | $139.00 | $5.99 – $8.49 | 13 |
| Smear wet mount CPT 87210 | $64.35 | $99.00 | $5.74 – $8.07 | 13 |
| Snrpn/ube3a gene CPT 81331 | $351.65 | $541.00 | $51.07 – $70.78 | 13 |
| Sodium 24 hour urine CPT 84300 | $51.35 | $79.00 | $4.89 – $7.01 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $40.30 | $62.00 | $2.66 – $2.66 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $40.30 | $62.00 | $1.73 – $1.73 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $40.30 | $62.00 | $0.88 – $0.88 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $27.30 | $42.00 | $13.00 – $13.00 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $103.35 | $159.00 | $14.80 – $14.80 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $48.75 | $75.00 | $4.81 – $6.82 | 13 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $9.36 | $14.40 | $3.75 – $3.75 | 3 |
| Specific gravity body fluid CPT 84315 | $22.10 | $34.00 | $3.19 – $4.54 | 13 |
| Specimen fat stain CPT 89125 | $77.35 | $119.00 | $5.74 – $8.15 | 13 |
| Sperm antibody test CPT 89325 | $107.90 | $166.00 | $10.67 – $15.12 | 13 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $535.60 | $824.00 | $161.37 – $408.81 | 7 |
| Split blood or products CPT 86985 | $98.80 | $152.00 | $16.27 – $224.98 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $448.50 | $690.00 | $131.88 – $145.07 | 6 |
| Staph a dna amp probe CPT 87640 | $106.60 | $164.00 | $35.09 – $49.71 | 14 |
| St evaluate speech sound production CPT 92522 | $448.50 | $690.00 | $134.23 – $147.66 | 6 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $448.50 | $690.00 | $275.79 – $303.36 | 6 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $534.30 | $822.00 | $109.41 – $120.35 | 6 |
| St evaluation swallow function CPT 92610 | $482.95 | $743.00 | $102.72 – $112.99 | 6 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $164.45 | $253.00 | $134.52 – $207.16 | 6 |
| Strapping of chest CPT 29200 | $87.75 | $135.00 | $134.52 – $207.16 | 6 |
| Strapping of elbow or wrist 29260 CPT 29260 | $104.00 | $160.00 | $70.88 – $77.97 | 6 |
| Strapping of hand or finger CPT 29280 | $194.35 | $299.00 | $70.88 – $77.97 | 6 |
| Strapping of hip CPT 29520 | $88.40 | $136.00 | $153.85 – $169.23 | 6 |
| Strapping of knee CPT 29530 | $98.80 | $152.00 | $153.85 – $169.23 | 6 |
| Strapping of toes 29550 CPT 29550 | $63.05 | $97.00 | $70.88 – $77.97 | 6 |
| Strep a ag ia CPT 87430 | $92.95 | $143.00 | $15.95 – $23.30 | 13 |
| Strep b dna amp probe CPT 87653 | $130.00 | $200.00 | $35.09 – $49.71 | 13 |
| Stress test pulmonary CPT 94618 | $318.50 | $490.00 | $32.24 – $169.23 | 7 |
| Stress tte complete CPT 93351 | $1,784.25 | $2,745.00 | $544.57 – $719.83 | 7 |
| Str markers specimen anal CPT 81265 | $776.75 | $1,195.00 | $203.54 – $470.24 | 13 |
| St treatment speech individual CPT 92507 | $1,155.05 | $1,777.00 | $92.61 – $101.87 | 6 |
| St treatment swallow dysfunction/oral CPT 92526 | $503.75 | $775.00 | $102.00 – $112.20 | 6 |
| Subtalar arthro w/deb CPT 29906 | $12,484.71 | $19,207.25 | $2,765.97 – $4,081.47 | 6 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $2.08 – $2.08 | 3 |
| Sugars single quant CPT 84378 | $66.95 | $103.00 | $11.53 – $16.32 | 13 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $40.75 | $62.70 | $1.60 – $1.60 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $60.45 | $93.00 | $26.67 – $28.76 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $35.75 | $55.00 | $253.74 – $253.74 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $92.95 | $143.00 | $13.14 – $32.16 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $10,087.16 | $15,518.71 | $28.37 – $51.53 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $10,447.81 | $16,073.56 | $35.31 – $70.15 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $4,626.90 | $7,118.31 | $39.07 – $70.15 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $8,599.49 | $13,229.98 | $137.83 – $472.24 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $554.45 | $853.00 | $191.48 – $1,072.46 | 13 |
| Susceptibility agar dilution per agent CPT 87181 | $79.30 | $122.00 | $1.98 – $6.59 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $29.25 | $45.00 | $1.98 – $6.59 | 15 |
| Susceptibility mic per plate CPT 87186 | $116.35 | $179.00 | $8.65 – $12.25 | 14 |
| Sweat collection by iontophoresis CPT 89230 | $121.55 | $187.00 | $2.66 – $70.15 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $70.20 | $108.00 | $4.40 – $6.23 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $137.80 | $212.00 | $14.98 – $27.95 | 44 |
| T3 (triiodothyronine) total CPT 84480 | $122.20 | $188.00 | $12.54 – $23.40 | 46 |
| T4 (thyroxine) free CPT 84439 | $115.05 | $177.00 | $7.98 – $20.30 | 49 |
| T4 (thyroxine) total CPT 84436 | $91.00 | $140.00 | $6.87 – $9.73 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $210.60 | $324.00 | $13.73 – $19.45 | 13 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $3,728.06 | $5,735.48 | $1,907.00 – $1,907.00 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $35.75 | $55.00 | $5.41 – $5.41 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,566.50 | $2,410.00 | $454.12 – $1,052.71 | 12 |
| Target gsa panel organ neop CPT 81445 | $2,243.15 | $3,451.00 | $418.77 – $828.70 | 12 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $40,378.00 | $62,120.00 | $20,976.60 – $20,976.60 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $974.73 | $1,499.59 | $99.00 – $99.00 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $141.05 | $217.00 | $81.98 – $138.60 | 13 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $208.65 | $321.00 | $61.98 – $87.79 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $159.25 | $245.00 | $151.92 – $151.92 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $306.15 | $471.00 | $603.33 – $603.33 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $312.65 | $481.00 | $1,006.12 – $1,006.12 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $179.40 | $276.00 | $25.97 – $65.11 | 15 |
| T cells total count CPT 86359 | $154.05 | $237.00 | $25.97 – $52.30 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $35.10 | $54.00 | $38.63 – $42.49 | 6 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $5,081.76 | $7,818.09 | $680.25 – $680.25 | 3 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $20,224.57 | $31,114.73 | $12,517.50 – $12,517.50 | 3 |
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.