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 |
|---|---|---|---|---|
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $13.00 | $20.00 | $3.31 – $3.31 | 3 |
| Test for porphobilinogen CPT 84106 | $57.20 | $88.00 | $5.74 – $8.07 | 13 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $48.75 | $75.00 | $17.74 – $77.97 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $1,052.35 | $1,619.00 | $188.64 – $408.81 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $2,130.89 | $3,278.30 | $788.06 – $788.06 | 3 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $11,994.05 | $18,452.39 | $5,010.60 – $5,010.60 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $116.35 | $179.00 | $14.14 – $20.04 | 13 |
| Ther/proph/diag inj ia CPT 96373 | $54.60 | $84.00 | $67.18 – $276.60 | 7 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $32.34 | $49.75 | $4.84 – $4.84 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $453.70 | $698.00 | $527.06 – $811.67 | 6 |
| Thrombin time CPT 85670 | $74.10 | $114.00 | $5.77 – $8.18 | 13 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $94.90 | $146.00 | $6.47 – $9.17 | 13 |
| Thyroglobulin antibody CPT 86800 | $119.60 | $184.00 | $15.91 – $22.53 | 14 |
| Thyroid (TSH) Test CPT 84443 | $133.90 | $206.00 | $16.80 – $23.80 | 13 |
| Thyroid Ultrasound CPT 76536 | $611.00 | $940.00 | $126.92 – $227.05 | 7 |
| Thyroxine binding globulin (tbg) CPT 84442 | $105.30 | $162.00 | $14.78 – $20.95 | 13 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $19,345.44 | $29,762.22 | $10,501.60 – $10,501.60 | 3 |
| Tissue culture placenta CPT 88235 | $410.80 | $632.00 | $150.30 – $208.57 | 13 |
| Tissue culture skin/biopsy CPT 88233 | $516.10 | $794.00 | $140.73 – $199.33 | 13 |
| Tissue exam koh skin/hair/nails CPT 87220 | $55.25 | $85.00 | $4.27 – $6.05 | 14 |
| Tissue transglutaminase iga CPT 86364 | $131.95 | $203.00 | $11.53 – $15.99 | 12 |
| Tobramycin peak therapeutic drug level CPT 80200 | $143.00 | $220.00 | $16.13 – $22.83 | 13 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $6,946.81 | $10,687.40 | $600.80 – $600.80 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $68.90 | $106.00 | $49.22 – $57.69 | 7 |
| Tomosynthesis breast screen bilateral CPT 77063 | $105.95 | $163.00 | $49.22 – $68.36 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $381.89 | $587.52 | $66.80 – $66.80 | 3 |
| Toxoplasma antibody igg CPT 86777 | $112.45 | $173.00 | $14.39 – $20.39 | 13 |
| Toxoplasma antibody igm CPT 86778 | $137.15 | $211.00 | $14.41 – $20.40 | 13 |
| Tpmt gene com vrnts CPT 81335 | $462.15 | $711.00 | $174.81 – $242.29 | 13 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $85.80 | $132.00 | $45.91 – $72.01 | 6 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $68.25 | $105.00 | $34.00 – $34.00 | 3 |
| Transferrin CPT 84466 | $118.30 | $182.00 | $11.29 – $28.71 | 49 |
| Transfusion blood/blood component(s) CPT 36430 | $3,262.35 | $5,019.00 | $521.77 – $573.94 | 6 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,079.30 | $6,275.85 | $1,475.85 – $1,475.85 | 3 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $9,957.93 | $15,319.89 | $2,892.96 – $2,892.96 | 3 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $8,868.05 | $13,643.15 | $164.85 – $164.85 | 3 |
| Treat clavicle dislocation 23545 CPT 23545 | $795.60 | $1,224.00 | $204.50 – $314.93 | 6 |
| Treat elbow dislocation CPT 24605 | $1,230.45 | $1,893.00 | $1,910.05 – $2,101.05 | 6 |
| Treat elbow fracture CPT 24620 | $1,311.70 | $2,018.00 | $1,910.05 – $2,101.05 | 6 |
| Treat finger fracture each CPT 26742 | $787.80 | $1,212.00 | $1,910.05 – $2,101.05 | 6 |
| Treat foot dislocation CPT 28600 | $592.80 | $912.00 | $204.50 – $314.93 | 6 |
| Treat fracture of radius CPT 25505 | $1,081.60 | $1,664.00 | $1,910.05 – $2,101.05 | 6 |
| Treat hip dislocation CPT 27252 | $1,679.60 | $2,584.00 | $1,910.05 – $2,101.05 | 6 |
| Treat humerus fracture CPT 24535 | $1,848.60 | $2,844.00 | $1,910.05 – $2,101.05 | 6 |
| Treat kneecap dislocation CPT 27562 | $993.85 | $1,529.00 | $204.50 – $314.93 | 6 |
| Treat knee fracture 27530 CPT 27530 | $974.35 | $1,499.00 | $204.50 – $314.93 | 6 |
| Treat knuckle dislocation CPT 26705 | $949.00 | $1,460.00 | $1,910.05 – $2,101.05 | 6 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $139.75 | $215.00 | $140.02 – $169.23 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $139.75 | $215.00 | $55.84 – $267.02 | 7 |
| Treatment of ankle fracture 27786 CPT 27786 | $521.30 | $802.00 | $204.50 – $314.93 | 6 |
| Treatment of heel fracture 28400 CPT 28400 | $660.40 | $1,016.00 | $204.50 – $314.93 | 6 |
| Treatment of thigh fracture CPT 27503 | $2,026.05 | $3,117.00 | $1,910.05 – $2,101.05 | 6 |
| Treatment of thigh fracture CPT 27508 | $1,054.30 | $1,622.00 | $204.50 – $314.93 | 6 |
| Treatment of toe fracture 28510 CPT 28510 | $289.25 | $445.00 | $204.50 – $314.93 | 6 |
| Treat thigh fracture CPT 27230 | $1,090.05 | $1,677.00 | $204.50 – $314.93 | 6 |
| Treat ulnar fracture CPT 24675 | $1,149.85 | $1,769.00 | $1,910.05 – $2,101.05 | 6 |
| Treat vaginal bleeding CPT 57180 | $335.40 | $516.00 | $171.50 – $264.11 | 6 |
| Treat wrist dislocation CPT 25675 | $715.00 | $1,100.00 | $204.50 – $314.93 | 6 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $9,244.50 | $14,222.31 | $4,787.50 – $4,787.50 | 3 |
| Treponema pallidum antibody CPT 86780 | $85.15 | $131.00 | $13.24 – $18.75 | 13 |
| Trg gene rearrangement anal CPT 81342 | $372.45 | $573.00 | $161.38 – $279.28 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $17.06 | $26.25 | $3.96 – $3.96 | 3 |
| Trichinella antibody CPT 86784 | $96.20 | $148.00 | $9.03 – $17.40 | 13 |
| Trichomonas assay w/optic CPT 87808 | $73.45 | $113.00 | $15.29 – $21.19 | 13 |
| Triglycerides CPT 84478 | $92.30 | $142.00 | $5.74 – $8.15 | 14 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $1,232.40 | $1,896.00 | $204.50 – $314.93 | 6 |
| Troponin quantitative CPT 84484 | $120.90 | $186.00 | $11.03 – $28.06 | 47 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,970.80 | $3,032.00 | $654.39 – $1,037.21 | 6 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,107.30 | $3,242.00 | $654.39 – $1,037.21 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | $988.00 | $1,520.00 | $204.50 – $314.93 | 6 |
| Tx closed tib shaft fx without manip CPT 27750 | $901.55 | $1,387.00 | $204.50 – $314.93 | 6 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $2,714.40 | $4,176.00 | $3,872.36 – $4,259.59 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,695.85 | $2,609.00 | $3,872.36 – $4,259.59 | 6 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $1,810.90 | $2,786.00 | $3,872.36 – $4,259.59 | 6 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $620.10 | $954.00 | $204.50 – $314.93 | 6 |
| Ua w/micro/comp poc CPT 81000 | $43.55 | $67.00 | $4.02 – $5.57 | 13 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $30,924.56 | $47,576.25 | $14,095.50 – $14,095.50 | 3 |
| Ugt1a1 gene analy common variants CPT 81350 | $696.15 | $1,071.00 | $138.14 – $324.32 | 13 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $308.10 | $474.00 | $126.92 – $139.62 | 7 |
| Ultrasound breast complete CPT 76641 | $603.20 | $928.00 | $126.92 – $139.62 | 7 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $529.75 | $815.00 | $105.08 – $115.59 | 7 |
| Ultrasound chest CPT 76604 | $506.35 | $779.00 | $126.92 – $152.52 | 7 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $648.70 | $998.00 | $126.92 – $285.49 | 7 |
| Ultrasound joint complete left CPT 76881 | $731.90 | $1,126.00 | $126.92 – $215.20 | 7 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $637.00 | $980.00 | $25.49 – $139.62 | 7 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $465.40 | $716.00 | $126.92 – $149.98 | 7 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $527.80 | $812.00 | $126.92 – $166.92 | 7 |
| Ultrasound retroperitoneal limited CPT 76775 | $549.90 | $846.00 | $126.92 – $206.73 | 7 |
| Ultrasound scrotum and contents CPT 76870 | $722.80 | $1,112.00 | $126.92 – $230.44 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $633.75 | $975.00 | $126.92 – $227.90 | 7 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $11,472.80 | $17,650.46 | $4,973.69 – $7,339.18 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | $7,485.18 | $11,515.66 | $4,973.69 – $7,339.18 | 6 |
| Unlisted neurological dx px CPT 95999 | $128.05 | $197.00 | $186.73 – $234.18 | 7 |
| Unlisted procedure microbiology CPT 87999 | $164.45 | $253.00 | $5.40 – $5.40 | 1 |
| Unlisted px ant segment eye CPT 66999 | $110.50 | $170.00 | $2,721.99 – $2,994.19 | 6 |
| Unlisted px arthroscopy CPT 29999 | $8,651.39 | $13,309.83 | $204.50 – $204.50 | 6 |
| Unlisted px casting/strpg CPT 29799 | $97.50 | $150.00 | $134.52 – $207.16 | 6 |
| Unlisted px hands/fingers CPT 26989 | $349.70 | $538.00 | $204.50 – $314.93 | 6 |
| Unlisted px small intestine CPT 44799 | $618.15 | $951.00 | $799.25 – $1,230.85 | 6 |
| Unlisted px tongue flr mouth CPT 41599 | $386.75 | $595.00 | $197.97 – $304.87 | 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.