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 |
|---|---|---|---|---|
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $89.05 | $137.00 | $237.15 – $260.86 | 6 |
| Cryptosporidium antigen CPT 87272 | $114.40 | $176.00 | $11.98 – $16.99 | 13 |
| Crystal identification light microscopy CPT 89060 | $89.05 | $137.00 | $7.33 – $16.49 | 47 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,208.05 | $3,397.00 | $212.46 – $233.71 | 6 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,181.70 | $1,818.00 | $212.46 – $233.71 | 6 |
| Cta neck without &/or w/contrast CPT 70498 | $1,998.10 | $3,074.00 | $212.46 – $233.71 | 6 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,545.10 | $5,454.00 | $426.23 – $468.85 | 6 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,504.10 | $2,314.00 | $212.46 – $233.71 | 6 |
| CT Angiogram of the Head CPT 70496 | $2,001.35 | $3,079.00 | $212.46 – $233.71 | 6 |
| CT angio pelvis CPT 72191 | $772.85 | $1,189.00 | $212.46 – $233.71 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $84.50 | $130.00 | $105.08 – $115.59 | 6 |
| CT limited or localized follow-up study CPT 76380 | $713.05 | $1,097.00 | $105.08 – $115.59 | 6 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,426.75 | $2,195.00 | $212.46 – $233.71 | 6 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,196.35 | $3,379.00 | $126.92 – $139.62 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,817.40 | $2,796.00 | $212.46 – $233.71 | 6 |
| CT neck soft tissue w/contrast CPT 70491 | $1,444.30 | $2,222.00 | $212.46 – $233.71 | 6 |
| CT neck soft tissue without contrast CPT 70490 | $1,191.45 | $1,833.00 | $126.92 – $139.62 | 6 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,794.00 | $2,760.00 | $212.46 – $233.71 | 6 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,002.65 | $3,081.00 | $212.46 – $233.71 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,740.05 | $2,677.00 | $212.46 – $233.71 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,370.85 | $2,109.00 | $126.92 – $139.62 | 6 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $569.40 | $876.00 | $197.97 – $304.87 | 6 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,845.40 | $5,916.00 | $426.23 – $468.85 | 6 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,019.90 | $4,646.00 | $426.23 – $468.85 | 6 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,557.10 | $3,934.00 | $288.48 – $317.33 | 6 |
| CT thoracic spine w/contrast CPT 72129 | $1,832.35 | $2,819.00 | $212.46 – $233.71 | 6 |
| CT thoracic spine without contrast CPT 72128 | $1,277.25 | $1,965.00 | $126.92 – $139.62 | 6 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $801.45 | $1,233.00 | $126.92 – $139.62 | 6 |
| CT t-spine w /wo contrast CPT 72130 | $2,401.75 | $3,695.00 | $212.46 – $233.71 | 6 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,537.90 | $2,366.00 | $426.23 – $468.85 | 6 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,189.85 | $3,369.00 | $126.92 – $139.62 | 6 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,652.95 | $2,543.00 | $212.46 – $233.71 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | $70.85 | $109.00 | $8.08 – $11.45 | 15 |
| Culture afb any source CPT 87116 | $139.75 | $215.00 | $10.80 – $14.97 | 13 |
| Culture anaerobic additional method definitive id each CPT 87076 | $79.95 | $123.00 | $8.08 – $11.45 | 15 |
| Culture anaerobic except blood CPT 87075 | $141.70 | $218.00 | $9.47 – $13.12 | 13 |
| Culture bact stool aero addl path ea CPT 87046 | $70.20 | $108.00 | $8.35 – $21.24 | 48 |
| Culture body fluid CPT 87070 | $141.70 | $218.00 | $7.62 – $19.40 | 48 |
| Culture fungi definitive id mold CPT 87107 | $72.15 | $111.00 | $10.32 – $14.62 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $72.80 | $112.00 | $9.13 – $23.22 | 46 |
| Culture fungi other (except blood) CPT 87102 | $131.95 | $203.00 | $8.41 – $11.90 | 13 |
| Culture fungi skin/hair/nail CPT 87101 | $130.65 | $201.00 | $7.71 – $10.69 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $83.20 | $128.00 | $14.35 – $20.25 | 13 |
| Culture mycoplasma any source CPT 87109 | $122.20 | $188.00 | $15.39 – $21.79 | 13 |
| Culture quantitative aerobic other source CPT 87071 | $137.15 | $211.00 | $9.89 – $13.71 | 13 |
| Culture screening strep group a CPT 87081 | $88.40 | $136.00 | $5.86 – $14.92 | 49 |
| Culture typing immunologic CPT 87147 | $52.00 | $80.00 | $5.18 – $7.18 | 13 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $726.70 | $1,118.00 | $218.06 – $302.23 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $22.75 | $35.00 | $31.04 – $78.95 | 49 |
| Culture urine each isolate CPT 87088 | $70.85 | $109.00 | $7.16 – $18.20 | 49 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.15 | $11.00 | $0.86 – $0.86 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $112.45 | $173.00 | $12.95 – $18.34 | 13 |
| Cyclosporine 2 hour CPT 80158 | $217.75 | $335.00 | $15.97 – $40.61 | 49 |
| Cyp2c19 gene com variants CPT 81225 | $586.95 | $903.00 | $180.35 – $403.82 | 13 |
| Cyp3a4 gene common variants CPT 81230 | $410.80 | $632.00 | $174.81 – $242.29 | 13 |
| Cystatin c CPT 82610 | $115.70 | $178.00 | $17.86 – $25.67 | 13 |
| Cystic fibrosis cftr CPT 81223 | $1,128.40 | $1,736.00 | $318.31 – $691.61 | 13 |
| Cystine urine quantitative CPT 82131 | $181.35 | $279.00 | $22.33 – $31.85 | 13 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $607.75 | $935.00 | $113.57 – $468.85 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | $512.20 | $788.00 | $796.60 – $876.26 | 6 |
| Cytogenetics 25-99 CPT 88274 | $261.30 | $402.00 | $42.38 – $58.74 | 13 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,235.65 | $1,901.00 | $430.04 – $1,247.40 | 13 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $139.10 | $214.00 | $14.39 – $20.39 | 13 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $143.00 | $220.00 | $16.85 – $23.86 | 13 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $129.35 | $199.00 | $43.41 – $70.15 | 13 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $82.55 | $127.00 | $26.06 – $59.87 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $93.60 | $144.00 | $20.26 – $28.07 | 13 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $135.20 | $208.00 | $38.21 – $53.46 | 13 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $121.55 | $187.00 | $35.44 – $51.53 | 13 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $96.20 | $148.00 | $6.09 – $9.72 | 7 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $194.35 | $299.00 | $18.41 – $224.98 | 13 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $213.85 | $329.00 | $51.63 – $112.57 | 13 |
| Cytopath smear other source CPT 88160 | $81.25 | $125.00 | $28.10 – $60.34 | 13 |
| Cytopath smear oth prep screen & interp CPT 88161 | $117.00 | $180.00 | $28.37 – $62.77 | 13 |
| Cytopath tbs c/v manual CPT 88164 | $53.95 | $83.00 | $14.03 – $25.21 | 13 |
| Cytotoxic antibody screening CPT 86807 | $276.25 | $425.00 | $52.31 – $109.02 | 13 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $39.53 | $60.81 | $5.52 – $5.52 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,746.85 | $5,764.39 | $2,088.00 – $2,088.00 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $113.75 | $175.00 | $20.00 – $20.00 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $29,371.77 | $45,187.34 | $13,271.40 – $13,271.40 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,433.12 | $14,512.50 | $40.40 – $40.40 | 3 |
| Dch glucoscan CPT 82948 | $14.95 | $23.00 | $4.15 – $6.99 | 13 |
| Dch pulmonary stress test CPT 94621 | $744.25 | $1,145.00 | $328.54 – $408.81 | 7 |
| Dch validity tests CPT 81002 | $39.00 | $60.00 | $2.96 – $4.82 | 13 |
| Deamidated gliadin antibody iga CPT 86258 | $126.10 | $194.00 | $11.53 – $16.71 | 12 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $119.60 | $184.00 | $521.83 – $803.62 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $277.55 | $427.00 | $340.59 – $524.51 | 6 |
| Debride skin bone at fx site CPT 11012 | $1,699.10 | $2,614.00 | $3,415.78 – $3,757.35 | 6 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,146.60 | $1,764.00 | $599.80 – $923.69 | 6 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $552.50 | $850.00 | $521.83 – $803.62 | 6 |
| Decalcification CPT 88311 | $11,982.74 | $18,434.99 | $6.41 – $4,081.47 | 13 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $268.45 | $413.00 | $43.50 – $43.50 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,104.43 | $1,699.12 | $282.76 – $435.45 | 6 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $112.87 | $173.65 | $11.34 – $11.34 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,998.50 | $3,074.61 | $476.80 – $476.80 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $139.10 | $214.00 | $55.84 – $267.02 | 7 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $9,291.74 | $14,294.99 | $2,367.00 – $2,367.00 | 3 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $382.20 | $588.00 | $153.85 – $169.23 | 6 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $30.87 | $47.50 | $4.57 – $4.57 | 3 |
| Desoxycorticosterone CPT 82633 | $146.90 | $226.00 | $30.98 – $43.87 | 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.