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 |
|---|---|---|---|---|
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $68.90 | $106.00 | $237.15 – $260.86 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $93.60 | $144.00 | $169.39 – $260.86 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $107.90 | $166.00 | $169.39 – $260.86 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $97.50 | $150.00 | $169.39 – $260.86 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $121.55 | $187.00 | $237.15 – $260.86 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $180.05 | $277.00 | $169.39 – $249.95 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $107.25 | $165.00 | $237.15 – $260.86 | 6 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $125.45 | $193.00 | $237.15 – $260.86 | 6 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,316.31 | $5,102.01 | $1,664.70 – $2,456.43 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $3,316.31 | $5,102.01 | $1,664.70 – $2,456.43 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $124.15 | $191.00 | $237.15 – $260.86 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $66.30 | $102.00 | $237.15 – $260.86 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $204.10 | $314.00 | $237.15 – $260.86 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,408.17 | $6,781.80 | $2,497.05 – $3,684.65 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,408.17 | $6,781.80 | $2,330.58 – $2,497.05 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $108.55 | $167.00 | $340.59 – $524.51 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $130.65 | $201.00 | $340.59 – $524.51 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $358.80 | $552.00 | $340.59 – $340.59 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $121.55 | $187.00 | $340.59 – $524.51 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $85.15 | $131.00 | $476.83 – $524.51 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $1,639.95 | $2,523.00 | $1,559.38 – $1,559.38 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $78.00 | $120.00 | $340.59 – $524.51 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $202.80 | $312.00 | $47.51 – $115.59 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.87 | $7.50 | $0.16 – $0.16 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $50.34 | $77.45 | $0.30 – $0.30 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $40.30 | $62.00 | $3.50 – $3.50 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $40.30 | $62.00 | $8.10 – $8.10 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $40.30 | $62.00 | $2.34 – $2.34 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $27.30 | $42.00 | $3.94 – $3.94 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $191.10 | $294.00 | $22.23 – $31.49 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $43.55 | $67.00 | $9.71 – $13.75 | 13 |
| Diab manage trn ind/group HCPCS G0109 | $44.85 | $69.00 | $13.04 – $20.61 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $338.65 | $521.00 | $153.85 – $169.23 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $154.05 | $237.00 | $165.50 – $254.87 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $332.80 | $512.00 | $186.37 – $232.93 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $260.00 | $400.00 | $147.97 – $182.10 | 7 |
| Diathermy eg microwave CPT 97024 | $39.00 | $60.00 | $8.67 – $9.53 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $29.90 | $46.00 | $4.50 – $4.50 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $13.00 | $20.00 | $8.96 – $8.96 | 3 |
| Dicyclomine injection HCPCS J0500 | $39.39 | $60.60 | $15.17 – $15.17 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.15 | $11.00 | $12.81 – $12.81 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $113.75 | $175.00 | $13.28 – $18.80 | 15 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $170.62 | $262.50 | $76.43 – $76.43 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $306.15 | $471.00 | $796.60 – $876.26 | 6 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $7.15 | $11.00 | $0.80 – $0.80 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.15 | $11.00 | $0.95 – $0.95 | 3 |
| Disability dlco CPT 94727 | $339.95 | $523.00 | $117.21 – $205.41 | 7 |
| Disaccharidases CPT 82657 | $312.00 | $480.00 | $22.17 – $30.72 | 13 |
| Dna antibody native/double stranded CPT 86225 | $113.75 | $175.00 | $13.74 – $19.45 | 15 |
| Dna gardnerella CPT 87510 | $56.55 | $87.00 | $20.05 – $28.40 | 14 |
| Dna probe chlamydia CPT 87490 | $97.50 | $150.00 | $22.75 – $31.54 | 13 |
| Dna probe gc CPT 87590 | $102.70 | $158.00 | $26.47 – $37.25 | 13 |
| Dna trichomonas CPT 87660 | $58.50 | $90.00 | $20.05 – $28.40 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $73.12 | $112.50 | $10.74 – $10.74 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $213.08 | $327.81 | $139.20 – $139.20 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $51.19 | $78.75 | $10.70 – $10.70 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $674.05 | $1,037.00 | $186.73 – $517.06 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $341.25 | $525.00 | $153.85 – $342.77 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $32,070.96 | $49,339.94 | $16,566.00 – $16,566.00 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $101.74 | $156.53 | $74.40 – $74.40 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $843.73 | $1,298.05 | $278.54 – $278.54 | 3 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $78.52 | $120.80 | $13.00 – $13.00 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $455.00 | $700.00 | $599.80 – $923.69 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $373.75 | $575.00 | $599.80 – $923.69 | 6 |
| Drainage external ear complex 69005 CPT 69005 | $551.20 | $848.00 | $1,933.71 – $2,127.08 | 6 |
| Drainage external ear simple 69000 CPT 69000 | $633.10 | $974.00 | $599.80 – $599.80 | 6 |
| Drainage mouth roof lesion CPT 42000 | $599.95 | $923.00 | $197.97 – $304.87 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | $761.80 | $1,172.00 | $1,933.71 – $2,127.08 | 6 |
| Drainage of mouth lesion CPT 41007 | $781.95 | $1,203.00 | $1,767.88 – $1,944.67 | 6 |
| Drainage of mouth lesion CPT 41008 | $844.35 | $1,299.00 | $3,870.51 – $4,257.56 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | $415.35 | $639.00 | $197.97 – $304.87 | 6 |
| Drainage of nose lesion sept 30020 CPT 30020 | $332.15 | $511.00 | $434.13 – $668.56 | 6 |
| Drainage of rectal abscess CPT 45005 | $578.50 | $890.00 | $1,005.15 – $1,547.93 | 6 |
| Drain blood from under nail 11740 CPT 11740 | $156.00 | $240.00 | $153.85 – $169.23 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $477.75 | $735.00 | $169.39 – $260.86 | 6 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $300.30 | $462.00 | $169.39 – $260.86 | 6 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $318.50 | $490.00 | $237.15 – $260.86 | 6 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $347.75 | $535.00 | $340.59 – $524.51 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | $423.15 | $651.00 | $254.83 – $392.44 | 6 |
| Drng of finger abscess comp 26011 CPT 26011 | $941.20 | $1,448.00 | $1,933.71 – $2,127.08 | 6 |
| Drng of mouth lesion 40801 CPT 40801 | $745.55 | $1,147.00 | $434.13 – $668.56 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | $742.95 | $1,143.00 | $1,933.71 – $2,127.08 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $380.25 | $585.00 | $434.13 – $668.56 | 6 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $7.15 | $11.00 | $9.61 – $9.61 | 3 |
| Drug assay caffeine CPT 80155 | $135.20 | $208.00 | $13.39 – $53.45 | 13 |
| Drug assay posaconazole CPT 80187 | $138.45 | $213.00 | $27.11 – $37.58 | 12 |
| Drug assay voriconazole CPT 80285 | $110.50 | $170.00 | $27.11 – $37.58 | 12 |
| Drug of abuse screen urine CPT 80305 | $117.65 | $181.00 | $12.60 – $17.46 | 12 |
| Drug test prsmv instrmnt CPT 80306 | $89.05 | $137.00 | $15.16 – $38.57 | 47 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $243.75 | $375.00 | $62.14 – $86.13 | 12 |
| Drvvt confirm - quest CPT 85597 | $126.10 | $194.00 | $17.98 – $25.46 | 13 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,491.10 | $2,294.00 | $2,330.58 – $2,563.64 | 6 |
| Duplex scan unilateral study 93986 CPT 93986 | $633.10 | $974.00 | $126.92 – $139.62 | 6 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $855.40 | $1,316.00 | $288.48 – $789.76 | 7 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $2,767.76 | $4,258.09 | $1,386.24 – $1,386.24 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | $392.60 | $604.00 | $78.59 – $139.62 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $989.30 | $1,522.00 | $2,058.11 – $2,263.92 | 6 |
| Ear irrigation 69209 CPT 69209 | $222.30 | $342.00 | $70.88 – $77.97 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $224.90 | $346.00 | $38.06 – $77.97 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | $529.75 | $815.00 | $109.55 – $731.67 | 7 |
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.