Supplies, drugs & other prices at Mercy Hospital Carthage

Carthage, MO · every code in this section with a posted price and a Medicare benchmark.

31 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $451.75 $695 1.0×
Adm tocilizu covid-19 2nd (M0250) $451.75 $695 1.0×
Admin hepatitis b vaccine (G0010) $35.10 $54 0.7×
Admin influenza virus vac (G0008) $37.05 $57 0.8×
Admin pneumococcal vaccine (G0009) $33.80 $52 0.7×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $53.95 $83 1.7×
Catheterize for urine spec (P9612) $57.20 $88 6.1×
Colon ca scrn not hi rsk ind (G0121) $601.90 $926 0.6×
Colorectal scrn; hi risk ind (G0105) $575.90 $886 0.6×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $460.20 $708 2.6×
Cyp2d6 gen com&slct rar vrnt (0070U) $701.35 $1,079 1.0×
Diab manage trn per indiv (G0108) $77.35 $119 1.4×
Direct refer hospital observ (G0379) $421.85 $649 0.7×
Ekg tracing for initial prev (G0404) $113.75 $175 3.9×
Hbot, full body chamber, 30m (G0277) $455 $700 3.3×
Home sleep test/type 2 porta (G0398) $347.75 $535 1.6×
Home sleep test/type 3 porta (G0399) $606.45 $933 2.8×
Ig paraprotein qual bld/ur (0077U) $200.85 $309 4.6×
Inj for sacroiliac jt anesth (G0260) $1,597.70 $2,458 2.3×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $280.80 $432 2.3×
Liver dis 10 assays w/nash (0003M) $365.30 $562 0.7×
Mra w/o fol w/cont, abd (C8902) $2,561.65 $3,941 7.3×
Mra w/o fol w/cont, pelvis (C8920) $2,624.70 $4,038 7.5×
Pathogen test for platelets (P9100) $49.40 $76 0.8×
Perq Sacral Augmt Bilat Inj (0201T) $4,293.25 $6,605 0.6×
Perq Sacral Augmt Unilat Inj (0200T) $6,739.20 $10,368 0.9×
Psa screening (G0103) $130.65 $201 6.8×
Scr c/v cyto,thinlayer,rescr (G0145) $76.70 $118 2.9×
Tomosynthesis, mammo (G0279) $66.95 $103 5.3×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $325 $500 0.7×
Tte w or wo fol wcon,doppler (C8929) $2,988.05 $4,597 3.8×