Visits & medical services prices at Mercy Hospital Carthage

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

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $39 $60 1.3×
Aep hearing status deter broadband stimuli i&r (92651) $234.65 $361 1.1×
Aep Neurodiagnostic I&R (92653) $234.65 $361 1.1×
Aep threshold estimation mlt frequencies i&r (92652) $564.20 $868 2.6×
Airway inhalation treatment (94640) $70.20 $108 0.3×
Analyze Neurostim Complex (95972) $778.05 $1,197 8.2×
Analyze neurostim no prog (95970) $196.62 $302.50 1.5×
Appl on-body injector for timed subq injection (96377) $105.30 $162 2.2×
Assessment of aphasia (96105) $221 $340 2.3×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $67.60 $104 1.8×
Behavioral and qualitative analysis of voice and resonance (92524) $322.08 $495.50 2.9×
Biofeedback training any modality (90901) $136.50 $210 3.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $445.25 $685 1.2×
Car seat/bed test 60 min (94780) $94.25 $145 2.5×
Cardiac Stress Tst,Tracing Only (93017) $602.55 $927 2.8×
Cardiopulmonary resuscitation (92950) $535.60 $824 2.5×
Cardioversion (92960) $853.78 $1,313.50 1.3×
Cbt 1st hour (94644) $70.20 $108 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $185.90 $286 2.6×
Chemo IV push addl drug (96411) $248.30 $382 3.4×
Chemo Iv Push Sngl Drug (96409) $306.80 $472 0.9×
Chemother, IV infusion, 1 hr (96413) $429.65 $661 1.3×
Chemother, IV infusion, ea add hr (96415) $408.85 $629 5.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $185.90 $286 2.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $314.60 $484 4.4×
Color/duplex Doppler, complete (93975) $889.85 $1,369 3.7×
Color/duplex Doppler, limited (93976) $640.90 $986 6.1×
Cpap initiation and management (94660) $465.40 $716 2.1×
Cpt initial (94667) $95.55 $147 0.7×
Critical care (99291) $726.05 $1,117 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $225.22 $346.50 1.1×
Demo &/or eval,pt use,aerosol device (94664) $136.50 $210 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $294.45 $453 2.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $635.05 $977 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $317.20 $488 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $588.90 $906 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $399.10 $614 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $813.80 $1,252 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $503.42 $774.50 4.8×
Dup-scan xtr veins unilateral/limited study (93971) $465.40 $716 4.4×
Duplex scan extracranial art compl bi study (93880) $603.20 $928 2.5×
Echo Heart Xthoracic,Limited (93308) $705.25 $1,085 3.0×
Ecog implanted brain npgt w/rec i&r <30 days (95836) $542.10 $834 14.5×
EEG awake asleep (95819) $539.82 $830.50 2.5×
EEG awake drowsy (95816) $542.75 $835 2.5×
EEG cerebral death evaluation (95824) $291.20 $448 0.8×
EEG coma or sleep only (95822) $506.02 $778.50 2.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $858 $1,320 4.0×
EKG (93005) $156.65 $241 2.7×
EKG rhythm strip (93041) $113.75 $175 1.9×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $135.85 $209 1.4×
Elec alys implt cplx cn npgt prgrmg (95977) $204.10 $314 2.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $179.40 $276 4.8×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $629.20 $968 6.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $528.12 $812.50 2.4×
EMG four extremities (95864) $421.85 $649 3.3×
EMG one extremity (95860) $206.70 $318 1.6×
EMG thoracic paraspinal (95869) $187.85 $289 0.9×
EMG three extremities (95863) $351.65 $541 2.7×
EMG two extremities (95861) $281.45 $433 2.1×
Er level 1 (99281) $181.68 $279.50 2.2×
Er level ii (99282) $239.85 $369 1.6×
Er level iii (99283) $322.08 $495.50 1.2×
Er level IV (99284) $588.25 $905 1.4×
Er level v (99285) $977.92 $1,504.50 1.6×
Evaluation of speech fluency (92521) $322.08 $495.50 2.4×
Evaluation of speech sound production (92522) $329.88 $507.50 2.9×
Evaluation of swallowing function (92610) $288.60 $444 3.4×
Evaluation with prescription of speech-generating alternative (92607) $232.70 $358 1.9×
Evoked auditory test,limited (92587) $202.80 $312 0.9×
Exercise tst brncspsm (94617) $292.50 $450 2.2×
External Ecg Scanning Analysis Report (93226) $510.25 $785 8.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $195 $300 1.0×
Group Therapeutic Procedures (97150) $88.40 $136 4.9×
Holter Monitor Recording (93225) $415.35 $639 3.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $40.30 $62 1.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $34.45 $53 0.5×
Immunization Admin (90471) $44.20 $68 0.6×
Injection intra arterial (96373) $98.15 $151 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $119.60 $184 2.0×
IV infusion hydration each additional hour (96361) $194.35 $299 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $175.50 $270 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $222.95 $343 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $222.95 $343 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $222.95 $343 4.8×
IV push initial (96374) $154.05 $237 0.7×
Manual therapy 15 min (97140) $87.10 $134 3.1×
Massage 15 min (97124) $65 $100 2.2×
Maximum voluntary ventilation (94200) $98.15 $151 1.7×
Mechanical chest wall oscillation (94669) $131.95 $203 0.6×
Mechanical traction (97012) $51.35 $79 3.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35.75 $55 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $43.55 $67 1.2×
Methacholine challenge (94070) $538.85 $829 1.4×
Mnt Group Ea 30 Min (97804) $25.35 $39 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $305.18 $469.50 3.3×
Multiple sleep latency test (95805) $2,069.60 $3,184 2.4×
Neg press wnd tx </=50 sq cm (97607) $142.35 $219 0.3×
Neg press wound tx >50 cm (97608) $170.30 $262 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $104 $160 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $156 $240 0.4×
Nerve conduction studies 13/> studies (95913) $856.05 $1,317 2.3×
Nerve Conduction Studies 3-4 Studies (95908) $319.15 $491 1.5×
Nerve Conduction Studies 9-10 Studies (95911) $607.75 $935 1.6×
Nerve conduction studies; 1-2 studies (95907) $203.45 $313 0.9×
Nerve conduction studies; 11-12 studies (95912) $738.40 $1,136 2.0×
Nerve conduction studies; 5-6 studies (95909) $380.90 $586 1.8×
Nerve conduction studies; 7-8 studies (95910) $505.05 $777 1.4×
Neuromuscular junction test (95937) $249.92 $384.50 1.9×
Newborn resuscitation (99465) $512.85 $789 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $328.90 $506 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $234 $360 1.8×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $454.35 $699 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $89.05 $137 1.9×
Osteopathic manipulative tx 1-2 body regions (98925) $47.45 $73 2.2×
Osteopathic manipulative tx 3-4 body regions (98926) $53.30 $82 2.5×
Osteopathic manipulative tx 5-6 body regions (98927) $67.92 $104.50 3.1×
Osteopathic manipulative tx 7-8 body regions (98928) $70.85 $109 3.3×
Osteopathic manipulative tx 9-10 body regions (98929) $78.98 $121.50 3.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $82.55 $127 2.6×
Ot Contrast Bath Ea 15 Min (97034) $55.25 $85 3.9×
Ot eval high complex 60 min (97167) $338.98 $521.50 3.4×
Ot eval low complex 30 min (97165) $288.60 $444 2.9×
Ot eval mod complex 45 min (97166) $315.58 $485.50 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $79.95 $123 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $82.55 $127 2.0×
Ot Range Motion Measure,Each Extrem (95851) $59.48 $91.50 2.3×
Ot re-eval est plan care (97168) $275.28 $423.50 4.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $207.35 $319 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $89.05 $137 0.7×
Paraffin bath (97018) $60.78 $93.50 10.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $167.70 $258 0.8×
Plethysmography (94726) $464.10 $714 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,965.62 $4,562.50 3.4×
Pt Aquatic Therapy/Exercises (97113) $100.75 $155 2.7×
Pt Electric Current Therapy (97033) $103.35 $159 5.4×
Pt Electrical Stimulation (97032) $68.90 $106 4.7×
Pt eval high complex 45 min (97163) $258.38 $397.50 2.6×
Pt eval low complex 20 min (97161) $197.28 $303.50 2.0×
Pt Gait Training Therapy (97116) $80.60 $124 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $94.25 $145 2.9×
Pt Physical Performance Test (97750) $88.40 $136 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $229.12 $352.50 2.3×
Pt re-evaluation (97164) $190.12 $292.50 2.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $78.65 $121 2.4×
Pt Ultrasound Therapy (97035) $72.15 $111 5.0×
Pt Whirlpool Therapy (97022) $93.60 $144 6.0×
Pulm function test by gas (94727) $225.55 $347 1.0×
Pulmonary stress testing (94618) $340.60 $524 2.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $328.25 $505 8.8×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $193.70 $298 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $85.15 $131 0.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $54.60 $84 2.6×
Rt Chest Wall Manipulation,Subsequent (94668) $71.50 $110 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $99.45 $153 2.1×
Sensory Integration Ea 15 Min (97533) $70.20 $108 1.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $581.75 $895 2.7×
Smoking cessation > 10 min (99407) $50.05 $77 1.3×
Speech group therapy (92508) $87.75 $135 3.6×
Speech sound lang comprehen (92523) $329.88 $507.50 1.5×
Spirometry (94010) $232.70 $358 1.1×
Standardized Cognitive Performance Testing (96125) $221.65 $341 2.2×
Temp transcutaneous pacing (92953) $583.05 $897 0.9×
Tensilon test (95857) $292.50 $450 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $72.80 $112 3.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $22.10 $34 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $178.10 $274 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $103.35 $159 1.4×
Therapeutic Activities (97530) $80.60 $124 2.3×
Therapeutic phlebotomy (99195) $173.55 $267 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37.05 $57 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,310.08 $2,015.50 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $234.32 $360.50 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $200.85 $309 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $154.05 $237 3.3×
Ultraviolet Light Therapy (96900) $104.65 $161 2.8×
Unlisted pulmonary service/procedure (94799) $94.90 $146 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $802.10 $1,234 3.4×
Vasc Duplex Scan Extracranial,Limited (93882) $446.55 $687 4.3×
Vasopneumatic device (97016) $61.75 $95 5.1×
Veeg by tech 2-12 hours unmonitored (95711) $865.80 $1,332 4.0×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,841.45 $2,833 4.9×
Ventilation assist & mgmt inpatient 1st day (94002) $724.75 $1,115 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $610.35 $939 1.0×
Visual Evoked Potential Test (95930) $759.85 $1,169 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $78.98 $121.50 2.5×