Supplies, drugs & other prices at Mercy Hospital Lebanon

Lebanon, 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
2d tte w or w/o fol w/con,fu (C8924) $1,509.30 $2,322 4.3×
Adm tocilizu covid-19 1st (M0249) $280.80 $432 0.6×
Adm tocilizu covid-19 2nd (M0250) $526.50 $810 1.2×
Admin influenza virus vac (G0008) $37.70 $58 0.8×
Admin pneumococcal vaccine (G0009) $33.15 $51 0.7×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $81.25 $125 2.6×
Catheterize for urine spec (P9612) $37.70 $58 4.0×
Chemo extend iv infus w/pump (G0498) $667.55 $1,027 2.0×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $570.05 $877 3.3×
Cyp2d6 gen com&slct rar vrnt (0070U) $553.15 $851 0.8×
Diab manage trn per indiv (G0108) $122.20 $188 2.2×
Diab manage trn ind/group (G0109) $66.30 $102 4.1×
Direct refer hospital observ (G0379) $447.20 $688 0.7×
Ig paraprotein qual bld/ur (0077U) $189.80 $292 4.4×
Inj for sacroiliac jt anesth (G0260) $1,368.90 $2,106 1.9×
Intrav inf, toci, first dose (M0237) $377 $580 0.9×
Intrav inf, toci, second dos (M0238) $526.50 $810 1.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $553.80 $852 4.5×
Liver dis 10 assays w/nash (0003M) $567.45 $873 1.1×
Mra w/cont, abd (C8900) $2,459.60 $3,784 7.0×
Mra w/o cont, abd (C8901) $2,379.65 $3,661 10.0×
Mra w/o fol w/cont, abd (C8902) $2,337.40 $3,596 6.7×
Oth resp proc, group (G0239) $135.20 $208 3.6×
Oth resp proc, indiv (G0238) $54.60 $84 1.9×
Pathogen test for platelets (P9100) $55.90 $86 0.9×
Psa screening (G0103) $144.30 $222 7.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $402.35 $619 0.6×
Therapeutic procd strg endur (G0237) $80.60 $124 2.8×
Tomosynthesis, mammo (G0279) $97.50 $150 7.7×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $1,636.70 $2,518 3.5×
Tte w or wo fol wcon,doppler (C8929) $3,602.95 $5,543 4.6×