Visits & medical services prices at Mercy Hospital Lebanon

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

189 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) $76.05 $117 2.6×
Airway inhalation treatment (94640) $95.55 $147 0.4×
Appl on-body injector for timed subq injection (96377) $139.75 $215 3.0×
Assessment of aphasia (96105) $410.80 $632 4.2×
Behavioral and qualitative analysis of voice and resonance (92524) $369.20 $568 3.4×
Bfb training 1st 15 min (90912) $105.95 $163 1.3×
Bfb training ea addl 15 min (90913) $85.80 $132 2.6×
Biofeedback training any modality (90901) $183.95 $283 4.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $536.90 $826 1.4×
Canalith Repositioning (95992) $113.10 $174 2.8×
Car seat/bed test 60 min (94780) $90.35 $139 2.4×
Cardiac Stress Tst,Tracing Only (93017) $1,001 $1,540 4.6×
Cardiopulmonary resuscitation (92950) $516.10 $794 2.4×
Cardioversion (92960) $1,166.75 $1,795 1.8×
Cbt 1st hour (94644) $124.15 $191 0.9×
Chemo Hormon Antineopl Sq/Im (96402) $252.85 $389 3.5×
Chemo inj subarach/intravent (96542) $562.25 $865 1.7×
Chemo IV push addl drug (96411) $309.40 $476 4.3×
Chemo Iv Push Sngl Drug (96409) $206.70 $318 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $670.80 $1,032 2.0×
Chemother, IV infusion, 1 hr (96413) $406.25 $625 1.2×
Chemother, IV infusion, ea add hr (96415) $352.95 $543 4.9×
Chemother,ia infusn tech,<1 hr (96422) $979.55 $1,507 3.0×
Chemother,Ia Push Technique (96420) $505.70 $778 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $169 $260 2.3×
Chemotherapy admn intraarterial infusion ea hr (96423) $471.90 $726 10.1×
Chemotherapy, unspecified procedure (96549) $155.35 $239 3.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $451.10 $694 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $406.25 $625 5.6×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $528.45 $813 1.6×
Color/duplex Doppler, complete (93975) $1,223.30 $1,882 5.1×
Color/duplex Doppler, limited (93976) $728 $1,120 7.0×
Cpap initiation and management (94660) $364 $560 1.7×
Cpt initial (94667) $89.05 $137 0.7×
Critical care (99291) $2,349.75 $3,615 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $445.25 $685 2.2×
Demo &/or eval,pt use,aerosol device (94664) $365.95 $563 1.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $960.05 $1,477 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $663 $1,020 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,225.90 $1,886 5.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $602.88 $927.50 5.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,062.75 $1,635 4.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $803.40 $1,236 7.7×
Dup-scan xtr veins unilateral/limited study (93971) $786.50 $1,210 7.5×
Duplex scan extracranial art compl bi study (93880) $1,111.50 $1,710 4.7×
Echo Heart Xthoracic,Limited (93308) $456.30 $702 1.9×
Echo Transthoracic - Congenital Tte Complete (93303) $2,007.20 $3,088 3.7×
EEG awake asleep (95819) $866.45 $1,333 4.0×
EEG awake drowsy (95816) $747.50 $1,150 3.5×
EKG (93005) $253.50 $390 4.3×
EKG rhythm strip (93041) $210.60 $324 3.6×
Er level 1 (99281) $274.30 $422 3.2×
Er level ii (99282) $471.90 $726 3.1×
Er level iii (99283) $921.70 $1,418 3.4×
Er level IV (99284) $1,711.94 $2,633.75 4.1×
Er level v (99285) $3,209.21 $4,937.25 5.4×
Evaluation of speech fluency (92521) $288.92 $444.50 2.2×
Evaluation of speech sound production (92522) $366.28 $563.50 3.3×
Evaluation of swallowing function (92610) $203.45 $313 2.4×
Evaluation with prescription of speech-generating alternative (92607) $270.40 $416 2.2×
Evoked auditory test,limited (92587) $327.60 $504 1.5×
External Ecg Scanning Analysis Report (93226) $842.40 $1,296 14.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $421.85 $649 2.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,392.30 $2,142 3.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,683.50 $2,590 2.0×
Group Therapeutic Procedures (97150) $79.95 $123 4.4×
Holter Monitor Recording (93225) $541.45 $833 4.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $46.80 $72 1.1×
Immunization Admin (90471) $85.15 $131 1.2×
Injection intra arterial (96373) $190.45 $293 0.9×
Intralesional Chemo Admin,8+ Lesn (96406) $567.45 $873 2.7×
Intralesional Chemo Admin,<8 Lesn (96405) $187.85 $289 2.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $173.55 $267 2.9×
IV infusion hydration each additional hour (96361) $195.65 $301 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $195.65 $301 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $215.80 $332 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $215.80 $332 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $96.20 $148 2.1×
IV push initial (96374) $192.40 $296 0.9×
Manual therapy 15 min (97140) $123.50 $190 4.5×
Massage 15 min (97124) $100.75 $155 3.4×
Maximum voluntary ventilation (94200) $278.20 $428 4.7×
Mechanical chest wall oscillation (94669) $150.15 $231 0.7×
Mechanical traction (97012) $120.90 $186 8.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44.20 $68 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $46.80 $72 1.3×
Mnt Group Ea 30 Min (97804) $46.80 $72 2.7×
Motility study esophagus (91010) $1,625.65 $2,501 4.3×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $300.95 $463 0.7×
Multiple sleep latency test (95805) $2,005.25 $3,085 2.3×
Neg press wnd tx </=50 sq cm (97607) $914.55 $1,407 2.2×
Neg press wound tx >50 cm (97608) $1,441.70 $2,218 3.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $538.20 $828 2.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $303.55 $467 0.7×
Nerve conduction studies 13/> studies (95913) $1,182.02 $1,818.50 3.2×
Nerve Conduction Studies 3-4 Studies (95908) $356.52 $548.50 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $828.42 $1,274.50 2.2×
Nerve conduction studies; 1-2 studies (95907) $276.90 $426 1.3×
Nerve conduction studies; 11-12 studies (95912) $927.55 $1,427 2.5×
Nerve conduction studies; 5-6 studies (95909) $514.80 $792 2.4×
Nerve conduction studies; 7-8 studies (95910) $659.10 $1,014 1.8×
Neurological procedure unlisted (95999) $139.10 $214 1.1×
Newborn resuscitation (99465) $398.45 $613 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $456.30 $702 3.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $736.45 $1,133 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $224.90 $346 1.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $111.80 $172 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $198.90 $306 6.2×
Ot Contrast Bath Ea 15 Min (97034) $67.60 $104 4.8×
Ot eval high complex 60 min (97167) $383.50 $590 3.8×
Ot eval low complex 30 min (97165) $276.58 $425.50 2.8×
Ot eval mod complex 45 min (97166) $385.78 $593.50 3.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $94.25 $145 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $107.90 $166 2.7×
Ot Range Motion Measure,Each Extrem (95851) $82.22 $126.50 3.2×
Ot re-eval est plan care (97168) $345.15 $531 5.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $256.75 $395 2.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $163.80 $252 1.3×
Paraffin bath (97018) $74.10 $114 12.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $297.70 $458 1.4×
Peripheral arterial disease rehab per session (93668) $63.70 $98 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $213.85 $329 3.6×
Phy/qhp op pulm rhb w/o mntr (94625) $331.50 $510 5.6×
Plethysmography (94726) $599.95 $923 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,469 $2,260 1.7×
Polysom <6 yrs 4/> paramtrs (95782) $6,597.50 $10,150 7.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,024.15 $6,191 4.7×
Pt Aquatic Therapy/Exercises (97113) $152.10 $234 4.1×
Pt Electric Current Therapy (97033) $157.95 $243 8.3×
Pt Electrical Stimulation (97032) $92.95 $143 6.3×
Pt eval high complex 45 min (97163) $360.75 $555 3.7×
Pt eval low complex 20 min (97161) $292.18 $449.50 3.0×
Pt Gait Training Therapy (97116) $80.28 $123.50 2.8×
Pt Infrared Therapy (97026) $50.05 $77 7.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $120.25 $185 3.7×
Pt Physical Performance Test (97750) $109.20 $168 3.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $310.38 $477.50 3.2×
Pt re-evaluation (97164) $241.80 $372 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $97.50 $150 3.0×
Pt Ultrasound Therapy (97035) $110.50 $170 7.7×
Pt Whirlpool Therapy (97022) $128.70 $198 8.2×
Pulm function test by gas (94727) $438.10 $674 2.0×
Pulmonary stress testing (94618) $317.20 $488 2.4×
Pure Tone Audiometry, Air (92552) $89.70 $138 0.7×
Refill/maint, portable pump (96521) $628.55 $967 3.0×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $79.95 $123 2.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $582.40 $896 15.6×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $98.15 $151 1.8×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $80.60 $124 1.9×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $181.35 $279 1.4×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $69.55 $107 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $263.25 $405 1.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $128.70 $198 6.0×
Rt Chest Wall Manipulation,Subsequent (94668) $89.05 $137 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $182.65 $281 3.8×
Sensory Integration Ea 15 Min (97533) $118.95 $183 2.0×
Sleep study unattended (95806) $826.80 $1,272 3.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $611 $940 2.8×
Smoking cessation > 10 min (99407) $39.65 $61 1.1×
Speech group therapy (92508) $105.30 $162 4.4×
Speech sound lang comprehen (92523) $295.75 $455 1.3×
Spirometry (94010) $345.15 $531 1.6×
Standardized Cognitive Performance Testing (96125) $411.45 $633 4.0×
Stress echo (93350) $1,851.85 $2,849 3.4×
Stress Tte Complete (93351) $2,380.95 $3,663 4.4×
Temp transcutaneous pacing (92953) $891.48 $1,371.50 1.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $135.85 $209 6.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $107.90 $166 5.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $268.12 $412.50 2.6×
Ther/Proph/Diag Inj Sc/Im (96372) $142.35 $219 2.0×
Therapeutic Activities (97530) $120.90 $186 3.4×
Therapeutic phlebotomy (99195) $271.70 $418 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.15 $31 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,645.50 $4,070 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $295.10 $454 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $253.82 $390.50 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $189.80 $292 4.0×
Tympanometry (92567) $107.25 $165 2.9×
Ultraviolet Light Therapy (96900) $88.40 $136 2.4×
Unlisted noninvasive vascular diagnostic study (93998) $345.80 $532 11.9×
Unlisted pulmonary service/procedure (94799) $122.20 $188 0.9×
Vasc Duplex Extrem Venous,Bilat (93970) $1,179.75 $1,815 4.9×
Vasc Duplex Scan Extracranial,Limited (93882) $286.65 $441 2.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $850.85 $1,309 3.9×
Vasopneumatic device (97016) $111.80 $172 9.3×
Ventilation assist & mgmt inpatient 1st day (94002) $1,298.38 $1,997.50 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,000.02 $1,538.50 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $99.45 $153 3.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $455.65 $701 4.8×