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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $88.40 | $136 | 2.4× |
| Acupunct W/Stimul 15 Min (97813) | $76.05 | $117 | 2.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $46.80 | $72 | 1.1× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$90.35–$100.75 | $139–$155 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $110.50 | $170 | 7.7× |
| Application Modality 1/> Areas Infrared (97026) | $50.05 | $77 | 7.5× |
| Application on-body injector (96377) | $139.75 | $215 | 3.0× |
| Assessment of aphasia per hr (96105) | $410.80 | $632 | 4.2× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$219.70–$542.10 | $338–$834 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (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 proc (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) range across 2 matching MRF lines |
$796.25–$1,537.25 | $1,225–$2,365 | varies |
| Cbt 1st hour (94644) | $124.15 | $191 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $169 | $260 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $252.85 | $389 | 3.5× |
| Chemo Ia Push (96420) | $505.70 | $778 | 1.5× |
| Chemo Intralesional Over 7 (96406) | $567.45 | $873 | 2.7× |
| Chemo intralesional up to 7 (96405) | $187.85 | $289 | 2.6× |
| Chemo IV infusion addl hr (96415) | $352.95 | $543 | 4.9× |
| Chemo IV push addl drug (96411) | $309.40 | $476 | 4.3× |
| Chemother Prolong Infuse W/Pump (96416) | $670.80 | $1,032 | 2.0× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $979.55 | $1,507 | 3.0× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $471.90 | $726 | 10.1× |
| Chemotherapy Into Cns (96450) | $451.10 | $694 | 1.4× |
| Chemotherapy Intracavitary (96440) | $528.45 | $813 | 1.6× |
| Chemotherapy Unspecified (96549) | $155.35 | $239 | 3.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $406.25 | $625 | 5.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $406.25 | $625 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $206.70 | $318 | 0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $562.25 | $865 | 1.7× |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$74.75–$89.05 | $115–$137 | varies |
| Color/duplex Doppler, complete (93975) | $1,223.30 | $1,882 | 5.1× |
| Color/duplex Doppler, limited (93976) | $728 | $1,120 | 7.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$43.55–$237.90 | $67–$366 | varies |
| Continuous Pulse Ox (94762) | $224.90 | $346 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$248.95–$598 | $383–$920 | varies |
| Cpt initial (94667) | $89.05 | $137 | 0.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,233.40–$2,466.10 | $3,436–$3,794 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$278.20–$445.25 | $428–$685 | varies |
| 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) range across 4 matching MRF lines |
$552.50–$653.25 | $850–$1,005 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,179.75 | $1,815 | 4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $786.50 | $1,210 | 7.5× |
| Duplex up extrem art bilat (93930) | $1,062.75 | $1,635 | 4.4× |
| Duplex up extrem art unilat/ltd (93931) | $803.40 | $1,236 | 7.7× |
| ECG/monitoring and analysis (93271) | $455.65 | $701 | 4.8× |
| Echo Congenital Complete (93303) | $2,007.20 | $3,088 | 3.7× |
| Echo Heart Xthoracic,Limited (93308) | $456.30 | $702 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,380.95 | $3,663 | 4.4× |
| EEG awake and asleep (95819) | $866.45 | $1,333 | 4.0× |
| EEG awake drowsy (95816) | $747.50 | $1,150 | 3.5× |
| Electrical Stimulation Ea 15 Min (97032) | $92.95 | $143 | 6.3× |
| Electrocardiogram Tracing (93005) | $253.50 | $390 | 4.3× |
| Emergency Dept Visit Level 2 (99282) | $471.90 | $726 | 3.1× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$765.70–$1,077.70 | $1,178–$1,658 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,277.90–$2,145.97 | $1,966–$3,301.50 | varies |
| Er level 1 (99281) | $274.30 | $422 | 3.2× |
| Er level v (99285) range across 2 matching MRF lines |
$1,939.60–$4,478.82 | $2,984–$6,890.50 | varies |
| Evaluate pt use of inhaler (94664) | $365.95 | $563 | 1.7× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$97.50–$488.80 | $150–$752 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$97.50–$319.80 | $150–$492 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$146.90–$376.35 | $226–$579 | varies |
| Evoked Auditory Test,Limited (92587) | $327.60 | $504 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $842.40 | $1,296 | 14.3× |
| Extracranial Bilat Study (93880) | $1,111.50 | $1,710 | 4.7× |
| Extracranial Uni/Ltd Study (93882) | $286.65 | $441 | 2.7× |
| 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) range across 20 matching MRF lines |
$45.50–$122.20 | $70–$188 | varies |
| Holter monitor recording (93225) | $541.45 | $833 | 4.1× |
| Immunization administration (90471) | $85.15 | $131 | 1.2× |
| Iontophoresis 15 min (97033) | $157.95 | $243 | 8.3× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) | $215.80 | $332 | 3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $96.20 | $148 | 2.1× |
| IV push initial (96374) | $192.40 | $296 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $278.20 | $428 | 4.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $850.85 | $1,309 | 3.9× |
| Mechanical chest wall oscillation per session (94669) | $150.15 | $231 | 0.7× |
| 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× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (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) range across 2 matching MRF lines |
$230.10–$371.80 | $354–$572 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,712.10–$2,298.40 | $2,634–$3,536 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$238.55–$914.55 | $367–$1,407 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,441.70 | $2,218 | 3.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$356.85–$719.55 | $549–$1,107 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$292.50–$314.60 | $450–$484 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$263.25–$290.55 | $405–$447 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$893.10–$962 | $1,374–$1,480 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$940.55–$1,423.50 | $1,447–$2,190 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$326.30–$386.75 | $502–$595 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$469.95–$559.65 | $723–$861 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$591.50–$726.70 | $910–$1,118 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$690.95–$965.90 | $1,063–$1,486 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$120.25–$133.25 | $185–$205 | varies |
| Newborn resuscitation (99465) | $398.45 | $613 | 0.6× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$68.90–$301.60 | $106–$464 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $94.25 | $145 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $111.80 | $172 | 2.4× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$48.10–$87.10 | $74–$134 | varies |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$172.25–$601.90 | $265–$926 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$108.55–$423.15 | $167–$651 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$150.15–$553.80 | $231–$852 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$112.45–$134.55 | $173–$207 | varies |
| Ot paraffin bath (97018) | $74.10 | $114 | 12.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $107.90 | $166 | 2.7× |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$152.75–$536.90 | $235–$826 | varies |
| Ot rom hand (95852) | $128.70 | $198 | 6.0× |
| 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× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $297.70 | $458 | 1.4× |
| Peripheral arterial disease rehab per session (93668) | $63.70 | $98 | 1.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$269.75–$273.65 | $415–$421 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $213.85 | $329 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $331.50 | $510 | 5.6× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$105.95–$109.20 | $163–$168 | varies |
| Plethysmography (94726) | $599.95 | $923 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,331.85–$1,606.15 | $2,049–$2,471 | varies |
| 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 Eval High Complex (97163) range across 10 matching MRF lines |
$192.40–$577.20 | $296–$888 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$144.30–$429 | $222–$660 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$177.45–$458.25 | $273–$705 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$50.05–$110.50 | $77–$170 | varies |
| Pt mechanical traction (97012) | $120.90 | $186 | 8.4× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$128.70–$369.85 | $198–$569 | varies |
| Pulm function test by gas (94727) | $438.10 | $674 | 2.0× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$59.80–$130 | $92–$200 | varies |
| 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 data muscskel sys ea 30 d (98977) range across 3 matching MRF lines |
$76.70–$94.90 | $118–$146 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $582.40 | $896 | 15.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $181.35 | $279 | 1.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 3 matching MRF lines |
$72.15–$96.20 | $111–$148 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 3 matching MRF lines |
$81.90–$98.15 | $126–$151 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $210.60 | $324 | 3.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 12 matching MRF lines |
$158.60–$328.25 | $244–$505 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$78.65–$85.80 | $121–$132 | varies |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $69.55 | $107 | 1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $270.40 | $416 | 2.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $182.65 | $281 | 3.8× |
| Self Care Mngment Training (97535) | $97.50 | $150 | 3.0× |
| 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× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$107.25–$433.55 | $165–$667 | varies |
| Spirometry (94010) | $345.15 | $531 | 1.6× |
| Standardized Cognitive Performance Testing (96125) | $411.45 | $633 | 4.0× |
| Stress Tte Only (93350) | $1,851.85 | $2,849 | 3.4× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$631.80–$1,151.15 | $972–$1,771 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $135.85 | $209 | 6.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $107.90 | $166 | 5.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $152.10 | $234 | 4.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $100.75 | $155 | 3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 6 matching MRF lines |
$178.75–$357.50 | $275–$550 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $190.45 | $293 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $142.35 | $219 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $215.80 | $332 | 1.0× |
| Therapeutic Activities (97530) | $120.90 | $186 | 3.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $39.65 | $61 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $20.15 | $31 | 0.5× |
| Tte w/doppler, complete (93306) | $2,645.50 | $4,070 | 4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$160.55–$349.70 | $247–$538 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$84.50–$126.75 | $130–$195 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $189.80 | $292 | 4.0× |
| Tympanometry (92567) | $107.25 | $165 | 2.9× |
| Unlis neurological/neuromuscular dx px (95999) | $139.10 | $214 | 1.1× |
| Unlisted noninvasive vascular diagnostic study (93998) | $345.80 | $532 | 11.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $456.30 | $702 | 3.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $736.45 | $1,133 | 3.4× |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$111.80–$181.35 | $172–$279 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$674.05–$1,922.70 | $1,037–$2,958 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$559.65–$1,440.40 | $861–$2,216 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $99.45 | $153 | 3.2× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$118.95–$138.45 | $183–$213 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.