Supplies, drugs & other prices at Mercy Hospital Lincoln

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,277.60 $3,504 2.9×
2d tte w or w/o fol w/con,co (C8923) $1,404 $2,160 1.8×
2d tte w or w/o fol w/con,fu (C8924) $918.45 $1,413 2.6×
Adm tocilizu covid-19 1st (M0249) $465.40 $716 1.1×
Adm tocilizu covid-19 2nd (M0250) $465.40 $716 1.1×
Admin hepatitis b vaccine (G0010) $66.95 $103 1.4×
Admin influenza virus vac (G0008) $48.75 $75 1.0×
Admin pneumococcal vaccine (G0009) $59.80 $92 1.3×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $55.25 $85 1.8×
Behavior counsel obesity 15m (G0447) $58.50 $90 0.6×
Catheterize for urine spec (P9612) $89.70 $138 9.6×
Chemo extend iv infus w/pump (G0498) $594.10 $914 1.8×
Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) $1,801.15 $2,771 10.3×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) $2,296.45 $3,533 13.1×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $493.35 $759 2.8×
Cyp2d6 gen com&slct rar vrnt (0070U) $752.05 $1,157 1.1×
Diab manage trn per indiv (G0108) $85.80 $132 1.5×
Diab manage trn ind/group (G0109) $44.85 $69 2.8×
Direct refer hospital observ (G0379) $531.05 $817 0.9×
Fecal microbiota prep instil (G0455) $505.05 $86 0.5×
Ig paraprotein qual bld/ur (0077U) $211.25 $325 4.9×
Inj for sacroiliac jt anesth (G0260) $1,939.92 $2,984.50 2.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $291.20 $448 2.4×
Lev 1 hosp type b ed visit (G0380) $130.65 $201 1.8×
Lev 2 hosp type b ed visit (G0381) $157.95 $243 1.7×
Lev 3 hosp type b ed visit (G0382) $299.65 $461 1.7×
Lev 4 hosp type b ed visit (G0383) $513.50 $790 1.9×
Lev 5 hosp type b ed visit (G0384) $564.20 $868 1.4×
Liver dis 10 assays w/nash (0003M) $420.55 $647 0.8×
Mnt subs tx for change dx (G0270) $27.30 $42 0.9×
Mra w/o cont, abd (C8901) $1,962.35 $3,019 8.2×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $205.40 $316 0.4×
Oth resp proc, group (G0239) $135.85 $209 3.6×
Oth resp proc, indiv (G0238) $67.60 $104 2.3×
Pathogen test for platelets (P9100) $48.75 $75 0.8×
Psa screening (G0103) $109.20 $168 5.7×
Scr c/v cyto,thinlayer,rescr (G0145) $87.10 $134 3.3×
Therapeutic procd strg endur (G0237) $65.65 $101 2.3×
Tomosynthesis, mammo (G0279) $68.90 $106 5.4×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $336.05 $517 0.7×
Tte w or w/o contr, cont ecg (C8930) $1,970.80 $3,032 2.5×
Tte w or w/o fol w/con,stres (C8928) $2,107.30 $3,242 2.7×
Tte w or wo fol wcon,doppler (C8929) $2,424.50 $3,730 3.1×
Visit to determ ldct elig (G0296) $20.15 $31 0.2×