Visits & medical services prices at Mercy Hospital Lincoln

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $70.85 $109 0.7×
Airway inhalation treatment (94640) $139.75 $215 0.6×
Analyze neurostim no prog (95970) $71.50 $110 0.5×
Appl on-body injector for timed subq injection (96377) $109.20 $168 2.3×
Application of heat wave therapy (97024) $39 $60 5.3×
Assessment of aphasia (96105) $248.30 $382 2.6×
Behav assmt w/score & docd/stand instrument (96127) $40.95 $63 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $303.55 $467 2.8×
Bfb training 1st 15 min (90912) $187.20 $288 2.3×
Bfb training ea addl 15 min (90913) $62.40 $96 1.9×
Biofeedback training any modality (90901) $137.80 $212 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $535.60 $824 1.4×
Capsule endoscopy (91110) $683.80 $1,052 0.8×
Cardiac Stress Tst,Tracing Only (93017) $1,052.35 $1,619 4.9×
Cardiopulmonary exercise testing (94621) $744.25 $1,145 2.0×
Cardiopulmonary resuscitation (92950) $630.50 $970 2.9×
Cardioversion (92960) $1,007.50 $1,550 1.5×
Cbt 1st hour (94644) $139.75 $215 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $204.10 $314 2.8×
Chemo IV push addl drug (96411) $282.75 $435 3.9×
Chemo Iv Push Sngl Drug (96409) $282.75 $435 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $535.60 $824 1.6×
Chemother, IV infusion, 1 hr (96413) $319.15 $491 1.0×
Chemother, IV infusion, ea add hr (96415) $319.15 $491 4.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $119.28 $183.50 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $298.35 $459 4.1×
Color/duplex Doppler, complete (93975) $998.40 $1,536 4.2×
Color/duplex Doppler, limited (93976) $404.62 $622.50 3.9×
Cont Gluc Monitoring Patient Provided Equipment (95249) $96.85 $149 1.6×
Continuous Glucose Monitoring (95250) $248.30 $382 1.9×
Cpap initiation and management (94660) $706.55 $1,087 3.2×
Cpt initial (94667) $118.95 $183 0.9×
Critical care (99291) $784.55 $1,207 0.9×
Dbrdmt prmlg les w/pdt (96574) $212.55 $327 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $166.40 $256 0.8×
Demo &/or eval,pt use,aerosol device (94664) $139.10 $214 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $507.65 $781 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $563.55 $867 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $485.22 $746.50 2.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $623.35 $959 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $855.40 $1,316 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $603.20 $928 5.8×
Dup-scan xtr veins unilateral/limited study (93971) $754 $1,160 7.2×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $633.10 $974 6.0×
Duplex scan extracranial art compl bi study (93880) $640.25 $985 2.7×
Echo Heart Xthoracic,Limited (93308) $720.20 $1,108 3.0×
Echo transesophageal (93312) $1,612.65 $2,481 2.9×
EKG (93005) $224.90 $346 3.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $39 $60 0.4×
Elec alys implt cplx cn npgt prgrmg (95977) $35.75 $55 0.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $47.45 $73 1.3×
EMG cranial nerve bilat (95868) $401.70 $618 1.9×
EMG cranial nerve unilat (95867) $286.98 $441.50 1.3×
EMG four extremities (95864) $593.45 $913 4.6×
EMG one extremity (95860) $285.68 $439.50 2.1×
EMG thoracic paraspinal (95869) $66.95 $103 0.3×
EMG three extremities (95863) $537.55 $827 4.2×
EMG two extremities (95861) $455.98 $701.50 3.4×
Er level 1 (99281) $140.40 $216 1.7×
Er level ii (99282) $191.75 $295 1.2×
Er level iii (99283) $295.10 $454 1.1×
Er level IV (99284) $494.65 $761 1.2×
Er level v (99285) $728.65 $1,121 1.2×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $330.85 $509 4.7×
Evaluation of speech fluency (92521) $303.55 $467 2.3×
Evaluation of speech sound production (92522) $303.55 $467 2.7×
Evaluation of swallowing function (92610) $313.95 $483 3.7×
Exercise tst brncspsm (94617) $318.50 $490 2.4×
External ECG rec>48hr<7d recording (93242) $377.65 $581 10.1×
External Ecg Scanning Analysis Report (93226) $783.25 $1,205 13.3×
External ocular photography (92285) $61.10 $94 1.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $131.95 $203 0.4×
Group Therapeutic Procedures (97150) $52 $80 2.9×
Holter Monitor Recording (93225) $510.25 $785 3.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $41.60 $64 1.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $41.60 $64 0.6×
Immunization Admin (90471) $50.05 $77 0.7×
Injection intra arterial (96373) $54.60 $84 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $140.40 $216 2.4×
IV infusion hydration each additional hour (96361) $165.75 $255 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $165.75 $255 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $185.90 $286 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $185.90 $286 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $185.90 $286 4.0×
IV push initial (96374) $150.15 $231 0.7×
Liver elastography w/o imag w/i&r (91200) $292.82 $450.50 2.3×
Manual therapy 15 min (97140) $89.05 $137 3.2×
Massage 15 min (97124) $79.30 $122 2.7×
Maximum voluntary ventilation (94200) $163.15 $251 2.8×
Mechanical chest wall oscillation (94669) $143.65 $221 0.7×
Mechanical traction (97012) $86.45 $133 6.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.85 $49 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.60 $44 0.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $341.58 $525.50 3.7×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $222.30 $342 0.5×
Multiple sleep latency test (95805) $2,284.75 $3,515 2.7×
Nasopharyngoscopy (92511) $238.22 $366.50 1.2×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $236.60 $364 1.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $434.20 $668 2.0×
Neg press wnd tx </=50 sq cm (97607) $233.35 $359 0.6×
Neg press wound tx >50 cm (97608) $323.05 $497 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $201.50 $310 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $239.85 $369 0.6×
Nerve conduction studies 13/> studies (95913) $735.80 $1,132 2.0×
Nerve Conduction Studies 3-4 Studies (95908) $265.85 $409 1.2×
Nerve Conduction Studies 9-10 Studies (95911) $519.35 $799 1.4×
Nerve conduction studies; 1-2 studies (95907) $208 $320 1.0×
Nerve conduction studies; 11-12 studies (95912) $587.60 $904 1.6×
Nerve conduction studies; 5-6 studies (95909) $331.50 $510 1.5×
Nerve conduction studies; 7-8 studies (95910) $416 $640 1.1×
Neurological procedure unlisted (95999) $128.05 $197 1.0×
Neuromuscular junction test (95937) $72.15 $111 0.6×
Newborn resuscitation (99465) $508.95 $783 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $189.15 $291 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $674.05 $1,037 3.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $240.50 $370 1.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $575.25 $885 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $76.70 $118 1.7×
Osteopathic manipulative tx 1-2 body regions (98925) $61.10 $94 2.8×
Osteopathic manipulative tx 3-4 body regions (98926) $52.65 $81 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $74.10 $114 2.3×
Ot Contrast Bath Ea 15 Min (97034) $58.50 $90 4.2×
Ot eval high complex 60 min (97167) $472.22 $726.50 4.7×
Ot eval low complex 30 min (97165) $417.30 $642 4.2×
Ot eval mod complex 45 min (97166) $441.35 $679 4.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $87.10 $134 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $91.65 $141 2.3×
Ot Range Motion Measure,Each Extrem (95851) $104.65 $161 4.0×
Ot re-eval est plan care (97168) $355.22 $546.50 5.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $223.60 $344 1.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $36.40 $56 0.3×
Paraffin bath (97018) $56.55 $87 9.4×
Pdt dstr prmlg les phys/qhp (96573) $178.42 $274.50 0.9×
Pdt dstr prmlg les skn illum/activj per day (96567) $138.45 $213 0.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $192.40 $296 0.9×
Phy/qhp op pulm rhb w/mntr (94626) $223.60 $344 3.8×
Phy/qhp op pulm rhb w/o mntr (94625) $223.60 $344 3.8×
Plethysmography (94726) $391.30 $602 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,669.60 $7,184 5.4×
Polysom <6 yrs 4/> paramtrs (95782) $6,115.85 $9,409 7.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,582.50 $7,050 5.3×
Psychiatric diagnostic evaluation (90791) $154.70 $238 0.9×
Psytx crisis initial 60 min (90839) $168.35 $259 0.9×
Pt Electric Current Therapy (97033) $101.40 $156 5.3×
Pt Electrical Stimulation (97032) $74.75 $115 5.1×
Pt eval high complex 45 min (97163) $348.40 $536 3.6×
Pt eval low complex 20 min (97161) $293.15 $451 3.0×
Pt Gait Training Therapy (97116) $83.20 $128 2.9×
Pt Infrared Therapy (97026) $37.05 $57 5.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $86.45 $133 2.6×
Pt Physical Performance Test (97750) $90.35 $139 2.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $317.20 $488 3.2×
Pt re-evaluation (97164) $251.88 $387.50 3.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $90.35 $139 2.8×
Pt Ultrasound Therapy (97035) $88.40 $136 6.2×
Pt Whirlpool Therapy (97022) $85.80 $132 5.5×
Pulm function test by gas (94727) $339.95 $523 1.6×
Pulmonary stress testing (94618) $318.50 $490 2.4×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $65.65 $101 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $352.95 $543 9.4×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $102.05 $157 1.9×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $75.40 $116 1.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $208.65 $321 1.6×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $48.10 $74 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $182.65 $281 0.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $104 $160 4.9×
Rt Chest Wall Manipulation,Subsequent (94668) $90.35 $139 0.7×
Sensory Integration Ea 15 Min (97533) $75.40 $116 1.2×
Sleep study attended (95807) $1,629.55 $2,507 4.4×
Sleep study unattended (95806) $960.70 $1,478 4.4×
Smoking cessation > 10 min (99407) $25.35 $39 0.7×
Speech sound lang comprehen (92523) $303.55 $467 1.3×
Spirometry (94010) $273.65 $421 1.3×
Stress echo (93350) $2,044.90 $3,146 3.7×
Stress Tte Complete (93351) $1,784.25 $2,745 3.3×
Temp transcutaneous pacing (92953) $281.78 $433.50 0.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $90.35 $139 4.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $24.05 $37 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $92.95 $143 1.3×
Therapeutic Activities (97530) $89.05 $137 2.5×
Therapeutic phlebotomy (99195) $204.10 $314 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $13.65 $21 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,245.10 $3,454 4.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,152.45 $1,773 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $492.70 $758 6.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $310.38 $477.50 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $150.15 $231 3.2×
Ultraviolet Light Therapy (96900) $26.32 $40.50 0.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $140.40 $216 1.1×
Unlisted pulmonary service/procedure (94799) $103.35 $159 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $596.38 $917.50 2.5×
Vasc Duplex Scan Extracranial,Limited (93882) $53.30 $82 0.5×
Vasopneumatic device (97016) $65.65 $101 5.5×
Ventilation assist & mgmt inpatient 1st day (94002) $1,172.60 $1,804 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $973.05 $1,497 1.6×
Vital capacity total (94150) $144.30 $222 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $90.35 $139 2.9×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $529.75 $815 5.6×