Supplies, drugs & other prices at Mercy Hospital Northwest Arkansas
Rogers, AR · every code in this section with a posted price and a Medicare benchmark.
96 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,867.15 | $4,411 | 3.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $2,033.20 | $3,128 | 2.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,363.70 | $2,098 | 4.2× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $855.40 | $1,316 | 0.6× |
| Adm tocilizu covid-19 1st (M0249) | $438.75 | $675 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $482.95 | $743 | 1.2× |
| Admin hepatitis b vaccine (G0010) | $37.70 | $58 | 0.9× |
| Admin influenza virus vac (G0008) | $26 | $40 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $28.60 | $44 | 0.7× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $56.55 | $87 | 1.8× |
| Catheterize for urine spec (P9612) | $59.15 | $91 | 6.3× |
| Chemo extend iv infus w/pump (G0498) range across 2 matching MRF lines |
$438.75–$462.15 | $675–$711 | varies |
| Cyp1a2 gene analysis common variants (0031U) | $490.75 | $755 | 2.8× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $629.85 | $969 | 0.9× |
| Diab manage trn per indiv (G0108) | $90.35 | $139 | 1.6× |
| Diab manage trn ind/group (G0109) | $59.15 | $91 | 3.7× |
| Direct refer hospital observ (G0379) | $409.50 | $630 | 0.7× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $2,003.95 | $3,083 | 2.4× |
| Fern test (Q0114) range across 2 matching MRF lines |
$47.45–$65 | $73–$100 | varies |
| Hbot, full body chamber, 30m (G0277) | $708.50 | $1,090 | 5.5× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) likely a partial charge, not the full procedure |
$3,974.10 | $6,114 | 0.2× |
| Home sleep test/type 3 porta (G0399) | $763.10 | $1,174 | 3.8× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $198.25 | $305 | 4.6× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,463.15–$2,194.40 | $2,251–$3,376 | varies |
| Intrav inf, toci, first dose (M0237) | $482.95 | $743 | 1.2× |
| Intrav inf, toci, second dos (M0238) | $482.95 | $743 | 1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $280.15 | $431 | 2.3× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $423.15 | $651 | 0.8× |
| Mra w/cont, abd (C8900) | $1,619.15 | $2,491 | 5.0× |
| Mra w/cont, chest (C8909) | $1,602.25 | $2,465 | 4.9× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$1,452.75–$2,103.40 | $2,235–$3,236 | varies |
| Mra w/cont, pelvis (C8918) | $2,114.45 | $3,253 | 6.5× |
| Mra w/o cont, abd (C8901) | $1,461.85 | $2,249 | 6.6× |
| Mra w/o cont, chest (C8910) | $1,406.60 | $2,164 | 6.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$1,214.20–$1,942.20 | $1,868–$2,988 | varies |
| Mra w/o cont, pelvis (C8919) | $1,906.45 | $2,933 | 8.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,647.10 | $2,534 | 5.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,803.10 | $2,774 | 5.5× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,610.05–$2,575.30 | $2,477–$3,962 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $2,376.40 | $3,656 | 7.3× |
| Mri w/cont, breast, bi (C8906) | $2,330.25 | $3,585 | 7.2× |
| Mri w/cont, breast, uni (C8903) | $1,569.75 | $2,415 | 9.6× |
| Mri w/o fol w/cont, breast, (C8908) | $2,665 | $4,100 | 8.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,842.75 | $2,835 | 5.7× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) | $1,215.50 | $1,870 | 6.0× |
| Neuro csf prion prtn qual (0035U) | $149.50 | $230 | 0.3× |
| Oth resp proc, group (G0239) | $101.40 | $156 | 2.9× |
| Oth resp proc, indiv (G0238) | $80.60 | $124 | 3.0× |
| Pathogen test for platelets (P9100) | $59.15 | $91 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) | $14,857.05 | $22,857 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $16,677.05 | $25,657 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $10,104.90 | $15,546 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $14,127.75 | $21,735 | 1.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $5,480.80 | $8,432 | 0.8× |
| Perq Sacral Augmt Unilat Inj (0200T) | $8,763.95 | $13,483 | 1.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $14,389.70 | $22,138 | 1.3× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) | $12,711.40 | $19,556 | 0.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $144.30 | $222 | 4.1× |
| Psa screening (G0103) | $117.65 | $181 | 6.1× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $1,399.45 | $2,153 | 1.6× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $1,281.80 | $1,972 | 1.5× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $290.55 | $447 | 3.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $527.80 | $812 | 0.7× |
| Revasc intra lithotrip-ather (C9766) | $11,823.50 | $18,190 | 0.7× |
| Revasc intra lithotrip-stent (C9765) | $12,928.50 | $19,890 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $8,287.50 | $12,750 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $23,920 | $36,800 | 1.4× |
| Revasc lithotr-ather tib/per (C9774) | $17,491.50 | $26,910 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $12,928.50 | $19,890 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $12,928.50 | $19,890 | 1.2× |
| Revasc lithotrip-stent-ather (C9767) | $17,680 | $27,200 | 1.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $69.55 | $107 | 2.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $19,249.10 | $29,614 | 1.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $21,143.85 | $32,529 | 1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $19,029.40 | $29,276 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $21,143.85 | $32,529 | 1.2× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $2,250.95 | $3,463 | 0.8× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $2,250.95 | $3,463 | 0.8× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $2,250.95 | $3,463 | 0.8× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) likely a partial charge, not the full procedure |
$2,250.95 | $3,463 | 0.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) likely a partial charge, not the full procedure |
$2,250.95 | $3,463 | 0.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) likely a partial charge, not the full procedure |
$2,250.95 | $3,463 | 0.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $14,139.45 | $21,753 | 2.7× |
| Therapeutic procd strg endur (G0237) | $80.60 | $124 | 3.0× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$61.75–$69.55 | $95–$107 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $351.65 | $541 | 0.8× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,960.10–$3,289 | $4,554–$5,060 | varies |
| Trluml perip athrc abd aorta (0236T) | $7,673.25 | $11,805 | 0.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $8,876.40 | $13,656 | 0.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $12,052.95 | $18,543 | 0.7× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $9,734.40 | $14,976 | 0.9× |
| Tte w or w/o contr, cont ecg (C8930) | $2,242.50 | $3,450 | 3.1× |
| Tte w or w/o fol w/con,stres (C8928) | $2,139.80 | $3,292 | 2.9× |
| Tte w or wo fol wcon,doppler (C8929) | $2,715.70 | $4,178 | 3.7× |
| Unsched dialysis esrd pt hos (G0257) | $1,753.05 | $2,697 | 2.7× |
| Visit to determ ldct elig (G0296) range across 3 matching MRF lines |
$14.30–$61.75 | $22–$95 | 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.