Supplies, drugs & other prices at Mercy Hospital Perry
Perryville, MO · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $451.75 | $695 | 1.0× |
| Adm tocilizu covid-19 2nd (M0250) | $451.75 | $695 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $45.50 | $70 | 1.0× |
| Admin influenza virus vac (G0008) | $45.50 | $70 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $45.50 | $70 | 1.0× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) | $52.65 | $81 | 1.7× |
| Ca screen;flexi sigmoidscope (G0104) | $332.80 | $512 | 0.4× |
| Catheterize for urine spec (P9612) | $61.10 | $94 | 6.5× |
| Chemo extend iv infus w/pump (G0498) | $576.55 | $887 | 1.7× |
| Colon ca scrn not hi rsk ind (G0121) | $592.15 | $911 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $575.90 | $886 | 0.6× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) | $447.20 | $688 | 2.6× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $711.75 | $1,095 | 1.1× |
| Diab manage trn per indiv (G0108) | $87.75 | $135 | 1.6× |
| Diab manage trn ind/group (G0109) | $56.55 | $87 | 3.5× |
| Direct refer hospital observ (G0379) | $351.65 | $541 | 0.6× |
| Fern test (Q0114) | $23.40 | $36 | 2.4× |
| Ig paraprotein qual bld/ur (0077U) | $159.90 | $246 | 3.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,778.40 | $2,736 | 2.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $221 | $340 | 1.8× |
| Liver dis 10 assays w/nash (0003M) | $420.55 | $647 | 0.8× |
| Mnt subs tx for change dx (G0270) | $30.55 | $47 | 1.0× |
| Mra w/cont, abd (C8900) | $1,917.50 | $2,950 | 5.5× |
| Mra w/cont, chest (C8909) | $2,057.25 | $3,165 | 5.9× |
| Mra w/cont, lwr ext (C8912) | $2,007.85 | $3,089 | 5.7× |
| Mra w/cont, pelvis (C8918) | $2,345.20 | $3,608 | 6.7× |
| Mra w/o cont, abd (C8901) | $1,957.80 | $3,012 | 8.2× |
| Mra w/o cont, chest (C8910) | $1,699.75 | $2,615 | 7.1× |
| Mra w/o cont, lwr ext (C8913) | $1,675.70 | $2,578 | 7.0× |
| Mra w/o cont, pelvis (C8919) | $2,076.75 | $3,195 | 8.7× |
| Mra w/o fol w/cont, abd (C8902) | $2,424.50 | $3,730 | 6.9× |
| Mra w/o fol w/cont, chest (C8911) | $2,340 | $3,600 | 6.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,342.60 | $3,604 | 6.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,631.20 | $4,048 | 7.5× |
| Oth resp proc, group (G0239) | $91 | $140 | 2.4× |
| Oth resp proc, indiv (G0238) | $76.05 | $117 | 2.6× |
| Pathogen test for platelets (P9100) | $46.80 | $72 | 0.8× |
| Psa screening (G0103) | $112.45 | $173 | 5.8× |
| Therapeutic procd strg endur (G0237) | $78.98 | $121.50 | 2.7× |
| Tomosynthesis, mammo (G0279) | $66.95 | $103 | 5.3× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $357.50 | $550 | 0.8× |
| Tte w or w/o contr, cont ecg (C8930) | $1,665.30 | $2,562 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,044.90 | $3,146 | 2.6× |