Visits & medical services prices at Mercy Hospital Perry

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $102.05 $157 2.7×
Admn Sarscov2 Vacc 1 Dose (90480) $40.30 $62 1.0×
Airway Inhalation Treatment (94640) $130.65 $201 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $74.10 $114 5.2×
Application Modality 1/> Areas Infrared (97026) $42.25 $65 6.3×
Application on-body injector (96377) $51.35 $79 1.1×
Assessment of aphasia per hr (96105) $231.40 $356 2.4×
Behavral qualit analys voice (92524)
range across 8 matching MRF lines
$113.75–$348.40 $175–$536 varies
Biofeedback training any modality (90901) $104.65 $161 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$62.40–$419.25 $96–$645 varies
Canalith repositioning proc (95992) $98.80 $152 2.4×
Car seat/bed test 60 min (94780) $92.30 $142 2.5×
Cardiac Stress Tst,Tracing Only (93017) $586.30 $902 2.7×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$513.50–$603.85 $790–$929 varies
Cardioversion (92960)
range across 3 matching MRF lines
$396.50–$1,070.55 $610–$1,647 varies
Cbt 1st hour (94644) $130.65 $201 1.0×
Chemo Anti-Neopl Sq/Im (96401) $176.80 $272 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $176.80 $272 2.5×
Chemo IV infusion addl hr (96415) $298.35 $459 4.1×
Chemo IV push addl drug (96411) $205.40 $316 2.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $298.35 $459 4.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $298.35 $459 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $205.40 $316 0.6×
Chest Wall Manipulation (94668) $89.05 $137 0.7×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$191.10–$899.60 $294–$1,384 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$224.25–$585 $345–$900 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$47.45–$59.15 $73–$91 varies
Comprehensive Hearing Test (92557) $116.35 $179 0.9×
Conditioning Play Audiometry (92582) $116.35 $179 0.9×
Continuous Pulse Ox (94762) $237.90 $366 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$522.60–$620.75 $804–$955 varies
Cpt initial (94667) $91 $140 0.7×
Critical care first hour (99291)
range across 4 matching MRF lines
$568.10–$1,612.65 $874–$2,481 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 8 matching MRF lines
$104–$305.50 $160–$470 varies
Developmental tst admin phys/qhp 1st hour (96112) $125.45 $193 1.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $131.95 $203 0.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$135.20–$817.70 $208–$1,258 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$154.05–$341.25 $237–$525 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$230.10–$926.90 $354–$1,426 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 5 matching MRF lines
$137.80–$523.25 $212–$805 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 5 matching MRF lines
$87.10–$926.90 $134–$1,426 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 11 matching MRF lines
$84.50–$1,133.60 $130–$1,744 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$87.10–$858.65 $134–$1,321 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$58.50–$616.85 $90–$949 varies
ECG/monitoring and analysis (93271) $515.45 $793 5.4×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$135.20–$238.55 $208–$367 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$399.75–$1,672.45 $615–$2,573 varies
EEG awake drowsy (95816) $453.70 $698 2.1×
Electrical Stimulation Ea 15 Min (97032) $64.35 $99 4.4×
Electrocardiogram Tracing (93005) $184.60 $284 3.1×
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$133.90–$499.20 $206–$768 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$187.85–$981.50 $289–$1,510 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$240.50–$1,773.20 $370–$2,728 varies
Er level 1 (99281)
range across 4 matching MRF lines
$97.50–$385.45 $150–$593 varies
Er level v (99285)
range across 4 matching MRF lines
$313.30–$4,168.12 $482–$6,412.50 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$125.45–$130.65 $193–$201 varies
Evaluate Speech Production (92522)
range across 8 matching MRF lines
$113.75–$348.40 $175–$536 varies
Evaluate Swallowing Function (92610)
range across 8 matching MRF lines
$113.75–$348.40 $175–$536 varies
Evaluation of speech fluency (92521)
range across 8 matching MRF lines
$113.75–$348.40 $175–$536 varies
Evoked Auditory Test,Limited (92587) $100.75 $155 0.5×
Exercise test for bronchospasm (94617)
range across 2 matching MRF lines
$60.45–$242.45 $93–$373 varies
External Ecg Scanning Analysis Report (93226) $489.45 $753 8.3×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$216.45–$789.75 $333–$1,215 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,733.55 $2,667 2.0×
Gi tract capsule endoscopy (91110) $2,432.95 $3,743 2.7×
Group Therapeutic Procedures (97150)
range across 24 matching MRF lines
$37.05–$105.95 $57–$163 varies
Holter monitor recording (93225) $388.05 $597 2.9×
Hubbard tank 15 min (97036) $74.75 $115 2.2×
Immunization administration (90471) $53.30 $82 0.7×
Inital newborn e/m (99460) $139.10 $214 1.0×
Iontophoresis 15 min (97033) $93.60 $144 4.9×
Irrig Drug Delivery Device (96523) $139.10 $214 2.4×
IV infusion hydration each additional hour (96361) $171.60 $264 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $171.60 $264 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $185.25 $285 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $185.25 $285 3.9×
IV push initial (96374) $124.15 $191 0.6×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$37.05–$158.60 $57–$244 varies
Mechanical chest wall oscillation per session (94669) $130.65 $201 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26.65 $41 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $35.10 $54 1.0×
Methacholine challenge (94070) $726.05 $1,117 1.9×
Motility study esophagus (91010) $371.80 $572 1.0×
Motion Fluoroscopy/Swallow (92611)
range across 12 matching MRF lines
$174.20–$733.20 $268–$1,128 varies
Motor &/sens nrv cndj preconf eltrd array limb (95905) $301.60 $464 0.7×
Multiple Sleep Latency Test (95805)
range across 3 matching MRF lines
$488.80–$1,489.15 $752–$2,291 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$96.20–$241.80 $148–$372 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$140.40–$351.65 $216–$541 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$89.70–$223.60 $138–$344 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$139.10–$348.40 $214–$536 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$197.60–$258.05 $304–$397 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$775.45–$1,189.50 $1,193–$1,830 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$919.10–$1,396.20 $1,414–$2,148 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$306.80–$452.40 $472–$696 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$393.25–$665.60 $605–$1,024 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$570.05–$843.70 $877–$1,298 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$676–$1,136.20 $1,040–$1,748 varies
Neurobehavioral Status Exam (96116) $258.70 $398 1.2×
Neuromuscular Reeducation (97112) $74.10 $114 2.3×
Newborn resuscitation (99465) $533 $820 0.8×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $486.85 $749 1.3×
Oral Function Therapy (92526)
range across 8 matching MRF lines
$93.60–$352.95 $144–$543 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $66.95 $103 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $70.85 $109 1.5×
Ot Contrast Bath Ea 15 Min (97034) $48.10 $74 3.4×
Ot eval high complexity (97167)
range across 16 matching MRF lines
$87.10–$488.80 $134–$752 varies
Ot Eval Low Complex (97165)
range across 16 matching MRF lines
$60.45–$462.15 $93–$711 varies
Ot Eval Moderate Complexity (97166)
range across 16 matching MRF lines
$73.45–$475.15 $113–$731 varies
Ot manual therapy 15 min (97140) $70.85 $109 2.6×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$57.20–$57.85 $88–$89 varies
Ot Prosthetic Training, Each 15 Min (97761) $70.85 $109 1.8×
Ot Re-Eval Est Plan Care (97168)
range across 16 matching MRF lines
$53.30–$354.90 $82–$546 varies
Ot rom hand (95852) $117 $180 5.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $202.15 $311 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $135.20 $208 1.0×
Peripheral arterial disease rehab per session (93668) $115.05 $177 1.9×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$168.35–$188.50 $259–$290 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $273.65 $421 4.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $273.65 $421 4.6×
Physical Performance Test (97750) $88.40 $136 2.6×
Plethysmography (94726)
range across 2 matching MRF lines
$82.55–$323.05 $127–$497 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 4 matching MRF lines
$445.25–$2,488.85 $685–$3,829 varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808)
range across 2 matching MRF lines
$1,056.90–$1,459.25 $1,626–$2,245 varies
Positional nystagmus test (92542) $181.35 $279 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $33.80 $52 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $22.75 $35 0.5×
Pt Eval High Complex (97163)
range across 10 matching MRF lines
$87.10–$328.25 $134–$505 varies
Pt eval low complex 20 min (97161)
range across 10 matching MRF lines
$60.45–$301.60 $93–$464 varies
Pt Eval Mod Complex (97162)
range across 10 matching MRF lines
$73.45–$314.60 $113–$484 varies
Pt gait training 15 min (97116) $74.10 $114 2.5×
Pt mechanical traction (97012) $78.65 $121 5.5×
Pt Re-Eval Est Plan Care (97164)
range across 10 matching MRF lines
$53.30–$234.65 $82–$361 varies
Pulm function test by gas (94727) $254.80 $392 1.2×
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$96.20–$211.25 $148–$325 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$124.15–$193.05 $191–$297 varies
Pure Tone Audiometry Air (92552) $44.85 $69 0.3×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $63.70 $98 1.7×
Remote 30 Day Ecg Rev/Report (93270) $320.45 $493 8.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $202.80 $312 1.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $61.10 $94 1.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $82.55 $127 1.5×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$62.40–$223.60 $96–$344 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $117.65 $181 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 10 matching MRF lines
$68.25–$200.85 $105–$309 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $66.95 $103 2.6×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $46.80 $72 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $192.40 $296 1.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $78.65 $121 1.6×
Self Care Mngment Training (97535) $78.65 $121 2.4×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$62.40–$98.80 $96–$152 varies
Sleep study attended (95807)
range across 3 matching MRF lines
$437.45–$1,433.90 $673–$2,206 varies
Sleep study unattended (95806)
range across 2 matching MRF lines
$239.20–$705.25 $368–$1,085 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$290.55–$594.10 $447–$914 varies
Speech Audiometry Complete (92556) $112.45 $173 1.9×
Speech audiometry threshold (92555) $57.85 $89 1.0×
Speech sound lang comprehen (92523)
range across 8 matching MRF lines
$113.75–$348.40 $175–$536 varies
Spirometry (94010)
range across 2 matching MRF lines
$62.40–$258.05 $96–$397 varies
Standardized Cognitive Performance Testing (96125) $234.65 $361 2.3×
Stress Tte Only (93350)
range across 2 matching MRF lines
$147.55–$736.45 $227–$1,133 varies
Temp transcutaneous pacing (92953)
range across 3 matching MRF lines
$87.10–$666.90 $134–$1,026 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $83.20 $128 3.7×
Ther Ivntj Ea Addl 15 Min (97130) $22.10 $34 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $74.75 $115 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $60.45 $93 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 6 matching MRF lines
$93.60–$227.50 $144–$350 varies
Ther/Proph/Diag Inj Sc/Im (96372) $87.10 $134 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $185.25 $285 0.9×
Therapeutic Activities (97530) $79.95 $123 2.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $46.15 $71 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.45 $33 0.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$285.35–$1,452.75 $439–$2,235 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$220.35–$1,120.60 $339–$1,724 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 20 matching MRF lines
$93.60–$1,121.25 $144–$1,725 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 8 matching MRF lines
$37.05–$137.15 $57–$211 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $124.15 $191 2.6×
Unlis neurological/neuromuscular dx px (95999) $130.65 $201 1.0×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$74.10–$365.95 $114–$563 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$84.50–$594.75 $130–$915 varies
Vasopneumatic device (97016) $56.55 $87 4.7×
Vent Mgmt Inpat Init Day (94002) $1,192.75 $1,835 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $855.40 $1,316 1.4×
Visual field xm uni/bi w/interpretj limited exam (92081) $75.40 $116 1.3×
Visual reinforcement audiometry (vra) (92579) $119.60 $184 0.6×
Vital capacity, total (94150) $89.70 $138 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $67.60 $104 2.2×
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$78.65–$88.40 $121–$136 varies
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619)
range across 2 matching MRF lines
$83.20–$390.65 $128–$601 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.