Visits & medical services prices at Mercy Hospital Stoddard

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $59.15 $91 0.3×
Appl on-body injector for timed subq injection (96377) $90.35 $139 1.9×
Assessment of aphasia (96105) $210.60 $324 2.2×
Behavioral and qualitative analysis of voice and resonance (92524) $200.85 $309 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $384.80 $592 1.0×
Cardiac Stress Tst,Tracing Only (93017) $490.75 $755 2.3×
Cardiopulmonary resuscitation (92950) $462.48 $711.50 2.1×
Cardioversion (92960) $1,222.65 $1,881 1.8×
Cbt 1st hour (94644) $72.80 $112 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $105.95 $163 1.5×
Chemo IV push addl drug (96411) $130.65 $201 1.8×
Chemo Iv Push Sngl Drug (96409) $343.20 $528 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $634.40 $976 1.9×
Chemother, IV infusion, 1 hr (96413) $728 $1,120 2.2×
Chemother, IV infusion, ea add hr (96415) $16.90 $26 0.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $132.60 $204 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $65.65 $101 0.9×
Color/duplex Doppler, complete (93975) $956.15 $1,471 4.0×
Color/duplex Doppler, limited (93976) $754 $1,160 7.2×
Cpap initiation and management (94660) $532.35 $819 2.4×
Cpt initial (94667) $120.25 $185 0.9×
Critical care (99291) $804.05 $1,237 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $377.65 $581 1.9×
Demo &/or eval,pt use,aerosol device (94664) $27.95 $43 0.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $396.50 $610 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,032.85 $1,589 4.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $572 $880 5.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,086.80 $1,672 4.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $544.05 $837 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $561.60 $864 5.4×
Duplex scan extracranial art compl bi study (93880) $735.80 $1,132 3.1×
Echo Heart Xthoracic,Limited (93308) $603.85 $929 2.5×
EEG awake drowsy (95816) $582.40 $896 2.7×
EKG (93005) $139.75 $215 2.4×
Er level 1 (99281) $40.95 $63 0.5×
Er level ii (99282) $204.75 $315 1.3×
Er level iii (99283) $358.31 $551.25 1.3×
Er level IV (99284) $868.72 $1,336.50 2.1×
Er level v (99285) $2,079.38 $3,199.05 3.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $188.50 $290 1.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $275.60 $424 3.9×
Evaluation of speech sound production (92522) $193.05 $297 1.7×
Evaluation of swallowing function (92610) $152.10 $234 1.8×
External ECG rec>48hr<7d recording (93242) $72.80 $112 1.9×
External ECG rec>7d<15d recording (93246) $118.95 $183 3.2×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $369.52 $568.50 1.9×
Holter Monitor Recording (93225) $384.80 $592 2.9×
Immunization Admin (90471) $76.05 $117 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $117 $180 2.0×
IV infusion hydration each additional hour (96361) $455 $700 9.7×
IV infusion hydration initial 31 min-1 hour (96360) $235.30 $362 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $184.60 $284 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $361.40 $556 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $57.20 $88 1.2×
IV push initial (96374) $106.60 $164 0.5×
Manual therapy 15 min (97140) $93.60 $144 3.4×
Massage 15 min (97124) $50.05 $77 1.7×
Mechanical traction (97012) $51.35 $79 3.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.30 $62 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $40.30 $62 1.1×
Neg press wnd tx </=50 sq cm (97607) $832 $1,280 2.0×
Neg press wound tx >50 cm (97608) $832 $1,280 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $599.30 $922 3.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $766.35 $1,179 1.9×
Nitric oxide expired gas determination (95012) $130.65 $201 3.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $700.38 $1,077.50 5.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $222.95 $343 1.7×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $81.25 $125 0.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $61.75 $95 1.3×
Ot eval high complex 60 min (97167) $105.30 $162 1.0×
Ot eval low complex 30 min (97165) $105.30 $162 1.0×
Ot eval mod complex 45 min (97166) $105.30 $162 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $61.75 $95 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $61.75 $95 1.5×
Ot re-eval est plan care (97168) $74.75 $115 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $153.40 $236 1.2×
Paraffin bath (97018) $34.12 $52.50 5.7×
Peripheral arterial disease rehab per session (93668) $123.50 $190 2.1×
Phy/qhp op pulm rhb w/mntr (94626) $284.05 $437 4.8×
Phy/qhp op pulm rhb w/o mntr (94625) $261.30 $402 4.4×
Plethysmography (94726) $135.85 $209 0.4×
Pt Aquatic Therapy/Exercises (97113) $93.60 $144 2.5×
Pt Electric Current Therapy (97033) $78.32 $120.50 4.1×
Pt Electrical Stimulation (97032) $65 $100 4.4×
Pt eval high complex 45 min (97163) $105.30 $162 1.1×
Pt eval low complex 20 min (97161) $105.30 $162 1.1×
Pt Gait Training Therapy (97116) $66.95 $103 2.3×
Pt Infrared Therapy (97026) $17.55 $27 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $41.60 $64 1.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $105.30 $162 1.1×
Pt re-evaluation (97164) $74.75 $115 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $74.75 $115 2.3×
Pt Ultrasound Therapy (97035) $60.78 $93.50 4.2×
Pt Whirlpool Therapy (97022) $51.35 $79 3.3×
Pulmonary stress testing (94618) $81.25 $125 0.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $117 $180 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $185.25 $285 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $91 $140 0.7×
Sensory Integration Ea 15 Min (97533) $74.75 $115 1.2×
Smoking cessation > 10 min (99407) $66.30 $102 1.8×
Speech sound lang comprehen (92523) $399.75 $615 1.8×
Spirometry (94010) $185.90 $286 0.9×
Standardized Cognitive Performance Testing (96125) $237.90 $366 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $56.55 $87 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $56.55 $87 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $62.40 $96 0.9×
Therapeutic Activities (97530) $83.20 $128 2.4×
Therapeutic phlebotomy (99195) $166.40 $256 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.70 $78 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $999.05 $1,537 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $235.95 $363 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $334.75 $515 4.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $92.30 $142 2.0×
Ultraviolet Therapy (97028) $43.55 $67 5.2×
Unlisted pulmonary service/procedure (94799) $146.90 $226 1.1×
Vasc Duplex Extrem Venous,Bilat (93970) $999.05 $1,537 4.2×
Vasc Duplex Scan Extracranial,Limited (93882) $311.35 $479 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $765.05 $1,177 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $566.15 $871 0.9×