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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$20.15–$72.15 $31–$111 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$59.15–$62.40 $91–$96 varies
Application Modality 1/> Areas Infrared (97026) $17.55 $27 2.6×
Application on-body injector (96377) $90.35 $139 1.9×
Assessment of aphasia per hr (96105) $210.60 $324 2.2×
Behavral qualit analys voice (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)
range across 2 matching MRF lines
$392.60–$532.35 $604–$819 varies
Cardioversion (92960) $1,222.65 $1,881 1.8×
Cbt 1st hour (94644) $72.80 $112 0.5×
Chemo Anti-Neopl Sq/Im (96401) $132.60 $204 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $105.95 $163 1.5×
Chemo IV infusion addl hr (96415) $16.90 $26 0.2×
Chemo IV push addl drug (96411) $130.65 $201 1.8×
Chemother Prolong Infuse W/Pump (96416) $634.40 $976 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $65.65 $101 0.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $728 $1,120 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $343.20 $528 1.0×
Chest Wall Manipulation (94668)
range across 3 matching MRF lines
$31.20–$91 $48–$140 varies
Color/duplex Doppler, complete (93975) $956.15 $1,471 4.0×
Color/duplex Doppler, limited (93976) $754 $1,160 7.2×
Continuous Pulse Ox (94762) $222.95 $343 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$252.85–$664.95 $389–$1,023 varies
Cpt initial (94667)
range across 3 matching MRF lines
$51.35–$120.25 $79–$185 varies
Critical care first hour (99291) $804.05 $1,237 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $377.65 $581 1.9×
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 Xtr Veins Complete Bilateral Study (93970) $999.05 $1,537 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $561.60 $864 5.4×
Duplex up extrem art bilat (93930) $1,086.80 $1,672 4.5×
Duplex up extrem art unilat/ltd (93931) $544.05 $837 5.2×
Echo Heart Xthoracic,Limited (93308) $603.85 $929 2.5×
EEG awake drowsy (95816) $582.40 $896 2.7×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$59.15–$70.85 $91–$109 varies
Electrocardiogram Tracing (93005) $139.75 $215 2.4×
Emergency Dept Visit Level 2 (99282) $204.75 $315 1.3×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$267.80–$448.82 $412–$690.50 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$424.45–$1,313 $653–$2,020 varies
Er level 1 (99281) $40.95 $63 0.5×
Er level v (99285)
range across 2 matching MRF lines
$498.55–$3,660.21 $767–$5,631.10 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $188.50 $290 1.5×
Evaluate pt use of inhaler (94664) $27.95 $43 0.1×
Evaluate Speech Production (92522) $193.05 $297 1.7×
Evaluate 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×
Extracranial Bilat Study (93880) $735.80 $1,132 3.1×
Extracranial Uni/Ltd Study (93882) $311.35 $479 3.0×
Flexible endoscopic eval swallow c/v rec (92612)
range across 6 matching MRF lines
$221.65–$529.75 $341–$815 varies
Holter monitor recording (93225) $384.80 $592 2.9×
Immunization administration (90471) $76.05 $117 1.1×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$74.75–$81.90 $115–$126 varies
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $184.60 $284 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $57.20 $88 1.2×
IV push initial (96374) $106.60 $164 0.5×
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 Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $832 $1,280 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq 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×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$40.30–$42.90 $62–$66 varies
Nitric oxide expired gas determination (95012) $130.65 $201 3.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $81.25 $125 0.2×
Oral Function Therapy (92526)
range across 8 matching MRF lines
$112.45–$471.25 $173–$725 varies
Oral Speech Device Eval (92597)
range across 7 matching MRF lines
$153.40–$393.90 $236–$606 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $61.75 $95 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $61.75 $95 1.3×
Ot eval high complexity (97167) $105.30 $162 1.0×
Ot Eval Low Complex (97165) $105.30 $162 1.0×
Ot Eval Moderate Complexity (97166) $105.30 $162 1.0×
Ot manual therapy 15 min (97140) $93.60 $144 3.4×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$32.50–$35.75 $50–$55 varies
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×
Peripheral arterial disease rehab per session (93668) $123.50 $190 2.1×
Phlebotomy therapeutic (99195) $166.40 $256 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $284.05 $437 4.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $261.30 $402 4.4×
Plethysmography (94726) $135.85 $209 0.4×
Pt Eval High Complex (97163) $105.30 $162 1.1×
Pt eval low complex 20 min (97161) $105.30 $162 1.1×
Pt Eval Mod Complex (97162) $105.30 $162 1.1×
Pt gait training 15 min (97116) $66.95 $103 2.3×
Pt mechanical traction (97012) $51.35 $79 3.6×
Pt Re-Eval Est Plan Care (97164) $74.75 $115 1.1×
Pt ultraviolet (97028) $43.55 $67 5.2×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$75.40–$252.85 $116–$389 varies
Pulmonary Stress Testing (94618) $81.25 $125 0.6×
Remote 30 Day Ecg Rev/Report (93270) $117 $180 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $185.25 $285 0.9×
Self Care Mngment Training (97535) $74.75 $115 2.3×
Sensory Integration Ea 15 Min (97533) $74.75 $115 1.2×
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 Ea Addl 15 Min (97130) $56.55 $87 2.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $93.60 $144 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $50.05 $77 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $62.40 $96 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $361.40 $556 1.7×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$82.55–$83.85 $127–$129 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $66.30 $102 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.70 $78 1.4×
Tte w/doppler, complete (93306) $999.05 $1,537 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $235.95 $363 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $92.30 $142 2.0×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$495.30–$905.45 $762–$1,393 varies
Vent Mgmt Inpat Init Day (94002) $765.05 $1,177 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $566.15 $871 0.9×
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$46.80–$109.20 $72–$168 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.