Supplies, drugs & other prices at Mercy St. Francis Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $465.40 $716 1.1×
Adm tocilizu covid-19 2nd (M0250) $465.40 $716 1.1×
Admin hepatitis b vaccine (G0010) $46.80 $72 1.0×
Admin influenza virus vac (G0008) $46.80 $72 1.0×
Admin pneumococcal vaccine (G0009) $46.80 $72 1.0×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $53.95 $83 1.7×
Ca screen;flexi sigmoidscope (G0104) $342.55 $527 0.4×
Catheterize for urine spec (P9612) $63.05 $97 6.8×
Colon ca scrn not hi rsk ind (G0121) $609.70 $938 0.7×
Colorectal scrn; hi risk ind (G0105) $593.45 $913 0.6×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $521.95 $803 3.0×
Cyp2d6 gen com&slct rar vrnt (0070U) $796.90 $1,226 1.2×
Direct refer hospital observ (G0379) $362.05 $557 0.6×
Fern test (Q0114) $48.75 $75 5.0×
Home sleep test/type 3 porta (G0399) $692.90 $1,066 3.2×
Home sleep test/type 4 porta (G0400) $466.05 $717 2.2×
Ig paraprotein qual bld/ur (0077U) $188.50 $290 4.3×
Inj for sacroiliac jt anesth (G0260) $1,547 $2,380 2.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $301.60 $464 2.5×
Liver dis 10 assays w/nash (0003M) $432.90 $666 0.9×
Mra w/cont, abd (C8900) $1,975.35 $3,039 5.7×
Mra w/o cont, abd (C8901) $2,016.30 $3,102 8.4×
Mra w/o fol w/cont, abd (C8902) $2,497.30 $3,842 7.1×
Oth resp proc, group (G0239) $93.60 $144 2.5×
Oth resp proc, indiv (G0238) $78.65 $121 2.7×
Pathogen test for platelets (P9100) $50.70 $78 0.9×
Psa screening (G0103) $115.70 $178 6.0×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $550.55 $847 0.8×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $368.55 $567 0.8×