Visits & medical services prices at Mercy St. Francis Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $41.60 $64 1.0×
Airway Inhalation Treatment (94640) $134.55 $207 0.6×
Airway resistance by oscillometry (94728) $66.95 $103 0.5×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$152.75–$305.50 $235–$470 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $76.05 $117 5.3×
Assessment of aphasia per hr (96105) $238.55 $367 2.5×
Behavral qualit analys voice (92524)
range across 8 matching MRF lines
$117–$358.80 $180–$552 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$66.95–$431.60 $103–$664 varies
Canalith repositioning proc (95992) $102.05 $157 2.5×
Cardiac Stress Tst,Tracing Only (93017) $603.85 $929 2.8×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$606.45–$622.05 $933–$957 varies
Cardioversion (92960)
range across 2 matching MRF lines
$480.35–$1,102.40 $739–$1,696 varies
Cbt 1st hour (94644) $134.55 $207 1.0×
Chemo Anti-Neopl Sq/Im (96401) $182 $280 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $182 $280 2.5×
Chemo IV infusion addl hr (96415) $330.20 $508 4.6×
Chemo IV push addl drug (96411) $211.25 $325 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $307.45 $473 4.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $330.20 $508 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $211.25 $325 0.6×
Chest Wall Manipulation (94668) $91.65 $141 0.7×
Color/duplex Doppler, complete (93975) $928.85 $1,429 3.9×
Color/duplex Doppler, limited (93976) $603.85 $929 5.8×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$49.40–$61.10 $76–$94 varies
Continuous Pulse Ox (94762) $245.05 $377 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$538.20–$639.60 $828–$984 varies
Cpt initial (94667) $93.60 $144 0.7×
Critical care first hour (99291)
range across 6 matching MRF lines
$585.65–$1,660.75 $901–$2,555 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$123.50–$168.35 $190–$259 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $801.45 $1,233 3.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$237.90–$956.80 $366–$1,472 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 5 matching MRF lines
$141.70–$540.15 $218–$831 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$228.15–$956.80 $351–$1,472 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$131.30–$637 $202–$980 varies
Duplex up extrem art bilat (93930) $886.60 $1,364 3.7×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$635.05–$637 $977–$980 varies
ECG/monitoring and analysis (93271) $563.55 $867 5.9×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$139.10–$488.15 $214–$751 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $411.45 $633 0.8×
EEG awake drowsy (95816)
range across 2 matching MRF lines
$328.25–$653.90 $505–$1,006 varies
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $165.10 $254 1.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $52 $80 1.4×
Electrical Stimulation Ea 15 Min (97032) $66.30 $102 4.5×
Electrocardiogram Tracing (93005) $190.45 $293 3.2×
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$137.80–$517.40 $212–$796 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$193.70–$962 $298–$1,480 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$247.65–$1,423.36 $381–$2,189.79 varies
Er level 1 (99281)
range across 4 matching MRF lines
$100.75–$400.40 $155–$616 varies
Er level v (99285)
range across 4 matching MRF lines
$322.40–$3,977.67 $496–$6,119.49 varies
Evaluate pt use of inhaler (94664) $134.55 $207 0.6×
Evaluate Speech Production (92522)
range across 8 matching MRF lines
$117–$358.80 $180–$552 varies
Evaluate Swallowing Function (92610)
range across 8 matching MRF lines
$117–$358.80 $180–$552 varies
Evaluation of speech fluency (92521)
range across 8 matching MRF lines
$117–$358.80 $180–$552 varies
Exercise test for bronchospasm (94617) $249.60 $384 1.9×
External ECG rec>48hr<7d recording (93242) $384.15 $591 10.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $736.45 $1,133 5.5×
External ECG rec>7d<15d recording (93246) $384.15 $591 10.3×
External ECG rec>7d<15d scanning alys w/report (93247) $736.45 $1,133 5.5×
External Ecg Scanning Analysis Report (93226) $504.40 $776 8.5×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$223.60–$815.75 $344–$1,255 varies
Flexible endoscopic eval swallow c/v rec (92612)
range across 3 matching MRF lines
$152.10–$213.85 $234–$329 varies
Group Therapeutic Procedures (97150) $51.35 $79 2.8×
Holter monitor recording (93225) $424.45 $653 3.2×
Immunization administration (90471)
range across 2 matching MRF lines
$54.60–$57.20 $84–$88 varies
Iontophoresis 15 min (97033) $96.20 $148 5.1×
Irrig Drug Delivery Device (96523) $143 $220 2.4×
IV infusion hydration each additional hour (96361) $190.45 $293 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $190.45 $293 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $204.75 $315 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $204.75 $315 4.4×
IV push initial (96374) $137.15 $211 0.6×
Mechanical chest wall oscillation per session (94669) $134.55 $207 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $27.30 $42 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.40 $56 1.0×
Methacholine challenge (94070)
range across 2 matching MRF lines
$105.30–$748.15 $162–$1,151 varies
Motion Fluoroscopy/Swallow (92611)
range across 8 matching MRF lines
$179.40–$468.65 $276–$721 varies
Motor &/sens nrv cndj preconf eltrd array limb (95905) $310.70 $478 0.7×
Multiple Sleep Latency Test (95805)
range across 3 matching MRF lines
$513.50–$1,534 $790–$2,360 varies
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$253.50–$332.80 $390–$512 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $248.95 $383 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $362.05 $557 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $230.10 $354 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $358.80 $552 0.9×
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$203.45–$265.85 $313–$409 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$798.85–$1,225.25 $1,229–$1,885 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$946.40–$1,437.80 $1,456–$2,212 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$315.90–$466.05 $486–$717 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$404.95–$685.75 $623–$1,055 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$586.95–$869.05 $903–$1,337 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$696.15–$1,170 $1,071–$1,800 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 2 matching MRF lines
$165.75–$289.90 $255–$446 varies
Neuromuscular Reeducation (97112) $76.05 $117 2.3×
Nitric oxide expired gas determination (95012) $87.10 $134 2.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $501.15 $771 1.3×
Oral Function Therapy (92526)
range across 6 matching MRF lines
$96.20–$269.10 $148–$414 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $68.90 $106 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $72.80 $112 1.6×
Ot Contrast Bath Ea 15 Min (97034) $49.40 $76 3.5×
Ot eval high complexity (97167)
range across 16 matching MRF lines
$89.70–$503.75 $138–$775 varies
Ot Eval Low Complex (97165)
range across 16 matching MRF lines
$64.35–$475.80 $99–$732 varies
Ot Eval Moderate Complexity (97166)
range across 16 matching MRF lines
$77.35–$489.45 $119–$753 varies
Ot manual therapy 15 min (97140) $72.80 $112 2.6×
Ot paraffin bath (97018) $59.15 $91 9.8×
Ot Prosthetic Training, Each 15 Min (97761) $72.80 $112 1.8×
Ot Re-Eval Est Plan Care (97168)
range across 16 matching MRF lines
$57.20–$365.30 $88–$562 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $208 $320 1.6×
Phlebotomy therapeutic (99195) $173.55 $267 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $282.10 $434 4.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $282.10 $434 4.8×
Physical Performance Test (97750)
range across 4 matching MRF lines
$78.65–$96.20 $121–$148 varies
Plethysmography (94726)
range across 2 matching MRF lines
$59.15–$353.60 $91–$544 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$652.60–$2,594.15 $1,004–$3,991 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 3 matching MRF lines
$843.05–$3,808.35 $1,297–$5,859 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines
$2,134.60–$3,909.10 $3,284–$6,014 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $70.20 $108 1.9×
Pt Eval High Complex (97163)
range across 10 matching MRF lines
$89.70–$338 $138–$520 varies
Pt eval low complex 20 min (97161)
range across 10 matching MRF lines
$62.40–$310.70 $96–$478 varies
Pt Eval Mod Complex (97162)
range across 10 matching MRF lines
$75.40–$324.35 $116–$499 varies
Pt gait training 15 min (97116) $76.05 $117 2.6×
Pt mechanical traction (97012) $81.25 $125 5.7×
Pt Re-Eval Est Plan Care (97164)
range across 10 matching MRF lines
$54.60–$241.80 $84–$372 varies
Pulm function test by gas (94727)
range across 2 matching MRF lines
$54.60–$262.60 $84–$404 varies
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$98.80–$217.75 $152–$335 varies
Pulmonary Stress Testing (94618) $198.90 $306 1.5×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $65.65 $101 1.8×
Rem ther mntr dev sply resp (98976) $65.65 $101 1.8×
Remote 30 Day Ecg Rev/Report (93270) $351 $540 9.4×
Remote 30 Day Ecg Tech Supp (93229) $606.45 $933 1.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $208.65 $321 1.6×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $63.05 $97 1.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $85.15 $131 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$104–$137.80 $160–$212 varies
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $48.10 $74 1.3×
Self Care Mngment Training (97535) $81.25 $125 2.5×
Sensory Integration Ea 15 Min (97533) $64.35 $99 1.1×
Sleep study unattended (95806)
range across 2 matching MRF lines
$246.35–$643.50 $379–$990 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$512.20–$611.65 $788–$941 varies
Speech sound lang comprehen (92523)
range across 8 matching MRF lines
$117–$358.80 $180–$552 varies
Spirometry (94010)
range across 2 matching MRF lines
$68.90–$265.85 $106–$409 varies
Standardized Cognitive Performance Testing (96125) $241.80 $372 2.4×
Temp transcutaneous pacing (92953) $687.05 $1,057 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $85.80 $132 3.8×
Ther Ivntj Ea Addl 15 Min (97130) $22.75 $35 1.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62.40 $96 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 6 matching MRF lines
$96.20–$234.65 $148–$361 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$96.20–$106.60 $148–$164 varies
Ther/Proph/Diag Iv Inf Init (96365) $204.75 $315 1.0×
Therapeutic Activities (97530) $82.55 $127 2.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $47.45 $73 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.10 $34 0.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$294.45–$1,499.55 $453–$2,307 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 6 matching MRF lines
$96.20–$269.10 $148–$414 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$128.05–$137.15 $197–$211 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$76.05–$377.65 $117–$581 varies
Vent Mgmt Inpat Init Day (94002) $1,228.50 $1,890 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$713.70–$880.75 $1,098–$1,355 varies
Visual field xm uni/bi w/interpretj limited exam (92081) $77.35 $119 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $69.55 $107 2.2×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$81.25–$91 $125–$140 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.