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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $134.55 $207 0.6×
Analyze neurostim no prog (95970) $229.12 $352.50 1.7×
Assessment of aphasia (96105) $238.55 $367 2.5×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $70.20 $108 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $237.90 $366 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $249.28 $383.50 0.7×
Canalith Repositioning (95992) $102.05 $157 2.5×
Cardiac Stress Tst,Tracing Only (93017) $603.85 $929 2.8×
Cardiopulmonary resuscitation (92950) $614.25 $945 2.8×
Cardioversion (92960) $791.38 $1,217.50 1.2×
Cbt 1st hour (94644) $134.55 $207 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $182 $280 2.5×
Chemo IV push addl drug (96411) $211.25 $325 2.9×
Chemo Iv Push Sngl Drug (96409) $211.25 $325 0.6×
Chemother, IV infusion, 1 hr (96413) $330.20 $508 1.0×
Chemother, IV infusion, ea add hr (96415) $330.20 $508 4.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $182 $280 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $307.45 $473 4.3×
Color/duplex Doppler, complete (93975) $928.85 $1,429 3.9×
Color/duplex Doppler, limited (93976) $603.85 $929 5.8×
Cpap initiation and management (94660) $562.25 $865 2.6×
Cpt initial (94667) $93.60 $144 0.7×
Critical care (99291) $637.32 $980.50 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $168.35 $259 0.8×
Demo &/or eval,pt use,aerosol device (94664) $134.55 $207 0.6×
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) $597.35 $919 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $538.85 $829 5.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $886.60 $1,364 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $636.02 $978.50 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $637 $980 6.1×
Duplex scan extracranial art compl bi study (93880) $519.68 $799.50 2.2×
Echo Heart Xthoracic,Limited (93308) $313.62 $482.50 1.3×
EEG awake drowsy (95816) $491.08 $755.50 2.3×
EKG (93005) $190.45 $293 3.2×
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×
Er level 1 (99281) $178.42 $274.50 2.1×
Er level ii (99282) $225.88 $347.50 1.5×
Er level iii (99283) $366.28 $563.50 1.3×
Er level IV (99284) $516.42 $794.50 1.2×
Er level v (99285) $698.75 $1,075 1.2×
Evaluation of speech fluency (92521) $237.90 $366 1.8×
Evaluation of speech sound production (92522) $237.90 $366 2.1×
Evaluation of swallowing function (92610) $237.90 $366 2.8×
Exam of visual field with limited testing (92081) $77.35 $119 1.3×
Exercise tst brncspsm (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×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $179.40 $276 0.9×
Group Therapeutic Procedures (97150) $51.35 $79 2.8×
Holter Monitor Recording (93225) $424.45 $653 3.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $41.60 $64 1.0×
Immunization Admin (90471) $55.90 $86 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $204.75 $315 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $204.75 $315 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $204.75 $315 4.4×
IV push initial (96374) $137.15 $211 0.6×
Manual therapy 15 min (97140) $72.80 $112 2.6×
Massage 15 min (97124) $62.40 $96 2.1×
Mechanical chest wall oscillation (94669) $134.55 $207 0.6×
Mechanical traction (97012) $81.25 $125 5.7×
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) $426.72 $656.50 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $324.02 $498.50 3.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $310.70 $478 0.7×
Multiple sleep latency test (95805) $1,534 $2,360 1.8×
Nasopharyngoscopy (92511) $293.15 $451 1.5×
Neg press wnd tx </=50 sq cm (97607) $248.95 $383 0.6×
Neg press wound tx >50 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 13/> studies (95913) $1,192.10 $1,834 3.2×
Nerve Conduction Studies 3-4 Studies (95908) $390.98 $601.50 1.8×
Nerve Conduction Studies 9-10 Studies (95911) $933.08 $1,435.50 2.5×
Nerve conduction studies; 1-2 studies (95907) $234.65 $361 1.1×
Nerve conduction studies; 11-12 studies (95912) $1,012.05 $1,557 2.7×
Nerve conduction studies; 5-6 studies (95909) $545.35 $839 2.5×
Nerve conduction studies; 7-8 studies (95910) $728 $1,120 1.9×
Neuromuscular junction test (95937) $227.82 $350.50 1.8×
Nitric oxide expired gas determination (95012) $87.10 $134 2.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $226.85 $349 1.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $245.05 $377 1.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $501.15 $771 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $72.80 $112 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $55.25 $85 1.7×
Ot Contrast Bath Ea 15 Min (97034) $49.40 $76 3.5×
Ot eval high complex 60 min (97167) $296.72 $456.50 3.0×
Ot eval low complex 30 min (97165) $268.78 $413.50 2.7×
Ot eval mod complex 45 min (97166) $282.75 $435 2.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $68.90 $106 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $72.80 $112 1.8×
Ot re-eval est plan care (97168) $210.60 $324 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $208 $320 1.6×
Paraffin bath (97018) $59.15 $91 9.8×
Phy/qhp op pulm rhb w/mntr (94626) $282.10 $434 4.8×
Phy/qhp op pulm rhb w/o mntr (94625) $282.10 $434 4.8×
Plethysmography (94726) $206.38 $317.50 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,159.95 $3,323 2.5×
Polysom <6 yrs 4/> paramtrs (95782) $1,974.05 $3,037 2.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,021.85 $4,649 3.5×
Pt Electric Current Therapy (97033) $96.20 $148 5.1×
Pt Electrical Stimulation (97032) $66.30 $102 4.5×
Pt eval high complex 45 min (97163) $213.85 $329 2.2×
Pt eval low complex 20 min (97161) $186.55 $287 1.9×
Pt Gait Training Therapy (97116) $76.05 $117 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $76.05 $117 2.3×
Pt Physical Performance Test (97750) $84.82 $130.50 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $199.88 $307.50 2.0×
Pt re-evaluation (97164) $148.20 $228 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $81.25 $125 2.5×
Pt Ultrasound Therapy (97035) $76.05 $117 5.3×
Pt Whirlpool Therapy (97022) $86.12 $132.50 5.5×
Pulm Funct Test Oscillometry (94728) $66.95 $103 0.5×
Pulm function test by gas (94727) $158.60 $244 0.7×
Pulmonary stress testing (94618) $198.90 $306 1.5×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $65.65 $101 1.8×
Rem ther mntr dev supply w/rec respir sys ea 30d (98976) $65.65 $101 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $351 $540 9.4×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $85.15 $131 1.6×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $63.05 $97 1.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $208.65 $321 1.6×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $48.10 $74 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $120.90 $186 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $91.65 $141 0.7×
Sensory Integration Ea 15 Min (97533) $64.35 $99 1.1×
Sleep study unattended (95806) $444.92 $684.50 2.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $561.92 $864.50 2.6×
Smoking cessation > 10 min (99407) $47.45 $73 1.3×
Speech sound lang comprehen (92523) $237.90 $366 1.1×
Spirometry (94010) $167.38 $257.50 0.8×
Standardized Cognitive Performance Testing (96125) $241.80 $372 2.4×
Stress Tte Complete (93351) $411.45 $633 0.8×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $22.75 $35 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $165.75 $255 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $101.40 $156 1.4×
Therapeutic Activities (97530) $82.55 $127 2.4×
Therapeutic phlebotomy (99195) $173.55 $267 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.10 $34 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $897 $1,380 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $182.65 $281 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $182.65 $281 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $132.60 $204 2.8×
Unlisted pulmonary service/procedure (94799) $102.05 $157 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $954.85 $1,469 4.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,228.50 $1,890 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $797.22 $1,226.50 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $69.55 $107 2.2×
Xtrnl mobile cv telemetry w/technical support (93229) $606.45 $933 1.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $563.55 $867 5.9×