Mercy Hospital Lebanon dba Mercy Hospital Lebanon
Mercy Hospital Lebanon dba Mercy Hospital Lebanon in B Lebanon, MO publishes cash prices for 50 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
331 Hospital Drive STE B Lebanon MO 65536 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $1,990.95 | $3,063.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $1,075.10 | $1,654.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $1,780.35 | $2,739.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $330.85 | $509.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $291.20 | $448.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $291.20 | $448.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $3,866.20 | $5,948.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $2,577.25 | $3,965.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $2,577.25 | $3,965.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Extr Lwr Jt W/WO Cont Bi | $4,828.20 | $7,428.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Rt | $3,218.80 | $4,952.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Lt | $3,218.80 | $4,952.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $1,519.70 | $2,338.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $3,316.30 | $5,102.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $2,276.95 | $3,503.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $887.25 | $1,365.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $363.35 | $559.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $363.35 | $559.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $242.45 | $373.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $242.45 | $373.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $1,554.80 | $2,392.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6hrs | $3,861.65 | $5,941.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $716.95 | $1,103.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,201.85 | $1,849.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $609.05 | $937.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $126.10 | $194.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $68.90 | $106.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $68.90 | $106.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $90.35 | $139.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $39.00 | $60.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $258.70 | $398.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $167.70 | $258.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $137.15 | $211.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $421.85 | $649.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $114.40 | $176.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $68.90 | $106.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $156.65 | $241.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $65.65 | $101.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing | $109.85 | $169.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Test | $40.30 | $62.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $43.55 | $67.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $57.85 | $89.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $11.70 | $18.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $111.80 | $172.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $78.00 | $120.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $39.00 | $60.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $39.00 | $60.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $40.30 | $62.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $16.90 | $26.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $16.90 | $26.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $16.90 | $26.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $17.55 | $27.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $3,625.82 | $5,578.18 | 35% |
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $4,271.61 | $6,571.71 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $4,269.24 | $6,568.06 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $1,422.20 | $2,188.00 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $6,938.80 | $10,675.08 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $8,908.58 | $13,705.51 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $1,854.04 | $2,852.37 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag | $1,066.00 | $1,640.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Bilat Inj Epi/Lumb/Sacral Sngl Level | $2,894.45 | $4,453.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $3,433.54 | $5,282.37 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $4,669.46 | $7,183.78 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $1,341.60 | $2,064.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $149.50 | $230.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Patient | $149.50 | $230.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf | $158.60 | $244.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf | $200.20 | $308.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $228.80 | $352.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf | $259.35 | $399.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Patient | $295.75 | $455.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $295.75 | $455.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $102.05 | $157.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $102.05 | $157.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Thr Exer 1 or More Area Ea 15m | $130.65 | $201.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 At Ther Exer 1 or > Area Ea 15m | $130.65 | $201.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Cpm Fitting Recovery Room Ea 15in | $130.65 | $201.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Cpm Set Up Ea 15min | $130.65 | $201.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf | $188.50 | $290.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Fit for Duty Pf | $244.40 | $376.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf | $250.25 | $385.00 | 35% |