Hospital West Plains, MO

Mercy St. Francis Hospital

Mercy St. Francis Hospital in Mountain View, MO publishes cash prices for 44 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

100 W. US Highway 60 Mountain View MO 65548 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast $3,076.45 $4,733.00 35%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont $1,261.65 $1,941.00 35%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont $1,628.90 $2,506.00 35%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi $3,028.35 $4,659.00 35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt $2,005.25 $3,085.00 35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt $2,005.25 $3,085.00 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 $2,624.05 $4,037.00 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 $2,624.70 $4,038.00 35%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont $1,801.80 $2,772.00 35%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont $2,315.30 $3,562.00 35%
MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont $1,998.75 $3,075.00 35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> $576.55 $887.00 35%
Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad $176.15 $271.00 35%
Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad $198.25 $305.00 35%
Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad $155.35 $239.00 35%
Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad $155.35 $239.00 35%
Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Interp 6/> Yrs Pf $616.20 $948.00 35%
Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6hrs $1,998.10 $3,074.00 35%
Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs $2,663.70 $4,098.00 35%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB $492.05 $757.00 35%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete $808.60 $1,244.00 35%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views $438.75 $675.00 35%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $142.35 $219.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $118.30 $182.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $118.30 $182.00 35%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $66.30 $102.00 35%
Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff $65.65 $101.00 35%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $181.35 $279.00 35%
Kidney function blood test panel CPT 80069 Renal Function Panel $173.55 $267.00 35%
Liver function blood test panel CPT 80076 Hepatic Function Panel $161.20 $248.00 35%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free $115.70 $178.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $115.70 $178.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $115.70 $178.00 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time $73.45 $113.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time $52.65 $81.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $53.30 $82.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn $14.95 $23.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone $120.90 $186.00 35%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $47.45 $73.00 35%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated $33.80 $52.00 35%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro $37.05 $57.00 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, manual CPT 81002 Urinalysis Non Automated WO Micro $27.95 $43.00 35%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $27.95 $43.00 35%

Surgery and procedures

ProcedureCash price List priceOff list
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $5,641.37 $8,679.03 35%
Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf $1,080.30 $1,662.00 35%
Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf $4,249.24 $6,537.30 35%
Colonoscopy, diagnostic CPT 45378 GI Colonoscopy Pf $909.35 $1,399.00 35%
Colonoscopy, diagnostic CPT 45378 GI Colonoscopy $3,823.28 $5,881.97 35%
Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf $1,738.75 $2,675.00 35%
Inguinal (groin) hernia repair, age 5 or older both sides CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Bilat Pf $2,234.05 $3,437.00 35%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf $6,689.98 $10,292.28 35%
Removal of a breast lump, open surgery CPT 19120 Exc Breast Lesion Open 1 or >Pf $1,088.75 $1,675.00 35%
Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf $3,957.78 $6,088.89 35%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Flex Transoral Dx, Incl Spec Coll Pf $576.55 $887.00 35%
Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex $3,459.59 $5,322.44 35%

Doctor visits and therapy

ProcedureCash price List priceOff list
New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt $176.15 $271.00 35%
New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf $193.70 $298.00 35%
New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt $213.20 $328.00 35%
New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf $230.10 $354.00 35%
New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt $258.70 $398.00 35%
New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf $279.50 $430.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m $68.90 $106.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m $68.90 $106.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 St Ther Exer 1 or > Areas Ea 15m $68.90 $106.00 35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Mlp $178.75 $275.00 35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf $209.95 $323.00 35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Mlp $245.70 $378.00 35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Fit for Duty Pf $252.20 $388.00 35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf $289.25 $445.00 35%

Source file: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/440607149_mercy-st.-francis-hospital_standardcharges.csv.zip