Mercy Hospital Carthage
Mercy Hospital Carthage in Carthage, MO publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
3125 Dr. Russell Smith Way Carthage MO 64836 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 | $2,199.60 | $3,384.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $858.65 | $1,321.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $2,054.65 | $3,161.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $165.10 | $254.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $108.55 | $167.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $108.55 | $167.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $2,304.90 | $3,546.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $1,538.55 | $2,367.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $1,538.55 | $2,367.00 | 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 | $2,486.90 | $3,826.00 | 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 | $2,486.90 | $3,826.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $1,878.50 | $2,890.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $2,827.50 | $4,350.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $1,862.90 | $2,866.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $367.25 | $565.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $118.30 | $182.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $118.30 | $182.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $79.30 | $122.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $79.30 | $122.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6 Hrs | $2,460.25 | $3,785.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $3,161.60 | $4,864.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $367.25 | $565.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $677.95 | $1,043.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $403.65 | $621.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $61.75 | $95.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $80.60 | $124.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $88.40 | $136.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $72.80 | $112.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $63.70 | $98.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $77.35 | $119.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $85.80 | $132.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $63.70 | $98.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $407.55 | $627.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $135.85 | $209.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $129.35 | $199.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $143.65 | $221.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing | $39.00 | $60.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $42.90 | $66.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $34.45 | $53.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $16.90 | $26.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $74.75 | $115.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $53.95 | $83.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $39.65 | $61.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $31.20 | $48.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $31.20 | $48.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $31.20 | $48.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $35.10 | $54.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $35.10 | $54.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $21.45 | $33.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $24.05 | $37.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $24.05 | $37.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $1,103.70 | $1,698.00 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $3,931.01 | $6,047.71 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy Pf | $882.70 | $1,358.00 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $2,166.45 | $3,333.00 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $1,777.10 | $2,734.00 | 35% |
| Inguinal (groin) hernia repair, age 5 or older both sides CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Bilat Pf | $2,169.05 | $3,337.00 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $8,739.17 | $13,444.87 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $5,933.74 | $9,128.83 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar/Sacral W Imag Pf | $688.35 | $1,059.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $2,731.22 | $4,201.87 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag Pf | $790.40 | $1,216.00 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag | $1,059.50 | $1,630.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Bilat Inj Epi/Lumb/Sacral Sngl Level | $2,167.75 | $3,335.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Epi/Lumb/Sacral Sngl Level Pf | $843.05 | $1,297.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hchg Inj Epi/Lumb/Sacral Sngl Level Bil Pf | $1,265.55 | $1,947.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Epi/Lumb/Sacral Sngl Level | $1,539.20 | $2,368.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $3,488.38 | $5,366.74 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Exc Breast Lesion Open 1 or >Pf | $1,077.70 | $1,658.00 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $8,077.56 | $12,427.01 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $3,549.81 | $5,461.25 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Flex Transoral Dx, Incl Spec Coll Pf | $617.50 | $950.00 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $1,363.70 | $2,098.00 | 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 Mlp | $132.60 | $204.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $154.05 | $237.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf | $156.00 | $240.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Mlp | $195.65 | $301.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $207.35 | $319.00 | 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 Mlp | $246.35 | $379.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $285.35 | $439.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf | $289.90 | $446.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $65.00 | $100.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $65.00 | $100.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Cpm Fitting Recovery Room Ea 15in | $83.20 | $128.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Cpm Set Up Ea 15min | $83.20 | $128.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Cpm Set Up Ea 15min | $87.10 | $134.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Cpm Fitting Recovery Room Ea 15min | $87.10 | $134.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf | $207.35 | $319.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf | $299.00 | $460.00 | 35% |