Mercy Perry
Mercy Perry in Perryville, MO publishes cash prices for 54 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
12 N Kingshighway St STE 100 Perryville MO 63775 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 Pf | $455.00 | $700.00 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $2,980.25 | $4,585.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont Pf | $159.25 | $245.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $1,222.00 | $1,880.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont Pf | $216.45 | $333.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $1,578.20 | $2,428.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad Pf | $175.50 | $270.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $219.70 | $338.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad Pf | $111.15 | $171.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad Pf | $111.15 | $171.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $198.90 | $306.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $198.90 | $306.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi Pf | $274.95 | $423.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $2,939.30 | $4,522.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt Pf | $239.20 | $368.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt Pf | $239.20 | $368.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $1,946.10 | $2,994.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $1,946.10 | $2,994.00 | 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 Pf | $440.05 | $677.00 | 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 | $1,727.05 | $2,657.00 | 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 Pf | $382.20 | $588.00 | 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 Pf | $382.20 | $588.00 | 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 | $2,547.35 | $3,919.00 | 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 | $2,547.35 | $3,919.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $1,748.50 | $2,690.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont Pf | $419.90 | $646.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $2,247.05 | $3,457.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont Pf | $262.60 | $404.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $1,939.60 | $2,984.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks or> Pf | $188.50 | $290.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $559.65 | $861.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad Pf | $128.05 | $197.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad Pf | $128.05 | $197.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $170.30 | $262.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $191.75 | $295.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad Pf | $111.15 | $171.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad Pf | $111.15 | $171.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $150.15 | $231.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $150.15 | $231.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6 Hrs Pf | $443.30 | $682.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Interp 6/> Yrs Pf | $590.85 | $909.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6hrs | $1,916.85 | $2,949.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $2,555.80 | $3,932.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB Pf | $243.10 | $374.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $476.45 | $733.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete Pf | $256.10 | $394.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $783.25 | $1,205.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views Pf | $118.30 | $182.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $425.10 | $654.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $36.40 | $56.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $108.55 | $167.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $33.80 | $52.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $27.30 | $42.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $66.95 | $103.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $40.30 | $62.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $40.30 | $62.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $248.30 | $382.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $66.95 | $103.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $85.80 | $132.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $112.45 | $173.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $28.60 | $44.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $24.70 | $38.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $24.70 | $38.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $13.65 | $21.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $83.20 | $128.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $26.65 | $41.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $26.65 | $41.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $24.70 | $38.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $24.70 | $38.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $27.30 | $42.00 | 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 | $5,448.74 | $8,382.67 | 35% |
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $4,305.27 | $6,623.50 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $4,101.17 | $6,309.50 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $3,793.93 | $5,836.82 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $8,907.36 | $13,703.63 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $8,518.90 | $13,106.00 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $6,927.82 | $10,658.19 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $2,647.05 | $4,072.38 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Bilat Inj Epi/Lumb/Sacral Sngl Level | $2,119.00 | $3,260.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,879.66 | $4,430.24 | 35% |
| Prostate biopsy CPT 55700 Bx Prostate Needle/Punch | $7,051.66 | $10,848.71 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Exc Breast Lesion Open 1 or >Pf | $1,056.90 | $1,626.00 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $16,539.43 | $25,445.27 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $4,841.34 | $7,448.22 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $3,802.10 | $5,849.38 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $1,520.35 | $2,339.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 CAH OP Visit Level III New Pt Mlp | $148.85 | $229.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $159.25 | $245.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf | $174.85 | $269.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 CAH OP Visit Level IV New Pt Mlp | $190.45 | $293.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $206.70 | $318.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf | $223.60 | $344.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 CAH OP Visit Level V New Pt Mlp | $230.10 | $354.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $250.90 | $386.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf | $271.05 | $417.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $66.95 | $103.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $66.95 | $103.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf | $204.10 | $314.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Fit for Duty Pf | $245.05 | $377.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf | $280.80 | $432.00 | 35% |
Source file: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/923065473_mercy-hospital-perry_standardcharges.zip