Top 40 services provided by MERCY HOSPITAL
Services CPT Price Est. Cash Price
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $2,849.00 $2,136.75
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,490.00 $1,117.50
Removal of tonsils for children under 12 42820 $1,101.00 $825.75
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $2,014.00 $1,510.50
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,764.00 $1,323.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,663.00 $1,247.25
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $385.00 $288.75
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,018.00 $763.50
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $454.00 $340.50
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,285.00 $963.75
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,663.00 $1,247.25
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,764.00 $1,323.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $2,014.00 $1,510.50
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,231.00 $1,673.25
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $923.00 $692.25
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,151.00 $863.25
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,019.00 $1,514.25
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,104.00 $828.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,231.00 $1,673.25
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,019.00 $1,514.25
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,285.00 $963.75
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,112.00 $1,584.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,285.00 $963.75
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,255.00 $941.25
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,231.00 $1,673.25
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,019.00 $1,514.25
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $2,727.00 $2,045.25
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $682.00 $511.50
Repair of groin hernia patient age 5 years or older without mesh 49505 $7,279.00 $5,459.25
Repair of groin hernia patient age 5 years or older without mesh 49505 $473.00 $354.75
Repair of groin hernia patient age 5 years or older without mesh 49505 $1,891.00 $1,418.25
Injection of substance into the lower back or lumbar spine 62322 $12.00 $9.00
Injection of substance into the lower back or lumbar spine 62322 $179.00 $134.25
Injection of substance into the lower back or lumbar spine 62322 $585.00 $438.75
Injection of substance into the lower back or lumbar spine 62322 $1,410.00 $1,057.50
Injection into the lower back with help of imaging of some type 62323 $204.00 $153.00
Injection into the lower back with help of imaging of some type 62323 $802.00 $601.50
Epidural steroid injections for lower back pain 64483 $410.00 $307.50
Epidural steroid injections for lower back pain 64483 $1,621.00 $1,215.75
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $607.00 $455.25
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $1,215.00 $911.25
CT scan of the head or brain without contrast or dye 70450 $1,345.00 $1,008.75
CT scan of the head or brain without contrast or dye 70450 $750.00 $562.50
CT scan of the head or brain without contrast or dye 70450 $3,677.00 $1,930.42
MRI scan of the brain with and without contrast 70553 $6,879.00 $3,611.48
MRI scan of the brain with and without contrast 70553 $3,312.00 $2,484.00
X-ray of the chest, 2 views 71046 $539.00 $282.98
X-ray of the chest, 2 views 71046 $150.00 $112.50
X-ray of the chest, 2 views 71046 $384.00 $288.00
X-ray of the lower spine with 4 or more views 72110 $443.00 $332.25
X-ray of the lower spine with 4 or more views 72110 $905.00 $475.12
X-ray of the lower spine with 4 or more views 72110 $175.00 $131.25
CT scan of the pelvis with contrast or dye 72193 $1,974.00 $1,480.50
CT scan of the pelvis with contrast or dye 72193 $5,947.00 $3,122.18
CT scan of the pelvis with contrast or dye 72193 $1,050.00 $787.50
CT scan of the abdomen with contrast or dye 74160 $4,963.00 $2,605.58
CT scan of the abdomen with contrast or dye 74160 $1,535.00 $1,151.25
CT scan of the abdomen with contrast or dye 74160 $1,145.00 $858.75
Ultrasound of the abdomen 76700 $1,092.00 $819.00
Ultrasound of the abdomen 76700 $1,620.00 $850.50
Ultrasound of the abdomen 76700 $310.00 $232.50
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,246.00 $654.15
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $175.00 $131.25
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,257.00 $942.75
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,172.00 $879.00
Mammogram of both breasts 77067 $449.00 $336.75
Mammogram of both breasts 77067 $482.00 $361.50
Mammogram of both breasts 77067 $782.00 $410.55
Basic Metabolic Panel 80048 $111.00 $83.25
Basic Metabolic Panel 80048 $530.00 $278.25
Basic Metabolic Panel 80048 $27.00 $20.25
Basic Metabolic Panel 80048 $119.00 $89.25
Comprehensive Metabolic Panel 80053 $149.00 $111.75
Comprehensive Metabolic Panel 80053 $131.00 $98.25
Comprehensive Metabolic Panel 80053 $31.00 $23.25
Comprehensive Metabolic Panel 80053 $579.00 $303.98
Lipid Panel 80061 $678.00 $355.95
Lipid Panel 80061 $64.00 $48.00
Lipid Panel 80061 $227.00 $170.25
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $26.00 $19.50
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $31.00 $23.25
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $144.00 $75.60
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $19.00 $14.25
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $18.00 $13.50
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $19.00 $14.25
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $19.00 $14.25
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $20.00 $15.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $34.00 $25.50
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $59.00 $44.25
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $305.00 $160.12
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $196.00 $147.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $453.00 $237.82
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $373.00 $195.82
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $87.00 $65.25
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $151.00 $113.25
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $137.00 $71.92
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $89.00 $66.75
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $107.00 $80.25
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $28.00 $21.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $279.00 $146.48
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $72.00 $54.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $254.00 $133.35
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $36.00 $27.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $22.00 $16.50
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $31.00 $23.25
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $34.00 $25.50
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $25.00 $18.75
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $70.00 $52.50
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $37.00 $27.75
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $39.00 $29.25
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $39.00 $29.25
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $40.00 $30.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $458.00 $240.45
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $35.00 $26.25
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $161.00 $120.75
Ultrasound of chest to examine the heart 93307 $2,077.00 $1,557.75
Ultrasound of chest to examine the heart 93307 $1,951.00 $1,463.25
Ultrasound of chest to examine the heart 93307 $315.00 $236.25
Ultrasound of chest to examine the heart 93307 $3,319.00 $1,742.48
Ultrasound of chest to examine the heart 93307 $770.00 $577.50
Insertion of catheter into left heart for diagnosis 93452 $4,385.00 $3,288.75
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $57.00 $42.75
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $228.00 $119.70
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $53.00 $39.75
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $268.00 $201.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $103.00 $77.25
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $125.00 $93.75
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $132.00 $99.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $128.00 $96.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $142.00 $106.50
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $126.00 $94.50
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $48.00 $36.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $139.00 $72.98
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $123.00 $92.25
Training for walking to 1 or more areas for 15 minutes 97116 $169.00 $88.72
Training for walking to 1 or more areas for 15 minutes 97116 $127.00 $95.25
Training for walking to 1 or more areas for 15 minutes 97116 $112.00 $84.00
Training for walking to 1 or more areas for 15 minutes 97116 $118.00 $88.50
Physical therapy evaluation session for 20 minutes 97161 $256.00 $192.00
Physical therapy evaluation session for 20 minutes 97161 $270.00 $202.50
Physical therapy evaluation session for 20 minutes 97161 $111.00 $83.25
Physical therapy evaluation session for 20 minutes 97161 $257.00 $192.75
Physical therapy evaluation session for 20 minutes 97161 $184.00 $96.60
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $111.00 $83.25
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $180.00 $135.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $149.00 $111.75
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $187.00 $140.25
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $239.00 $179.25
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $155.00 $116.25
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $141.00 $105.75
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $105.00 $78.75
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $125.00 $93.75
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $161.00 $120.75
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $193.00 $144.75
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $140.00 $105.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $144.00 $108.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $31.00 $16.28
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $136.00 $102.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $182.00 $136.50
Emergency department visit facility fees for a visit of moderate severity 99283 $685.00 $513.75
Emergency department visit facility fees for a visit of moderate severity 99283 $276.00 $207.00
Emergency department visit facility fees for a visit of moderate severity 99283 $1,351.00 $709.28
Emergency department visit facility fees for a visit of moderate severity 99283 $190.00 $142.50
Emergency department visit facility fees for a visit of moderate severity 99283 $303.00 $227.25
Emergency department visit facility fees for a visit of high to moderate severity 99284 $424.00 $318.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $2,155.00 $1,131.38
Emergency department visit facility fees for a visit of high to moderate severity 99284 $325.00 $243.75
Emergency department visit facility fees for a visit of high to moderate severity 99284 $388.00 $291.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,338.00 $1,003.50