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Top 40 services provided by MERCY MEDICAL CENTER WEST LAKES
Services CPT Price Est. Cash Price
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $0.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,680.00 $1,344.00
MRI scan of the brain with and without contrast 70553 $5,398.00 $4,318.40
X-ray of the chest, 2 views 71046 $1.00 $0.80
X-ray of the lower spine with 4 or more views 72110 $636.00 $508.80
CT scan of the pelvis with contrast or dye 72193 $2,017.00 $1,613.60
CT scan of the abdomen with contrast or dye 74160 $1,921.00 $1,536.80
Ultrasound of the abdomen 76700 $1,181.00 $944.80
Ultrasound of the abdomen 76700 $697.00 $557.60
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $810.00 $648.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $0.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $940.00 $752.00
Mammogram of both breasts 77067 $354.00 $283.20
Basic Metabolic Panel 80048 $429.00 $343.20
Basic Metabolic Panel 80048 $146.00 $116.80
Comprehensive Metabolic Panel 80053 $0.00 $0.00
Comprehensive Metabolic Panel 80053 $299.00 $239.20
Lipid Panel 80061 $20.48 $16.38
Lipid Panel 80061 $93.00 $74.40
Lipid Panel 80061 $142.00 $113.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $47.00 $37.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $7.89 $6.31
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $1.00 $0.80
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $0.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $101.00 $80.80
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $113.00 $90.40
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $62.00 $49.60
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 $221.00 $176.80
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 $92.00 $73.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $218.00 $174.40
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $299.00 $239.20
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $270.00 $216.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $87.00 $69.60
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $95.00 $76.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $47.00 $37.60
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $208.00 $166.40
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $1.00 $0.80
Ultrasound of chest to examine the heart 93307 $678.00 $542.40
Ultrasound of chest to examine the heart 93307 $316.00 $252.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $110.00 $88.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $0.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $117.00 $93.60
Training for walking to 1 or more areas for 15 minutes 97116 $110.00 $88.00
Physical therapy evaluation session for 20 minutes 97161 $238.00 $190.40
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $0.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $1.00 $0.80
Emergency department visit facility fees for a visit of moderate severity 99283 $556.00 $444.80
Emergency department visit facility fees for a visit of moderate severity 99283 $0.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $970.00 $776.00