Supplies, drugs & other prices at Mercy Health System Corp
Janesville, WI · every code in this section with a posted price and a Medicare benchmark.
89 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $117.66 | $156.88 | 3.3× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$35.88–$48.79 | $47.84–$65.05 | varies |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$35.88–$48.79 | $47.84–$65.05 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$35.88–$48.79 | $47.84–$65.05 | varies |
| Adv prim care mgmt lvl 1 (G0556) | $28.71 | $38.28 | 0.8× |
| Adv prim care mgmt lvl 2 (G0557) | $28.71 | $38.28 | 0.8× |
| Adv prim care mgmt lvl 3 (G0558) | $77.84 | $103.79 | 0.8× |
| Alcohol/subs interv 15-30mn (G0396) | $28.71 | $38.28 | 0.8× |
| Ca screen;pelvic/breast exam (G0101) | $77.84 | $103.79 | 0.8× |
| Catheterize for urine spec (P9612) | $2.36 | $3.15 | 0.3× |
| Chemo extend iv infus w/pump (G0498) | $832.20 | $1,109.60 | 2.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,911.45 | $2,548.60 | 2.0× |
| Covid-19 lab test non-cdc (U0002) | $131.69 | $175.59 | 2.6× |
| Demonstrate use home inr mon (G0248) | $102.02 | $136.02 | 0.8× |
| Depression screen annual (G0444) | $28.71 | $38.28 | 0.8× |
| Diab manage trn per indiv (G0108) | $130.96 | $174.62 | 2.3× |
| Diab manage trn ind/group (G0109) | $37.18 | $49.58 | 2.3× |
| Direct refer hospital observ (G0379) | $1,256.08 | $1,674.78 | 2.1× |
| Ekg tracing for initial prev (G0404) | $22.16 | $29.55 | 0.8× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$42.69–$145.06 | $56.92–$193.42 | varies |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $7,283.94 | $9,711.92 | 5.9× |
| Fecal blood scrn immunoassay (G0328) | $50.30 | $67.07 | 2.8× |
| Fecal microbiota prep instil (G0455) | $884.50 | $1,179.34 | 0.9× |
| Fern test (Q0114) | $206.38 | $275.17 | 21.2× |
| Hep c screen high risk/other (G0472) | $214.71 | $286.28 | 4.6× |
| Hepb screen high risk indiv (G0499) | $175.17 | $233.56 | 6.2× |
| Home sleep test/type 2 porta (G0398) | $982.26 | $1,309.68 | 4.5× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$613–$935.48 | $817.34–$1,247.31 | varies |
| Home sleep test/type 4 porta (G0400) | $784.99 | $1,046.65 | 3.6× |
| Hospital outpt clinic visit (G0463) range across 11 matching MRF lines |
$99.22–$102.02 | $132.30–$136.02 | varies |
| Hpv combo assay ca screen (G0476) | $105.20 | $140.27 | 3.0× |
| Inj for sacroiliac jt anesth (G0260) | $540.88 | $721.17 | 0.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $49,655.88 | $66,207.84 | 6.0× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $192,369.48 | $256,492.64 | 6.1× |
| Lev 1 hosp type b ed visit (G0380) | $295.31 | $393.75 | 3.9× |
| Lev 2 hosp type b ed visit (G0381) | $673.31 | $897.75 | 7.2× |
| Lev 3 hosp type b ed visit (G0382) | $905.62 | $1,207.50 | 5.2× |
| Lev 4 hosp type b ed visit (G0383) | $1,323 | $1,764 | 5.0× |
| Lev 5 hosp type b ed visit (G0384) | $2,008.12 | $2,677.50 | 4.9× |
| Mra w/cont, lwr ext (C8912) | $267.32 | $356.43 | 0.8× |
| Mra w/cont, pelvis (C8918) | $267.32 | $356.43 | 0.8× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $768.02 | $1,024.03 | 3.5× |
| Obtaining screen pap smear (Q0091) | $22.16 | $29.55 | 0.8× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $1,030.75 | $1,374.33 | 3.2× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $1,030.75 | $1,374.33 | 3.2× |
| Oth resp proc, group (G0239) range across 3 matching MRF lines |
$28.62–$202.52 | $38.16–$270.02 | varies |
| Perc d-e cor revasc chro sin (C9607) | $112,372.14 | $149,829.52 | 6.1× |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$15,535.24–$16,606.55 | $20,713.66–$22,142.07 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$22,658.62–$112,372.14 | $30,211.50–$149,829.52 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$16,616.28–$16,936.10 | $22,155.04–$22,581.47 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $11,973.20 | $15,964.26 | 1.0× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $223.74 | $298.32 | 6.0× |
| Prostate biopsy, any mthd (G0416) | $845.90 | $1,127.87 | 2.3× |
| Psa screening (G0103) range across 2 matching MRF lines |
$57.41–$112.76 | $76.55–$150.34 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $2,240.42 | $2,987.23 | 3.1× |
| Removal Ss Dfb Electrode (0573T) | $21,835.80 | $29,114.40 | 5.8× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $21,835.80 | $29,114.40 | 5.8× |
| Revasc intra lithotrip-ather (C9766) | $24,531.60 | $32,708.80 | 1.3× |
| Revasc intra lithotrip-stent (C9765) | $24,531.60 | $32,708.80 | 1.3× |
| Revasc intravasc lithotripsy (C9764) | $12,264.99 | $16,353.32 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $39,771.56 | $53,028.74 | 2.2× |
| Revasc lithotr-ather tib/per (C9774) | $39,771.56 | $53,028.74 | 2.2× |
| Revasc lithotr-stent tib/per (C9773) | $39,771.56 | $53,028.74 | 2.2× |
| Revasc lithotrip tibi/perone (C9772) | $24,864.50 | $33,152.66 | 2.1× |
| Revasc lithotrip-stent-ather (C9767) | $39,464.49 | $52,619.32 | 2.1× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $21,835.80 | $29,114.40 | 5.8× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $134,677.14 | $179,569.52 | 6.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $114 | $152 | 4.3× |
| Screen cerv/vag thin layer (G0123) | $21.88 | $29.18 | 1.1× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $38,675.38 | $51,567.17 | 2.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $38,675.38 | $51,567.17 | 2.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $38,675.38 | $51,567.17 | 2.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $67,681.91 | $90,242.55 | 3.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,820.04 | $9,093.38 | 2.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $6,820.04 | $9,093.38 | 2.1× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $6,820.04 | $9,093.38 | 2.1× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $10,230.06 | $13,640.08 | 3.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $34,121.56 | $45,495.42 | 1.8× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $77,911.96 | $103,882.62 | 4.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $45,495.41 | $60,660.55 | 2.3× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $45,495.41 | $60,660.55 | 2.3× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $11,935.54 | $15,914.05 | 2.1× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$19.01–$94.27 | $25.35–$125.69 | varies |
| Trim nail(s) (G0127) | $45.20 | $60.27 | 0.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $22,782.80 | $30,377.07 | 1.2× |
| Tte w or w/o contr, cont ecg (C8930) | $2,062.54 | $2,750.06 | 2.6× |
| Tte w or wo fol wcon,doppler (C8929) | $2,397.05 | $3,196.07 | 3.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,710.15 | $2,280.20 | 2.5× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$77.84–$159.28 | $103.79–$212.38 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.