Visits & medical services prices at Mercy Hospital Jefferson

Festus, MO · every code in this section with a posted price and a Medicare benchmark.

252 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $70.85 $109 0.7×
Aep hearing status deter broadband stimuli i&r (92651) $998.40 $1,536 4.6×
Aep Neurodiagnostic I&R (92653) $698.10 $1,074 3.2×
Aep threshold estimation mlt frequencies i&r (92652) $774.80 $1,192 3.6×
Airway inhalation treatment (94640) $183.95 $283 0.8×
Analyze neurostim no prog (95970) $192.72 $296.50 1.4×
Appl on-body injector for timed subq injection (96377) $168.35 $259 3.6×
Application of heat wave therapy (97024) $78 $120 10.6×
Art pressure waveform analys (93050) $181.35 $279 6.3×
Assessment of aphasia (96105) $208.65 $321 2.1×
Behav assmt w/score & docd/stand instrument (96127) $40.95 $63 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $270.40 $416 2.5×
Bfb training 1st 15 min (90912) $113.10 $174 1.4×
Bfb training ea addl 15 min (90913) $55.90 $86 1.7×
Biofeedback training any modality (90901) $120.90 $186 2.9×
Blink reflex test (95933) $499.20 $768 8.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $828.75 $1,275 2.2×
Canalith Repositioning (95992) $80.60 $124 2.0×
Capsule endoscopy (91110) $683.80 $1,052 0.8×
Car seat/bed test 60 min (94780) $59.80 $92 1.6×
Cardiac Stress Tst,Tracing Only (93017) $1,363.70 $2,098 6.3×
Cardiopulmonary exercise testing (94621) $1,214.85 $1,869 3.3×
Cardiopulmonary resuscitation (92950) $709.80 $1,092 3.3×
Cardioversion (92960) $730.60 $1,124 1.1×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,583.15 $7,051 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $6,811.35 $10,479 2.1×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $17,970.55 $27,647 1.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $12,290.20 $18,908 3.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,786.40 $15,056 3.0×
Cbt 1st hour (94644) $115.70 $178 0.9×
Chemo Hormon Antineopl Sq/Im (96402) $349.05 $537 4.8×
Chemo IV push addl drug (96411) $329.55 $507 4.6×
Chemo Iv Push Sngl Drug (96409) $559.65 $861 1.7×
Chemother, IV infusion, 1 hr (96413) $344.50 $530 1.0×
Chemother, IV infusion, ea add hr (96415) $354.90 $546 4.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $152.75 $235 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $384.80 $592 5.3×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $32.50 $50 1.5×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $39 $60 1.8×
Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) $45.50 $70 2.1×
Color/duplex Doppler, complete (93975) $1,465.75 $2,255 6.1×
Color/duplex Doppler, limited (93976) $1,144 $1,760 10.9×
Cont Gluc Monitoring Patient Provided Equipment (95249) $96.85 $149 1.6×
Continuous Glucose Monitoring (95250) $248.30 $382 1.9×
Coronary artery angio s&i (93454) $7,046.65 $10,841 2.2×
Cpap initiation and management (94660) $532.35 $819 2.4×
Cpt initial (94667) $115.05 $177 0.9×
Critical care (99291) $1,959.10 $3,014 2.4×
Dbrdmt prmlg les w/pdt (96574) $212.55 $327 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $1,495 $2,300 7.4×
Demo &/or eval,pt use,aerosol device (94664) $115.05 $177 0.5×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $805.35 $1,239 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $601.90 $926 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $470.60 $724 4.5×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $501.80 $772 4.8×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $543.40 $836 5.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $734.50 $1,130 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $635.70 $978 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $651.30 $1,002 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $520 $800 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,082.90 $1,666 10.3×
Duplex hemodialysis access (93990) $638.95 $983 6.1×
Duplex scan extracranial art compl bi study (93880) $1,173.25 $1,805 4.9×
Echo Heart Xthoracic,Limited (93308) $703.95 $1,083 2.9×
Echo transesophageal (93312) $1,357.85 $2,089 2.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,967.55 $3,027 3.6×
Echo Transthoracic - Congenital Tte Limited (93304) $1,062.75 $1,635 1.9×
EEG awake asleep (95819) $1,007.50 $1,550 4.7×
EEG awake drowsy (95816) $917.80 $1,412 4.2×
EEG cerebral death evaluation (95824) $1,553.50 $2,390 4.2×
EEG coma or sleep only (95822) $997.10 $1,534 4.6×
EEG cont rec w/video by tech min 8 channels (95700) $272.35 $419 1.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,578.20 $2,428 7.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,021.80 $1,572 4.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $2,672.80 $4,112 7.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,767.35 $2,719 4.7×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $2,670.20 $4,108 7.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $991.90 $1,526 4.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $440.70 $678 2.0×
EKG (93005) $300.95 $463 5.1×
EKG rhythm strip (93041) $1,090.70 $1,678 18.5×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $39 $60 0.4×
Elec alys implt cplx cn npgt prgrmg (95977) $35.75 $55 0.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $47.45 $73 1.3×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $1,428.05 $2,197 15.0×
Electroconvulsive Therapy (90870) $1,296.75 $1,995 1.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,012.70 $1,558 4.7×
EMG one extremity (95860) $465.40 $716 3.5×
EMG thoracic paraspinal (95869) $66.95 $103 0.3×
EMG two extremities (95861) $702.65 $1,081 5.3×
Er level 1 (99281) $360.10 $554 4.3×
Er level ii (99282) $631.15 $971 4.1×
Er level iii (99283) $1,137.82 $1,750.50 4.2×
Er level IV (99284) $1,883.70 $2,898 4.5×
Er level v (99285) $3,475.71 $5,347.25 5.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $295.42 $454.50 4.2×
Evaluation of speech fluency (92521) $239.52 $368.50 1.8×
Evaluation of speech sound production (92522) $240.82 $370.50 2.2×
Evaluation of swallowing function (92610) $262.60 $404 3.1×
Evoked auditory test,limited (92587) $218.40 $336 1.0×
Exercise tst brncspsm (94617) $274.30 $422 2.1×
External Ecg Scanning Analysis Report (93226) $817.70 $1,258 13.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $131.95 $203 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,834.95 $2,823 2.1×
Group Therapeutic Procedures (97150) $85.80 $132 4.8×
Hemodialysis (90935) $988 $1,520 1.4×
Holter Monitor Recording (93225) $858 $1,320 6.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $50.70 $78 1.2×
Immunization Admin (90471) $96.20 $148 1.3×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $999.70 $1,538 2.7×
Injection intra arterial (96373) $206.70 $318 1.0×
Ins swan ganz bedside (93503) $2,994.55 $4,607 1.9×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93146) $5,731.05 $8,817 44.5×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93145) $5,731.05 $8,817 44.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $345.80 $532 5.9×
IV infusion hydration each additional hour (96361) $156 $240 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $448.50 $690 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $248.30 $382 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $565.50 $870 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $178.10 $274 3.8×
IV push initial (96374) $353.60 $544 1.7×
Liver elastography w/o imag w/i&r (91200) $292.82 $450.50 2.3×
Low frequency non-thermal us (97610) $284.70 $438 1.4×
Manual therapy 15 min (97140) $107.90 $166 3.9×
Massage 15 min (97124) $50.05 $77 1.7×
Mechanical chest wall oscillation (94669) $119.60 $184 0.5×
Mechanical traction (97012) $53.30 $82 3.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $98.80 $152 3.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.60 $44 0.8×
Methacholine challenge (94070) $703.30 $1,082 1.9×
Motility study esophagus (91010) $1,359.80 $2,092 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $404.30 $622 4.4×
Multiple Family Group Psychotherapy (90849) $279.50 $430 1.6×
Multiple sleep latency test (95805) $2,063.75 $3,175 2.4×
Nasopharyngoscopy (92511) $391.30 $602 2.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $553.80 $852 4.2×
Neg press wnd tx </=50 sq cm (97607) $498.55 $767 1.2×
Neg press wound tx >50 cm (97608) $690.95 $1,063 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $458.90 $706 2.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $879.45 $1,353 2.2×
Nerve conduction studies 13/> studies (95913) $196.30 $302 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $77.35 $119 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $145.60 $224 0.4×
Nerve conduction studies; 1-2 studies (95907) $74.10 $114 0.3×
Nerve conduction studies; 11-12 studies (95912) $169.65 $261 0.5×
Nerve conduction studies; 5-6 studies (95909) $102.05 $157 0.5×
Nerve conduction studies; 7-8 studies (95910) $120.90 $186 0.3×
Neurobehavioral Status Exam (96116) $451.10 $694 2.1×
Neurological procedure unlisted (95999) $382.20 $588 3.0×
Neuromuscular junction test (95937) $72.15 $111 0.6×
Newborn resuscitation (99465) $383.50 $590 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $562.90 $866 4.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $957.12 $1,472.50 4.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $286.65 $441 2.2×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $477.10 $734 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $61.10 $94 1.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $145.60 $224 4.5×
Ot Contrast Bath Ea 15 Min (97034) $79.30 $122 5.7×
Ot eval high complex 60 min (97167) $356.20 $548 3.5×
Ot eval low complex 30 min (97165) $468 $720 4.7×
Ot eval mod complex 45 min (97166) $383.82 $590.50 3.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $57.20 $88 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $121.55 $187 3.0×
Ot Range Motion Measure,Each Extrem (95851) $297.70 $458 11.4×
Ot re-eval est plan care (97168) $371.48 $571.50 5.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $280.80 $432 2.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $249.60 $384 1.9×
Paraffin bath (97018) $34.45 $53 5.7×
Pdt dstr prmlg les phys/qhp (96573) $178.42 $274.50 0.9×
Pdt dstr prmlg les skn illum/activj per day (96567) $138.45 $213 0.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $434.85 $669 2.0×
Peripheral arterial disease rehab per session (93668) $76.70 $118 1.3×
Phy/qhp op pulm rhb w/mntr (94626) $295.75 $455 5.0×
Phy/qhp op pulm rhb w/o mntr (94625) $295.75 $455 5.0×
Plethysmography (94726) $583.70 $898 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,434.28 $5,283.50 4.0×
Prq card revasc chronic 1vsl (92943) $6,733.35 $10,359 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $17,897.10 $27,534 1.5×
Prq Card Stent/Ath/Angio (92933) $12,130.30 $18,662 0.7×
Prq revasc byp graft 1 vsl (92937) $11,555.05 $17,777 1.0×
Prq tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure
$4,407 $6,780 0.2×
Prq trluml coronary angio/atherect one art/brnch (92924) $10,963.55 $16,867 0.9×
Prq trluml coronary angioplasty one art/branch (92920) $15,387.45 $23,673 2.7×
Psychiatric diagnostic evaluation (90791) $248.30 $382 1.4×
Psytx crisis initial 60 min (90839) $288.28 $443.50 1.6×
Pt Aquatic Therapy/Exercises (97113) $48.75 $75 1.3×
Pt Electric Current Therapy (97033) $107.25 $165 5.6×
Pt Electrical Stimulation (97032) $48.10 $74 3.3×
Pt eval high complex 45 min (97163) $309.72 $476.50 3.2×
Pt eval low complex 20 min (97161) $275.60 $424 2.8×
Pt Gait Training Therapy (97116) $92.95 $143 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $87.75 $135 2.7×
Pt Physical Performance Test (97750) $94.90 $146 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $263.25 $405 2.7×
Pt re-evaluation (97164) $243.10 $374 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $68.90 $106 2.1×
Pt Ultrasound Therapy (97035) $83.20 $128 5.8×
Pt Whirlpool Therapy (97022) $88.40 $136 5.6×
Pulm function test by gas (94727) $393.25 $605 1.8×
Pulmonary stress testing (94618) $264.55 $407 2.0×
R & l hrt cath w/njx l ventriculog img s&i (93453) $8,112 $12,480 2.5×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $10,039.90 $15,446 3.1×
R hrt art/grft angio (93457) $7,279.35 $11,199 2.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $5,842.85 $8,989 1.8×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $92.30 $142 2.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $490.75 $755 13.1×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $143 $220 2.6×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $107.25 $165 2.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $457.60 $704 3.4×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $67.60 $104 1.8×
Right heart cath (93451) $3,136.90 $4,826 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $325 $500 1.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $128.70 $198 6.0×
Rt Chest Wall Manipulation,Subsequent (94668) $87.10 $134 0.7×
Sleep study attended (95807) $1,589.90 $2,446 4.3×
Sleep study unattended (95806) $1,153.75 $1,775 5.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $657.80 $1,012 3.0×
Smoking cessation > 10 min (99407) $25.35 $39 0.7×
Speech group therapy (92508) $42.25 $65 1.8×
Speech sound lang comprehen (92523) $351.32 $540.50 1.6×
Spirometry (94010) $286.65 $441 1.3×
Stress echo (93350) $3,480.10 $5,354 6.4×
Stress Tte Complete (93351) $2,897.05 $4,457 5.3×
Surfactant Admin Thru Tube (94610) $302.90 $466 1.4×
Temp transcutaneous pacing (92953) $588.90 $906 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $84.50 $130 3.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $32.50 $50 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $354.90 $546 3.5×
Ther/Proph/Diag Inj Sc/Im (96372) $105.95 $163 1.5×
Therapeutic Activities (97530) $96.20 $148 2.7×
Therapeutic phlebotomy (99195) $192.40 $296 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $13.65 $21 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,755.70 $5,778 6.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,212.90 $1,866 5.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $432.25 $665 5.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $264.22 $406.50 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $275.60 $424 5.9×
Ultraviolet Light Therapy (96900) $36.40 $56 1.0×
Unlisted Cardiovascular Service/Procedure (93799) $5,906.55 $9,087 45.8×
Unlisted Diagnostic Gastroenterology Procedure (91299) $140.40 $216 1.1×
Unlisted pulmonary service/procedure (94799) $89.38 $137.50 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,992.25 $3,065 8.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $810.55 $1,247 3.7×
Vasopneumatic device (97016) $85.80 $132 7.1×
Veeg by tech 2-12 hours unmonitored (95711) $1,082.90 $1,666 5.0×
Veeg Ea 12-26 Hr Unmntr (95714) $1,556.10 $2,394 4.2×
Ventilation assist & mgmt inpatient 1st day (94002) $936 $1,440 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $764.40 $1,176 1.2×
Visual Evoked Potential Test (95930) $1,194.05 $1,837 5.5×
Vital capacity total (94150) $150.15 $231 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $55.90 $86 1.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $644.80 $992 6.8×