Supplies, drugs & other prices at Mercy Hospital South

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,028 $3,120 2.6×
2d tte w or w/o fol w/con,co (C8923) $1,823.90 $2,806 2.3×
2d tte w or w/o fol w/con,fu (C8924) $988.65 $1,521 2.8×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $908.70 $1,398 0.5×
Adm tocilizu covid-19 1st (M0249) $757.90 $1,166 1.7×
Adm tocilizu covid-19 2nd (M0250) $526.50 $810 1.2×
Admin hepatitis b vaccine (G0010) $40.30 $62 0.9×
Admin influenza virus vac (G0008) $29.90 $46 0.6×
Admin pneumococcal vaccine (G0009) $39 $60 0.8×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $93.60 $144 3.0×
Catheterize for urine spec (P9612) $52 $80 5.6×
Chemo extend iv infus w/pump (G0498) $783.25 $1,205 2.4×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $651.30 $1,002 3.7×
Cyp2d6 gen com&slct rar vrnt (0070U) $592.15 $911 0.9×
Diab manage trn per indiv (G0108) $115.05 $177 2.1×
Diab manage trn ind/group (G0109) $48.75 $75 3.0×
Direct refer hospital observ (G0379) $470.60 $724 0.8×
Elec stim other than wound (G0283) $93.60 $144 7.4×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $34,488.35 $53,059 0.8×
Fern test (Q0114) $56.88 $87.50 5.8×
Hbot, full body chamber, 30m (G0277) $670.15 $1,031 4.9×
Heart symp image plnr spect (0332T) $3,127.15 $4,811 2.4×
Home sleep test/type 3 porta (G0399) $1,160.25 $1,785 5.4×
Hospital outpt clinic visit (G0463) $185.25 $285 1.4×
Ig paraprotein qual bld/ur (0077U) $190.45 $293 4.4×
Inj for sacroiliac jt anesth (G0260) $1,552.52 $2,388.50 2.2×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $14,502.15 $22,311 1.4×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $17,915.30 $27,562 1.7×
Insertion wrls car stimulator lv pacg compl sys (0515T) $40,534 $62,360 1.8×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $55,253.25 $85,005 1.8×
Interrog dev eval iims ip (0529T) $232.05 $357 6.2×
Interrog dev eval wcs ip (0521T) $34.45 $53 1.2×
Intrav inf, toci, first dose (M0237) $757.90 $1,166 1.7×
Intrav inf, toci, second dos (M0238) $757.90 $1,166 1.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $553.80 $852 4.5×
Liver dis 10 assays w/nash (0003M) $567.45 $873 1.1×
Mnt subs tx for change dx (G0270) $57.20 $88 1.8×
Mra w/cont, abd (C8900) $1,801.80 $2,772 5.2×
Mra w/cont, chest (C8909) $1,929.20 $2,968 5.5×
Mra w/cont, lwr ext (C8912) $3,062.80 $4,712 8.8×
Mra w/cont, pelvis (C8918) $2,144.35 $3,299 6.1×
Mra w/o cont, abd (C8901) $1,715.35 $2,639 7.2×
Mra w/o cont, chest (C8910) $1,869.40 $2,876 7.8×
Mra w/o cont, lwr ext (C8913) $2,895.10 $4,454 12.1×
Mra w/o cont, pelvis (C8919) $1,944.15 $2,991 8.1×
Mra w/o fol w/cont, abd (C8902) $2,320.50 $3,570 6.6×
Mra w/o fol w/cont, chest (C8911) $2,202.85 $3,389 6.3×
Mra w/o fol w/cont, lwr ext (C8914) $3,334.50 $5,130 9.5×
Mra w/o fol w/cont, pelvis (C8920) $2,578.55 $3,967 7.4×
Mri w/o fol w/cont, breast, (C8908) $2,242.50 $3,450 6.4×
Mri w/o fol w/cont, brst, un (C8905) $1,794 $2,760 5.1×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $47.45 $73 1.3×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $921.70 $1,418 1.7×
Njx pltlt plasma w/img harvest/preparation (0232T) $3,985.15 $6,131 8.9×
Oth resp proc, group (G0239) $170.30 $262 4.6×
Oth resp proc, indiv (G0238) $119.60 $184 4.1×
Pathogen test for platelets (P9100) $64.35 $99 1.1×
Perc d-e cor revasc chro sin (C9607) $12,276.55 $18,887 0.7×
Perc d-e cor revasc t cabg s (C9604) $7,775.95 $11,963 0.7×
Perc d-e cor stent ather s (C9602) $10,370.10 $15,954 0.6×
Perc drug-el cor stent sing (C9600) $8,615.75 $13,255 0.7×
Perq Sacral Augmt Bilat Inj (0201T) $3,999.45 $6,153 0.6×
Perq Sacral Augmt Unilat Inj (0200T) $5,847.40 $8,996 0.8×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $14,389.70 $22,138 1.2×
Place device/marker, non pro (C9728) $1,235 $1,900 0.9×
Pre 3d mdl w/ccta and/or mri (C9793) $908.70 $1,398 1.1×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $131.30 $202 3.5×
Prgrmg dev eval wcs ip (0522T) $334.10 $514 8.9×
Psa screening (G0103) $130 $200 6.7×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $527.80 $812 0.7×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $3,197.35 $4,919 1.5×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $3,197.35 $4,919 1.5×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $22,194.90 $34,146 2.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
unusually low: confirm this is the full procedure
$5,216.90 $8,026 0.5×
Removal complete iims (0530T) $6,409 $9,860 1.7×
Removal iims electrode only (0531T) $3,632.20 $5,588 1.0×
Removal iims implt mntr only (0532T) $4,396.60 $6,764 1.2×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,197.35 $4,919 0.9×
Removal Pg Wcs Lv Pacing Both Components (0861T) $3,197.35 $4,919 0.9×
Revasc intra lithotrip-ather (C9766) $10,400 $16,000 0.6×
Revasc intra lithotrip-stent (C9765) $12,168 $18,720 0.7×
Revasc intravasc lithotripsy (C9764) $6,500 $10,000 0.6×
Revasc lith-sten-ath tib/per (C9775) $30,934.15 $47,591 1.7×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$8,320 $12,800 0.5×
Revasc lithotr-stent tib/per (C9773) $16,369.60 $25,184 0.9×
Revasc lithotrip tibi/perone (C9772) $17,228.90 $26,506 1.5×
Revasc lithotrip-stent-ather (C9767) $12,688 $19,520 0.7×
Scr c/v cyto,thinlayer,rescr (G0145) $58.50 $90 2.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $18,313.75 $28,175 0.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $25,435.80 $39,132 1.3×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,340.05 $6,677 1.4×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $18,313.75 $28,175 0.9×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $14,754.35 $22,699 2.6×
Therapeutic procd strg endur (G0237) $71.50 $110 2.5×
Tomosynthesis, mammo (G0279) $265.20 $408 20.9×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $1,636.70 $2,518 3.5×
Trauma respons w/hosp criti (G0390) $3,560.05 $5,477 2.7×
Trluml Perip Athrc Renal Art (0234T) $11,082.50 $17,050 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $19,356.35 $29,779 1.1×
Tte w or w/o contr, cont ecg (C8930) $2,561 $3,940 3.3×
Tte w or wo fol wcon,doppler (C8929) $4,355 $6,700 5.5×
Unsched dialysis esrd pt hos (G0257) $1,030.25 $1,585 1.5×
Visit to determ ldct elig (G0296) $81.90 $126 0.8×