Supplies, drugs & other prices at Mercy Medical Center

Roseburg, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,055.86 $1,980 1.2×
2d tte w or w/o fol w/con,co (C8923) $880.95 $1,652 1.0×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $2,863.62 $5,370 1.3×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $7,168.10 $13,442 0.7×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,863.62 $5,370 1.3×
Adm tocilizu covid-19 1st (M0249) $310.36 $582 0.6×
Adm tocilizu covid-19 2nd (M0250) $310.36 $582 0.6×
Admin hepatitis b vaccine (G0010) $94.93 $178 1.8×
Admin influenza virus vac (G0008) $89.06 $167 1.7×
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$84.79–$94.93 $159–$178 varies
Catheterize for urine spec (P9612) $60.80 $114 6.5×
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$52.26–$75.73 $98–$142 varies
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$74.13–$87.99 $139–$165 varies
Diab manage trn ind/group (G0109) $55.46 $104 3.5×
Direct refer hospital observ (G0379)
range across 2 matching MRF lines
$380.75–$399.95 $714–$750 varies
Drug test def 1-7 classes (G0480)
range across 68 matching MRF lines
$36.27–$655.92 $68–$1,230 varies
Drug test def 15-21 classes (G0482) $130.65 $245 0.7×
Drug test def 8-14 classes (G0481)
range across 2 matching MRF lines
$171.18–$498.07 $321–$934 varies
Elec stim other than wound (G0283) $51.20 $96 4.0×
Fecal blood scrn immunoassay (G0328) $69.33 $130 3.8×
Hbot, full body chamber, 30m (G0277) $347.16 $651 2.3×
Home sleep test/type 3 porta (G0399) $552.46 $1,036 2.3×
Hospital outpt clinic visit (G0463)
range across 9 matching MRF lines
$175.98–$414.35 $330–$777 varies
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$533.80–$800.96 $1,001–$1,502 varies
Mra w/cont, abd (C8900) $1,473.41 $2,763 3.8×
Mra w/cont, lwr ext (C8912) $1,688.84 $3,167 4.4×
Mra w/cont, pelvis (C8918) $1,473.41 $2,763 3.8×
Mra w/o cont, pelvis (C8919) $1,382.75 $2,593 5.2×
Mra w/o fol w/cont, chest (C8911) $1,827.49 $3,427 4.7×
Mra w/o fol w/cont, pelvis (C8920) $1,585.92 $2,974 4.1×
Mri w/o fol w/cont, breast, (C8908) $1,860.02 $3,488 4.8×
Mri w/o fol w/cont, brst, un (C8905) $1,432.35 $2,686 3.7×
Onc Merkel Cll Carc Srm Quan (0058U) $770.03 $1,444 2.4×
Oth resp proc, group (G0239) $50.13 $94 1.2×
Oth resp proc, indiv (G0238) $46.40 $87 1.4×
Perc d-e cor revasc chro sin (C9607) $10,873.74 $20,391 0.5×
Perc d-e cor revasc t cabg s (C9604) $10,873.74 $20,391 0.8×
Perc d-e cor stent ather s (C9602) $10,873.74 $20,391 0.5×
Perc drug-el cor stent sing (C9600) $11,326.48 $21,240 0.9×
Psa screening (G0103) $101.32 $190 5.2×
Rem interrog dev eval ss ld icds < 90d tech (0579T) $207.98 $390 5.0×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$8,333.28 $15,627 0.4×
Revasc intra lithotrip-stent (C9765) $14,097.30 $26,436 0.7×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$6,265.29 $11,749 0.5×
Revasc lith-sten-ath tib/per (C9775) $17,797.07 $33,374 0.9×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$8,763.09 $16,433 0.4×
Revasc lithotr-stent tib/per (C9773) $14,799.61 $27,753 0.7×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$6,265.29 $11,749 0.5×
Revasc lithotrip-stent-ather (C9767) $16,979.05 $31,840 0.8×
Scr c/v cyto, autosys, rescr (G0148) $52.26 $98 1.6×
Scr c/v cyto,thinlayer,rescr (G0145) $130.65 $245 4.9×
Screen cerv/vag thin layer (G0123) $101.32 $190 5.0×
Screen pap by tech w md supv (P3000) $52.26 $98 2.8×
Therapeutic procd strg endur (G0237) $61.86 $116 1.9×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$48–$70.40 $90–$132 varies
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$3,179.84–$3,475.80 $5,963–$6,518 varies
Trluml perip athrc abd aorta (0236T) $8,006.39 $15,014 0.6×
Trluml Perip Athrc Brchiocph (0237T) $8,671.90 $16,262 0.7×
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure
$8,719.90 $16,352 0.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $7,474.20 $14,016 0.6×
Tte w or w/o fol w/con,stres (C8928) $1,447.28 $2,714 1.7×
Tte w or w/o fol w/cont, com (C8921) $1,068.13 $2,003 1.2×
Tte w or w/o fol w/cont, f/u (C8922) $592.99 $1,112 0.7×
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$781.23–$1,373.69 $1,465–$2,576 varies
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines
$459.68–$919.35 $862–$1,724 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.