Published prices for 281 procedures at Mercy Hospital Jefferson (Crystal City, MO), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $116 | $179 | $46 | $51 |
| Abdominal fluid drain (paracentesis) | $2,579 | $3,968 | $1,140 | $284 |
| Abdominal ultrasound | $817 | $1,258 | $158 | $100 |
| Abscess incision and drainage | $306 | $471 | $215 | $174 |
| ACL knee reconstruction | $21,569 | $33,184 | $6,638 | $889 |
| Albumin blood test | $18 | $27 | $7 | $5 |
| Aldosterone test | $148 | $228 | $54 | $41 |
| Alkaline phosphatase test | $14 | $21 | $7 | $5 |
| Alpha-fetoprotein (AFP) test | $191 | $294 | $22 | $17 |
| ALT liver enzyme test | $14 | $22 | $7 | $5 |
| Ammonia blood test | $90 | $138 | $19 | $15 |
| Amniocentesis | $1,668 | $2,566 | $1,001 | $120 |
| Amylase test | $23 | $36 | $9 | $6 |
| Anal fistula repair | $5,902 | $9,079 | $2,889 | $541 |
| Antinuclear antibody (ANA) test | $43 | $66 | $16 | $12 |
| Aortic aneurysm repair (AAA) | $40,008 | $61,550 | $24,005 | $1,345 |
| Arterial blood gas (ABG) | $151 | $233 | $26 | $26 |
| AST liver enzyme test | $14 | $21 | $7 | $5 |
| Barium swallow study | $397 | $611 | $214 | $107 |
| Basic metabolic panel | $124 | $191 | $11 | $8 |
| Benign skin lesion removal | $1,981 | $3,048 | $600 | $171 |
| Bilirubin blood test | $18 | $28 | $7 | $5 |
| Bladder scope (cystoscopy) | $6,242 | $9,604 | $850 | $216 |
| Bladder tumor removal (TURBT) | $8,883 | $13,666 | $3,205 | $236 |
| Blood clotting test (PT/INR) | $31 | $47 | $5 | $4 |
| Blood crossmatch | $45 | $69 | $45 | — |
| Blood glucose test | $46 | $70 | $5 | $5 |
| Blood transfusion | $703 | $1,081 | $516 | $47 |
| Blood type and screen | $166 | $255 | $50 | $10 |
| Blood type test | $113 | $174 | $36 | $3 |
| BNP (heart failure) test | $124 | $191 | $39 | $39 |
| Bone density scan (DEXA) | $248 | $381 | $136 | $39 |
| Bone marrow biopsy | $4,838 | $7,443 | $1,727 | $172 |
| Bone scan (nuclear) | $6,573 | $10,112 | $428 | $259 |
| Botox for migraine | $98 | $151 | $274 | $157 |
| Breast biopsy | $2,287 | $3,519 | $1,576 | $478 |
| Breast MRI | $1,633 | $2,513 | $444 | $216 |
| Breast ultrasound | $539 | $829 | $137 | $92 |
| Breathing tube insertion (intubation) | $1,150 | $1,769 | $690 | $133 |
| Bronchoscopy | $19,478 | $29,966 | $1,760 | $303 |
| Burn treatment | $501 | $772 | $300 | $129 |
| C-reactive protein (CRP) | $73 | $113 | $7 | $5 |
| CA 19-9 tumor marker test | $35 | $54 | $28 | $21 |
| CA-125 ovarian marker test | $111 | $171 | $28 | $21 |
| Calcium blood test | $14 | $21 | $7 | $5 |
| Capsule endoscopy | $684 | $1,052 | $871 | $802 |
| Cardiac catheterization | $11,038 | $16,982 | $5,129 | $1,049 |
| Cardiac rehabilitation | $255 | $393 | $153 | $26 |
| Cardiac stress test | $1,364 | $2,098 | $566 | $39 |
| Cardioversion | $731 | $1,124 | $725 | $155 |
| Carotid artery ultrasound | $1,173 | $1,805 | $575 | $156 |
| Carpal tunnel release | $6,433 | $9,897 | $2,164 | $483 |
| CEA tumor marker test | $172 | $265 | $25 | $19 |
| Celiac disease test | $115 | $177 | $14 | $12 |
| Central line placement | $2,754 | $4,237 | $1,652 | $238 |
| Cervical LEEP procedure | $7,645 | $11,761 | $2,975 | $325 |
| Chemotherapy infusion | $350 | $538 | $213 | $81 |
| Chest fluid drain (thoracentesis) | $2,754 | $4,237 | $924 | $311 |
| Chest tube insertion | $2,175 | $3,346 | $1,305 | $143 |
| Chest X-ray | $312 | $481 | $119 | $37 |
| Chiropractic adjustment | $39 | $60 | $24 | $38 |
| Circumcision | $3,821 | $5,879 | $1,903 | $167 |
| CK-MB heart enzyme test | $111 | $171 | $15 | $12 |
| Clotting time test (PTT) | $95 | $146 | $8 | $6 |
| Colonoscopy | $4,934 | $7,591 | $1,096 | $480 |
| Complete blood count (CBC) | $16 | $25 | $9 | $7 |
| Comprehensive metabolic panel | $23 | $36 | $14 | $11 |
| Continuous glucose monitor setup | $51 | $79 | $36 | $35 |
| Contraceptive implant (Nexplanon) | $793 | $1,220 | $476 | $115 |
| Copper blood test | $90 | $138 | $17 | $12 |
| Coronary CT angiography | $1,327 | $2,041 | $401 | $326 |
| Cortisol test | $181 | $278 | $22 | $16 |
| COVID-19 PCR test | $157 | $241 | $58 | $51 |
| CPAP titration study | $665 | $1,023 | $221 | $69 |
| Creatine kinase (CK) test | $23 | $36 | $9 | $7 |
| CT angiography of the chest | $2,001 | $3,078 | $430 | $281 |
| CT angiography of the head | $1,708 | $2,627 | $394 | $274 |
| CT scan of the abdomen | $1,276 | $1,963 | $216 | $230 |
| CT scan of the abdomen and pelvis | $3,931 | $6,047 | $367 | $300 |
| CT scan of the arm | $1,806 | $2,779 | $273 | $199 |
| CT scan of the chest | $1,505 | $2,316 | $224 | $167 |
| CT scan of the head | $1,534 | $2,360 | $190 | $148 |
| CT scan of the leg | $1,448 | $2,228 | $223 | $166 |
| CT scan of the lower back (lumbar spine) | $1,574 | $2,422 | $280 | $169 |
| CT scan of the neck | $1,276 | $1,963 | $237 | $183 |
| CT scan of the neck (cervical spine) | $1,580 | $2,430 | $279 | $168 |
| CT scan of the pelvis | $1,373 | $2,112 | $214 | $226 |
| CT scan of the sinuses | $1,749 | $2,691 | $240 | $152 |
| D-dimer test | $108 | $166 | $14 | $10 |
| Defibrillator (ICD) implant | $41,852 | $64,387 | $15,088 | $798 |
| Developmental screening (child) | $159 | $244 | $203 | — |
| DHEA-sulfate test | $148 | $227 | $30 | $22 |
| Diagnostic mammogram | $380 | $584 | $174 | $140 |
| Drug screen (urine) | $105 | $161 | $61 | $17 |
| Ear tubes (myringotomy) | $8,162 | $12,557 | $3,013 | $174 |
| Echocardiogram | $1,213 | $1,866 | $520 | $138 |
| Electrocardiogram (EKG) | $301 | $463 | $125 | $8 |
| Electroencephalogram (EEG) | $963 | $1,481 | $543 | $448 |
| Electrolyte panel | $80 | $123 | $9 | $7 |
| Electromyography (EMG) | $584 | $899 | $279 | $141 |
| Emergency department visit | $986 | $1,517 | $691 | $69 |
| Epidural steroid injection | $2,353 | $3,620 | $1,492 | $275 |
| ERCP (bile duct endoscopy) | $6,774 | $10,421 | $2,975 | $311 |
| Estradiol (estrogen) test | $229 | $352 | $37 | $28 |
| Facet joint injection (spine) | $907 | $1,396 | $827 | $99 |
| Fallopian tube X-ray (HSG) | $624 | $960 | $325 | $164 |
| Family therapy session | $234 | $360 | $137 | $110 |
| Fecal occult blood (stool) test | $35 | $54 | $5 | $10 |
| Feeding tube (PEG) placement | $2,696 | $4,147 | $1,617 | $178 |
| Ferritin (iron) test | $49 | $75 | $18 | $14 |
| Fibrinogen test | $23 | $35 | $11 | $10 |
| Flexible sigmoidoscopy | $4,843 | $7,451 | $1,096 | $323 |
| Flu test | $103 | $158 | $16 | $17 |
| Flu vaccine | $29 | $44 | $18 | — |
| Folate (folic acid) test | $92 | $142 | $20 | $15 |
| Foreign body removal (skin) | $663 | $1,020 | $398 | $157 |
| Free T4 thyroid test | $48 | $74 | $12 | $9 |
| FSH hormone test | $164 | $252 | $25 | $19 |
| Gallbladder removal (laparoscopic) | $12,975 | $19,961 | $5,421 | $658 |
| Gallbladder scan (HIDA) | $1,083 | $1,666 | $500 | $334 |
| GGT liver test | $74 | $114 | $10 | $7 |
| Glucose tolerance test | $104 | $160 | $13 | $8 |
| Group therapy session | $211 | $325 | $375 | $30 |
| H. pylori test | $246 | $379 | $90 | $67 |
| HDL cholesterol test | $53 | $82 | $11 | $8 |
| Hematocrit test | $10 | $16 | $3 | $2 |
| Hemodialysis | $988 | $1,520 | $650 | $75 |
| Hemoglobin A1c (diabetes test) | $66 | $101 | $13 | $10 |
| Hemorrhoid removal | $4,892 | $7,527 | $2,678 | $338 |
| Hepatitis B test | $37 | $57 | $14 | $10 |
| Hepatitis C test | $51 | $78 | $19 | $14 |
| HIV test | $117 | $180 | $24 | $19 |
| Holter heart monitor | $838 | $1,289 | $356 | $26 |
| Home sleep apnea test | $658 | $1,012 | $395 | $123 |
| Hydrocele repair | $8,214 | $12,637 | $3,279 | $315 |
| Hysterectomy | $15,970 | $24,569 | $9,579 | $933 |
| Hysteroscopy | $7,684 | $11,822 | $2,975 | $1,270 |
| Inguinal hernia repair | $10,074 | $15,498 | $3,279 | $538 |
| Iron blood test | $18 | $27 | $9 | $6 |
| IV infusion therapy | $372 | $572 | $196 | $44 |
| IVC filter placement | $4,216 | $6,486 | $3,243 | $1,885 |
| Joint aspiration (small/intermediate) | $370 | $569 | $298 | $57 |
| Kidney biopsy | $4,045 | $6,223 | $1,506 | $492 |
| Kidney scan (nuclear) | $1,522 | $2,341 | $500 | $172 |
| Kidney stone shock-wave (lithotripsy) | $9,891 | $15,217 | $4,895 | $760 |
| Kidney ultrasound | $619 | $953 | $151 | $84 |
| Knee arthroscopy | $8,375 | $12,885 | $3,842 | $524 |
| Knee joint injection | $820 | $1,261 | $274 | $69 |
| Lactate test | $118 | $182 | $14 | $12 |
| Laminectomy (spine) | $15,970 | $24,569 | $6,638 | $1,157 |
| LDH test | $21 | $33 | $8 | $6 |
| LDL cholesterol test | $21 | $33 | $13 | $11 |
| Leg artery angiogram | $1,895 | $2,915 | $1,895 | $149 |
| Leg artery angioplasty | $43,668 | $67,181 | $9,668 | — |
| Leg vein ultrasound (Doppler) | $1,538 | $2,366 | $512 | $150 |
| LH hormone test | $150 | $231 | $25 | $19 |
| Lipase test | $17 | $26 | $9 | $7 |
| Lipid (cholesterol) panel | $113 | $174 | $18 | $13 |
| Liver biopsy | $3,288 | $5,059 | $1,506 | $288 |
| Liver function panel | $141 | $217 | $11 | $8 |
| Lumbar discectomy | $14,580 | $22,431 | $6,638 | $898 |
| Lumpectomy (breast) | $3,429 | $5,275 | $2,975 | $750 |
| Lung function test (PFT) | $558 | $858 | $289 | $37 |
| Lung scan (V/Q) | $1,334 | $2,052 | $669 | $291 |
| Magnesium blood test | $24 | $37 | $9 | $7 |
| Mastectomy | $652 | $1,003 | $2,975 | $1,021 |
| Meniscus repair (knee) | $17,081 | $26,279 | $5,379 | $714 |
| MRA of the brain | $1,697 | $2,610 | $415 | $226 |
| MRA of the neck | $1,388 | $2,135 | $415 | $245 |
| MRI of the abdomen | $1,511 | $2,325 | $401 | $300 |
| MRI of the ankle | $1,850 | $2,846 | $423 | $261 |
| MRI of the brain | $1,836 | $2,825 | $430 | $269 |
| MRI of the chest | $1,639 | $2,522 | $476 | $371 |
| MRI of the knee | $2,677 | $4,119 | $471 | $315 |
| MRI of the lower back (lumbar spine) | $1,983 | $3,051 | $401 | $270 |
| MRI of the mid-back (thoracic spine) | $2,322 | $3,573 | $407 | $271 |
| MRI of the neck (cervical spine) | $2,042 | $3,142 | $406 | $274 |
| MRI of the pelvis | $2,439 | $3,753 | $429 | $268 |
| MRI of the shoulder | $3,222 | $4,957 | $464 | $313 |
| MRI of the wrist | $1,672 | $2,573 | $423 | $330 |
| Nebulizer breathing treatment | $184 | $283 | $157 | $9 |
| Nerve conduction study | $404 | $622 | $175 | $118 |
| Nuchal translucency ultrasound | $472 | $726 | $166 | $116 |
| Nuclear cardiac stress test | $4,000 | $6,154 | $1,213 | $428 |
| Occupational therapy evaluation | $341 | $524 | $167 | $101 |
| Office visit (established patient) | $485 | $747 | $104 | $115 |
| Office visit (new patient) | $258 | $397 | $131 | $177 |
| Pap smear (cervical screening) | $92 | $142 | $25 | $20 |
| Parathyroid hormone (PTH) test | $249 | $383 | $55 | $41 |
| Pelvic ultrasound | $475 | $730 | $147 | $78 |
| PET scan | $3,233 | $4,974 | $1,604 | — |
| Phosphorus blood test | $51 | $78 | $6 | $5 |
| Physical therapy evaluation | $426 | $655 | $168 | $98 |
| Platelet count | $16 | $25 | $6 | $4 |
| Pregnancy blood test (hCG) | $27 | $41 | $10 | $8 |
| Pregnancy ultrasound | $600 | $923 | $167 | $126 |
| Procalcitonin test | $173 | $266 | $36 | $27 |
| Prolactin test | $111 | $170 | $26 | $19 |
| Prostate biopsy | $12,314 | $18,945 | $1,903 | — |
| Prostate surgery (TURP) | $9,563 | $14,712 | $4,724 | $526 |
| Prostate test (PSA) | $66 | $101 | $25 | $18 |
| Psychiatric evaluation | $166 | $255 | $170 | $188 |
| Psychotherapy session | $265 | $408 | $151 | $140 |
| Pulmonary rehabilitation | $296 | $455 | $177 | $87 |
| Radiofrequency nerve ablation | $1,792 | $2,757 | $1,535 | $462 |
| Rheumatoid factor test | $62 | $96 | $8 | $6 |
| Rotator cuff repair | $14,689 | $22,599 | $6,638 | $792 |
| Sacroiliac joint injection | $1,456 | $2,240 | $874 | $176 |
| Scoliosis spine X-ray | $395 | $607 | $116 | $58 |
| Screening mammogram | $224 | $344 | $134 | $126 |
| Scrotal ultrasound | $892 | $1,372 | $150 | $99 |
| Sedimentation rate (ESR) test | $39 | $60 | $4 | $3 |
| Semen analysis | $154 | $237 | $16 | $12 |
| Septoplasty (deviated septum) | $9,973 | $15,342 | $3,426 | $613 |
| Sex hormone binding globulin test | $75 | $116 | $29 | $22 |
| Simple wound stitches | $595 | $916 | $185 | $127 |
| Sinus surgery (endoscopic) | $10,822 | $16,649 | $3,426 | $224 |
| Skin biopsy | $354 | $544 | $371 | $121 |
| Skin cancer lesion removal | $2,018 | $3,105 | $654 | $240 |
| Skin lesion freezing (cryotherapy) | $1,007 | $1,549 | $439 | $36 |
| Skin tag removal | $180 | $277 | $185 | $92 |
| Sleep study (polysomnography) | $4,534 | $6,976 | $1,633 | $691 |
| Soft tissue ultrasound | $364 | $560 | $126 | $64 |
| Speech therapy | $336 | $517 | $166 | $76 |
| Spinal cord stimulator | $10,047 | $15,457 | $5,697 | $2,388 |
| Spinal tap (lumbar puncture) | $662 | $1,019 | $643 | $165 |
| Spine fracture repair (kyphoplasty) | $5,540 | $8,524 | $3,333 | $5,803 |
| Strep throat test | $67 | $103 | $16 | $17 |
| Stress echocardiogram | $3,189 | $4,906 | $1,203 | $209 |
| Swallow study | $356 | $548 | $152 | $85 |
| T3 thyroid test | $75 | $115 | $19 | $14 |
| Testosterone test | $130 | $200 | $34 | $26 |
| Thyroid test (TSH) | $11 | $17 | $20 | $17 |
| Thyroid ultrasound | $636 | $979 | $101 | $109 |
| Thyroid uptake scan | $593 | $912 | $374 | $145 |
| Tonsillectomy | $7,362 | $11,327 | $3,013 | $252 |
| Total IgE allergy test | $102 | $157 | $22 | $16 |
| Total protein test | $13 | $20 | $5 | $4 |
| Tracheostomy | $4,445 | $6,839 | $2,667 | $273 |
| Transesophageal echocardiogram (TEE) | $1,358 | $2,089 | $812 | $239 |
| Transvaginal ultrasound | $699 | $1,075 | $171 | $118 |
| Trigger point injection | $609 | $937 | $274 | $56 |
| Triglycerides test | $23 | $36 | $8 | $6 |
| Troponin (heart) test | $117 | $180 | $13 | $12 |
| Turbinate reduction | $9,258 | $14,244 | $5,184 | $294 |
| Turning a breech baby (version) | $2,986 | $4,594 | $2,954 | $94 |
| Ulnar nerve surgery (elbow) | $8,356 | $12,855 | $2,164 | $575 |
| Upper GI endoscopy (EGD) | $4,820 | $7,416 | $1,260 | $371 |
| Upper GI series (barium) | $496 | $763 | $216 | $128 |
| Ureteral stent placement | $22,031 | $33,894 | $5,137 | $373 |
| Ureteroscopy (stone removal) | $12,899 | $19,844 | $5,398 | $365 |
| Uric acid (gout) test | $16 | $25 | $6 | $5 |
| Urinalysis | $23 | $36 | $3 | $3 |
| Urine microalbumin test | $47 | $73 | $7 | $5 |
| Urine pregnancy test | $17 | $26 | $8 | $9 |
| Vaccine administration | $82 | $126 | $59 | $19 |
| Varicose vein ablation | $4,450 | $6,846 | $2,727 | $1,018 |
| Vitamin B12 test | $100 | $154 | $20 | $15 |
| Vitamin D test | $161 | $247 | $39 | $30 |
| Wart removal | $1,686 | $2,594 | $185 | $121 |
| Wound debridement | $4,349 | $6,691 | $2,693 | $186 |
| X-ray of the abdomen | $319 | $490 | $132 | $36 |
| X-ray of the ankle | $465 | $715 | $113 | $37 |
| X-ray of the collarbone | $283 | $436 | $113 | $33 |
| X-ray of the facial bones | $259 | $398 | $113 | $39 |
| X-ray of the foot | $504 | $776 | $113 | $34 |
| X-ray of the forearm | $203 | $312 | $104 | $29 |
| X-ray of the hand | $302 | $465 | $113 | $38 |
| X-ray of the hip | $320 | $492 | $101 | $49 |
| X-ray of the knee | $384 | $590 | $113 | $42 |
| X-ray of the lower back (lumbar spine) | $417 | $641 | $136 | $47 |
| X-ray of the lower leg | $263 | $405 | $113 | $31 |
| X-ray of the mid-back (thoracic spine) | $229 | $352 | $124 | $36 |
| X-ray of the neck (cervical spine) | $390 | $601 | $122 | $47 |
| X-ray of the pelvis | $250 | $385 | $127 | $36 |
| X-ray of the ribs | $229 | $353 | $117 | $42 |
| X-ray of the shoulder | $492 | $757 | $113 | $36 |
| X-ray of the skull | $287 | $442 | $131 | $40 |
| X-ray of the upper arm | $285 | $439 | $113 | $32 |
| X-ray of the wrist | $498 | $766 | $113 | $43 |
| Zinc blood test | $76 | $117 | $15 | $11 |
Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.