Published prices for 308 procedures at Mercy Hospital Springfield (Springfield, MO), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $114 | $176 | $54 | $51 |
| Abdominal fluid drain (paracentesis) | $447 | $687 | $833 | $284 |
| Abdominal ultrasound | $1,000 | $1,539 | $245 | $100 |
| Abscess incision and drainage | $482 | $742 | $404 | $174 |
| ACL knee reconstruction | $24,796 | $38,148 | $6,347 | $889 |
| Acupuncture | $67 | $103 | $58 | $38 |
| Adenoid removal (adenoidectomy) | $7,928 | $12,197 | $2,882 | $204 |
| Albumin blood test | $85 | $130 | $9 | $5 |
| Aldosterone test | $157 | $242 | $72 | $41 |
| Alkaline phosphatase test | $75 | $115 | $9 | $5 |
| Allergy shots | $24 | $37 | $28 | $11 |
| Alpha-fetoprotein (AFP) test | $111 | $170 | $30 | $17 |
| ALT liver enzyme test | $70 | $108 | $9 | $5 |
| Ammonia blood test | $74 | $114 | $26 | $15 |
| Amniocentesis | $1,422 | $2,187 | $547 | $120 |
| Amylase test | $190 | $292 | $12 | $6 |
| Anal fistula repair | $9,293 | $14,297 | $2,437 | $541 |
| Antinuclear antibody (ANA) test | $109 | $167 | $21 | $12 |
| Aortic valve replacement | $8,280 | $12,739 | $7,261 | $1,603 |
| Arterial blood gas (ABG) | $281 | $433 | $46 | $26 |
| AST liver enzyme test | $72 | $110 | $9 | $5 |
| Barium swallow study | $476 | $733 | $297 | $107 |
| Bartholin cyst removal | $405 | $623 | $208 | $182 |
| Basic metabolic panel | $148 | $228 | $15 | $8 |
| Benign skin lesion removal | $3,195 | $4,915 | $2,802 | $171 |
| Bilirubin blood test | $96 | $148 | $9 | $5 |
| Bladder function test (urodynamics) | $1,618 | $2,490 | $593 | $345 |
| Bladder scope (cystoscopy) | $4,632 | $7,127 | $998 | $216 |
| Bladder tumor removal (TURBT) | $12,017 | $18,488 | $2,940 | $236 |
| Blood clotting test (PT/INR) | $47 | $73 | $8 | $4 |
| Blood crossmatch | $160 | $246 | $148 | — |
| Blood glucose test | $35 | $55 | $8 | $5 |
| Blood transfusion | $502 | $772 | $404 | $47 |
| Blood type and screen | $158 | $243 | $47 | $10 |
| Blood type test | $90 | $139 | $35 | $3 |
| BNP (heart failure) test | $90 | $139 | $58 | $39 |
| Bone density scan (DEXA) | $384 | $591 | $196 | $39 |
| Bone marrow biopsy | $5,718 | $8,797 | $814 | $172 |
| Bone scan (nuclear) | $2,018 | $3,104 | $477 | $259 |
| Botox for migraine | $99 | $153 | $252 | $157 |
| Breast biopsy | $1,714 | $2,637 | $1,643 | $478 |
| Breast MRI | $2,407 | $3,703 | $1,656 | $216 |
| Breast ultrasound | $741 | $1,140 | $242 | $92 |
| Breathing tube insertion (intubation) | $980 | $1,507 | $603 | $133 |
| Bronchoscopy | $11,664 | $17,945 | $1,536 | $303 |
| Burn treatment | $254 | $390 | $229 | $129 |
| C-reactive protein (CRP) | $92 | $142 | $9 | $5 |
| CA 19-9 tumor marker test | $142 | $219 | $37 | $21 |
| CA-125 ovarian marker test | $92 | $141 | $37 | $21 |
| Calcium blood test | $60 | $93 | $9 | $5 |
| Capsule endoscopy | $2,657 | $4,088 | $1,840 | $802 |
| Cardiac ablation | $25,759 | $39,630 | $21,798 | $759 |
| Cardiac catheterization | $12,348 | $18,998 | $8,503 | $1,049 |
| Cardiac MRI | $1,623 | $2,497 | $737 | $322 |
| Cardiac rehabilitation | $253 | $389 | $177 | $26 |
| Cardiac stress test | $564 | $868 | $119 | $39 |
| Cardioversion | $1,838 | $2,827 | $1,272 | $155 |
| Carotid artery ultrasound | $707 | $1,088 | $281 | $156 |
| Carpal tunnel release | $8,482 | $13,049 | $1,735 | $483 |
| Cataract surgery | $9,547 | $14,688 | $2,031 | $547 |
| CEA tumor marker test | $134 | $206 | $34 | $19 |
| Celiac disease test | $91 | $140 | $22 | $12 |
| Central line placement | $1,926 | $2,963 | $1,689 | $238 |
| Cervical cerclage | $4,608 | $7,089 | $2,825 | $137 |
| Cervical LEEP procedure | $10,097 | $15,533 | $2,825 | $325 |
| Chalazion (eyelid cyst) removal | $530 | $815 | $199 | $131 |
| Chemotherapy infusion | $452 | $695 | $341 | $81 |
| Chest fluid drain (thoracentesis) | $2,654 | $4,083 | $555 | $311 |
| Chest X-ray | $387 | $596 | $174 | $37 |
| Circumcision | $5,046 | $7,763 | $498 | $167 |
| CK-MB heart enzyme test | $218 | $335 | $21 | $12 |
| Clotting time test (PTT) | $103 | $158 | $11 | $6 |
| Colonoscopy | $3,168 | $4,874 | $1,005 | $480 |
| Complete blood count (CBC) | $108 | $166 | $12 | $7 |
| Comprehensive eye exam | $95 | $146 | $111 | $138 |
| Comprehensive metabolic panel | $266 | $409 | $19 | $11 |
| Continuous glucose monitor setup | $55 | $85 | $40 | $35 |
| Contraceptive implant (Nexplanon) | $1,510 | $2,323 | $1,464 | $115 |
| Copper blood test | $68 | $105 | $22 | $12 |
| Corneal transplant | $23,569 | $36,261 | $3,574 | $1,066 |
| Coronary CT angiography | $1,908 | $2,935 | $734 | $326 |
| Cortisol test | $183 | $282 | $29 | $16 |
| COVID-19 PCR test | $146 | $225 | $89 | $51 |
| CPAP titration study | $1,038 | $1,597 | $538 | $69 |
| Creatine kinase (CK) test | $75 | $116 | $12 | $7 |
| CT angiography of the chest | $1,775 | $2,730 | $486 | $281 |
| CT angiography of the head | $2,841 | $4,371 | $480 | $274 |
| CT scan of the abdomen | $1,325 | $2,039 | $450 | $230 |
| CT scan of the abdomen and pelvis | $4,157 | $6,395 | $733 | $300 |
| CT scan of the arm | $2,527 | $3,887 | $502 | $199 |
| CT scan of the chest | $1,643 | $2,528 | $402 | $167 |
| CT scan of the head | $2,139 | $3,291 | $402 | $148 |
| CT scan of the leg | $2,299 | $3,537 | $402 | $166 |
| CT scan of the lower back (lumbar spine) | $1,979 | $3,045 | $502 | $169 |
| CT scan of the neck | $1,193 | $1,835 | $407 | $183 |
| CT scan of the neck (cervical spine) | $2,451 | $3,770 | $502 | $168 |
| CT scan of the pelvis | $2,078 | $3,197 | $430 | $226 |
| CT scan of the sinuses | $1,864 | $2,867 | $402 | $152 |
| D-dimer test | $174 | $268 | $18 | $10 |
| Defibrillator (ICD) implant | $61,876 | $95,194 | $28,551 | $798 |
| DHEA-sulfate test | $137 | $210 | $39 | $22 |
| Diagnostic mammogram | $476 | $733 | $262 | $140 |
| Dialysis fistula creation | $17,079 | $26,275 | $4,025 | $601 |
| Dilation and curettage (D&C) | $9,358 | $14,397 | $2,825 | $298 |
| Droopy eyelid repair (ptosis) | $7,462 | $11,480 | $2,073 | $745 |
| Drug screen (urine) | $124 | $190 | $75 | $17 |
| Ear pressure test (tympanometry) | $107 | $164 | $74 | $16 |
| Ear tubes (myringotomy) | $5,958 | $9,166 | $1,360 | $174 |
| Eardrum repair (tympanoplasty) | $13,365 | $20,562 | $5,256 | $799 |
| Echocardiogram | $920 | $1,416 | $487 | $138 |
| Electrocardiogram (EKG) | $135 | $208 | $15 | $8 |
| Electroencephalogram (EEG) | $1,112 | $1,711 | $333 | $448 |
| Electrolyte panel | $90 | $138 | $12 | $7 |
| Electromyography (EMG) | $283 | $436 | $225 | $141 |
| Emergency department visit | $1,159 | $1,783 | $545 | $69 |
| Epidural steroid injection | $2,712 | $4,172 | $1,246 | $275 |
| ERCP (bile duct endoscopy) | $8,734 | $13,437 | $2,248 | $311 |
| Esophageal dilation | $3,094 | $4,760 | $1,078 | $522 |
| Estradiol (estrogen) test | $207 | $318 | $50 | $28 |
| Eye refraction (glasses prescription) | $20 | $30 | $12 | — |
| Facet joint injection (spine) | $2,543 | $3,912 | $1,030 | $99 |
| Fallopian tube X-ray (HSG) | $1,116 | $1,717 | $368 | $164 |
| Fecal occult blood (stool) test | $69 | $107 | $16 | $10 |
| Femoral hernia repair | $15,157 | $23,319 | $3,136 | $584 |
| Ferritin (iron) test | $125 | $192 | $24 | $14 |
| Fibrinogen test | $145 | $223 | $17 | $10 |
| Flexible sigmoidoscopy | $2,767 | $4,257 | $810 | $323 |
| Flu test | $60 | $93 | $29 | $17 |
| Folate (folic acid) test | $86 | $132 | $26 | $15 |
| Foreign body removal (skin) | $3,225 | $4,962 | $2,828 | $157 |
| Free T4 thyroid test | $116 | $179 | $16 | $9 |
| FSH hormone test | $90 | $139 | $33 | $19 |
| Gallbladder removal (laparoscopic) | $15,324 | $23,575 | $5,184 | $658 |
| Gallbladder scan (HIDA) | $1,968 | $3,028 | $585 | $334 |
| GGT liver test | $98 | $151 | $13 | $7 |
| Glaucoma surgery | $15,207 | $23,395 | $2,027 | $984 |
| Glucose tolerance test | $44 | $68 | $13 | $8 |
| Group therapy session | $255 | $392 | $220 | $30 |
| H. pylori test | $223 | $343 | $120 | $67 |
| HDL cholesterol test | $79 | $121 | $13 | $8 |
| Hearing test (audiometry) | $265 | $408 | $200 | $36 |
| Hematocrit test | $37 | $57 | $4 | $2 |
| Hemodialysis | $1,399 | $2,153 | $1,077 | $75 |
| Hemoglobin A1c (diabetes test) | $109 | $168 | $17 | $10 |
| Hemorrhoid removal | $6,995 | $10,761 | $810 | $338 |
| Hepatitis B test | $72 | $110 | $18 | $10 |
| Hepatitis C test | $88 | $136 | $25 | $14 |
| Hip arthroscopy | $36,007 | $55,396 | $6,347 | $931 |
| HIV test | $116 | $178 | $27 | $19 |
| Holter heart monitor | $671 | $1,032 | $115 | $26 |
| Home sleep apnea test | $638 | $981 | $451 | $123 |
| Hydrocele repair | $12,101 | $18,616 | $3,136 | $315 |
| Hysterectomy | $27,592 | $42,449 | $2,637 | $933 |
| Hysteroscopy | $12,010 | $18,477 | $2,825 | $1,270 |
| Inguinal hernia repair | $13,429 | $20,660 | $3,136 | $538 |
| Iron blood test | $46 | $71 | $11 | $6 |
| IV infusion therapy | $288 | $443 | $213 | $44 |
| IVC filter placement | $10,784 | $16,591 | $4,803 | $1,885 |
| Joint aspiration (small/intermediate) | $429 | $660 | $456 | $57 |
| Kidney biopsy | $5,374 | $8,267 | $1,440 | $492 |
| Kidney removal (nephrectomy) | $37,019 | $56,952 | $1,210 | $1,164 |
| Kidney scan (nuclear) | $2,395 | $3,684 | $493 | $172 |
| Kidney stone shock-wave (lithotripsy) | $11,141 | $17,139 | $3,065 | $760 |
| Kidney ultrasound | $567 | $873 | $197 | $84 |
| Knee arthroscopy | $11,736 | $18,056 | $2,883 | $524 |
| Knee joint injection | $577 | $887 | $599 | $69 |
| Lactate test | $159 | $245 | $21 | $12 |
| Laminectomy (spine) | $21,099 | $32,461 | $6,347 | $1,157 |
| Laryngoscopy | $1,195 | $1,838 | $198 | $189 |
| LDH test | $59 | $91 | $11 | $6 |
| LDL cholesterol test | $59 | $91 | $19 | $11 |
| Leg artery angiogram | $2,266 | $3,486 | $2,543 | $149 |
| Leg artery angioplasty | $24,872 | $38,264 | $10,076 | — |
| Leg vein ultrasound (Doppler) | $1,126 | $1,732 | $583 | $150 |
| LH hormone test | $92 | $142 | $33 | $19 |
| Lipase test | $112 | $172 | $12 | $7 |
| Lipid (cholesterol) panel | $120 | $185 | $24 | $13 |
| Liver biopsy | $5,088 | $7,827 | $1,440 | $288 |
| Liver function panel | $222 | $342 | $15 | $8 |
| Lumbar discectomy | $18,720 | $28,800 | $6,347 | $898 |
| Lung function test (PFT) | $434 | $667 | $153 | $37 |
| Lung scan (V/Q) | $1,540 | $2,369 | $948 | $291 |
| Magnesium blood test | $105 | $162 | $12 | $7 |
| Meniscus repair (knee) | $26,214 | $40,330 | $4,564 | $714 |
| MRA of the brain | $2,507 | $3,858 | $828 | $226 |
| MRA of the neck | $2,301 | $3,540 | $828 | $245 |
| MRI of the abdomen | $1,667 | $2,564 | $828 | $300 |
| MRI of the ankle | $1,733 | $2,666 | $828 | $261 |
| MRI of the brain | $2,635 | $4,054 | $779 | $269 |
| MRI of the chest | $2,256 | $3,471 | $849 | $371 |
| MRI of the knee | $4,175 | $6,423 | $995 | $315 |
| MRI of the lower back (lumbar spine) | $1,893 | $2,913 | $740 | $270 |
| MRI of the mid-back (thoracic spine) | $1,949 | $2,998 | $747 | $271 |
| MRI of the neck (cervical spine) | $2,917 | $4,487 | $746 | $274 |
| MRI of the pelvis | $2,484 | $3,822 | $744 | $268 |
| MRI of the shoulder | $4,388 | $6,750 | $995 | $313 |
| MRI of the wrist | $2,349 | $3,614 | $1,203 | $330 |
| Nebulizer breathing treatment | $212 | $326 | $181 | $9 |
| Nuclear cardiac stress test | $4,986 | $7,671 | $1,195 | $428 |
| Occupational therapy evaluation | $345 | $531 | $195 | $101 |
| Office visit (established patient) | $111 | $171 | $94 | $115 |
| Office visit (new patient) | $192 | $295 | $146 | $177 |
| Pap smear (cervical screening) | $111 | $171 | $41 | $20 |
| Parathyroid hormone (PTH) test | $171 | $263 | $73 | $41 |
| Parathyroid removal | $19,311 | $29,708 | $5,256 | $891 |
| Pelvic ultrasound | $738 | $1,136 | $187 | $78 |
| PET scan | $6,805 | $10,469 | $1,865 | — |
| Phosphorus blood test | $101 | $156 | $8 | $5 |
| Physical therapy evaluation | $374 | $575 | $192 | $98 |
| Platelet count | $85 | $130 | $8 | $4 |
| Pregnancy blood test (hCG) | $125 | $193 | $13 | $8 |
| Pregnancy ultrasound | $904 | $1,392 | $252 | $126 |
| Procalcitonin test | $226 | $347 | $48 | $27 |
| Prolactin test | $178 | $274 | $34 | $19 |
| Prostate biopsy | $8,345 | $12,838 | $1,820 | — |
| Prostate removal (prostatectomy) | $35,164 | $54,099 | $9,251 | $1,063 |
| Prostate surgery (TURP) | $14,280 | $21,969 | $4,517 | $526 |
| Prostate test (PSA) | $116 | $178 | $33 | $18 |
| Psychiatric evaluation | $204 | $315 | $223 | $188 |
| Psychotherapy session | $310 | $477 | $247 | $140 |
| Pulmonary rehabilitation | $206 | $317 | $159 | $87 |
| Radiofrequency nerve ablation | $3,200 | $4,923 | $1,735 | $462 |
| Retina scan (OCT) | $73 | $113 | $51 | $33 |
| Retinal (fundus) photography | $21 | $32 | $115 | $37 |
| Retinal detachment repair | $12,205 | $18,777 | $3,574 | $966 |
| Rotator cuff repair | $22,568 | $34,720 | $6,347 | $792 |
| Routine eye exam | $129 | $199 | $100 | $88 |
| Scoliosis spine X-ray | $281 | $433 | $159 | $58 |
| Screening mammogram | $410 | $631 | $82 | $126 |
| Scrotal ultrasound | $868 | $1,335 | $221 | $99 |
| Sedimentation rate (ESR) test | $68 | $104 | $5 | $3 |
| Semen analysis | $113 | $175 | $24 | $12 |
| Septoplasty (deviated septum) | $13,371 | $20,571 | $2,882 | $613 |
| Sex hormone binding globulin test | $102 | $157 | $39 | $22 |
| Simple wound stitches | $542 | $834 | $260 | $127 |
| Sinus surgery (endoscopic) | $20,214 | $31,099 | $3,276 | $224 |
| Skin biopsy | $405 | $623 | $355 | $121 |
| Skin graft | $3,219 | $4,952 | $2,823 | $898 |
| Skin lesion freezing (cryotherapy) | $261 | $402 | $229 | $36 |
| Skin tag removal | $909 | $1,399 | $797 | $92 |
| Sleep study (polysomnography) | $4,230 | $6,508 | $1,474 | $691 |
| Soft tissue ultrasound | $638 | $981 | $180 | $64 |
| Speech therapy | $174 | $267 | $175 | $76 |
| Spinal cord stimulator | $11,923 | $18,342 | $5,831 | $2,388 |
| Spinal tap (lumbar puncture) | $6,420 | $9,877 | $611 | $165 |
| Spine fracture repair (kyphoplasty) | $5,827 | $8,964 | $5,109 | $5,803 |
| Spleen removal (splenectomy) | $23,372 | $35,956 | $9,251 | $1,036 |
| Strep throat test | $93 | $143 | $29 | $17 |
| Stress echocardiogram | $2,256 | $3,471 | $507 | $209 |
| Swallow study | $439 | $676 | $182 | $85 |
| T3 thyroid test | $64 | $98 | $25 | $14 |
| Testicle removal (orchiectomy) | $14,390 | $22,138 | $3,065 | $306 |
| Testosterone test | $96 | $148 | $46 | $26 |
| Thyroid removal (thyroidectomy) | $21,943 | $33,758 | $5,256 | $1,004 |
| Thyroid test (TSH) | $20 | $30 | $21 | $17 |
| Thyroid uptake scan | $1,584 | $2,437 | $375 | $145 |
| Tilt table test | $2,085 | $3,207 | $1,305 | $168 |
| Tonsillectomy | $8,002 | $12,310 | $2,882 | $252 |
| Total IgE allergy test | $66 | $101 | $29 | $16 |
| Total protein test | $79 | $122 | $7 | $4 |
| Tracheostomy | $3,139 | $4,829 | $2,753 | $273 |
| Transesophageal echocardiogram (TEE) | $2,391 | $3,678 | $1,702 | $239 |
| Transvaginal ultrasound | $671 | $1,033 | $245 | $118 |
| Trigger point injection | $538 | $828 | $496 | $56 |
| Triglycerides test | $72 | $111 | $10 | $6 |
| Troponin (heart) test | $136 | $209 | $22 | $12 |
| Turbinate reduction | $12,540 | $19,293 | $2,882 | $294 |
| Turning a breech baby (version) | $3,305 | $5,084 | $2,825 | $94 |
| Ulnar nerve surgery (elbow) | $10,878 | $16,736 | $1,735 | $575 |
| Upper GI endoscopy (EGD) | $2,840 | $4,369 | $858 | $371 |
| Upper GI series (barium) | $547 | $842 | $319 | $128 |
| Ureteral stent placement | $11,548 | $17,766 | $3,065 | $373 |
| Ureteroscopy (stone removal) | $14,502 | $22,311 | $4,517 | $365 |
| Uric acid (gout) test | $43 | $66 | $8 | $5 |
| Urinalysis | $67 | $103 | $4 | $3 |
| Urine microalbumin test | $57 | $87 | $10 | $5 |
| Urine pregnancy test | $120 | $184 | $15 | $9 |
| Vaccine administration | $60 | $93 | $63 | $19 |
| Varicose vein ablation | $12,496 | $19,225 | $2,797 | $1,018 |
| Visual field test | $42 | $64 | $96 | $64 |
| Vitamin B12 test | $78 | $120 | $27 | $15 |
| Vitamin D test | $125 | $192 | $53 | $30 |
| Vitrectomy (eye) | $10,505 | $16,162 | $3,574 | $814 |
| Vocal cord injection | $9,740 | $14,985 | $3,013 | $211 |
| Wart removal | $228 | $351 | $206 | $121 |
| Wound debridement | $1,157 | $1,780 | $962 | $186 |
| X-ray of the abdomen | $347 | $534 | $180 | $36 |
| X-ray of the ankle | $408 | $627 | $159 | $37 |
| X-ray of the collarbone | $602 | $926 | $134 | $33 |
| X-ray of the elbow | $478 | $736 | $135 | $33 |
| X-ray of the facial bones | $235 | $362 | $137 | $39 |
| X-ray of the foot | $395 | $608 | $148 | $34 |
| X-ray of the forearm | $312 | $480 | $127 | $29 |
| X-ray of the hand | $406 | $624 | $159 | $38 |
| X-ray of the hip | $311 | $478 | $157 | $49 |
| X-ray of the knee | $442 | $680 | $161 | $42 |
| X-ray of the lower back (lumbar spine) | $492 | $758 | $173 | $47 |
| X-ray of the lower leg | $345 | $530 | $138 | $31 |
| X-ray of the mid-back (thoracic spine) | $423 | $651 | $157 | $36 |
| X-ray of the neck (cervical spine) | $520 | $800 | $164 | $47 |
| X-ray of the pelvis | $345 | $532 | $162 | $36 |
| X-ray of the ribs | $293 | $450 | $159 | $42 |
| X-ray of the shoulder | $614 | $945 | $134 | $36 |
| X-ray of the skull | $321 | $494 | $173 | $40 |
| X-ray of the upper arm | $300 | $462 | $140 | $32 |
| X-ray of the wrist | $605 | $931 | $171 | $43 |
| YAG laser capsulotomy (eye) | $192 | $295 | $455 | $335 |
| Zinc blood test | $62 | $95 | $20 | $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.