Mercy Hospital South
Mercy Hospital South in Saint Louis, MO publishes cash prices for 60 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
10012 Kennerly Road STE 105 Saint Louis MO 63128 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $2,040.35 | $3,139.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $799.50 | $1,230.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $972.40 | $1,496.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $419.90 | $646.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $280.15 | $431.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $280.15 | $431.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $2,143.70 | $3,298.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $1,357.85 | $2,089.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $1,357.85 | $2,089.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Extr Lwr Jt W/WO Cont Bi | $3,498.30 | $5,382.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Lt | $1,697.80 | $2,612.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Rt | $1,697.80 | $2,612.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $1,265.55 | $1,947.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $2,161.90 | $3,326.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $1,643.20 | $2,528.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $884.65 | $1,361.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $264.55 | $407.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $264.55 | $407.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $176.15 | $271.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $176.15 | $271.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $4,201.60 | $6,464.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $340.60 | $524.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $749.45 | $1,153.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $341.90 | $526.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $18.85 | $29.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $48.10 | $74.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $76.70 | $118.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $17.55 | $27.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $14.30 | $22.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $23.40 | $36.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $122.85 | $189.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $22.10 | $34.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $53.95 | $83.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $65.65 | $101.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $73.45 | $113.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $26.65 | $41.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing | $69.55 | $107.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $14.30 | $22.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $29.90 | $46.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Test | $37.05 | $57.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $11.05 | $17.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $59.80 | $92.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $11.05 | $17.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $16.90 | $26.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $7.80 | $12.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $10.40 | $16.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $30.55 | $47.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $47.45 | $73.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $47.45 | $73.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $11.70 | $18.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $51.35 | $79.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $67.60 | $104.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $6,761.48 | $10,402.28 | 35% |
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $2,939.20 | $4,521.85 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $3,241.89 | $4,987.53 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $1,115.40 | $1,716.00 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $10,429.83 | $16,045.89 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $6,140.78 | $9,447.35 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $6,890.56 | $10,600.86 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Laser Yag Treatment | $1,575.60 | $2,424.00 | 35% |
| Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath Including Inj Lt Ventriculography, S/I | $4,179.50 | $6,430.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $2,149.55 | $3,307.00 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag | $1,564.55 | $2,407.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Bilat Inj Epi/Lumb/Sacral Sngl Level | $1,370.20 | $2,108.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Epi/Lumb/Sacral Sngl Level | $913.25 | $1,405.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,207.99 | $3,396.91 | 35% |
| Prostate biopsy CPT 55700 Bx Prostate Needle/Punch | $6,907.69 | $10,627.21 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $21,535.21 | $33,131.09 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $13,824.40 | $21,268.31 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $4,030.17 | $6,200.26 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $3,725.08 | $5,730.90 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $1,479.40 | $2,276.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Psych Fam Ther W Pt 50min (Max Qty 2) | $264.55 | $407.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Cd Fam Ther W Patient 50 Min (Max Qty 2) | $264.55 | $407.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Cd Fam Ther WO Patient 50 Min (Max Qty 2) | $245.05 | $377.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Psych Fam Ther WO Pt 50min (Max Qty 2) | $245.05 | $377.00 | 35% |
| Group psychotherapy session CPT 90853 Group Therapy 60 Min | $211.25 | $325.00 | 35% |
| Group psychotherapy session CPT 90853 Group Tx-Cd/Psych Iop | $485.55 | $747.00 | 35% |
| Group psychotherapy session CPT 90853 Group Tx-Iop | $485.55 | $747.00 | 35% |
| Group psychotherapy session CPT 90853 Straight CSF Grant Iop Group | $485.55 | $747.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Uc Visit Level III New Pt Mlp | $135.20 | $208.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Uc Visit Level III New Pt Pf | $159.25 | $245.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Uc Visit Level III New Pt | $189.15 | $291.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $206.70 | $318.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Uc Visit Level IV New Pt Mlp | $176.80 | $272.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Uc Visit Level IV New Pt Pf | $208.00 | $320.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Uc Visit Level IV New Pt | $245.05 | $377.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $258.05 | $397.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Uc Visit Level V New Pt Mlp | $211.25 | $325.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Uc Visit Level V New Pt Pf | $248.30 | $382.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $354.90 | $546.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Uc Visit Level V New Pt | $354.90 | $546.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Px 1/> Areas Ea 15 Min Exercises | $114.40 | $176.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 St Ther Exer 1 or > Areas Ea 15m | $114.40 | $176.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $114.40 | $176.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $114.40 | $176.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Straight CSF Grant Counseling 30 Minutes | $185.90 | $286.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psych Ther 30 Min With Patient | $265.20 | $408.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Cd Ther 30 Min W Patient | $265.20 | $408.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Straight CSF Grant Counseling 45 Minutes | $212.55 | $327.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Psych Ther 45 Min With Patient | $265.20 | $408.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Cd Ther 45 Min W Patient | $265.20 | $408.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Straight CSF Grant Counseling 60 Minutes | $239.20 | $368.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Psych Ther 60 Min With Patient | $265.20 | $408.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Cd Ther 60 Min W Patient | $265.20 | $408.00 | 35% |
Source file: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/430980256_mercy-hospital-south_standardcharges.zip