The Mercy Hospital Inc
The Mercy Hospital Inc in Springfield, MA publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Click a procedure to compare it with other hospitals nearby.
271 Carew St, Springfield, MA 01104 Collected Sep 22, 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 PR CT Abdomen & Pelvis W/Contrast | $815.13 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $841.75 | $1,295.00 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $930.47 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 PR CT Abdomen & Pelvis W/Contrast | $802.00 | $802.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $841.75 | $1,295.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 PR CT Head/Brain W/O Contrast | $355.57 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $926.90 | $1,426.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $926.90 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 PR CT Head/Brain W/O Contrast | $279.00 | $279.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Contrast | $926.90 | $1,426.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 PR CT Pelvis W/Contrast | $605.09 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $943.80 | $1,452.00 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PR CT Pelvis W/Contrast | $606.00 | $606.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast | $943.80 | $1,452.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Diagnostic Bilateral | $263.90 | $406.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 PR Diagnostic Mammography Incl Cad Bilateral | $423.86 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Diagnostic Bilateral | $263.90 | $406.00 | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 PR Diagnostic Mammography Incl Cad Bilateral | $408.00 | $408.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Lt | $213.85 | $329.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Rt | $213.85 | $329.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 PR Mammography Diagnostic Unilat Including Cad | $336.14 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Rt | $213.85 | $329.00 | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Lt | $213.85 | $329.00 | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 PR Mammography Diagnostic Unilat Including Cad | $323.00 | $323.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 PR MRI Lower Extremity Joint W/O Contrast | $592.85 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $1,345.50 | $2,070.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $897.00 | $1,380.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $897.00 | $1,380.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 PR MRI Lower Extremity Joint W/O Contrast | $536.00 | $536.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $1,345.50 | $2,070.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $897.00 | $1,380.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $897.00 | $1,380.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 PR MRI Lower Extremity Joint W/O Contrast Followed by Contrast | $1,041.75 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $2,770.95 | $4,263.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $1,847.30 | $2,842.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $1,847.30 | $2,842.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 PR MRI Lower Extremity Joint W/O Contrast Followed by Contrast | $1,023.00 | $1,023.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $2,770.95 | $4,263.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $1,847.30 | $2,842.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $1,847.30 | $2,842.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 PR MRI Brain W/O Contrast | $542.59 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,244.10 | $1,914.00 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 PR MRI Brain W/O Contrast | $518.00 | $518.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $1,244.10 | $1,914.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 PR MRI Brain W/O Contrast Followed by Contrast Material | $851.63 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O & W/Contrast | $1,977.95 | $3,043.00 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 PR MRI Brain W/O Contrast Followed by Contrast Material | $841.00 | $841.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O & W/Contrast | $1,977.95 | $3,043.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 PR MRI Lumbar Spine W/O Contrast | $560.52 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,570.40 | $2,416.00 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 PR MRI Lumbar Spine W/O Contrast | $505.00 | $505.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,570.40 | $2,416.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $328.54 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $364.65 | $561.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $349.00 | $349.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $364.65 | $561.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 HC Mammography Screen Bilateral | $235.30 | $362.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 PR Screening Mammography Bilateral Incl Cad When Performed | $364.40 | — | — |
| Screening mammogram, both breasts one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed | $235.30 | $362.00 | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammography Screen Bilateral | $235.30 | $362.00 | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 PR Screening Mammography Bilateral Incl Cad When Performed | $330.00 | $330.00 | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed | $235.30 | $362.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non Obstetric | $246.35 | $379.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 PR US Transvaginal Non Obstetric | $275.82 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non Obstetric | $246.35 | $379.00 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PR US Transvaginal Non Obstetric | $307.00 | $307.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 PR US Abdomen Complete | $329.89 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $460.85 | $709.00 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 PR US Abdomen Complete | $299.00 | $299.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $460.85 | $709.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 PR Xr Lumbosacral Spine >= 4 Views | $157.16 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $274.30 | $422.00 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 PR Xr Lumbosacral Spine >= 4 Views | $134.00 | $134.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $274.30 | $422.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC POCT Basic Metabolic Panel (Calcium Total) | $67.60 | $104.00 | 35% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $67.60 | $104.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC POCT Basic Metabolic Panel (Calcium Total) | $67.60 | $104.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $67.60 | $104.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Labcorp Lipid Panel | $35.10 | $54.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $38.35 | $59.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Labcorp Lipid Panel | $35.10 | $54.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $38.35 | $59.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated | $51.35 | $79.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automated/Differential Wbc Automated | $51.35 | $79.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $33.80 | $52.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $4,125.22 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated | $33.80 | $52.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Labcorp Comprehensive Metabolic Panel | $22.75 | $35.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $98.15 | $151.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Labcorp Comprehensive Metabolic Panel | $22.75 | $35.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $98.15 | $151.00 | 35% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $31.20 | $48.00 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $31.20 | $48.00 | 35% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $27.30 | $42.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $27.30 | $42.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free | $37.05 | $57.00 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Prostate Specific Antigen Free | $37.05 | $57.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Labcorp Prostate Specific Antigen Total | $38.35 | $59.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total | $69.55 | $107.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Labcorp Prostate Specific Antigen Total | $38.35 | $59.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total | $69.55 | $107.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 3502730 Thromboplastin Time Partial (Ptt) | $16.90 | $26.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 2500780 Thromboplastin Time Partial (Ptt) | $16.90 | $26.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt) | $24.70 | $38.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Labcorp 500070 Thromboplastin Time Partial (Ptt) | $24.70 | $38.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 2500780 Thromboplastin Time Partial (Ptt) | $16.90 | $26.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 3502730 Thromboplastin Time Partial (Ptt) | $16.90 | $26.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Labcorp 500070 Thromboplastin Time Partial (Ptt) | $24.70 | $38.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial (Ptt) | $24.70 | $38.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Labcorp Prothrombin Time | $10.40 | $16.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time | $15.60 | $24.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Labcorp 500070 Prothrombin Time | $15.60 | $24.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $15.60 | $24.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Labcorp Prothrombin Time | $10.40 | $16.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $15.60 | $24.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Labcorp 500070 Prothrombin Time | $15.60 | $24.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time | $15.60 | $24.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Labcorp Thyroid Stimulating Hormone | $32.50 | $50.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Labcorp 224576 Thyroid Stimulating Hormone | $32.50 | $50.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $51.35 | $79.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Labcorp Thyroid Stimulating Hormone | $32.50 | $50.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Labcorp 224576 Thyroid Stimulating Hormone | $32.50 | $50.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $51.35 | $79.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC Labcorp Urinalysis With Microscopy Automated | $31.85 | $49.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $31.85 | $49.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $773.50 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy Automated | $31.85 | $49.00 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Labcorp Urinalysis With Microscopy Automated | $31.85 | $49.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $14.95 | $23.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $663.65 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Without Microscopy Automated | $14.95 | $23.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care | $5,860.00 | $5,860.00 | — |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care | $6,631.00 | $6,631.00 | — |
| Colonoscopy with polyp removal CPT 45385 PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech | $551.00 | $551.00 | — |
| Colonoscopy with polyp removal CPT 45385 HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) | $1,552.30 | — | — |
| Colonoscopy with polyp removal inpatient CPT 45385 PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech | $1,356.00 | $1,356.00 | — |
| Colonoscopy with tissue sample CPT 45380 PR Colonoscopy Flexible With Biopsy Single/Multiple | $1,054.96 | — | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) | $2,743.84 | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 PR Colonoscopy Flexible With Biopsy Single/Multiple | $1,205.00 | $1,205.00 | — |
| Colonoscopy, diagnostic CPT 45378 PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing | $591.63 | — | — |
| Colonoscopy, diagnostic CPT 45378 HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) | $1,054.46 | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing | $700.00 | $700.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 PR Laparoscopy Surgical Cholecystectomy | $1,451.00 | $1,451.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) | $11,331.73 | — | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR Laparoscopy Surgical Cholecystectomy | $1,635.00 | $1,635.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR Repr Init Ing Hernia 5y or Older Reducible | $1,157.00 | $1,157.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) | $5,574.69 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR Repr Init Ing Hernia 5y or Older Reducible | $1,302.00 | $1,302.00 | — |
| Knee arthroscopy with meniscus trim CPT 29881 PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage | $1,220.00 | $1,220.00 | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) | $7,908.99 | — | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage | $1,377.00 | $1,377.00 | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC Cath Lt Heart/Lv Gram | $3,068.00 | $4,720.00 | 35% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Cath Lt Heart/Lv Gram | $3,068.00 | $4,720.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR Injection(S) Epidural Lumbar Needle Placement W/Guidance | $213.00 | $213.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance | $629.20 | $968.00 | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR Injection(S) Epidural Lumbar Needle Placement W/Guidance | $247.00 | $247.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance | $629.20 | $968.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $278.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl | $1,151.15 | $1,771.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt | $767.00 | $1,180.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt | $767.00 | $1,180.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt | $1,004.71 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $278.00 | $278.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl | $1,151.15 | $1,771.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt | $767.00 | $1,180.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt | $767.00 | $1,180.00 | 35% |
| Prostate biopsy CPT 55700 PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach | $320.00 | — | — |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach | $1,897.35 | $2,919.00 | 35% |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach | $7,025.44 | — | — |
| Prostate biopsy inpatient CPT 55700 PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach | $320.00 | $320.00 | — |
| Prostate biopsy inpatient CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach | $1,897.35 | $2,919.00 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst | $2,946.00 | $2,946.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst | $20,393.35 | — | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst | $2,946.00 | $2,946.00 | — |
| Removal of a breast lump, open surgery CPT 19120 PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion | $930.00 | $930.00 | — |
| Removal of a breast lump, open surgery one side CPT 19120 HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt | $6,018.36 | — | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion | $1,046.00 | $1,046.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty | $370.00 | $370.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH) | $16,283.80 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty | $420.00 | $420.00 | — |
| Total hip replacement CPT 27130 PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement | $2,825.00 | $2,825.00 | — |
| Total hip replacement one side CPT 27130 HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) | $19,969.25 | — | — |
| Total hip replacement inpatient CPT 27130 PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement | $3,197.00 | $3,197.00 | — |
| Total knee replacement CPT 27447 PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing | $2,821.00 | $2,821.00 | — |
| Total knee replacement one side CPT 27447 HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) | $21,664.64 | — | — |
| Total knee replacement inpatient CPT 27447 PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing | $3,192.00 | $3,192.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR Egd Flexible Transoral W/ Biopsy Single/Multiple | $301.00 | $301.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | $2,257.25 | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR Egd Flexible Transoral W/ Biopsy Single/Multiple | $530.00 | $530.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing | $1,171.88 | $267.00 | -339% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing | $302.00 | $302.00 | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S | $5,936.96 | — | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S | $6,249.00 | $6,249.00 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care | $5,277.00 | $5,277.00 | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care | $5,986.00 | $5,986.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR Ecg 12 Lead Interpretation & Report | $80.00 | $80.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR Ecg 12 Lead Interpretation & Report | $61.00 | — | — |
| New patient office visit, about 30 minutes CPT 99203 PR Visit Office Outpatient New Low Level | $175.00 | $175.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR Visit Office Outpatient New Low Level | $203.00 | $203.00 | — |
| New patient office visit, about 45 minutes CPT 99204 PR Visit Office Outpatient New Moderate Level | $330.00 | $330.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR Visit Office Outpatient New Moderate Level | $330.00 | $330.00 | — |
| New patient office visit, about 60 minutes CPT 99205 PR Visit Office Outpatient New High Level | $449.00 | $449.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR Visit Office Outpatient New High Level | $449.00 | $449.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Tr Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $90.35 | $139.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $92.95 | $143.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $92.95 | $143.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Tr Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $90.35 | $139.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $92.95 | $143.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $92.95 | $143.00 | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years | $199.00 | $199.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years | $199.00 | $199.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years | $241.00 | $241.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years | $241.00 | $241.00 | — |
Source file: https://hpt.trinity-health.org/043398280_the-mercy-hospital-inc_standardcharges.zip