SelfPayRates
Hospital Portland-South Portland, ME

Mercy Hospital

Mercy Hospital in Portland, ME publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

175 Fore River Parkway, Portland, ME 04102 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DIAGNOSTIC BILAT $164.32 $632.00 74%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DIAGNOSTIC BILAT $164.32 $632.00 74%
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGITAL SCREENING BILAT $135.72 $522.00 74%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIGITAL SCREENING BILAT $135.72 $522.00 74%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA $50.18 $193.00 74%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-Q $50.18 $193.00 74%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-Q $50.18 $193.00 74%
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA $50.18 $193.00 74%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $36.92 $142.00 74%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $36.92 $142.00 74%
Complete blood count (CBC) with differential CPT 85025 COMPLT CBC W PLT W AUTO DIFF $28.34 $109.00 74%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF-Q $28.34 $109.00 74%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF-Q $28.34 $109.00 74%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLT CBC W PLT W AUTO DIFF $28.34 $109.00 74%
Complete blood count (CBC), no differential CPT 85027 COMPLT AUTO CBC W PLT $27.04 $104.00 74%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL-Q $27.04 $104.00 74%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLT AUTO CBC W PLT $27.04 $104.00 74%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL-Q $27.04 $104.00 74%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $80.60 $310.00 74%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANL-Q $80.60 $310.00 74%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $80.60 $310.00 74%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANL-Q $80.60 $310.00 74%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-Q $20.54 $79.00 74%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $20.54 $79.00 74%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $20.54 $79.00 74%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL-Q $20.54 $79.00 74%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $30.94 $119.00 74%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-Q $30.94 $119.00 74%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-Q $30.94 $119.00 74%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $30.94 $119.00 74%
Obstetric blood test panel CPT 80055 PRENATAL PROFILE $123.76 $476.00 74%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE $123.76 $476.00 74%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $40.30 $155.00 74%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $40.30 $155.00 74%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (PART OF PSA FREE) $36.40 $140.00 74%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $36.40 $140.00 74%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $36.40 $140.00 74%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (PART OF PSA FREE) $36.40 $140.00 74%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $16.12 $62.00 74%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $16.12 $62.00 74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL $16.12 $62.00 74%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $16.12 $62.00 74%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $9.36 $36.00 74%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $9.36 $36.00 74%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $60.32 $232.00 74%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH/LAB $60.32 $232.00 74%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $60.32 $232.00 74%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH/LAB $60.32 $232.00 74%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS REFLEX TO CULTURE-Q $11.70 $45.00 74%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS REFLEX TO CULTURE-Q $11.70 $45.00 74%
Urinalysis without microscope exam, automated CPT 81003 PH URINE-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/MICROSCOPIC-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO $9.10 $35.00 74%
Urinalysis without microscope exam, automated CPT 81003 RH URINE ALYSIS AUTO W/O SCOPE $9.10 $35.00 74%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/MICROSCOPIC-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 RH URINE ALYSIS AUTO W/O SCOPE $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-Q $9.10 $35.00 74%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACROSCOPIC-Q $9.10 $35.00 74%
Urinalysis without microscope exam, manual CPT 81002 RH POCT URINE NONAUTO WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual CPT 81002 HC UA NONAUTO W/O SCOPE $3.38 $13.00 74%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual CPT 81002 POCT URINALYS NONAUTO WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual CPT 81002 N-AUTOM URINALYS WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual inpatient CPT 81002 N-AUTOM URINALYS WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC UA NONAUTO W/O SCOPE $3.38 $13.00 74%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINALYS NONAUTO WO MICRO $3.38 $13.00 74%
Urinalysis without microscope exam, manual inpatient CPT 81002 RH POCT URINE NONAUTO WO MICRO $3.38 $13.00 74%

Surgery and procedures

ProcedureCash price List priceOff list
Cesarean delivery, including prenatal and postpartum care CPT 59510 PF CESAREAN DELIVERY $2,985.58 $11,483.00 74%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PF CESAREAN DELIVERY $2,985.58 $11,483.00 74%
Colonoscopy with endoscopic ultrasound CPT 45391 PF COLONOSCOPY W/ENDOSCOPE US $187.98 $723.00 74%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PF COLONOSCOPY W/ENDOSCOPE US $187.98 $723.00 74%
Colonoscopy with polyp removal CPT 45385 PF CLNSCPY FLX REM LES SNARE $259.74 $999.00 74%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W REMV LESN SNARE $1,375.66 $5,291.00 74%
Colonoscopy with polyp removal inpatient CPT 45385 PF CLNSCPY FLX REM LES SNARE $259.74 $999.00 74%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W REMV LESN SNARE $1,375.66 $5,291.00 74%
Colonoscopy with tissue sample CPT 45380 PF COLONOSCOPY BX SGL/MULTI $242.06 $931.00 74%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX W BX(S) $1,564.42 $6,017.00 74%
Colonoscopy with tissue sample inpatient CPT 45380 PF COLONOSCOPY BX SGL/MULTI $242.06 $931.00 74%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX W BX(S) $1,564.42 $6,017.00 74%
Colonoscopy, diagnostic CPT 45378 PF COLONOSCOPY FLEX DX NOT HI $285.22 $1,097.00 74%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEXIBLE DX $1,211.86 $4,661.00 74%
Colonoscopy, diagnostic inpatient CPT 45378 PF COLONOSCOPY FLEX DX NOT HI $285.22 $1,097.00 74%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEXIBLE DX $1,211.86 $4,661.00 74%
Knee arthroscopy with meniscus trim CPT 29881 PF KNEE ARTH/SRG W MEN/DEB SHV $411.58 $1,583.00 74%
Knee arthroscopy with meniscus trim inpatient CPT 29881 PF KNEE ARTH/SRG W MEN/DEB SHV $411.58 $1,583.00 74%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTRLMINR LMBR/SAC W IMAG $588.38 $2,263.00 74%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTRLMINR LMBR/SAC W IMAG $588.38 $2,263.00 74%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ A/S TRN EPI W IMG L/S SGL $1,163.24 $4,474.00 74%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ A/S TRN EPI W IMG L/S SGL $1,163.24 $4,474.00 74%
Removal of a breast lump, open surgery CPT 19120 PF REMOVAL OF BREAST LESION $301.60 $1,160.00 74%
Removal of a breast lump, open surgery CPT 19120 PF REMOVAL OF BREAST LESION 1+ $301.60 $1,160.00 74%
Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION $1,686.88 $6,488.00 74%
Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION 1+ $1,861.34 $7,159.00 74%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION 1+ $1,861.34 $7,159.00 74%
Removal of a breast lump, open surgery inpatient CPT 19120 PF REMOVAL OF BREAST LESION 1+ $301.60 $1,160.00 74%
Removal of a breast lump, open surgery inpatient CPT 19120 PF REMOVAL OF BREAST LESION $301.60 $1,160.00 74%
Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION $1,686.88 $6,488.00 74%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION 1+ $1,861.34 $7,159.00 74%
Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION 1+ $1,861.34 $7,159.00 74%
Total hip replacement CPT 27130 PF TOTAL HIP ARTHROPLASTY $860.08 $3,308.00 74%
Total hip replacement inpatient CPT 27130 PF TOTAL HIP ARTHROPLASTY $860.08 $3,308.00 74%
Total knee replacement CPT 27447 PF TOTAL KNEE ARTHROPLASTY $720.72 $2,772.00 74%
Total knee replacement inpatient CPT 27447 PF TOTAL KNEE ARTHROPLASTY $720.72 $2,772.00 74%
Upper endoscopy (EGD) with biopsy CPT 43239 PF EGD BIOPSY SINGLE/MULTIPLE $211.64 $814.00 74%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD FLX TRNSORL BIOPSY(S) $1,202.76 $4,626.00 74%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF EGD BIOPSY SINGLE/MULTIPLE $211.64 $814.00 74%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD FLX TRNSORL BIOPSY(S) $1,202.76 $4,626.00 74%
Upper endoscopy (EGD), diagnostic CPT 43235 PF EGD DIAGNOSTIC BRUSH WASH $160.68 $618.00 74%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLX TRNSORL DX BRUSH/WASH $1,064.96 $4,096.00 74%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PF EGD DIAGNOSTIC BRUSH WASH $160.68 $618.00 74%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD FLX TRNSORL DX BRUSH/WASH $1,064.96 $4,096.00 74%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PF VBAC DELIVERY $2,267.98 $8,723.00 74%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PF VBAC DELIVERY $2,267.98 $8,723.00 74%
Vaginal delivery, including prenatal and postpartum care CPT 59400 PF OBSTETRICAL CARE $2,715.96 $10,446.00 74%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PF OBSTETRICAL CARE $2,715.96 $10,446.00 74%

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 RH BH FAMILY PSYTX W/PT 50 MIN $264.94 $1,019.00 74%
Family therapy with the patient, 50 minutes inpatient CPT 90847 RH BH FAMILY PSYTX W/PT 50 MIN $264.94 $1,019.00 74%
Family therapy without the patient, 50 minutes CPT 90846 PF FAMILY PSYTX W/O PT 50 MIN $52.52 $202.00 74%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50 MIN $134.16 $516.00 74%
Family therapy without the patient, 50 minutes CPT 90846 RH BH FAM PSYTX W/O PT 50 MIN $186.68 $718.00 74%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAMILY PSYTX W/O PT 50 MIN $52.52 $202.00 74%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50 MIN $134.16 $516.00 74%
Family therapy without the patient, 50 minutes inpatient CPT 90846 RH BH FAM PSYTX W/O PT 50 MIN $186.68 $718.00 74%
Group psychotherapy session CPT 90853 PF GROUP PSYCHOTHERAPY $23.92 $92.00 74%
Group psychotherapy session CPT 90853 PSYCHOTHERAPY GROUP $52.26 $201.00 74%
Group psychotherapy session inpatient CPT 90853 PF GROUP PSYCHOTHERAPY $23.92 $92.00 74%
Group psychotherapy session inpatient CPT 90853 PSYCHOTHERAPY GROUP $52.26 $201.00 74%
New patient office visit, about 30 minutes CPT 99203 HC OFFIC/OUTPT VISIT LVL 3 NEW $46.28 $178.00 74%
New patient office visit, about 30 minutes CPT 99203 HC AMWELL NEW PT OFF VIS LVL 3 $46.28 $178.00 74%
New patient office visit, about 30 minutes CPT 99203 BH OUTPT VISIT NEW LVL 3 PRO $62.40 $240.00 74%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LVL 3 $62.40 $240.00 74%
New patient office visit, about 30 minutes CPT 99203 PF OFFIC/OUTPT VISIT LVL 3 NEW $62.40 $240.00 74%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OV LEVEL 3 $62.40 $240.00 74%
New patient office visit, about 30 minutes CPT 99203 ADD MED NEW PT LEVEL 3 PRO $62.40 $240.00 74%
New patient office visit, about 30 minutes CPT 99203 RH OFFICE VISIT LEVEL 3 NEW $108.68 $418.00 74%
New patient office visit, about 30 minutes CPT 99203 RH BH OFFICE VISIT LEVEL 3 NEW $108.68 $418.00 74%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OFFIC/OUTPT VISIT LVL 3 NEW $62.40 $240.00 74%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT OV LEVEL 3 $62.40 $240.00 74%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LVL 3 $62.40 $240.00 74%
New patient office visit, about 30 minutes inpatient CPT 99203 BH OUTPT VISIT NEW LVL 3 PRO $62.40 $240.00 74%
New patient office visit, about 30 minutes inpatient CPT 99203 ADD MED NEW PT LEVEL 3 PRO $62.40 $240.00 74%
New patient office visit, about 45 minutes CPT 99204 HC OFFIC/OUTPT VISIT LVL 4 NEW $63.18 $243.00 74%
New patient office visit, about 45 minutes CPT 99204 HC AMWELL NEW PT OFF VIS LVL 4 $63.18 $243.00 74%
New patient office visit, about 45 minutes CPT 99204 PF OFFIC/OUTPT VISIT LVL 4 NEW $93.86 $361.00 74%
New patient office visit, about 45 minutes CPT 99204 ADD MED NEW PT LEVEL 4 PRO $93.86 $361.00 74%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW LVL 4 $93.86 $361.00 74%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OV LEVEL 4 $93.86 $361.00 74%
New patient office visit, about 45 minutes CPT 99204 BH OUTPT VISIT NEW LVL 4 PRO $93.86 $361.00 74%
New patient office visit, about 45 minutes CPT 99204 RH BH OFFICE VISIT LEVEL 4 NEW $157.04 $604.00 74%
New patient office visit, about 45 minutes CPT 99204 RH OFFICE VISIT LEVEL 4 NEW $157.04 $604.00 74%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OFFIC/OUTPT VISIT LVL 4 NEW $93.86 $361.00 74%
New patient office visit, about 45 minutes inpatient CPT 99204 ADD MED NEW PT LEVEL 4 PRO $93.86 $361.00 74%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW LVL 4 $93.86 $361.00 74%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT OV LEVEL 4 $93.86 $361.00 74%
New patient office visit, about 45 minutes inpatient CPT 99204 BH OUTPT VISIT NEW LVL 4 PRO $93.86 $361.00 74%
New patient office visit, about 60 minutes CPT 99205 HC AMWELL NEW PT OFF VIS LVL 5 $111.28 $428.00 74%
New patient office visit, about 60 minutes CPT 99205 HC OFFIC/OUTPT VISIT LVL 5 NEW $111.28 $428.00 74%
New patient office visit, about 60 minutes CPT 99205 PF OFFIC/OUTPT VISIT LVL 5 NEW $123.24 $474.00 74%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW LVL 5 $123.24 $474.00 74%
New patient office visit, about 60 minutes CPT 99205 ADD MED NEW PT LEVEL 5 PRO $123.24 $474.00 74%
New patient office visit, about 60 minutes CPT 99205 BH OUTPT VISIT NEW LVL 5 PRO $123.24 $474.00 74%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OV LEVEL 5 $123.24 $474.00 74%
New patient office visit, about 60 minutes CPT 99205 RH BH OFFICE VISIT LEVEL 5 NEW $234.52 $902.00 74%
New patient office visit, about 60 minutes CPT 99205 RH OFFICE VISIT LEVEL 5 NEW $234.52 $902.00 74%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW LVL 5 $123.24 $474.00 74%
New patient office visit, about 60 minutes inpatient CPT 99205 ADD MED NEW PT LEVEL 5 PRO $123.24 $474.00 74%
New patient office visit, about 60 minutes inpatient CPT 99205 BH OUTPT VISIT NEW LVL 5 PRO $123.24 $474.00 74%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFFIC/OUTPT VISIT LVL 5 NEW $123.24 $474.00 74%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT OV LEVEL 5 $123.24 $474.00 74%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC EXERCISE 15MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER EA 15 MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXER EA 15 MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SP THERAPEUTIC EXER 15 MINS $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXER EA 15 MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC EXERCISE 15MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SP THERAPEUTIC EXER 15 MINS $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 15MIN $24.70 $95.00 74%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXER EA 15 MIN $24.70 $95.00 74%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV VISIT NEW AGE 18-39 $37.44 $144.00 74%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV VISIT NEW AGE 18-39YRS $41.08 $158.00 74%
Preventive checkup, new patient aged 18–39 CPT 99385 PF PREV VISIT NEW AGE 18-39 $65.52 $252.00 74%
Preventive checkup, new patient aged 18–39 CPT 99385 RH PREV VISIT NEW AGE 18-39 $102.96 $396.00 74%
Preventive checkup, new patient aged 18–39 CPT 99385 PF PREV VISIT NEW AGE 18-39YRS $113.10 $435.00 74%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV VISIT NEW AGE 18-39 $37.44 $144.00 74%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV VISIT NEW AGE 18-39YRS $41.08 $158.00 74%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF PREV VISIT NEW AGE 18-39 $65.52 $252.00 74%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF PREV VISIT NEW AGE 18-39YRS $113.10 $435.00 74%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40-64 $45.24 $174.00 74%
Preventive checkup, new patient aged 40–64 CPT 99386 PF PREV VISIT NEW AGE 40-64 $79.30 $305.00 74%
Preventive checkup, new patient aged 40–64 CPT 99386 RH PREV VISIT NEW AGE 40-64 $124.54 $479.00 74%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV VISIT NEW AGE 40-64 $45.24 $174.00 74%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF PREV VISIT NEW AGE 40-64 $79.30 $305.00 74%
Psychotherapy session, 30 minutes CPT 90832 PF PSYTX PT&/FAMILY 30 MINUTES $47.06 $181.00 74%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN $64.74 $249.00 74%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHRPY PT&/FAMILY 30MIN $64.74 $249.00 74%
Psychotherapy session, 30 minutes CPT 90832 RH BH PSYTX PT&/FAMILY 30 MIN $111.80 $430.00 74%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYTX PT&/FAMILY 30 MINUTES $47.06 $181.00 74%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHRPY PT&/FAMILY 30MIN $64.74 $249.00 74%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN $64.74 $249.00 74%
Psychotherapy session, 30 minutes inpatient CPT 90832 RH BH PSYTX PT&/FAMILY 30 MIN $111.80 $430.00 74%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHRPY PT&/FAMILY 45MIN $67.86 $261.00 74%
Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN $67.86 $261.00 74%
Psychotherapy session, 45 minutes CPT 90834 PF PSYTX PT&/FAMILY 45 MINUTES $75.40 $290.00 74%
Psychotherapy session, 45 minutes CPT 90834 RH BH PSYTX PT&/FAMILY 45 MIN $143.26 $551.00 74%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN $67.86 $261.00 74%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHRPY PT&/FAMILY 45MIN $67.86 $261.00 74%
Psychotherapy session, 45 minutes inpatient CPT 90834 PF PSYTX PT&/FAMILY 45 MINUTES $75.40 $290.00 74%
Psychotherapy session, 45 minutes inpatient CPT 90834 RH BH PSYTX PT&/FAMILY 45 MIN $143.26 $551.00 74%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN $71.24 $274.00 74%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX PT&/FAMILY 60 MINUTES $71.24 $274.00 74%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX PT&/FAMILY 60 MIN $71.24 $274.00 74%
Psychotherapy session, 60 minutes CPT 90837 PF PSYTX PT&/FAMILY 60 MINUTES $83.72 $322.00 74%
Psychotherapy session, 60 minutes CPT 90837 PF PSYTX PT&/FAMILY 60 MIN $83.72 $322.00 74%
Psychotherapy session, 60 minutes CPT 90837 RH BH PSYTX PT&/FAMILY 60 MIN $154.96 $596.00 74%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN $71.24 $274.00 74%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX PT&/FAMILY 60 MIN $71.24 $274.00 74%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX PT&/FAMILY 60 MINUTES $71.24 $274.00 74%
Psychotherapy session, 60 minutes inpatient CPT 90837 PF PSYTX PT&/FAMILY 60 MIN $83.72 $322.00 74%
Psychotherapy session, 60 minutes inpatient CPT 90837 PF PSYTX PT&/FAMILY 60 MINUTES $83.72 $322.00 74%
Psychotherapy session, 60 minutes inpatient CPT 90837 RH BH PSYTX PT&/FAMILY 60 MIN $154.96 $596.00 74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULTATION $68.38 $263.00 74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULTATION LVL 3 $68.38 $263.00 74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF CONSULT LVL 3 EST $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OFFICE CONSULT LVL 3 EST $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF CONSULT LVL 3 NEW $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OFFICE CONSULT LVL 3 NEW $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OFFICE CONSULT LVL 3 EST $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF CONSULT LVL 3 EST $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OFFICE CONSULT LVL 3 NEW $87.88 $338.00 74%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF CONSULT LVL 3 NEW $87.88 $338.00 74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULTATION $80.34 $309.00 74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULTATION LVL 4 $80.34 $309.00 74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF CONSULT LVL 4 EST $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OFFICE CONSULT LVL 4 EST $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF CONSULT LVL 4 NEW $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OFFICE CONSULT LVL 4 NEW $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF CONSULT LVL 4 EST $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OFFICE CONSULT LVL 4 EST $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF CONSULT LVL 4 NEW $139.10 $535.00 74%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OFFICE CONSULT LVL 4 NEW $139.10 $535.00 74%

Source file: https://northernlighthealth.org/NLH/media/Price-Transparency/010211534_Mercy-hospital_standardcharges.csv