PRESENCE MERCY MEDICAL CENTER
Acute Care Hospitals
29
Procedure Prices at PRESENCE MERCY MEDICAL CENTER
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$2.05
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$5.83
EKG Interpretation
CPT 93010
$9.02
EKG Tracing
CPT 93005
$9.29
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$9.81
Mechanical Traction
CPT 97012
$16.83
EKG
CPT 93000
$18.31
Therapeutic Exercises
CPT 97110
$34.13
Therapeutic Activities
CPT 97530
$36.59
Thoracic Spine X-Ray
CPT 72072
$36.77
Chest X-Ray (1 view)
CPT 71045
$62.8
Chest X-Ray (2 views)
CPT 71046
$69.08
Abdominal Ultrasound — Limited
CPT 76705
$97.9
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$111.47
CT Chest
CPT 71250
$120.11
Retroperitoneal Ultrasound
CPT 76770
$120.81
Abdominal Ultrasound
CPT 76700
$129.72
Echocardiogram
CPT 93307
$138.62
OB Ultrasound
CPT 76805
$144.75
Diagnostic Mammogram (unilateral)
CPT 77065
$205.7
Screening Mammogram (bilateral)
CPT 77067
$217.46
Echocardiogram w/ Doppler
CPT 93306
$242.7
MRI Brain w/o Contrast
CPT 70551
$244.72
MRI Joint of Lower Extremity
CPT 73721
$251.57
Diagnostic Mammogram (bilateral)
CPT 77066
$263
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
CPT 90837
$290.45
CT Abdomen & Pelvis
CPT 74177
$312
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$354
MRI Brain w/ Contrast
CPT 70553
$401.34
Upper GI Endoscopy w/ Biopsy
CPT 43239
$474
Colonoscopy
CPT 45378
$474
Colonoscopy w/ Biopsy
CPT 45380
$474
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$542
Knee Arthroscopy
CPT 29881
$670
Inguinal Hernia Repair
CPT 49505
$670
Laparoscopic Hernia Repair
CPT 49650
$670
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$762
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$762
Cataract Surgery — Complex
CPT 66982
$1,034
Cataract Surgery
CPT 66984
$1,034
Recurrent Inguinal Hernia Repair
CPT 49520
$1,058
Laparoscopic Cholecystectomy
CPT 47562
$1,423
Appendectomy
CPT 44950
$1,490
Hip Replacement
CPT 27130
$3,782
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$3,782
Knee Replacement
CPT 27447
$3,782
Vaginal Delivery
CPT 59400
$3,782
C-Section
CPT 59510
$3,782
VBAC Delivery
CPT 59610
$3,782
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.