MERCY HOSPITAL, INC (Moundridge, KS) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3101	50242012001 tenecteplase 50 mg PowderInj MRKS	$9,098	$7,734	—	—	38
49505	49505 Repair initial inguinal hernia age 5 years or older	$7,279	$6,187	—	—	23
23660	ER 23660 SHOULDER DISLOCATION TRMT	$6,176	$5,250	—	—	23
21315	ER 21315 CLSD TRMT NASAL FX WO STABLZTN	$2,725	$2,316	—	—	24
12035	ER 12035 INTMD RPR SATEXT 12620	$2,540	$2,159	—	—	24
J0897	55513071001 denosumab 60 mgmL Sol 1 mL MRKS	$2,506	$2,130	—	—	38
12006	ER 12006 RPR SIMP SNAGNTRK201300CM	$2,140	$1,819	—	—	24
J1439	00517065001 ferric carboxymaltose as elemental iron 50 mgmL Sol 15 mL MRKS	$1,561	$1,327	—	—	38
93306	ECHO Rad	$1,520	$1,292	—	—	23
12034	12034 Repair intermediate wounds of scalp axillae trunk andor extremities excluding hands and f	$1,450	$1,233	—	—	48
32551	ER 32551 TUBE THORACOSTOMY WWO WATER S	$1,386	$1,178	—	—	23
J7030	00264780000 LVP solution Sodium Chloride 09 Sol MRKS	$1,364	$1,159	—	—	38
59409	59409 Vaginal delivery only with or without episiotomy andor forceps	$1,310	$1,114	—	—	46
12032	12032 Repair intermediate wounds of scalp axillae trunk andor extremities excluding hands and f	$1,275	$1,084	—	—	48
43202	43202 Esophagoscopy wBiopsy	$1,256	$1,068	—	—	24
4474151	ANES CRNA 00300 INTEGUMENTARY SYS NECK	$1,200	$1,020	—	—	0
4474180	ANES CRNA 00400 SKIN EXTPERATRUNK	$1,200	$1,020	—	—	0
4659414	ANES CRNA 00520 CHEST PROCEDURE	$1,200	$1,020	—	—	0
5664444	ANES CRNA 00635 DIAGNOSTICTHERAPEUTIC LUMBAR PUNCTURE	$1,200	$1,020	—	—	0
5504599	ANES CRNA 00700 ABDOMINAL WALL SURG	$1,200	$1,020	—	—	0
5266121	ANES CRNA 00731 UPPER GI SCOPE NOS	$1,200	$1,020	—	—	0
5266122	ANES CRNA 00732 UPPER GI NDSC PX ERCP	$1,200	$1,020	—	—	0
4662390	ANES CRNA 00750 REPAIR OF HERNIA	$1,200	$1,020	—	—	0
5343769	ANES CRNA 00752 REPAIR OF HERNIA	$1,200	$1,020	—	—	0
4474181	ANES CRNA 00790 UPPER ABDOMEN	$1,200	$1,020	—	—	0
5266125	ANES CRNA 00811 LWR INTST SCOPE NOS	$1,200	$1,020	—	—	0
5266126	ANES CRNA 00812 LWR INTST SCR COLSC	$1,200	$1,020	—	—	0
5266127	ANES CRNA 00813 UPR LWR GI NDSC PX	$1,200	$1,020	—	—	0
5637458	ANES CRNA 00820 Anesthesia for procedures on lower posterior abdominal wall	$1,200	$1,020	—	—	0
4474153	ANES CRNA 00830 HERNIA REP LOWER ABDOMEN	$1,200	$1,020	—	—	0
4474154	ANES CRNA 00832 VENTRAL INCISION HERNIA	$1,200	$1,020	—	—	0
12005	ER 12005 SIMPLE RPR STHF 12620CM	$1,125	$956	—	—	24
12015	ER 12015 RPR SIMP FEENLM 76125 CM	$1,125	$956	—	—	24
87507	GI Panel Biofire	$1,076	$914	—	—	23
92977	ER 92977 THROMBOLYSIS CORONARY BY IV	$1,035	$880	—	—	19
12031	12031 Repair intermediate wounds of scalp axillae trunk andor extremities excluding hands and f	$995	$846	—	—	48
12051	ER 12051 INTMD RPR FACEMM 25 CM	$995	$846	—	—	24
99291	99291 Critical care critically ill or critically injured pt first 3074 mins	$895	$761	—	—	48
99285	99285 Emergency department visit high complexity	$825	$701	—	—	46
30903	ER 30903 CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX	$825	$701	—	—	24
10121	10121 IRemoval FB SQ Complicated	$805	$684	—	—	24
10060	10060 Incision and drainage of abscess simple or single	$785	$667	—	—	48
J0885	59676034001 epoetin alfa 40000 unitsmL preservativefree Sol MRKS	$779	$662	—	—	38
26755	ER 26755 Closed treatment of distal phalangeal fracture finger or thumb with manipulation each	$755	$642	—	—	24
12041	ER 12041 INTMD RPR NHFGENIT 25CM	$740	$629	—	—	24
70487	CT Maxillofacial w Contrast	$735	$625	—	—	23
65222	ER 65222 REMOVE FOREIGN BODY FROM EYE WSLIT LAMP	$725	$616	—	—	24
36430	ER 36430 BLOOD ADMIN 012HRS PER DAY	$720	$612	—	—	23
10120	10120 Incision and removal of foreign body subcutaneous tissues simple	$705	$599	—	—	48
69210	69210 Removal impacted cerumen requiring instrumentation unilateral	$659	$560	—	—	48

Showing top 50 of 6,502 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.