MercyOne Genesis Aledo Medical Center
409 NW 9th Ave, Aledo, IL · MercyOne · · NPI 1225380967
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | $2,587.80 | $4,313.00 | $2,970.16 – $2,970.16 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,042.62 – $1,128.80 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.13 – $0.13 | 1 |
| Sterile needle HCPCS A4215 | not published | not published | $0.33 – $0.33 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $2.00 – $2.00 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.33 – $3.33 | 1 |
| Sternal debridement CPT 21627 | $1,048.20 | $1,747.00 | $2,970.16 – $2,970.16 | 2 |
| Sternal pad HCPCS L1050 | not published | not published | $110.69 – $110.69 | 1 |
| St evaluate speech sound production CPT 92522 | $225.60 | $376.00 | $63.00 – $65.80 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $244.80 | $408.00 | $183.60 – $191.76 | 4 |
| Stimulants synthetic CPT 80371 | not published | not published | $30.44 – $30.44 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,276.86 – $13,353.06 | 3 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $24.84 – $24.84 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $895.80 | $1,493.00 | $451.92 – $701.71 | 4 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $171.36 – $284.01 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $171.36 – $284.01 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $171.36 – $284.01 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $171.36 – $284.01 | 3 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $1,000.20 | $1,667.00 | $2,970.16 – $2,970.16 | 2 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $181.05 – $181.05 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $70.80 | $118.00 | $197.70 – $2,970.16 | 2 |
| Strapping of chest CPT 29200 | not published | not published | $103.00 – $197.70 | 3 |
| Strapping of elbow or wrist 29260 CPT 29260 | $99.00 | $165.00 | $197.70 – $2,970.16 | 2 |
| Strapping of hand or finger CPT 29280 | not published | not published | $59.40 – $197.70 | 3 |
| Strapping of hip CPT 29520 | not published | not published | $97.00 – $197.70 | 3 |
| Strapping of knee CPT 29530 | not published | not published | $94.00 – $197.70 | 3 |
| Strapping of toes 29550 CPT 29550 | $60.00 | $100.00 | $197.70 – $2,970.16 | 2 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $21.69 | 3 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $23.06 | 3 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $127.91 | 3 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $21.69 | 3 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $127.91 | 3 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | $917.47 | $1,529.12 | $121.06 – $170.32 | 4 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $24.77 | 3 |
| Streptomycin injection HCPCS J3000 | $150.80 | $251.33 | $18.36 – $118.13 | 4 |
| Streptozocin injection HCPCS J9320 | $270.37 | $450.62 | $202.78 – $211.79 | 4 |
| Stress test pulmonary CPT 94618 | $73.20 | $122.00 | $54.90 – $57.34 | 4 |
| Stress tte complete CPT 93351 | not published | not published | $454.14 – $1,250.86 | 3 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $351.86 | 3 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $351.86 | 3 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $214.20 | $357.00 | $1,068.37 – $2,970.16 | 2 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $842.40 | $1,404.00 | $1,404.00 – $2,970.16 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $133.00 – $1,149.82 | 3 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $242.00 – $1,149.82 | 3 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $257.40 | $429.00 | $429.00 – $2,970.16 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $242.40 | $404.00 | $404.00 – $2,970.16 | 2 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $317.76 – $13,113.90 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,523.65 – $5,785.54 | 3 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,446.00 – $7,838.78 | 3 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,344.00 – $5,785.54 | 3 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,867.78 – $15,013.59 | 3 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $3,219.00 – $10,736.37 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $46.73 | $77.89 | $0.26 – $12.95 | 4 |
| Suction lipectomy head&neck CPT 15876 | $1,147.20 | $1,912.00 | $2,970.16 – $2,970.16 | 2 |
| Suction lipectomy lwr extrem CPT 15879 | $1,081.20 | $1,802.00 | $2,970.16 – $2,970.16 | 2 |
| Suction lipectomy trunk CPT 15877 | $1,081.20 | $1,802.00 | $2,970.16 – $2,970.16 | 2 |
| Suction lipectomy upr extrem CPT 15878 | $477.60 | $796.00 | $2,970.16 – $2,970.16 | 2 |
| Suction socket HCPCS L6686 | not published | not published | $836.20 – $836.20 | 1 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $617.51 – $617.51 | 1 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $26.55 | 3 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $26.55 | 3 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,374.50 | $7,290.84 | $1,379.16 – $1,440.45 | 4 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $96.23 | $160.39 | $38.87 – $40.59 | 4 |
| Sulfonylurea screen qn-sendout CPT 80377 | $213.60 | $356.00 | $30.44 – $167.32 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $359.84 | $599.74 | $113.68 – $281.88 | 4 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $4.59 – $4.59 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $24.00 | $40.00 | $62.82 – $2,970.16 | 2 |
| Supply of digital device HCPCS G0552 | not published | not published | $128.87 – $128.87 | 1 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $39.31 – $39.31 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $86.40 | $144.00 | $10.80 – $11.28 | 4 |
| Supprelin la implant HCPCS J9226 | not published | not published | $22,415.84 – $63,940.38 | 3 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $183.00 – $183.00 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $159.00 – $159.00 | 1 |
| Surg dx exam anorectal CPT 45990 | $204.60 | $341.00 | $2,970.16 – $2,970.16 | 2 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,632.60 | $2,721.00 | $2,970.16 – $2,970.16 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,634.40 | $2,724.00 | $2,970.16 – $2,970.16 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,176.00 – $8,030.94 | 3 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,357.00 – $6,120.07 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,832.89 – $10,282.65 | 3 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,022.00 – $8,752.15 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,538.00 – $20,521.92 | 3 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,849.95 – $8,752.15 | 3 |
| Surgical exposure prostate 55860 CPT 55860 | $1,639.80 | $2,733.00 | $2,970.16 – $2,970.16 | 2 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,974.00 – $9,013.17 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,522.80 – $9,910.72 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $937.56 – $9,910.72 | 3 |
| Surgical opening of stomach 43500 CPT 43500 | $1,477.80 | $2,463.00 | $2,970.16 – $2,970.16 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,399.00 – $3,790.47 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $30.60 | $51.00 | $23.46 – $32.63 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $73.80 | $123.00 | $32.63 – $57.81 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $74.40 | $124.00 | $57.04 – $59.37 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $64.20 | $107.00 | $21.62 – $59.37 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $99.00 | $165.00 | $75.90 – $393.85 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $154.20 | $257.00 | $82.34 – $942.18 | 4 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $2,536.20 | $4,227.00 | $2,970.16 – $2,970.16 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $2,864.40 | $4,774.00 | $2,970.16 – $2,970.16 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,345.83 – $5,479.50 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,017.60 | $1,696.00 | $2,970.16 – $2,970.16 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.75 – $21.69 | 3 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $64.80 | $108.00 | $5.46 – $50.76 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.