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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,381.20 | $2,302.00 | $120.46 – $1,081.94 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,361.60 | $3,936.00 | $421.38 – $1,849.92 | 4 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,275.60 | $2,126.00 | $421.38 – $999.22 | 4 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,741.80 | $2,903.00 | $268.49 – $1,364.41 | 4 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $223.20 | $372.00 | $59.52 – $174.84 | 4 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $246.00 | $410.00 | $97.98 – $192.70 | 4 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $181.20 | $302.00 | $2,677.41 – $2,970.16 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $204.60 | $341.00 | $2,677.41 – $2,970.16 | 2 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $506.00 – $506.00 | 1 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $504.00 | $840.00 | $2,970.16 – $2,970.16 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $363.60 | $606.00 | $201.32 – $284.82 | 4 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $346.80 | $578.00 | $201.32 – $271.66 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | $661.80 | $1,103.00 | $2,677.41 – $2,970.16 | 2 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $1,317.60 | $2,196.00 | $2,970.16 – $2,970.16 | 2 |
| Urea nitrogen CPT 84520 | $34.80 | $58.00 | $4.54 – $21.62 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.40 | $94.00 | $6.39 – $44.18 | 4 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $11.98 | 3 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $11.98 | 3 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $592.00 – $18,586.28 | 2 |
| Ureteral reflux study CPT 78740 | $802.80 | $1,338.00 | $271.70 – $628.86 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $978.66 – $3,970.05 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $931.00 – $7,803.11 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,259.00 – $7,803.11 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $959.00 – $3,970.05 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $927.00 – $7,803.11 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $827.00 – $7,803.11 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,239.00 – $7,803.11 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $939.58 – $7,803.11 | 3 |
| Ureteroneocystostomy 50780 CPT 50780 | $2,313.60 | $3,856.00 | $2,970.16 – $2,970.16 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | $2,200.20 | $3,667.00 | $2,970.16 – $2,970.16 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $179.00 – $309.76 | 3 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,870.00 – $8,030.94 | 3 |
| Urethrocystography void s&i CPT 74455 | $480.60 | $801.00 | $189.00 – $376.47 | 4 |
| Uric acid blood CPT 84550 | $31.20 | $52.00 | $5.20 – $12.69 | 4 |
| Uric acid urine CPT 84560 | $32.40 | $54.00 | $5.84 – $13.16 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $6.47 | 3 |
| Urinalysis microscopic only CPT 81015 | $17.40 | $29.00 | $3.51 – $9.40 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $113.40 | $189.00 | $2.50 – $88.83 | 4 |
| Urinalysis (with microscopy) CPT 81001 | $27.60 | $46.00 | $3.65 – $16.45 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $21.00 | $35.00 | $2.59 – $13.63 | 4 |
| Urinary bldr retent nuc study CPT 78730 | $292.20 | $487.00 | $183.00 – $228.89 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.89 – $4.89 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $10.65 – $10.65 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $59.40 – $357.36 | 3 |
| Urinary suspensory HCPCS A5105 | not published | not published | $71.99 – $71.99 | 1 |
| Urine Culture Test CPT 87086 | $47.40 | $79.00 | $9.28 – $34.31 | 4 |
| Urine flow measurement 51736 CPT 51736 | $90.00 | $150.00 | $223.45 – $2,970.16 | 2 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $10.88 – $10.88 | 1 |
| Urine pregnancy test CPT 81025 | $52.20 | $87.00 | $6.47 – $28.67 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $6.47 – $34.48 | 3 |
| Urine shunt to intestine CPT 50815 | not published | not published | $3,196.00 – $18,586.28 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $6.80 – $8.26 | 2 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $131.59 – $319.96 | 2 |
| Urography, antegrade CPT 74425 | not published | not published | $168.85 – $421.38 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $178.02 – $309.76 | 3 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $648.42 – $1,280.98 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $12.96 – $12.96 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $106.34 – $290.49 | 3 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,571.84 – $2,571.84 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $25,816.55 | $43,027.58 | $14.36 – $2,964.10 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $51,633.07 | $86,055.11 | $171.22 – $20,222.96 | 4 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $10,043.98 – $14,420.79 | 3 |
| Vaccine Administration (one shot) CPT 90471 | $52.80 | $88.00 | $8.00 – $77.19 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $263.57 | $439.29 | $67.84 – $206.47 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $240.91 | $401.51 | $67.84 – $188.71 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $274.01 | $456.68 | $67.84 – $214.64 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $159.71 | $266.19 | $67.84 – $125.11 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $114.26 | $190.44 | $67.84 – $89.51 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $66.25 | $110.41 | $38.71 – $50.78 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $195.95 | $326.59 | $67.84 – $102.64 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $126.79 | $211.31 | $67.84 – $83.42 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $288.65 | $481.08 | $67.84 – $212.07 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | $199.37 | $332.29 | $67.84 – $156.18 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $65.04 | $108.40 | $42.60 – $50.95 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $63.25 | $105.41 | $26.80 – $27.99 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $165.01 | $275.02 | $67.84 – $96.24 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $116.72 | $194.53 | $87.54 – $91.43 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $144.41 | $240.68 | $53.87 – $63.62 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $67.84 – $110.93 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $140.37 | $233.95 | $67.84 – $81.53 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $273.90 | $456.50 | $67.84 – $214.56 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $64.23 | $107.05 | $36.21 – $37.82 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $557.26 | $928.76 | $327.57 – $436.52 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $244.82 – $327.57 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $152.43 | $254.05 | $48.22 – $119.40 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $142.36 | $237.26 | $67.84 – $111.51 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $20.80 – $67.84 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.38 | $78.97 | $20.43 – $22.42 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $67.84 – $67.84 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.38 – $67.84 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $432.42 | $720.70 | $324.32 – $338.73 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $354.77 | $591.28 | $266.08 – $277.90 | 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.