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 |
|---|---|---|---|---|
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $101.49 – $509.08 | 2 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1,280.98 – $1,280.98 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.23 | $3.71 | $0.09 – $1.56 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $47.02 | $78.37 | $0.17 – $10.88 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.28 – $2,549.49 | 3 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $351.86 | 3 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.64 – $0.86 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $853.51 | $1,422.52 | $32.09 – $282.61 | 4 |
| Dextran 40 infusion HCPCS J7100 | $28.53 | $47.55 | $20.87 – $21.80 | 4 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $33.46 – $33.46 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.43 – $0.43 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $5.08 – $5.08 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $34.90 | $58.16 | $4.36 – $27.34 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $37.55 | $62.58 | $2.94 – $29.41 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $133.20 | $222.00 | $25.56 – $58.28 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $50.40 | $84.00 | $11.17 – $23.97 | 4 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $16.80 | $28.00 | $59.42 – $2,970.16 | 2 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $512.16 – $512.16 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $88.30 – $88.30 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $37.80 | $63.00 | $113.99 – $2,970.16 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $473.94 – $4,880.22 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | $619.80 | $1,033.00 | $2,970.16 – $2,970.16 | 2 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $139.97 – $956.16 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,179.08 – $2,660.57 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $165.00 | $275.00 | $956.16 – $2,970.16 | 2 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $31.20 | $52.00 | $23.40 – $24.44 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $31.20 | $52.00 | $23.40 – $24.44 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $162.60 | $271.00 | $97.00 – $217.04 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $301.20 | $502.00 | $172.00 – $217.04 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $295.80 | $493.00 | $119.25 – $124.55 | 4 |
| Diagnostic Mammogram (one breast) CPT 77065 | $231.60 | $386.00 | $92.70 – $96.82 | 4 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $88.05 – $148.16 | 3 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $347.40 | $579.00 | $2,970.16 – $2,970.16 | 2 |
| Dialysis one evaluation CPT 90945 | not published | not published | $179.00 – $2,363.76 | 3 |
| Dialysis repeated eval CPT 90947 | not published | not published | $282.00 – $2,363.76 | 2 |
| Dialysis training complete CPT 90989 | not published | not published | $184.10 – $1,126.33 | 2 |
| Dialysis training incompl CPT 90993 | not published | not published | $93.86 – $184.10 | 2 |
| Diathermy eg microwave CPT 97024 | not published | not published | $8.89 – $74.64 | 2 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $86.95 | $144.91 | $0.07 – $25.01 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $939.09 | $1,565.15 | $1.31 – $12.68 | 4 |
| Dicyclomine injection HCPCS J0500 | $161.30 | $268.84 | $21.46 – $29.57 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $509.08 | 2 |
| Diffusing capacity CPT 94729 | $132.60 | $221.00 | $99.45 – $103.87 | 4 |
| Digital analysis of eeg CPT 95957 | not published | not published | $95.69 – $371.70 | 2 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $492.00 – $3,628.06 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $23.45 | $39.09 | $2.28 – $12.22 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,839.56 | $14,732.60 | $899.46 – $6,924.32 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $81.60 | $136.00 | $15.27 – $55.46 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $245.07 | $408.45 | $54.73 – $60.79 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $379.00 – $15,167.74 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $221.71 – $2,084.94 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | $303.60 | $506.00 | $956.16 – $2,970.16 | 2 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $36,979.55 – $36,979.55 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $36,979.55 – $36,979.55 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $36,979.55 – $36,979.55 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $151.00 – $782.74 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $170.00 – $270.80 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $128.90 – $223.45 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $176.00 – $3,819.82 | 3 |
| Dilate urethra stricture CPT 53621 | not published | not published | $191.00 – $1,066.10 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | $138.60 | $231.00 | $223.45 – $2,970.16 | 2 |
| Dilation of anal sphincter CPT 45905 | $352.80 | $588.00 | $2,970.16 – $2,970.16 | 2 |
| Dilation of cervical canal 57800 CPT 57800 | $115.80 | $193.00 | $2,970.16 – $2,970.16 | 2 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,032.00 | $1,720.00 | $2,970.16 – $2,970.16 | 2 |
| Dilation of salivary duct CPT 42660 | not published | not published | $226.00 – $5,158.41 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $105.00 – $223.45 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $105.50 – $2,231.76 | 3 |
| Dilation of vagina CPT 57400 | not published | not published | $354.00 – $6,788.17 | 3 |
| Dilation salivary duct 42650 CPT 42650 | $164.40 | $274.00 | $2,970.16 – $2,970.16 | 2 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $231.00 | $385.00 | $1,066.10 – $2,970.16 | 2 |
| Dilator fascial 10fx20cm HCPCS C2627 | $160.20 | $267.00 | $31.95 – $33.37 | 4 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,448.97 – $3,970.05 | 3 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,448.97 – $3,970.05 | 3 |
| Dimecaprol injection HCPCS J0470 | $158.35 | $263.92 | $41.24 – $124.04 | 4 |
| Dimenhydrinate injection HCPCS J1240 | $22.36 | $37.26 | $7.15 – $17.51 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $98.40 | $164.00 | $73.80 – $77.08 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.35 | $0.58 | $0.04 – $0.27 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $17.75 | $29.59 | $1.72 – $11.36 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $20.32 | $33.86 | $15.24 – $15.91 | 4 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.16 – $3.16 | 1 |
| Direct advanced life support CPT 99288 | $241.20 | $402.00 | $402.00 – $2,970.16 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $15.00 – $85.17 | 3 |
| Disability dlco CPT 94727 | $191.40 | $319.00 | $97.00 – $171.15 | 4 |
| Disaccharidases CPT 82657 | $174.00 | $290.00 | $25.50 – $48.88 | 4 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,226.78 – $4,862.25 | 3 |
| Disarticulation shoulder CPT 23920 | not published | not published | $2,878.80 – $25,303.21 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $2,813.40 | $4,689.00 | $2,970.16 – $2,970.16 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | $370.20 | $617.00 | $2,970.16 – $2,970.16 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $919.83 – $2,115.57 | 3 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $91.83 – $91.83 | 1 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $270.05 – $270.05 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $493.70 – $1,859.71 | 3 |
| Dissect brain w/scope CPT 62161 | not published | not published | $3,199.72 – $16,281.78 | 2 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $94.80 | $158.00 | $158.00 – $2,970.16 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $858.76 – $12,406.13 | 2 |
| Dist revas ligation hemo CPT 36838 | $2,282.40 | $3,804.00 | $2,970.16 – $2,970.16 | 2 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $3,415.00 – $22,779.95 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,542.60 | $2,571.00 | $2,970.16 – $2,970.16 | 2 |
| Division of fallopian tube 58605 CPT 58605 | $641.40 | $1,069.00 | $2,970.16 – $2,970.16 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | $213.60 | $356.00 | $30.44 – $167.32 | 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.