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 |
|---|---|---|---|---|
| Drain shoulder bursa 23031 CPT 23031 | $780.00 | $1,300.00 | $2,970.16 – $2,970.16 | 2 |
| Drain shoulder lesion CPT 23030 | $821.40 | $1,369.00 | $2,970.16 – $2,970.16 | 2 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,262.40 | $2,104.00 | $2,970.16 – $2,970.16 | 2 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $394.00 – $3,790.47 | 3 |
| Drain to peritoneal cavity CPT 49062 | $1,391.40 | $2,319.00 | $2,970.16 – $2,970.16 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $279.00 | $465.00 | $163.76 – $219.36 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $304.80 | $508.00 | $110.00 – $238.76 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $343.20 | $572.00 | $195.96 – $436.91 | 4 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $144.00 | $240.00 | $506.33 – $2,970.16 | 2 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $21.90 – $21.90 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $1,667.40 | $2,779.00 | $2,970.16 – $2,970.16 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $775.80 | $1,293.00 | $2,970.16 – $2,970.16 | 2 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $224.00 – $5,162.62 | 2 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $222.00 – $5,162.62 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | $1,453.80 | $2,423.00 | $2,970.16 – $2,970.16 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | $924.00 | $1,540.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of eyelid abscess 67700 CPT 67700 | $496.20 | $827.00 | $782.74 – $2,970.16 | 2 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,352.40 | $2,254.00 | $842.00 – $1,776.46 | 4 |
| Drng of hydrocele 55000 CPT 55000 | $231.00 | $385.00 | $223.45 – $2,970.16 | 2 |
| Drng of mouth lesion 40801 CPT 40801 | $603.00 | $1,005.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $619.80 | $1,033.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of palm multi bursas 26030 CPT 26030 | $949.20 | $1,582.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of palm single bursa 26025 CPT 26025 | $940.20 | $1,567.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $802.20 | $1,337.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of salivary cyst 42409 CPT 42409 | $656.40 | $1,094.00 | $2,970.16 – $2,970.16 | 2 |
| Drng of scrotum abscess 55100 CPT 55100 | $487.20 | $812.00 | $2,970.16 – $2,970.16 | 2 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,085.60 | $3,476.00 | $2,970.16 – $2,970.16 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $1,890.00 | $3,150.00 | $2,970.16 – $2,970.16 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | $1,417.80 | $2,363.00 | $2,970.16 – $2,970.16 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,998.80 | $4,998.00 | $2,970.16 – $2,970.16 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | $412.80 | $688.00 | $2,970.16 – $2,970.16 | 2 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $319.20 | $532.00 | $2,970.16 – $2,970.16 | 2 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $21.02 | $35.03 | $5.42 – $5.66 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $31.25 | $52.08 | $3.39 – $13.08 | 4 |
| Drop lock knee HCPCS L2182 | not published | not published | $146.16 – $146.16 | 1 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $44.95 – $44.95 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,015.40 | $3,359.00 | $419.85 – $438.51 | 4 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $2.32 – $2.32 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $4.34 – $4.34 | 1 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $44.93 – $44.93 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $19.33 – $19.33 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $21.90 – $21.90 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $137.63 – $213.74 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $26.71 – $44.36 | 3 |
| Drug assay posaconazole CPT 80187 | $370.20 | $617.00 | $26.71 – $289.99 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $26.71 – $31.18 | 3 |
| Drug assay vedolizumab CPT 80280 | $200.40 | $334.00 | $26.71 – $156.98 | 4 |
| Drug assay voriconazole CPT 80285 | $142.20 | $237.00 | $26.71 – $111.39 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $26.71 | 3 |
| Drug of abuse screen urine CPT 80305 | $85.20 | $142.00 | $9.45 – $9.87 | 4 |
| Drug screening tapentadol CPT 80372 | not published | not published | $30.44 – $30.44 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $26.71 – $31.18 | 3 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $30.44 – $30.44 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $353.48 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $152.69 | 3 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $353.48 | 3 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $353.48 | 3 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $152.69 | 3 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $30.44 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $543.00 | $905.00 | $13.34 – $71.46 | 4 |
| Drvvt confirm - quest CPT 85597 | $114.60 | $191.00 | $9.71 – $48.88 | 4 |
| Dry needling (97799) CPT 97799 | not published | not published | $74.64 – $74.64 | 1 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,373.00 – $8,615.65 | 3 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,952.77 – $3,910.62 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $399.53 – $465.04 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $390.00 – $465.04 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $465.04 – $688.16 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $465.04 – $688.16 | 3 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $548.60 – $2,734.41 | 3 |
| Ductogram sgl duct CPT 77053 | not published | not published | $194.00 – $309.76 | 3 |
| Duodenal exclusion CPT 48547 | not published | not published | $3,796.00 – $6,120.07 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $453.96 – $956.16 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $490.80 | $818.00 | $290.49 – $2,970.16 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $306.60 | $511.00 | $290.49 – $2,970.16 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $306.60 | $511.00 | $120.46 – $226.54 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $302.40 | $504.00 | $290.49 – $2,970.16 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $385.20 | $642.00 | $290.49 – $2,970.16 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $7,619.12 | $12,698.54 | $85.25 – $1,439.79 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $106.34 – $201.10 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $95.69 – $171.15 | 3 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $95.69 – $95.69 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $647.40 | $1,079.00 | $2,970.16 – $2,970.16 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $609.60 | $1,016.00 | $2,970.16 – $2,970.16 | 2 |
| Dx bronchoscope/wash 31622 CPT 31622 | $607.20 | $1,012.00 | $2,970.16 – $2,970.16 | 2 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $156.80 – $436.57 | 3 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $450.60 | $751.00 | $956.16 – $2,970.16 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $155.00 – $993.24 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $65.00 – $343.92 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $118.00 – $956.16 | 3 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $388.31 – $1,559.65 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | $432.00 | $720.00 | $1,559.65 – $2,970.16 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $243.21 – $5,260.58 | 3 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $44.54 – $357.36 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $48.00 – $357.36 | 3 |
| Ear and throat examination CPT 92502 | $181.20 | $302.00 | $493.70 – $2,970.16 | 2 |
| Ear canal biopsy 69105 CPT 69105 | $276.00 | $460.00 | $2,970.16 – $2,970.16 | 2 |
| Ear cartilage graft CPT 21235 | $1,411.80 | $2,353.00 | $2,970.16 – $2,970.16 | 2 |
| Ear irrigation 69209 CPT 69209 | $116.40 | $194.00 | $34.00 – $91.18 | 4 |
| Ear protector evaluation CPT 92596 | not published | not published | $39.25 – $87.27 | 3 |
| Ecallantide injection HCPCS J1290 | $10,119.91 | $16,866.51 | $397.94 – $7,927.26 | 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.