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 |
|---|---|---|---|---|
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $9,910.72 – $9,910.72 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $6,516.95 – $9,910.72 | 2 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $894.77 – $1,446.79 | 2 |
| Esrd home pt serv p mo 20+ CPT 90966 | $417.60 | $696.00 | $1,446.79 – $2,970.16 | 2 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $940.00 – $1,446.79 | 2 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $1,125.56 – $1,446.79 | 2 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $286.80 | $478.00 | $1,446.79 – $2,970.16 | 2 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $1,446.79 – $1,446.79 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $581.80 – $1,446.79 | 2 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $1,446.79 – $1,446.79 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,446.79 – $1,991.76 | 2 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $1,446.79 – $1,638.00 | 2 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $627.74 – $1,446.79 | 2 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $886.00 – $1,446.79 | 2 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $418.20 | $697.00 | $1,446.79 – $2,970.16 | 2 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $926.58 – $1,446.79 | 2 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $503.40 | $839.00 | $1,446.79 – $2,970.16 | 2 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $1,314.00 – $1,446.79 | 2 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $30.67 – $2,363.76 | 2 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $40.00 – $2,363.76 | 2 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $16.00 – $2,363.76 | 2 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $31.00 – $2,363.76 | 2 |
| Essure 58565 CPT 58565 | $3,633.00 | $6,055.00 | $2,970.16 – $2,970.16 | 2 |
| Establish access to aorta CPT 36160 | not published | not published | $352.00 – $1,790.87 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $426.00 – $1,790.87 | 2 |
| Establish brain cavity shunt CPT 62223 | $2,232.60 | $3,721.00 | $2,970.16 – $2,970.16 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $3,628.58 – $15,019.26 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,984.66 – $15,019.26 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $2,166.91 – $15,019.26 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $3,184.56 – $15,019.26 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $2,280.00 – $15,019.26 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $39.00 | $65.00 | $20.00 – $24.91 | 4 |
| Established Patient Office Visit (level 2) CPT 99212 | $58.80 | $98.00 | $42.00 – $2,970.16 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $117.60 | $196.00 | $77.00 – $92.12 | 4 |
| Established Patient Office Visit (level 4) CPT 99214 | $145.80 | $243.00 | $103.05 – $107.63 | 4 |
| Established Patient Office Visit (level 5) CPT 99215 | $196.20 | $327.00 | $327.00 – $2,970.16 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $422.69 – $4,862.25 | 2 |
| Estradiol total CPT 82670 | $204.00 | $340.00 | $29.14 – $32.13 | 4 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $232.83 | $388.05 | $19.08 – $182.38 | 4 |
| Estrogens total-sendout CPT 82672 | $301.20 | $502.00 | $24.96 – $60.63 | 4 |
| Etanercept injection HCPCS J1438 | $2,473.03 | $4,121.72 | $320.77 – $1,937.21 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $904.93 | $1,508.21 | $120.24 – $125.58 | 4 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $284.33 – $284.33 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $1,714.80 | $2,858.00 | $2,970.16 – $2,970.16 | 2 |
| Ethylene glycol -sendout CPT 82693 | $44.40 | $74.00 | $14.90 – $34.78 | 4 |
| Etonogestrel implant system HCPCS J7307 | $2,163.77 | $3,606.29 | $938.55 – $1,439.68 | 4 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $234.83 | $391.38 | $0.67 – $43.95 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | $95.81 | $159.68 | $71.75 – $75.05 | 4 |
| Euflexxa inj per dose HCPCS J7323 | $651.16 | $1,085.27 | $114.48 – $510.08 | 4 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $13.11 | 3 |
| Evacuate mole of uterus CPT 59870 | $971.40 | $1,619.00 | $2,970.16 – $2,970.16 | 2 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $48.00 – $746.63 | 2 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $117.00 | $195.00 | $746.63 – $2,970.16 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $225.60 | $376.00 | $63.00 – $65.80 | 4 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $11.94 | 3 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $235.20 | $392.00 | $112.83 – $184.24 | 4 |
| Evaluation heart device CPT 93640 | not published | not published | $966.00 – $18,167.87 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $225.60 | $376.00 | $63.00 – $65.80 | 4 |
| Evaluation psychiatric diagnostic CPT 90791 | $217.20 | $362.00 | $639.27 – $2,970.16 | 2 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $1,496.97 – $36,979.55 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $635.72 – $36,979.55 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $1,716.60 | $2,861.00 | $2,970.16 – $2,970.16 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,457.00 | $4,095.00 | $2,970.16 – $2,970.16 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,812.20 | $4,687.00 | $2,970.16 – $2,970.16 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $3,469.80 | $5,783.00 | $2,970.16 – $2,970.16 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $676.80 | $1,128.00 | $2,970.16 – $2,970.16 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,095.80 | $3,493.00 | $2,970.16 – $2,970.16 | 2 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $41,273.13 – $41,273.13 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $41,273.13 – $41,273.13 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $41,273.13 – $41,273.13 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $41,273.13 – $41,273.13 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $41,273.13 – $41,273.13 | 1 |
| Event monitor CPT 93270 | $217.80 | $363.00 | $41.32 – $170.61 | 4 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $159.00 – $343.92 | 3 |
| Evoked oa emissions ltd CPT 92587 | $95.40 | $159.00 | $212.60 – $2,970.16 | 2 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $87.27 – $87.27 | 1 |
| Evoked potentials upper limbs CPT 95925 | $228.00 | $380.00 | $357.36 – $2,970.16 | 2 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $95.72 – $357.36 | 3 |
| Evok oa screening qual CPT 92558 | not published | not published | $87.27 – $87.27 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | $175.80 | $293.00 | $1,393.67 – $2,970.16 | 2 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $237.00 | $395.00 | $581.79 – $2,970.16 | 2 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $1,020.60 | $1,701.00 | $2,970.16 – $2,970.16 | 2 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $1,321.80 | $2,203.00 | $2,970.16 – $2,970.16 | 2 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $2,136.92 – $13,598.21 | 2 |
| Exc abd les sc 3 cm/> CPT 22903 | $720.60 | $1,201.00 | $2,970.16 – $2,970.16 | 2 |
| Exc abdl tum deep < 5 cm CPT 22900 | $1,038.00 | $1,730.00 | $2,970.16 – $2,970.16 | 2 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $1,267.80 | $2,113.00 | $2,970.16 – $2,970.16 | 2 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | $2,262.60 | $3,771.00 | $2,970.16 – $2,970.16 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | $825.60 | $1,376.00 | $2,970.16 – $2,970.16 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $775.20 | $1,292.00 | $2,970.16 – $2,970.16 | 2 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $926.40 | $1,544.00 | $2,970.16 – $2,970.16 | 2 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $5,541.00 – $7,213.39 | 2 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,093.64 – $9,243.75 | 3 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $3,439.52 – $11,883.76 | 3 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $891.60 | $1,486.00 | $2,970.16 – $2,970.16 | 2 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,407.00 | $2,345.00 | $2,970.16 – $2,970.16 | 2 |
| Exc bartholins gland/cyst CPT 56740 | $579.60 | $966.00 | $2,970.16 – $2,970.16 | 2 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $532.80 | $888.00 | $2,970.16 – $2,970.16 | 2 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $733.20 | $1,222.00 | $2,970.16 – $2,970.16 | 2 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $439.20 | $732.00 | $2,970.16 – $2,970.16 | 2 |
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.