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 |
|---|---|---|---|---|
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $24.49 – $32.63 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $20.00 – $43.94 | 2 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,884.00 – $9,059.32 | 3 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,878.92 – $9,059.32 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,159.00 – $9,059.32 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,280.73 – $9,059.32 | 3 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $152.65 – $152.65 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $509.77 | $849.62 | $95.81 – $100.06 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $144.88 – $319.96 | 3 |
| Glucagon plasma - sendout CPT 82943 | $58.20 | $97.00 | $16.43 – $45.59 | 4 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $76.42 | 3 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $76.42 | 3 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $26.55 | 3 |
| Glucose 1 hr post dose CPT 82950 | $30.00 | $50.00 | $5.46 – $13.16 | 4 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $11.98 | 3 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $29.40 | $49.00 | $3.77 – $21.62 | 4 |
| Glucose blood quantitative CPT 82947 | $41.40 | $69.00 | $4.52 – $20.68 | 4 |
| Glucose body fluid CPT 82945 | $45.00 | $75.00 | $4.52 – $10.81 | 4 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $179.40 | $299.00 | $184.10 – $2,970.16 | 2 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $75.00 | $125.00 | $14.80 – $58.75 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $67.80 | $113.00 | $4.51 – $19.27 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.43 – $0.43 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $21.90 – $21.90 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,570.58 | $5,950.96 | $11.03 – $2,796.95 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $99.60 | $166.00 | $21.37 – $48.41 | 4 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $351.86 | 3 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $105.60 | $176.00 | $21.30 – $48.41 | 4 |
| Gonioscopy CPT 92020 | not published | not published | $45.00 – $213.41 | 3 |
| Goniotomy CPT 65820 | not published | not published | $1,867.00 – $4,454.99 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,489.50 | $9,149.17 | $564.59 – $1,569.14 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,868.60 | $4,781.00 | $56.79 – $2,247.07 | 4 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,788.00 – $5,802.70 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $31,054.80 | $51,758.00 | $573.75 – $599.25 | 4 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,123.08 – $1,123.08 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $26,257.80 | $43,763.00 | $253.35 – $264.61 | 4 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $10,269.00 | $17,115.00 | $37.35 – $39.01 | 4 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $52.56 – $52.56 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $11,542.80 | $19,238.00 | $759.60 – $793.36 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | $2,054.40 | $3,424.00 | $2,970.16 – $2,970.16 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,142.80 | $10,238.00 | $1,561.50 – $1,630.90 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $53,325.60 | $88,876.00 | $61.20 – $63.92 | 4 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,876.40 | $9,794.00 | $87.75 – $91.65 | 4 |
| Granisetron 1 mg tab HCPCS Q0166 | $94.60 | $157.66 | $53.33 – $55.70 | 4 |
| Granisetron hcl injection HCPCS J1626 | $300.53 | $500.89 | $4.88 – $22.22 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $814.15 – $814.15 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,875.99 – $15,430.54 | 2 |
| Great toe with reduction 28495 CPT 28495 | $338.40 | $564.00 | $1,296.52 – $2,970.16 | 2 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $930.00 | $1,550.00 | $2,970.16 – $2,970.16 | 2 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $907.20 | $1,512.00 | $2,970.16 – $2,970.16 | 2 |
| Grfg autol fat lipo ea addl CPT 15772 | $291.00 | $485.00 | $2,970.16 – $2,970.16 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,660.97 – $5,162.62 | 3 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $27.00 – $671.33 | 3 |
| Group health education CPT 99078 | not published | not published | $55.02 – $113.99 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $39.60 | $66.00 | $549.89 – $2,970.16 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $14.15 – $14.15 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $24.77 | 3 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $76.71 | 3 |
| Growth hormone panel CPT 80430 | not published | not published | $76.42 – $148.73 | 3 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $86.94 | 3 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $29.79 – $118.69 | 3 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $29.79 – $118.69 | 3 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $3,604.20 | $6,007.00 | $2,970.16 – $2,970.16 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $3,037.00 – $13,923.03 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,839.00 – $13,923.03 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $4,290.86 – $13,923.03 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $3,016.85 – $13,923.03 | 2 |
| Gstrst open wo constj tube CPT 43830 | $1,315.20 | $2,192.00 | $2,970.16 – $2,970.16 | 2 |
| G-tube reposition CPT 43761 | $361.80 | $603.00 | $270.80 – $283.41 | 4 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $360.94 – $2,231.76 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $739.80 | $1,233.00 | $2,961.75 – $2,970.16 | 2 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $4,200.60 | $7,001.00 | $788.41 – $3,290.47 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,939.20 | $8,232.00 | $3.60 – $3.76 | 4 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $695.40 | $1,159.00 | $50.85 – $53.11 | 4 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $318.34 – $318.34 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,481.28 – $3,673.56 | 3 |
| Gw stiffened micro access kit HCPCS C1894 | $1,428.60 | $2,381.00 | $8.55 – $8.93 | 4 |
| Gynecomastia (males) 19300 CPT 19300 | $972.60 | $1,621.00 | $2,970.16 – $2,970.16 | 2 |
| Hair analysis HCPCS P2031 | not published | not published | $24.77 – $24.77 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | $112.80 | $188.00 | $465.04 – $2,970.16 | 2 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $399.53 – $1,149.82 | 3 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $399.53 – $1,149.82 | 3 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,925.55 – $2,925.55 | 1 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,658.79 – $3,658.79 | 1 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,307.56 – $4,307.56 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $103.60 | $172.67 | $9.51 – $75.09 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $32.08 | $53.47 | $4.44 – $12.85 | 4 |
| Hand-held pefr meter a4614 HCPCS A4614 | $2.40 | $4.00 | $4.00 – $2,970.16 | 2 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $16.80 | $28.00 | $6.80 – $2,970.16 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $75.60 | $126.00 | $126.00 – $2,970.16 | 2 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,222.15 – $2,222.15 | 1 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,701.21 – $2,701.21 | 1 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $1,172.98 – $1,172.98 | 1 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,798.17 – $2,798.17 | 1 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $92.40 | $154.00 | $44.10 – $46.06 | 4 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,187.97 – $5,802.70 | 3 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,055.00 – $7,838.78 | 3 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,186.78 – $5,802.70 | 3 |
| Hand X-ray CPT 73130 | $264.60 | $441.00 | $72.00 – $138.18 | 4 |
| Hand X-ray (2 views, both hands) CPT 73120 | $210.60 | $351.00 | $44.93 – $110.45 | 4 |
| Haptoglobin quantitative CPT 83010 | $130.20 | $217.00 | $14.47 – $31.02 | 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.