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 |
|---|---|---|---|---|
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $171.36 – $229.12 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $59.40 – $229.12 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $171.36 – $229.12 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $178.80 | $298.00 | $639.27 – $2,970.16 | 2 |
| Preventive counseling group CPT 99411 | $19.80 | $33.00 | $174.55 – $2,970.16 | 2 |
| Preventive counseling group CPT 99412 | not published | not published | $21.00 – $174.55 | 2 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $59.40 | $99.00 | $174.55 – $2,970.16 | 2 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $117.00 | $195.00 | $174.55 – $2,970.16 | 2 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $175.80 | $293.00 | $174.55 – $2,970.16 | 2 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $236.40 | $394.00 | $174.55 – $2,970.16 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $259.20 | $432.00 | $432.00 – $2,970.16 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $231.00 | $385.00 | $2,970.16 – $2,970.16 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $406.80 | $678.00 | $2,970.16 – $2,970.16 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $465.60 | $776.00 | $272.00 – $436.91 | 4 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,548.80 | $4,248.00 | $2,970.16 – $2,970.16 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $37.29 – $95.69 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $37.29 – $95.69 | 3 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $37.29 – $95.69 | 3 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $37.29 – $95.69 | 3 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $37.29 – $95.69 | 3 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $37.29 – $95.69 | 3 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $745.58 – $18,167.87 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $403.80 | $673.00 | $673.00 – $2,970.16 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $274.20 | $457.00 | $457.00 – $2,970.16 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $201.60 | $336.00 | $336.00 – $2,970.16 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $208.80 | $348.00 | $348.00 – $2,970.16 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $145.80 | $243.00 | $243.00 – $2,970.16 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $78.60 | $131.00 | $131.00 – $2,970.16 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $4,483.80 | $7,473.00 | $2,970.16 – $2,970.16 | 2 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,315.80 | $2,193.00 | $2,970.16 – $2,970.16 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $92.50 – $154.96 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $489.00 | $815.00 | $374.90 – $436.91 | 4 |
| Pr incision & drainage abscess simple/single CPT 10060 | $242.40 | $404.00 | $185.84 – $219.36 | 4 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $431.40 | $719.00 | $279.00 – $351.51 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $348.60 | $581.00 | $164.00 – $436.91 | 4 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $337.80 | $563.00 | $341.01 – $2,970.16 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $238.80 | $398.00 | $341.01 – $2,970.16 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $111.60 | $186.00 | $28.00 – $87.42 | 4 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,117.80 | $1,863.00 | $2,970.16 – $2,970.16 | 2 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,118.60 | $8,531.00 | $790.20 – $825.32 | 4 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $283.00 – $782.74 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $473.65 – $3,664.34 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $605.00 – $3,664.34 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $496.00 – $3,664.34 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,075.14 | $1,791.90 | $19.00 – $183.71 | 4 |
| Procalcitonin CPT 84145 | $240.60 | $401.00 | $29.14 – $54.05 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $69.65 – $69.65 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.34 | $37.23 | $4.13 – $13.35 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $2.59 | $4.31 | $0.74 – $2.03 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $3,588.60 | $5,981.00 | $2,970.16 – $2,970.16 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $3,515.40 | $5,859.00 | $2,970.16 – $2,970.16 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $236.00 – $5,623.78 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $453.60 | $756.00 | $2,970.16 – $2,970.16 | 2 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,764.60 | $2,941.00 | $2,970.16 – $2,970.16 | 2 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $229.80 | $383.00 | $2,660.57 – $2,970.16 | 2 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $129.00 – $5,623.78 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $290.00 – $2,660.57 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $436.80 | $728.00 | $2,660.57 – $2,970.16 | 2 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $177.96 – $5,623.78 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $369.00 | $615.00 | $2,660.57 – $2,970.16 | 2 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $429.00 | $715.00 | $2,660.57 – $2,970.16 | 2 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $256.73 – $6,244.72 | 3 |
| Progesterone CPT 84144 | $109.80 | $183.00 | $23.99 – $54.99 | 4 |
| Prolactin CPT 84146 | $118.20 | $197.00 | $22.29 – $42.77 | 4 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $19.00 – $19.00 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $10.55 – $10.55 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $63.00 | $105.00 | $105.00 – $2,970.16 | 2 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $57.00 | $95.00 | $95.00 – $2,970.16 | 2 |
| Prolng svc o/p 1st hour CPT 99354 | $198.60 | $331.00 | $331.00 – $2,970.16 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | $196.20 | $327.00 | $327.00 – $2,970.16 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $331.69 – $1,366.47 | 3 |
| Prolong home eval add 15m HCPCS G0318 | $46.80 | $78.00 | $78.00 – $2,970.16 | 2 |
| Prolong service without contact CPT 99358 | $213.60 | $356.00 | $356.00 – $2,970.16 | 2 |
| Prolong serv without contact add CPT 99359 | $107.40 | $179.00 | $179.00 – $2,970.16 | 2 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.62 – $0.62 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $2.78 – $2.78 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $298.93 – $782.74 | 3 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $548.60 – $2,734.41 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $2,460.00 – $14,420.79 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,595.81 – $14,809.56 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,849.99 – $4,615.48 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,678.00 – $14,809.56 | 3 |
| _propoxygc/msur CPT 80367 | $306.00 | $510.00 | $30.44 – $239.70 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $32.75 | $54.59 | $12.64 – $25.66 | 4 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $106.60 – $106.60 | 1 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $33.00 – $33.00 | 1 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $13.02 – $13.02 | 1 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $20.79 – $20.79 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $359.72 – $427.80 | 3 |
| Prostate ca screening; dre HCPCS G0102 | $30.60 | $51.00 | $51.00 – $2,970.16 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $2,062.00 – $12,053.94 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $2,435.68 – $12,053.94 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,414.00 – $4,572.40 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $1,476.00 – $4,572.40 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $578.40 | $964.00 | $78.00 – $156.51 | 4 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $82.80 | $138.00 | $59.42 – $64.86 | 4 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $30.51 – $30.51 | 1 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,296.01 – $1,296.01 | 1 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $67.80 | $113.00 | $9.46 – $43.71 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $28.36 | $47.27 | $1.35 – $22.22 | 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.