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Mercy Hospital Jefferson

1400 Us Highway 61, Crystal City, MO 63019 · (636) 933-1000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5St. Louis, MO-IL metroPart of Mercy Health · 28 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-06-10

12,501 price rows for 55 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $67

$124
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,063

$3,931
cash
CT scan of the head, no contrast

CPT 70450 · metro median $858

$1,505
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,373

$1,373
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $11,381

$12,409
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $74

$92
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,115

$1,587
cash
Colonoscopy with biopsy

CPT 45380 · metro median $4,412

$5,961
cash
Colonoscopy with polyp removal

CPT 45385 · metro median $1,391

$5,032
cash
$18
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $73

$23
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $358

$456
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $184

$113
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $187

$99
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $245

$258
cash
Gallbladder removal (laparoscopic)

CPT 47562 · metro median $10,430

$11,299
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $111

$92
cash
Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $123

$211
cash
Hip or knee replacement, no major complications

MS-DRG 470 · metro median $25,954

$30,938
cash
$16,233
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $6,764

$10,090
cash
Knee arthroscopy with meniscus repair

CPT 29881 · metro median $7,544

$8,950
cash
Left heart catheterization

CPT 93452 · metro median $5,276

$5,430
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $46

$113
cash
Liver function panel

CPT 80076 · metro median $64

$141
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,359

$2,608
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 3 lines · metro median $1,358

$1,639
cash
$1,370
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,481

$1,331
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,598

$1,641
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $135

$70
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $184

$105
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 5 lines · metro median $218

$152
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $66

$66
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $26

$27
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $91

$120
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $520

$511
cash
Prostate biopsy

CPT 55700 · metro median $2,869

$12,274
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines · metro median $16

$14
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $179

$75
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $151

$100
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 3 lines · metro median $235

$147
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 3 lines · metro median $3,502

$285
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $183

$224
cash
Shoulder arthroscopy with decompression

CPT 29826 · metro median $13,824

$12,501
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,949

$2,802
cash
$3,128
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $26

$11
cash
Transvaginal ultrasound

CPT 76830 · metro median $458

$699
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $636

$1,121
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,129

$2,100
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $710

$4,402
cash
Urinalysis with microscope

CPT 81001 · metro median $19

$11
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $7,457

$7,457
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $358

$507
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.