Mercy Hospital

Mercy Hospital. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

CCN170075

Procedures & prices

Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.

Price definitions

Cash: — self-pay price (no insurance)
Gross: — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
Negotiated range: — min–max of rates the hospital negotiated with insurers
Payers: — number of insurers with a published rate (“0” / “—” = none)

Available here:CashGross listInsurer-negotiated rates were not published for these rows.

Injection, Phenytoin Sodium, Per 50 Mg
DrugHCPCS J1165Hospital-published line item
$10
cash
Gross $12
Injection, Sterile Cefuroxime Sodium, Per 750 Mg
DrugHCPCS J0697Hospital-published line item
$10
cash
Gross $12
Injection, Ciprofloxacin For Intravenous Infusion, 200 Mg
DrugHCPCS J0744Hospital-published line item
$10
cash
Gross $12
Injection, Dexamethasone Sodium Phosphate, 1 Mg
DrugHCPCS J1100Hospital-published line item
$10
cash
Gross $12
Injection, Ceftriaxone Sodium, Per 250 Mg
DrugHCPCS J0696Hospital-published line item
$10
cash
Gross $12
Cefazolin Sodium Injection
DrugHCPCS J0690Hospital-published line item
$10
cash
Gross $12
Inj Pantoprazole Sodium, Via
ProcedureHCPCS C9113Hospital-published line item
$10
cash
Gross $12
Sterile Water, Saline And/Or Dextrose, Diluent/Flush, 10 Ml
Supply / DMEHCPCS A4216Hospital-published line item
$10
cash
Gross $12
Atropine Sulfate Injection
DrugHCPCS J0461Hospital-published line item
$10
cash
Gross $12
Injection, Amiodarone Hydrochloride, 30 Mg
DrugHCPCS J0282Hospital-published line item
$10
cash
Gross $12

Service / code	Self-pay cash↑	Gross list
Injection, Phenytoin Sodium, Per 50 Mg DrugHCPCS J1165Hospital-published line item	$10	$12
Injection, Sterile Cefuroxime Sodium, Per 750 Mg DrugHCPCS J0697Hospital-published line item	$10	$12
Injection, Ciprofloxacin For Intravenous Infusion, 200 Mg DrugHCPCS J0744Hospital-published line item	$10	$12
Injection, Dexamethasone Sodium Phosphate, 1 Mg DrugHCPCS J1100Hospital-published line item	$10	$12
Injection, Ceftriaxone Sodium, Per 250 Mg DrugHCPCS J0696Hospital-published line item	$10	$12
Cefazolin Sodium Injection DrugHCPCS J0690Hospital-published line item	$10	$12
Inj Pantoprazole Sodium, Via ProcedureHCPCS C9113Hospital-published line item	$10	$12
Sterile Water, Saline And/Or Dextrose, Diluent/Flush, 10 Ml Supply / DMEHCPCS A4216Hospital-published line item	$10	$12
Atropine Sulfate Injection DrugHCPCS J0461Hospital-published line item	$10	$12
Injection, Amiodarone Hydrochloride, 30 Mg DrugHCPCS J0282Hospital-published line item	$10	$12

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