▸ Hospital · MO · CCN 260020

MERCY HOSPITAL - ST. LOUIS

615 S. NEW BALLAS ROAD, ST. LOUIS, MO, 63141-

782 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

19,200

last crawl 2026-05-24

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MO hospitals JSON

Source MRF: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/364579024_mercy-rehabilitation-hospital-st.-louis_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
imaging
CT head without contrast	CPT	70450	19	$2,045.58	$2,045.58	$2,045.58	$2,045.58	$2,045.58
CT head with contrast	CPT	70460	19	$3,525.04	$3,525.04	$3,525.04	$3,525.04	$3,525.04
CT head with and without contrast	CPT	70470	19	$2,603.45	$2,603.45	$2,603.45	$2,603.45	$2,603.45
CT neck with contrast	CPT	70491	19	$2,689.48	$2,689.48	$2,689.48	$2,689.48	$2,689.48
MRI brain without contrast	CPT	70551	19	$3,256.86	$3,256.86	$3,256.86	$3,256.86	$3,256.86
MRI brain with contrast	CPT	70552	19	$3,642.1	$3,642.1	$3,642.1	$3,642.1	$3,642.1
MRI brain with and without contrast	CPT	70553	19	$3,959.28	$3,959.28	$3,959.28	$3,959.28	$3,959.28
Chest X-ray single view	CPT	71045	19	$210.06	$210.06	$210.06	$210.06	$210.06
Chest X-ray 2 views	CPT	71046	19	$210.06	$210.06	$210.06	$210.06	$210.06
Chest X-ray 3 views	CPT	71047	19	$210.06	$210.06	$210.06	$210.06	$210.06
CT chest without contrast	CPT	71250	19	$2,011.47	$2,011.47	$2,011.47	$2,011.47	$2,011.47
CT chest with contrast	CPT	71260	19	$2,536.61	$2,536.61	$2,536.61	$2,536.61	$2,536.61
CT chest with and without contrast	CPT	71270	19	$2,916.39	$2,916.39	$2,916.39	$2,916.39	$2,916.39
MRI chest without contrast	CPT	71550	19	$2,110.66	$2,110.66	$2,110.66	$2,110.66	$2,110.66
MRI chest with contrast	CPT	71551	19	$3,147.6	$3,147.6	$3,147.6	$3,147.6	$3,147.6
MRI chest with and without contrast	CPT	71552	19	$3,577.29	$3,577.29	$3,577.29	$3,577.29	$3,577.29
Lumbosacral spine X-ray	CPT	72100	19	$210.06	$210.06	$210.06	$210.06	$210.06
CT cervical spine without contrast	CPT	72125	19	$2,261.84	$2,261.84	$2,261.84	$2,261.84	$2,261.84
CT thoracic spine without contrast	CPT	72128	19	$2,252.29	$2,252.29	$2,252.29	$2,252.29	$2,252.29
CT lumbar spine without contrast	CPT	72131	19	$2,245.93	$2,245.93	$2,245.93	$2,245.93	$2,245.93
MRI cervical spine without contrast	CPT	72141	19	$3,057.51	$3,057.51	$3,057.51	$3,057.51	$3,057.51
MRI thoracic spine without contrast	CPT	72146	19	$2,335.12	$2,335.12	$2,335.12	$2,335.12	$2,335.12
MRI lumbar spine without contrast	CPT	72148	19	$3,057.51	$3,057.51	$3,057.51	$3,057.51	$3,057.51
MRI lumbar spine with and without contrast	CPT	72149	19	$5,914.59	$5,914.59	$5,914.59	$5,914.59	$5,914.59
MRI cervical spine with and without contrast	CPT	72156	19	$4,204.35	$4,204.35	$4,204.35	$4,204.35	$4,204.35
MRI lumbar spine with contrast	CPT	72158	19	$4,204.35	$4,204.35	$4,204.35	$4,204.35	$4,204.35
CT pelvis without contrast	CPT	72192	19	$2,032.68	$2,032.68	$2,032.68	$2,032.68	$2,032.68
CT pelvis with contrast	CPT	72193	19	$2,714.84	$2,714.84	$2,714.84	$2,714.84	$2,714.84
Shoulder X-ray	CPT	73030	19	$311.83	$311.83	$155.16	$210.06	$311.83
Humerus X-ray	CPT	73060	19	$368.36	$368.36	$155.16	$279.88	$368.36
Hand X-ray 3 views	CPT	73130	19	$250.08	$250.08	$210.06	$230.07	$250.08
MRI upper extremity joint without contrast	CPT	73221	19	$733.26	$733.26	$692.6	$712.93	$733.26
MRI upper extremity joint with and without contrast	CPT	73223	19	$1,297.58	$1,297.58	$1,297.58	$1,297.58	$1,297.58
Knee X-ray 1-2 views	CPT	73560	19	$264.14	$264.14	$210.06	$237.1	$264.14
Ankle X-ray 3 views	CPT	73610	19	$338.02	$338.02	$200.51	$210.06	$338.02
MRI lower extremity joint without contrast	CPT	73721	19	$2,150.31	$2,150.31	$2,150.31	$2,150.31	$2,150.31
MRI lower extremity joint with and without contrast	CPT	73723	19	$829.11	$829.11	$829.11	$829.11	$829.11
CT abdomen without contrast	CPT	74150	19	$2,211.98	$2,211.98	$2,211.98	$2,211.98	$2,211.98
CT abdomen with contrast	CPT	74160	19	$2,671.35	$2,671.35	$2,671.35	$2,671.35	$2,671.35
CT abdomen with and without contrast	CPT	74170	19	$2,886.71	$2,886.71	$2,886.71	$2,886.71	$2,886.71
CT abdomen and pelvis without contrast	CPT	74176	19	$4,409.43	$4,409.43	$4,409.43	$4,409.43	$4,409.43
CT abdomen and pelvis with contrast	CPT	74177	19	$4,896.62	$4,896.62	$4,896.62	$4,896.62	$4,896.62
CT abdomen and pelvis with and without contrast	CPT	74178	19	$5,193.11	$5,193.11	$5,193.11	$5,193.11	$5,193.11
MRI abdomen without contrast	CPT	74181	19	$3,290.19	$3,290.19	$3,290.19	$3,290.19	$3,290.19
MRI abdomen with and without contrast	CPT	74183	19	$5,385.09	$5,385.09	$5,385.09	$5,385.09	$5,385.09
Abdominal ultrasound complete	CPT	76700	19	$777.65	$777.65	$777.65	$777.65	$777.65
Abdominal ultrasound limited	CPT	76705	19	$541.06	$541.06	$541.06	$541.06	$541.06
Retroperitoneal ultrasound complete	CPT	76770	19	$541.06	$541.06	$541.06	$541.06	$541.06
Obstetric ultrasound first trimester	CPT	76801	19	$771.14	$771.14	$771.14	$771.14	$771.14
Obstetric ultrasound after first trimester	CPT	76805	19	$886.71	$886.71	$886.71	$886.71	$886.71
Transvaginal ultrasound	CPT	76830	19	$945.03	$945.03	$945.03	$945.03	$945.03
Pelvic ultrasound complete	CPT	76856	19	$858.52	$858.52	$858.52	$858.52	$858.52
Scrotal ultrasound	CPT	76870	19	$541.06	$541.06	$541.06	$541.06	$541.06
Diagnostic mammography bilateral	CPT	77066	19	$468.92	$468.92	$468.92	$468.92	$468.92
Screening mammography bilateral	CPT	77067	19	$206.97	$206.97	$206.97	$206.97	$206.97
EKG complete	CPT	93000	19	$77.98	$77.98	$77.98	$77.98	$77.98
EKG tracing only	CPT	93005	19	$311.82	$311.82	$182.47	$247.15	$311.82
Transthoracic echocardiogram complete	CPT	93306	19	$1,113.95	$1,113.95	$1,113.95	$1,113.95	$1,113.95
Transthoracic echocardiogram	CPT	93307	19	$1,235.97	$1,235.97	$1,235.97	$1,235.97	$1,235.97
Stress echocardiogram	CPT	93350	19	$1,113.95	$1,113.95	$1,113.95	$1,113.95	$1,113.95
lab
Basic metabolic panel (BMP)	CPT	80048	19	$264.71	$264.71	$207.94	$224.82	$264.71
Electrolyte panel	CPT	80051	19	$259.27	$259.27	$259.27	$259.27	$259.27
Comprehensive metabolic panel	CPT	80053	19	$267.8	$267.8	$264.16	$265.98	$267.8
Lipid panel	CPT	80061	19	$216.42	$216.42	$210.12	$213.27	$216.42
Renal function panel	CPT	80069	19	$283.25	$283.25	$260.98	$272.12	$283.25
Hepatic function panel	CPT	80076	19	$311.38	$311.38	$232.34	$271.86	$311.38
Urinalysis non-automated	CPT	81002	19	$90.35	$90.35	$90.35	$90.35	$90.35
Urinalysis automated	CPT	81003	19	$71.08	$71.08	$71.08	$71.08	$71.08
Glucose quantitative	CPT	82947	19	$88.58	$88.58	$50.93	$74.36	$88.58
Hemoglobin A1c	CPT	83036	19	$173.72	$173.72	$137.92	$155.82	$173.72
Thyroid stimulating hormone (TSH)	CPT	84443	19	$213.24	$213.24	$209.09	$211.17	$213.24
Complete blood count with automated differential	CPT	85025	19	$161.03	$161.03	$150.38	$155.71	$161.03
Complete blood count without differential	CPT	85027	19	$124.13	$124.13	$117.76	$120.95	$124.13
Urine culture bacterial	CPT	87086	19	$190.96	$190.96	$187.78	$189.37	$190.96
Urine culture identification	CPT	87088	19	$185.4	$185.4	$101.85	$143.63	$185.4
Tissue exam by pathologist level IV	CPT	88305	19	$967.7	$967.7	$387.28	$677.49	$967.7
office
Office visit, new patient, 45-59 min	CPT	99204	19	$1,904.52	$1,904.52	$1,904.52	$1,904.52	$1,904.52
Office visit, new patient, 60-74 min	CPT	99205	19	$1,868.43	$1,868.43	$1,868.43	$1,868.43	$1,868.43
Office visit, established patient, 5 min	CPT	99211	19	$187.54	$187.54	$187.54	$187.54	$187.54
Office visit, established patient, 20-29 minutes	CPT	99213	19	$474.22	$474.22	$474.22	$474.22	$474.22
Office visit, established patient, 30-39 minutes	CPT	99214	19	$520.9	$520.9	$520.9	$520.9	$520.9
Office visit, established patient, 40-54 min	CPT	99215	19	$397.33	$397.33	$397.33	$397.33	$397.33

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 19)

Payer	Codes covered	Median rate
Aetna	82	$433.13
Ambetter	82	$433.13
Anthem BCBS	82	$433.13
Cigna	82	$433.13
devoted health	82	$433.13
essence	82	$433.13
healthlink hmo	82	$433.13
healthlink ppo	82	$433.13
healthy blue (missouri care)	82	$433.13
homestate health plan	82	$433.13
Humana	82	$433.13
medica	82	$433.13
Medicaid	82	$433.13
Meritain Health	82	$433.13
starmark cpd	82	$433.13
TRICARE	82	$433.13
umr cpd	82	$433.13
UnitedHealthcare	82	$433.13
WellCare	82	$433.13

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