Mercy St Francis Hospital — price list
← Hospital overviewVerified from Mercy St Francis Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
55 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 14-3-3 Protein Outpatient | PX-800003708 CDM | $229 | $149 | $17.09 – $26.98 | — | |
| 17 Hydroxypregnenolone Outpatient | PX-800000730 CDM | $127 | $82.55 | $22.58 – $35.62 | — | |
| 17 Hydroxyprogesterone Outpatient | PX-800000516 CDM | $177 | $115 | $26.90 – $42.43 | — | |
| 18 Hydroxycorticosterone Outpatient | PX-800003247 CDM | $249 | $162 | $20.48 – $37.62 | — | |
| 21 Hydroxylase Adrenal Ab Outpatient | PX-800003313 CDM | $284 | $185 | $15.64 – $28.74 | — | |
| 22q11.2 Delete/Dup Cytogen Dna Probe each Outpatient | PX-800003738 CDM | $225 | $146 | $61.79 – $218 | — | |
| 5hiaa Hydroxyindolacetic 24hr Urn Outpatient | PX-800000513 CDM | $173 | $112 | $12.77 – $20.15 | — | |
| 6 Methyl Thioguanine Outpatient | PX-800003814 CDM | $249 | $162 | $68.38 – $242 | — | |
| A Phagocytophilium Igm Outpatient | PX-800002712 CDM | $162 | $105 | $9.17 – $16.49 | — | |
| A Phagocytophilum Igg Outpatient | PX-800003003 CDM | $162 | $105 | $44.55 – $157 | — | |
| A.Phagocytophilum, Nuc Acid, Amp Probe Outpatient | PX-800004255 CDM | $238 | $155 | $65.35 – $231 | $215 | |
| Ab Treponema Pallidum Total & Rpr Ia Qual Outpatient | PX-800004036 CDM | $83.00 | $53.95 | $20.75 – $80.51 | — | |
| Abd Paracent Dx or Tx without Imaging Pf Outpatient | PX-200003674 CDM | $688 | $447 | $937 – $937 | — | |
| Abd Paracentesis W Imag Guidance Pf Outpatient | PX-500001635 CDM | $805 | $523 | $937 – $937 | — | |
| Abd Paracentesis W Imag Guidance Pf Outpatient | PX-200003787 CDM | $805 | $523 | $937 – $937 | — | |
| Abd Paracentesis without Imag Guidance Pf Outpatient | PX-500001634 CDM | $677 | $440 | $82.35 – $879 | — | |
| Abd Paracentesis With Imag Guidance Outpatient | PX-500001602 CDM | $1,868 | $1,214 | $467 – $1,812 | — | |
| Abducted Thumb Spica Univ Outpatient | PX-400011068 CDM | $13.00 | $8.45 | $52.43 – $70.57 | — | |
| Abo Blood Typing Outpatient | PX-800001366 CDM | $76.00 | $49.40 | $137 – $137 | $70.30 | |
| Acetaminophen 1,000 mg/100 ml (10 mg/ml) intravenous solution Outpatient | RX-193180 CDM | $50.22 | $32.64 | $6.00 – $15.00 | — | |
| Acetaminophen 120 mg rectal suppository Outpatient | RX-103 CDM | $0.50 | $0.32 | $0.10 – $0.49 | — | |
| Acetaminophen 120 mg-codeine 12 mg/5 ml elixir Outpatient | RX-14468 CDM | $5.00 | $3.25 | $1.00 – $4.85 | — | |
| Acetaminophen 160 mg/5 ml (5 ml) oral solution Outpatient | RX-183757 CDM | $3.31 | $2.15 | $0.66 – $3.21 | — | |
| Acetaminophen 325 mg rectal suppository Outpatient | RX-104 CDM | $1.02 | $0.66 | $0.20 – $0.99 | — | |
| Acetaminophen 325 mg tablet Outpatient | RX-101 CDM | $0.50 | $0.32 | $0.10 – $0.49 | — | |
| Acetaminophen 500 mg tablet Outpatient | RX-102 CDM | $0.50 | $0.32 | $0.10 – $0.49 | — | |
| Acetazolamide 125 mg tablet Outpatient | RX-112 CDM | $7.50 | $4.87 | $1.50 – $7.28 | — | |
| Acetazolamide 500 mg solution for injection Outpatient | RX-114 CDM | $146 | $95.21 | $25.59 – $57.76 | — | |
| Acetic acid 0.25 % irrigation solution Outpatient | RX-8963 CDM | $28.98 | $18.84 | $5.80 – $28.11 | — | |
| Acetone/Other Ketone Quant Outpatient | PX-800000203 CDM | $113 | $73.45 | $31.08 – $110 | $57.09 |