La Plata Test/Procedure Costs

The following test / procedure costs apply to:

  • Mercy Regional Medical Center
LA PLATA COUNTY INPATIENT VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES DRG 775 $6,366 PER CASE
LA PLATA COUNTY INPATIENT MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC DRG 470 $35,945 PER CASE
LA PLATA COUNTY INPATIENT CESAREAN SECTION W/O CC/MCC DRG 766 $10,855 PER CASE
LA PLATA COUNTY INPATIENT CESAREAN SECTION W CC/MCC DRG 765 $12,523 PER CASE
LA PLATA COUNTY INPATIENT SPINAL FUSION EXCEPT CERVICAL W/O MCC DRG 460 $68,229 PER CASE
LA PLATA COUNTY INPATIENT SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC DRG 871 $17,559 PER CASE
LA PLATA COUNTY INPATIENT VAGINAL DELIVERY W COMPLICATING DIAGNOSES DRG 774 $7,659 PER CASE
LA PLATA COUNTY INPATIENT PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC DRG 247 $37,584 PER CASE
LA PLATA COUNTY INPATIENT ESOPHAGITIS GASTROENT  MISC DIGEST DISORDERS W/O MCC DRG 392 $9,738 PER CASE
LA PLATA COUNTY INPATIENT SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC DRG 872 $15,561 PER CASE
LA PLATA COUNTY INPATIENT CERVICAL SPINAL FUSION W/O CC/MCC DRG 473 $46,872 PER CASE
LA PLATA COUNTY INPATIENT O.R. PROCEDURES FOR OBESITY W/O CC/MCC DRG 621 N/A PER CASE
LA PLATA COUNTY INPATIENT MAJOR SMALL  LARGE BOWEL PROCEDURES W CC DRG 330 $37,963 PER CASE
LA PLATA COUNTY INPATIENT MAJOR SMALL  LARGE BOWEL PROCEDURES W/O CC/MCC DEG 331 $30,597 PER CASE
LA PLATA COUNTY INPATIENT LOWER EXTREM  HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCC DEG 494 $36,228 PER CASE
LA PLATA COUNTY INPATIENT CELLULITIS W/O MCC DRG 603 $9,466 PER CASE
LA PLATA COUNTY INPATIENT UTERINE  ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC DRG 743 $16,808 PER CASE
LA PLATA COUNTY INPATIENT VAGINAL DELIVERY W STERILIZATION /OR DC DRG 767 $6,626 PER CASE
LA PLATA COUNTY INPATIENT MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES DRG 483 $55,992 PER CASE
LA PLATA COUNTY INPATIENT DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC DRG 439 $11,769 PER CASE
LA PLATA COUNTY INPATIENT PULMONARY EDEMA  RESPIRATORY FAILURE DRG 189 $15,715 PER CASE
LA PLATA COUNTY INPATIENT MAJOR MALE PELVIC PROCEDURES W/O CC/MCC DRG 708 $36,750 PER CASE
LA PLATA COUNTY INPATIENT NEUROSES EXCEPT DEPRESSIVE DRG 882 N/A PER CASE
LA PLATA COUNTY INPATIENT INFECTIOUS  PARASITIC DISEASES W O.R. PROCEDURE W MCC DRG 853 $50,476 PER CASE
LA PLATA COUNTY INPATIENT DIABETES W CC DRG 638 $12,728 PER CASE
LA PLATA COUNTY INPATIENT G.I. OBSTRUCTION W/O CC/MCC DRG 390 $8,563 PER CASE
LA PLATA COUNTY INPATIENT NORMAL NEWBORN DRG 795 $2,717 PER CASE
LA PLATA COUNTY INPATIENT ALCOHOL/DRGU ABUSE/DEPEND W/O REHAB W/O MCC DRG 897 $14,914 PER CASE
LA PLATA COUNTY INPATIENT REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC DRG 468 $43,125 PER CASE
LA PLATA COUNTY INPATIENT SHOULDER, ELBOW, OR FOREARM PROC, EXC MAJOR JOINT W/O CC/MCC DRG 512 N/A PER CASE
LA PLATA COUNTY INPATIENT NEONATE W OTHER SIGNIFICANT PROBLEMS DRG 794 $4,052 PER CASE
LA PLATA COUNTY INPATIENT PSYCHOSES DRG 885 N/A PER CASE
LA PLATA COUNTY INPATIENT FULL TERM NEONATE W MAJOR PROBLEMS DRG 793 $13,290 PER CASE
LA PLATA COUNTY INPATIENT PREMATURITY W/O MAJOR PROBLEMS DRG 792 $8,099 PER CASE
LA PLATA COUNTY INPATIENT POISONING  TOXIC EFFECTS OF DRUGS W MCC DRG 917 $21,520 PER CASE
LA PLATA COUNTY INPATIENT EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE DRG 790 $45,740 PER CASE
LA PLATA COUNTY INPATIENT PREMATURITY W MAJOR PROBLEMS DRG 791 $17,456 PER CASE
LA PLATA COUNTY INPATIENT POISONING  TOXIC EFFECTS OF DRUGS W/O MCC DRG 918 $15,913 PER CASE
LA PLATA COUNTY INPATIENT INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS DRG 065 $23,192 PER CASE
LA PLATA COUNTY INPATIENT PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS DRG 246 $54,163 PER CASE
LA PLATA COUNTY INPATIENT MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROLYTES W/O MCC DRG 641 $9,221 PER CASE
LA PLATA COUNTY INPATIENT OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS DRG 781 N/A PER CASE
LA PLATA COUNTY INPATIENT LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC DRG 419 $19,398 PER CASE
LA PLATA COUNTY INPATIENT PULMONARY EMBOLISM W/O MCC DRG 176 $9,945 PER CASE
LA PLATA COUNTY INPATIENT BRONCHITIS  ASTHMA W/O CC/MCC DRG 203 $5,715 PER CASE
LA PLATA COUNTY INPATIENT BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC DRG 462 $62,144 PER CASE
LA PLATA COUNTY INPATIENT SIMPLE PNEUMONIA  PLEURISY W MCC DRG 193 $13,157 PER CASE
LA PLATA COUNTY INPATIENT SIMPLE PNEUMONIA  PLEURISY W CC DRG 194 $8,825 PER CASE
LA PLATA COUNTY INPATIENT G.I. HEMORRHAGE W CC DRG 378 $13,277 PER CASE
LA PLATA COUNTY INPATIENT HIP  FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC DRG 482 $31,150 PER CASE
LA PLATA COUNTY INPATIENT RENAL FAILURE W CC DRG 683 $7,224 PER CASE
LA PLATA COUNTY INPATIENT CERVICAL SPINAL FUSION W CC DRG 472 $55,229 PER CASE
LA PLATA COUNTY INPATIENT CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC DRG 287 $18,529 PER CASE
LA PLATA COUNTY INPATIENT DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC DRG 440 $10,566 PER CASE
LA PLATA COUNTY INPATIENT PULMONARY EMBOLISM W MCC DRG 175 $12,896 PER CASE
LA PLATA COUNTY INPATIENT BRONCHITIS  ASTHMA W CC/MCC DRG 202 $8,907 PER CASE
LA PLATA COUNTY INPATIENT MAJOR SMALL  LARGE BOWEL PROCEDURES W MCC DRG 329 $43,433 PER CASE
LA PLATA COUNTY INPATIENT KIDNEY  URINARY TRACT INFECTIONS W/O MCC DRG 690 $13,000 PER CASE
LA PLATA COUNTY INPATIENT DEPRESSIVE NEUROSES DRG 881 N/A PER CASE
LA PLATA COUNTY INPATIENT INFECTIOUS  PARASITIC DISEASES W O.R. PROCEDURE W CC DRG 854 N/A PER CASE
LA PLATA COUNTY INPATIENT LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC DRG 418 $19,748 PER CASE
LA PLATA COUNTY INPATIENT INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC DRG 064 N/A PER CASE
LA PLATA COUNTY INPATIENT MEDICAL BACK PROBLEMS W/O MCC DRG 552 N/A PER CASE
LA PLATA COUNTY INPATIENT COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC DRG 454 $152,272 PER CASE
LA PLATA COUNTY INPATIENT G.I. OBSTRUCTION W CC DRG 389 $11,322 PER CASE
LA PLATA COUNTY INPATIENT COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC DRG 455 $128,638 PER CASE
LA PLATA COUNTY INPATIENT DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC DRG 057 $31,288 PER CASE
LA PLATA COUNTY INPATIENT LOWER EXTREM  HUMER PROC EXCEPT HIPFOOTFEMUR W CC DRG 493 $32,948 PER CASE
LA PLATA COUNTY INPATIENT SIMPLE PNEUMONIA  PLEURISY W/O CC/MCC DRG 195 $8,115 PER CASE
LA PLATA COUNTY OUTPATIENT CARDIAC DIAGNOSTIC - ELECTROCARDIOGRAM TRACING CPT 93005 $299 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT CARDIAC DIAGNOSTIC - CARDIOVASCULAR STRESS TEST CPT 93017 $591 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT CARDIAC DIAGNOSTIC - ECHOCARDIOGRAM, TTE W/DOPPLER COMPLETE CPT 93306 $1,061 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - COLONOSCOPY AND BIOPSY CPT 45380 $3,043 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - DIAGNOSTIC COLONOSCOPY CPT 45378 $2,306 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - EGD BIOPSY SINGLE/MULTIPLE CPT 43239 $3,881 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - LAPAROSCOPIC CHOLECYSTECTOMY CPT 47562 $13,439 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - COLONOSCOPY W/LESION REMOVAL CPT 45385 $2,924 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - HYSTEROSCOPY BIOPSY CPT 58558 $7,776 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - LAP ING HERNIA REPAIR INIT CPT 49650 $23,234 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - LOW BACK DISK SURGERY CPT 63030 $14,234 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - PRP I/HERN INIT REDUC >5 YR CPT 49505 $7,199 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - KNEE ARTHROSCOPY/SURGERY CPT 29881 N/A PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - LAPARO CHOLECYSTECTOMY/GRAPH CPT 47563 $12,077 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - CARE OF MISCARRIAGE CPT 59820 $4,937 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - TLH W/T/O 250 G OR LESS CPT 58571 $18,539 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - CYSTO/URETERO W/LITHOTRIPSY CPT 52356 $10,923 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - EGD DIAGNOSTIC BRUSH WASH CPT 43235 $2,269 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT SURGERY - INSERT TUNNELED CV CATH CPT 36561 $7,256 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTY OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - CALCIUM SCORING CPT 75571 $99 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - LUNG SCREENING CPT G0297 $385 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - ALL OTHER CPT 70010-76499 $635 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - MAGNETIC RESONANCE IMAGING - MRI CPT 70010-76499 $1,096 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - DIAGNOSTIC X-RAY CPT 70010-76499 $552 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - MAMMOGRAPHY CPT 77053-77067 $438 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - POSITRON EMMISSION TOMOGRAHY - PET CPT 78491-78815 $5,713 PER SCAN
LA PLATA COUNTY OUTPATIENT IMAGING - ULTRASOUND CPT 76506-76999 $446 PER SCAN
LA PLATA COUNTY OUTPATIENT LAB - ASSAY THYROID STIM HORMONE CPT 84443 $39 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT LAB - COMPREHEN METABOLIC PANEL CPT 80053 $45 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT LAB - URINALYSIS AUTO W/O SCOPE CPT 81003 $25 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT LAB - COMPLETE CBC W/AUTO DIFF WBC CPT 85025 $42 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT LAB - METABOLIC PANEL TOTAL CA CPT 80048 $39 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT LAB - VENIPUNCTURE CPT 36415 $3 PER PROCEDURE
LA PLATA COUNTY OUTPATIENT ANCILLARY - SLEEP STUDY FACILITY CPT 95805-95811 $2,572 PER VISIT
LA PLATA COUNTY OUTPATIENT ANCILLARY - PHYSICAL THERAPY REV 420-429 N/A PER VISIT
LA PLATA COUNTY OUTPATIENT ANCILLARY - OCCUPATIONAL THERAPY REV 430-439 N/A PER VISIT
LA PLATA COUNTY OUTPATIENT ANCILLARY - SPEECH THERAPY REV 440-449 $410 PER VISIT

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The pricing information provided on this website is intended to give self-pay patients, who have scheduled services, an estimate of the prices and expected payment amounts for commonly provided health care services at Centura Health hospitals. The pricing only covers the specific service listed and provided through the hospital, and does not include complicating factors or professional fees for services such as those provided by a physician, surgeon, pathologist, anesthesiologist, radiologist, nurse practitioner or other independent practitioners. Please contact those offices directly for price information associated with their care and service. The pricing does not include fees associated with implants, high-cost drugs, or second procedures. The pricing is for patients who have pre-scheduled the service and not applicable to patients who receive services in the emergency department.

This pricing does not apply to patients who have health insurance coverage through Medicare, Medicaid, other government insurance programs, or an insurance company. If a patient has health insurance, the patient’s health insurance policy (including deductibles, co-pay, co-insurance and out-of-pocket maximums) will apply and the amount the patient owes for health care services will depend on the patient’s insurance coverage.

The pricing information provided is region specific, and is not transferrable across regions.

The pricing information is not a guarantee of insurance coverage or availability of services.

There are certain chronic conditions or long-term care that Centura Health may not be able to provide customized pricing  for without additional clinical information from your physician.

Centura Health reserves the right to update or change any price at any time.

If you do not see the procedure or service you are looking for, or wish to receive a customized quote on a specific procedure, please request a custom estimate.

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