La Plata Test/Procedure Costs

The following test / procedure costs apply to:

  • Mercy Regional Medical Center
Location Service Description Test/Procedure Billing Code Self-Pay Rate Payment Method
LA PLATA COUNTYINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCCDRG 807$6,640 PER CASE
LA PLATA COUNTYINPATIENTMAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCCDRG 470$37,490 PER CASE
LA PLATA COUNTYINPATIENTCESAREAN SECTION W STERILIZATION W/O CC/MCCDRG 785$11,322 PER CASE
LA PLATA COUNTYINPATIENTCESAREAN SECTION W/O STERILIZATION W/O CC/MCCDRG 788$11,322 PER CASE
LA PLATA COUNTYINPATIENTCESAREAN SECTION W STERILIZATION W MCCDRG 783$13,061 PER CASE
LA PLATA COUNTYINPATIENTCESAREAN SECTION W STERILIZATION W CCDRG 784$13,061 PER CASE
LA PLATA COUNTYINPATIENTCESAREAN SECTION W/O STERILIZATION W MCCDRG 786$13,061 PER CASE
LA PLATA COUNTYINPATIENTCESAREAN SECTION W/O STERILIZATION W CCDRG 787$13,061 PER CASE
LA PLATA COUNTYINPATIENTSPINAL FUSION EXCEPT CERVICAL W/O MCCDRG 460$71,163 PER CASE
LA PLATA COUNTYINPATIENTSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCCDRG 871$18,314 PER CASE
LA PLATA COUNTYINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W MCCDRG 805$7,988 PER CASE
LA PLATA COUNTYINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W CCDRG 806$7,988 PER CASE
LA PLATA COUNTYINPATIENTPERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCCDRG 247$39,200 PER CASE
LA PLATA COUNTYINPATIENTESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCCDRG 392$10,156 PER CASE
LA PLATA COUNTYINPATIENTSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCCDRG 872$16,230 PER CASE
LA PLATA COUNTYINPATIENTCERVICAL SPINAL FUSION W/O CC/MCCDRG 473$48,887 PER CASE
LA PLATA COUNTYINPATIENTO.R. PROCEDURES FOR OBESITY W/O CC/MCCDRG 621N/APER CASE
LA PLATA COUNTYINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W CCDRG 330$39,595 PER CASE
LA PLATA COUNTYINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCCDRG 331$31,913 PER CASE
LA PLATA COUNTYINPATIENTLOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCCDRG 494$37,786 PER CASE
LA PLATA COUNTYINPATIENTCELLULITIS W/O MCCDRG 603$9,873 PER CASE
LA PLATA COUNTYINPATIENTUTERINE ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCCDRG 743$17,531 PER CASE
LA PLATA COUNTYINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C W MCCDRG 796$6,911 PER CASE
LA PLATA COUNTYINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C W CCDRG 797$6,911 PER CASE
LA PLATA COUNTYINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCCDRG 798$6,911 PER CASE
LA PLATA COUNTYINPATIENTMAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIESDRG 483$58,400 PER CASE
LA PLATA COUNTYINPATIENTDISORDERS OF PANCREAS EXCEPT MALIGNANCY W CCDRG 439$12,276 PER CASE
LA PLATA COUNTYINPATIENTPULMONARY EDEMA RESPIRATORY FAILUREDRG 189$16,391 PER CASE
LA PLATA COUNTYINPATIENTMAJOR MALE PELVIC PROCEDURES W/O CC/MCCDRG 708$38,330 PER CASE
LA PLATA COUNTYINPATIENTNEUROSES EXCEPT DEPRESSIVEDRG 882N/APER CASE
LA PLATA COUNTYINPATIENTINFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCCDRG 853$52,646 PER CASE
LA PLATA COUNTYINPATIENTDIABETES W CCDRG 638$13,275 PER CASE
LA PLATA COUNTYINPATIENTG.I. OBSTRUCTION W/O CC/MCCDRG 390$8,931 PER CASE
LA PLATA COUNTYINPATIENTNORMAL NEWBORNDRG 795$2,834 PER CASE
LA PLATA COUNTYINPATIENTALCOHOL/DRUG ABUSE/DEPEND W/O REHAB W/O MCCDRG 897$15,556 PER CASE
LA PLATA COUNTYINPATIENTREVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCCDRG 468$44,979 PER CASE
LA PLATA COUNTYINPATIENTSHOULDER, ELBOW, OR FOREARM PROC, EXC MAJOR JOINT W/O CC/MCCDRG 512N/APER CASE
LA PLATA COUNTYINPATIENTNEONATE W OTHER SIGNIFICANT PROBLEMSDRG 794$4,226 PER CASE
LA PLATA COUNTYINPATIENTPSYCHOSESDRG 885N/APER CASE
LA PLATA COUNTYINPATIENTFULL TERM NEONATE W MAJOR PROBLEMSDRG 793$13,861 PER CASE
LA PLATA COUNTYINPATIENTPREMATURITY W/O MAJOR PROBLEMSDRG 792$8,447 PER CASE
LA PLATA COUNTYINPATIENTPOISONING TOXIC EFFECTS OF DRUGS W MCCDRG 917$22,445 PER CASE
LA PLATA COUNTYINPATIENTEXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATEDRG 790$47,707 PER CASE
LA PLATA COUNTYINPATIENTPREMATURITY W MAJOR PROBLEMSDRG 791$18,207 PER CASE
LA PLATA COUNTYINPATIENTPOISONING TOXIC EFFECTS OF DRUGS W/O MCCDRG 918$16,597 PER CASE
LA PLATA COUNTYINPATIENTINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRSDRG 065$24,190 PER CASE
LA PLATA COUNTYINPATIENTPERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTSDRG 246$56,492 PER CASE
LA PLATA COUNTYINPATIENTMISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROLYTES W/O MCCDRG 641$9,618 PER CASE
LA PLATA COUNTYINPATIENTOTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCCDRG 817N/APER CASE
LA PLATA COUNTYINPATIENTOTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CCDRG 818N/APER CASE
LA PLATA COUNTYINPATIENTOTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCCDRG 831N/APER CASE
LA PLATA COUNTYINPATIENTOTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CCDRG 832N/APER CASE
LA PLATA COUNTYINPATIENTLAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCCDRG 419$20,232 PER CASE
LA PLATA COUNTYINPATIENTPULMONARY EMBOLISM W/O MCCDRG 176$10,372 PER CASE
LA PLATA COUNTYINPATIENTBRONCHITIS ASTHMA W/O CC/MCCDRG 203$5,960 PER CASE
LA PLATA COUNTYINPATIENTBILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCCDRG 462$64,816 PER CASE
LA PLATA COUNTYINPATIENTSIMPLE PNEUMONIA PLEURISY W MCCDRG 193$13,722 PER CASE
LA PLATA COUNTYINPATIENTSIMPLE PNEUMONIA PLEURISY W CCDRG 194$9,204 PER CASE
LA PLATA COUNTYINPATIENTG.I. HEMORRHAGE W CCDRG 378$13,848 PER CASE
LA PLATA COUNTYINPATIENTHIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCCDRG 482$32,489 PER CASE
LA PLATA COUNTYINPATIENTRENAL FAILURE W CCDRG 683$7,535 PER CASE
LA PLATA COUNTYINPATIENTCERVICAL SPINAL FUSION W CCDRG 472$57,604 PER CASE
LA PLATA COUNTYINPATIENTCIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCCDRG 287$19,326 PER CASE
LA PLATA COUNTYINPATIENTDISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCCDRG 440$11,020 PER CASE
LA PLATA COUNTYINPATIENTPULMONARY EMBOLISM W MCCDRG 175$13,451 PER CASE
LA PLATA COUNTYINPATIENTBRONCHITIS ASTHMA W CC/MCCDRG 202$9,290 PER CASE
LA PLATA COUNTYINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W MCCDRG 329$45,301 PER CASE
LA PLATA COUNTYINPATIENTKIDNEY URINARY TRACT INFECTIONS W/O MCCDRG 690$13,559 PER CASE
LA PLATA COUNTYINPATIENTDEPRESSIVE NEUROSESDRG 881N/APER CASE
LA PLATA COUNTYINPATIENTINFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CCDRG 854N/APER CASE
LA PLATA COUNTYINPATIENTLAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CCDRG 418$20,597 PER CASE
LA PLATA COUNTYINPATIENTINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCCDRG 064N/APER CASE
LA PLATA COUNTYINPATIENTMEDICAL BACK PROBLEMS W/O MCCDRG 552N/APER CASE
LA PLATA COUNTYINPATIENTCOMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CCDRG 454$158,820 PER CASE
LA PLATA COUNTYINPATIENTG.I. OBSTRUCTION W CCDRG 389$11,808 PER CASE
LA PLATA COUNTYINPATIENTCOMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCCDRG 455$134,169 PER CASE
LA PLATA COUNTYINPATIENTDEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCCDRG 057$32,633 PER CASE
LA PLATA COUNTYINPATIENTLOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W CCDRG 493$34,365 PER CASE
LA PLATA COUNTYINPATIENTSIMPLE PNEUMONIA PLEURISY W/O CC/MCCDRG 195$8,464 PER CASE
LA PLATA COUNTYOUTPATIENTCARDIAC DIAGNOSTIC - ELECTROCARDIOGRAM TRACINGCPT 93005$312 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTCARDIAC DIAGNOSTIC - CARDIOVASCULAR STRESS TESTCPT 93017$617 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTCARDIAC DIAGNOSTIC - ECHOCARDIOGRAM, TTE W/DOPPLER COMPLETECPT 93306$1,107 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - COLONOSCOPY AND BIOPSYCPT 45380$3,174 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - DIAGNOSTIC COLONOSCOPYCPT 45378$2,405 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - EGD BIOPSY SINGLE/MULTIPLECPT 43239$4,048 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - LAPAROSCOPIC CHOLECYSTECTOMYCPT 47562$14,017 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - COLONOSCOPY W/LESION REMOVALCPT 45385$3,050 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - HYSTEROSCOPY BIOPSYCPT 58558$8,111 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - LAP ING HERNIA REPAIR INITCPT 49650$24,233 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - LOW BACK DISK SURGERYCPT 63030$14,846 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - PRP I/HERN INIT REDUC >5 YRCPT 49505$7,508 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - KNEE ARTHROSCOPY/SURGERYCPT 29881N/APER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - LAP CHOLECYSTECTOMY/GRAPHCPT 47563$12,596 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - CARE OF MISCARRIAGECPT 59820$5,149 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - TLH W/T/O 250 G OR LESSCPT 58571$19,336 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - CYSTO/URETERO W/LITHOTRIPSYCPT 52356$11,393 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - EGD DIAGNOSTIC BRUSH WASHCPT 43235$2,367 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTSURGERY - INSERT TUNNELED CV CATHCPT 36561$7,567 PER CASE, SINGLE PROCEDURE
LA PLATA COUNTYOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - CALCIUM SCORINGCPT 75571$99 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - LUNG SCREENINGCPT G0297$385 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - ALL OTHERCPT 70010-76499$663 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - MAGNETIC RESONANCE IMAGING - MRICPT 70010-76499$1,143 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - DIAGNOSTIC X-RAYCPT 70010-76499$162 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - MAMMOGRAPHYCPT 77053-77067$415 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - BREAST TOMOSYNTHESISCPT 77061-77063, G0279, 0159T$40 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - POSITRON EMMISSION TOMOGRAHY - PETCPT 78491-78815$5,959 PER SCAN
LA PLATA COUNTYOUTPATIENTIMAGING - ULTRASOUNDCPT 76506-76999$465 PER SCAN
LA PLATA COUNTYOUTPATIENTLAB - ASSAY THYROID STIM HORMONECPT 84443$41 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTLAB - COMPREHEN METABOLIC PANELCPT 80053$47 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTLAB - URINALYSIS AUTO W/O SCOPECPT 81003$27 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTLAB - COMPLETE CBC W/AUTO DIFF WBCCPT 85025$44 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTLAB - METABOLIC PANEL TOTAL CACPT 80048$41 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTLAB - VENIPUNCTURECPT 36415$3 PER PROCEDURE
LA PLATA COUNTYOUTPATIENTANCILLARY - SLEEP STUDY FACILITYCPT 95805, 95807-95811$2,683 PER VISIT
LA PLATA COUNTYOUTPATIENTANCILLARY - PHYSICAL THERAPYREV 420-429N/APER VISIT
LA PLATA COUNTYOUTPATIENTANCILLARY - OCCUPATIONAL THERAPYREV 430-439N/APER VISIT
LA PLATA COUNTYOUTPATIENTANCILLARY - SPEECH THERAPYREV 440-449$427 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.

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