Mercy Hospital Jefferson

1400 US Highway 61, Crystal City, MO 63019 · Acute care hospital · Emergency room

These are Mercy Hospital Jefferson's own posted figures from its standard-charges file dated June 10, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

201 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge	Insurer rates (min – max)
Critical care, first 30 to 74 minutes CPT 99291	$1,959.10	$3,014.00	$811.64 – $1,861.57
Emergency room visit, level 1 (minor) CPT 99281	$360.10	$554.00	$82.86 – $190.03
Emergency room visit, level 2 CPT 99282	$631.15	$971.00	$150.87 – $346.03
Emergency room visit, level 3 (moderate) CPT 99283	$1,289.60	$1,984.00	$451.00 – $2,310.00
Emergency room visit, level 4 CPT 99284	$2,425.15	$3,731.00	$410.00 – $940.36
Emergency room visit, level 5 (most severe) CPT 99285	$5,158.07	$7,935.50	$451.00 – $2,310.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$595.40	$916.00	$3,428.00 – $8,893.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$183.30	$282.00	$40.14 – $92.07
New patient office visit, about 30 minutes CPT 99203	$217.75	$335.00	$69.88 – $160.27
New patient office visit, about 45 minutes CPT 99204	$258.05	$397.00	$114.23 – $261.99
New patient office visit, about 60 minutes CPT 99205	$354.90	$546.00	$156.60 – $359.17
Office consultation, about 40 minutes CPT 99243	$131.30	$202.00	$13.13 – $202.00
Office consultation, about 60 minutes CPT 99244	$219.70	$338.00	$21.97 – $338.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	$445.25	$685.00	$718.00 – $882.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$1,145.95	$1,763.00	$718.00 – $882.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$571.35	$879.00	$82.58 – $189.41
Office visit, established patient, about 40 to 54 minutes CPT 99215	$579.80	$892.00	$122.64 – $281.30
Office visit, established patient, brief (often a nurse) CPT 99211	$337.35	$519.00	$7.51 – $17.24

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$116.35	$179.00	$11.64 – $179.00
Abdominal X-ray, 1 view CPT 74018	$296.40	$456.00	$85.51 – $196.12
Ankle X-ray, 3 or more views CPT 73610	$464.75	$715.00	$85.51 – $196.12
Bone density scan (DEXA), hips and spine CPT 77080	$247.65	$381.00	$43.54 – $217.04
Breast ultrasound, one breast, complete CPT 76641	$428.35	$659.00	$42.84 – $659.00
Breast ultrasound, one breast, limited CPT 76642	$791.70	$1,218.00	$85.51 – $196.12
Chest X-ray, 1 view CPT 71045	$231.40	$356.00	$85.51 – $196.12
Chest X-ray, 2 views CPT 71046	$286.65	$441.00	$201.00 – $310.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$2,000.70	$3,078.00	$475.00 – $525.00
CT angiogram of the head CPT 70496	$1,707.55	$2,627.00	$261.00 – $261.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,930.55	$6,047.00	$304.45 – $804.79
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$4,445.35	$6,839.00	$342.80 – $786.23
CT scan of the abdomen and pelvis, without contrast CPT 74176	$3,758.95	$5,783.00	$475.00 – $525.00
CT scan of the abdomen, without contrast CPT 74150	$1,069.90	$1,646.00	$102.72 – $235.61
CT scan of the chest, with contrast CPT 71260	$1,621.10	$2,494.00	$151.76 – $409.32
CT scan of the chest, without contrast CPT 71250	$1,505.40	$2,316.00	$261.00 – $261.00
CT scan of the head, without contrast CPT 70450	$1,505.40	$2,316.00	$90.66 – $242.36
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,471.60	$2,264.00	$90.66 – $303.81
CT scan of the pelvis, with contrast CPT 72193	$1,372.80	$2,112.00	$475.00 – $525.00
CT scan of the sinuses or face, without contrast CPT 70486	$1,729.65	$2,661.00	$475.00 – $525.00
Diagnostic mammogram, both breasts CPT 77066	$455.65	$701.00	$103.80 – $536.77
Diagnostic mammogram, one breast CPT 77065	$303.55	$467.00	$30.36 – $467.00
Foot X-ray, 3 or more views CPT 73630	$504.40	$776.00	$85.51 – $196.12
Hand X-ray, 3 or more views CPT 73130	$453.70	$698.00	$43.54 – $138.20
Knee X-ray, 3 views CPT 73562	$383.50	$590.00	$201.00 – $310.00
Leg or arm vein ultrasound, both sides CPT 93970	$1,992.25	$3,065.00	$234.45 – $537.72
Leg or arm vein ultrasound, one side CPT 93971	$1,082.90	$1,666.00	$108.29 – $1,666.00
Lower back X-ray, 2 or 3 views CPT 72100	$326.30	$502.00	$44.55 – $149.59
MRI of the brain, without and with contrast CPT 70553	$2,608.45	$4,013.00	$342.80 – $786.23
MRI of the brain, without contrast CPT 70551	$2,274.35	$3,499.00	$351.00 – $351.00
MRI of the knee or other leg joint, without contrast CPT 73721	$2,588.30	$3,982.00	$560.00 – $775.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,370.20	$2,108.00	$351.00 – $351.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,274.00	$1,960.00	$234.45 – $537.72
MRI of the neck (cervical spine), without contrast CPT 72141	$1,330.55	$2,047.00	$206.06 – $574.77
MRI of the pelvis, without and with contrast CPT 72197	$3,014.70	$4,638.00	$560.00 – $775.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,951.95	$3,003.00	$351.00 – $351.00
Neck X-ray, 2 or 3 views CPT 72040	$329.55	$507.00	$201.00 – $310.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$635.05	$977.00	$102.00 – $402.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$510.90	$786.00	$102.72 – $235.61
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$689.00	$1,060.00	$102.72 – $235.61
Screening mammogram, both breasts CPT 77067	$335.40	$516.00	$85.60 – $445.16
Shoulder X-ray, 2 or more views CPT 73030	$492.05	$757.00	$201.00 – $310.00
Transvaginal pregnancy ultrasound CPT 76817	$620.75	$955.00	$102.00 – $402.00
Transvaginal ultrasound CPT 76830	$698.75	$1,075.00	$102.00 – $402.00
Ultrasound of the abdomen, complete CPT 76700	$1,121.25	$1,725.00	$102.72 – $235.61
Ultrasound of the neck or thyroid CPT 76536	$636.35	$979.00	$102.72 – $235.61
Wrist X-ray, 3 or more views CPT 73110	$497.90	$766.00	$201.00 – $310.00
X-ray of the lower back, 4 or more views CPT 72110	$507.00	$780.00	$201.00 – $310.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$124.15	$191.00	$12.42 – $191.00
Blood culture CPT 87040	$125.45	$193.00	$12.55 – $193.00
Blood draw (venipuncture) CPT 36415	$361.69	$556.44	$2.82 – $189.41
BNP test (heart failure) CPT 83880	$124.15	$191.00	$12.42 – $191.00
C-reactive protein (CRP) test CPT 86140	$73.45	$113.00	$4.66 – $11.66
Chlamydia test (DNA/NAAT) CPT 87491	$155.35	$239.00	$15.54 – $239.00
Complete blood count (CBC) with differential CPT 85025	$17.55	$27.00	$6.99 – $17.48
Complete blood count (CBC), automated CPT 85027	$14.30	$22.00	$5.82 – $14.56
Comprehensive metabolic panel (blood test) CPT 80053	$23.40	$36.00	$9.50 – $23.76
COVID-19 PCR test CPT 87635	$156.65	$241.00	$46.18 – $115.45
D-dimer test (blood clots) CPT 85379	$107.90	$166.00	$9.16 – $22.91
Drug screen, instrument chemistry CPT 80307	$282.10	$434.00	$28.21 – $434.00
Ferritin (iron stores) test CPT 82728	$48.75	$75.00	$12.27 – $30.67
Free T4 (thyroid) test CPT 84439	$90.35	$139.00	$9.04 – $139.00
Glucose (blood sugar) test CPT 82947	$45.50	$70.00	$4.55 – $70.00
Gonorrhea test (DNA/NAAT) CPT 87591	$106.60	$164.00	$10.66 – $164.00
Hemoglobin A1c test CPT 83036	$65.65	$101.00	$6.57 – $101.00
Hepatitis C antibody test CPT 86803	$118.30	$182.00	$11.83 – $182.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$76.05	$117.00	$21.67 – $54.18
Iron test CPT 83540	$92.95	$143.00	$5.82 – $14.56
Kidney function panel CPT 80069	$159.90	$246.00	$7.81 – $19.53
Lipase test (pancreas) CPT 83690	$116.35	$179.00	$11.64 – $179.00
Lipid panel, cholesterol and triglycerides CPT 80061	$113.10	$174.00	$12.05 – $30.13
Liver function panel CPT 80076	$141.05	$217.00	$7.35 – $18.38
Magnesium test CPT 83735	$70.20	$108.00	$6.03 – $15.08
Partial thromboplastin time (PTT), clotting test CPT 85730	$94.90	$146.00	$5.41 – $13.52
Pregnancy blood test (hCG), quantitative CPT 84702	$142.35	$219.00	$14.24 – $219.00
Prothrombin time (PT/INR), clotting test CPT 85610	$57.85	$89.00	$3.86 – $9.65
PSA (prostate specific antigen), free CPT 84154	$79.30	$122.00	$16.55 – $41.38
PSA (prostate specific antigen), total CPT 84153	$94.90	$146.00	$9.49 – $146.00
Rapid strep test CPT 87880	$66.95	$103.00	$6.70 – $103.00
Sed rate (ESR) test CPT 85652	$39.00	$60.00	$2.43 – $6.08
TB skin test CPT 86580	$40.95	$63.00	$28.42 – $65.18
Thyroid stimulating hormone (TSH) CPT 84443	$59.80	$92.00	$5.98 – $92.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$4,661.80	$7,172.00
Troponin test (heart damage) CPT 84484	$117.00	$180.00	$11.70 – $180.00
Urinalysis, automated, with microscope CPT 81001	$11.05	$17.00	$1.11 – $17.00
Urinalysis, automated, without microscope CPT 81003	$35.10	$54.00	$2.03 – $5.06
Urinalysis, manual, with microscope CPT 81000	$32.50	$50.00	$3.62 – $9.05
Urinalysis, manual, without microscope CPT 81002	$35.10	$54.00	$3.51 – $54.00
Urine culture, colony count CPT 87086	$28.60	$44.00	$7.26 – $18.16
Urine pregnancy test CPT 81025	$101.40	$156.00	$7.75 – $19.37
Vitamin B12 test CPT 82607	$100.10	$154.00	$10.01 – $154.00
Vitamin D test CPT 82306	$160.55	$247.00	$16.06 – $247.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$1,173.25	$1,805.00	$206.06 – $1,069.71
ECG tracing only (no interpretation) CPT 93005	$300.95	$463.00	$38.06 – $200.57
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$3,755.70	$5,778.00	$536.90 – $1,231.42
Left heart catheterization CPT 93452	$5,430.10	$8,354.00	$4,901.00 – $11,413.00
Left heart catheterization with coronary angiogram CPT 93458	$9,786.40	$15,056.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$4,000.10	$6,154.00	$331.78 – $1,836.29

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$19,898.63	$30,613.27
Appendix removal, laparoscopic CPT 44970	$14,602.31	$22,465.10	$1,332.00 – $14,199.00
Breast biopsy with ultrasound guidance CPT 19083	$4,446.00	$6,840.00
Carpal tunnel release CPT 64721	$6,525.23	$10,038.81
Colonoscopy with biopsy CPT 45380	$5,961.35	$9,171.31
Colonoscopy with polyp removal (snare) CPT 45385	$5,031.66	$7,741.01	$1,089.00 – $2,423.00
Colonoscopy, diagnostic CPT 45378	$3,499.27	$5,383.50	$1,089.00 – $2,423.00
Cystoscopy (bladder scope) CPT 52000	$6,244.43	$9,606.82	$69.45 – $1,162.00
Ear tubes, under general anesthesia CPT 69436	$8,178.68	$12,582.59
Flexible sigmoidoscopy, diagnostic CPT 45330	$3,885.08	$5,977.05
Gallbladder removal, laparoscopic CPT 47562	$11,298.66	$17,382.55	$5,940.24 – $13,624.40
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$33,595.60	$51,685.54	$1,576.76 – $18,032.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$17,144.62	$26,376.34
Hysteroscopy with biopsy or polyp removal CPT 58558	$7,540.18	$11,600.27	$3,180.75 – $7,295.29
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$12,515.59	$19,254.76	$410.62 – $9,698.70
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$10,090.34	$15,523.60	$3,518.04 – $8,068.91
Kidney stone shock-wave lithotripsy CPT 50590	$9,627.03	$14,810.81	$4,702.00 – $10,873.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$8,949.97	$13,769.19
Prostate biopsy CPT 55700	$12,274.08	$18,883.20
Removal of a breast lump, open surgery CPT 19120	$3,428.75	$5,275.00	$394.28 – $394.28
Rotator cuff repair, arthroscopic CPT 29827	$15,273.21	$23,497.24
Septoplasty (nasal septum repair) CPT 30520	$8,121.38	$12,494.43	$3,257.72 – $7,471.83
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$12,501.22	$19,232.65	$144.15 – $4,905.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$21,882.39	$33,665.21
Upper endoscopy (EGD) with biopsy CPT 43239	$4,402.45	$6,773.00	$1,885.49 – $4,324.51
Upper endoscopy (EGD), diagnostic CPT 43235	$4,267.13	$6,564.81

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
Fetal non-stress test CPT 59025	$626.60	$964.00	$204.00 – $250.00

Hospital stays

Service	Cash price	Gross charge	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$7,207.03	$11,087.74	$672.24 – $3,078.00
C-section, without complications MS-DRG 788	$12,409.37	$19,091.34	$672.24 – $685.68
Chest pain MS-DRG 313	$18,859.15	$29,014.08	$672.24 – $4,133.00
COPD flare-up, with major complications MS-DRG 190	$18,751.15	$28,847.92	$672.24 – $3,440.00
COPD flare-up, without complications MS-DRG 192	$13,598.68	$20,921.05	$672.24 – $3,440.00
Fainting (syncope) MS-DRG 312	$16,887.16	$25,980.25	$672.24 – $3,440.00
Gastrointestinal bleeding, with complications MS-DRG 378	$19,636.90	$30,210.62	$672.24 – $3,440.00
Heart failure, with major complications MS-DRG 291	$20,379.01	$31,352.33	$672.24 – $3,440.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$30,937.97	$47,596.88	$672.24 – $3,478.00
Irregular heartbeat, without complications MS-DRG 310	$12,000.87	$18,462.88	$672.24 – $4,133.00
Kidney failure, with complications MS-DRG 683	$15,611.65	$24,017.93	$672.24 – $3,440.00
Kidney or urinary tract infection, without major complications MS-DRG 690	$17,311.55	$26,633.15	$672.24 – $3,440.00
Normal newborn care MS-DRG 795	$2,278.88	$3,505.97	$650.00 – $2,538.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$15,172.53	$23,342.36	$672.24 – $4,133.00
Pneumonia, with complications MS-DRG 194	$15,630.67	$24,047.18	$672.24 – $3,440.00
Pneumonia, with major complications MS-DRG 193	$21,362.47	$32,865.34	$672.24 – $4,133.00
Pneumonia, without complications MS-DRG 195	$19,332.49	$29,742.29	$672.24 – $3,440.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	$6,429.15	$9,891.00	$371.82 – $2,904.00
Sepsis, with major complications MS-DRG 871	$29,937.86	$46,058.24	$672.24 – $4,133.00
Sepsis, without major complications MS-DRG 872	$17,949.59	$27,614.75	$672.24 – $3,440.00
Skin infection (cellulitis), without major complications MS-DRG 603	$13,629.67	$20,968.73	$672.24 – $3,440.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$16,233.11	$24,974.01	$672.24 – $3,440.00
Stroke, with complications or clot-busting drug MS-DRG 65	$22,839.56	$35,137.78	$672.24 – $3,440.00
Vaginal delivery, without complications MS-DRG 807	$7,456.94	$11,472.21	$672.24 – $685.68
Weight loss surgery, without complications MS-DRG 621	$22,180.79	$34,124.29	$672.24 – $685.68

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,229.15	$1,891.00	$3,428.00 – $8,893.00
Lower back nerve root injection with imaging guidance CPT 64483	$2,380.97	$3,663.03	$869.07 – $1,993.28
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$3,128.21	$4,812.63

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$1,153.75	$1,775.00	$133.38 – $416.52
Sleep study with CPAP titration CPT 95811	$4,766.45	$7,333.00	$867.31 – $2,158.11
Sleep study, overnight in a sleep lab CPT 95810	$4,302.35	$6,619.00	$867.31 – $1,986.07

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$286.65	$441.00	$212.16 – $486.61

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$107.90	$166.00	$23.90 – $218.81
Physical therapy evaluation, low complexity CPT 97161	$607.10	$934.00	$86.18 – $216.29
Physical therapy evaluation, moderate complexity CPT 97162	$564.85	$869.00	$86.18 – $216.29
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$121.55	$187.00	$25.31 – $64.22
Therapeutic activities, 15 minutes CPT 97530	$100.10	$154.00	$30.29 – $77.13

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$234.00	$360.00
Family psychotherapy, without the patient, 50 minutes CPT 90846	$258.05	$397.00	$137.00 – $137.00
Group psychotherapy CPT 90853	$643.50	$990.00	$64.35 – $990.00
Psychiatric diagnostic evaluation CPT 90791	$331.50	$510.00	$485.68 – $485.68
Psychotherapy, 30 minutes CPT 90832	$263.90	$406.00	$26.39 – $406.00
Psychotherapy, 45 minutes CPT 90834	$278.85	$429.00	$485.68 – $485.68
Psychotherapy, 60 minutes CPT 90837	$278.85	$429.00	$132.97 – $632.21

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$105.95	$163.00	$57.91 – $112.89
IV hydration, each additional hour CPT 96361	$156.00	$240.00	$39.33 – $82.01
IV hydration, first hour CPT 96360	$448.50	$690.00	$209.00 – $479.35
IV push injection of a drug, first CPT 96374	$353.60	$544.00	$35.36 – $544.00
IV push injection, each additional drug CPT 96375	$275.60	$424.00	$39.33 – $122.79

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$19.50	$30.00	? – $8.24
Dexamethasone injection, per 1 mg HCPCS J1100	$13.00	$20.00	? – $2.88
Fentanyl injection, per 0.1 mg HCPCS J3010	$136.63	$210.20	$13.66 – $210.20
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$9.26	$14.25	? – $1.46
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$158.20	$243.38	? – $46.50
Morphine injection, up to 10 mg HCPCS J2270	$136.63	$210.20	$6.10 – $100.80
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$7.15	$11.00	? – $11.00
Propofol injection, per 10 mg HCPCS J2704	$97.50	$150.00	$9.75 – $150.00
Saline IV solution, 1000 ml HCPCS J7030	$40.30	$62.00	$4.03 – $62.00

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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