Mercy Health Plans is committed to providing members with current information on a number of health care topics. Often times, the distribution of health care costs is an area in which members seek more detailed information. A specific topic of concern for many people is the difference between their contribution and the actual price of a procedure. With this in mind, we are proud to offer you information on the average prices of some common health care procedures based on claims that we have received from hospitals and physicians in the Texas service area.

Select one of the following categories to obtain pricing information.

Physician Services Diagnostic Radiology Surgery Cardiac Maternity Other Physician Services  Average Discounted Price  Average Discount Routine Office Visit Price includes services associated with a routine office visit.  $46 46% Physician Consult Price includes services associated with a typical specialty consultation visit.  $128 29% Eye Exam Price includes services associated with an eye examination, including refraction.  $84 27% Diagnostic  Average Discounted Price  Average Discount Hemoglobin A1C Price includes services associated with a single test.  $15 70% Urinalysis Price includes services associated with a single test. $4 85%  Radiology  Average Discounted Price  Average Discount Pricing Breakdown CAT Scan Price includes services provided by the Facility and Radiologist. $1,134 43% Chest X-Ray Price includes services provided by the Facility and Radiologist. $159 44% MRI Price includes services provided by the Facility and Radiologist. $1,704 48% Mammography Price includes services provided by the Facility and Radiologist. $146 50% Pre-Natal Ultrasound Price includes services provided by the Facility and Radiologist. $185 34%  Surgery  Average Discounted Price  Average Discount Pricing Breakdown Back Surgery Spinal fusion and the removal of an intervertebral disc were procedures evaluated to produce this calculation. Price includes services provided by the Facility, Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $26,681 61% CABG Price includes services provided by the Facility, Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $37,204 79% Ear Tubes Price includes services provided by the Facility, ENT Physician, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $3,050 57% Hip Replacement Procedure involves the total hip replacement of a single hip joint.  Price includes services provided by the Facility, Orthopedic Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $23,787 57% Hysterectomy - Abdominal Price includes services provided by the Facility, OB/GYN Physician, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $12,505 57% Hysterectomy - Vaginal Price includes services provided by the Facility, OB/GYN Physician, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $7,752 57% Knee Replacement Procedure involves the total knee replacement of a single knee joint.  Price includes services provided by the Facility, Orthopedic Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $21,189 57% Laparoscopic Cholecystectomy Price includes services provided by the Facility, Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $10,631 66% Cardiac  Average Discounted Price  Average Discount Pricing Breakdown Cardiac Catheterization Price includes services provided by the Facility and Physician. $887 44% Cardiac Stress Test Price includes services provided by the Facility and Physician. $640 39%  Maternity  Average Discounted Price  Average Discount Pricing Breakdown Delivery - Cesarean Price includes services provided by the Facility, OB/GYN, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $7,613 62% Delivery - Vaginal Price includes services provided by the Facility, OB/GYN, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $6,374 52% Other  Average Discounted Price  Average Discount Emergency Room Price includes services associated with a typical emergency room visit. $1,152 40% Home Health Price includes services associated with a typical home health visit. $112 45%