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 Missouri 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.  $57 21% Physician Consult Price includes services associated with a typical specialty consultation visit.  $138 30% Eye Exam Price includes services associated with an eye examination, including refraction.  $66 30% Diagnostic  Average Discounted Price  Average Discount Hemoglobin A1C Price includes services associated with a single test.  $18 62% Urinalysis Price includes services associated with a single test. $3 79%  Radiology  Average Discounted Price  Average Discount Pricing Breakdown CAT Scan Price includes services provided by the Facility and Radiologist. $663 57% Chest X-Ray Price includes services provided by the Facility and Radiologist. $91 60% MRI Price includes services provided by the Facility and Radiologist. $1,107 50% Mammography Price includes services provided by the Facility and Radiologist. $120 35% Pre-Natal Ultrasound Price includes services provided by the Facility and Radiologist. $142 55%  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. $23,342 58% CABG Price includes services provided by the Facility, Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $34,196 64% Ear Tubes Price includes services provided by the Facility, ENT Physician, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $3,042 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. $15,947 71% Hysterectomy - Abdominal Price includes services provided by the Facility, OB/GYN Physician, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $10,097 65% Hysterectomy - Vaginal Price includes services provided by the Facility, OB/GYN Physician, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $5,949 67% 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. $15,222 69% Laparoscopic Cholecystectomy Price includes services provided by the Facility, Surgeon, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $9,004 62% Cardiac  Average Discounted Price  Average Discount Pricing Breakdown Cardiac Catheterization Price includes services provided by the Facility and Physician. $1,226 56% Cardiac Stress Test Price includes services provided by the Facility and Physician. $371 55%  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. $7,707 51% Delivery - Vaginal Price includes services provided by the Facility, OB/GYN, Anesthesiologist and miscellaneous Other Professional services required for the procedure. $6,285 53% Other  Average Discounted Price  Average Discount Emergency Room Price includes services associated with a typical emergency room visit. $359 69% Home Health Price includes services associated with a typical home health visit. $145 42%