Grand Rapids, MI
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 31, 2026 | Aug 29, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Mercy Health Saint Marys’s price for it.
The codes Mercy Health Saint Marys has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Lactated Ringer's solution infusionHCPCS J7120 | $15 | $268 | $931 | 348% | 3,194,898–3,195,087 | $2 | $5.5k |
| Normal saline IV solution 0.9%HCPCS J7030 | $12 | $299 | $951 | 318% | 1,994,259–1,994,430 | $2 | $4.9k |
| Cannulated stainless steel femoral locking bone screwHCPCS C1713 | $669 | $998 | $5.9k | 591% | 73,973–727,553 | $0 | $1042.5k |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $130 | $148 | $114 | 77% | 140,375–141,374 | $1 | $1.2k |
| Outpatient office visit, established patient, level 4CPT 99214 | $119 | $133 | $26 | 20% | 137,034–137,916 | $75 | $202 |
| Outpatient office visit, established patientCPT 99213 | $84 | $87 | $15 | 18% | 84,088–84,745 | $17 | $132 |
| Posterior-stabilized knee implant insertHCPCS C1776 | $1.6k | $2.3k | $2.4k | 104% | 15,388–151,279 | $0 | $73.5k |
| Propofol intravenous emulsionHCPCS J2704 | $12 | $428 | $1.2k | 269% | 32,846–32,855 | $2 | $5.0k |
| Immunization administrationCPT 90471 | $28 | $38 | $31 | 81% | 32,278–33,151 | $10 | $351 |
| Discontinued guide wire kitHCPCS C1769 | $161 | $340 | $448 | 132% | 5,546–50,969 | $0 | $6.5k |
EIN: 383176445
Last updated: Mar 31, 2026
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Hospital ID: 859a86eeaf5db634bfb6f5bdf12ffad539665cf29cf4521e77ded91740bcc63d