MercyOne Centerville Medical Center
1 Saint Joseph Dr, Centerville, IA · MercyOne · · NPI 1356391635
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Hemoglobin methemoglobin quantitative CPT 83050 | $115.00 | $115.00 | $8.20 – $115.00 | 27 |
| Hemoglobin plasma CPT 83051 | $129.00 | $129.00 | $35.40 – $129.00 | 42 |
| Heparin assay CPT 85520 | $83.00 | $83.00 | $22.78 – $83.00 | 42 |
| Heparin bolus from bag HCPCS J1644 | $75.00 | $75.00 | $1.89 – $6.90 | 107 |
| Heparin neutralization CPT 85525 | $73.00 | $73.00 | $20.03 – $73.00 | 42 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $3.00 | $3.00 | $0.50 – $3.00 | 780 |
| Hepatitis a antibody igm CPT 86709 | $154.00 | $154.00 | $42.26 – $154.00 | 42 |
| Hepatitis b core antibody igm CPT 86705 | $183.00 | $183.00 | $11.77 – $183.00 | 42 |
| Hepatitis b core antibody total CPT 86704 | $148.00 | $148.00 | $40.61 – $148.00 | 42 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,148.75 | $3,148.75 | $653.30 – $3,148.75 | 108 |
| Hepatitis b surface antibody CPT 86706 | $166.00 | $166.00 | $45.55 – $166.00 | 42 |
| Hepatitis c antibody CPT 86803 | $195.00 | $195.00 | $13.98 – $195.00 | 42 |
| Hernia Repair (Inguinal) CPT 49505 | $29,553.64 | $11,931.00 | $0.96 – $7,954.00 | 781 |
| Herpes simplex type 1 antibody igg CPT 86695 | $132.00 | $132.00 | $36.22 – $132.00 | 42 |
| Herpes simplex type 2 antibody igg CPT 86696 | $89.00 | $89.00 | $24.42 – $89.00 | 42 |
| Heterophile antibodies screening CPT 86308 | $80.00 | $80.00 | $4.05 – $80.00 | 780 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $481.00 | $481.00 | $6.82 – $481.00 | 781 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $472.00 | $472.00 | $8.95 – $472.00 | 781 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $288.00 | $288.00 | $79.03 – $288.00 | 42 |
| Hip X-ray CPT 73502 | $342.00 | $342.00 | $5.07 – $342.00 | 780 |
| Hldr trach tb tie ad HCPCS A7526 | $1,626.99 | $1,626.99 | $0.16 – $0.59 | 42 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | $1.20 | $1.20 | $0.33 – $1.20 | 42 |
| Home/res vst est high mdm 60 CPT 99350 | $442.75 | $428.00 | $121.93 – $428.00 | 767 |
| Home/res vst est mod mdm 40 CPT 99349 | $308.00 | $308.00 | $84.76 – $302.53 | 767 |
| Home/res vst est sf mdm 20 CPT 99347 | $131.00 | $131.00 | $32.66 – $117.92 | 767 |
| Home/res vst new low mdm 30 CPT 99342 | $196.07 | $189.00 | $52.89 – $189.00 | 767 |
| Home/res vst new mod mdm 60 CPT 99344 | $436.00 | $436.00 | $107.12 – $390.15 | 767 |
| Home visit est patient 99348 CPT 99348 | $201.00 | $201.00 | $51.55 – $197.35 | 767 |
| Homocysteine CPT 83090 | $279.00 | $279.00 | $17.92 – $279.00 | 42 |
| Homogenization tissue CPT 87176 | $46.00 | $46.00 | $12.62 – $46.00 | 42 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $610.00 | $610.00 | $167.38 – $610.00 | 42 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $860.00 | $860.00 | $235.98 – $860.00 | 42 |
| Hopd mntl hlt, grp HCPCS C7903 | $735.00 | $735.00 | $201.68 – $735.00 | 42 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,829.90 | $1,829.90 | $502.12 – $1,829.90 | 108 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $154.70 | $154.70 | $31.55 – $154.70 | 108 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $236.10 | $236.10 | $54.00 – $236.10 | 108 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $23.10 | $23.10 | $5.19 – $23.10 | 108 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $243.25 | $243.25 | $12.07 – $44.00 | 108 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $564.00 | $564.00 | $5.40 – $55.00 | 108 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $105.00 | $105.00 | $16.93 – $86.10 | 108 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.00 | $1.00 | $0.10 – $1.00 | 108 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $442.00 | $442.00 | $71.34 – $442.00 | 555 |
| I-123 iobenguane diag HCPCS A9582 | $24,445.60 | $24,445.60 | $6,707.87 – $24,445.60 | 42 |
| I-123 ioflupane diag HCPCS A9584 | $12,340.00 | $12,340.00 | $3,386.10 – $12,340.00 | 42 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $412.50 | $412.50 | $110.10 – $401.25 | 42 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $6,709.35 | $6,709.35 | $1,841.05 – $6,709.35 | 42 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $114.63 – $417.75 | 42 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $390.95 | $390.95 | $92.40 – $390.95 | 108 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $30,942.00 | $30,942.00 | $0.01 – $1,171.89 | 42 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $42,975.00 | $42,975.00 | $44.66 – $162.77 | 42 |
| Icd crtp serena MRI HCPCS C2621 | $14,208.75 | $14,208.75 | $818.03 – $2,981.16 | 42 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $7,110.69 | $7,110.69 | $24.97 – $90.99 | 42 |
| Icut allergy test drug/bug CPT 95024 | $54.00 | $14.00 | $0.51 – $14.00 | 767 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $25.71 – $169.00 | 108 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $204.00 | $204.00 | $55.98 – $204.00 | 42 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $583.00 | $583.00 | $159.98 – $583.00 | 42 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $7,074.50 | $354.00 | $2.46 – $354.00 | 108 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $2,190.49 – $7,982.85 | 108 |
| Immob elbow child sm HCPCS L3762 | $44.65 | $44.65 | $1.03 – $3.75 | 42 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $807.71 | $807.71 | $23.49 – $85.60 | 42 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $263.74 | $263.74 | $0.67 – $2.44 | 42 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $209.88 | $209.88 | $1.10 – $4.02 | 42 |
| Immobilizer shldr sling med HCPCS L3660 | $52.36 | $52.36 | $14.37 – $52.36 | 42 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $10,106.10 | $10,106.10 | $462.19 – $1,684.35 | 108 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $1,255.70 – $4,576.15 | 108 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $291.82 – $1,063.50 | 108 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $203.00 | $203.00 | $55.70 – $203.00 | 42 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $161.00 | $161.00 | $44.18 – $161.00 | 42 |
| Immunofixation electrophoresis serum CPT 86334 | $239.00 | $239.00 | $65.58 – $239.00 | 42 |
| Immunoglobulin assay CPT 86023 | $249.00 | $249.00 | $68.33 – $249.00 | 42 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $8,420.00 | $8,420.00 | $618.39 – $2,253.62 | 42 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,405.00 | $1,405.00 | $385.53 – $1,405.00 | 42 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $6,525.50 | $6,525.50 | $14.87 – $54.20 | 42 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,780.21 | $9,780.21 | $119.82 – $436.67 | 42 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $3,512.50 | $3,512.50 | $963.83 – $3,512.50 | 42 |
| Implant pulse generator remede el HCPCS C1823 | $18,945.00 | $18,945.00 | $2,690.71 – $9,805.78 | 42 |
| Implant ureth bulk agent HCPCS L8606 | $3,291.72 | $3,291.72 | $409.05 – $1,490.71 | 42 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $5,699.03 | $5,699.03 | $880.82 – $3,210.00 | 42 |
| Impl eye bio-eye 16mm HCPCS L8042 | $2,550.08 | $2,550.08 | $143.56 – $523.17 | 42 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $410.21 – $1,494.95 | 42 |
| In-111 autol wbc diag per dose HCPCS A9570 | $10,776.60 | $10,776.60 | $2,957.10 – $10,776.60 | 42 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $1,927.39 – $7,024.00 | 42 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $1,988.51 – $7,246.75 | 42 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $2,957.10 – $10,776.60 | 42 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $3,063.39 – $11,163.95 | 42 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $4,205.73 – $15,327.00 | 42 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $967.05 – $3,524.25 | 42 |
| Incision of achilles tendon CPT 27605 | $7,202.00 | $7,202.00 | $1,317.39 – $4,801.00 | 42 |
| Incision tendon sheath CPT 26055 | $9,892.31 | $1,026.00 | $4.92 – $1,026.00 | 781 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $211.00 | $211.00 | $57.90 – $211.00 | 42 |
| Infect ag ia optc obs influenza CPT 87804 | $38.36 | $37.00 | $12.51 – $37.00 | 767 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $100.00 | $100.00 | $27.44 – $100.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $105.00 | $105.00 | $28.81 – $105.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $99.00 | $99.00 | $13.15 – $99.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $159.00 | $159.00 | $43.63 – $159.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $154.00 | $154.00 | $42.26 – $154.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $324.00 | $324.00 | $14.38 – $324.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $145.00 | $145.00 | $39.79 – $145.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $76.00 | $76.00 | $10.12 – $76.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $190.00 | $190.00 | $52.14 – $190.00 | 42 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.