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 |
|---|---|---|---|---|
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $532.00 | $532.00 | $145.98 – $532.00 | 42 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $360.00 | $360.00 | $98.78 – $360.00 | 42 |
| Jkt lso inter HCPCS L0560 | $63.49 | $63.49 | $17.42 – $63.49 | 42 |
| John cunningham antibody CPT 86711 | $51.00 | $51.00 | $13.99 – $51.00 | 42 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $112.00 | $112.00 | $30.73 – $112.00 | 42 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $17.20 | $17.20 | $0.29 – $7.20 | 780 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $929.00 | $929.00 | $21.73 – $929.00 | 781 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $683.00 | $683.00 | $187.42 – $683.00 | 42 |
| Kit case 4.2mm spinejack HCPCS C1062 | $9,134.46 | $9,134.46 | $804.59 – $2,932.18 | 42 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $395.71 | $395.71 | $93.49 – $340.71 | 42 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $2.02 | $2.02 | $0.36 – $1.33 | 42 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $9,893.50 | $9,893.50 | $1,588.43 – $5,788.75 | 42 |
| Kit gene analys d816 variant CPT 81273 | $840.00 | $840.00 | $122.37 – $840.00 | 42 |
| Kit hfx iq ipg bundle HCPCS C1822 | $40,833.13 | $40,833.13 | $10,747.54 – $39,167.42 | 42 |
| Kit ipg optimizer smart HCPCS C1824 | $44,694.00 | $44,694.00 | $10,848.95 – $39,537.00 | 42 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $3.16 | $3.16 | $0.87 – $3.16 | 42 |
| Kit lead specify 5-6-5 HCPCS C1778 | $20,699.16 | $20,699.16 | $39.33 – $143.33 | 42 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $2,021.18 | $2,021.18 | $554.61 – $2,021.18 | 42 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,141.22 | $2,141.22 | $564.38 – $2,056.78 | 42 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $360.12 | $360.12 | $57.85 – $210.83 | 42 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $9,394.28 | $9,394.28 | $1,746.70 – $6,365.52 | 42 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $4,830.98 | $4,830.98 | $11.48 – $41.85 | 42 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $18,009.36 | $4,397.00 | $2.88 – $2,931.00 | 781 |
| Knee arthroscopy/surgery CPT 29880 | $2,499.00 | $2,499.00 | $457.15 – $1,666.00 | 42 |
| Knee arthroscopy/surgery CPT 29888 | $2,817.00 | $2,817.00 | $515.32 – $1,878.00 | 42 |
| Knee MRI (with and without contrast) CPT 73723 | $7,598.00 | $7,598.00 | $1,389.84 – $5,065.00 | 41 |
| Knee MRI (with contrast) CPT 73722 | $7,893.00 | $7,893.00 | $1,443.89 – $5,262.00 | 42 |
| Knee MRI (without contrast) CPT 73721 | $6,005.00 | $6,005.00 | $1,098.42 – $4,003.00 | 42 |
| Knee X-ray CPT 73564 | $744.00 | $744.00 | $136.10 – $496.00 | 42 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $410.00 | $410.00 | $5.11 – $273.00 | 781 |
| Knee X-ray (3 views, both knees) CPT 73562 | $491.00 | $491.00 | $5.96 – $327.00 | 781 |
| Knee X-ray (standing, both knees) CPT 73565 | $519.00 | $519.00 | $5.33 – $519.00 | 781 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $19.45 | $19.45 | $5.34 – $19.45 | 42 |
| Lactate dehydrogenase (ldh) CPT 83615 | $75.00 | $75.00 | $20.58 – $75.00 | 42 |
| Lactated ringers intravenous solution HCPCS J7120 | $20.00 | $20.00 | $5.49 – $20.00 | 42 |
| Lactic acid CPT 83605 | $153.00 | $153.00 | $34.57 – $126.00 | 42 |
| Lactoferrin fecal qualitative CPT 83630 | $195.00 | $195.00 | $19.31 – $195.00 | 42 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $29,832.00 | $29,832.00 | $8,185.90 – $29,832.00 | 42 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $2,407.00 | $1,326.00 | $9.60 – $223.00 | 782 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,420.50 | $4,420.50 | $27.73 – $101.07 | 42 |
| Lead capillary CPT 83655 | $139.00 | $139.00 | $38.14 – $139.00 | 42 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $6,399.62 | $6,399.62 | $0.07 – $0.26 | 42 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $12,619.48 | $12,619.48 | $25.63 – $93.42 | 42 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $3,491.00 | $3,491.00 | $638.53 – $2,327.00 | 42 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $3,263.00 | $3,263.00 | $596.82 – $2,175.00 | 42 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,519.00 | $1,519.00 | $20.45 – $1,519.00 | 781 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $645.00 | $645.00 | $13.72 – $50.00 | 42 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,065.00 | $1,065.00 | $13.72 – $50.00 | 42 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $545.00 | $545.00 | $13.72 – $50.00 | 42 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $3.77 – $13.75 | 108 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $96.22 – $350.65 | 108 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $5,218.50 | $5,218.50 | $1,431.96 – $5,218.50 | 108 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.90 | $17.90 | $2.18 – $7.95 | 108 |
| Levetiracetam therapeutic drug level CPT 80177 | $200.00 | $200.00 | $54.88 – $200.00 | 42 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $50.25 | $50.25 | $1.96 – $11.75 | 108 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $308.15 | $308.15 | $77.00 – $308.15 | 108 |
| Liberta rc ipg HCPCS C1820 | $45,975.98 | $45,975.98 | $18.85 – $68.71 | 42 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $37.50 | $37.50 | $10.29 – $37.50 | 42 |
| Lidocaine therapeutic drug level CPT 80176 | $67.00 | $67.00 | $18.38 – $67.00 | 42 |
| Lift heel adj small gl60404sm HCPCS L3332 | $58.98 | $58.98 | $16.18 – $58.98 | 42 |
| Lift heel adjustable med HCPCS L3334 | $4.66 | $4.66 | $1.28 – $4.66 | 42 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $87.00 | $87.00 | $10.41 – $87.00 | 108 |
| Lipase CPT 83690 | $128.00 | $128.00 | $35.12 – $128.00 | 42 |
| Lipoprotein blood quant CPT 83704 | $140.00 | $140.00 | $38.42 – $140.00 | 42 |
| Lipoprotein direct measurement hdl CPT 83718 | $96.00 | $96.00 | $8.03 – $96.00 | 42 |
| Lipoprotein direct measurement ldl CPT 83721 | $585.00 | $96.00 | $9.09 – $96.00 | 42 |
| Lithium therapeutic drug level CPT 80178 | $94.00 | $94.00 | $25.79 – $94.00 | 42 |
| Liver Function Test CPT 80076 | $170.00 | $170.00 | $46.65 – $170.00 | 42 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $23,897.32 – $87,089.35 | 108 |
| Loop ostmy bridg ster HCPCS A4421 | $69.90 | $69.90 | $0.10 – $0.36 | 33 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.90 | $60.90 | $1.29 – $4.70 | 108 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $2,157.00 | $2,157.00 | $591.88 – $2,157.00 | 42 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,807.00 | $2,807.00 | $770.24 – $2,807.00 | 42 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,334.00 | $2,334.00 | $640.45 – $2,334.00 | 42 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,851.00 | $5,851.00 | $1,605.51 – $5,851.00 | 42 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,998.00 | $3,998.00 | $1,097.05 – $3,998.00 | 42 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $440.00 | $440.00 | $6.82 – $440.00 | 781 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $568.00 | $568.00 | $8.09 – $568.00 | 781 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $861.00 | $861.00 | $236.26 – $861.00 | 42 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $455.00 | $455.00 | $4.90 – $303.00 | 781 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $697.00 | $697.00 | $6.60 – $697.00 | 780 |
| Lung Function Test (Spirometry) CPT 94010 | $341.00 | $341.00 | $93.57 – $341.00 | 42 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,230.00 | $25,230.00 | $6,923.11 – $25,230.00 | 108 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $3,453.65 – $12,586.20 | 108 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,365.66 | $1,365.66 | $374.74 – $1,365.66 | 42 |
| Magnesium CPT 83735 | $107.00 | $107.00 | $29.36 – $107.00 | 42 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $237.00 | $237.00 | $0.50 – $4.25 | 108 |
| Mammosite ced HCPCS C1728 | $2,211.47 | $2,211.47 | $606.83 – $2,211.47 | 42 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $2,366.06 – $8,622.65 | 108 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,096.73 | $5,096.73 | $0.01 – $0.23 | 42 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,974.59 | $1,974.59 | $541.83 – $1,974.59 | 42 |
| Mask full face lg af531 HCPCS A7030 | $72.83 | $72.83 | $19.49 – $71.04 | 42 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $10,028.22 | $10,028.22 | $2,751.74 – $10,028.22 | 42 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $112.19 | $112.19 | $0.99 – $3.61 | 42 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $126.00 | $126.00 | $34.57 – $126.00 | 42 |
| Mayo aathr protein s free CPT 85306 | $236.00 | $236.00 | $64.76 – $236.00 | 42 |
| Mayo activated protein c resistance assay CPT 85307 | $197.00 | $197.00 | $15.01 – $197.00 | 42 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $470.00 | $470.00 | $37.80 – $470.00 | 42 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $150.00 | $150.00 | $41.16 – $150.00 | 42 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $224.00 | $224.00 | $61.47 – $224.00 | 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.