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 |
|---|---|---|---|---|
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,965.00 | $1,965.00 | $539.20 – $1,965.00 | 42 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $9.20 | $9.20 | $2.52 – $9.20 | 42 |
| New Patient Office Visit (level 2) CPT 99202 | $178.00 | $178.00 | $32.21 – $178.00 | 780 |
| New Patient Office Visit (level 3) CPT 99203 | $252.00 | $252.00 | $55.95 – $252.00 | 780 |
| New Patient Office Visit (level 4) CPT 99204 | $1,058.00 | $386.00 | $79.75 – $386.00 | 780 |
| New Patient Office Visit (level 5) CPT 99205 | $488.00 | $488.00 | $93.00 – $488.00 | 780 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $27.30 | $27.30 | $7.49 – $27.30 | 108 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $14.20 – $112.50 | 108 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $1,111.59 – $4,051.00 | 108 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $25,898.57 – $94,382.55 | 108 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $3,117.00 | $3,117.00 | $570.20 – $2,078.00 | 42 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,892.00 | $1,892.00 | $519.16 – $1,892.00 | 42 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,045.00 | $2,045.00 | $561.15 – $2,045.00 | 42 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,960.00 | $2,960.00 | $812.22 – $2,960.00 | 42 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,228.00 | $1,228.00 | $336.96 – $1,228.00 | 42 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $321.00 | $321.00 | $88.08 – $321.00 | 42 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,482.00 | $4,482.00 | $19.21 – $209.00 | 781 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $175.00 | $175.00 | $49.99 – $175.00 | 767 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $124,949.56 – $455,355.55 | 108 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $7,779.51 – $28,351.00 | 108 |
| Observation direct referral from physician office for admission HCPCS G0379 | $231.00 | $231.00 | $63.39 – $231.00 | 42 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $318.00 | $318.00 | $87.26 – $318.00 | 42 |
| Observation per hour HCPCS G0378 | $150.00 | $150.00 | $29.64 – $108.00 | 42 |
| Obtaining screen pap smear HCPCS Q0091 | $104.00 | $104.00 | $10.01 – $38.00 | 767 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $333.00 | $333.00 | $91.38 – $333.00 | 42 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $276.00 | $276.00 | $75.73 – $276.00 | 42 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $306.00 | $306.00 | $83.97 – $306.00 | 42 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $17,875.21 – $65,142.90 | 42 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $32.20 | $32.20 | $0.64 – $2.35 | 108 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $3,483.78 – $12,696.00 | 108 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $496.71 – $1,810.15 | 108 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,115.54 | $1,115.54 | $306.10 – $1,115.54 | 42 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $129.10 | $129.10 | $35.43 – $129.10 | 42 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $1,216.80 – $7,768.80 | 108 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $14.30 | $1.00 | $0.05 – $1.00 | 532 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.00 | $1.00 | $0.02 – $1.00 | 108 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.31 | $13.38 | $0.07 – $3.00 | 767 |
| Optx medial ankle fx CPT 27766 | $20,287.03 | $3,152.00 | $0.96 – $2,101.00 | 108 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $4,968.00 – $28,018.60 | 108 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $1,640.42 – $5,978.20 | 42 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $55.20 | $55.20 | $9.45 – $55.20 | 108 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,383.14 | $1,383.14 | $379.53 – $1,383.14 | 42 |
| Orthovisc inj per dose HCPCS J7324 | $808.00 | $404.00 | $79.60 – $202.00 | 767 |
| Oscillation chest wall mechanical per session CPT 94669 | $113.00 | $113.00 | $31.01 – $113.00 | 42 |
| Osmolality blood CPT 83930 | $119.00 | $119.00 | $32.65 – $119.00 | 42 |
| Osmolality urine CPT 83935 | $115.00 | $115.00 | $31.56 – $115.00 | 42 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $198.00 | $198.00 | $54.33 – $198.00 | 42 |
| Ot re-evaluation patient/family CPT 97168 | $226.00 | $226.00 | $62.01 – $226.00 | 42 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $205.00 | $205.00 | $56.25 – $205.00 | 42 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $198.00 | $198.00 | $54.33 – $198.00 | 42 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 108 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $31.56 – $115.00 | 42 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.85 | $6.85 | $0.87 – $6.85 | 108 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $474.71 – $1,730.00 | 42 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 108 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $22,352.16 | $22,352.16 | $6,133.43 – $22,352.16 | 42 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $328.00 | $328.00 | $3.60 – $36.70 | 108 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,766.15 | $4,766.15 | $1,307.83 – $4,766.15 | 108 |
| Pad repl cerv collr univ adult HCPCS L0999 | $93.32 | $93.32 | $14.97 – $54.55 | 42 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $66.45 | 108 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $1,440.34 – $5,249.05 | 108 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.89 – $10.25 | 108 |
| Parathormone (pth) intact CPT 83970 | $367.00 | $367.00 | $100.70 – $367.00 | 42 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,594.00 | $2,594.00 | $711.79 – $2,594.00 | 42 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $426.00 | $426.00 | $3.41 – $132.71 | 768 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $16,725.34 | $3,074.00 | $3.36 – $2,049.00 | 781 |
| Partial removal of foot bone CPT 28288 | $8,216.58 | $1,515.00 | $3.36 – $1,515.00 | 768 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $340.09 | $340.09 | $0.67 – $2.43 | 42 |
| Part removal of metatarsal CPT 28113 | $1,491.00 | $1,491.00 | $129.61 – $1,241.61 | 768 |
| Passy muir valve metal trach HCPCS L8501 | $372.96 | $372.96 | $21.54 – $78.49 | 42 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.54 | $0.54 | $0.15 – $0.54 | 33 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $144.91 | $144.91 | $39.76 – $144.91 | 42 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $700.80 – $17,709.85 | 108 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $1,584.48 – $10,830.70 | 108 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $1,632.48 – $20,144.40 | 108 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $11,866.15 | 108 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,801.40 | $4,801.40 | $1,244.52 – $4,801.40 | 108 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $1,790.52 – $11,497.50 | 108 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $26,168.09 – $95,364.75 | 108 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,677.00 | $2,677.00 | $734.57 – $2,677.00 | 42 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,986.00 | $1,986.00 | $544.96 – $1,986.00 | 42 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,898.00 | $5,898.00 | $1,618.41 – $5,898.00 | 42 |
| Pelvic MRI (without contrast) CPT 72195 | $3,175.00 | $3,175.00 | $871.22 – $3,175.00 | 41 |
| Pelvic Ultrasound (complete) CPT 76856 | $920.00 | $920.00 | $20.66 – $920.00 | 781 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $349.00 | $349.00 | $5.33 – $349.00 | 781 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $777.00 | $777.00 | $7.88 – $777.00 | 781 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $18,047.05 | $18,047.05 | $4,952.11 – $18,047.05 | 108 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,906.25 | $5,906.25 | $40.90 – $1,181.25 | 108 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $12.95 – $1,928.25 | 780 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $20.10 | $20.10 | $0.88 – $3.25 | 108 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $20,815.21 | $20,815.21 | $13.72 – $50.00 | 42 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $792.75 | $792.75 | $217.53 – $792.75 | 42 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,783.88 – $14,509.25 | 108 |
| Perphenazine 4mg oral HCPCS Q0175 | $1.00 | $1.00 | $0.27 – $1.00 | 108 |
| Perq skel fix ulnar styld fx CPT 25651 | $1,706.00 | $1,706.00 | $151.02 – $1,122.00 | 768 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,666.10 | $20,666.10 | $5,670.78 – $20,666.10 | 108 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $148.28 | $148.28 | $30.52 – $111.21 | 42 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $84,222.41 | $84,222.41 | $0.01 – $0.01 | 42 |
| Ph body fluid CPT 83986 | $81.00 | $81.00 | $3.51 – $41.00 | 42 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $201.80 | $201.80 | $17.96 – $65.45 | 108 |
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.