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 |
|---|---|---|---|---|
| Phenobarbital therapeutic drug level CPT 80184 | $186.00 | $186.00 | $15.61 – $186.00 | 42 |
| Phentolaine mesylate inj HCPCS J2760 | $1,621.15 | $1,621.15 | $436.51 – $1,621.15 | 108 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $11.90 | $11.90 | $3.27 – $11.90 | 42 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $18.95 | $18.95 | $0.66 – $3.00 | 108 |
| Phenytoin total therapeutic drug level CPT 80185 | $154.00 | $154.00 | $42.26 – $154.00 | 42 |
| Phlebotomy therapeutic CPT 99195 | $472.00 | $472.00 | $129.52 – $472.00 | 42 |
| Phosphorus CPT 84100 | $80.00 | $80.00 | $17.01 – $62.00 | 42 |
| Phosphorus 24 hour urine CPT 84105 | $117.00 | $117.00 | $32.10 – $117.00 | 42 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $303.00 | $303.00 | $83.14 – $303.00 | 42 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $343.00 | $343.00 | $94.12 – $343.00 | 42 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $299.00 | $299.00 | $82.05 – $299.00 | 42 |
| Physical Therapy Re-Evaluation CPT 97164 | $250.00 | $250.00 | $68.60 – $250.00 | 42 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $22.60 | $22.60 | $2.84 – $19.80 | 108 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,202.93 | $1,202.93 | $51.14 – $186.36 | 42 |
| Pin caspar distraction 12mm HCPCS C1821 | $37,392.12 | $37,392.12 | $0.01 – $0.56 | 42 |
| Pinworm exam CPT 87172 | $52.00 | $52.00 | $4.18 – $52.00 | 42 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $89.80 | $89.80 | $2.22 – $13.80 | 108 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $381.00 | $381.00 | $104.55 – $381.00 | 42 |
| Platelet aggregation each agent teg CPT 85576 | $207.00 | $207.00 | $56.80 – $207.00 | 42 |
| Platelet automated CPT 85049 | $50.00 | $50.00 | $4.39 – $50.00 | 42 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,314.00 | $2,314.00 | $634.96 – $2,314.00 | 42 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $377.00 | $377.00 | $103.45 – $377.00 | 42 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $611.00 | $611.00 | $167.66 – $611.00 | 42 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,540.00 | $1,540.00 | $422.58 – $1,540.00 | 42 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,801.00 | $1,801.00 | $494.19 – $1,801.00 | 42 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,467.00 | $1,467.00 | $402.54 – $1,467.00 | 42 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,895.00 | $1,895.00 | $519.99 – $1,895.00 | 42 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,620.00 | $1,620.00 | $444.53 – $1,620.00 | 42 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $471.00 | $471.00 | $7.67 – $471.00 | 780 |
| Plug insert indwelling 16f HCPCS L8511 | $235.90 | $235.90 | $64.73 – $235.90 | 42 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $339.00 | $339.00 | $93.02 – $339.00 | 42 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $3,480.05 – $12,682.40 | 108 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,191.00 | $6,191.00 | $1,698.81 – $6,191.00 | 42 |
| Positioner proc acufex leg acs HCPCS E0190 | $303.30 | $303.30 | $83.23 – $303.30 | 42 |
| Potassium 24 hour urine CPT 84133 | $83.00 | $83.00 | $4.64 – $83.00 | 42 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.00 | $35.00 | $0.17 – $3.00 | 108 |
| Potassium serum/plasma/whole blood CPT 84132 | $67.00 | $67.00 | $18.38 – $67.00 | 42 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $434.29 | $434.29 | $119.60 – $434.29 | 33 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $0.43 | $0.43 | $0.12 – $0.43 | 42 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $0.59 | $0.59 | $0.13 – $0.47 | 42 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $104.37 | $104.37 | $0.13 – $0.49 | 33 |
| Powder prem protct 1oz HCPCS A4371 | $0.70 | $0.70 | $0.19 – $0.70 | 42 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $411.85 | $411.85 | $86.70 – $411.85 | 108 |
| Pr application of long arm splint CPT 29105 | $443.00 | $443.00 | $12.04 – $286.00 | 781 |
| Pr application splint static short arm CPT 29125 | $500.00 | $500.00 | $10.08 – $245.00 | 782 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $71.00 | $71.00 | $2.92 – $11.00 | 767 |
| Pr biopsy skin punch single lesion CPT 11104 | $416.00 | $416.00 | $12.14 – $103.00 | 768 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $2,100.00 | $2,100.00 | $179.14 – $1,875.21 | 768 |
| Pr correction hammertoe CPT 28285 | $11,184.00 | $1,863.00 | $118.22 – $1,013.68 | 768 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $36.00 | $36.00 | $6.82 – $25.00 | 767 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $38,464.23 | not published | $0.96 – $5.01 | 67 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $240.00 | $240.00 | $10.50 – $240.00 | 780 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $50,863.17 | $256.00 | $7.38 – $256.00 | 780 |
| Prealbumin CPT 84134 | $113.00 | $113.00 | $31.01 – $113.00 | 42 |
| Pr ecg 12 lead report only CPT 93010 | $32.00 | $32.00 | $5.33 – $32.00 | 780 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $151.70 | $151.70 | $2.13 – $38.61 | 108 |
| Prednisone 1 mg tablet HCPCS J7512 | $60.25 | $60.25 | $0.27 – $1.00 | 42 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $5,893.36 | $724.00 | $0.36 – $68.16 | 768 |
| Pregnancy Ultrasound (limited) CPT 76815 | $973.00 | $973.00 | $9.80 – $973.00 | 781 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $323.00 | $323.00 | $32.15 – $188.00 | 554 |
| Prep skin to 100cm2 other CPT 15004 | $1,246.00 | $1,246.00 | $145.91 – $1,246.00 | 781 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $199.00 | $199.00 | $54.61 – $199.00 | 26 |
| Pretreat rbc absorption reference CPT 86978 | $183.00 | $183.00 | $50.40 – $183.00 | 33 |
| Pretreat rbc density gradient separation reference CPT 86972 | $116.00 | $116.00 | $31.83 – $116.00 | 42 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $136.00 | $136.00 | $37.32 – $136.00 | 26 |
| Pretreat rbc w enzyme reference CPT 86971 | $92.00 | $92.00 | $25.24 – $92.00 | 42 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $156.77 | $154.00 | $16.96 – $154.00 | 554 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $425.00 | $425.00 | $80.88 – $277.00 | 766 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $11,775.13 | $1,753.00 | $0.96 – $1,753.00 | 781 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $666.00 | $666.00 | $30.04 – $449.00 | 780 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $536.00 | $536.00 | $78.75 – $536.00 | 781 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $55,310.77 | $402.00 | $7.38 – $402.00 | 781 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $277.00 | $277.00 | $37.50 – $277.00 | 780 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $323.00 | $323.00 | $31.50 – $323.00 | 780 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $239.00 | $239.00 | $31.50 – $239.00 | 780 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $115.00 | $115.00 | $3.45 – $115.00 | 781 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $705.00 | $705.00 | $34.43 – $607.00 | 782 |
| Pr incision & drainage abscess simple/single CPT 10060 | $417.00 | $417.00 | $26.46 – $350.00 | 767 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $447.00 | $447.00 | $5.23 – $447.00 | 781 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $705.00 | $705.00 | $27.42 – $236.00 | 767 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $574.00 | $574.00 | $106.07 – $401.00 | 767 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $435.00 | $435.00 | $77.96 – $295.00 | 767 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $147.00 | $147.00 | $147.00 – $147.00 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $11,934.42 | not published | $0.96 – $3.15 | 67 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,304.48 | $6,304.48 | $115.66 – $421.50 | 42 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $66.08 – $240.80 | 108 |
| Procalcitonin CPT 84145 | $398.00 | $398.00 | $109.21 – $398.00 | 42 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.95 | $24.95 | $1.80 – $24.95 | 780 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.27 – $1.00 | 108 |
| Progesterone CPT 84144 | $165.00 | $165.00 | $45.28 – $165.00 | 42 |
| Prolactin CPT 84146 | $230.00 | $230.00 | $63.11 – $230.00 | 42 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.06 – $1.00 | 108 |
| Promethazine hcl injection HCPCS J2550 | $10.00 | $10.00 | $2.35 – $7.65 | 767 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $46.50 | $46.50 | $2.55 – $9.30 | 42 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $9.20 | $9.20 | $2.52 – $9.20 | 108 |
| Prostatectomy (turp) CPT 52601 | $22,092.58 | not published | $7.38 – $31.45 | 67 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $3,638.95 | $3,638.95 | $0.24 – $0.89 | 42 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $711.83 | $711.83 | $16.66 – $60.73 | 42 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $41.00 – $150.50 | 108 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $5,508.79 | $5,508.79 | $1,497.95 – $5,459.00 | 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.