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 |
|---|---|---|---|---|
| Protein c activity CPT 85303 | $184.00 | $184.00 | $50.49 – $184.00 | 42 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $115.00 | $115.00 | $31.56 – $115.00 | 42 |
| Protein s total CPT 85305 | $97.00 | $97.00 | $26.62 – $97.00 | 42 |
| Protein total 24 hour urine CPT 84156 | $75.00 | $75.00 | $20.58 – $75.00 | 42 |
| Protein total body fluid CPT 84157 | $71.00 | $71.00 | $3.96 – $71.00 | 42 |
| Protein total serum plasma whole blood CPT 84155 | $2,200.00 | $85.00 | $9.09 – $85.00 | 42 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $195.00 | $195.00 | $3.86 – $195.00 | 42 |
| Provox xtraflange 17fr HCPCS L8499 | $129.58 | $129.58 | $28.46 – $103.73 | 42 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $204.00 | $204.00 | $41.96 – $159.00 | 767 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $83.00 | $83.00 | $17.47 – $66.00 | 767 |
| Pr removal drug delivery implant CPT 11982 | $370.00 | $370.00 | $3.22 – $24.96 | 768 |
| Pr removal intrauterine device CPT 58301 | $563.00 | $563.00 | $11.08 – $141.00 | 767 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $370.00 | $370.00 | $17.36 – $370.00 | 781 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $386.00 | $386.00 | $17.79 – $386.00 | 782 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $466.93 | $309.00 | $14.06 – $309.00 | 781 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $374.00 | $374.00 | $18.32 – $374.00 | 780 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $656.00 | $656.00 | $7.11 – $52.48 | 768 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $42.00 | 780 |
| PSA (Prostate) Test CPT 84153 | $188.00 | $188.00 | $51.59 – $188.00 | 42 |
| Psychoeducation 45 min + HCPCS G0177 | $650.00 | $650.00 | $178.36 – $650.00 | 42 |
| Psychotherapy group therapy CPT 90853 | $772.00 | $772.00 | $211.84 – $772.00 | 42 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $610.00 | $610.00 | $167.38 – $610.00 | 42 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $755.00 | $755.00 | $207.17 – $755.00 | 42 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $770.00 | $770.00 | $211.29 – $770.00 | 42 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $774.00 | $774.00 | $212.39 – $774.00 | 42 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $97.00 | $97.00 | $26.62 – $97.00 | 42 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $157.00 | $157.00 | $43.08 – $157.00 | 42 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $135.00 | $135.00 | $37.04 – $135.00 | 42 |
| Pt application of modality traction mechanical CPT 97012 | $109.00 | $109.00 | $29.91 – $109.00 | 42 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $328.00 | $328.00 | $90.00 – $328.00 | 42 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $115.00 | $115.00 | $31.56 – $115.00 | 42 |
| Pt wheelchair management each 15 minutes CPT 97542 | $198.00 | $198.00 | $54.33 – $198.00 | 42 |
| Pulse ox continuous overnight monitoring CPT 94762 | $449.00 | $449.00 | $123.21 – $449.00 | 42 |
| Pulse ox multiple CPT 94761 | $240.00 | $240.00 | $65.86 – $240.00 | 42 |
| Pulse ox single CPT 94760 | $78.00 | $78.00 | $21.40 – $78.00 | 42 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $564.81 | $564.81 | $52.71 – $192.09 | 42 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $175.00 | $175.00 | $48.02 – $175.00 | 42 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $430.00 | $430.00 | $18.97 – $215.00 | 768 |
| Puncture spinal lumbar diagnostic CPT 62270 | $929.00 | $929.00 | $18.75 – $444.00 | 781 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $532.88 – $3,213.80 | 108 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $139.15 – $507.10 | 108 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $1,253.98 – $4,569.90 | 108 |
| Rapid Strep Test CPT 87880 | $43.00 | $43.00 | $12.51 – $36.95 | 767 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $920.39 – $3,354.20 | 108 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $5,511.64 – $20,086.15 | 108 |
| Rbc count only automated CPT 85041 | $28.00 | $28.00 | $7.68 – $28.00 | 42 |
| Rbc deglycerolized each unit HCPCS P9039 | $110.00 | $110.00 | $30.18 – $110.00 | 42 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $880.00 | $880.00 | $241.47 – $880.00 | 42 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $748.00 | $748.00 | $205.25 – $748.00 | 42 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $3,916.50 | $654.00 | $0.71 – $654.00 | 108 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $704.00 | $704.00 | $193.18 – $704.00 | 42 |
| Red blood cells washed each unit HCPCS P9022 | $660.00 | $660.00 | $181.10 – $660.00 | 42 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $36.80 | $36.80 | $10.10 – $36.80 | 108 |
| Release palm contracture CPT 26121 | $10,574.63 | not published | $0.96 – $2.46 | 67 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,543.15 | $3,543.15 | $673.00 – $3,543.15 | 108 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $791.00 | $791.00 | $8.81 – $65.28 | 768 |
| Removal cerumen impacted (both sides) CPT 69210 | $1,385.00 | $1,385.00 | $8.63 – $365.00 | 781 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $463.00 | $463.00 | $28.35 – $463.00 | 292 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $323.00 | $323.00 | $59.00 – $215.00 | 42 |
| Removal foreign body foot subcutaneous right CPT 28190 | $990.00 | $990.00 | $181.10 – $660.00 | 42 |
| Removal of adenoids CPT 42830 | $620.00 | $620.00 | $170.13 – $620.00 | 42 |
| Removal of bone for graft CPT 20902 | $996.00 | $996.00 | $252.54 – $996.00 | 42 |
| Removal of foot lesion CPT 28090 | $1,079.00 | $1,079.00 | $93.94 – $943.83 | 768 |
| Removal of implant deep CPT 20680 | $5,770.00 | $5,770.00 | $8.91 – $1,371.00 | 781 |
| Removal of skin tags each add'l 10 CPT 11201 | $61.00 | $61.00 | $8.31 – $48.36 | 767 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $303.00 | $303.00 | $21.66 – $187.83 | 767 |
| Removal sutr or stapl no anes CPT 15853 | $37.00 | $37.00 | $7.43 – $26.00 | 767 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $523.00 | $523.00 | $28.33 – $452.46 | 767 |
| Remove bladder/revise tract CPT 51590 | $13,888.20 | not published | $7.20 – $7.20 | 66 |
| Remove epididymis lesion CPT 54830 | $15,484.45 | not published | $0.96 – $3.36 | 67 |
| Remove tonsils and adenoids CPT 42820 | $1,092.00 | $1,092.00 | $276.17 – $1,092.00 | 42 |
| Remove tonsils and adenoids CPT 42821 | $16,699.84 | $1,092.00 | $1.92 – $1,092.00 | 108 |
| Remove wrist tendon lesion CPT 25111 | $10,738.72 | $1,134.00 | $0.32 – $752.00 | 768 |
| Renal function panel CPT 80069 | $145.00 | $145.00 | $39.79 – $145.00 | 42 |
| Repair achilles tendon CPT 27650 | $33,813.01 | $2,287.00 | $2.88 – $235.52 | 768 |
| Repair ing hernia sliding CPT 49525 | $2,062.00 | $2,062.00 | $176.79 – $1,772.50 | 767 |
| Repair of achilles tendon CPT 27654 | $3,207.00 | $3,207.00 | $215.56 – $2,138.00 | 781 |
| Repair of ankle ligament CPT 27695 | $1,685.00 | $1,685.00 | $148.46 – $1,093.11 | 768 |
| Repair of ankle ligament CPT 27698 | $2,222.00 | $2,222.00 | $190.32 – $2,027.69 | 768 |
| Repair of foot tendon CPT 28200 | $1,141.00 | $1,141.00 | $99.79 – $896.40 | 768 |
| Repair of leg tendon each CPT 27658 | $1,608.00 | $1,608.00 | $113.85 – $984.86 | 768 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $1,558.59 – $5,680.00 | 42 |
| Reticulated platelet assay CPT 85055 | $80.00 | $80.00 | $21.95 – $80.00 | 42 |
| Reticulocyte direct measurement automated CPT 85046 | $69.00 | $69.00 | $18.93 – $69.00 | 42 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $12,379.28 – $45,114.00 | 108 |
| Revise lower leg tendon CPT 27691 | $2,574.00 | $2,574.00 | $223.97 – $1,831.47 | 768 |
| Revision of big toe CPT 28310 | $1,263.00 | $1,263.00 | $68.24 – $874.20 | 768 |
| Revision of calf tendon CPT 27687 | $28,435.73 | $2,466.00 | $2.88 – $1,644.00 | 781 |
| Revision of foot CPT 28116 | $2,057.00 | $2,057.00 | $154.85 – $1,702.20 | 768 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $2,124.00 – $10,657.15 | 108 |
| Rheumatoid factor qualitative CPT 86430 | $84.00 | $84.00 | $23.05 – $84.00 | 42 |
| Rheumatoid factor quantitative CPT 86431 | $108.00 | $108.00 | $29.64 – $108.00 | 42 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $74.55 – $294.95 | 108 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $233.00 | $233.00 | $63.94 – $233.00 | 108 |
| Rhythm ecg with report CPT 93040 | $38.00 | $38.00 | $9.59 – $37.00 | 767 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $760.00 | $760.00 | $8.09 – $760.00 | 781 |
| Rib X-ray (3 views, both sides) CPT 71110 | $403.00 | $403.00 | $110.58 – $403.00 | 42 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $82.10 | $82.10 | $9.60 – $82.10 | 108 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $1.01 | $1.01 | $0.28 – $1.01 | 42 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,618.64 | $1,618.64 | $31.28 – $114.00 | 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.