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 |
|---|---|---|---|---|
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.51 | $0.51 | $0.14 – $0.51 | 42 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $8,251.62 – $30,071.50 | 108 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $3,867.06 – $14,092.80 | 108 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $5,413.84 – $19,729.75 | 108 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $311.80 – $2,407.05 | 108 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $455.55 – $1,660.15 | 42 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $265.00 – $1,978.00 | 108 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $2,421.96 – $8,826.40 | 108 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $1,189.83 – $4,336.10 | 108 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $2,520.00 – $13,801.85 | 108 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $3.25 | 108 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $15,585.01 – $56,796.70 | 108 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $2,332.00 | $2,332.00 | $639.90 – $2,332.00 | 42 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $18,866.98 | $2,655.00 | $4.92 – $2,655.00 | 108 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $7,798.00 | $7,798.00 | $11.88 – $7,798.00 | 781 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $16,133.70 | $1,218.00 | $1.92 – $1,218.00 | 781 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $6,545.00 | $6,545.00 | $795.08 – $6,545.00 | 42 |
| Rsv assay w/optic CPT 87807 | $30.42 | $29.00 | $9.94 – $29.00 | 767 |
| Rubella antibody igg CPT 86762 | $118.00 | $118.00 | $32.38 – $118.00 | 42 |
| Rubeola antibody igg CPT 86765 | $74.00 | $74.00 | $17.56 – $64.00 | 42 |
| Russell viper venom diluted CPT 85613 | $126.00 | $126.00 | $34.57 – $126.00 | 42 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,844.35 | $7,844.35 | $2,152.49 – $7,844.35 | 108 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $343.00 | $343.00 | $94.12 – $343.00 | 42 |
| Sarscov coronavirus ag ia CPT 87426 | $122.48 | $99.00 | $24.73 – $99.00 | 767 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $161.00 | $161.00 | $30.94 – $113.57 | 767 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $328.00 | $328.00 | $26.18 – $322.94 | 767 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $166.79 | $165.00 | $26.18 – $165.00 | 767 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $228.00 | $228.00 | $66.63 – $228.00 | 769 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $105.00 | $105.00 | $26.18 – $105.00 | 769 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,268.00 | $1,268.00 | $347.94 – $1,268.00 | 42 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $655.00 | $655.00 | $179.73 – $655.00 | 42 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,132.00 | $1,132.00 | $12.99 – $1,132.00 | 781 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $774.00 | $774.00 | $14.48 – $774.00 | 781 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,868.86 | $3,868.86 | $497.74 – $1,813.91 | 42 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $8,544.25 | $870.00 | $2.52 – $582.81 | 780 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $7,366.50 | $1,018.00 | $2.97 – $1,018.00 | 780 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $87.00 | $87.00 | $23.87 – $87.00 | 42 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $132.00 | $132.00 | $36.22 – $132.00 | 42 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $149.00 | $149.00 | $40.89 – $149.00 | 42 |
| Screening Mammogram CPT 77067 | $710.00 | $710.00 | $81.59 – $473.00 | 42 |
| Screening pap smear by phys HCPCS P3001 | $67.00 | $67.00 | $15.68 – $49.84 | 766 |
| Screening prostate cancer PSA HCPCS G0103 | $199.00 | $199.00 | $54.61 – $199.00 | 42 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,194,705.00 | $1,194,705.00 | $0.01 – $0.11 | 42 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $835.00 | $835.00 | $18.96 – $835.00 | 781 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $859.00 | $859.00 | $235.71 – $859.00 | 42 |
| Sedimentation rate erythrocyte automated CPT 85652 | $68.00 | $68.00 | $18.66 – $68.00 | 42 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $144.00 | $144.00 | $39.51 – $144.00 | 42 |
| Semen analysis presence/motility CPT 89321 | $155.00 | $155.00 | $42.53 – $155.00 | 42 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,277.64 | $7,277.64 | $200.48 – $730.60 | 42 |
| Sheath laser cavaclear 14f HCPCS C1603 | $8,946.25 | $8,946.25 | $1,824.29 – $6,648.28 | 42 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $2,946.00 | $2,946.00 | $538.92 – $1,964.00 | 42 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $1,980.00 | $1,980.00 | $362.21 – $1,320.00 | 42 |
| Shoe post-op mens m HCPCS L3260 | $65.95 | $65.95 | $0.80 – $2.90 | 42 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $522.90 | $159.00 | $3.21 – $159.00 | 780 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $3,671.00 | $3,671.00 | $37.48 – $2,306.00 | 781 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $957.00 | $957.00 | $5.75 – $638.00 | 781 |
| Shoulder MRI (with and without contrast) CPT 73223 | $9,476.00 | $9,476.00 | $1,733.38 – $6,317.00 | 42 |
| Shoulder MRI (with contrast) CPT 73222 | $8,070.00 | $8,070.00 | $1,476.27 – $5,380.00 | 42 |
| Shoulder MRI (without contrast) CPT 73221 | $5,936.00 | $5,936.00 | $1,085.80 – $3,957.00 | 42 |
| Shoulder X-ray CPT 73030 | $594.00 | $594.00 | $5.75 – $396.00 | 781 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $461.00 | $461.00 | $84.24 – $307.00 | 42 |
| Shrinker prosth above knee HCPCS L8460 | $354.09 | $354.09 | $97.16 – $354.09 | 42 |
| Shrinker prosth below knee HCPCS L8440 | $274.45 | $274.45 | $75.31 – $274.45 | 42 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,937.28 | $4,937.28 | $49.01 – $178.61 | 42 |
| Sickling rbc CPT 85660 | $78.00 | $78.00 | $5.51 – $78.00 | 42 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $437.00 | $437.00 | $34.72 – $380.13 | 767 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $356.50 | $339.00 | $24.64 – $339.00 | 767 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $407.75 | $407.75 | $111.89 – $407.75 | 108 |
| Sinus CT scan (with contrast) CPT 70487 | $3,234.00 | $3,234.00 | $887.41 – $3,234.00 | 42 |
| Sinus CT scan (without contrast) CPT 70486 | $1,962.00 | $1,962.00 | $538.37 – $1,962.00 | 42 |
| Sinus X-ray (complete) CPT 70220 | $375.00 | $375.00 | $6.60 – $375.00 | 781 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $42,938.50 | $42,938.50 | $9,250.00 – $42,938.50 | 108 |
| Skin Biopsy CPT 11102 | $337.00 | $337.00 | $9.59 – $154.50 | 768 |
| Skull X-ray (1 to 3 views) CPT 70250 | $297.00 | $297.00 | $81.50 – $297.00 | 42 |
| Skull X-ray (complete) CPT 70260 | $464.00 | $464.00 | $8.31 – $464.00 | 781 |
| Sleep Study (Polysomnography) CPT 95810 | $6,002.00 | $6,002.00 | $1,646.95 – $6,002.00 | 42 |
| Sleep study unattended CPT 95806 | $832.00 | $832.00 | $228.30 – $832.00 | 42 |
| Sleeve fing rolyan med HCPCS L3933 | $57.93 | $57.93 | $15.90 – $57.93 | 42 |
| Sleeve irr assura 1pc disp HCPCS A4397 | $1.00 | $1.00 | $0.27 – $1.00 | 42 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $813.94 | $813.94 | $0.57 – $2.07 | 42 |
| Sling pelv split sam med HCPCS L0621 | $254.70 | $254.70 | $69.89 – $254.70 | 42 |
| Sling suprapubic suburetheral HCPCS C1771 | $14,879.23 | $14,879.23 | $560.26 – $2,041.75 | 42 |
| Sm-153 lexidron ther HCPCS A9604 | $57,456.00 | $57,456.00 | $4,314.91 – $57,456.00 | 108 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $585.00 | $585.00 | $160.52 – $585.00 | 42 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $78.00 | $78.00 | $21.40 – $78.00 | 42 |
| Smear gram stain CPT 87205 | $339.00 | $55.00 | $4.18 – $55.00 | 42 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $99.00 | $99.00 | $5.87 – $99.00 | 42 |
| Sock wool above knee HCPCS L8430 | $244.12 | $244.12 | $66.99 – $244.12 | 42 |
| Sodium 24 hour urine CPT 84300 | $114.00 | $114.00 | $31.28 – $114.00 | 42 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $25.00 | $25.00 | $1.37 – $5.00 | 42 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $22.50 | $22.50 | $5.49 – $20.00 | 42 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $43.00 | $43.00 | $4.46 – $16.25 | 42 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $30.00 | $30.00 | $3.43 – $75.00 | 108 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $40.85 | $40.85 | $10.90 – $40.85 | 108 |
| Sodium serum/plasma/whole blood CPT 84295 | $61.00 | $61.00 | $16.74 – $61.00 | 42 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $495.00 | $495.00 | $105.00 – $495.00 | 108 |
| Specific gravity body fluid CPT 84315 | $47.00 | $47.00 | $12.90 – $47.00 | 42 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $659.00 | $659.00 | $180.83 – $659.00 | 42 |
| Speech Therapy Session (one-on-one) CPT 92507 | $378.00 | $378.00 | $103.72 – $378.00 | 42 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $25.00 | $25.00 | $6.86 – $25.00 | 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.