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 |
|---|---|---|---|---|
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $66.30 | $66.30 | $8.01 – $29.20 | 42 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $77.51 | $77.51 | $10.84 – $39.50 | 42 |
| Splint finger 4 prong foam sm HCPCS A4570 | $0.85 | $0.85 | $0.18 – $0.67 | 42 |
| Splint finger fold over sm HCPCS L3924 | $0.67 | $0.67 | $0.18 – $0.67 | 42 |
| Splint finger frog med HCPCS L3927 | $0.83 | $0.83 | $0.11 – $0.39 | 42 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $1.60 | $1.60 | $0.44 – $1.60 | 42 |
| Splint func pos polyflex ii med HCPCS L3999 | $51.70 | $51.70 | $14.19 – $51.70 | 42 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $155.66 | $155.66 | $13.27 – $48.35 | 42 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $40,862.00 | $40,862.00 | $11,212.53 – $40,862.00 | 108 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $441.00 | $441.00 | $121.01 – $441.00 | 42 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $629.00 | $629.00 | $63.12 – $629.00 | 779 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $49,851.00 | $49,851.00 | $0.01 – $15.88 | 42 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $9,328.16 | $9,328.16 | $8.16 – $29.75 | 42 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $28,791.53 | $28,791.53 | $0.64 – $2.32 | 42 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $7,567.48 | $7,567.48 | $231.32 – $843.00 | 42 |
| St evaluate speech sound production CPT 92522 | $518.00 | $518.00 | $142.14 – $518.00 | 42 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $481.00 | $481.00 | $131.99 – $481.00 | 42 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,905.00 | $1,905.00 | $522.73 – $1,905.00 | 42 |
| Strap chin dlx f/cpap HCPCS A7036 | $53.70 | $53.70 | $14.74 – $53.70 | 42 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | $0.39 | $0.39 | $0.11 – $0.39 | 42 |
| Stress test pulmonary CPT 94618 | $421.00 | $421.00 | $115.52 – $421.00 | 42 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $13.80 | $13.80 | $3.79 – $13.80 | 42 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $23.00 | $23.00 | $6.31 – $23.00 | 42 |
| Sulfonylurea screen qn-sendout CPT 80377 | $213.00 | $213.00 | $58.45 – $213.00 | 42 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $41.40 | $41.40 | $11.36 – $49.00 | 108 |
| Support clav 29.6-40.5in med HCPCS L3650 | $144.91 | $144.91 | $0.89 – $3.26 | 42 |
| Surgical pathology level 1 gross examination only CPT 88300 | $111.00 | $111.00 | $30.46 – $111.00 | 42 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $179.00 | $179.00 | $49.12 – $179.00 | 42 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $188.00 | $188.00 | $51.59 – $188.00 | 42 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $274.00 | $274.00 | $31.45 – $274.00 | 42 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $494.00 | $494.00 | $135.55 – $494.00 | 42 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $817.00 | $817.00 | $224.18 – $817.00 | 42 |
| Susceptibility agar dilution per agent CPT 87181 | $84.00 | $84.00 | $4.75 – $84.00 | 42 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $22.00 | $22.00 | $6.04 – $22.00 | 42 |
| Susceptibility mic per plate CPT 87186 | $138.00 | $138.00 | $37.87 – $138.00 | 42 |
| Swallowing Evaluation (Bedside) CPT 92610 | $451.00 | $451.00 | $123.75 – $451.00 | 42 |
| Swallowing Therapy Session CPT 92526 | $340.00 | $340.00 | $93.30 – $340.00 | 42 |
| Synvisc or synvisc-one HCPCS J7325 | $6,298.90 | $6,298.90 | $6.61 – $6,298.90 | 780 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $33.00 | $33.00 | $4.31 – $33.00 | 42 |
| System cardiomems hosp electronics HCPCS C2624 | $36,958.50 | $36,958.50 | $4,340.06 – $15,816.55 | 42 |
| System pacing micra av HCPCS C1786 | $25,785.00 | $25,785.00 | $21.27 – $77.51 | 42 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $41,690.91 | $41,690.91 | $30.17 – $109.96 | 42 |
| System recell skin grafting/harvesting HCPCS C1832 | $13,777.23 | $13,777.23 | $3,780.47 – $13,777.23 | 42 |
| System sealant biosentry tract HCPCS C2613 | $1,003.62 | $1,003.62 | $275.39 – $1,003.62 | 42 |
| T3 (triiodothyronine) free CPT 84481 | $188.00 | $188.00 | $51.59 – $188.00 | 42 |
| T3 (triiodothyronine) total CPT 84480 | $149.00 | $149.00 | $40.89 – $149.00 | 42 |
| T4 (thyroxine) free CPT 84439 | $121.00 | $121.00 | $33.20 – $121.00 | 42 |
| T4 (thyroxine) total CPT 84436 | $81.00 | $81.00 | $22.23 – $81.00 | 42 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $170.70 | $170.70 | $4.50 – $170.70 | 108 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,208.10 | $1,208.10 | $262.23 – $1,208.10 | 108 |
| Tacrolimus therapeutic drug level CPT 80197 | $244.00 | $244.00 | $66.95 – $244.00 | 42 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,272.00 | $4,272.00 | $1,172.24 – $4,272.00 | 108 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $341.00 | $341.00 | $5.33 – $341.00 | 781 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $88,021.00 | $88,021.00 | $241.57 – $880.35 | 108 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $35,941.50 | $35,941.50 | $868.80 – $4,492.75 | 108 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $4.67 | $4.67 | $1.29 – $4.67 | 33 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,319.00 | $3,319.00 | $910.73 – $3,319.00 | 42 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,350.00 | $46,350.00 | $1,271.84 – $4,635.00 | 108 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $463.10 | $463.10 | $79.41 – $289.40 | 108 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $341.00 | $341.00 | $93.91 – $341.00 | 42 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $253.00 | $253.00 | $69.42 – $253.00 | 42 |
| Tc-99m apcitide diag HCPCS A9504 | $1,765.30 | $1,765.30 | $484.40 – $1,765.30 | 42 |
| Tc-99m arcitumomab HCPCS A9568 | $4,224.15 | $4,224.15 | $1,159.11 – $4,224.15 | 42 |
| Tc-99m bicisate HCPCS A9557 | $7,128.20 | $7,128.20 | $1,955.98 – $7,128.20 | 42 |
| Tc-99m depreotide HCPCS A9536 | $1,937.35 | $1,937.35 | $531.61 – $1,937.35 | 42 |
| Tc-99m diag per dose HCPCS A4641 | $575.50 | $575.50 | $157.92 – $575.50 | 42 |
| Tc-99m disofenin HCPCS A9510 | $339.80 | $339.80 | $93.24 – $339.80 | 42 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $8,194.15 | $8,194.15 | $2,248.47 – $8,194.15 | 42 |
| Tc-99m exametazime diag HCPCS A9521 | $7,382.05 | $7,382.05 | $2,025.63 – $7,382.05 | 42 |
| Tc-99m fanolesomab diag HCPCS A9566 | $17,688.75 | $17,688.75 | $4,853.79 – $17,688.75 | 42 |
| Tc-99m gluceptate HCPCS A9550 | $1,105.40 | $1,105.40 | $303.32 – $1,105.40 | 42 |
| Tc-99m labeled rbc HCPCS A9560 | $857.40 | $857.40 | $235.27 – $857.40 | 42 |
| Tc-99m maa HCPCS A9540 | $760.95 | $760.95 | $208.80 – $760.95 | 42 |
| Tc-99m mebrofenin HCPCS A9537 | $308.25 | $308.25 | $84.58 – $308.25 | 42 |
| Tc-99m medronate HCPCS A9503 | $210.35 | $210.35 | $57.72 – $210.35 | 42 |
| Tc-99m mertiatide HCPCS A9562 | $1,340.90 | $1,340.90 | $367.94 – $1,340.90 | 42 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $1.00 | $1.00 | $0.27 – $1.00 | 42 |
| Tc-99m oxidronate HCPCS A9561 | $199.60 | $199.60 | $54.77 – $199.60 | 42 |
| Tc-99m pentetate dtpa HCPCS A9539 | $627.25 | $627.25 | $172.12 – $627.25 | 42 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $627.25 | $627.25 | $172.12 – $627.25 | 42 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $99.30 | $99.30 | $27.25 – $99.30 | 42 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $335.80 | $335.80 | $92.14 – $335.80 | 42 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $221.60 | $221.60 | $60.81 – $221.60 | 42 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,988.10 | $2,988.10 | $819.93 – $2,988.10 | 42 |
| Tc-99m sulfur colloid HCPCS A9541 | $855.40 | $855.40 | $234.72 – $855.40 | 42 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $198.05 | $198.05 | $54.34 – $198.05 | 42 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,740.00 | $2,740.00 | $751.86 – $2,740.00 | 42 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $153.00 | $153.00 | $41.98 – $153.00 | 42 |
| T cells total count CPT 86359 | $141.00 | $141.00 | $36.98 – $141.00 | 42 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $107,550.00 | $107,550.00 | $23,757.00 – $107,550.00 | 108 |
| Telehealth original site facility fee HCPCS Q3014 | $80.00 | $80.00 | $21.95 – $80.00 | 42 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,137.00 – $5,015.55 | 108 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $2,881.67 – $10,501.70 | 42 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $6,386.34 – $23,273.85 | 108 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $6.90 | $6.90 | $1.89 – $6.90 | 42 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $113.00 | $113.00 | $31.01 – $113.00 | 42 |
| Test stress cardiovascular tracing only CPT 93017 | $1,177.00 | $1,177.00 | $322.97 – $1,177.00 | 42 |
| Tetanus immune globulin inj HCPCS J1670 | $2,622.15 | $2,622.15 | $577.05 – $2,622.15 | 108 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $6,293.93 – $22,937.05 | 42 |
| Theophylline therapeutic drug level CPT 80198 | $180.00 | $180.00 | $49.39 – $180.00 | 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.