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 |
|---|---|---|---|---|
| Analysis gene f5 leiden variant CPT 81241 | $584.00 | $584.00 | $160.25 – $584.00 | 42 |
| Anchor suture 3.5mm pushlock HCPCS C1741 | $3,315.38 | $3,315.38 | $462.06 – $1,683.89 | 42 |
| Ankle arthroscopy/surgery CPT 29899 | $3,467.00 | $3,467.00 | $293.73 – $2,888.50 | 768 |
| Ankle X-ray CPT 73610 | $627.00 | $627.00 | $5.33 – $418.00 | 781 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $548.00 | $548.00 | $100.16 – $365.00 | 42 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $283.00 | $283.00 | $53.05 – $182.00 | 554 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $301.00 | $301.00 | $42.50 – $198.00 | 554 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $313.00 | $313.00 | $58.24 – $199.00 | 554 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $363.00 | $363.00 | $66.40 – $241.00 | 554 |
| Antibody elution rbc reference CPT 86860 | $132.00 | $132.00 | $36.22 – $132.00 | 26 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $396.00 | $396.00 | $108.66 – $396.00 | 42 |
| Antibody id rbc panel CPT 86870 | $449.00 | $449.00 | $123.21 – $449.00 | 42 |
| Antibody screen rbc CPT 86850 | $132.00 | $132.00 | $36.22 – $132.00 | 42 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $732.77 – $2,670.45 | 108 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $227.00 | $227.00 | $62.29 – $227.00 | 42 |
| Antinuclear antibodies CPT 86038 | $163.00 | $163.00 | $44.73 – $163.00 | 42 |
| Antinuclear antibodies titer CPT 86039 | $132.00 | $132.00 | $36.22 – $132.00 | 42 |
| Antistreptolysin o screen CPT 86063 | $75.00 | $75.00 | $20.58 – $75.00 | 42 |
| Antithrombin iii activity CPT 85300 | $208.00 | $208.00 | $57.08 – $208.00 | 42 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $4,023.94 – $14,664.50 | 108 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $807.00 | $807.00 | $16.40 – $606.00 | 780 |
| Appendix Removal (Laparoscopic) CPT 44970 | $22,614.24 | $2,161.00 | $1.92 – $2,161.00 | 781 |
| Application lower leg splint 29515 CPT 29515 | $446.00 | $446.00 | $52.30 – $290.00 | 42 |
| Application multi layer compression below knee (both sides) CPT 29581 | $942.00 | $942.00 | $172.32 – $628.00 | 42 |
| Application of forearm cast 29075 CPT 29075 | $1,381.00 | $1,381.00 | $13.34 – $235.00 | 781 |
| Application of long arm cast 29065 CPT 29065 | $710.00 | $710.00 | $129.79 – $473.00 | 42 |
| Application of long leg cast 29345 CPT 29345 | $717.00 | $717.00 | $131.16 – $478.00 | 42 |
| Application of paste boot 29580 CPT 29580 | $716.00 | $716.00 | $130.89 – $477.00 | 42 |
| Application short leg cast 29405 CPT 29405 | $372.00 | $277.00 | $15.44 – $229.00 | 767 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,769.00 | $2,769.00 | $4.29 – $2,769.00 | 781 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,628.00 | $3,628.00 | $23.97 – $3,628.00 | 781 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $4,281.57 | $4,281.57 | $0.72 – $2.64 | 42 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $97.00 | $97.00 | $26.62 – $97.00 | 42 |
| Apply rigid leg cast 29445 CPT 29445 | $1,229.00 | $1,229.00 | $28.86 – $819.00 | 781 |
| Apply short leg castambul type 29425 CPT 29425 | $261.00 | $261.00 | $16.30 – $210.64 | 767 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $235.41 – $1,185.25 | 108 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $199.00 | $199.00 | $54.61 – $199.00 | 42 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $3,329.00 | $3,329.00 | $608.89 – $2,219.00 | 42 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $2,618.00 | $2,618.00 | $478.83 – $1,745.00 | 42 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $791.00 | $791.00 | $7.62 – $791.00 | 782 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $76.92 – $2,478.30 | 108 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,499.00 | $1,499.00 | $10.23 – $106.00 | 781 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $3,632.00 | $3,632.00 | $15.98 – $178.00 | 781 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $1,199.00 | $1,199.00 | $9.24 – $475.00 | 781 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $2,178.00 | $2,178.00 | $398.43 – $1,452.00 | 42 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $2,280.00 | $2,280.00 | $15.06 – $380.00 | 781 |
| Ascenda two piece catheter HCPCS C1772 | $23,576.00 | $23,576.00 | $23.72 – $86.44 | 42 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $12,822.34 | $6,146.00 | $4.92 – $6,146.00 | 108 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $223.00 | $223.00 | $11.72 – $48.00 | 767 |
| Aspirate pleura without imaging 32554 CPT 32554 | $426.00 | $426.00 | $77.93 – $284.00 | 42 |
| Assay myeloperoxidase CPT 83876 | $84.00 | $84.00 | $23.05 – $84.00 | 42 |
| Assay of prostaglandin CPT 84150 | $250.00 | $250.00 | $68.60 – $250.00 | 42 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $67.00 | $67.00 | $4.18 – $67.00 | 42 |
| Ast/sgot CPT 84450 | $91.00 | $91.00 | $24.97 – $91.00 | 42 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $9,826.59 – $35,811.20 | 108 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $47.20 | $47.20 | $12.95 – $47.20 | 42 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,157.00 | $7,157.00 | $114.70 – $417.99 | 42 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $1,775.52 – $6,470.55 | 108 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $7,787.45 | $480.00 | $3.36 – $130.65 | 767 |
| Azacitidine injection HCPCS J9025 | $207.00 | $207.00 | $56.80 – $207.00 | 42 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $0.27 – $2.14 | 108 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.20 | $9.20 | $2.40 – $8.75 | 108 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $110.40 | $110.40 | $26.70 – $110.40 | 108 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $866.25 – $3,156.90 | 42 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $45.23 – $164.85 | 42 |
| Baclofen eval charges CPT 97750 | $238.00 | $238.00 | $65.31 – $238.00 | 42 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $97.63 | $97.63 | $19.25 – $70.16 | 42 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $199.00 | $199.00 | $54.61 – $199.00 | 42 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $998.00 | $998.00 | $273.85 – $998.00 | 42 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $709.00 | $709.00 | $194.55 – $709.00 | 42 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $520.00 | $520.00 | $142.69 – $520.00 | 42 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.35 | $0.35 | $0.10 – $0.35 | 33 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $29.40 | $29.40 | $8.07 – $29.40 | 42 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.67 | $0.67 | $0.18 – $0.67 | 42 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.40 | $0.40 | $0.11 – $0.40 | 42 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.69 | $1.69 | $0.46 – $1.69 | 42 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $73.30 | $73.30 | $0.18 – $0.67 | 42 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,145.00 | $1,145.00 | $13.72 – $50.00 | 42 |
| B cells total count CPT 86355 | $202.00 | $202.00 | $36.98 – $202.00 | 42 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $171.00 – $864.15 | 108 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $972.50 – $4,849.40 | 108 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $672.12 – $3,302.00 | 108 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.75 | $0.75 | $0.20 – $0.74 | 33 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $202.00 – $14,338.95 | 108 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $1,312.00 – $11,945.90 | 108 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $1,436.00 – $8,355.30 | 108 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 108 |
| Benign lesion paring 2-4 CPT 11056 | $273.00 | $273.00 | $5.26 – $160.37 | 767 |
| Benign lesion paring 4+ CPT 11057 | $299.00 | $299.00 | $6.86 – $148.46 | 767 |
| #_benzodiazconfur CPT 80346 | $153.00 | $153.00 | $41.98 – $153.00 | 42 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $167.00 | $167.00 | $45.82 – $167.00 | 42 |
| Beta-2 microglobulin CPT 82232 | $148.00 | $148.00 | $40.61 – $148.00 | 42 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $5.52 – $175.75 | 780 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $656.05 – $2,390.85 | 108 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $288.50 – $1,925.35 | 108 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $957.20 – $6,770.50 | 108 |
| Bilateral n block inj occipital 64405 CPT 64405 | $2,099.00 | $2,099.00 | $47.32 – $238.00 | 42 |
| Bilirubin direct CPT 82248 | $794.00 | $66.00 | $9.09 – $66.00 | 42 |
| Bilirubin total CPT 82247 | $99.00 | $99.00 | $23.05 – $84.00 | 42 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $19,039.36 | $5,828.00 | $2.46 – $436.00 | 781 |
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.