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 |
|---|---|---|---|---|
| Therapy activity per session >= 45 minutes HCPCS G0176 | $650.00 | $650.00 | $178.36 – $650.00 | 42 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $198.00 | $198.00 | $54.33 – $198.00 | 42 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $199.00 | $199.00 | $54.61 – $199.00 | 42 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $146.00 | $146.00 | $40.06 – $146.00 | 42 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.40 | $7.40 | $1.79 – $7.40 | 108 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $621.00 | $621.00 | $5.54 – $414.00 | 781 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $299.10 – $1,090.00 | 42 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,690.00 | $2,690.00 | $492.00 – $1,793.00 | 42 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,233.00 | $2,233.00 | $612.74 – $2,233.00 | 42 |
| Thrombin time CPT 85670 | $52.00 | $52.00 | $5.65 – $52.00 | 42 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $64.00 | $64.00 | $17.56 – $64.00 | 42 |
| Thyroglobulin antibody CPT 86800 | $188.00 | $188.00 | $15.91 – $188.00 | 42 |
| Thyroid (TSH) Test CPT 84443 | $898.00 | $192.00 | $16.46 – $192.00 | 42 |
| Thyroid Ultrasound CPT 76536 | $852.00 | $852.00 | $16.83 – $852.00 | 780 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $2,113.24 – $10,828.50 | 108 |
| Tigecycline injection HCPCS J3243 | $78.20 | $78.20 | $21.46 – $78.20 | 42 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $22,202.40 | $22,202.40 | $6,092.34 – $22,202.40 | 108 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $3,932.14 | $3,932.14 | $566.73 – $2,065.35 | 42 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $104.20 | $104.20 | $28.59 – $104.20 | 42 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $417.99 | $417.99 | $114.70 – $417.99 | 42 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $75.45 | $75.45 | $20.70 – $75.45 | 42 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $59.82 | $59.82 | $16.41 – $59.82 | 42 |
| Tissue transglutaminase iga CPT 86364 | $272.00 | $272.00 | $74.64 – $272.00 | 42 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $21.98 – $80.10 | 42 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $3.65 | $3.65 | $0.99 – $3.60 | 108 |
| Tobramycin peak therapeutic drug level CPT 80200 | $187.00 | $187.00 | $16.13 – $187.00 | 27 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $463.20 – $2,442.90 | 108 |
| Toe X-ray (both feet) CPT 73660 | $416.00 | $416.00 | $4.05 – $277.00 | 781 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $341.00 | $341.00 | $62.29 – $227.00 | 41 |
| Tomosynthesis breast screen bilateral CPT 77063 | $120.00 | $120.00 | $21.95 – $80.00 | 42 |
| Tonsillectomy (age 12+) CPT 42826 | $19,312.60 | $1,035.00 | $0.96 – $1,035.00 | 68 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $188.75 | $188.75 | $31.56 – $115.00 | 42 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $48,786.25 | $48,786.25 | $9,480.00 – $48,786.25 | 108 |
| Total Hip Replacement CPT 27130 | $21,359.00 | $21,359.00 | $37.48 – $2,890.00 | 781 |
| Total Knee Replacement CPT 27447 | $50,618.79 | $5,642.00 | $9.09 – $2,835.00 | 781 |
| Toxoplasma antibody igg CPT 86777 | $122.00 | $122.00 | $14.39 – $122.00 | 42 |
| Toxoplasma antibody igm CPT 86778 | $96.00 | $96.00 | $14.41 – $96.00 | 42 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,842.80 | $11,842.80 | $3,249.66 – $11,842.80 | 108 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $242.00 | $242.00 | $66.40 – $242.00 | 42 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $9.15 | $9.15 | $2.00 – $9.15 | 108 |
| Transferrin CPT 84466 | $169.00 | $169.00 | $46.37 – $169.00 | 42 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $859.00 | $859.00 | $20.66 – $859.00 | 781 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $907.00 | $907.00 | $248.88 – $907.00 | 42 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,708.00 | $4,708.00 | $1,250.55 – $4,675.30 | 108 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $10,508.35 | $10,508.35 | $649.20 – $2,766.05 | 108 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,357.40 | $9,357.40 | $429.30 – $3,365.30 | 108 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $4,305.00 | $4,305.00 | $945.03 – $3,444.00 | 42 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,076.23 | $1,076.23 | $16.74 – $61.00 | 42 |
| Tray trach basic clean/care ster HCPCS A4626 | $0.87 | $0.87 | $0.24 – $0.87 | 42 |
| Treat hip dislocation CPT 27252 | $2,886.00 | $2,886.00 | $527.95 – $1,924.00 | 42 |
| Treat kneecap fracture CPT 27524 | $2,597.00 | $2,597.00 | $35.62 – $269.92 | 768 |
| Treat lower leg joint CPT 27829 | $2,450.00 | $2,450.00 | $34.34 – $252.64 | 768 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $4,718.00 | $4,718.00 | $37.48 – $2,370.00 | 781 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $16,196.00 | $16,196.00 | $29.61 – $10,797.00 | 781 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $371.00 | $371.00 | $101.80 – $371.00 | 42 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $244.00 | $244.00 | $66.95 – $244.00 | 42 |
| Treatment of ankle fracture CPT 27792 | $36,757.66 | not published | $0.96 – $5.01 | 67 |
| Treatment of ankle fracture CPT 27814 | $2,595.00 | $2,595.00 | $474.71 – $1,730.00 | 42 |
| Treatment of ankle fracture CPT 27823 | $5,096.00 | $5,096.00 | $932.14 – $3,397.00 | 42 |
| Treatment of ankle fracture 27786 CPT 27786 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Treatment of fibula fracture 27780 CPT 27780 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Treatment of thigh fracture CPT 27506 | $4,785.00 | $4,785.00 | $875.34 – $3,190.00 | 42 |
| Treatment of thigh fracture CPT 27508 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Treatment of thigh fracture CPT 27513 | $4,380.00 | $4,380.00 | $801.25 – $2,920.00 | 42 |
| Treat thigh fracture CPT 27236 | $4,845.00 | $4,845.00 | $37.48 – $3,230.00 | 781 |
| Treat thigh fracture CPT 27245 | $4,197.00 | $4,197.00 | $37.48 – $2,770.00 | 781 |
| Treat ulnar fracture CPT 24685 | $1,818.00 | $1,818.00 | $332.57 – $1,212.00 | 42 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $127,265.40 | $127,265.40 | $2,910.14 – $10,605.45 | 108 |
| Treponema pallidum antibody CPT 86780 | $200.00 | $200.00 | $54.88 – $200.00 | 42 |
| Trg gene rearrangement anal CPT 81342 | $605.00 | $605.00 | $166.01 – $605.00 | 42 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $39.90 | $52.91 | $0.65 – $37.25 | 780 |
| Triglycerides CPT 84478 | $77.00 | $77.00 | $21.13 – $77.00 | 42 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $8,065.15 | $8,065.15 | $1,617.00 – $8,065.15 | 108 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $10,415.88 | not published | $3.36 – $31.45 | 67 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $9,436.38 | not published | $3.36 – $31.45 | 67 |
| Troponin quantitative CPT 84484 | $192.00 | $192.00 | $52.68 – $192.00 | 42 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $27.20 | $27.20 | $7.46 – $27.20 | 42 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $641.52 | $641.52 | $0.93 – $3.39 | 42 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $4.27 | $4.27 | $0.54 – $1.97 | 42 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $197.11 | $197.11 | $0.30 – $1.10 | 42 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $35,496.45 | $35,496.45 | $9,740.23 – $35,496.45 | 108 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $2,149.00 | $1,122.00 | $75.49 – $748.00 | 42 |
| Unit mobile power mpu HCPCS Q0479 | $18,187.20 | $18,187.20 | $4,990.57 – $18,187.20 | 42 |
| Unlisted procedure microbiology CPT 87999 | $3,675.00 | $3,675.00 | $1,008.42 – $3,675.00 | 42 |
| Unlisted px male genital sys CPT 55899 | $730.00 | $730.00 | $200.31 – $730.00 | 42 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $310.00 | $310.00 | $5.11 – $310.00 | 781 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,047.00 | $2,047.00 | $561.70 – $2,047.00 | 42 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $7,130.00 | $7,130.00 | $1,956.47 – $7,130.00 | 42 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,926.00 | $3,926.00 | $1,077.29 – $3,926.00 | 42 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $402.00 | $402.00 | $110.31 – $402.00 | 42 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $513.00 | $513.00 | $6.60 – $513.00 | 781 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $446.00 | $446.00 | $5.64 – $42.72 | 768 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $13,998.80 | $1,386.00 | $2.46 – $1,386.00 | 780 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $706.00 | $706.00 | $193.73 – $706.00 | 42 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $510.00 | $510.00 | $139.94 – $510.00 | 42 |
| Urea nitrogen CPT 84520 | $65.00 | $65.00 | $17.84 – $65.00 | 42 |
| Urea nitrogen 24 hour urine CPT 84540 | $84.00 | $84.00 | $23.05 – $84.00 | 42 |
| Uric acid blood CPT 84550 | $89.00 | $89.00 | $24.42 – $89.00 | 42 |
| Uric acid urine CPT 84560 | $102.00 | $102.00 | $27.99 – $102.00 | 42 |
| Urinalysis microscopic only CPT 81015 | $49.00 | $49.00 | $13.45 – $49.00 | 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.