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 |
|---|---|---|---|---|
| Cholesterol (Lipid) Test CPT 80061 | $170.00 | $170.00 | $46.65 – $170.00 | 42 |
| Cholinesterase CPT 82480 | $113.00 | $113.00 | $31.01 – $113.00 | 42 |
| Chromosome karyotype study CPT 88280 | $100.00 | $100.00 | $27.44 – $100.00 | 42 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $4.64 – $37.00 | 108 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $93.75 | 108 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $2,171.00 | $2,171.00 | $595.72 – $2,171.00 | 42 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $106.40 – $496.70 | 108 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $23,155.00 | $23,155.00 | $9.51 – $34.65 | 42 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $30.00 | $30.00 | $1.67 – $11.50 | 108 |
| Clip ligating vesolock lg HCPCS C1760 | $12,630.00 | $12,630.00 | $0.93 – $3.39 | 42 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $828.95 | $828.95 | $227.46 – $828.95 | 42 |
| Cllr miami j sm HCPCS L0174 | $934.33 | $934.33 | $15.36 – $55.98 | 42 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $322.20 – $17,608.50 | 108 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $79.35 | $79.35 | $17.67 – $79.35 | 108 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $769.00 | $769.00 | $147.06 – $769.00 | 42 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,053.00 | $1,053.00 | $90.90 – $848.47 | 767 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $3,707.00 | $3,707.00 | $182.75 – $666.00 | 42 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $3,707.00 | $3,707.00 | $179.46 – $654.00 | 42 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $2,571.00 | $2,571.00 | $140.49 – $512.00 | 42 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $2,471.00 | $2,471.00 | $128.97 – $470.00 | 42 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $2,471.00 | $2,471.00 | $127.60 – $465.00 | 42 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| #cms hgb-sulfhemoglobin CPT 83060 | $50.00 | $50.00 | $13.72 – $50.00 | 42 |
| Coagulation time activated teg CPT 85347 | $77.00 | $77.00 | $21.13 – $77.00 | 42 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $4,536.28 | $4,536.28 | $538.97 – $1,964.19 | 42 |
| Cold agglutinin screen (arc) CPT 86156 | $103.00 | $103.00 | $28.26 – $103.00 | 42 |
| Cold agglutinin titer CPT 86157 | $84.00 | $84.00 | $23.05 – $84.00 | 42 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $417.00 | $417.00 | $5.11 – $278.00 | 781 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $68.41 | $68.41 | $0.65 – $2.36 | 42 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $77.58 | $77.58 | $1.24 – $4.52 | 42 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,844.20 | $1,844.20 | $0.72 – $2.62 | 42 |
| Collar cerv patriot adlt HCPCS L0150 | $4.89 | $4.89 | $1.34 – $4.89 | 42 |
| Collar extrication adult univ HCPCS L0200 | $64.50 | $64.50 | $17.70 – $64.50 | 42 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $472.00 | $472.00 | $129.52 – $472.00 | 42 |
| Colonoscopy (diagnostic) CPT 45378 | $8,592.30 | $1,249.00 | $0.36 – $1,249.00 | 780 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $7,515.15 | $1,794.00 | $2.46 – $1,794.00 | 780 |
| Colonoscopy submucous njx CPT 45381 | $10,868.00 | $1,631.00 | $2.46 – $1,631.00 | 780 |
| Colonoscopy (with biopsy) CPT 45380 | $12,526.50 | $1,597.00 | $2.46 – $1,597.00 | 780 |
| Colonoscopy (with polyp removal) CPT 45385 | $8,228.10 | $1,672.00 | $4.50 – $1,672.00 | 781 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $3,916.50 | $223.00 | $0.71 – $223.00 | 108 |
| Compatibility test each unit electronic CPT 86923 | $4,379.00 | $295.00 | $9.09 – $295.00 | 42 |
| Compatibility test each unit immediate spin technique CPT 86920 | $3,916.50 | $165.00 | $0.71 – $165.00 | 108 |
| Complement antigen each component c3 CPT 86160 | $2,814.00 | $140.00 | $9.09 – $140.00 | 42 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $2,695.58 | $2,695.58 | $739.67 – $2,695.58 | 42 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,069.00 | $1,069.00 | $293.33 – $1,069.00 | 42 |
| Concentration infection agents any type CPT 87015 | $81.00 | $81.00 | $22.23 – $81.00 | 42 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $5,157.25 | $5,157.25 | $112.40 – $409.61 | 42 |
| Condylomata destruction 56420 CPT 56420 | $336.00 | $336.00 | $29.94 – $243.00 | 768 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,780.10 | $1,780.10 | $390.74 – $1,780.10 | 108 |
| Connect omega .5mm HCPCS L8613 | $31,880.76 | $31,880.76 | $18.49 – $67.40 | 42 |
| Connector tis 2x10mm HCPCS C9352 | $10,394.49 | $10,394.49 | $346.98 – $1,264.50 | 42 |
| Consultation pathology during surgery CPT 88329 | $214.00 | $214.00 | $31.71 – $214.00 | 42 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $430.00 | $430.00 | $117.99 – $430.00 | 42 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $103.00 | $103.00 | $28.26 – $103.00 | 42 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $197.00 | $197.00 | $54.06 – $197.00 | 42 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $410.00 | $410.00 | $112.50 – $410.00 | 42 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $109.00 | $109.00 | $22.37 – $107.25 | 767 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $15,050.75 | $15,050.75 | $3,176.87 – $11,577.50 | 42 |
| Controller infinity pt dbs HCPCS C1787 | $42,303.21 | $42,303.21 | $13.72 – $50.00 | 42 |
| Coombs direct CPT 86880 | $140.00 | $140.00 | $31.56 – $115.00 | 42 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $142.00 | $142.00 | $38.96 – $142.00 | 42 |
| Coombs indirect titer reference CPT 86886 | $210.00 | $210.00 | $47.47 – $173.00 | 42 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $3,520.00 | $3,520.00 | $154.11 – $1,315.90 | 768 |
| Cornea 1/2moon str split thick HCPCS L8609 | $1,222.35 | $1,222.35 | $335.41 – $1,222.35 | 42 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $8,777.85 | $8,777.85 | $107.02 – $390.00 | 42 |
| Cortisol total am CPT 82533 | $188.00 | $188.00 | $51.59 – $188.00 | 42 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $101.75 | $101.75 | $27.92 – $101.75 | 108 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $73.00 | $73.00 | $15.41 – $71.06 | 766 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $14,208.75 | $14,208.75 | $36.01 – $131.23 | 42 |
| Cover wrist HCPCS L3984 | $0.01 | $0.01 | $0.01 – $0.01 | 30 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $110.00 | $110.00 | $5.09 – $77.22 | 781 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $683.00 | $683.00 | $187.42 – $683.00 | 42 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $683.00 | $683.00 | $187.42 – $683.00 | 42 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $987.00 | $987.00 | $270.83 – $987.00 | 42 |
| C-peptide CPT 84681 | $252.00 | $252.00 | $69.15 – $252.00 | 42 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $2,448.00 | $2,448.00 | $671.73 – $2,448.00 | 42 |
| Cr-51 sodium chromate HCPCS A9553 | $7,028.75 | $7,028.75 | $1,928.69 – $7,028.75 | 42 |
| C-reactive protein CPT 86140 | $109.00 | $109.00 | $29.91 – $109.00 | 42 |
| C-reactive protein high sensitivity CPT 86141 | $199.00 | $199.00 | $12.69 – $199.00 | 42 |
| Create eardrum opening CPT 69436 | $1,182.00 | $1,182.00 | $153.01 – $788.00 | 42 |
| Creatine kinase CPT 82550 | $102.00 | $102.00 | $27.99 – $102.00 | 42 |
| Creatine kinase isoenzymes CPT 82552 | $177.00 | $177.00 | $48.57 – $177.00 | 42 |
| Creatine kinase mb CPT 82553 | $168.00 | $168.00 | $46.10 – $168.00 | 42 |
| Creatinine CPT 82565 | $65.00 | $65.00 | $17.84 – $65.00 | 42 |
| Creatinine 24 hour urine CPT 82570 | $97.00 | $97.00 | $4.05 – $97.00 | 780 |
| Creatinine clearance urine CPT 82575 | $107.00 | $107.00 | $29.36 – $107.00 | 42 |
| Critical care each additional 30 minutes CPT 99292 | $500.00 | $500.00 | $80.40 – $293.00 | 42 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,908.00 | $1,908.00 | $126.95 – $659.00 | 780 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,358.85 | $7,358.85 | $2,019.27 – $7,358.85 | 108 |
| Cryoprecipitate each unit HCPCS P9012 | $190.00 | $190.00 | $52.14 – $190.00 | 42 |
| Crystal identification light microscopy CPT 89060 | $849.00 | $128.00 | $31.45 – $128.00 | 42 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,564.00 | $3,564.00 | $651.97 – $2,376.00 | 42 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $6,472.00 | $6,472.00 | $1,775.92 – $6,472.00 | 42 |
| CT Angiogram of the Abdomen CPT 74175 | $4,046.00 | $4,046.00 | $1,110.22 – $4,046.00 | 42 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $3,643.00 | $3,643.00 | $999.64 – $3,643.00 | 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.