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 |
|---|---|---|---|---|
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,513.00 | $1,513.00 | $415.17 – $1,513.00 | 42 |
| CT Angiogram of the Head CPT 70496 | $3,890.00 | $3,890.00 | $1,067.42 – $3,890.00 | 42 |
| CT Angiogram of the Neck CPT 70498 | $3,936.00 | $3,936.00 | $1,080.04 – $3,936.00 | 42 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $100.00 | $100.00 | $27.44 – $100.00 | 42 |
| CT limited or localized follow-up study CPT 76380 | $852.00 | $852.00 | $233.79 – $852.00 | 42 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $6,331.00 | $6,331.00 | $1,737.23 – $6,331.00 | 42 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,637.00 | $5,637.00 | $1,546.79 – $5,637.00 | 42 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,696.00 | $4,696.00 | $1,288.58 – $4,696.00 | 42 |
| Culture aerobic additional method definitive id each CPT 87077 | $392.00 | $96.00 | $8.56 – $96.00 | 42 |
| Culture afb any source CPT 87116 | $117.00 | $117.00 | $32.10 – $117.00 | 42 |
| Culture anaerobic additional method definitive id each CPT 87076 | $82.00 | $82.00 | $22.50 – $82.00 | 42 |
| Culture anaerobic except blood CPT 87075 | $127.00 | $127.00 | $34.85 – $127.00 | 42 |
| Culture body fluid CPT 87070 | $339.00 | $146.00 | $8.45 – $146.00 | 42 |
| Culture fungi definitive id mold CPT 87107 | $560.00 | $560.00 | $33.48 – $122.00 | 42 |
| Culture fungi definitive id yeast CPT 87106 | $172.00 | $172.00 | $10.11 – $172.00 | 42 |
| Culture fungi other (except blood) CPT 87102 | $143.00 | $143.00 | $8.41 – $143.00 | 42 |
| Culture fungi skin/hair/nail CPT 87101 | $85.00 | $85.00 | $7.71 – $85.00 | 42 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $324.00 | $324.00 | $88.91 – $324.00 | 42 |
| Culture quantitative aerobic other source CPT 87071 | $132.00 | $132.00 | $36.22 – $132.00 | 42 |
| Culture screening strep group a CPT 87081 | $101.00 | $101.00 | $21.40 – $78.00 | 42 |
| Culture typing immunologic CPT 87147 | $46.00 | $46.00 | $12.62 – $46.00 | 42 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $500.00 | $500.00 | $137.20 – $500.00 | 42 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $242.00 | $242.00 | $34.73 – $242.00 | 42 |
| Culture urine each isolate CPT 87088 | $85.00 | $85.00 | $23.32 – $85.00 | 42 |
| Cutter lead HCPCS C1773 | $5,121.59 | $5,121.59 | $98.21 – $357.89 | 42 |
| Cv stress test i&r only 93018 CPT 93018 | $47.00 | $47.00 | $8.73 – $47.00 | 781 |
| Cv stress test/supervision only 93016 CPT 93016 | $70.00 | $70.00 | $13.21 – $70.00 | 781 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.20 | $7.85 | $0.56 – $5.00 | 780 |
| Cyclic citrullinated peptide antibody CPT 86200 | $150.00 | $150.00 | $41.16 – $150.00 | 42 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $5,154.25 | $5,154.25 | $353.59 – $1,288.60 | 42 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $17.10 | $17.10 | $2.17 – $17.10 | 108 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $137.50 | $137.50 | $37.73 – $137.50 | 42 |
| Cyclosporine 2 hour CPT 80158 | $194.00 | $194.00 | $53.23 – $194.00 | 42 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $24,298.69 | $24,298.69 | $13.72 – $50.00 | 42 |
| Cystatin c CPT 82610 | $112.00 | $112.00 | $30.73 – $112.00 | 42 |
| Cystoscopy and treatment CPT 52224 | $9,250.00 | $9,250.00 | $2,538.20 – $9,250.00 | 42 |
| Cystoscopy and treatment CPT 52234 | $13,399.61 | not published | $4.64 – $31.45 | 67 |
| Cystoscopy and treatment CPT 52310 | $1,169.00 | $1,169.00 | $320.77 – $1,169.00 | 42 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,938.00 | $2,938.00 | $806.19 – $2,938.00 | 42 |
| Cystoscopy chemodenervation CPT 52287 | $10,793.15 | $4,268.00 | $1,171.14 – $4,268.00 | 108 |
| Cystoscopy & ureter catheter CPT 52005 | $4,863.00 | $4,863.00 | $1,334.41 – $4,863.00 | 42 |
| Cysto/uretero w/lithotripsy CPT 52356 | $15,383.00 | not published | $1.92 – $3.36 | 67 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $6,146.00 | $6,146.00 | $1,686.46 – $6,146.00 | 42 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $48.40 | 108 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $146.00 | $146.00 | $25.24 – $92.00 | 42 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $169.00 | $169.00 | $46.37 – $169.00 | 42 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $246.00 | $246.00 | $67.50 – $246.00 | 42 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $123.00 | $123.00 | $26.61 – $123.00 | 42 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $109.00 | $109.00 | $20.26 – $109.00 | 42 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $192.00 | $192.00 | $52.68 – $192.00 | 42 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $150.00 | $150.00 | $41.16 – $150.00 | 42 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $139.00 | $139.00 | $27.32 – $139.00 | 33 |
| Cytopath smear other source CPT 88160 | $164.00 | $164.00 | $45.17 – $164.00 | 33 |
| Cytopath tbs c/v manual CPT 88164 | $91.00 | $91.00 | $18.19 – $91.00 | 42 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $55.20 | 108 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $331.50 – $13,542.70 | 108 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $7,773.10 | $7,773.10 | $1,555.00 – $7,773.10 | 108 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $152.45 | $152.45 | $15.00 – $79.35 | 108 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $9,251.04 – $33,713.70 | 42 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $75.00 – $932.45 | 108 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $9,442.10 – $34,410.00 | 108 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $84.65 – $308.50 | 42 |
| Deamidated gliadin antibody iga CPT 86258 | $98.00 | $98.00 | $26.89 – $98.00 | 42 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $17,181.33 | $426.00 | $3.36 – $426.00 | 780 |
| Debride nail1-5 11720 CPT 11720 | $739.00 | $739.00 | $4.05 – $60.52 | 767 |
| Debride nail6 or more 11721 CPT 11721 | $186.00 | $186.00 | $13.63 – $101.81 | 767 |
| Decalcification CPT 88311 | $111.00 | $111.00 | $30.46 – $111.00 | 42 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $224.90 | $224.90 | $61.71 – $224.90 | 42 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $98.80 | $98.80 | $9.02 – $65.35 | 108 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $381.60 – $1,460.15 | 108 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $370.00 | $370.00 | $101.53 – $370.00 | 42 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $1,754.40 – $8,883.85 | 108 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.10 | $0.10 | $0.03 – $0.10 | 42 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $174.80 | $174.80 | $47.97 – $174.80 | 42 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $386.00 | $386.00 | $15.23 – $176.79 | 767 |
| Destruction benign lesions < 14 lesions CPT 17110 | $376.00 | $376.00 | $14.54 – $251.53 | 767 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $16,463.08 | $4,013.00 | $0.96 – $340.00 | 780 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $13,535.90 | $7,542.00 | $0.96 – $730.00 | 780 |
| Developmental screen/score/document 96110 CPT 96110 | $71.00 | $71.00 | $5.55 – $33.00 | 554 |
| Device ablt adv novasure HCPCS C1886 | $9,596.13 | $9,596.13 | $119.51 – $435.55 | 42 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,999.50 | $3,999.50 | $895.30 – $3,262.75 | 42 |
| Device intraute mirena HCPCS J7298 | $3,250.58 | $3,250.58 | $891.96 – $3,250.58 | 42 |
| Device sut capio slim opn HCPCS C2631 | $2,360.40 | $2,360.40 | $290.69 – $1,059.37 | 42 |
| Device tiss remov myosure reach HCPCS C1782 | $6,094.92 | $6,094.92 | $292.23 – $1,064.99 | 42 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $265.00 | $265.00 | $72.72 – $265.00 | 42 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $13.00 | $13.00 | $0.27 – $1.00 | 108 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $20.20 | $25.63 | $0.09 – $3.76 | 780 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.80 | $884.80 | $32.09 – $344.95 | 108 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $5.49 – $20.00 | 42 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $20.00 | $5.49 – $20.00 | 42 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $9.60 – $35.00 | 42 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $30.00 | $4.80 – $17.50 | 42 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $286.00 | $286.00 | $78.48 – $286.00 | 42 |
| Diabetes (HbA1c) Test CPT 83036 | $122.00 | $122.00 | $6.80 – $122.00 | 780 |
| Diab manage trn ind/group HCPCS G0109 | $122.00 | $122.00 | $33.48 – $122.00 | 42 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $686.00 | $686.00 | $142.21 – $686.00 | 42 |
| Diagnostic Mammogram (one breast) CPT 77065 | $457.00 | $457.00 | $112.74 – $457.00 | 42 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $172.55 | $172.55 | $47.35 – $172.55 | 42 |
| Diffusing capacity CPT 94729 | $548.00 | $548.00 | $5.92 – $548.00 | 780 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $25.30 | $25.30 | $0.86 – $4.00 | 108 |
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.