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 |
|---|---|---|---|---|
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $3,766.22 – $13,725.30 | 108 |
| Digoxin total therapeutic drug level CPT 80162 | $141.00 | $141.00 | $13.01 – $141.00 | 42 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $358.75 | $358.75 | $25.24 – $92.00 | 42 |
| Dilator fascial 10fx20cm HCPCS C2627 | $423.05 | $423.05 | $12.69 – $46.25 | 42 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $8.85 | $8.85 | $2.00 – $8.85 | 108 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.40 | $5.40 | $0.54 – $5.40 | 780 |
| Disability dlco CPT 94727 | $581.00 | $581.00 | $159.43 – $581.00 | 42 |
| Dna antibody native/double stranded CPT 86225 | $156.00 | $156.00 | $42.81 – $156.00 | 42 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $135.00 | $135.00 | $7.98 – $38.30 | 108 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $134.65 | 108 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $35.90 | $35.90 | $6.60 – $35.90 | 108 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $905.00 | $905.00 | $248.33 – $905.00 | 42 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $684.00 | $684.00 | $187.69 – $684.00 | 42 |
| Dornhoffer fixed part w/window HCPCS L8614 | $31,736.18 | $31,736.18 | $376.45 – $1,371.90 | 42 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $10,101.39 – $36,812.65 | 108 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $93.40 | 108 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,093.75 | $7,093.75 | $527.11 – $1,920.95 | 42 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $28.30 | $28.30 | $7.77 – $28.30 | 108 |
| Dpyd gene common variants CPT 81232 | $524.00 | $524.00 | $143.79 – $524.00 | 42 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $212.98 | $212.98 | $58.44 – $212.98 | 42 |
| Drain finger abscess;simple 26010 CPT 26010 | $1,706.00 | $1,197.00 | $3.65 – $340.00 | 781 |
| Drain lower leg lesion 27603 CPT 27603 | $1,744.00 | $1,744.00 | $118.43 – $891.00 | 768 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $1,504.70 | $1,504.70 | $25.41 – $92.61 | 42 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.80 | $32.80 | $5.36 – $32.80 | 108 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $5,886.99 | $5,886.99 | $189.45 – $690.42 | 42 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $241.26 | $241.26 | $66.20 – $241.26 | 42 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $53.60 | $53.60 | $11.98 – $43.65 | 42 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $64.30 | $64.30 | $16.61 – $60.55 | 42 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $123.24 | $123.24 | $29.23 – $106.53 | 42 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.73 | $0.73 | $0.20 – $0.73 | 42 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $146.06 | $146.06 | $30.77 – $112.15 | 42 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $72.19 | $72.19 | $12.79 – $46.60 | 42 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $9,582.38 | $9,582.38 | $20.39 – $74.31 | 42 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $25.75 | $25.75 | $1.07 – $3.91 | 42 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $381.35 | $381.35 | $54.75 – $199.54 | 42 |
| Drug assay rufinamide CPT 80210 | $132.00 | $132.00 | $36.22 – $132.00 | 42 |
| Drug assay vedolizumab CPT 80280 | $390.00 | $390.00 | $37.80 – $390.00 | 42 |
| Drug assay voriconazole CPT 80285 | $187.00 | $187.00 | $27.11 – $187.00 | 42 |
| Drug of abuse screen urine CPT 80305 | $168.00 | $168.00 | $46.10 – $168.00 | 42 |
| Drug test def 1-7 classes HCPCS G0480 | $223.00 | not published | $112.14 – $121.30 | 7 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $211.00 | $211.00 | $57.90 – $211.00 | 42 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $6,407.00 | $6,407.00 | $113.33 – $413.00 | 42 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $2,313.19 | $2,313.19 | $167.12 – $609.04 | 42 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $264.34 | $264.34 | $7.48 – $27.25 | 42 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $869.71 – $3,169.50 | 108 |
| Dxa bone density axl vrt fx CPT 77085 | $345.00 | $345.00 | $9.16 – $31.00 | 767 |
| Ear irrigation 69209 CPT 69209 | $108.00 | $108.00 | $5.07 – $54.00 | 769 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $22.00 | $22.00 | $6.04 – $22.00 | 42 |
| Ecg < 30 days transmission & analysis CPT 93271 | $735.00 | $735.00 | $201.68 – $735.00 | 42 |
| Ecg external < 48 hours recording CPT 93225 | $694.00 | $694.00 | $190.43 – $694.00 | 42 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $338.00 | $338.00 | $92.75 – $338.00 | 42 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $705.00 | $705.00 | $193.45 – $705.00 | 42 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,350.00 | $2,350.00 | $43.03 – $230.00 | 781 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $1,400.00 | $1,400.00 | $15.76 – $1,400.00 | 781 |
| Echocardiography doppler color flow mapping CPT 93325 | $525.00 | $525.00 | $144.06 – $525.00 | 42 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,990.00 | $2,990.00 | $820.46 – $2,990.00 | 42 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,071.00 | $1,071.00 | $293.88 – $1,071.00 | 42 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $450.00 | $450.00 | $123.48 – $450.00 | 42 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $4,993.86 – $18,199.20 | 108 |
| Eeg recording awake and asleep CPT 95819 | $627.00 | $627.00 | $172.05 – $627.00 | 42 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $5,197.85 – $18,942.60 | 108 |
| EKG (Electrocardiogram) CPT 93000 | $125.00 | $125.00 | $9.44 – $125.00 | 780 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $49.00 | $49.00 | $10.47 – $42.00 | 766 |
| EKG (Tracing Only) CPT 93005 | $803.00 | $245.00 | $5.46 – $245.00 | 42 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $365.00 | $365.00 | $66.68 – $243.00 | 42 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $504.00 | $504.00 | $5.33 – $336.00 | 781 |
| Electrd sq emblem s-icd HCPCS C1896 | $11,345.95 | $11,345.95 | $821.46 – $2,993.66 | 42 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $125.00 | $125.00 | $34.30 – $125.00 | 42 |
| Electrolyte panel CPT 80051 | $550.00 | $97.00 | $6.47 – $97.00 | 42 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $1,949.01 – $7,102.80 | 108 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $11,760.32 – $42,858.30 | 108 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $2,312.37 – $8,427.00 | 108 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $73.35 | $73.35 | $3.17 – $11.55 | 42 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $1,153.17 – $4,202.50 | 108 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $5,418.00 | $5,418.00 | $991.13 – $3,612.00 | 42 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $15.92 – $58.00 | 42 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $13.20 – $50.40 | 108 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $50.40 | $50.40 | $5.80 – $50.40 | 108 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $35.20 | $35.20 | $9.66 – $35.20 | 42 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 108 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,079.00 | $2,079.00 | $15.14 – $104.00 | 108 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $15.36 – $152.50 | 108 |
| Epstein barr early antigen antibody CPT 86663 | $145.00 | $145.00 | $39.79 – $145.00 | 42 |
| Epstein barr nuclear antigen antibody CPT 86664 | $166.00 | $166.00 | $45.55 – $166.00 | 42 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $186.00 | $186.00 | $51.04 – $186.00 | 42 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $209.50 | $209.50 | $57.49 – $209.50 | 108 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $1,985.00 – $10,020.45 | 108 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $1,144.50 – $7,050.00 | 108 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $92.00 | $92.00 | $0.82 – $18.04 | 108 |
| ER Visit (level 1, minor) CPT 99281 | $525.00 | $525.00 | $11.82 – $54.00 | 42 |
| ER Visit (level 2) CPT 99282 | $1,031.00 | $750.00 | $25.77 – $104.00 | 780 |
| ER Visit (level 3) CPT 99283 | $927.00 | $927.00 | $42.81 – $156.00 | 781 |
| ER Visit (level 4) CPT 99284 | $3,303.00 | $1,280.00 | $3.40 – $284.00 | 781 |
| ER Visit (level 5, high severity) CPT 99285 | $7,519.00 | $1,908.00 | $2.28 – $862.00 | 780 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $908.50 | $908.50 | $34.41 – $125.40 | 108 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $427.50 | $427.50 | $2.52 – $9.20 | 108 |
| Esophagoscopy flex biopsy CPT 43202 | $374.00 | $374.00 | $29.72 – $344.67 | 767 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $333.00 | $318.00 | $25.35 – $285.20 | 767 |
| Esoph egd dilation <30 mm CPT 43249 | $5,522.81 | $3,977.00 | $2.46 – $3,977.00 | 780 |
| Established Patient Office Visit (level 1) CPT 99211 | $54.00 | $54.00 | $6.48 – $54.00 | 780 |
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.