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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 2) CPT 99212 | $120.00 | $120.00 | $8.04 – $114.00 | 780 |
| Established Patient Office Visit (level 3) CPT 99213 | $799.00 | $192.00 | $4.80 – $182.00 | 780 |
| Established Patient Office Visit (level 4) CPT 99214 | $803.00 | $272.00 | $41.71 – $258.00 | 780 |
| Established Patient Office Visit (level 5) CPT 99215 | $382.00 | $382.00 | $65.37 – $362.00 | 780 |
| Estradiol total CPT 82670 | $238.00 | $238.00 | $65.31 – $238.00 | 42 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $40.25 | $40.25 | $11.04 – $40.25 | 108 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $344.00 | $344.00 | $94.39 – $344.00 | 42 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $321.00 | $321.00 | $88.08 – $321.00 | 42 |
| Exam pelvic add-on CPT 99459 | $56.00 | $56.00 | $11.08 – $55.00 | 767 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $11,350.53 | $3,873.00 | $0.96 – $2,582.00 | 781 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $2,130.00 | $1,842.00 | $77.80 – $1,141.33 | 767 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $3,528.00 | $3,528.00 | $81.41 – $3,528.00 | 782 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $5,418.25 | $1,494.00 | $2.46 – $1,494.00 | 108 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $517.00 | $517.00 | $28.70 – $331.87 | 767 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $654.00 | $654.00 | $38.53 – $334.01 | 767 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $10,874.05 | $2,209.00 | $3.36 – $2,209.00 | 108 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $9,635.12 | $704.00 | $1.92 – $704.00 | 781 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $12,764.43 | not published | $3.36 – $77.24 | 67 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $11,469.13 | not published | $0.96 – $3.36 | 67 |
| Exc neck tum deep < 5 cm CPT 21556 | $8,944.98 | not published | $0.96 – $4.92 | 67 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $602.00 | $602.00 | $40.77 – $529.97 | 767 |
| Exc rect tum transanal part CPT 45171 | $8,227.00 | $8,227.00 | $2,257.49 – $8,227.00 | 42 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $5,760.00 | $5,760.00 | $1,053.70 – $3,840.00 | 42 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $3,723.25 | $3,723.25 | $0.03 – $0.12 | 42 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $4,542.19 | $4,542.19 | $6.86 – $25.00 | 42 |
| Explore wound abdomen 20102 CPT 20102 | $861.00 | $861.00 | $6.42 – $89.76 | 768 |
| External chromosome analysis 20-25 cells CPT 88264 | $722.00 | $722.00 | $198.12 – $722.00 | 42 |
| External newborn metabolic screening panel HCPCS S3620 | $142.00 | $142.00 | $39.11 – $142.00 | 33 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $94.00 | $94.00 | $25.79 – $94.00 | 42 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $4,620.00 | $4,620.00 | $1,267.73 – $4,620.00 | 42 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $431.00 | $431.00 | $118.70 – $431.00 | 42 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $205.00 | $205.00 | $17.93 – $205.00 | 42 |
| Eye implant band 40 HCPCS C1784 | $1,756.25 | $1,756.25 | $14.61 – $53.25 | 42 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,346.00 | $2,346.00 | $643.74 – $2,346.00 | 42 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,244.00 | $2,244.00 | $615.75 – $2,244.00 | 42 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $485.19 – $1,768.20 | 42 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $4,155.79 – $15,145.00 | 42 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $7,533.65 – $27,455.00 | 42 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $381.76 – $1,391.25 | 42 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $5,714.00 | $5,714.00 | $1,567.92 – $5,714.00 | 42 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $4,051.00 | $4,051.00 | $1,111.59 – $4,051.00 | 42 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $497.00 | $497.00 | $136.38 – $497.00 | 42 |
| Facial Bones X-ray (complete) CPT 70150 | $618.00 | $618.00 | $7.88 – $618.00 | 781 |
| Factor ix CPT 85250 | $225.00 | $225.00 | $18.66 – $225.00 | 42 |
| Factor viii CPT 85240 | $379.00 | $379.00 | $104.00 – $379.00 | 42 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.10 | $4.10 | $0.80 – $3.00 | 108 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $2,667.83 – $9,722.40 | 108 |
| Fat/lipids feces qualitative CPT 82705 | $70.00 | $70.00 | $5.00 – $70.00 | 42 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $7,747.26 – $28,233.45 | 108 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $53.25 | $53.25 | $0.82 – $3.00 | 42 |
| Fern test HCPCS Q0114 | $63.00 | $63.00 | $17.29 – $63.00 | 42 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $1,443.89 – $5,262.00 | 42 |
| Ferritin CPT 82728 | $1,117.00 | $165.00 | $9.09 – $165.00 | 42 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $712.85 | $712.85 | $158.10 – $712.85 | 108 |
| Fetal fibronectin CPT 82731 | $680.00 | $680.00 | $186.59 – $680.00 | 42 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $75.00 | $75.00 | $20.58 – $75.00 | 42 |
| Fetal hemoglobin rosette CPT 85461 | $126.00 | $126.00 | $34.57 – $126.00 | 42 |
| Fibrin degradation d dimer quantitative CPT 85379 | $224.00 | $224.00 | $61.47 – $224.00 | 42 |
| Fibrinogen activity CPT 85384 | $104.00 | $104.00 | $10.30 – $104.00 | 42 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $342.00 | $342.00 | $15.17 – $342.00 | 42 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $87.00 – $1,007.20 | 108 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $297.00 – $1,447.95 | 108 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $111.00 – $1,261.80 | 108 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $26,937.16 | $26,937.16 | $733.28 – $2,672.31 | 42 |
| Filter vena cava fem denali HCPCS C1880 | $35,888.87 | $35,888.87 | $99.61 – $363.00 | 42 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $3,239.60 | $3,239.60 | $242.89 – $885.15 | 42 |
| Finger X-ray (both hands) CPT 73140 | $435.00 | $435.00 | $4.26 – $290.00 | 781 |
| Flow cytometry marker each additional CPT 88185 | $131.00 | $131.00 | $35.95 – $131.00 | 42 |
| Flow cytometry one marker technical component CPT 88184 | $383.00 | $383.00 | $10.98 – $40.00 | 42 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $74.00 | $74.00 | $5.08 – $18.50 | 42 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $78.41 – $434.65 | 108 |
| Fluidotherapy charges pt CPT 97022 | $151.00 | $151.00 | $41.43 – $151.00 | 42 |
| Fluorescent antibody titer dna CPT 86256 | $123.00 | $123.00 | $33.75 – $123.00 | 42 |
| Fluoroguide needle placement CPT 77002 | $766.00 | $766.00 | $210.19 – $766.00 | 42 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $693.00 | $693.00 | $8.44 – $693.00 | 780 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.00 | $147.00 | $1.88 – $48.65 | 108 |
| Folic acid CPT 82746 | $145.00 | $145.00 | $39.79 – $145.00 | 42 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $133.50 | $133.50 | $30.00 – $133.50 | 108 |
| Followup eval of foot pt lop HCPCS G0246 | $99.00 | $99.00 | $13.45 – $96.98 | 766 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $423.24 | $423.24 | $21.11 – $76.94 | 42 |
| Foot X-ray CPT 73630 | $522.00 | $522.00 | $5.11 – $23.00 | 781 |
| Foot X-ray (2 views, both feet) CPT 73620 | $416.00 | $416.00 | $76.01 – $277.00 | 42 |
| Forearm X-ray (both sides) CPT 73090 | $537.00 | $537.00 | $98.24 – $358.00 | 42 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,539.00 | $1,539.00 | $422.30 – $1,539.00 | 42 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $9.20 | $9.20 | $2.52 – $9.20 | 108 |
| Fragmenting of kidney stone CPT 50590 | $32,913.00 | $32,913.00 | $0.36 – $21,942.00 | 108 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $519.00 | $519.00 | $142.41 – $519.00 | 42 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $223.00 | $223.00 | $61.19 – $223.00 | 42 |
| Fructosamine glycated protein CPT 82985 | $107.00 | $107.00 | $29.36 – $107.00 | 42 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $354.00 | $354.00 | $97.14 – $354.00 | 42 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $21.92 | $21.92 | $0.01 – $3.00 | 518 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $6.75 | $6.75 | $1.85 – $6.75 | 42 |
| Fusion of big toe joint CPT 28750 | $25,723.53 | $2,008.00 | $0.96 – $207.52 | 768 |
| Fusion of foot bones CPT 28730 | $41,998.05 | $3,924.00 | $1.92 – $2,616.00 | 781 |
| Fusion of foot bones CPT 28740 | $40,572.70 | $2,146.00 | $0.96 – $1,737.88 | 768 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $253.10 | $253.10 | $69.45 – $253.10 | 42 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $15,600.00 | $15,600.00 | $4,280.64 – $15,600.00 | 42 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $591.40 | $591.40 | $19.76 – $591.40 | 42 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $231.00 | $231.00 | $7.35 – $231.00 | 42 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $50.15 | $50.15 | $12.00 – $50.15 | 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.