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 |
|---|---|---|---|---|
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,216.00 | $2,216.00 | $608.07 – $2,216.00 | 42 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $20,239.50 | $2,363.00 | $2.88 – $2,363.00 | 781 |
| Gammaglobulin iga CPT 82784 | $126.00 | $126.00 | $34.57 – $126.00 | 42 |
| Gammaglobulin ige CPT 82785 | $129.00 | $129.00 | $35.40 – $129.00 | 42 |
| Gamma glutamyltransferase CPT 82977 | $93.00 | $93.00 | $25.52 – $93.00 | 42 |
| Gamunex-c/gammaked HCPCS J1561 | $3,559.50 | $3,559.50 | $480.30 – $1,779.75 | 108 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $138.00 | $138.00 | $22.72 – $82.80 | 108 |
| Gel-one HCPCS J7326 | $5,750.00 | $5,750.00 | $454.79 – $1,630.86 | 766 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1,784.45 | $1,784.45 | $0.41 – $336.00 | 767 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $540.20 | $540.20 | $13.76 – $50.15 | 108 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $31,504.65 | $31,504.65 | $8,644.88 – $31,504.65 | 108 |
| General health panel CPT 80050 | $405.00 | $405.00 | $111.13 – $405.00 | 42 |
| Generator barostim neo2 2014 HCPCS C1767 | $68,971.44 | $68,971.44 | $0.92 – $3.36 | 42 |
| Generator emblem MRI sicd subq HCPCS C1722 | $34,380.00 | $34,380.00 | $206.65 – $753.08 | 42 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $57,801.38 | $57,801.38 | $12,264.03 – $44,694.00 | 42 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $17.40 | $17.40 | $1.19 – $4.35 | 42 |
| Gentamicin peak therapeutic drug level CPT 80170 | $150.00 | $150.00 | $41.16 – $150.00 | 42 |
| Ghs change cysto/gastrost CPT 43762 | $833.00 | $833.00 | $3.53 – $80.00 | 767 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,663.00 | $1,663.00 | $132.09 – $1,200.73 | 767 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $3,707.00 | $3,707.00 | $678.04 – $2,471.00 | 42 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $473.00 | $473.00 | $21.40 – $78.00 | 42 |
| Ghs excision ingrown nail CPT 11765 | $687.00 | $687.00 | $13.89 – $461.87 | 767 |
| Ghs fb removal - incisional CPT 10121 | $3,021.00 | $3,021.00 | $112.50 – $410.00 | 42 |
| Ghs histoplasma antigen CPT 87385 | $321.00 | $321.00 | $88.08 – $321.00 | 42 |
| Ghs HIV antibody CPT 86703 | $99.00 | $99.00 | $27.17 – $99.00 | 42 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $2,111.00 | $2,111.00 | $579.26 – $2,111.00 | 42 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $761.00 | $761.00 | $19.14 – $563.36 | 767 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $3,636.00 | $3,636.00 | $19.29 – $780.00 | 780 |
| Ghs inj tendon origin/insertion CPT 20551 | $799.00 | $799.00 | $10.55 – $137.00 | 781 |
| Ghs insertion of needle - bone CPT 36680 | $799.00 | $799.00 | $219.25 – $799.00 | 42 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $12,764.43 | not published | $3.36 – $77.24 | 67 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $384.00 | $384.00 | $105.37 – $384.00 | 42 |
| Ghs myocardial strain img spckl track CPT 93356 | $123.00 | $123.00 | $6.39 – $70.00 | 781 |
| Ghs nerve block axillary nerve CPT 64417 | $540.00 | $540.00 | $66.26 – $360.00 | 42 |
| Ghs nerve block brachial plexus CPT 64415 | $500.00 | $500.00 | $72.32 – $333.00 | 42 |
| Ghs nerve block suprascapular CPT 64418 | $188.00 | $188.00 | $34.30 – $125.00 | 42 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $92.00 | $92.00 | $12.57 – $68.29 | 767 |
| Ghs ot dds rom CPT 95851 | $75.00 | $75.00 | $20.58 – $75.00 | 42 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,324.00 | $2,324.00 | $32.59 – $1,549.00 | 780 |
| Ghs picc line insert < 5 CPT 36568 | $4,660.00 | $4,660.00 | $1,278.70 – $4,660.00 | 42 |
| Ghs ppd (tb intradermal) CPT 86580 | $30.00 | $30.00 | $6.59 – $24.82 | 767 |
| Ghs pr without cont pulse ox CPT 94625 | $242.00 | $242.00 | $66.40 – $242.00 | 42 |
| Ghs removal intranasal foreign body CPT 30300 | $555.00 | $555.00 | $121.89 – $555.00 | 42 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $424.00 | $424.00 | $73.75 – $424.00 | 42 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $434.00 | $434.00 | $23.01 – $434.00 | 780 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $479.00 | $479.00 | $92.44 – $479.00 | 42 |
| Glove finger flexion right lg xl HCPCS L3912 | $81.59 | $81.59 | $16.04 – $58.47 | 42 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.40 | $655.40 | $179.84 – $655.40 | 41 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $567.40 | $567.40 | $155.69 – $567.40 | 42 |
| Glucose 1 hr post dose CPT 82950 | $64.00 | $64.00 | $17.56 – $64.00 | 42 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $8.00 | $8.00 | $2.30 – $6.82 | 767 |
| Glucose blood quantitative CPT 82947 | $56.00 | $56.00 | $15.37 – $56.00 | 42 |
| Glucose body fluid CPT 82945 | $70.00 | $70.00 | $3.89 – $70.00 | 42 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $242.00 | $242.00 | $66.40 – $242.00 | 42 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $142.00 | $142.00 | $21.62 – $142.00 | 42 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $83.00 | $83.00 | $3.84 – $83.00 | 42 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $3.15 | $3.15 | $0.86 – $3.15 | 42 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,516.60 | $5,516.60 | $551.50 – $5,516.60 | 108 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $205.00 | $205.00 | $56.25 – $205.00 | 42 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $208.00 | $208.00 | $57.08 – $208.00 | 42 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $16,064.55 | $16,064.55 | $803.41 – $5,895.10 | 108 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $145.45 | $145.45 | $39.91 – $145.45 | 42 |
| Graft axiofill 1000mg HCPCS J3590 | $9,693.53 | $9,693.53 | $444.13 – $1,618.56 | 42 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | $2.17 | $2.17 | $0.60 – $2.17 | 42 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $2,901.33 | $2,901.33 | $26.42 – $96.28 | 42 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $7,647.47 | $7,647.47 | $0.13 – $0.46 | 42 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $2,382.88 | $2,382.88 | $653.86 – $2,382.88 | 42 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $25,786.25 | $25,786.25 | $0.12 – $0.43 | 42 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $55,008.00 | $55,008.00 | $0.01 – $1.04 | 42 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $468.37 | $468.37 | $0.43 – $1.56 | 42 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $611.54 | $611.54 | $65.50 – $238.70 | 42 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $637.00 | $637.00 | $83.94 – $305.89 | 42 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $733.52 | $733.52 | $22.34 – $81.42 | 42 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $89.31 | $89.31 | $24.51 – $89.31 | 42 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $2,624.09 | $2,624.09 | $0.01 – $0.05 | 42 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | $913.25 | $913.25 | $96.04 – $350.01 | 42 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $480.03 | $480.03 | $17.04 – $62.10 | 42 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $39,241.14 | $39,241.14 | $13.72 – $50.00 | 42 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $26,268.04 | $26,268.04 | $30.01 – $109.36 | 42 |
| Granisetron hcl injection HCPCS J1626 | $46.00 | $46.00 | $2.30 – $46.00 | 108 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $3,919.83 | $3,919.83 | $1,067.76 – $3,891.24 | 42 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $7,046.99 | $7,046.99 | $0.01 – $0.43 | 42 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,150.70 | $1,150.70 | $0.01 – $41.84 | 42 |
| Gw stiffened micro access kit HCPCS C1894 | $15,124.43 | $15,124.43 | $0.01 – $1.14 | 42 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $3.65 | $3.65 | $1.00 – $3.65 | 42 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $22,886.61 | $22,886.61 | $2,027.74 – $7,389.71 | 42 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $198.00 | $198.00 | $54.33 – $198.00 | 42 |
| Hand X-ray CPT 73130 | $470.00 | $470.00 | $5.54 – $313.00 | 781 |
| Hand X-ray (2 views, both hands) CPT 73120 | $363.00 | $363.00 | $5.11 – $242.00 | 781 |
| Haptoglobin quantitative CPT 83010 | $194.00 | $194.00 | $53.23 – $194.00 | 42 |
| Hcg qualitative CPT 84703 | $131.00 | $131.00 | $35.95 – $131.00 | 42 |
| Hcg quantitative CPT 84702 | $168.00 | $168.00 | $15.05 – $168.00 | 42 |
| Head CT scan (with and without contrast) CPT 70470 | $2,688.00 | $2,688.00 | $737.59 – $2,688.00 | 42 |
| Head CT scan (without contrast) CPT 70450 | $2,105.00 | $2,105.00 | $577.61 – $2,105.00 | 42 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $423.00 | $423.00 | $77.38 – $282.00 | 42 |
| Helicobacter pylori antibody igm CPT 86677 | $123.00 | $123.00 | $33.75 – $123.00 | 42 |
| Hematocrit CPT 85014 | $983.00 | $47.00 | $9.09 – $47.00 | 42 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $34,281.50 | $34,281.50 | $9,406.84 – $34,281.50 | 108 |
| Hemoglobin CPT 85018 | $750.00 | $39.00 | $1.90 – $39.00 | 780 |
| Hemoglobin fetal qualitative CPT 83033 | $198.00 | $198.00 | $54.33 – $198.00 | 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.