MercyOne Clinton Medical Center
1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962
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 |
|---|---|---|---|---|
| Fetal biophys profile w/nst 76818 CPT 76818 | $659.75 | $1,015.00 | $96.27 – $1,015.00 | 118 |
| Fetal fibronectin CPT 82731 | $331.50 | $510.00 | $62.41 – $510.00 | 47 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $389.35 | $599.00 | $7.49 – $599.00 | 47 |
| Fetal hemoglobin rosette CPT 85461 | $130.00 | $200.00 | $9.07 – $200.00 | 47 |
| Fetal non stress test CPT 59025 | $806.00 | $522.00 | $3.95 – $522.00 | 783 |
| Fibrin degradation d dimer quantitative CPT 85379 | $211.90 | $326.00 | $9.86 – $183.00 | 47 |
| Fibrinogen activity CPT 85384 | $123.50 | $190.00 | $9.41 – $121.00 | 47 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $268.45 | $413.00 | $15.00 – $413.00 | 47 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $0.27 – $1,007.20 | 118 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $0.98 – $1,447.95 | 118 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,128.65 | $2,018.90 | $0.34 – $1,261.80 | 118 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $756.26 – $2,672.31 | 33 |
| Filter vena cava fem denali HCPCS C1880 | $23,327.77 | $35,888.87 | $102.73 – $363.00 | 33 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $167.00 | $167.00 | $27.48 – $105.00 | 768 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $250.50 – $885.15 | 33 |
| Finger X-ray (both hands) CPT 73140 | $317.20 | $488.00 | $80.14 – $326.00 | 118 |
| Flexible Sigmoidoscopy CPT 45330 | $11,736.98 | $204.00 | $2.16 – $1,990.07 | 769 |
| Flow cytometry marker each additional CPT 88185 | $544.05 | $837.00 | $11.32 – $40.00 | 33 |
| Flow cytometry one marker technical component CPT 88184 | $412.10 | $634.00 | $98.77 – $767.06 | 118 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $74.00 | $74.00 | $5.24 – $18.50 | 33 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $78.41 – $434.65 | 104 |
| Fluorescent antibody titer dna CPT 86256 | $123.50 | $190.00 | $11.81 – $190.00 | 47 |
| Fluoroguide needle placement CPT 77002 | $563.55 | $867.00 | $245.36 – $867.00 | 32 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $471.25 | $725.00 | $205.18 – $725.00 | 118 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $135.00 | $135.00 | $1.88 – $46.00 | 103 |
| Folic acid CPT 82746 | $107.90 | $166.00 | $14.25 – $166.00 | 47 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $161.00 | $161.00 | $30.00 – $161.00 | 104 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,898.50 | $6,898.50 | $697.48 – $6,898.50 | 104 |
| Fondaparinux sodium HCPCS J1652 | $110.40 | $110.40 | $3.60 – $110.40 | 103 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $275.11 | $423.24 | $14.91 – $76.94 | 40 |
| Foot X-ray CPT 73630 | $532.35 | $617.00 | $74.50 – $412.00 | 118 |
| Foot X-ray (2 views, both feet) CPT 73620 | $302.90 | $466.00 | $80.14 – $311.00 | 118 |
| Forearm X-ray (both sides) CPT 73090 | $438.10 | $674.00 | $80.14 – $449.00 | 118 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $66.70 | $66.70 | $18.88 – $66.70 | 33 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $92.00 | $92.00 | $1.31 – $92.00 | 115 |
| Fragmenting of kidney stone CPT 50590 | $12,172.06 | $1,825.00 | $2.88 – $7,543.30 | 769 |
| Freeing of bowel adhesion 44005 CPT 44005 | $3,897.00 | $3,897.00 | $37.48 – $378.88 | 768 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $242.45 | $373.00 | $66.49 – $373.00 | 118 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $154.70 | $238.00 | $67.35 – $314.00 | 118 |
| Fructosamine glycated protein CPT 82985 | $49.40 | $76.00 | $16.24 – $76.00 | 47 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $284.70 | $438.00 | $96.27 – $438.00 | 118 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $10.15 | $10.15 | $0.40 – $6.75 | 104 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $6.75 | $6.75 | $1.31 – $6.75 | 39 |
| Fusion of big toe joint CPT 28750 | $34,469.09 | not published | $0.96 – $27,474.19 | 86 |
| G0180 home health certification HCPCS G0180 | $118.00 | $118.00 | $38.37 – $118.00 | 767 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $253.10 | $253.10 | $71.63 – $253.10 | 33 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $15,600.00 | $15,600.00 | $48.64 – $15,600.00 | 115 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $591.40 | $591.40 | $19.76 – $591.40 | 33 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $231.00 | $231.00 | $7.35 – $231.00 | 33 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $99.80 | $99.80 | $6.00 – $50.15 | 33 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,935.70 | $2,978.00 | $368.14 – $2,978.00 | 118 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,528.15 | $2,351.00 | $500.00 – $2,351.00 | 118 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $26,382.62 | $2,363.00 | $2.88 – $12,937.15 | 769 |
| Gammaglobulin iga CPT 82784 | $1,290.90 | $117.00 | $9.02 – $136.02 | 118 |
| Gammaglobulin ige CPT 82785 | $141.70 | $218.00 | $15.95 – $218.00 | 47 |
| Gamma glutamyltransferase CPT 82977 | $68.90 | $106.00 | $6.98 – $106.00 | 47 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $138.00 | $138.00 | $23.43 – $82.80 | 104 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $540.20 | $540.20 | $14.19 – $50.15 | 104 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $31,504.65 | $31,504.65 | $8,915.82 – $31,504.65 | 104 |
| General health panel CPT 80050 | $113.10 | $174.00 | $34.80 – $174.00 | 40 |
| Generator barostim neo2 2014 HCPCS C1767 | $44,831.44 | $68,971.44 | $0.95 – $3.36 | 33 |
| Generator emblem MRI sicd subq HCPCS C1722 | $22,347.00 | $34,380.00 | $209.94 – $741.84 | 33 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $37,570.90 | $57,801.38 | $12,648.40 – $44,694.00 | 33 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $114.80 | $114.80 | $1.23 – $4.35 | 33 |
| Gentamicin peak therapeutic drug level CPT 80170 | $232.70 | $358.00 | $15.87 – $358.00 | 47 |
| Ghs abscess perianal iandd CPT 46050 | $228.00 | $228.00 | $16.12 – $228.00 | 768 |
| Ghs bladder cath - complex-foley CPT 51703 | $244.00 | $244.00 | $11.23 – $275.35 | 783 |
| Ghs change cysto/gastrost CPT 43762 | $940.55 | $1,153.00 | $3.53 – $1,153.00 | 783 |
| Ghs chemo >8 hrs CPT 96416 | $403.65 | $621.00 | $175.74 – $752.00 | 118 |
| Ghs chemo IV push, ea addtl CPT 96411 | $167.70 | $258.00 | $66.30 – $752.00 | 118 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,710.00 | $1,710.00 | $147.97 – $1,136.00 | 768 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,255.15 | $1,931.00 | $80.36 – $3,534.34 | 783 |
| Ghs fish cytogen CPT 88271 | $111.80 | $172.00 | $20.76 – $172.00 | 47 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $439.40 | $676.00 | $49.60 – $676.00 | 47 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $766.00 | $766.00 | $63.80 – $525.56 | 768 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,544.00 | $1,544.00 | $74.29 – $1,544.00 | 769 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,096.25 | $3,225.00 | $608.45 – $2,150.00 | 117 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $100.75 | $155.00 | $43.12 – $533.00 | 118 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $500.00 | $500.00 | $37.85 – $341.00 | 768 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $15,943.17 | $479.00 | $2.28 – $3,534.34 | 769 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,172.60 | $887.00 | $31.45 – $887.00 | 783 |
| Ghs mbp CPT 83873 | $81.90 | $126.00 | $16.67 – $126.00 | 47 |
| Ghs nailbed repair/nail removal CPT 11760 | $459.00 | $459.00 | $30.19 – $400.25 | 768 |
| Ghs o2 saturation CPT 82810 | $55.90 | $86.00 | $9.47 – $86.00 | 47 |
| Ghs o2 uptake rest & exercise CPT 94680 | $380.25 | $585.00 | $118.49 – $1,187.00 | 118 |
| Ghs picc line insert < 5 CPT 36568 | $1,106.95 | $1,703.00 | $481.95 – $3,368.62 | 117 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $33.15 | $51.00 | $9.36 – $51.00 | 47 |
| Ghs protoporphyrins fract CPT 84202 | $27.95 | $43.00 | $9.06 – $32.00 | 47 |
| Ghs removal intranasal foreign body CPT 30300 | $193.05 | $297.00 | $84.05 – $297.00 | 117 |
| Ghs removal pharyngeal foreign body CPT 42809 | $741.00 | $1,140.00 | $322.62 – $1,140.00 | 32 |
| Ghs vaginal delivery only CPT 59409 | $2,587.00 | $2,587.00 | $37.48 – $274.88 | 768 |
| Gi inhouse confirmation CPT 87045 | $137.15 | $211.00 | $9.15 – $211.00 | 47 |
| Glove finger flexion right lg xl HCPCS L3912 | $53.03 | $81.59 | $16.55 – $58.47 | 33 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.40 | $655.40 | $177.28 – $655.40 | 36 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $567.40 | $567.40 | $160.57 – $567.40 | 36 |
| Glucose 1 hr post dose CPT 82950 | $111.80 | $172.00 | $4.60 – $172.00 | 47 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $22.75 | $35.00 | $3.18 – $35.00 | 47 |
| Glucose blood quantitative CPT 82947 | $57.20 | $88.00 | $3.80 – $88.00 | 47 |
| Glucose body fluid CPT 82945 | $63.70 | $98.00 | $3.80 – $71.00 | 47 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $139.10 | $214.00 | $54.32 – $214.00 | 118 |
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.