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 |
|---|---|---|---|---|
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $118.22 – $417.75 | 33 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,149.75 | $1,149.75 | $92.40 – $1,149.75 | 103 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $20,112.30 | $30,942.00 | $0.01 – $926.59 | 33 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,933.75 | $42,975.00 | $48.16 – $170.19 | 33 |
| Icd crtp serena MRI HCPCS C2621 | $9,235.69 | $14,208.75 | $843.67 – $2,981.16 | 33 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,621.95 | $7,110.69 | $25.75 – $90.99 | 33 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $25.71 – $296.82 | 104 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $232.70 | $358.00 | $59.30 – $338.00 | 33 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $236.60 | $364.00 | $103.01 – $767.06 | 118 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $629.20 | $968.00 | $69.55 – $400.00 | 118 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $3,733.00 | $3,733.00 | $37.33 – $360.16 | 768 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $57.14 – $7,982.85 | 115 |
| Immob elbow child sm HCPCS L3762 | $29.02 | $44.65 | $0.73 – $3.75 | 40 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $525.01 | $807.71 | $24.22 – $85.60 | 33 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $171.43 | $263.74 | $0.47 – $2.44 | 40 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $136.42 | $209.88 | $0.83 – $4.02 | 40 |
| Immobilizer shldr sling med HCPCS L3660 | $34.03 | $52.36 | $14.82 – $52.36 | 33 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $10,106.10 | $10,106.10 | $46.34 – $1,684.35 | 118 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $77.31 – $4,576.15 | 118 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $46.44 – $1,063.50 | 118 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $215.80 | $332.00 | $20.17 – $332.00 | 47 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $117.00 | $180.00 | $20.17 – $180.00 | 47 |
| Immunofixation electrophoresis serum CPT 86334 | $152.10 | $234.00 | $21.64 – $234.00 | 47 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $231.40 | $356.00 | $89.12 – $356.00 | 33 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $231.40 | $356.00 | $100.75 – $364.58 | 118 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,473.00 | $8,420.00 | $637.77 – $2,253.62 | 33 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $913.25 | $1,405.00 | $397.62 – $1,405.00 | 33 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,241.57 | $6,525.50 | $15.34 – $54.20 | 33 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,357.14 | $9,780.21 | $123.58 – $436.67 | 33 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,283.12 | $3,512.50 | $994.04 – $3,512.50 | 33 |
| Implant pulse generator remede el HCPCS C1823 | $12,314.25 | $18,945.00 | $2,775.04 – $9,805.78 | 33 |
| Implant ureth bulk agent HCPCS L8606 | $2,141.57 | $3,294.73 | $421.87 – $1,490.71 | 33 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,704.37 | $5,699.03 | $704.67 – $3,210.00 | 40 |
| Impl eye bio-eye 16mm HCPCS L8042 | $1,657.55 | $2,550.08 | $148.06 – $523.17 | 33 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $423.07 – $1,494.95 | 33 |
| In-111 autol wbc diag per dose HCPCS A9570 | $10,776.60 | $10,776.60 | $1,081.13 – $10,776.60 | 115 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $1,987.79 – $7,024.00 | 33 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $2,050.83 – $7,246.75 | 33 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $814.83 – $10,776.60 | 115 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $730.71 – $11,163.95 | 115 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $1,960.92 – $15,327.00 | 115 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $997.36 – $3,524.25 | 33 |
| Incise inner ear CPT 69801 | $1,895.00 | $1,997.00 | $34.30 – $3,320.32 | 783 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,889.55 | $2,615.00 | $3.23 – $3,534.34 | 783 |
| Incision of breast lesion CPT 19020 | $1,020.00 | $1,020.00 | $80.32 – $702.00 | 768 |
| Incision of eardrum CPT 69420 | $858.00 | $858.00 | $24.30 – $506.85 | 783 |
| Incision of foot fascia CPT 28008 | $25,535.62 | $1,243.00 | $2.88 – $7,001.93 | 769 |
| Incision of metatarsal CPT 28306 | $1,411.00 | $1,411.00 | $13.62 – $144.80 | 768 |
| Incision of metatarsal CPT 28308 | $22,201.67 | $1,346.00 | $0.96 – $7,001.93 | 769 |
| Incision of tongue fold CPT 41010 | $1,188.20 | $1,828.00 | $23.72 – $3,320.32 | 783 |
| Incisn of toe tndn CPT 28010 | $934.00 | $934.00 | $34.46 – $512.45 | 768 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $208.00 | $320.00 | $68.80 – $320.00 | 44 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $175.50 | $270.00 | $76.41 – $270.00 | 47 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $65.00 | $100.00 | $28.30 – $100.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $209.30 | $128.00 | $11.61 – $128.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $63.70 | $98.00 | $13.01 – $98.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $125.45 | $193.00 | $13.39 – $193.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $1,121.90 | $184.00 | $11.61 – $184.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $235.30 | $362.00 | $13.93 – $362.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $94.90 | $146.00 | $10.01 – $146.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $167.05 | $257.00 | $10.01 – $257.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $833.95 | $226.00 | $9.09 – $128.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $163.15 | $251.00 | $11.61 – $251.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $24.05 | $37.00 | $10.47 – $37.00 | 47 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $928.20 | $96.00 | $11.61 – $96.00 | 47 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $291.20 | $448.00 | $34.01 – $145.00 | 47 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $176.15 | $271.00 | $34.01 – $271.00 | 47 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $705.90 | $194.00 | $36.12 – $194.00 | 47 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $813.15 | $1,251.00 | $273.38 – $966.00 | 47 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $594.10 | $303.00 | $34.01 – $303.00 | 47 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $130.00 | $200.00 | $34.01 – $200.00 | 47 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $181.35 | $279.00 | $40.39 – $279.00 | 47 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $138.45 | $213.00 | $34.01 – $213.00 | 47 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $148.85 | $229.00 | $49.71 – $229.00 | 47 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $361.40 | $556.00 | $138.21 – $556.00 | 47 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $445.90 | $556.00 | $9.09 – $436.00 | 47 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $360.75 | $194.00 | $33.68 – $119.00 | 47 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $67.60 | $104.00 | $29.43 – $104.00 | 47 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $137.15 | $211.00 | $59.71 – $211.00 | 44 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,325.35 | $2,039.00 | $577.04 – $2,039.00 | 44 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $798.85 | $966.00 | $273.38 – $966.00 | 47 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $191.75 | $295.00 | $83.49 – $295.00 | 47 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $357.50 | $550.00 | $155.65 – $550.00 | 47 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $319.15 | $491.00 | $41.51 – $296.00 | 47 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $317.20 | $488.00 | $41.51 – $488.00 | 47 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $214.50 | $330.00 | $41.51 – $330.00 | 47 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $503.75 | $775.00 | $82.47 – $775.00 | 47 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $309.40 | $476.00 | $134.71 – $476.00 | 47 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,222.55 | $3,222.55 | $31.77 – $3,222.55 | 118 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,379.70 | $1,379.70 | $23.33 – $1,379.70 | 118 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,739.55 | $2,739.55 | $23.74 – $2,739.55 | 118 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $431.15 | $431.15 | $75.66 – $431.15 | 118 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $344.50 | $530.00 | $149.99 – $530.00 | 118 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $878.00 | $878.00 | $228.84 – $798.00 | 768 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $310.00 | $310.00 | $57.41 – $310.00 | 769 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $399.00 | $399.00 | $57.41 – $399.00 | 769 |
| Inj alymsys 10 mg HCPCS Q5126 | $1,199.10 | $1,199.10 | $32.35 – $1,199.10 | 118 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $341.25 | $525.00 | $14.45 – $656.86 | 783 |
| Injection, daratumumab 10 mg HCPCS J9145 | $9,893.85 | $9,893.85 | $69.12 – $9,893.85 | 118 |
| Injection, doxercalciferol HCPCS J1270 | $33,309.61 | not published | $1.11 – $544.00 | 73 |
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.