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 |
|---|---|---|---|---|
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $409.50 | $630.00 | $20.55 – $630.00 | 47 |
| Mayo organic acids qualitative each specimen CPT 83919 | $383.50 | $590.00 | $15.94 – $590.00 | 47 |
| Mayo oxalate 24 hour urine CPT 83945 | $62.40 | $96.00 | $14.00 – $96.00 | 47 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $505.05 | $777.00 | $11.53 – $777.00 | 33 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $51.35 | $79.00 | $14.57 – $79.00 | 47 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $111.15 | $171.00 | $11.68 – $171.00 | 47 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $76.70 | $118.00 | $33.39 – $118.00 | 47 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $72.15 | $111.00 | $17.42 – $111.00 | 47 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $59.15 | $91.00 | $13.33 – $91.00 | 47 |
| Mayo pregnenolone CPT 84140 | $140.40 | $216.00 | $20.03 – $216.00 | 47 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $54.60 | $84.00 | $16.08 – $84.00 | 47 |
| Mayo proinsulin CPT 84206 | $61.10 | $94.00 | $25.87 – $94.00 | 47 |
| Mayo psaft prostate specific antigen free CPT 84154 | $97.50 | $150.00 | $17.82 – $150.00 | 47 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $365.95 | $563.00 | $17.83 – $563.00 | 47 |
| Mayo receptor assay transferrin soluble CPT 84238 | $126.10 | $194.00 | $35.43 – $194.00 | 47 |
| Mayo renin CPT 84244 | $115.70 | $178.00 | $21.31 – $152.00 | 47 |
| Mayo repu protein electrophoresis urine CPT 84166 | $228.15 | $351.00 | $17.28 – $121.00 | 47 |
| Mayo selenium CPT 84255 | $113.75 | $175.00 | $24.74 – $175.00 | 47 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $40.30 | $62.00 | $15.02 – $62.00 | 47 |
| Mayo serotonin CPT 84260 | $148.85 | $229.00 | $30.02 – $229.00 | 47 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $289.25 | $445.00 | $13.30 – $154.00 | 47 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $162.50 | $250.00 | $70.75 – $250.00 | 44 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $65.65 | $101.00 | $4.14 – $101.00 | 47 |
| Mayo tau phosphorylated 217 each CPT 84393 | $358.80 | $552.00 | $126.34 – $552.00 | 44 |
| Mayo tgrp testosterone free CPT 84402 | $133.90 | $206.00 | $24.68 – $206.00 | 47 |
| Mayo tgrp testosterone total CPT 84403 | $140.40 | $216.00 | $25.01 – $216.00 | 47 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $40.95 | $63.00 | $17.83 – $63.00 | 47 |
| Mayo thyroglobulin CPT 84432 | $108.55 | $167.00 | $15.57 – $113.00 | 47 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $97.50 | $150.00 | $42.45 – $150.00 | 29 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $66.30 | $102.00 | $13.12 – $102.00 | 47 |
| Mayo vasoactive intestinal peptide CPT 84586 | $102.05 | $157.00 | $34.23 – $157.00 | 47 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $285.35 | $439.00 | $19.61 – $439.00 | 47 |
| Mayo vitamin b3 (niacin) CPT 84591 | $156.00 | $240.00 | $16.53 – $240.00 | 47 |
| Mayo vitamin k CPT 84597 | $138.45 | $213.00 | $13.29 – $213.00 | 47 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $169.00 | $260.00 | $12.84 – $260.00 | 47 |
| Measurement post void urine by ultrasound CPT 51798 | $262.60 | $82.00 | $4.32 – $126.24 | 783 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $261.05 | $261.05 | $33.94 – $261.05 | 552 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $362.03 | $556.97 | $107.94 – $556.97 | 40 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $350.14 | $538.68 | $66.07 – $340.94 | 40 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,873.32 | $4,420.50 | $106.53 – $376.43 | 33 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $607.31 | $934.33 | $69.44 – $245.37 | 33 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $65,273.35 | $100,420.54 | $19,461.50 – $100,420.54 | 40 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $70.12 – $361.84 | 40 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $79.42 – $409.78 | 40 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $100.30 | $100.30 | $3.16 – $15.69 | 103 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $31.25 – $18,374.40 | 118 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $22.70 | 103 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.39 – $1.38 | 33 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $2,842.10 – $10,042.74 | 33 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 103 |
| Metabolic Blood Panel (Basic) CPT 80048 | $273.65 | $113.00 | $8.20 – $113.00 | 47 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $477.10 | $131.00 | $9.09 – $131.00 | 47 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $418.55 | $418.55 | $2.26 – $173.00 | 104 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $1,450.00 | $1,450.00 | $20.23 – $71.50 | 103 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.25 | $1.25 | $0.22 – $1.25 | 103 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $43.30 – $153.00 | 33 |
| Methotrexate therapeutic drug level CPT 80204 | $128.05 | $197.00 | $37.37 – $197.00 | 47 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $234.55 | $234.55 | $18.19 – $234.55 | 36 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $104.35 | $104.35 | $22.06 – $104.35 | 103 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $100.06 – $572.60 | 111 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.00 | $1.00 | $0.23 – $1.00 | 104 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $40.00 | $68.60 | $0.11 – $38.95 | 781 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $500.65 | $500.65 | $2.08 – $24.95 | 519 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.60 | $4.60 | $0.85 – $3.00 | 103 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $3.55 | $3.55 | $0.65 – $3.55 | 104 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $12.50 | $12.50 | $3.54 – $12.50 | 33 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $60.15 | $60.15 | $17.02 – $60.15 | 33 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $11,715.73 | $27.15 | $0.32 – $4,938.64 | 118 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $104.50 | $104.50 | $29.57 – $104.50 | 33 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $64.26 – $20,601.45 | 118 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $25.58 – $1,118.80 | 118 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $30.26 – $1,048.45 | 118 |
| Mobilization of colon 44139 CPT 44139 | $428.00 | $428.00 | $10.91 – $40.96 | 768 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $487.50 | $750.00 | $36.56 – $750.00 | 47 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,234.66 | $9,591.79 | $26.95 – $95.24 | 33 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $0.85 – $30.00 | 104 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $11.85 | $11.85 | $3.35 – $11.85 | 103 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $95.25 | $95.25 | $0.85 – $10.79 | 104 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $185.25 | $285.00 | $80.66 – $364.58 | 118 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $287.95 | $443.00 | $104.85 – $767.06 | 118 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $780.00 | $1,200.00 | $69.84 – $431.00 | 118 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $548.02 – $1,936.45 | 118 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $532.35 | $819.00 | $156.89 – $819.00 | 118 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,564.55 | $2,407.00 | $219.72 – $1,604.00 | 118 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,221.70 | $3,418.00 | $321.26 – $2,279.00 | 118 |
| MRI tmj CPT 70336 | $570.70 | $878.00 | $219.72 – $878.00 | 118 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,578.20 | $2,428.00 | $219.72 – $1,618.00 | 118 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,030.60 | $3,124.00 | $321.26 – $2,082.00 | 118 |
| Mumps antibody igg CPT 86735 | $70.20 | $108.00 | $12.65 – $108.00 | 47 |
| Muscle-skin graft leg CPT 15738 | $4,138.00 | $4,138.00 | $37.48 – $442.88 | 768 |
| Muscle-skin graft trunk CPT 15734 | $26,704.12 | $4,864.00 | $9.09 – $7,583.41 | 769 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.00 | $1.00 | $0.16 – $1.00 | 103 |
| Mycophenolic acid HCPCS J7518 | $7.00 | $7.00 | $0.37 – $7.00 | 103 |
| Mycoplasma antibody igm CPT 86738 | $104.00 | $160.00 | $12.83 – $113.00 | 47 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $91.65 | $141.00 | $11.17 – $141.00 | 47 |
| Myringoplasty CPT 69620 | $1,768.00 | $1,768.00 | $144.10 – $1,768.00 | 768 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $27.30 | $27.30 | $3.00 – $17.55 | 104 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $144.20 | $144.20 | $7.46 – $26.35 | 104 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $207.00 | $207.00 | $14.21 – $427.15 | 783 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $511.00 | $511.00 | $44.09 – $511.00 | 768 |
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.