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 |
|---|---|---|---|---|
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $24,421.44 | $1,556.00 | $0.96 – $15,102.64 | 769 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $26,150.60 | $1,292.00 | $2.28 – $15,102.64 | 769 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $114.00 | $164.00 | $20.87 – $427.15 | 783 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $24.02 – $26,637.70 | 118 |
| Natriuretic peptide CPT 83880 | $156.00 | $240.00 | $38.05 – $240.00 | 47 |
| Natural killer cells total count CPT 86357 | $122.20 | $188.00 | $36.56 – $188.00 | 47 |
| Ndl round specialty proguide HCPCS C1715 | $1,221.47 | $1,879.19 | $10.03 – $35.45 | 33 |
| Nebulizer Breathing Treatment CPT 94640 | $365.95 | $563.00 | $159.33 – $563.00 | 118 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $249.60 | $384.00 | $80.14 – $384.00 | 118 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,213.25 | $3,405.00 | $321.26 – $3,405.00 | 118 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,034.50 | $3,130.00 | $96.27 – $3,130.00 | 118 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,545.10 | $5,454.00 | $321.26 – $5,454.00 | 118 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,352.35 | $3,619.00 | $321.26 – $3,619.00 | 118 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,138.85 | $4,829.00 | $219.72 – $4,829.00 | 118 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $685.10 | $488.00 | $9.09 – $488.00 | 118 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $428.35 | $659.00 | $96.27 – $659.00 | 118 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $466.05 | $717.00 | $96.27 – $717.00 | 118 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,679.30 | $4,122.00 | $321.26 – $4,122.00 | 118 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $999.05 | $1,537.00 | $219.72 – $1,537.00 | 118 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,518.75 | $3,875.00 | $161.52 – $3,875.00 | 118 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,902.55 | $2,927.00 | $161.52 – $2,927.00 | 118 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,197.95 | $1,843.00 | $96.27 – $1,843.00 | 118 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $9.20 | $9.20 | $2.60 – $9.20 | 33 |
| Neuroeltrd stim post tibial CPT 64566 | $157.95 | $243.00 | $8.31 – $656.86 | 783 |
| New Patient Office Visit (level 2) CPT 99202 | $120.00 | $120.00 | $26.20 – $120.00 | 768 |
| New Patient Office Visit (level 3) CPT 99203 | $180.00 | $180.00 | $45.58 – $180.00 | 769 |
| New Patient Office Visit (level 4) CPT 99204 | $307.00 | $307.00 | $74.55 – $307.00 | 768 |
| New Patient Office Visit (level 5) CPT 99205 | $402.00 | $402.00 | $102.24 – $402.00 | 769 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $114.85 | $114.85 | $22.50 – $114.85 | 103 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $14.20 – $112.50 | 104 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $31.59 – $4,051.00 | 118 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $183.98 – $94,382.55 | 118 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $959.40 | $1,476.00 | $368.14 – $1,476.00 | 118 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,033.50 | $1,590.00 | $368.14 – $1,590.00 | 118 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,162.85 | $1,789.00 | $500.00 – $1,789.00 | 118 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,014.65 | $1,561.00 | $368.14 – $1,561.00 | 118 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,348.75 | $2,075.00 | $214.87 – $2,075.00 | 118 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $288.60 | $444.00 | $80.14 – $444.00 | 118 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $3,873.35 | $5,959.00 | $1,646.54 – $5,959.00 | 118 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,977.95 | $3,043.00 | $589.73 – $3,043.00 | 40 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,799.20 | $2,768.00 | $536.44 – $2,768.00 | 40 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,799.90 | $5,846.00 | $1,192.19 – $5,846.00 | 118 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $175.00 | $175.00 | $49.99 – $175.00 | 769 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $1,187.16 – $455,355.55 | 118 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $79.99 – $28,351.00 | 118 |
| Observation direct referral from physician office for admission HCPCS G0379 | $432.90 | $666.00 | $188.48 – $3,077.00 | 118 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $318.00 | $318.00 | $56.23 – $206.00 | 768 |
| Observation per hour HCPCS G0378 | $133.90 | $206.00 | $30.00 – $3,077.00 | 33 |
| Obstetrical care 59410 CPT 59410 | $3,427.00 | $3,427.00 | $355.33 – $2,334.00 | 768 |
| Obtaining screen pap smear HCPCS Q0091 | $38.00 | $38.00 | $10.01 – $38.00 | 768 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $191.75 | $295.00 | $72.58 – $295.00 | 47 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $189.80 | $292.00 | $72.58 – $292.00 | 47 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $1,175.85 | $303.00 | $72.58 – $303.00 | 47 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $62.03 – $65,142.90 | 36 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $32.20 | $32.20 | $0.54 – $1.90 | 103 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $195.19 – $12,696.00 | 118 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $512.27 – $1,810.15 | 104 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $315.70 – $1,115.54 | 33 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $44.59 – $7,768.80 | 118 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $4,007.74 | $1.00 | $0.04 – $752.00 | 118 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $17,391.40 | $3.00 | $0.32 – $3,534.34 | 782 |
| Open bx/exc inguinofem nodes CPT 38531 | $18,877.13 | not published | $65.31 – $8,378.85 | 86 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $2,409.00 | $2,409.00 | $31.18 – $245.44 | 768 |
| Optx clavicular fx w/int fix CPT 23515 | $2,489.00 | $2,489.00 | $26.91 – $258.72 | 768 |
| Optx prox humrl fx w/int fix CPT 23615 | $3,040.00 | $3,040.00 | $35.17 – $315.52 | 768 |
| Optx radial shaft fracture CPT 25515 | $2,320.00 | $2,320.00 | $32.16 – $245.60 | 768 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $42.20 – $28,018.60 | 118 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $29.11 – $5,978.20 | 36 |
| Oropharyngeal biopsy 42800 CPT 42800 | $921.05 | $1,417.00 | $401.01 – $3,320.32 | 117 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $55.20 | $55.20 | $9.45 – $55.20 | 103 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $391.43 – $1,383.14 | 33 |
| Oscillation chest wall mechanical per session CPT 94669 | $384.80 | $592.00 | $167.54 – $592.00 | 118 |
| Osmolality blood CPT 83930 | $94.90 | $146.00 | $6.41 – $146.00 | 47 |
| Osmolality urine CPT 83935 | $65.00 | $100.00 | $6.61 – $100.00 | 47 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $50.70 | $78.00 | $22.07 – $195.00 | 47 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $51.35 | $79.00 | $6.14 – $79.00 | 781 |
| Ot re-evaluation patient/family CPT 97168 | $175.50 | $270.00 | $47.90 – $270.00 | 47 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $34.45 | $53.00 | $15.00 – $195.00 | 47 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 103 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $339.60 – $1,200.00 | 33 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $7.20 | $0.87 – $7.20 | 103 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $489.59 – $1,730.00 | 33 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 104 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $6,325.66 – $22,352.16 | 33 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $253.00 | $253.00 | $3.60 – $151.80 | 104 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,766.15 | $4,766.15 | $8.02 – $4,766.15 | 118 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $11.16 – $39.45 | 33 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $16,808.50 | $16,808.50 | $14.78 – $11,205.95 | 36 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $81.96 | 104 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $162.13 – $5,249.05 | 118 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.89 – $10.25 | 103 |
| Parathormone (pth) intact CPT 83970 | $289.90 | $446.00 | $40.00 – $446.00 | 47 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,377.35 | $2,119.00 | $500.00 – $2,119.00 | 118 |
| Parial mast w/lymph removal 19302 CPT 19302 | $2,924.00 | $2,924.00 | $31.48 – $318.72 | 768 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $243.75 | $173.00 | $3.41 – $429.35 | 783 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $17,200.85 | $1,937.00 | $0.96 – $7,001.93 | 769 |
| Partial hip replacement CPT 27125 | $3,874.00 | $3,874.00 | $37.48 – $400.48 | 768 |
| Partial removal of foot bone CPT 28288 | $24,404.99 | not published | $65.31 – $7,001.93 | 86 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $0.47 – $2.41 | 40 |
| Part removal of metatarsal CPT 28110 | $18,431.07 | not published | $2.28 – $7,001.93 | 86 |
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.