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 |
|---|---|---|---|---|
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $256.00 | $256.00 | $67.95 – $245.00 | 768 |
| Prealbumin CPT 84134 | $77.35 | $119.00 | $14.14 – $119.00 | 47 |
| Pr ecg 12 lead report only CPT 93010 | $26.00 | $26.00 | $5.33 – $17.00 | 768 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $151.70 | $151.70 | $0.81 – $24.95 | 103 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.00 | $1.00 | $0.28 – $1.00 | 33 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $8,345.93 | $724.00 | $2.28 – $4,106.37 | 769 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $819.00 | $1,260.00 | $96.27 – $1,260.00 | 118 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $735.15 | $1,131.00 | $29.61 – $1,131.00 | 783 |
| Pregnancy Ultrasound (limited) CPT 76815 | $512.20 | $788.00 | $96.27 – $788.00 | 118 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $188.00 | $188.00 | $32.15 – $188.00 | 555 |
| Prep skin to 100cm2 other CPT 15004 | $856.00 | $856.00 | $145.91 – $736.90 | 768 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $597.35 | $919.00 | $156.89 – $919.00 | 103 |
| Pretreat rbc absorption reference CPT 86978 | $173.55 | $267.00 | $33.96 – $267.00 | 118 |
| Pretreat rbc density gradient separation reference CPT 86972 | $226.20 | $348.00 | $98.48 – $364.58 | 118 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $226.20 | $348.00 | $33.96 – $348.00 | 103 |
| Pretreat rbc w enzyme reference CPT 86971 | $148.20 | $228.00 | $64.52 – $364.58 | 118 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $380.90 | $586.00 | $117.20 – $1,453.00 | 37 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $404.00 | $404.00 | $78.67 – $284.91 | 782 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $15,943.17 | $273.00 | $2.28 – $3,534.34 | 769 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $422.00 | $422.00 | $30.04 – $869.92 | 783 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $4,853.00 | $4,853.00 | $35.19 – $473.12 | 768 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $483.00 | $483.00 | $99.68 – $368.00 | 768 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $328.00 | $67.25 – $276.00 | 768 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $241.00 | $47.50 – $175.00 | 768 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $255.00 | $68.16 – $250.00 | 768 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $173.00 | $31.50 – $168.00 | 768 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $106.00 | $28.12 – $104.00 | 768 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $607.00 | $607.00 | $55.28 – $869.92 | 783 |
| Pr incision & drainage abscess simple/single CPT 10060 | $419.90 | $350.00 | $26.46 – $429.35 | 783 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $283.00 | $283.00 | $5.23 – $45.28 | 768 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $14,984.87 | $336.00 | $2.28 – $869.92 | 783 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $549.00 | $549.00 | $64.24 – $401.00 | 783 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $295.00 | $295.00 | $66.22 – $295.00 | 783 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,097.91 | $6,304.48 | $119.28 – $421.50 | 33 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $53.35 – $692.51 | 118 |
| Procalcitonin CPT 84145 | $182.00 | $280.00 | $26.38 – $280.00 | 47 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $25.05 | $25.05 | $2.52 – $25.05 | 103 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.28 – $1.00 | 103 |
| Progesterone CPT 84144 | $215.15 | $331.00 | $20.22 – $189.00 | 47 |
| Prolactin CPT 84146 | $174.85 | $269.00 | $18.78 – $269.00 | 47 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $79.00 | $79.00 | $16.83 – $79.00 | 555 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.12 – $1.00 | 103 |
| Promethazine hcl injection HCPCS J2550 | $7.65 | $7.65 | $2.77 – $7.65 | 767 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $14,309.07 | $99.50 | $5.63 – $2,560.76 | 118 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $45.50 | $45.50 | $2.60 – $27.30 | 104 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.17 – $0.89 | 40 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $17.19 – $60.73 | 33 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $50.15 | $50.15 | $8.20 – $50.15 | 103 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $1,544.90 – $5,459.00 | 33 |
| Protein c activity CPT 85303 | $157.30 | $242.00 | $13.41 – $240.00 | 47 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $83.20 | $128.00 | $10.40 – $128.00 | 47 |
| Protein s total CPT 85305 | $141.05 | $217.00 | $11.25 – $217.00 | 47 |
| Protein total 24 hour urine CPT 84156 | $628.55 | $85.00 | $3.56 – $85.00 | 47 |
| Protein total body fluid CPT 84157 | $57.85 | $89.00 | $3.88 – $47.00 | 47 |
| Protein total serum plasma whole blood CPT 84155 | $1,175.20 | $78.00 | $3.56 – $74.00 | 47 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $349.70 | $538.00 | $3.81 – $538.00 | 47 |
| Provide inr test mater/equip HCPCS G0249 | $168.00 | $168.00 | $33.68 – $284.91 | 782 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $29.36 – $103.73 | 33 |
| Prp i/hern init block >5 yr CPT 49507 | $18,493.60 | $2,594.00 | $2.28 – $7,661.89 | 769 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $159.00 | $159.00 | $41.96 – $159.00 | 768 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $81.00 | $81.00 | $16.95 – $81.00 | 769 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $23,895.30 | $36,762.00 | $10,403.65 – $36,762.00 | 32 |
| Pr removal drug delivery implant CPT 11982 | $156.00 | $156.00 | $3.22 – $24.96 | 768 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $168.00 | $169.00 | $11.76 – $284.72 | 783 |
| Pr removal intrauterine device CPT 58301 | $20,142.43 | $197.00 | $11.08 – $6,927.30 | 769 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $14,957.73 | $627.00 | $44.29 – $3,534.34 | 769 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $179.00 | $179.00 | $14.06 – $179.00 | 768 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $19,247.64 | $2,334.00 | $2.28 – $4,415.33 | 769 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $101.00 | $101.00 | $22.58 – $84.00 | 768 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,887.60 | $2,904.00 | $547.89 – $3,368.62 | 117 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $42.00 | 768 |
| PSA (Prostate) Test CPT 84153 | $380.90 | $269.00 | $9.09 – $182.00 | 47 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $81.90 | $126.00 | $10.53 – $195.00 | 47 |
| Pt application of modality traction mechanical CPT 97012 | $104.00 | $160.00 | $12.97 – $461.00 | 47 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $600.60 | $152.00 | $20.79 – $152.00 | 782 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $91.00 | $140.00 | $11.77 – $195.00 | 47 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $49.40 | $76.00 | $19.95 – $461.00 | 47 |
| Pulse ox continuous overnight monitoring CPT 94762 | $371.15 | $571.00 | $118.49 – $1,187.00 | 118 |
| Pulse ox multiple CPT 94761 | $156.00 | $240.00 | $67.92 – $1,187.00 | 33 |
| Pulse ox single CPT 94760 | $52.65 | $81.00 | $22.92 – $1,187.00 | 33 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $367.13 | $564.81 | $54.36 – $192.09 | 33 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $34,170.63 | $118.00 | $9.09 – $284.72 | 118 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $566.15 | $871.00 | $18.97 – $871.00 | 783 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,847.30 | $2,842.00 | $650.02 – $2,842.00 | 117 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $274.35 – $3,213.80 | 118 |
| Radiation physics consult CPT 77336 | $22,122.10 | $880.00 | $123.77 – $1,239.00 | 118 |
| Radiation therapy dose plan CPT 77300 | $521.30 | $802.00 | $123.77 – $1,239.00 | 118 |
| Radiation treatment aid(s) CPT 77332 | $600.60 | $924.00 | $123.77 – $1,239.00 | 118 |
| Radiation treatment aid(s) CPT 77333 | $26,740.35 | $942.00 | $123.77 – $1,239.00 | 118 |
| Radiation treatment aid(s) CPT 77334 | $21,446.10 | $1,568.00 | $121.61 – $1,568.00 | 118 |
| Radiation treatment delivery CPT 77402 | $1,799.20 | $2,768.00 | $93.96 – $2,768.00 | 118 |
| Radiation treatment delivery CPT 77412 | $1,977.95 | $3,043.00 | $508.81 – $3,043.00 | 118 |
| Radiotherapy dose plan imrt CPT 77301 | $6,538.35 | $10,059.00 | $1,239.00 – $10,059.00 | 118 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $127.77 – $507.10 | 118 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $71.62 – $4,569.90 | 118 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $375.70 – $3,354.20 | 115 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $220.31 – $20,086.15 | 118 |
| Rbc count only automated CPT 85041 | $32.50 | $50.00 | $2.93 – $50.00 | 47 |
| Rbc deglycerolized each unit HCPCS P9039 | $767.00 | $1,180.00 | $314.00 – $1,180.00 | 33 |
| Reconstruct finger joint CPT 26548 | $2,791.00 | $2,791.00 | $244.21 – $2,791.00 | 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.