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 |
|---|---|---|---|---|
| An fluoro guide for cvp CPT 77001 | $755.30 | $1,162.00 | $328.85 – $1,162.00 | 32 |
| Ankle X-ray CPT 73610 | $401.05 | $617.00 | $80.14 – $412.00 | 118 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $1,073.80 | $536.00 | $9.09 – $357.00 | 118 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $182.00 | $182.00 | $42.50 – $182.00 | 555 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $198.00 | $198.00 | $42.50 – $198.00 | 555 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $199.00 | $199.00 | $66.40 – $199.00 | 555 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $241.00 | $241.00 | $66.40 – $241.00 | 555 |
| Anora (draw only) CPT 99001 | $23.40 | $36.00 | $3.22 – $36.00 | 40 |
| Anoscopy and biopsy CPT 46606 | $17,797.00 | $273.00 | $12.29 – $2,560.76 | 769 |
| Antibody elution rbc reference CPT 86860 | $255.45 | $393.00 | $78.60 – $393.00 | 103 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $306.15 | $471.00 | $17.80 – $471.00 | 47 |
| Antibody id rbc panel CPT 86870 | $271.70 | $418.00 | $118.29 – $767.06 | 118 |
| Antibody screen rbc CPT 86850 | $128.70 | $198.00 | $9.77 – $198.00 | 118 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $1.46 – $2,670.45 | 118 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $40.30 | $62.00 | $11.68 – $62.00 | 47 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $37.70 | $58.00 | $11.68 – $58.00 | 47 |
| Antinuclear antibodies CPT 86038 | $139.10 | $214.00 | $11.72 – $214.00 | 47 |
| Antinuclear antibodies titer CPT 86039 | $83.85 | $129.00 | $10.81 – $129.00 | 47 |
| Antiphosphatidylserine antibody CPT 86148 | $68.90 | $106.00 | $15.58 – $106.00 | 47 |
| Antistreptolysin o screen CPT 86063 | $14.95 | $23.00 | $5.59 – $23.00 | 47 |
| Antithrombin iii activity CPT 85300 | $146.25 | $225.00 | $11.49 – $225.00 | 47 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $4,150.05 – $14,664.50 | 104 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $204.10 | $314.00 | $88.86 – $314.00 | 118 |
| Appendectomy add-on 44955 CPT 44955 | $298.00 | $298.00 | $7.63 – $28.48 | 768 |
| Appendix Removal (Laparoscopic) CPT 44970 | $20,892.91 | $2,161.00 | $24.90 – $12,937.15 | 769 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $362.70 | $558.00 | $157.91 – $558.00 | 32 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $641.55 | $987.00 | $279.32 – $987.00 | 32 |
| Application long leg splint 29505 CPT 29505 | $736.45 | $179.00 | $13.98 – $347.74 | 769 |
| Application lower leg splint 29515 CPT 29515 | $362.70 | $558.00 | $13.39 – $372.00 | 783 |
| Application multi layer compression below knee (both sides) CPT 29581 | $5,741.94 | $680.00 | $7.35 – $453.00 | 783 |
| Application short leg cast 29405 CPT 29405 | $219.70 | $338.00 | $63.68 – $598.53 | 117 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $725.40 | $1,116.00 | $4.29 – $1,581.58 | 783 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $725.40 | $1,116.00 | $23.97 – $1,581.58 | 783 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $0.75 – $2.64 | 33 |
| Appl mltpln uni ext fixj sys CPT 20692 | $3,871.00 | $3,871.00 | $20.28 – $405.28 | 768 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $1,706.90 | $67.00 | $5.42 – $195.00 | 47 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $52.65 | $81.00 | $11.17 – $195.00 | 47 |
| Appl unipln uni ext fixj sys CPT 20690 | $2,051.00 | $2,051.00 | $112.65 – $1,325.00 | 768 |
| Apply rigid leg cast 29445 CPT 29445 | $809.25 | $1,245.00 | $234.89 – $830.00 | 117 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 118 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,901.25 | $2,925.00 | $321.26 – $1,950.00 | 118 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,844.70 | $2,838.00 | $96.27 – $1,892.00 | 118 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $433.55 | $667.00 | $58.20 – $667.00 | 118 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $76.92 – $2,478.30 | 104 |
| Arterial blood draw/perc 36620 CPT 36620 | $152.00 | $152.00 | $25.99 – $91.00 | 768 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $454.35 | $383.00 | $10.23 – $656.86 | 783 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,992.25 | $3,065.00 | $14.27 – $2,043.00 | 783 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,039.05 | $3,137.00 | $15.98 – $2,091.00 | 783 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $534.30 | $383.00 | $9.24 – $656.86 | 783 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $1,161.55 | $1,787.00 | $282.66 – $1,191.00 | 117 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $24.46 – $86.44 | 33 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $167.70 | $258.00 | $11.72 – $656.86 | 783 |
| Aspirate pleura without imaging 32554 CPT 32554 | $995.80 | $1,532.00 | $288.94 – $1,342.40 | 117 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $742.95 | $1,143.00 | $19.67 – $1,515.37 | 783 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $354.90 | $546.00 | $4.14 – $546.00 | 47 |
| Ast/sgot CPT 84450 | $59.15 | $91.00 | $5.02 – $91.00 | 47 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $40,340.92 | $35,811.20 | $88.83 – $35,811.20 | 118 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $29,589.95 | $45,523.00 | $5,881.44 – $30,348.00 | 39 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $52.65 | $52.65 | $6.18 – $21.85 | 33 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $189.00 | $189.00 | $40.26 – $189.00 | 768 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $118.29 – $417.99 | 33 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $94.26 – $6,470.55 | 118 |
| Av fuse uppr arm cephalic CPT 36818 | $2,223.00 | $2,223.00 | $32.07 – $232.00 | 768 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $312.00 | $225.00 | $15.55 – $429.35 | 783 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $2,361.00 | $2,361.00 | $203.94 – $2,235.00 | 768 |
| Azacitidine injection HCPCS J9025 | $207.00 | $207.00 | $58.58 – $207.00 | 33 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $0.28 – $2.14 | 103 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.20 | $9.20 | $2.48 – $8.75 | 104 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $307.95 | $307.95 | $22.58 – $156.35 | 104 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $160.92 – $3,156.90 | 36 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $46.65 – $164.85 | 33 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $63.46 | $97.63 | $19.86 – $70.16 | 33 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $1,472.90 | $116.00 | $26.48 – $195.00 | 47 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $415.35 | $639.00 | $161.52 – $639.00 | 118 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.10 – $0.35 | 33 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $8.32 – $29.40 | 33 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.19 – $0.67 | 33 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.11 – $0.40 | 33 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.10 | $1.69 | $0.48 – $1.69 | 33 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.19 – $0.67 | 33 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $398.00 | $398.00 | $52.19 – $398.00 | 768 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $14.15 – $50.00 | 33 |
| B cells total count CPT 86355 | $168.35 | $259.00 | $36.56 – $259.00 | 47 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $2.20 – $864.15 | 782 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $3.81 – $4,849.40 | 118 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $52.79 – $3,302.00 | 118 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.49 | $0.76 | $0.21 – $0.74 | 33 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $2.01 – $14,338.95 | 118 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $13.38 – $11,945.90 | 118 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $12.58 – $8,355.30 | 118 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 104 |
| Benign lesion paring 2-4 CPT 11056 | $150.80 | $173.00 | $5.26 – $429.35 | 783 |
| Benign lesion paring 4+ CPT 11057 | $150.80 | $173.00 | $6.86 – $429.35 | 783 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $215.25 | $215.25 | $60.92 – $215.25 | 33 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $108.55 | $167.00 | $24.66 – $167.00 | 47 |
| Beta-2 microglobulin CPT 82232 | $390.00 | $600.00 | $15.68 – $600.00 | 47 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $6.49 – $175.75 | 781 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $72.16 – $2,390.85 | 118 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $7,701.25 | $7,701.25 | $23.36 – $1,925.35 | 118 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $25.28 – $1,692.65 | 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.