healthcosts.net

MercyOne Clinton Medical Center

1410 N. Fourth St, Clinton, IA · MercyOne · · NPI 1427093962

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

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
Special physics consult CPT 77370 $675.35 $1,039.00 $123.77 – $1,239.00 118
Special radiation treatment CPT 77470 $1,848.60 $2,844.00 $508.81 – $2,844.00 118
Specific gravity body fluid CPT 84315 $16.25 $25.00 $3.18 – $25.00 47
Speech and Language Evaluation (comprehensive) CPT 92523 $473.20 $728.00 $178.00 – $728.00 47
Speech Therapy Session (one-on-one) CPT 92507 $140.40 $216.00 $61.13 – $216.00 47
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 $1,217.45 $1,873.00 $530.06 – $1,873.00 117
Spine X-ray (single view, one level) CPT 72020 $150.80 $232.00 $65.66 – $232.00 118
Splenectomy total open 38100 CPT 38100 $3,858.00 $3,858.00 $37.48 – $408.96 768
Splint arm vnyl coated padded lft med HCPCS Q4051 $16.25 $25.00 $7.08 – $25.00 33
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 $43.09 $66.30 $5.66 – $29.20 40
Splint extn xsm w sof-stretch rolyan HCPCS L3925 $50.38 $77.51 $7.66 – $39.50 40
Splint finger 4 prong foam sm HCPCS A4570 $0.55 $0.85 $0.19 – $0.67 33
Splint finger fold over sm HCPCS L3924 $0.44 $0.67 $0.19 – $0.67 33
Splint finger frog med HCPCS L3927 $0.54 $0.83 $0.08 – $0.39 40
Splint fing stax assort 1-7in HCPCS Q4049 $1.04 $1.60 $0.45 – $1.60 33
Splint func pos polyflex ii med HCPCS L3999 $33.60 $51.70 $10.02 – $51.70 40
Splint rstrc wrst/cmc right med HCPCS L3923 $101.18 $155.66 $9.37 – $48.35 40
Sputum specimen collection CPT 89220 $104.00 $160.00 $45.28 – $364.58 115
Sr-89 stront chlor ther / mci HCPCS A9600 $40,862.00 $40,862.00 $4,063.41 – $40,862.00 115
St analysis behavior qualitative voice/resonance CPT 92524 $176.80 $272.00 $76.98 – $272.00 47
Stent axios caut enh 15x10mm electrocaut HCPCS C1874 $32,403.15 $49,851.00 $0.01 – $9.42 33
Stent bili dbl pgtl 10fx5cm HCPCS C2617 $6,063.30 $9,328.16 $8.42 – $29.75 33
Stent bili rx wallflx 10x80 uncvr HCPCS C1876 $18,714.49 $28,791.53 $0.66 – $2.32 33
Stent bronch dumon sil 10x40mm HCPCS C1875 $4,918.86 $7,567.48 $238.57 – $843.00 33
St evaluate speech sound production CPT 92522 $176.80 $272.00 $76.98 – $272.00 47
St evaluation motion fluoroscopic swallow function cine/video CPT 92611 $210.60 $324.00 $84.86 – $324.00 47
Stomach Emptying Scan (Nuclear Medicine) CPT 78264 $1,047.15 $1,611.00 $368.14 – $1,611.00 118
Strap chin dlx f/cpap HCPCS A7036 $34.90 $53.70 $15.20 – $53.70 33
Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 $0.25 $0.39 $0.11 – $0.39 33
Strep b dna amp probe CPT 87653 $126.10 $194.00 $34.01 – $194.00 47
Stress test pulmonary CPT 94618 $234.65 $361.00 $102.16 – $1,187.00 118
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 $77.20 $77.20 $21.85 – $77.20 33
Suction lipectomy trunk CPT 15877 $54,263.33 not published $65.31 – $14,209.66 86
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 $57.70 $57.70 $16.33 – $57.70 33
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 $17.70 $17.70 $3.54 – $17.70 554
Support clav 29.6-40.5in med HCPCS L3650 $94.19 $144.91 $0.63 – $3.26 40
Surgical pathology level 1 gross examination only CPT 88300 $89.05 $137.00 $24.96 – $137.00 118
Surgical pathology level 2 gross & microscopic examination CPT 88302 $144.95 $223.00 $24.96 – $170.00 118
Surgical pathology level 3 gross & microscopic examination CPT 88304 $222.95 $343.00 $47.99 – $295.00 118
Surgical pathology level 4 gross & microscopic examination CPT 88305 $250.90 $386.00 $31.45 – $386.00 118
Surgical pathology level 5 gross & microscopic examination CPT 88307 $427.05 $657.00 $161.59 – $767.06 118
Surgical pathology level 6 gross & microscopic examination CPT 88309 $624.65 $961.00 $271.96 – $1,724.12 118
Susceptibility agar dilution per agent CPT 87181 $55.25 $85.00 $4.60 – $85.00 47
Susceptibility enzyme detection per enzyme CPT 87185 $28.60 $44.00 $4.60 – $44.00 47
Susceptibility mic per plate CPT 87186 $542.75 $135.00 $8.38 – $136.02 118
Swallowing Evaluation (Bedside) CPT 92610 $182.00 $280.00 $55.26 – $280.00 47
Swallowing Therapy Session CPT 92526 $132.60 $204.00 $57.73 – $204.00 47
Synvisc or synvisc-one HCPCS J7325 $6,298.90 $6,298.90 $7.41 – $6,298.90 115
Syphilis test non-treponemal antibody quantitative rpr CPT 86593 $41.60 $64.00 $4.26 – $64.00 47
System cardiomems hosp electronics HCPCS C2624 $24,023.02 $36,958.50 $4,476.08 – $15,816.55 33
System pacing micra av HCPCS C1786 $16,760.25 $25,785.00 $21.94 – $77.51 33
System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 $27,099.09 $41,690.91 $31.12 – $109.96 33
System recell skin grafting/harvesting HCPCS C1832 $8,955.20 $13,777.23 $3,898.96 – $13,777.23 33
System sealant biosentry tract HCPCS C2613 $652.35 $1,003.62 $284.02 – $1,003.62 33
T3 (triiodothyronine) free CPT 84481 $200.20 $308.00 $16.41 – $308.00 47
T3 (triiodothyronine) total CPT 84480 $24.05 $37.00 $10.47 – $37.00 47
T4 (thyroxine) free CPT 84439 $564.85 $148.00 $8.74 – $137.00 47
T4 (thyroxine) total CPT 84436 $70.85 $109.00 $6.66 – $109.00 47
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 $170.70 $170.70 $0.15 – $1.00 103
Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 $1,208.10 $1,208.10 $262.23 – $1,208.10 104
Tacrolimus therapeutic drug level CPT 80197 $382.85 $589.00 $13.30 – $589.00 47
Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 $4,272.00 $4,272.00 $13.52 – $4,272.00 118
Tailbone (Sacrum and Coccyx) X-ray CPT 72220 $318.50 $490.00 $80.14 – $490.00 118
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 $88,021.00 $88,021.00 $65.46 – $880.35 118
Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 $35,941.50 $35,941.50 $73.42 – $4,492.75 115
Tape plstc 1inx5yd hosp tb pk HCPCS A4452 $3.02 $4.64 $1.31 – $4.64 33
Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 $46,350.00 $46,350.00 $1,311.71 – $4,635.00 115
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 $463.10 $463.10 $0.24 – $289.40 118
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 $191.75 $295.00 $83.49 – $295.00 47
Tb test cell mediated immunity antigen response gamma interferon CPT 86480 $108.55 $167.00 $47.26 – $167.00 47
Tc-99m apcitide diag HCPCS A9504 $1,765.30 $1,765.30 $499.58 – $1,765.30 33
Tc-99m arcitumomab HCPCS A9568 $4,224.15 $4,224.15 $818.64 – $4,224.15 40
Tc-99m bicisate HCPCS A9557 $7,128.20 $7,128.20 $760.01 – $7,128.20 115
Tc-99m depreotide HCPCS A9536 $1,937.35 $1,937.35 $548.27 – $1,937.35 33
Tc-99m diag per dose HCPCS A4641 $575.50 $575.50 $162.87 – $575.50 33
Tc-99m disofenin HCPCS A9510 $339.80 $339.80 $96.16 – $339.80 33
Tc-99m exame autol wbc diag per dose HCPCS A9569 $8,194.15 $8,194.15 $915.45 – $8,194.15 115
Tc-99m exametazime diag HCPCS A9521 $7,382.05 $7,382.05 $909.16 – $7,382.05 115
Tc-99m fanolesomab diag HCPCS A9566 $17,688.75 $17,688.75 $5,005.92 – $17,688.75 33
Tc-99m gluceptate HCPCS A9550 $1,105.40 $1,105.40 $312.83 – $1,105.40 33
Tc-99m labeled rbc HCPCS A9560 $857.40 $857.40 $242.64 – $857.40 33
Tc-99m maa HCPCS A9540 $760.95 $760.95 $215.35 – $760.95 33
Tc-99m mebrofenin HCPCS A9537 $308.25 $308.25 $87.23 – $308.25 33
Tc-99m medronate HCPCS A9503 $210.35 $210.35 $59.53 – $210.35 33
Tc-99m mertiatide HCPCS A9562 $1,340.90 $1,340.90 $379.47 – $1,340.90 33
Tc-99m non-heu per study dose HCPCS Q9969 $1.00 $1.00 $0.19 – $10.60 40
Tc-99m oxidronate HCPCS A9561 $199.60 $199.60 $56.49 – $199.60 33
Tc-99m pentetate dtpa HCPCS A9539 $627.25 $627.25 $177.51 – $627.25 33
Tc-99m pentetate dtpa aerosol HCPCS A9567 $627.25 $627.25 $177.51 – $627.25 33
Tc-99m pertechnetate per mci HCPCS A9512 $99.30 $99.30 $28.10 – $99.30 33
Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 $335.80 $335.80 $95.03 – $335.80 33
Tc-99m sestamibi p study dose HCPCS A9500 $221.60 $221.60 $62.71 – $221.60 33
Tc-99m succimer (dmsa) HCPCS A9551 $2,988.10 $2,988.10 $646.73 – $2,988.10 115
Tc-99m sulfur colloid HCPCS A9541 $855.40 $855.40 $242.08 – $855.40 33
Tc-99m tetrofosmin p study dose HCPCS A9502 $198.05 $198.05 $56.05 – $198.05 33
Tc-99m tilmanocept diag HCPCS A9520 $2,740.00 $2,740.00 $775.42 – $2,740.00 33
T cells absolute cd4/cd8 including ratio CPT 86360 $67.60 $104.00 $29.43 – $104.00 47
T cells total count CPT 86359 $67.60 $104.00 $29.43 – $104.00 47
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 $107,550.00 $107,550.00 $203.61 – $107,550.00 118
Telethx isodose plan cplx CPT 77307 $564.85 $869.00 $245.93 – $1,239.00 118

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.