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 |
|---|---|---|---|---|
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,102.40 – $5,015.55 | 104 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $53.30 – $10,501.70 | 36 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $4,172.96 – $23,273.85 | 104 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,129.00 | $1,274.00 | $36.48 – $3,441.03 | 783 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $90.60 | $90.60 | $25.64 – $90.60 | 33 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $104.00 | $160.00 | $45.28 – $160.00 | 118 |
| Test stress cardiovascular tracing only CPT 93017 | $1,129.05 | $1,737.00 | $198.84 – $1,737.00 | 118 |
| Tetanus immune globulin inj HCPCS J1670 | $2,622.15 | $2,622.15 | $576.77 – $2,622.15 | 118 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $18.16 – $22,937.05 | 36 |
| Theophylline therapeutic drug level CPT 80198 | $123.50 | $190.00 | $13.70 – $190.00 | 47 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $146.25 | $225.00 | $63.68 – $319.38 | 103 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $1,905.15 | $116.00 | $23.49 – $195.00 | 47 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $1,907.10 | $137.00 | $25.38 – $195.00 | 47 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $210.60 | $81.00 | $15.49 – $194.00 | 47 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $43.55 | $67.00 | $14.72 – $194.00 | 47 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $5.80 | $5.80 | $1.64 – $5.80 | 103 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $337.35 | $519.00 | $80.14 – $345.00 | 118 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $308.47 – $1,090.00 | 33 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,898.00 | $2,920.00 | $8.69 – $1,947.00 | 783 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | $3,633.00 | $3,633.00 | $37.19 – $581.28 | 769 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $943.00 | $943.00 | $92.23 – $653.00 | 768 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,366.30 | $2,102.00 | $368.14 – $2,102.00 | 118 |
| Thrombin time CPT 85670 | $33.80 | $52.00 | $5.59 – $41.00 | 47 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $36.40 | $56.00 | $6.27 – $56.00 | 47 |
| Thyroglobulin antibody CPT 86800 | $117.65 | $181.00 | $15.41 – $181.00 | 47 |
| Thyroid (TSH) Test CPT 84443 | $525.20 | $143.00 | $9.09 – $143.00 | 47 |
| Thyroid Ultrasound CPT 76536 | $586.95 | $903.00 | $96.27 – $903.00 | 118 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $1,992.78 – $10,828.50 | 118 |
| Tilt table study CPT 93660 | $1,478.75 | $2,275.00 | $343.62 – $2,275.00 | 118 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $22,202.40 | $22,202.40 | $170.43 – $22,202.40 | 118 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $2,555.89 | $3,932.14 | $584.49 – $2,065.35 | 33 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $67.73 | $104.20 | $29.49 – $104.20 | 33 |
| Tissue exam koh skin/hair/nails CPT 87220 | $84.50 | $130.00 | $4.14 – $130.00 | 47 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $271.69 | $417.99 | $81.01 – $417.99 | 40 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $49.04 | $75.45 | $14.62 – $75.45 | 40 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $38.88 | $59.82 | $16.93 – $59.82 | 33 |
| Tissue transglutaminase iga CPT 86364 | $195.00 | $300.00 | $11.17 – $300.00 | 47 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $22.67 – $80.10 | 33 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $354.15 | $354.15 | $1.02 – $3.60 | 103 |
| Tobramycin peak therapeutic drug level CPT 80200 | $125.45 | $193.00 | $15.63 – $193.00 | 32 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $5.50 – $2,442.90 | 118 |
| Toe X-ray (both feet) CPT 73660 | $302.25 | $465.00 | $80.14 – $310.00 | 118 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $58.50 | $90.00 | $11.38 – $199.76 | 44 |
| Tomosynthesis breast screen bilateral CPT 77063 | $58.50 | $90.00 | $17.26 – $61.00 | 47 |
| Tongue and neck surgery CPT 41135 | $7,945.00 | $7,945.00 | $611.21 – $7,076.00 | 768 |
| Tonsillectomy (age 12+) CPT 42826 | $17,181.09 | $946.00 | $0.96 – $7,094.93 | 769 |
| Tonsillectomy (child under 12) CPT 42825 | $18,558.94 | $994.00 | $0.96 – $12,668.17 | 769 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $188.75 | $188.75 | $32.55 – $115.00 | 33 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $48,786.25 | $48,786.25 | $9,480.00 – $48,786.25 | 104 |
| Total Hip Replacement CPT 27130 | $42,087.80 | not published | $9.09 – $27,474.19 | 86 |
| Total hysterectomy CPT 58150 | $3,033.00 | $3,033.00 | $37.48 – $353.92 | 768 |
| Total Knee Replacement CPT 27447 | $34,613.25 | $5,642.00 | $9.09 – $27,474.19 | 769 |
| Toxoplasma antibody igg CPT 86777 | $72.15 | $111.00 | $13.94 – $111.00 | 47 |
| Toxoplasma antibody igm CPT 86778 | $189.80 | $292.00 | $13.96 – $292.00 | 47 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $17,074.12 | $7,949.00 | $0.96 – $11,474.00 | 769 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,842.80 | $11,842.80 | $332.90 – $11,842.80 | 118 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $98.80 | $76.00 | $21.28 – $194.00 | 47 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $27.60 | $27.60 | $2.00 – $27.60 | 108 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $4,079.00 | $4,079.00 | $37.48 – $396.64 | 768 |
| Transcutaneous hgb 88738 CPT 88738 | $8.45 | $13.00 | $3.68 – $13.00 | 47 |
| Transferrin CPT 84466 | $611.65 | $89.00 | $9.09 – $89.00 | 47 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $640.25 | $985.00 | $96.27 – $985.00 | 118 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $550.55 | $847.00 | $96.27 – $847.00 | 118 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,708.00 | $4,708.00 | $72.01 – $4,675.30 | 118 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $10,508.35 | $10,508.35 | $50.41 – $2,766.05 | 118 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,357.40 | $9,357.40 | $8.04 – $3,365.30 | 118 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,718.30 | $4,182.00 | $986.26 – $3,485.00 | 33 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $699.55 | $1,076.23 | $17.26 – $61.00 | 33 |
| Tray trach basic clean/care ster HCPCS A4626 | $0.55 | $0.84 | $0.24 – $0.84 | 33 |
| Treat finger fracture each CPT 26727 | $1,657.00 | $1,657.00 | $145.69 – $1,088.00 | 768 |
| Treat heel fracture CPT 28415 | $27,470.35 | not published | $4.56 – $15,527.97 | 86 |
| Treat humerus fracture CPT 24515 | $3,034.00 | $3,034.00 | $37.48 – $314.88 | 768 |
| Treat humerus fracture CPT 24546 | $3,562.00 | $3,562.00 | $37.48 – $375.36 | 768 |
| Treat knee fracture CPT 27536 | $4,064.00 | $4,064.00 | $347.83 – $2,629.00 | 768 |
| Treat lower leg fracture CPT 27828 | $4,565.00 | $4,565.00 | $37.48 – $468.96 | 768 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $37,204.83 | $4,718.00 | $2.28 – $15,527.97 | 769 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $16,577.31 | $999.00 | $14.26 – $6,927.30 | 769 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $307.45 | $473.00 | $122.52 – $473.00 | 118 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $103.35 | $159.00 | $45.00 – $174.00 | 33 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $16,772.99 | $1,261.00 | $17.93 – $6,927.30 | 769 |
| Treatment of ankle fracture CPT 27792 | $2,233.00 | $2,233.00 | $27.64 – $230.56 | 768 |
| Treatment of ankle fracture CPT 27814 | $2,639.00 | $2,639.00 | $36.45 – $272.48 | 768 |
| Treatment of ankle fracture CPT 27822 | $3,022.00 | $3,022.00 | $37.48 – $311.20 | 768 |
| Treatment of ankle fracture CPT 27823 | $3,397.00 | $3,397.00 | $37.48 – $358.88 | 768 |
| Treatment of foot infection CPT 28003 | $2,194.00 | $2,194.00 | $64.61 – $1,185.93 | 768 |
| Treatment of thigh fracture CPT 27510 | $2,466.00 | $2,353.00 | $214.49 – $2,353.00 | 768 |
| Treatment radiation delivery level 2 CPT 77407 | $1,888.90 | $2,906.00 | $355.17 – $2,906.00 | 118 |
| Treat metacarpal fracture CPT 26615 | $1,999.00 | $1,999.00 | $174.66 – $1,311.00 | 768 |
| Treat metatarsal fracture CPT 28485 | $23,417.36 | not published | $2.88 – $15,527.97 | 86 |
| Treat thigh fracture CPT 27236 | $4,083.00 | $4,083.00 | $37.48 – $421.76 | 768 |
| Treat thigh fracture CPT 27245 | $4,197.00 | $4,197.00 | $37.48 – $433.28 | 768 |
| Treat ulnar fracture CPT 24685 | $2,954.00 | $2,954.00 | $31.75 – $236.32 | 768 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $127,265.40 | $127,265.40 | $134.29 – $10,605.45 | 118 |
| Treponema pallidum antibody CPT 86780 | $820.30 | $101.00 | $9.09 – $101.00 | 47 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $39.90 | $52.53 | $0.70 – $13.92 | 781 |
| Triglycerides CPT 84478 | $40.30 | $62.00 | $5.56 – $62.00 | 47 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $8,065.15 | $8,065.15 | $5.24 – $8,065.15 | 118 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $14,864.20 | $22,868.00 | $4,314.05 – $15,244.00 | 117 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $27,622.54 | $2,848.00 | $32.66 – $14,209.66 | 769 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $22,031.75 | $2,131.00 | $38.53 – $8,378.85 | 769 |
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.