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 |
|---|---|---|---|---|
| Warde somatomedin CPT 84305 | $131.30 | $202.00 | $20.60 – $105.00 | 47 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $180.70 | $278.00 | $15.27 – $278.00 | 47 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $293.80 | $452.00 | $49.29 – $269.00 | 47 |
| Warde topiramate therapeutic drug level CPT 80201 | $70.85 | $109.00 | $11.55 – $109.00 | 47 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $70.20 | $108.00 | $25.27 – $108.00 | 47 |
| Warde vitamin a CPT 84590 | $122.20 | $188.00 | $11.25 – $188.00 | 47 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $36.40 | $56.00 | $15.85 – $56.00 | 47 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $186.55 | $287.00 | $18.11 – $64.00 | 47 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $69.55 | $107.00 | $9.59 – $107.00 | 47 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $790.40 | $423.00 | $9.09 – $423.00 | 47 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $76.05 | $117.00 | $13.74 – $117.00 | 47 |
| Warde zinc CPT 84630 | $37.70 | $58.00 | $11.04 – $58.00 | 47 |
| Wbc automated CPT 85048 | $26.65 | $41.00 | $2.46 – $41.00 | 47 |
| Wedge biopsy of liver 47100 CPT 47100 | $3,043.00 | $3,043.00 | $21.68 – $305.28 | 768 |
| Wedge resect of lung initial 32505 CPT 32505 | $2,868.00 | $2,868.00 | $37.48 – $319.36 | 768 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $977.60 | $1,504.00 | $314.00 – $1,504.00 | 33 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $576.55 | $887.00 | $136.62 – $887.00 | 118 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,649.05 | $2,537.00 | $368.14 – $2,537.00 | 118 |
| Whole Skeleton X-ray Survey CPT 77075 | $451.10 | $694.00 | $96.27 – $694.00 | 118 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | $0.01 | $0.02 | $0.01 – $0.02 | 33 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $1,990.79 | $1,043.00 | $1.37 – $1,043.00 | 783 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $742.95 | $1,143.00 | $19.36 – $1,143.00 | 118 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $594.10 | $914.00 | $13.42 – $914.00 | 783 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $594.10 | $914.00 | $2.04 – $914.00 | 783 |
| Wrist X-ray CPT 73110 | $915.20 | $583.00 | $80.14 – $389.00 | 118 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $299.00 | $460.00 | $80.14 – $307.00 | 118 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $11,790.12 | not published | $2.28 – $4,938.64 | 86 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $20,294.75 | not published | $195.93 – $7,001.93 | 86 |
| X-ray abdomen >=3 views CPT 74021 | $533.00 | $820.00 | $96.27 – $820.00 | 118 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,294.15 | $1,991.00 | $321.26 – $1,327.00 | 118 |
| X-ray bone length studies CPT 77073 | $196.95 | $303.00 | $85.75 – $303.00 | 118 |
| X-ray bone survey infant CPT 77076 | $299.00 | $460.00 | $96.27 – $460.00 | 118 |
| X-ray exam of arm infant CPT 73092 | $341.25 | $525.00 | $96.27 – $350.00 | 118 |
| X-ray exam si joints CPT 72200 | $329.55 | $507.00 | $96.27 – $507.00 | 118 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $260.65 | $401.00 | $75.56 – $267.00 | 118 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $382.85 | $589.00 | $80.14 – $393.00 | 118 |
| X-ray nose to rectum for foreign body child CPT 76010 | $518.05 | $797.00 | $80.14 – $797.00 | 118 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,028.30 | $1,582.00 | $321.26 – $1,582.00 | 118 |
| X-ray ribs 2 views left CPT 71100 | $482.95 | $743.00 | $80.14 – $743.00 | 118 |
| X-ray small intestine follow-through study CPT 74248 | $354.90 | $546.00 | $154.52 – $546.00 | 32 |
| X-ray surgical specimen CPT 76098 | $861.90 | $1,326.00 | $38.53 – $1,326.00 | 118 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $178.10 | $274.00 | $77.54 – $274.00 | 118 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $55,035.00 | $55,035.00 | $15,574.91 – $114,217.34 | 115 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $83.25 | $83.25 | $18.12 – $83.25 | 103 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $54.60 | $54.60 | $15.45 – $54.60 | 33 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $8,000.00 | $8,000.00 | $7.08 – $4,000.00 | 118 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $14,544.00 | $14,544.00 | $32.99 – $4,848.00 | 115 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,081.00 | $1,081.00 | $12.17 – $43.00 | 33 |
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.