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 |
|---|---|---|---|---|
| Bilirubin direct CPT 82248 | $45.50 | $70.00 | $4.87 – $70.00 | 47 |
| Bilirubin total CPT 82247 | $113.75 | $69.00 | $4.87 – $69.00 | 47 |
| Biopsy bone trocar/needle superficial CPT 20220 | $878.15 | $1,351.00 | $14.48 – $3,534.34 | 783 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $164.00 | $164.00 | $14.30 – $164.00 | 768 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $5,088.20 | $7,828.00 | $1,476.98 – $6,215.96 | 117 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $2,233.00 | $2,233.00 | $194.37 – $2,147.83 | 768 |
| Biopsy needle liver percutaneous CPT 47000 | $2,149.55 | $3,307.00 | $935.88 – $3,534.34 | 117 |
| Biopsy needle lymph node superficial CPT 38505 | $3,875.30 | $5,962.00 | $77.42 – $3,974.00 | 117 |
| Biopsy of lip 40490 CPT 40490 | $141.05 | $217.00 | $61.41 – $506.85 | 117 |
| Biopsy of prostate CPT 55700 | $14,818.54 | $1,721.00 | $0.96 – $1,721.00 | 782 |
| Biopsy/removal lymph nodes CPT 38525 | $27,622.54 | $1,954.00 | $21.96 – $14,209.66 | 769 |
| Biopsy roof of mouth CPT 42100 | $956.80 | $1,472.00 | $18.50 – $3,320.32 | 783 |
| Biopsy skin incisional single lesion CPT 11106 | $399.00 | $531.00 | $14.74 – $1,581.58 | 783 |
| Biopsy tongue anterior two-thirds CPT 41100 | $482.00 | $507.00 | $18.59 – $1,154.14 | 783 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $329.55 | $507.00 | $143.48 – $1,154.14 | 117 |
| Bivalirudin HCPCS J0583 | $275.95 | $275.95 | $78.09 – $275.95 | 33 |
| Bladder Catheter Insertion (simple) CPT 51702 | $198.25 | $305.00 | $3.77 – $284.72 | 783 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $203.45 | $313.00 | $4.95 – $534.66 | 783 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $488.00 | $488.00 | $22.87 – $263.10 | 103 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $144.64 – $17,670.55 | 118 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,830.88 | $15,124.43 | $0.01 – $11.99 | 33 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,840.11 | $7,446.33 | $11.31 – $39.95 | 33 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,036.55 | $3,133.15 | $189.75 – $670.49 | 33 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,619.02 | $5,567.73 | $15.14 – $53.50 | 33 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,109.53 | $15,553.13 | $1,283.77 – $4,536.28 | 33 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,815.54 | $2,793.14 | $497.02 – $1,756.25 | 33 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $1.82 | $2.80 | $0.79 – $2.80 | 33 |
| Block plantar digital nerve CPT 64455 | $270.00 | $383.00 | $9.59 – $656.86 | 783 |
| Block tap inj(s) w/wo img bi CPT 64488 | $945.10 | $1,454.00 | $411.48 – $1,454.00 | 32 |
| Blood Clotting (PT/INR) Test CPT 85610 | $65.65 | $65.00 | $3.32 – $65.00 | 783 |
| Blood Clotting (PTT) Test CPT 85730 | $698.75 | $89.00 | $5.82 – $89.00 | 118 |
| Blood Count (CBC) Test CPT 85025 | $472.55 | $95.00 | $7.53 – $95.00 | 47 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $70.85 | $109.00 | $6.27 – $109.00 | 47 |
| Blood Culture Test CPT 87040 | $5,961.12 | $244.00 | $10.00 – $244.00 | 118 |
| Blood Draw (Venipuncture) CPT 36415 | $40,453.53 | $36.00 | $4.61 – $152.00 | 118 |
| Blood gases o2 saturation direct measurement CPT 82805 | $180.05 | $277.00 | $76.33 – $277.00 | 47 |
| Blood gases ph venous CPT 82800 | $71.50 | $110.00 | $10.66 – $110.00 | 47 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $49.40 | $76.00 | $15.42 – $76.00 | 47 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $32.50 | $50.00 | $4.10 – $50.00 | 47 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $40.95 | $63.00 | $4.24 – $63.00 | 47 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $17.55 | $27.00 | $5.15 – $27.00 | 47 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $57.20 | $88.00 | $3.68 – $88.00 | 47 |
| Blood split unit HCPCS P9011 | $661.05 | $1,017.00 | $140.46 – $1,017.00 | 118 |
| Blood Transfusion CPT 36430 | $4,996.55 | $1,639.00 | $9.09 – $1,639.00 | 118 |
| Blood typing abo CPT 86900 | $42.25 | $65.00 | $2.99 – $284.72 | 118 |
| Blood typing ag donor ea ag CPT 86902 | $60.45 | $93.00 | $6.35 – $767.06 | 118 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $90.35 | $139.00 | $3.83 – $767.06 | 118 |
| Blood typing rh (d) CPT 86901 | $50.70 | $78.00 | $2.99 – $79.93 | 118 |
| Blood typing rh phenotype complete reference CPT 86906 | $137.15 | $211.00 | $7.75 – $211.00 | 118 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,983.96 | $3,052.25 | $15.56 – $80.31 | 40 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $271.70 | $418.00 | $96.27 – $418.00 | 118 |
| Bone Density Scan (DEXA) CPT 77080 | $449.80 | $613.00 | $96.27 – $613.00 | 118 |
| Bone filler cerament 10cc HCPCS C1602 | $10,175.74 | $15,654.99 | $156.40 – $552.64 | 33 |
| Bone imaging multiple areas CPT 78305 | $560.95 | $863.00 | $244.23 – $874.53 | 118 |
| Bone tendon board add on HCPCS C9356 | $4,850.45 | $7,462.23 | $147.52 – $521.26 | 33 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,242.75 | $4,988.85 | $54.84 – $193.78 | 33 |
| Boot cast sandal rocker med HCPCS L3265 | $2.19 | $3.37 | $0.95 – $3.37 | 33 |
| Boot heel care softcare one sz HCPCS E0191 | $132.09 | $203.21 | $0.88 – $54.27 | 40 |
| Boot j walker l HCPCS L4386 | $347.24 | $534.21 | $12.40 – $63.66 | 40 |
| Boot mlti podous univ xlg HCPCS L4396 | $165.01 | $253.86 | $13.06 – $67.37 | 40 |
| Boot softgait shrt m HCPCS L4387 | $41.49 | $63.83 | $4.96 – $25.60 | 40 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $81.97 | $126.11 | $12.37 – $63.83 | 40 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $81.03 | $124.66 | $24.16 – $124.66 | 40 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $198.25 | $305.00 | $16.50 – $305.00 | 47 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $211.60 | $211.60 | $45.56 – $161.00 | 104 |
| Brace adj motion lerman type HCPCS L2186 | $316.44 | $486.83 | $137.77 – $486.83 | 33 |
| Brace afo dbl upright cust HCPCS L1990 | $748.46 | $1,151.48 | $325.87 – $1,151.48 | 33 |
| Brace afo lg left 6607 HCPCS L1930 | $129.79 | $199.67 | $19.40 – $100.12 | 40 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,145.78 | $1,762.74 | $498.86 – $1,762.74 | 33 |
| Brace afo spiral prefab HCPCS L1951 | $1,741.42 | $2,679.11 | $758.19 – $2,679.11 | 33 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $55.82 | $85.87 | $24.30 – $85.87 | 33 |
| Brace ank air stirrup univ HCPCS L4350 | $47.97 | $73.80 | $8.28 – $42.70 | 40 |
| Brace ankle joint dflxn assist HCPCS L2210 | $163.94 | $252.21 | $71.38 – $252.21 | 33 |
| Brace ankle stablizing lg HCPCS L1902 | $33.47 | $51.50 | $14.57 – $51.50 | 33 |
| Brace back epic lo 627 HCPCS L0642 | $140.30 | $215.85 | $41.83 – $215.85 | 40 |
| Brace back epic lso 637 HCPCS L0650 | $186.50 | $286.92 | $55.61 – $286.92 | 40 |
| Brace back epic tslo 456 HCPCS L0457 | $390.58 | $600.89 | $115.69 – $408.80 | 33 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $869.63 | $1,337.90 | $75.57 – $802.74 | 40 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $405.55 | $623.93 | $176.57 – $623.93 | 33 |
| Brace back t-lso custom HCPCS L0486 | $2,912.40 | $4,480.62 | $1,268.02 – $4,480.62 | 33 |
| Brace back vista 464 tlso HCPCS L0648 | $475.16 | $731.02 | $97.88 – $505.04 | 40 |
| Brace cust back lso HCPCS L0631 | $1,821.40 | $2,802.16 | $0.28 – $1.00 | 33 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $103.61 | $159.40 | $45.11 – $159.40 | 33 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $682.51 | $1,050.01 | $19.65 – $69.45 | 33 |
| Brace halo bremer l2830 HCPCS L2830 | $195.59 | $300.91 | $85.16 – $300.91 | 33 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,418.37 | $3,720.57 | $1,052.92 – $3,720.57 | 33 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $272.44 | $419.14 | $81.23 – $419.14 | 40 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,503.03 | $2,312.35 | $22.24 – $114.75 | 40 |
| Brace knee hing pat open med HCPCS L1820 | $47.55 | $73.15 | $20.70 – $73.15 | 33 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $901.84 | $1,387.44 | $35.41 – $182.69 | 40 |
| Brace knee postop tscope xl HCPCS L1845 | $288.59 | $443.98 | $125.65 – $443.98 | 33 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $176.49 | $271.52 | $16.94 – $59.85 | 33 |
| Brace m arm board HCPCS L3809 | $45.37 | $69.80 | $7.11 – $36.70 | 40 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $98.80 | $152.00 | $24.06 – $195.00 | 47 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $243.55 | $374.69 | $70.95 – $366.09 | 40 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $476.06 | $732.40 | $170.05 – $600.89 | 33 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $432.84 | $665.91 | $0.62 – $3.21 | 40 |
| Brace tlso flex cust HCPCS L0450 | $1,982.56 | $3,050.10 | $863.18 – $3,050.10 | 33 |
| Brace wrist classic lft sm HCPCS L3908 | $78.86 | $121.32 | $0.62 – $3.22 | 40 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $51.51 – $182.00 | 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.