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 |
|---|---|---|---|---|
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $11.32 – $78.88 | 115 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $21.23 – $75.00 | 33 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $32.43 – $138.81 | 44 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $14.15 – $38,255.83 | 115 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,607.50 | $5,550.00 | $321.26 – $5,550.00 | 118 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $4,342.00 | $3,792.00 | $219.72 – $3,792.00 | 118 |
| Brain MRI (with and without contrast) CPT 70553 | $4,357.60 | $6,704.00 | $321.26 – $6,704.00 | 118 |
| Brain MRI (with contrast) CPT 70552 | $3,771.30 | $5,802.00 | $321.26 – $5,802.00 | 118 |
| Brain MRI (without contrast) CPT 70551 | $1,944.15 | $2,991.00 | $219.72 – $2,991.00 | 118 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $161.28 | $248.13 | $18.16 – $93.69 | 40 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,835.30 | $4,362.00 | $1,234.45 – $4,362.00 | 47 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,037.80 | $6,212.00 | $138.08 – $4,141.00 | 117 |
| Breastbone (Sternum) X-ray CPT 71120 | $315.90 | $486.00 | $80.14 – $486.00 | 118 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $224.75 – $39,510.50 | 118 |
| Brush provox 4-10mm HCPCS L8513 | $27.23 | $41.90 | $11.86 – $41.90 | 33 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $15.15 | $15.15 | $1.22 – $10.50 | 104 |
| Bundled special stain group 1 microorganisms CPT 88312 | $161.20 | $248.00 | $47.99 – $219.00 | 118 |
| Bundled special stain group 2 CPT 88313 | $160.55 | $247.00 | $33.96 – $284.72 | 118 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $741.00 | $741.00 | $0.85 – $3.00 | 33 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $1.55 | $1.55 | $0.31 – $9.09 | 108 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,849.42 | $7,460.65 | $64.53 – $228.01 | 33 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $21.85 | $21.85 | $6.18 – $21.85 | 33 |
| Bx bone trocar/ndl deep CPT 20225 | $554.00 | $554.00 | $12.65 – $275.00 | 768 |
| Bx breast 1st lesion strtctc CPT 19081 | $8,121.75 | $12,495.00 | $146.74 – $8,330.00 | 117 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,385.50 | $3,670.00 | $69.34 – $3,670.00 | 32 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $289.00 | $289.00 | $37.92 – $289.00 | 768 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $1,124.00 | $1,124.00 | $48.54 – $562.00 | 768 |
| Bx muscle CPT 20200 | $5,220.80 | $8,032.00 | $1,520.89 – $8,032.00 | 117 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $475.00 | $475.00 | $45.16 – $345.00 | 768 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $7,022.60 | $10,804.00 | $43.45 – $10,804.00 | 782 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $700.70 | $1,078.00 | $305.07 – $1,515.37 | 117 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $166.00 | $166.00 | $16.51 – $131.00 | 768 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $61.00 | $61.00 | $16.19 – $61.00 | 768 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $226.18 – $44,159.55 | 118 |
| Cable cath 22-pin diag HCPCS C1730 | $8,141.09 | $12,524.75 | $15.42 – $54.50 | 33 |
| Cable centrimag pressure HCPCS Q0508 | $123,355.44 | $189,777.60 | $0.60 – $2.13 | 33 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $22.14 – $14,265.95 | 118 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $92.00 | $92.00 | $13.02 – $46.00 | 33 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $21,890.72 – $77,352.35 | 33 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,177.05 | $2,177.05 | $616.11 – $3,278.90 | 36 |
| Calcium 24 hour urine CPT 82340 | $80.60 | $124.00 | $5.84 – $124.00 | 47 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.00 | $1.00 | $0.01 – $0.29 | 104 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $44.05 | $44.05 | $12.47 – $44.05 | 104 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $52.50 | $52.50 | $5.62 – $19.85 | 33 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $11.11 – $39.25 | 33 |
| Calcium ionized CPT 82330 | $130.00 | $200.00 | $13.26 – $152.00 | 47 |
| Calcium total CPT 82310 | $933.40 | $78.00 | $5.00 – $78.00 | 47 |
| Calprotectin fecal CPT 83993 | $234.65 | $361.00 | $19.02 – $361.00 | 47 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $78.94 | $121.45 | $21.06 – $108.68 | 40 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $36,313.87 | $55,867.50 | $13.67 – $48.30 | 33 |
| Cap nerve 2x15mm HCPCS C1763 | $24,158.39 | $37,166.76 | $15.31 – $54.10 | 33 |
| Cap trach decann 15mm HCPCS C1750 | $3,283.80 | $5,052.00 | $0.96 – $3.39 | 33 |
| Carbamazepine total therapeutic drug level CPT 80156 | $113.75 | $175.00 | $14.12 – $175.00 | 47 |
| Carbon dioxide CPT 82374 | $37.70 | $58.00 | $4.73 – $58.00 | 47 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $459.90 | $459.90 | $2.31 – $37.95 | 104 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $798.00 | $798.00 | $13.43 – $798.00 | 115 |
| Carboxyhemoglobin quantitative CPT 82375 | $86.45 | $133.00 | $11.93 – $133.00 | 47 |
| Carcinoembryonic ag (cea) CPT 82378 | $120.25 | $185.00 | $18.37 – $185.00 | 47 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $262.60 | $404.00 | $114.33 – $404.00 | 118 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $262.60 | $404.00 | $114.33 – $404.00 | 115 |
| Cardiolipin antibody iga CPT 86147 | $141.70 | $218.00 | $24.66 – $124.00 | 47 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $4,912.70 | $2,184.00 | $9.09 – $2,184.00 | 117 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $51.30 – $1,892.40 | 118 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $976.14 – $3,449.25 | 33 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,216.15 | $1,871.00 | $219.72 – $1,871.00 | 118 |
| Car seat/bed test 60 minutes CPT 94780 | $79.30 | $122.00 | $34.39 – $1,187.00 | 118 |
| Car seat/bed test additional 30 minutes CPT 94781 | $38.35 | $59.00 | $16.70 – $1,187.00 | 33 |
| Caspofungin acetate HCPCS J0637 | $317.35 | $317.35 | $22.70 – $317.35 | 103 |
| Cassette provox xtraflow hme HCPCS A7507 | $2.67 | $4.11 | $1.16 – $4.11 | 33 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $34.00 | $34.00 | $12.94 – $29.36 | 767 |
| Cataract Surgery CPT 66984 | $11,667.47 | not published | $2.28 – $4,938.64 | 86 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,555.72 | $2,393.42 | $30.52 – $107.84 | 33 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,378.40 | $6,736.00 | $388.88 – $1,374.15 | 33 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,894.35 | $2,914.39 | $1.38 – $4.87 | 33 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,679.08 | $7,198.59 | $18.84 – $66.56 | 33 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,008.97 | $6,167.65 | $1,478.86 – $5,225.66 | 33 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $41,900.62 | $64,462.50 | $0.01 – $0.16 | 33 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,014.47 | $7,714.57 | $498.77 – $1,762.43 | 33 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $13,681.13 | $21,047.90 | $0.01 – $14.45 | 33 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,539.55 | $6,983.93 | $0.01 – $7.92 | 33 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,908.66 | $7,551.79 | $33.21 – $117.34 | 33 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,737.87 | $4,212.11 | $104.99 – $371.00 | 33 |
| Cath council tip 16fr 5cc HCPCS A4344 | $38.93 | $59.90 | $15.30 – $54.05 | 33 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,827.10 | $16,657.08 | $0.43 – $1.51 | 33 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,762.57 | $2,711.65 | $0.01 – $16.11 | 33 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $44.43 | $68.35 | $19.34 – $68.35 | 33 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,561.66 | $2,402.55 | $0.39 – $1.38 | 33 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $49.40 | $76.00 | $8.57 – $76.00 | 44 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $0.59 | $0.91 | $0.21 – $0.75 | 33 |
| Cath follower heyman 20f HCPCS A4352 | $234.78 | $361.20 | $0.68 – $2.42 | 33 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,758.92 | $2,706.03 | $16.88 – $59.65 | 33 |
| Cath hawkone s directional HCPCS C1714 | $4,862.62 | $7,480.96 | $394.31 – $1,393.31 | 33 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,270.57 | $1,954.72 | $553.19 – $1,954.72 | 33 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,489.04 | $5,367.75 | $351.33 – $1,241.46 | 33 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $1,380.83 | $2,124.36 | $19.78 – $69.90 | 33 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $2,045.54 | $3,146.98 | $890.60 – $3,146.98 | 33 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $5,636.22 | $8,671.11 | $0.12 – $0.41 | 33 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,846.69 | $21,302.60 | $30.42 – $107.50 | 33 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $23.92 | $36.80 | $10.41 – $36.80 | 33 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,730.61 | $11,893.25 | $3,331.54 – $11,772.21 | 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.