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 |
|---|---|---|---|---|
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $330.23 | $508.05 | $33.95 – $119.97 | 33 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,374.45 | $3,653.00 | $32.33 – $114.24 | 33 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $54.83 | $84.35 | $0.05 – $0.18 | 33 |
| Cath symplicity spyral HCPCS C1735 | $17,877.60 | $27,504.00 | $7,783.63 – $27,504.00 | 33 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $7,413.18 | $11,404.89 | $14.86 – $52.50 | 33 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $926.04 | $1,424.67 | $0.01 – $0.08 | 33 |
| Cauterization chemical granulation tissue CPT 17250 | $2,235.35 | $758.00 | $6.91 – $758.00 | 783 |
| Cdna analysis for variants CPT 81403 | $420.55 | $647.00 | $51.22 – $372.25 | 47 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $20,131.05 | $6.10 | $0.84 – $7,543.30 | 118 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $101.65 | $101.65 | $2.46 – $11.40 | 104 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $91.75 | $91.75 | $25.97 – $91.75 | 33 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,224.65 | $1,224.65 | $4.15 – $1,224.65 | 118 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $43.95 | $43.95 | $3.98 – $14.05 | 33 |
| Ceftazidime and avibactam HCPCS J0714 | $1,968.05 | $1,968.05 | $102.61 – $1,968.05 | 115 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $13.80 | $13.80 | $0.85 – $12.45 | 781 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $27.00 | $27.00 | $2.29 – $16.20 | 103 |
| Cell count body fluid CPT 89050 | $128.70 | $198.00 | $4.57 – $198.00 | 47 |
| Cell count w differential body fluid CPT 89051 | $95.55 | $147.00 | $5.43 – $147.00 | 47 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $28.12 – $34,004.00 | 118 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $3.79 – $17,963.25 | 118 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $58.00 | $58.00 | $15.76 – $58.00 | 768 |
| Cesarean section delivery only 59514 CPT 59514 | $2,909.00 | $2,909.00 | $37.48 – $312.00 | 768 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $78.74 – $2,342.85 | 118 |
| Change cystostomy tube simple CPT 51705 | $194.00 | $260.00 | $13.29 – $534.66 | 783 |
| Chemo extend IV infus w/pump HCPCS G0498 | $768.30 | $1,182.00 | $334.51 – $1,182.00 | 115 |
| Chest 2 vws w oblique CPT 71048 | $289.25 | $445.00 | $96.27 – $445.00 | 118 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,531.10 | $3,894.00 | $161.52 – $3,894.00 | 118 |
| Chest CT scan (with contrast) CPT 71260 | $2,160.60 | $3,324.00 | $161.52 – $3,324.00 | 118 |
| Chest CT scan (without contrast) CPT 71250 | $1,877.20 | $2,888.00 | $96.27 – $2,888.00 | 118 |
| Chest Physiotherapy (first session) CPT 94667 | $220.35 | $339.00 | $95.94 – $339.00 | 118 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $148.85 | $229.00 | $64.81 – $284.72 | 118 |
| Chest Ultrasound CPT 76604 | $439.40 | $676.00 | $96.27 – $676.00 | 118 |
| Chest X-ray CPT 71046 | $398.45 | $417.00 | $9.09 – $417.00 | 118 |
| Chest X-ray (single view) CPT 71045 | $16,909.19 | $364.00 | $0.32 – $364.00 | 118 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $415.35 | $639.00 | $161.52 – $639.00 | 118 |
| Chloride CPT 82435 | $28.60 | $44.00 | $4.46 – $44.00 | 47 |
| Chloride 24 hour urine CPT 82436 | $40.30 | $62.00 | $5.57 – $62.00 | 47 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $152.25 | $152.25 | $1.44 – $27.07 | 103 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $2.10 | $2.10 | $0.59 – $7.00 | 103 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $873.60 | $1,344.00 | $380.35 – $1,344.00 | 32 |
| Cholesterol CPT 82465 | $50.70 | $78.00 | $4.21 – $78.00 | 47 |
| Cholesterol body fluid CPT 84999 | $139.10 | $214.00 | $11.73 – $214.00 | 40 |
| Cholesterol (Lipid) Test CPT 80061 | $461.50 | $142.00 | $9.09 – $142.00 | 47 |
| Cholinesterase CPT 82480 | $66.30 | $102.00 | $7.63 – $102.00 | 47 |
| Chronic urticaria - sendout CPT 86343 | $39.65 | $61.00 | $12.08 – $61.00 | 47 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $1.00 | $1.00 | $0.01 – $0.60 | 107 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $4.64 – $37.00 | 103 |
| Circum 28 days or older CPT 54161 | $19,281.76 | $712.00 | $2.28 – $4,473.33 | 769 |
| Circumcision (newborn) CPT 54150 | $6,299.80 | $9,692.00 | $26.84 – $4,473.33 | 783 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $72.50 | 104 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $7.27 – $496.70 | 118 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $9.81 – $34.65 | 33 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $60.00 | $60.00 | $1.67 – $14.00 | 104 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $0.96 – $3.39 | 33 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $234.59 – $828.95 | 33 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $10.85 – $55.98 | 40 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $14.08 – $17,608.50 | 118 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $3,108.00 | $3,108.00 | $31.08 – $299.68 | 768 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $5,689.00 | $5,689.00 | $37.48 – $546.56 | 768 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,078.00 | $1,078.00 | $83.46 – $1,033.40 | 768 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $721.00 | $721.00 | $61.09 – $694.67 | 768 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $12,460.43 | not published | $0.96 – $7,094.93 | 86 |
| Cmbn ant pst colprhy CPT 57260 | $2,334.00 | $2,334.00 | $27.56 – $270.24 | 768 |
| Coagulation time activated teg CPT 85347 | $85.15 | $131.00 | $4.15 – $131.00 | 47 |
| Cocaine 4 % nasal solution HCPCS C9046 | $3,354.90 | $3,354.90 | $294.40 – $3,354.90 | 103 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $555.87 – $1,964.19 | 33 |
| Cold agglutinin screen (arc) CPT 86156 | $102.70 | $158.00 | $7.82 – $158.00 | 47 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $5,902.00 | $5,902.00 | $37.48 – $570.24 | 768 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $4,792.00 | $4,792.00 | $37.48 – $465.28 | 768 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $5,911.00 | $5,911.00 | $37.48 – $568.16 | 768 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $4,440.00 | $4,440.00 | $37.48 – $430.72 | 768 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $438.10 | $674.00 | $80.14 – $449.00 | 118 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $0.46 – $2.36 | 40 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $34.12 | $52.50 | $1.28 – $4.52 | 33 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,198.73 | $1,844.20 | $0.51 – $2.62 | 40 |
| Collar extrication adult univ HCPCS L0200 | $41.92 | $64.50 | $18.25 – $64.50 | 33 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $197.60 | $304.00 | $86.03 – $304.00 | 118 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $210.60 | $324.00 | $91.69 – $324.00 | 117 |
| Colonoscopy (diagnostic) CPT 45378 | $8,793.52 | $671.00 | $2.28 – $1,990.07 | 769 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $11,030.37 | $818.00 | $63.69 – $2,560.76 | 769 |
| Colonoscopy submucous njx CPT 45381 | $12,690.57 | $729.00 | $56.66 – $2,560.76 | 769 |
| Colonoscopy thru stoma spx CPT 44388 | $565.00 | $565.00 | $44.95 – $481.94 | 768 |
| Colonoscopy w/balloon dilat CPT 45386 | $9,767.43 | $770.00 | $2.28 – $2,560.76 | 769 |
| Colonoscopy w/band ligation CPT 45398 | $851.00 | $851.00 | $18.64 – $749.71 | 768 |
| Colonoscopy w/injection CPT 44404 | $11,030.37 | not published | $65.31 – $2,560.76 | 86 |
| Colonoscopy (with biopsy) CPT 45380 | $12,645.88 | $730.00 | $56.66 – $2,560.76 | 769 |
| Colonoscopy (with polyp removal) CPT 45385 | $10,754.67 | $924.00 | $2.28 – $2,560.76 | 769 |
| Colonoscopy w/resection CPT 45390 | $11,165.17 | not published | $2.28 – $5,939.79 | 86 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $198.00 | $198.00 | $26.31 – $198.00 | 768 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $234.00 | $234.00 | $30.78 – $234.00 | 768 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $12,298.91 | $539.00 | $9.09 – $539.00 | 118 |
| Compatibility test each unit immediate spin technique CPT 86920 | $4,214.60 | $78.00 | $22.07 – $364.58 | 118 |
| Compatibility test incubate CPT 86921 | $126.75 | $195.00 | $55.19 – $364.58 | 118 |
| Complement antigen each component c3 CPT 86160 | $125.45 | $193.00 | $11.63 – $120.00 | 47 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $182.00 | $182.00 | $2.77 – $462.07 | 783 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $240.50 | $370.00 | $104.71 – $869.92 | 117 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,000.00 | $1,000.00 | $80.09 – $671.00 | 768 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,752.13 | $2,695.58 | $762.85 – $2,695.58 | 33 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $694.85 | $1,069.00 | $302.53 – $1,069.00 | 115 |
| Concentration infection agents any type CPT 87015 | $928.20 | $102.00 | $6.48 – $102.00 | 47 |
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.