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 |
|---|---|---|---|---|
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,794.15 | $24,298.69 | $14.15 – $50.00 | 33 |
| Cystatin c CPT 82610 | $163.80 | $252.00 | $17.94 – $252.00 | 47 |
| Cystoscopy and treatment CPT 52224 | $772.44 | $643.00 | $14.65 – $643.00 | 768 |
| Cystoscopy and treatment CPT 52234 | $19,884.26 | $778.00 | $69.12 – $7,543.30 | 769 |
| Cystoscopy and treatment CPT 52235 | $21,271.31 | $913.00 | $81.16 – $7,543.30 | 769 |
| Cystoscopy and treatment CPT 52240 | $1,545.00 | $1,545.00 | $109.80 – $1,060.56 | 768 |
| Cystoscopy and treatment CPT 52260 | $18,435.14 | $667.00 | $0.96 – $4,473.33 | 769 |
| Cystoscopy and treatment CPT 52265 | $623.00 | $623.00 | $26.06 – $623.00 | 768 |
| Cystoscopy and treatment CPT 52310 | $12,316.86 | $479.00 | $42.92 – $4,473.33 | 769 |
| Cystoscopy (Bladder Scope) CPT 52000 | $12,281.26 | $318.00 | $3.63 – $1,492.18 | 769 |
| Cystoscopy & ureter catheter CPT 52005 | $19,059.10 | $420.00 | $0.96 – $4,473.33 | 769 |
| Cystouretero & or pyeloscope CPT 52351 | $957.00 | $957.00 | $84.99 – $957.00 | 768 |
| Cysto/uretero w/lithotripsy CPT 52356 | $22,945.54 | $1,313.00 | $0.96 – $11,474.00 | 769 |
| Cystouretero w/lithotripsy CPT 52353 | $23,231.26 | $1,239.00 | $0.96 – $11,474.00 | 769 |
| Cystouretero w/stone remove CPT 52352 | $21,714.86 | $1,120.00 | $0.96 – $7,543.30 | 769 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $18,461.68 | $6,270.00 | $0.96 – $6,270.00 | 783 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $18,619.61 | not published | $65.31 – $4,473.33 | 86 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $48.40 | 103 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $119.60 | $184.00 | $13.94 – $184.00 | 47 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $153.40 | $236.00 | $16.33 – $236.00 | 47 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $243.75 | $375.00 | $47.99 – $375.00 | 118 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $70.85 | $109.00 | $19.64 – $109.00 | 47 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $52.00 | $80.00 | $22.64 – $80.00 | 118 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $93.60 | $144.00 | $8.13 – $144.00 | 33 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $182.65 | $281.00 | $19.34 – $364.58 | 118 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $336.05 | $517.00 | $47.99 – $380.00 | 118 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $55.20 | 103 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $301.83 – $13,542.70 | 118 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $7,773.10 | $7,773.10 | $15.28 – $7,773.10 | 118 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $64.40 | 104 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $52.34 – $33,713.70 | 36 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $2.96 – $932.45 | 118 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $230.33 – $34,410.00 | 118 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $87.31 – $308.50 | 33 |
| D&c after delivery 59160 CPT 59160 | $412.00 | $412.00 | $8.55 – $65.92 | 768 |
| Deamidated gliadin antibody iga CPT 86258 | $141.70 | $218.00 | $11.68 – $218.00 | 47 |
| Debridement (>20 cm) charge pt CPT 97598 | $5,358.44 | $504.00 | $13.85 – $869.92 | 783 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,481.05 | $3,817.00 | $64.12 – $3,817.00 | 783 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $652.60 | $1,004.00 | $284.13 – $1,004.00 | 32 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,240.85 | $1,909.00 | $540.25 – $1,909.00 | 32 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $5,741.94 | $1,539.00 | $9.09 – $1,539.00 | 783 |
| Debride nail1-5 11720 CPT 11720 | $61.00 | $61.00 | $8.09 – $126.24 | 783 |
| Debride nail6 or more 11721 CPT 11721 | $101.00 | $101.00 | $13.63 – $126.24 | 783 |
| Debride skin bone at fx site CPT 11012 | $1,349.00 | $1,349.00 | $115.56 – $933.80 | 768 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,836.00 | $1,836.00 | $160.92 – $1,093.00 | 768 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $2,467.00 | $2,467.00 | $70.68 – $270.88 | 768 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $5,358.44 | $737.00 | $14.06 – $869.92 | 783 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $182.00 | $260.00 | $5.80 – $429.35 | 783 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $902.00 | $902.00 | $74.33 – $782.67 | 768 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,209.65 | $1,861.00 | $5.64 – $1,861.00 | 783 |
| Decalcification CPT 88311 | $100.10 | $154.00 | $8.47 – $80.00 | 33 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $459.90 | $459.90 | $130.15 – $459.90 | 33 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $573.95 | $883.00 | $249.89 – $883.00 | 117 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $65.35 | $65.35 | $9.02 – $65.35 | 103 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $4.36 – $1,460.15 | 118 |
| Demonstrate use home inr mon HCPCS G0248 | $77.35 | $119.00 | $33.68 – $284.91 | 115 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $344.50 | $530.00 | $149.99 – $530.00 | 118 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $27.97 – $11,252.60 | 118 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.06 | $0.10 | $0.03 – $0.10 | 33 |
| Design mlc device for imrt CPT 77338 | $1,048.45 | $1,613.00 | $344.79 – $1,613.00 | 118 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $735.85 | $735.85 | $14.59 – $51.55 | 33 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $112.45 | $173.00 | $48.96 – $429.35 | 117 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $273.00 | $273.00 | $20.49 – $429.35 | 783 |
| Destruction 2-14 lesions 17003 CPT 17003 | $107.90 | $166.00 | $46.98 – $166.00 | 32 |
| Destruction benign lesions < 14 lesions CPT 17110 | $263.25 | $222.00 | $14.54 – $429.35 | 783 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $7,360.49 | $4,205.00 | $793.25 – $4,178.74 | 117 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $7,334.91 | $4,205.00 | $793.25 – $4,178.74 | 117 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $123.26 – $435.55 | 33 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $923.36 – $3,262.75 | 33 |
| Device intraute mirena HCPCS J7298 | $6,362.20 | $6,362.20 | $627.86 – $6,362.20 | 554 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $299.80 – $1,059.37 | 33 |
| Device tiss remov myosure reach HCPCS C1782 | $3,961.70 | $6,094.92 | $301.39 – $1,064.99 | 33 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $21.00 | $21.00 | $5.94 – $21.00 | 33 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $30,093.08 | $1.00 | $0.04 – $9,730.80 | 118 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $19,098.14 | $27.39 | $0.09 – $4,473.33 | 782 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.80 | $884.80 | $32.09 – $344.95 | 118 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $5.66 – $20.00 | 33 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $35.00 | $35.00 | $9.91 – $35.00 | 33 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $9.91 – $35.00 | 33 |
| Dextrose 5 % IV bolus HCPCS J7070 | $7,405.29 | $30.00 | $3.04 – $198.73 | 118 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $564.20 | $868.00 | $21.54 – $868.00 | 47 |
| Diabetes (HbA1c) Test CPT 83036 | $486.85 | $163.00 | $9.09 – $163.00 | 47 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $617.50 | $950.00 | $10.42 – $950.00 | 783 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $217.00 | $217.00 | $19.49 – $427.15 | 783 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $432.90 | $666.00 | $98.79 – $666.00 | 47 |
| Diagnostic Mammogram (one breast) CPT 77065 | $364.00 | $560.00 | $77.11 – $560.00 | 47 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $103.50 | $103.50 | $29.29 – $103.50 | 33 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $111.85 | $111.85 | $31.65 – $111.85 | 33 |
| Diffusing capacity CPT 94729 | $18.00 | $18.00 | $5.93 – $18.00 | 768 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $503.10 | $503.10 | $0.89 – $4.00 | 103 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $3,884.26 – $13,725.30 | 104 |
| Digoxin total therapeutic drug level CPT 80162 | $85.15 | $131.00 | $12.87 – $131.00 | 47 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $358.75 | $358.75 | $26.04 – $92.00 | 33 |
| Dilate urethra stricture CPT 53600 | $204.00 | $206.00 | $11.79 – $534.66 | 783 |
| Dilation of rectal stricture 45910 CPT 45910 | $704.00 | $704.00 | $59.96 – $528.33 | 768 |
| Dilation salivary duct 42650 CPT 42650 | $1,514.50 | $2,330.00 | $11.28 – $3,320.32 | 783 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $13.09 – $46.25 | 33 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.95 | $12.95 | $0.20 – $3.00 | 104 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,466.25 | $3,466.25 | $683.77 – $3,466.25 | 118 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $3.40 | $3.40 | $0.02 – $3.40 | 103 |
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.