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 |
|---|---|---|---|---|
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.40 | $5.40 | $0.63 – $5.40 | 781 |
| Dipyridamole injection HCPCS J1245 | $86.50 | $86.50 | $19.30 – $86.50 | 103 |
| Dna antibody native/double stranded CPT 86225 | $139.75 | $215.00 | $13.31 – $215.00 | 47 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $183.75 | $183.75 | $7.98 – $35.10 | 103 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $134.65 | 103 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $72.50 | $72.50 | $6.60 – $35.90 | 103 |
| Doppler echo complete CPT 93320 | $523.90 | $806.00 | $228.10 – $806.00 | 33 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,302.60 | $2,004.00 | $567.13 – $2,004.00 | 32 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $398.45 | $613.00 | $173.48 – $613.00 | 118 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $286.00 | $440.00 | $122.52 – $595.00 | 118 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $388.25 – $1,371.90 | 33 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $229.63 – $36,812.65 | 118 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $93.40 | 103 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,093.75 | $7,093.75 | $342.45 – $1,920.95 | 36 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $96.90 | $96.90 | $12.00 – $96.90 | 104 |
| Drainage external ear simple 69000 CPT 69000 | $444.00 | $444.00 | $23.89 – $425.62 | 768 |
| Drain blood from under nail 11740 CPT 11740 | $317.20 | $196.00 | $10.01 – $284.72 | 783 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $60.27 – $212.98 | 33 |
| Drain finger abscess;simple 26010 CPT 26010 | $13,250.87 | $318.00 | $3.65 – $429.35 | 769 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $550.06 | $509.00 | $13.13 – $509.00 | 783 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $17.95 – $92.61 | 40 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $2.10 | $2.10 | $0.59 – $2.10 | 103 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $44.55 | $44.55 | $5.36 – $44.55 | 103 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $192.82 – $681.34 | 33 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $46.76 – $241.26 | 40 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $8.46 – $43.65 | 40 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $11.73 – $60.55 | 40 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $30.15 – $106.53 | 33 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.21 – $0.73 | 33 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $31.74 – $112.15 | 33 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $13.19 – $46.60 | 33 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $17.86 – $74.31 | 40 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $1.11 – $3.91 | 33 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $56.47 – $199.54 | 33 |
| Drug assay rufinamide CPT 80210 | $94.25 | $145.00 | $26.27 – $145.00 | 47 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $431.60 | $309.00 | $9.09 – $177.00 | 47 |
| Drvvt confirm - quest CPT 85597 | $67.60 | $104.00 | $17.42 – $104.00 | 47 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $474.50 | $730.00 | $96.27 – $730.00 | 118 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $172.36 – $609.04 | 33 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $7.71 – $27.25 | 33 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $81.58 – $3,169.50 | 118 |
| Ear and throat examination CPT 92502 | $285.00 | $285.00 | $55.17 – $285.00 | 768 |
| Ear cartilage graft CPT 21235 | $1,979.00 | $1,979.00 | $161.35 – $1,515.50 | 768 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $42.25 | $65.00 | $18.40 – $422.00 | 118 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $104.65 | $161.00 | $34.39 – $422.00 | 118 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,996.15 | $3,071.00 | $503.17 – $3,071.00 | 118 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $588.90 | $906.00 | $219.72 – $906.00 | 118 |
| Echocardiography doppler color flow mapping CPT 93325 | $585.00 | $900.00 | $254.70 – $900.00 | 33 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,651.65 | $2,541.00 | $653.00 – $2,541.00 | 118 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $378.95 | $583.00 | $164.99 – $653.00 | 33 |
| Echo guide for artery repair CPT 76936 | $941.85 | $1,449.00 | $198.84 – $1,449.00 | 118 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,946.10 | $2,994.00 | $503.17 – $2,994.00 | 118 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $44.13 – $18,199.20 | 115 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,072.50 | $1,650.00 | $198.84 – $1,650.00 | 118 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,125.00 | $1,612.00 | $36.00 – $1,612.00 | 783 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $747.50 | $1,150.00 | $198.84 – $1,150.00 | 118 |
| Eeg recording awake and asleep CPT 95819 | $931.45 | $1,433.00 | $198.84 – $1,433.00 | 118 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $31.34 – $18,942.60 | 118 |
| Egd control bleeding any CPT 43255 | $12,086.84 | $730.00 | $56.45 – $4,106.37 | 769 |
| Egd dilate stricture CPT 43245 | $636.00 | $636.00 | $50.06 – $507.13 | 768 |
| Egd guide wire insertion CPT 43248 | $604.00 | $604.00 | $47.18 – $555.57 | 768 |
| Egd remove foreign body CPT 43247 | $642.00 | $642.00 | $50.16 – $642.00 | 768 |
| Egd remove lesion snare CPT 43251 | $11,477.24 | $713.00 | $55.17 – $4,106.37 | 769 |
| EKG tracing for initial prev HCPCS G0404 | $57.85 | $89.00 | $25.19 – $1,126.00 | 115 |
| EKG (Tracing Only) CPT 93005 | $4,839.25 | $294.00 | $2.28 – $1,126.00 | 118 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $323.05 | $497.00 | $80.14 – $331.00 | 118 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $374.40 | $576.00 | $80.14 – $384.00 | 118 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,374.87 | $11,345.95 | $847.21 – $2,993.66 | 33 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $48.10 | $74.00 | $13.77 – $195.00 | 47 |
| Electrolyte panel CPT 80051 | $164.45 | $253.00 | $6.79 – $253.00 | 47 |
| Electron microscopy diagnostic CPT 88348 | $1,272.05 | $1,957.00 | $553.83 – $1,957.00 | 118 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $7.38 – $7,102.80 | 118 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $184.75 – $42,858.30 | 115 |
| Emb w/colposcopy 58110 CPT 58110 | $86.00 | $86.00 | $22.58 – $86.00 | 768 |
| Emb without cervical dilation 58100 CPT 58100 | $135.00 | $135.00 | $17.58 – $135.00 | 768 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $10,636.60 | $16,364.00 | $2,907.59 – $10,910.00 | 117 |
| Endocerv curettage w/scope 57456 CPT 57456 | $216.00 | $216.00 | $28.44 – $216.00 | 768 |
| Endoscopy maxillary sinus CPT 31267 | $26,150.60 | $2,032.00 | $0.96 – $15,102.64 | 769 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $17,800.90 | $27,386.00 | $5,124.10 – $18,257.00 | 117 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $35.57 – $8,427.00 | 118 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $108.00 | $108.00 | $2.26 – $8.00 | 33 |
| Enterectomy small intestine single 44120 CPT 44120 | $4,357.00 | $4,357.00 | $36.87 – $697.12 | 769 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $3,008.00 | $3,008.00 | $27.42 – $293.60 | 768 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $52.43 – $4,202.50 | 118 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $16.41 – $58.00 | 33 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $10.41 – $36.80 | 104 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $919.80 | $919.80 | $5.80 – $50.40 | 104 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $487.50 | $487.50 | $9.96 – $35.20 | 104 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 103 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $34,216.75 | not published | $77.00 – $544.00 | 73 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $12,298.91 | $2,079.00 | $7.42 – $104.00 | 118 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $7.59 – $152.50 | 118 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $156.15 | $156.15 | $44.19 – $156.15 | 33 |
| Epstein barr early antigen antibody CPT 86663 | $87.75 | $135.00 | $12.71 – $75.00 | 47 |
| Epstein barr nuclear antigen antibody CPT 86664 | $117.65 | $181.00 | $14.82 – $181.00 | 47 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $139.75 | $215.00 | $17.57 – $215.00 | 47 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,297.00 | $1,297.00 | $3.45 – $178.20 | 118 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $17.65 – $10,020.45 | 118 |
| Ercp biliary & pancreas CPT 74330 | $1,259.05 | $1,937.00 | $548.17 – $1,937.00 | 32 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $71.16 – $7,050.00 | 118 |
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.