MercyOne Genesis DeWitt Medical Center
1118 11th Street, DeWitt, IA · MercyOne · · NPI 1407938269
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 |
|---|---|---|---|---|
| Clsd tx humerus fract without manip 24500 CPT 24500 | $666.00 | $1,110.00 | $810.30 – $2,679.00 | 3 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $719.40 | $1,199.00 | $875.27 – $2,679.00 | 3 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,141.80 | $1,903.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $427.80 | $713.00 | $520.49 – $2,679.00 | 3 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $544.80 | $908.00 | $146.88 – $315.36 | 3 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $603.00 | $1,005.00 | $145.52 – $312.44 | 3 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $857.40 | $1,429.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $494.40 | $824.00 | $601.52 – $2,679.00 | 3 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $401.40 | $669.00 | $488.37 – $2,679.00 | 3 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $496.80 | $828.00 | $604.44 – $2,679.00 | 3 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $236.40 | $394.00 | $287.62 – $2,679.00 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $696.60 | $1,161.00 | $847.53 – $2,679.00 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $709.20 | $1,182.00 | $228.14 – $489.83 | 3 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $604.80 | $1,008.00 | $735.84 – $2,679.00 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $677.40 | $1,129.00 | $824.17 – $2,679.00 | 3 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $369.60 | $616.00 | $449.68 – $2,679.00 | 3 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $488.40 | $814.00 | $594.22 – $2,679.00 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $825.60 | $1,376.00 | $173.74 – $373.03 | 3 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $433.20 | $722.00 | $527.06 – $2,679.00 | 3 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $842.40 | $1,404.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $979.80 | $1,633.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,914.00 | $3,190.00 | $904.47 – $1,084.60 | 3 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $349.80 | $583.00 | $425.59 – $2,679.00 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $183.60 | $306.00 | $75.14 – $161.33 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $276.60 | $461.00 | $156.74 – $264.26 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $597.60 | $996.00 | $116.96 – $251.12 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $917.40 | $1,529.00 | $173.74 – $373.03 | 3 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $487.80 | $813.00 | $593.49 – $2,679.00 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $572.40 | $954.00 | $696.42 – $2,679.00 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $572.40 | $954.00 | $696.42 – $2,679.00 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $568.80 | $948.00 | $692.04 – $2,679.00 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $894.60 | $1,491.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $600.60 | $1,001.00 | $730.73 – $2,679.00 | 3 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $543.00 | $905.00 | $660.65 – $2,679.00 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $761.40 | $1,269.00 | $926.37 – $2,679.00 | 3 |
| Cmbn ant pst colprhy CPT 57260 | $1,616.40 | $2,694.00 | $928.00 – $2,679.00 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $54.00 | $90.00 | $30.60 – $65.70 | 3 |
| #cms hgb-sulfhemoglobin CPT 83060 | $160.80 | $268.00 | $21.08 – $45.26 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $70.20 | $117.00 | $27.88 – $59.86 | 3 |
| Cmv pcr-sendout CPT 87496 | $117.60 | $196.00 | $66.64 – $143.08 | 3 |
| Co2 monitor per day CPT 94681 | $310.80 | $518.00 | $176.12 – $378.14 | 3 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $37,986.95 | $63,311.58 | $1,504.19 – $3,229.59 | 3 |
| Coagulation time activated teg CPT 85347 | $36.60 | $61.00 | $19.38 – $41.61 | 3 |
| Cocaine 4 % nasal solution HCPCS C9046 | $331.01 | $551.68 | $187.57 – $402.73 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | $15.49 | $25.82 | $7.54 – $16.19 | 3 |
| Cold agglutinin titer CPT 86157 | $20.40 | $34.00 | $11.56 – $24.82 | 3 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $2,557.80 | $4,263.00 | $928.00 – $3,111.99 | 3 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $3,530.40 | $5,884.00 | $928.00 – $4,295.32 | 3 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $3,951.60 | $6,586.00 | $928.00 – $4,807.78 | 3 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $2,073.60 | $3,456.00 | $928.00 – $2,679.00 | 3 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $3,652.20 | $6,087.00 | $928.00 – $4,443.51 | 3 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $3,142.80 | $5,238.00 | $928.00 – $3,823.74 | 3 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $3,233.40 | $5,389.00 | $928.00 – $3,933.97 | 3 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $2,343.60 | $3,906.00 | $928.00 – $2,851.38 | 3 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $3,433.80 | $5,723.00 | $928.00 – $4,177.79 | 3 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $3,335.40 | $5,559.00 | $928.00 – $4,058.07 | 3 |
| Colistimethate sodium inj HCPCS J0770 | $107.55 | $179.25 | $60.95 – $130.85 | 3 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $295.20 | $492.00 | $52.56 – $111.52 | 3 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $82.20 | $137.00 | $3.06 – $6.57 | 3 |
| Collar cerv ascend 172 reg HCPCS L0172 | $63.60 | $106.00 | $3.40 – $7.30 | 3 |
| Collar cerv patriot adlt HCPCS L0150 | $49.80 | $83.00 | $28.22 – $60.59 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $93.00 | $155.00 | $52.70 – $113.15 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $96.60 | $161.00 | $54.74 – $117.53 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | $516.00 | $860.00 | $627.80 – $2,679.00 | 3 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $543.00 | $905.00 | $660.65 – $2,679.00 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $907.20 | $1,512.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,027.80 | $1,713.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $874.20 | $1,457.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $461.40 | $769.00 | $561.37 – $2,679.00 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $996.60 | $1,661.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy submucous njx CPT 45381 | $697.20 | $1,162.00 | $848.26 – $2,679.00 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | $683.40 | $1,139.00 | $831.47 – $2,679.00 | 3 |
| Colonoscopy w/ablation CPT 45388 | $1,099.20 | $1,832.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,216.20 | $2,027.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy w/band ligation CPT 45398 | $1,401.60 | $2,336.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy w/control bleed CPT 45382 | $1,471.80 | $2,453.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $554.40 | $924.00 | $674.52 – $2,679.00 | 3 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $620.40 | $1,034.00 | $754.82 – $2,679.00 | 3 |
| Colonoscopy w/fb removal CPT 45379 | $721.20 | $1,202.00 | $877.46 – $2,679.00 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $337.80 | $563.00 | $410.99 – $2,679.00 | 3 |
| Colonoscopy with biopsy CPT 44389 | $777.00 | $1,295.00 | $928.00 – $2,679.00 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $377.40 | $629.00 | $459.17 – $2,679.00 | 3 |
| Colonoscopy w/resection CPT 45390 | $3,279.60 | $5,466.00 | $862.86 – $1,858.44 | 3 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $2,269.80 | $3,783.00 | $928.00 – $2,761.59 | 3 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $1,833.60 | $3,056.00 | $928.00 – $2,679.00 | 3 |
| Colpocentesis 57020 CPT 57020 | $181.80 | $303.00 | $221.19 – $2,679.00 | 3 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $994.80 | $1,658.00 | $928.00 – $2,679.00 | 3 |
| Colpopexy abdominal approach 57280 CPT 57280 | $1,863.60 | $3,106.00 | $928.00 – $2,679.00 | 3 |
| Colpopexy extraperitoneal CPT 57282 | $1,294.20 | $2,157.00 | $928.00 – $2,679.00 | 3 |
| Colpopexy intraperitoneal CPT 57283 | $1,344.00 | $2,240.00 | $928.00 – $2,679.00 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $579.60 | $966.00 | $705.18 – $2,679.00 | 3 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $302.40 | $504.00 | $367.92 – $2,679.00 | 3 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $625.20 | $1,042.00 | $760.66 – $2,679.00 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $210.60 | $351.00 | $256.23 – $2,679.00 | 3 |
| Colposcopy vulva 56820 CPT 56820 | $214.20 | $357.00 | $260.61 – $2,679.00 | 3 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $284.40 | $474.00 | $346.02 – $2,679.00 | 3 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $277.20 | $462.00 | $337.26 – $2,679.00 | 3 |
| Colpotomy drng of abscess 57010 CPT 57010 | $844.80 | $1,408.00 | $928.00 – $2,679.00 | 3 |
| Colpotomy w/exploration 57000 CPT 57000 | $360.00 | $600.00 | $438.00 – $2,679.00 | 3 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $79.20 | $132.00 | $35.36 – $75.92 | 3 |
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.