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 |
|---|---|---|---|---|
| Compatibility test each unit electronic CPT 86923 | $64.80 | $108.00 | $36.72 – $78.84 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $58.20 | $97.00 | $32.98 – $70.81 | 3 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $599.40 | $999.00 | $729.27 – $2,679.00 | 3 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $652.80 | $1,088.00 | $794.24 – $2,679.00 | 3 |
| Complement antigen each component c3 CPT 86160 | $118.80 | $198.00 | $23.12 – $49.64 | 3 |
| Completion pneumonectomy 32488 CPT 32488 | $4,606.80 | $7,678.00 | $928.00 – $5,604.94 | 3 |
| Complex cystometrogram 51726 CPT 51726 | $556.80 | $928.00 | $677.44 – $2,679.00 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $619.20 | $1,032.00 | $209.10 – $448.95 | 3 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $977.40 | $1,629.00 | $553.86 – $919.07 | 3 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $160.80 | $268.00 | $195.64 – $2,679.00 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $774.00 | $1,290.00 | $209.10 – $448.95 | 3 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,071.00 | $1,785.00 | $469.20 – $1,007.40 | 3 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $354.60 | $591.00 | $63.58 – $136.51 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $683.40 | $1,139.00 | $209.10 – $448.95 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,107.60 | $1,846.00 | $301.58 – $647.51 | 3 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $320.40 | $534.00 | $177.48 – $381.06 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $406.80 | $678.00 | $230.52 – $277.40 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $782.40 | $1,304.00 | $443.36 – $724.16 | 3 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $295.20 | $492.00 | $167.28 – $251.85 | 3 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $3.00 | $5.00 | $3.65 – $2,679.00 | 3 |
| Composite drsg <= 16 sq in HCPCS A6203 | $23.40 | $39.00 | $28.47 – $2,679.00 | 3 |
| Composite graft/pri close/don area 15760 CPT 15760 | $1,639.20 | $2,732.00 | $928.00 – $2,679.00 | 3 |
| Compression stocking bk18-30 HCPCS A6530 | $64.20 | $107.00 | $78.11 – $2,679.00 | 3 |
| Concentration infection agents any type CPT 87015 | $54.00 | $90.00 | $10.54 – $22.63 | 3 |
| Conditioning play audiometry 92582 CPT 92582 | $120.00 | $200.00 | $146.00 – $2,679.00 | 3 |
| Condylomata destruction 56420 CPT 56420 | $267.00 | $445.00 | $151.30 – $288.35 | 3 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $88.80 | $148.00 | $108.04 – $2,679.00 | 3 |
| Conivaptan hcl HCPCS C9488 | $1,674.10 | $2,790.16 | $543.71 – $1,167.38 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $511.20 | $852.00 | $621.96 – $2,679.00 | 3 |
| Conization of cervix CPT 57520 | $592.20 | $987.00 | $720.51 – $2,679.00 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $679.96 | $1,133.26 | $385.31 – $827.28 | 3 |
| Connect omega .5mm HCPCS L8613 | $1,024.20 | $1,707.00 | $298.52 – $640.94 | 3 |
| Consultation pathology during surgery CPT 88329 | $32.40 | $54.00 | $18.36 – $39.42 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $594.00 | $990.00 | $336.60 – $722.70 | 3 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $39.00 | $65.00 | $22.10 – $47.45 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $58.80 | $98.00 | $33.32 – $71.54 | 3 |
| Consultation with family CPT 90887 | $121.20 | $202.00 | $147.46 – $2,679.00 | 3 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $85.80 | $143.00 | $104.39 – $2,679.00 | 3 |
| Contour of face bone lesion CPT 21029 | $1,235.40 | $2,059.00 | $928.00 – $2,679.00 | 3 |
| Contrast baths charges CPT 97034 | $63.00 | $105.00 | $35.70 – $76.65 | 3 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $120.60 | $201.00 | $146.73 – $2,679.00 | 3 |
| Contrast exam thoracic aorta CPT 75600 | $47.40 | $79.00 | $57.67 – $2,679.00 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $114.00 | $190.00 | $138.70 – $2,679.00 | 3 |
| Controller infinity pt dbs HCPCS C1787 | $1,856.40 | $3,094.00 | $989.40 – $2,124.30 | 3 |
| Control nosebleed pack+caut 30905 CPT 30905 | $486.00 | $810.00 | $137.02 – $294.19 | 3 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $907.20 | $1,512.00 | $928.00 – $2,679.00 | 3 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $1,014.60 | $1,691.00 | $928.00 – $2,679.00 | 3 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $790.80 | $1,318.00 | $928.00 – $2,679.00 | 3 |
| Control of nosebleed ant comp 30903 CPT 30903 | $391.20 | $652.00 | $164.90 – $354.05 | 3 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $246.00 | $410.00 | $92.82 – $199.29 | 3 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $334.20 | $557.00 | $406.61 – $2,679.00 | 3 |
| Control throat bleeding CPT 42961 | $832.20 | $1,387.00 | $928.00 – $2,679.00 | 3 |
| Control throat bleeding CPT 42962 | $1,027.20 | $1,712.00 | $928.00 – $2,679.00 | 3 |
| Conv gtube to jtube CPT 44373 | $291.00 | $485.00 | $354.05 – $2,679.00 | 3 |
| Coombs direct CPT 86880 | $76.80 | $128.00 | $18.36 – $39.42 | 3 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $41.40 | $69.00 | $23.46 – $50.37 | 3 |
| Coombs indirect titer reference CPT 86886 | $159.60 | $266.00 | $47.26 – $101.47 | 3 |
| Copper intrauterine device HCPCS J7300 | $1,441.85 | $2,403.09 | $817.05 – $1,754.26 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | $1,722.60 | $2,871.00 | $928.00 – $2,679.00 | 3 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $1,375.20 | $2,292.00 | $928.00 – $2,679.00 | 3 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,371.60 | $2,286.00 | $928.00 – $2,679.00 | 3 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $489.00 | $815.00 | $273.70 – $587.65 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $1,511.40 | $2,519.00 | $928.00 – $2,679.00 | 3 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $867.60 | $1,446.00 | $928.00 – $2,679.00 | 3 |
| Correct inverted nipple(s) CPT 19355 | $1,036.20 | $1,727.00 | $928.00 – $2,679.00 | 3 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $1,516.20 | $2,527.00 | $928.00 – $2,679.00 | 3 |
| Correction of everted punctum 68705 CPT 68705 | $528.60 | $881.00 | $643.13 – $2,679.00 | 3 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $150.60 | $251.00 | $183.23 – $2,679.00 | 3 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $668.40 | $1,114.00 | $813.22 – $2,679.00 | 3 |
| Correct malrotation of bowel 44055 CPT 44055 | $2,764.20 | $4,607.00 | $928.00 – $3,363.11 | 3 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | $2,123.40 | $3,539.00 | $928.00 – $2,679.00 | 3 |
| Corrj halux rigdus without implt CPT 28289 | $1,405.20 | $2,342.00 | $928.00 – $2,679.00 | 3 |
| Cortisol acth stimulation test - sendout CPT 80400 | $112.20 | $187.00 | $63.58 – $136.51 | 3 |
| Cortisol total am CPT 82533 | $152.40 | $254.00 | $23.46 – $50.37 | 3 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $295.78 | $492.97 | $114.01 – $244.78 | 3 |
| Co-treatment - group 15 mins, st CPT 92508 | $559.80 | $933.00 | $12.58 – $27.01 | 3 |
| Counseling smoke cess interm >10mins CPT 99407 | $27.00 | $45.00 | $15.30 – $30.66 | 3 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $26.40 | $44.00 | $32.12 – $2,679.00 | 3 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $686.40 | $1,144.00 | $388.96 – $835.12 | 3 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $28.80 | $48.00 | $35.04 – $2,679.00 | 3 |
| #covid19rsv-rsv CPT 87634 | $187.80 | $313.00 | $62.90 – $135.05 | 3 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $139.80 | $233.00 | $20.06 – $43.07 | 3 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $369.00 | $615.00 | $209.10 – $448.95 | 3 |
| C-peptide CPT 84681 | $115.20 | $192.00 | $33.66 – $72.27 | 3 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $583.20 | $972.00 | $281.18 – $603.71 | 3 |
| Cranial cervical orthosis HCPCS L0112 | $27.00 | $45.00 | $32.85 – $2,679.00 | 3 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | $5,182.80 | $8,638.00 | $928.00 – $6,305.74 | 3 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | $3,565.20 | $5,942.00 | $928.00 – $4,337.66 | 3 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | $4,437.60 | $7,396.00 | $928.00 – $5,399.08 | 3 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | $5,078.40 | $8,464.00 | $928.00 – $6,178.72 | 3 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | $5,427.00 | $9,045.00 | $928.00 – $6,602.85 | 3 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | $3,507.00 | $5,845.00 | $928.00 – $4,266.85 | 3 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | $4,486.20 | $7,477.00 | $928.00 – $5,458.21 | 3 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | $4,148.40 | $6,914.00 | $928.00 – $5,047.22 | 3 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | $4,871.40 | $8,119.00 | $928.00 – $5,926.87 | 3 |
| C-reactive protein CPT 86140 | $61.20 | $102.00 | $10.20 – $21.90 | 3 |
| C-reactive protein high sensitivity CPT 86141 | $51.60 | $86.00 | $24.48 – $52.56 | 3 |
| C-reactive protein, quantitative CPT 86406 | $48.00 | $80.00 | $27.20 – $58.40 | 3 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $1,543.80 | $2,573.00 | $928.00 – $2,679.00 | 3 |
| Create eardrum opening CPT 69436 | $318.00 | $530.00 | $386.90 – $2,679.00 | 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.