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 |
|---|---|---|---|---|
| Creatine kinase CPT 82550 | $56.40 | $94.00 | $12.58 – $27.01 | 3 |
| Creatine kinase isoenzymes CPT 82552 | $77.40 | $129.00 | $26.18 – $56.21 | 3 |
| Creatine kinase mb CPT 82553 | $64.20 | $107.00 | $34.00 – $73.00 | 3 |
| Creatine - sendout CPT 82540 | $17.40 | $29.00 | $9.86 – $21.17 | 3 |
| Creatinine CPT 82565 | $35.40 | $59.00 | $16.32 – $35.04 | 3 |
| Creatinine 24 hour urine CPT 82570 | $114.60 | $191.00 | $7.82 – $16.79 | 3 |
| Creatinine clearance urine CPT 82575 | $60.60 | $101.00 | $28.56 – $61.32 | 3 |
| #creutz-prot.,western blot CPT 84182 | $559.80 | $933.00 | $68.34 – $146.73 | 3 |
| Cricopharyngeal myotomy 43030 CPT 43030 | $1,213.20 | $2,022.00 | $928.00 – $2,679.00 | 3 |
| Crisis psychotherapy 90839 CPT 90839 | $146.40 | $244.00 | $178.12 – $2,679.00 | 3 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $87.00 | $145.00 | $105.85 – $2,679.00 | 3 |
| Critical care each additional 30 minutes CPT 99292 | $583.80 | $973.00 | $283.97 – $330.82 | 3 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,653.00 | $2,755.00 | $632.18 – $768.40 | 3 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $4,374.26 | $7,290.43 | $2,478.75 – $5,322.01 | 3 |
| Crnec exc tum/bone les skull CPT 61500 | $2,870.40 | $4,784.00 | $928.00 – $3,492.32 | 3 |
| Crnop skull defect>5 cm diam CPT 62141 | $2,419.80 | $4,033.00 | $928.00 – $2,944.09 | 3 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $4.71 | $7.85 | $2.67 – $5.73 | 3 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,905.00 | $3,175.00 | $928.00 – $2,679.00 | 3 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $48.60 | $81.00 | $15.30 – $32.85 | 3 |
| Cryocautery of cervix 57511 CPT 57511 | $282.00 | $470.00 | $343.10 – $2,679.00 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $34.20 | $57.00 | $19.38 – $41.61 | 3 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $271.20 | $452.00 | $329.96 – $2,679.00 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | $97.80 | $163.00 | $118.99 – $2,679.00 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | $51.60 | $86.00 | $23.46 – $50.37 | 3 |
| Cryptosporidium antigen CPT 87272 | $42.60 | $71.00 | $24.14 – $51.83 | 3 |
| Crystal identification light microscopy CPT 89060 | $42.60 | $71.00 | $15.64 – $33.58 | 3 |
| C-Section Delivery (full care) CPT 59510 | $4,721.40 | $7,869.00 | $928.00 – $5,744.37 | 3 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,577.60 | $4,296.00 | $928.00 – $3,136.08 | 3 |
| Csf shunt reprogram 62252 CPT 62252 | $167.40 | $279.00 | $203.67 – $2,679.00 | 3 |
| CT 3d report other modality w/workstation CPT 76377 | $299.40 | $499.00 | $169.66 – $364.27 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,868.00 | $4,780.00 | $1,083.58 – $2,326.51 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,978.20 | $3,297.00 | $1,120.98 – $2,406.81 | 3 |
| CT Angiogram of the Abdomen CPT 74175 | $1,745.40 | $2,909.00 | $989.06 – $2,123.57 | 3 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,914.00 | $3,190.00 | $1,084.60 – $2,328.70 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,627.20 | $2,712.00 | $922.08 – $1,979.76 | 3 |
| CT Angiogram of the Head CPT 70496 | $1,656.60 | $2,761.00 | $938.74 – $2,015.53 | 3 |
| CT Angiogram of the Neck CPT 70498 | $1,656.60 | $2,761.00 | $938.74 – $2,015.53 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,147.40 | $3,579.00 | $811.24 – $1,741.78 | 3 |
| CT guidance for needle placement CPT 77012 | $1,158.60 | $1,931.00 | $656.54 – $1,409.63 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $118.20 | $197.00 | $143.81 – $2,679.00 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | $157.80 | $263.00 | $191.99 – $2,679.00 | 3 |
| CT limited or localized follow-up study CPT 76380 | $447.60 | $746.00 | $236.30 – $507.35 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,963.20 | $3,272.00 | $741.54 – $1,592.13 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $543.00 | $905.00 | $147.90 – $317.55 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,022.80 | $5,038.00 | $1,712.92 – $3,677.74 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,676.00 | $4,460.00 | $1,516.40 – $3,255.80 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,240.40 | $3,734.00 | $1,269.56 – $2,725.82 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $1,612.20 | $2,687.00 | $913.58 – $1,961.51 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,672.20 | $2,787.00 | $631.72 – $1,356.34 | 3 |
| Cult skin graft fnhfg 15155 CPT 15155 | $1,345.80 | $2,243.00 | $928.00 – $2,679.00 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $31.20 | $52.00 | $8.50 – $18.25 | 3 |
| Culture afb any source CPT 87116 | $106.20 | $177.00 | $13.94 – $29.93 | 3 |
| Culture anaerobic additional method definitive id each CPT 87076 | $54.00 | $90.00 | $28.56 – $61.32 | 3 |
| Culture anaerobic except blood CPT 87075 | $85.20 | $142.00 | $24.14 – $51.83 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $36.60 | $61.00 | $5.10 – $10.95 | 3 |
| Culture body fluid CPT 87070 | $67.20 | $112.00 | $12.24 – $26.28 | 3 |
| Culture fungi definitive id mold CPT 87107 | $57.00 | $95.00 | $20.74 – $44.53 | 3 |
| Culture fungi definitive id yeast CPT 87106 | $90.60 | $151.00 | $20.06 – $43.07 | 3 |
| Culture fungi other (except blood) CPT 87102 | $105.60 | $176.00 | $59.84 – $128.48 | 3 |
| Culture fungi skin/hair/nail CPT 87101 | $99.60 | $166.00 | $15.30 – $32.85 | 3 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $130.20 | $217.00 | $73.78 – $158.41 | 3 |
| Culture mycoplasma any source CPT 87109 | $52.20 | $87.00 | $29.58 – $63.51 | 3 |
| Culture screening strep group a CPT 87081 | $43.20 | $72.00 | $9.18 – $19.71 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $550.20 | $917.00 | $311.78 – $669.41 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $100.20 | $167.00 | $56.78 – $121.91 | 3 |
| Culture urine each isolate CPT 87088 | $46.20 | $77.00 | $17.68 – $37.96 | 3 |
| Culture virus isolation CPT 87250 | $246.60 | $411.00 | $139.74 – $300.03 | 3 |
| Cutter lead HCPCS C1773 | $1,421.40 | $2,369.00 | $133.96 – $287.62 | 3 |
| Cv line/pic reposition CPT 36597 | $217.80 | $363.00 | $264.99 – $2,679.00 | 3 |
| Cv stress test i&r only 93018 CPT 93018 | $42.00 | $70.00 | $51.10 – $2,679.00 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | $51.00 | $85.00 | $62.05 – $2,679.00 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $50.40 | $84.00 | $27.20 – $58.40 | 3 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.32 | $42.20 | $8.54 – $18.34 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $60.60 | $101.00 | $24.48 – $52.56 | 3 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2,636.21 | $4,393.68 | $260.33 – $558.94 | 3 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $66.76 | $111.27 | $3.28 – $7.04 | 3 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $136.01 | $226.69 | $77.07 – $165.48 | 3 |
| Cyclosporine 2 hour CPT 80158 | $204.00 | $340.00 | $34.34 – $73.73 | 3 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.62 | $16.04 | $2.50 – $5.36 | 3 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,489.72 | $2,482.86 | $7.11 – $15.27 | 3 |
| Cystatin c CPT 82610 | $118.80 | $198.00 | $45.90 – $98.55 | 3 |
| Cystic fibrosis cftr CPT 81223 | $1,788.60 | $2,981.00 | $1,013.54 – $2,176.13 | 3 |
| Cystine urine quantitative CPT 82131 | $78.60 | $131.00 | $21.42 – $45.99 | 3 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $318.60 | $531.00 | $180.54 – $387.63 | 3 |
| Cystometrogram w/up 51727 CPT 51727 | $600.60 | $1,001.00 | $730.73 – $2,679.00 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $1,756.80 | $2,928.00 | $928.00 – $2,679.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,453.80 | $2,423.00 | $928.00 – $2,679.00 | 3 |
| Cystoscopy and treatment CPT 52315 | $1,108.80 | $1,848.00 | $928.00 – $2,679.00 | 3 |
| Cystoscopy (Bladder Scope) CPT 52000 | $398.40 | $664.00 | $484.72 – $2,679.00 | 3 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $696.60 | $1,161.00 | $847.53 – $2,679.00 | 3 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $922.80 | $1,538.00 | $928.00 – $2,679.00 | 3 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $1,532.40 | $2,554.00 | $928.00 – $2,679.00 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $543.60 | $906.00 | $661.38 – $2,679.00 | 3 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $751.80 | $1,253.00 | $914.69 – $2,679.00 | 3 |
| Cystourethro w/addl implant 52442 CPT 52442 | $129.60 | $216.00 | $157.68 – $2,679.00 | 3 |
| Cystourethro w/implant CPT 52441 | $482.40 | $804.00 | $586.92 – $2,679.00 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $92.04 | $153.40 | $30.97 – $66.50 | 3 |
| Cytogenomic neo microra alys CPT 81277 | $3,098.40 | $5,164.00 | $1,755.76 – $3,769.72 | 3 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $99.00 | $165.00 | $15.30 – $32.85 | 3 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $62.40 | $104.00 | $24.14 – $51.83 | 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.