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 |
|---|---|---|---|---|
| Cyto/molecular report CPT 88291 | $100.20 | $167.00 | $56.78 – $121.91 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $169.20 | $282.00 | $95.88 – $205.86 | 3 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $50.40 | $84.00 | $28.56 – $61.32 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $56.40 | $94.00 | $31.96 – $68.62 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $100.80 | $168.00 | $57.12 – $122.64 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $135.60 | $226.00 | $73.10 – $156.95 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $116.40 | $194.00 | $65.96 – $141.62 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $72.00 | $120.00 | $40.80 – $87.60 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $82.33 | $137.21 | $35.50 – $76.23 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,180.80 | $5,301.34 | $1,802.46 – $3,869.98 | 3 |
| Dalteparin sodium HCPCS J1645 | $41.88 | $69.80 | $23.73 – $50.95 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $801.47 | $1,335.79 | $31.13 – $66.83 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,766.29 | $31,277.15 | $10,634.23 – $22,832.32 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6,866.96 | $11,444.94 | $134.10 – $287.93 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $6,866.96 | $11,444.94 | $130.99 – $281.25 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $292.03 | $486.71 | $165.48 – $355.30 | 3 |
| D&c after delivery 59160 CPT 59160 | $424.20 | $707.00 | $516.11 – $2,679.00 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $639.60 | $1,066.00 | $778.18 – $2,679.00 | 3 |
| Dch glucoscan CPT 82948 | $26.40 | $44.00 | $13.94 – $29.93 | 3 |
| Dch pulmonary stress test CPT 94621 | $472.80 | $788.00 | $267.92 – $317.55 | 3 |
| Dch validity tests CPT 81002 | $12.00 | $20.00 | $3.06 – $6.57 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $31.20 | $52.00 | $17.68 – $37.96 | 3 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,357.80 | $2,263.00 | $928.00 – $2,679.00 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $102.60 | $171.00 | $124.83 – $2,679.00 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $192.00 | $320.00 | $108.80 – $165.71 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $609.00 | $1,015.00 | $740.95 – $2,679.00 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $385.80 | $643.00 | $167.17 – $218.62 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $231.00 | $385.00 | $281.05 – $2,679.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $206.40 | $344.00 | $251.12 – $2,679.00 | 3 |
| Debride nail1-5 11720 CPT 11720 | $61.20 | $102.00 | $74.46 – $2,679.00 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $85.80 | $143.00 | $104.39 – $2,679.00 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,012.80 | $1,688.00 | $928.00 – $2,679.00 | 3 |
| Debride skin bone at fx site CPT 11012 | $1,343.40 | $2,239.00 | $928.00 – $2,679.00 | 3 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,117.20 | $1,862.00 | $928.00 – $2,679.00 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,488.00 | $2,480.00 | $928.00 – $2,679.00 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $327.60 | $546.00 | $93.44 – $185.64 | 3 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $268.20 | $447.00 | $326.31 – $2,679.00 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $930.00 | $1,550.00 | $928.00 – $2,679.00 | 3 |
| Debr inf skin add-on 11001 CPT 11001 | $50.40 | $84.00 | $61.32 – $2,679.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $441.00 | $735.00 | $536.55 – $2,679.00 | 3 |
| Decalcification CPT 88311 | $31.20 | $52.00 | $17.68 – $37.96 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,930.68 | $3,217.80 | $625.67 – $1,343.35 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $413.40 | $689.00 | $56.21 – $234.26 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $967.20 | $1,612.00 | $928.00 – $2,679.00 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,098.00 | $1,830.00 | $928.00 – $2,679.00 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $2,512.80 | $4,188.00 | $928.00 – $3,057.24 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | $1,136.40 | $1,894.00 | $928.00 – $2,679.00 | 3 |
| Decompression of leg CPT 27894 | $1,263.60 | $2,106.00 | $928.00 – $2,679.00 | 3 |
| Decompression of lower leg CPT 27600 | $625.20 | $1,042.00 | $760.66 – $2,679.00 | 3 |
| Decompression of lower leg CPT 27601 | $691.80 | $1,153.00 | $841.69 – $2,679.00 | 3 |
| Decompression of tibia nerve CPT 28035 | $739.20 | $1,232.00 | $899.36 – $2,679.00 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | $781.20 | $1,302.00 | $928.00 – $2,679.00 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $3,367.80 | $5,613.00 | $928.00 – $4,097.49 | 3 |
| Decompress small bowel CPT 44021 | $1,503.60 | $2,506.00 | $928.00 – $2,679.00 | 3 |
| Decompress spinal cord lmbr CPT 63056 | $3,098.40 | $5,164.00 | $928.00 – $3,769.72 | 3 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $604.20 | $1,007.00 | $735.11 – $2,679.00 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | $524.40 | $874.00 | $638.02 – $2,679.00 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $119.33 | $198.88 | $26.67 – $57.25 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,391.21 | $2,318.69 | $429.40 – $921.95 | 3 |
| Delayed breast prosthesis 19342 CPT 19342 | $1,783.80 | $2,973.00 | $928.00 – $2,679.00 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | $884.40 | $1,474.00 | $928.00 – $2,679.00 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | $841.20 | $1,402.00 | $928.00 – $2,679.00 | 3 |
| Delay flap trunk 15600 CPT 15600 | $624.60 | $1,041.00 | $759.93 – $2,679.00 | 3 |
| Delivery of placenta 59414 CPT 59414 | $227.40 | $379.00 | $276.67 – $2,679.00 | 3 |
| Delivery only failed vbac 59620 CPT 59620 | $1,959.60 | $3,266.00 | $928.00 – $2,679.00 | 3 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $2,655.00 | $4,425.00 | $928.00 – $3,230.25 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $2,290.20 | $3,817.00 | $928.00 – $2,786.41 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $82.80 | $138.00 | $37.23 – $46.92 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $6,122.60 | $10,204.33 | $1,889.37 – $4,056.59 | 3 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $499.80 | $833.00 | $163.54 – $351.13 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | $99.44 | $165.74 | $56.35 – $120.99 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | $1,043.40 | $1,739.00 | $928.00 – $2,679.00 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | $1,291.80 | $2,153.00 | $928.00 – $2,679.00 | 3 |
| Dermal filler injection(s) HCPCS G0429 | $57.00 | $95.00 | $69.35 – $2,679.00 | 3 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $3,567.00 | $5,945.00 | $928.00 – $4,339.85 | 3 |
| Description not available HCPCS S0013 | $2,226.16 | $3,710.27 | $842.85 – $1,809.64 | 3 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,066.64 | $1,777.73 | $17.36 – $37.27 | 3 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $811.20 | $1,352.00 | $928.00 – $2,679.00 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,071.40 | $5,119.00 | $928.00 – $3,736.87 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,226.00 | $3,710.00 | $928.00 – $2,708.30 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $268.20 | $447.00 | $326.31 – $2,679.00 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $340.20 | $567.00 | $413.91 – $2,679.00 | 3 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $307.20 | $512.00 | $373.76 – $2,679.00 | 3 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $286.20 | $477.00 | $348.21 – $2,679.00 | 3 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $312.00 | $520.00 | $379.60 – $2,679.00 | 3 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $355.80 | $593.00 | $432.89 – $2,679.00 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $180.60 | $301.00 | $219.73 – $2,679.00 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $274.80 | $458.00 | $334.34 – $2,679.00 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $334.20 | $557.00 | $406.61 – $2,679.00 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $365.40 | $609.00 | $444.57 – $2,679.00 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,442.80 | $5,738.00 | $928.00 – $1,300.50 | 3 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,284.60 | $2,141.00 | $438.00 – $485.52 | 3 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $413.40 | $689.00 | $502.97 – $2,679.00 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $154.80 | $258.00 | $188.34 – $2,679.00 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $435.60 | $726.00 | $529.98 – $2,679.00 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | $252.60 | $421.00 | $307.33 – $2,679.00 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $250.20 | $417.00 | $304.41 – $2,679.00 | 3 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $966.60 | $1,611.00 | $928.00 – $2,679.00 | 3 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $652.20 | $1,087.00 | $793.51 – $2,679.00 | 3 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $1,601.40 | $2,669.00 | $928.00 – $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.