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 |
|---|---|---|---|---|
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $97.51 | $162.51 | $55.25 – $118.63 | 3 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $21,349.42 | $35,582.36 | $12,098.00 – $25,975.12 | 3 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $457.16 | $761.93 | $32.49 – $69.77 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,785.36 | $7,975.60 | $475.12 – $1,020.10 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $401.40 | $669.00 | $488.37 – $2,679.00 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $457.20 | $762.00 | $556.26 – $2,679.00 | 3 |
| Drainage external ear complex 69005 CPT 69005 | $418.20 | $697.00 | $508.81 – $2,679.00 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $360.60 | $601.00 | $117.30 – $251.85 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | $667.20 | $1,112.00 | $811.76 – $2,679.00 | 3 |
| Drainage lymph node lesion 38305 CPT 38305 | $767.40 | $1,279.00 | $928.00 – $2,679.00 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $537.60 | $896.00 | $654.08 – $2,679.00 | 3 |
| Drainage of nose lesion int 30000 CPT 30000 | $448.80 | $748.00 | $546.04 – $2,679.00 | 3 |
| Drainage of nose lesion sept 30020 CPT 30020 | $448.80 | $748.00 | $546.04 – $2,679.00 | 3 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,176.60 | $1,961.00 | $928.00 – $2,679.00 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,197.00 | $1,995.00 | $928.00 – $2,679.00 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | $523.80 | $873.00 | $637.29 – $2,679.00 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $145.20 | $242.00 | $82.28 – $110.96 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,357.80 | $2,263.00 | $928.00 – $2,679.00 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $375.00 | $625.00 | $456.25 – $2,679.00 | 3 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $144.60 | $241.00 | $81.94 – $175.93 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $490.80 | $818.00 | $137.36 – $294.92 | 3 |
| Drain lower leg bursa CPT 27604 | $630.60 | $1,051.00 | $767.23 – $2,679.00 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | $989.40 | $1,649.00 | $928.00 – $2,679.00 | 3 |
| Drain neck/chest lesion 21501 CPT 21501 | $859.20 | $1,432.00 | $928.00 – $2,679.00 | 3 |
| Drain open lung lesion 32200 CPT 32200 | $1,741.80 | $2,903.00 | $928.00 – $2,679.00 | 3 |
| Drain ovarn cyst abd CPT 58805 | $913.80 | $1,523.00 | $928.00 – $2,679.00 | 3 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $1,707.60 | $2,846.00 | $928.00 – $2,679.00 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | $780.00 | $1,300.00 | $928.00 – $2,679.00 | 3 |
| Drain shoulder lesion CPT 23030 | $821.40 | $1,369.00 | $928.00 – $2,679.00 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,262.40 | $2,104.00 | $928.00 – $2,679.00 | 3 |
| Drain to peritoneal cavity CPT 49062 | $1,391.40 | $2,319.00 | $928.00 – $2,679.00 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $279.00 | $465.00 | $121.04 – $259.88 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $304.80 | $508.00 | $172.72 – $187.61 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $343.20 | $572.00 | $144.84 – $310.98 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $144.00 | $240.00 | $175.20 – $2,679.00 | 3 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $1,667.40 | $2,779.00 | $928.00 – $2,679.00 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $775.80 | $1,293.00 | $928.00 – $2,679.00 | 3 |
| Drng appendix abscess open 44900 CPT 44900 | $1,453.80 | $2,423.00 | $928.00 – $2,679.00 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | $924.00 | $1,540.00 | $928.00 – $2,679.00 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $496.20 | $827.00 | $603.71 – $2,679.00 | 3 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,352.40 | $2,254.00 | $766.36 – $894.25 | 3 |
| Drng of hydrocele 55000 CPT 55000 | $231.00 | $385.00 | $281.05 – $2,679.00 | 3 |
| Drng of mouth lesion 40801 CPT 40801 | $603.00 | $1,005.00 | $733.65 – $2,679.00 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $619.80 | $1,033.00 | $754.09 – $2,679.00 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | $949.20 | $1,582.00 | $928.00 – $2,679.00 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | $940.20 | $1,567.00 | $928.00 – $2,679.00 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $802.20 | $1,337.00 | $928.00 – $2,679.00 | 3 |
| Drng of salivary cyst 42409 CPT 42409 | $656.40 | $1,094.00 | $798.62 – $2,679.00 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $487.20 | $812.00 | $592.76 – $2,679.00 | 3 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,085.60 | $3,476.00 | $928.00 – $2,679.00 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $1,890.00 | $3,150.00 | $928.00 – $2,679.00 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | $1,417.80 | $2,363.00 | $928.00 – $2,679.00 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,998.80 | $4,998.00 | $928.00 – $3,648.54 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | $412.80 | $688.00 | $502.24 – $2,679.00 | 3 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $319.20 | $532.00 | $388.36 – $2,679.00 | 3 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $21.02 | $35.03 | $4.09 – $8.79 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $31.25 | $52.08 | $9.47 – $20.32 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,015.40 | $3,359.00 | $317.22 – $681.09 | 3 |
| Drug assay posaconazole CPT 80187 | $370.20 | $617.00 | $209.78 – $450.41 | 3 |
| Drug assay vedolizumab CPT 80280 | $200.40 | $334.00 | $113.56 – $243.82 | 3 |
| Drug assay voriconazole CPT 80285 | $142.20 | $237.00 | $80.58 – $173.01 | 3 |
| Drug of abuse screen urine CPT 80305 | $12.60 | $21.00 | $7.14 – $15.33 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $543.00 | $905.00 | $9.86 – $21.17 | 3 |
| Drvvt confirm - quest CPT 85597 | $114.60 | $191.00 | $35.36 – $75.92 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $490.80 | $818.00 | $597.14 – $2,679.00 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | $306.60 | $511.00 | $373.03 – $2,679.00 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $306.60 | $511.00 | $163.88 – $351.86 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $302.40 | $504.00 | $44.53 – $2,679.00 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $703.80 | $1,173.00 | $398.82 – $468.66 | 3 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $7,619.12 | $12,698.54 | $1,041.55 – $2,236.27 | 3 |
| Dx bronchoscope/brush 31623 CPT 31623 | $647.40 | $1,079.00 | $787.67 – $2,679.00 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $609.60 | $1,016.00 | $741.68 – $2,679.00 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | $607.20 | $1,012.00 | $738.76 – $2,679.00 | 3 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $450.60 | $751.00 | $548.23 – $2,679.00 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | $432.00 | $720.00 | $525.60 – $2,679.00 | 3 |
| Ear and throat examination CPT 92502 | $181.20 | $302.00 | $220.46 – $2,679.00 | 3 |
| Ear canal biopsy 69105 CPT 69105 | $276.00 | $460.00 | $335.80 – $2,679.00 | 3 |
| Ear cartilage graft CPT 21235 | $1,411.80 | $2,353.00 | $928.00 – $2,679.00 | 3 |
| Ear irrigation 69209 CPT 69209 | $116.40 | $194.00 | $29.20 – $65.96 | 3 |
| Ecallantide injection HCPCS J1290 | $10,119.91 | $16,866.51 | $5,734.61 – $12,312.55 | 3 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $17.40 | $29.00 | $21.17 – $2,679.00 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $77.40 | $129.00 | $11.68 – $43.86 | 3 |
| Ecg < 30 days transmission & analysis CPT 93271 | $519.60 | $866.00 | $294.44 – $632.18 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $354.60 | $591.00 | $64.97 – $200.94 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $506.40 | $844.00 | $162.79 – $286.96 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $70.80 | $118.00 | $40.12 – $86.14 | 3 |
| Ecg/review interpret only CPT 93272 | $50.40 | $84.00 | $61.32 – $2,679.00 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $994.20 | $1,657.00 | $500.05 – $531.76 | 3 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $491.40 | $819.00 | $178.16 – $239.44 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $352.20 | $587.00 | $192.10 – $226.30 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,683.60 | $2,806.00 | $954.04 – $2,048.38 | 3 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $211.80 | $353.00 | $120.02 – $257.69 | 3 |
| Echo exam uterus 76831- CPT 76831 | $309.60 | $516.00 | $175.44 – $327.04 | 3 |
| Echo stress CPT 93350 | $924.60 | $1,541.00 | $418.88 – $899.36 | 3 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $344.40 | $574.00 | $419.02 – $2,679.00 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $345.60 | $576.00 | $420.48 – $2,679.00 | 3 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $515.40 | $859.00 | $627.07 – $2,679.00 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $530.40 | $884.00 | $645.32 – $2,679.00 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $742.80 | $1,238.00 | $903.74 – $2,679.00 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $672.00 | $1,120.00 | $817.60 – $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.