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 |
|---|---|---|---|---|
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $1,948.20 | $3,247.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $1,854.60 | $3,091.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $1,083.00 | $1,805.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $970.80 | $1,618.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,056.00 | $1,760.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $944.40 | $1,574.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $1,198.80 | $1,998.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,146.60 | $1,911.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $636.60 | $1,061.00 | $774.53 – $2,679.00 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $432.00 | $720.00 | $525.60 – $2,679.00 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $628.20 | $1,047.00 | $764.31 – $2,679.00 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $523.20 | $872.00 | $636.56 – $2,679.00 | 3 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $1,128.60 | $1,881.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $1,097.40 | $1,829.00 | $928.00 – $2,679.00 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $549.60 | $916.00 | $668.68 – $2,679.00 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $432.00 | $720.00 | $525.60 – $2,679.00 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $519.00 | $865.00 | $631.45 – $2,679.00 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $418.80 | $698.00 | $509.54 – $2,679.00 | 3 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $11,583.15 | $19,305.25 | $6,563.79 – $14,092.83 | 3 |
| Edetate calcium disodium inj HCPCS J0600 | $149.45 | $249.09 | $84.69 – $181.84 | 3 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $40.80 | $68.00 | $49.64 – $2,679.00 | 3 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $115.80 | $193.00 | $140.89 – $2,679.00 | 3 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $556.80 | $928.00 | $677.44 – $2,679.00 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $790.20 | $1,317.00 | $135.05 – $395.42 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $175.20 | $292.00 | $213.16 – $2,679.00 | 3 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $712.20 | $1,187.00 | $866.51 – $2,679.00 | 3 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $3,438.00 | $5,730.00 | $928.00 – $4,182.90 | 3 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $871.20 | $1,452.00 | $928.00 – $2,679.00 | 3 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $523.20 | $872.00 | $636.56 – $2,679.00 | 3 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $449.40 | $749.00 | $546.77 – $2,679.00 | 3 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $621.00 | $1,035.00 | $755.55 – $2,679.00 | 3 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $282.00 | $470.00 | $343.10 – $2,679.00 | 3 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $146.40 | $244.00 | $178.12 – $2,679.00 | 3 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $183.00 | $305.00 | $222.65 – $2,679.00 | 3 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $219.00 | $365.00 | $266.45 – $2,679.00 | 3 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $811.80 | $1,353.00 | $134.32 – $2,679.00 | 3 |
| Eeg recording awake and asleep CPT 95819 | $775.80 | $1,293.00 | $134.32 – $439.62 | 3 |
| E equine encephalitis igg CPT 86652 | $52.80 | $88.00 | $26.86 – $57.67 | 3 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $493.80 | $823.00 | $600.79 – $2,679.00 | 3 |
| Egd control bleeding any CPT 43255 | $1,387.20 | $2,312.00 | $928.00 – $2,679.00 | 3 |
| Egd dilate stricture CPT 43245 | $1,170.00 | $1,950.00 | $928.00 – $2,679.00 | 3 |
| Egd endo mucosal resection CPT 43254 | $558.60 | $931.00 | $679.63 – $2,679.00 | 3 |
| Egd endoscopic stent place CPT 43266 | $323.40 | $539.00 | $393.47 – $2,679.00 | 3 |
| Egd guide wire insertion CPT 43248 | $246.00 | $410.00 | $299.30 – $2,679.00 | 3 |
| Egd injection varices CPT 43243 | $307.80 | $513.00 | $374.49 – $2,679.00 | 3 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $312.60 | $521.00 | $380.33 – $2,679.00 | 3 |
| Egd lesion ablation CPT 43270 | $1,069.20 | $1,782.00 | $928.00 – $2,679.00 | 3 |
| Egd optical endomicroscopy CPT 43252 | $712.20 | $1,187.00 | $866.51 – $2,679.00 | 3 |
| Egd remove foreign body CPT 43247 | $804.00 | $1,340.00 | $928.00 – $2,679.00 | 3 |
| Egd remove lesion snare CPT 43251 | $290.40 | $484.00 | $353.32 – $2,679.00 | 3 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $876.60 | $1,461.00 | $928.00 – $2,679.00 | 3 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $406.20 | $677.00 | $494.21 – $2,679.00 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $387.60 | $646.00 | $471.58 – $2,679.00 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $550.80 | $918.00 | $670.14 – $2,679.00 | 3 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $375.00 | $625.00 | $456.25 – $2,679.00 | 3 |
| Egd varices ligation CPT 43244 | $552.00 | $920.00 | $671.60 – $2,679.00 | 3 |
| Egd w/transmural drain cyst CPT 43240 | $777.60 | $1,296.00 | $928.00 – $2,679.00 | 3 |
| EKG (Electrocardiogram) CPT 93000 | $94.80 | $158.00 | $115.34 – $2,679.00 | 3 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $30.00 | $50.00 | $36.50 – $2,679.00 | 3 |
| EKG interpret & report preve g0405 HCPCS G0405 | $15.60 | $26.00 | $18.98 – $2,679.00 | 3 |
| EKG tracing for initial prev HCPCS G0404 | $17.40 | $29.00 | $21.17 – $2,679.00 | 3 |
| EKG (Tracing Only) CPT 93005 | $120.60 | $201.00 | $32.85 – $68.34 | 3 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $193.20 | $322.00 | $52.56 – $73.10 | 3 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $293.40 | $489.00 | $63.51 – $110.84 | 3 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $339.00 | $565.00 | $131.40 – $192.10 | 3 |
| Elect analysis of infusion pump 62367 CPT 62367 | $339.00 | $565.00 | $95.63 – $192.10 | 3 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $244.20 | $407.00 | $297.11 – $2,679.00 | 3 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,206.00 | $17,010.00 | $5,737.50 – $12,318.75 | 3 |
| Electrical bone stim 20974 CPT 20974 | $316.80 | $528.00 | $385.44 – $2,679.00 | 3 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $95.40 | $159.00 | $54.06 – $66.43 | 3 |
| Electrical stimulation/unattended 97014 CPT 97014 | $82.20 | $137.00 | $44.88 – $66.43 | 3 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $128.40 | $214.00 | $156.22 – $2,679.00 | 3 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $63.60 | $106.00 | $77.38 – $2,679.00 | 3 |
| Electroconvulsive therapy 90870 CPT 90870 | $279.60 | $466.00 | $340.18 – $2,679.00 | 3 |
| Electrolyte panel CPT 80051 | $49.20 | $82.00 | $23.46 – $50.37 | 3 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $247.80 | $413.00 | $301.49 – $2,679.00 | 3 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $281.40 | $469.00 | $342.37 – $2,679.00 | 3 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,523.02 | $9,205.03 | $3,129.71 – $6,719.67 | 3 |
| Embedded ip cath exit-site 49436 CPT 49436 | $344.40 | $574.00 | $419.02 – $2,679.00 | 3 |
| Embo or occlude vascular arterial s&i CPT 37242 | $715.80 | $1,193.00 | $870.89 – $2,679.00 | 3 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $756.00 | $1,260.00 | $919.80 – $2,679.00 | 3 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $2,053.20 | $3,422.00 | $928.00 – $2,679.00 | 3 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $1,918.80 | $3,198.00 | $928.00 – $2,679.00 | 3 |
| Emb w/colposcopy 58110 CPT 58110 | $93.60 | $156.00 | $113.88 – $2,679.00 | 3 |
| Emb without cervical dilation 58100 CPT 58100 | $213.00 | $355.00 | $259.15 – $2,679.00 | 3 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $274.80 | $458.00 | $334.34 – $2,679.00 | 3 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $331.20 | $552.00 | $402.96 – $2,679.00 | 3 |
| Emg cranial nerve bilateral CPT 95868 | $205.20 | $342.00 | $116.07 – $2,679.00 | 3 |
| Emg needle test 1-extremity CPT 95860 | $187.80 | $313.00 | $228.49 – $2,679.00 | 3 |
| Emg needle test 4-extremities CPT 95864 | $359.40 | $599.00 | $437.27 – $2,679.00 | 3 |
| Encephalitis, california igg/igm CPT 86651 | $50.40 | $84.00 | $28.56 – $61.32 | 3 |
| Encephalitis, st louis igg/igm CPT 86653 | $47.40 | $79.00 | $26.86 – $57.67 | 3 |
| Encephalitis, western equine igg/igm CPT 86654 | $48.00 | $80.00 | $26.86 – $57.67 | 3 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $2,721.00 | $4,535.00 | $928.00 – $3,310.55 | 3 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,432.00 | $5,720.00 | $928.00 – $4,175.60 | 3 |
| Endo cath bile duct s&i CPT 74328 | $34.20 | $57.00 | $41.61 – $2,679.00 | 3 |
| Endo cath panc duct s&i CPT 74329 | $72.60 | $121.00 | $88.33 – $2,679.00 | 3 |
| Endocerv curettage w/scope 57456 CPT 57456 | $261.60 | $436.00 | $318.28 – $2,679.00 | 3 |
| Endocervical curettage 57505 CPT 57505 | $197.40 | $329.00 | $240.17 – $2,679.00 | 3 |
| Endo cholangiopancreatograph CPT 43261 | $1,164.00 | $1,940.00 | $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.