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 |
|---|---|---|---|---|
| Endo cholangiopancreatograph CPT 43262 | $532.80 | $888.00 | $648.24 – $2,679.00 | 3 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $1,990.20 | $3,317.00 | $928.00 – $2,679.00 | 3 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $3,712.20 | $6,187.00 | $928.00 – $4,516.51 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | $181.80 | $303.00 | $221.19 – $2,679.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $409.80 | $683.00 | $498.59 – $2,679.00 | 3 |
| Endoscopic vein harvest 33508 CPT 33508 | $30.60 | $51.00 | $37.23 – $2,679.00 | 3 |
| Endoscopy bowel pouch/biop CPT 44386 | $630.60 | $1,051.00 | $767.23 – $2,679.00 | 3 |
| Endoscopy ligate perf veins 37500 CPT 37500 | $1,361.40 | $2,269.00 | $928.00 – $2,679.00 | 3 |
| Endoscopy maxillary sinus CPT 31267 | $796.80 | $1,328.00 | $928.00 – $2,679.00 | 3 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $340.80 | $568.00 | $414.64 – $2,679.00 | 3 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $651.60 | $1,086.00 | $792.78 – $2,679.00 | 3 |
| Endovasc prosth delayed 33886 CPT 33886 | $1,924.20 | $3,207.00 | $928.00 – $2,679.00 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $2,188.80 | $3,648.00 | $928.00 – $2,679.00 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | $797.40 | $1,329.00 | $928.00 – $2,679.00 | 3 |
| Endovenous rf abl vein addl CPT 36476 | $764.40 | $1,274.00 | $928.00 – $2,679.00 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $2,836.20 | $4,727.00 | $928.00 – $3,450.71 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $128.40 | $214.00 | $156.22 – $2,679.00 | 3 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $7,492.56 | $12,487.60 | $2,836.12 – $6,089.31 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $232.45 | $387.41 | $9.82 – $21.08 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $43.20 | $72.00 | $24.48 – $52.56 | 3 |
| Enterectomy small intestine addl 44121 CPT 44121 | $507.00 | $845.00 | $616.85 – $2,679.00 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,302.20 | $3,837.00 | $928.00 – $2,801.01 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,464.80 | $4,108.00 | $928.00 – $2,998.84 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,650.80 | $4,418.00 | $928.00 – $3,225.14 | 3 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $3,046.20 | $5,077.00 | $928.00 – $3,706.21 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,587.00 | $2,645.00 | $928.00 – $2,679.00 | 3 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $19.80 | $33.00 | $24.09 – $2,679.00 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,660.80 | $2,768.00 | $928.00 – $2,679.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $567.00 | $945.00 | $305.87 – $321.30 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | $835.80 | $1,393.00 | $928.00 – $2,679.00 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $38.92 | $64.86 | $22.05 – $47.35 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $38.25 | $63.75 | $21.68 – $46.54 | 3 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $210.18 | $350.30 | $119.10 – $255.72 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $396.00 | $660.00 | $481.80 – $2,679.00 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $41.78 | $69.64 | $23.68 – $50.84 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $793.87 | $1,323.12 | $29.18 – $62.65 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,905.83 | $3,176.39 | $40.32 – $86.57 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $121.94 | $203.24 | $69.10 – $148.37 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $73.20 | $122.00 | $25.50 – $54.75 | 3 |
| Epstein barr nuclear antigen antibody CPT 86664 | $78.00 | $130.00 | $24.48 – $52.56 | 3 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $66.60 | $111.00 | $29.24 – $62.78 | 3 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $993.23 | $1,655.39 | $37.15 – $79.76 | 3 |
| Ercp biliary & pancreas CPT 74330 | $601.80 | $1,003.00 | $341.02 – $732.19 | 3 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $690.60 | $1,151.00 | $840.23 – $2,679.00 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | $819.60 | $1,366.00 | $928.00 – $2,679.00 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $945.00 | $1,575.00 | $928.00 – $2,679.00 | 3 |
| Ercp lithotripsy calculi CPT 43265 | $658.80 | $1,098.00 | $801.54 – $2,679.00 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | $543.00 | $905.00 | $660.65 – $2,679.00 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | $618.00 | $1,030.00 | $751.90 – $2,679.00 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | $1,008.00 | $1,680.00 | $928.00 – $2,679.00 | 3 |
| Ercp w/specimen collection CPT 43260 | $1,110.60 | $1,851.00 | $928.00 – $2,679.00 | 3 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | $19.71 | $32.85 | $11.17 – $23.98 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,538.79 | $4,231.32 | $1,313.19 – $2,819.49 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $257.49 | $429.15 | $134.28 – $288.31 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $245.40 | $409.00 | $27.54 – $50.37 | 3 |
| ER Visit (level 2) CPT 99282 | $375.60 | $626.00 | $130.67 – $212.84 | 3 |
| ER Visit (level 3) CPT 99283 | $448.20 | $747.00 | $143.81 – $151.30 | 3 |
| ER Visit (level 4) CPT 99284 | $719.40 | $1,199.00 | $275.21 – $407.66 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $899.40 | $1,499.00 | $327.42 – $462.82 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $223.99 | $373.31 | $31.34 – $67.29 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $257.30 | $428.83 | $14.36 – $30.83 | 3 |
| Esophageal dilat s&i CPT 74360 | $41.40 | $69.00 | $50.37 – $2,679.00 | 3 |
| Esophageal lengthening add on code 43338 CPT 43338 | $250.20 | $417.00 | $304.41 – $2,679.00 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $2,475.00 | $4,125.00 | $928.00 – $3,011.25 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $2,911.80 | $4,853.00 | $928.00 – $3,542.69 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,057.40 | $3,429.00 | $928.00 – $2,679.00 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | $553.80 | $923.00 | $673.79 – $2,679.00 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $483.60 | $806.00 | $588.38 – $2,679.00 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $442.80 | $738.00 | $538.74 – $2,679.00 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $318.00 | $530.00 | $386.90 – $2,679.00 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $1,186.80 | $1,978.00 | $928.00 – $2,679.00 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $432.00 | $720.00 | $525.60 – $2,679.00 | 3 |
| Esophagus motility study CPT 91010 | $936.60 | $1,561.00 | $396.39 – $412.08 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $226.80 | $378.00 | $275.94 – $2,679.00 | 3 |
| Esoph endoscopy dilation CPT 43226 | $388.20 | $647.00 | $472.31 – $2,679.00 | 3 |
| Esoph fundoplasty lap 43327 CPT 43327 | $1,558.20 | $2,597.00 | $928.00 – $2,679.00 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | $2,256.60 | $3,761.00 | $928.00 – $2,745.53 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | $617.40 | $1,029.00 | $349.86 – $751.17 | 3 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $5,200.80 | $8,668.00 | $928.00 – $6,327.64 | 3 |
| Esrd home pt serv p mo 20+ CPT 90966 | $417.60 | $696.00 | $508.08 – $2,679.00 | 3 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $286.80 | $478.00 | $348.94 – $2,679.00 | 3 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $418.20 | $697.00 | $508.81 – $2,679.00 | 3 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $503.40 | $839.00 | $612.47 – $2,679.00 | 3 |
| Essure 58565 CPT 58565 | $3,633.00 | $6,055.00 | $928.00 – $4,420.15 | 3 |
| Establish brain cavity shunt CPT 62223 | $2,232.60 | $3,721.00 | $928.00 – $2,716.33 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $39.00 | $65.00 | $18.02 – $31.39 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | $78.00 | $130.00 | $30.66 – $41.82 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | $117.60 | $196.00 | $66.64 – $118.99 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | $145.80 | $243.00 | $77.86 – $167.17 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | $196.20 | $327.00 | $102.68 – $220.46 | 3 |
| Estradiol total CPT 82670 | $204.00 | $340.00 | $22.10 – $47.45 | 3 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $232.83 | $388.05 | $131.94 – $283.28 | 3 |
| Estrogens total-sendout CPT 82672 | $301.20 | $502.00 | $43.86 – $94.17 | 3 |
| Etanercept injection HCPCS J1438 | $2,473.03 | $4,121.72 | $1,401.38 – $3,008.86 | 3 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $904.93 | $1,508.21 | $90.84 – $195.05 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $1,714.80 | $2,858.00 | $928.00 – $2,679.00 | 3 |
| Ethylene glycol -sendout CPT 82693 | $44.40 | $74.00 | $25.16 – $54.02 | 3 |
| Etonogestrel implant system HCPCS J7307 | $2,163.77 | $3,606.29 | $1,041.47 – $2,236.10 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $234.83 | $391.38 | $31.79 – $68.26 | 3 |
| Etoposide 50 mg cap HCPCS J8560 | $95.81 | $159.68 | $54.29 – $116.57 | 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.