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 |
|---|---|---|---|---|
| Euflexxa inj per dose HCPCS J7323 | $651.16 | $1,085.27 | $368.99 – $792.25 | 3 |
| Evacuate mole of uterus CPT 59870 | $971.40 | $1,619.00 | $928.00 – $2,679.00 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $117.00 | $195.00 | $142.35 – $2,679.00 | 3 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $225.60 | $376.00 | $47.60 – $102.20 | 3 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $235.20 | $392.00 | $133.28 – $286.16 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $225.60 | $376.00 | $47.60 – $102.20 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | $217.20 | $362.00 | $264.26 – $2,679.00 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $1,716.60 | $2,861.00 | $928.00 – $2,679.00 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,457.00 | $4,095.00 | $928.00 – $2,989.35 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,812.20 | $4,687.00 | $928.00 – $3,421.51 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $3,469.80 | $5,783.00 | $928.00 – $4,221.59 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $676.80 | $1,128.00 | $823.44 – $2,679.00 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,095.80 | $3,493.00 | $928.00 – $2,679.00 | 3 |
| Event monitor CPT 93270 | $217.80 | $363.00 | $123.42 – $264.99 | 3 |
| Evoked oa emissions ltd CPT 92587 | $95.40 | $159.00 | $116.07 – $2,679.00 | 3 |
| Evoked potentials upper limbs CPT 95925 | $228.00 | $380.00 | $277.40 – $2,679.00 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | $175.80 | $293.00 | $213.89 – $2,679.00 | 3 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $237.00 | $395.00 | $288.35 – $2,679.00 | 3 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $1,020.60 | $1,701.00 | $928.00 – $2,679.00 | 3 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $1,321.80 | $2,203.00 | $928.00 – $2,679.00 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | $720.60 | $1,201.00 | $876.73 – $2,679.00 | 3 |
| Exc abdl tum deep < 5 cm CPT 22900 | $1,038.00 | $1,730.00 | $928.00 – $2,679.00 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $1,267.80 | $2,113.00 | $928.00 – $2,679.00 | 3 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | $2,262.60 | $3,771.00 | $928.00 – $2,752.83 | 3 |
| Exc abd tum over 10 cm 49205 CPT 49205 | $825.60 | $1,376.00 | $928.00 – $2,679.00 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $775.20 | $1,292.00 | $928.00 – $2,679.00 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $926.40 | $1,544.00 | $928.00 – $2,679.00 | 3 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $891.60 | $1,486.00 | $928.00 – $2,679.00 | 3 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,407.00 | $2,345.00 | $928.00 – $2,679.00 | 3 |
| Exc bartholins gland/cyst CPT 56740 | $579.60 | $966.00 | $705.18 – $2,679.00 | 3 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $532.80 | $888.00 | $648.24 – $2,679.00 | 3 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $733.20 | $1,222.00 | $892.06 – $2,679.00 | 3 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $439.20 | $732.00 | $534.36 – $2,679.00 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $231.00 | $385.00 | $281.05 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $252.60 | $421.00 | $307.33 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $355.80 | $593.00 | $432.89 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $425.40 | $709.00 | $517.57 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $297.60 | $496.00 | $362.08 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $381.00 | $635.00 | $463.55 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $625.80 | $1,043.00 | $761.39 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $280.20 | $467.00 | $340.91 – $2,679.00 | 3 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $359.40 | $599.00 | $437.27 – $2,679.00 | 3 |
| Exc breast duct fistula 19112 CPT 19112 | $905.40 | $1,509.00 | $928.00 – $2,679.00 | 3 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | $2,739.00 | $4,565.00 | $928.00 – $3,332.45 | 3 |
| Exc cervix repair bowel 57556 CPT 57556 | $1,311.60 | $2,186.00 | $928.00 – $2,679.00 | 3 |
| Exc cervix/repair pelvis 57545 CPT 57545 | $1,602.00 | $2,670.00 | $928.00 – $2,679.00 | 3 |
| Exc cervix/repair vagina 57555 CPT 57555 | $1,413.60 | $2,356.00 | $928.00 – $2,679.00 | 3 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $1,777.20 | $2,962.00 | $928.00 – $2,679.00 | 3 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $1,413.00 | $2,355.00 | $928.00 – $2,679.00 | 3 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $966.60 | $1,611.00 | $928.00 – $2,679.00 | 3 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $915.00 | $1,525.00 | $928.00 – $2,679.00 | 3 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | $2,930.40 | $4,884.00 | $928.00 – $3,565.32 | 3 |
| Exc excessive skin thigh CPT 15832 | $1,342.20 | $2,237.00 | $928.00 – $2,679.00 | 3 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $887.40 | $1,479.00 | $928.00 – $2,679.00 | 3 |
| Exc face tum deep < 2 cm CPT 21013 | $1,010.40 | $1,684.00 | $928.00 – $2,679.00 | 3 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $1,008.60 | $1,681.00 | $928.00 – $2,679.00 | 3 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $451.80 | $753.00 | $549.69 – $2,679.00 | 3 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $609.00 | $1,015.00 | $740.95 – $2,679.00 | 3 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $747.00 | $1,245.00 | $908.85 – $2,679.00 | 3 |
| Exc forearm les sc 3 cm/> CPT 25071 | $813.00 | $1,355.00 | $928.00 – $2,679.00 | 3 |
| Exc forearm tum deep < 3 cm CPT 25076 | $982.80 | $1,638.00 | $928.00 – $2,679.00 | 3 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $1,017.00 | $1,695.00 | $928.00 – $2,679.00 | 3 |
| Exc hand les sc < 1.5 cm CPT 26115 | $1,005.00 | $1,675.00 | $928.00 – $2,679.00 | 3 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $773.40 | $1,289.00 | $928.00 – $2,679.00 | 3 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $298.20 | $497.00 | $362.81 – $2,679.00 | 3 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $693.60 | $1,156.00 | $843.88 – $2,679.00 | 3 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $849.00 | $1,415.00 | $928.00 – $2,679.00 | 3 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $765.00 | $1,275.00 | $928.00 – $2,679.00 | 3 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $1,622.40 | $2,704.00 | $928.00 – $2,679.00 | 3 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $2,040.60 | $3,401.00 | $928.00 – $2,679.00 | 3 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,257.00 | $2,095.00 | $928.00 – $2,679.00 | 3 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $964.20 | $1,607.00 | $928.00 – $2,679.00 | 3 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $1,460.40 | $2,434.00 | $928.00 – $2,679.00 | 3 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $4,030.20 | $6,717.00 | $928.00 – $4,903.41 | 3 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $3,145.20 | $5,242.00 | $928.00 – $3,826.66 | 3 |
| Excise anal ext tag/papilla CPT 46220 | $383.40 | $639.00 | $466.47 – $2,679.00 | 3 |
| Excise inferior turbinate CPT 30130 | $738.00 | $1,230.00 | $897.90 – $2,679.00 | 3 |
| Excise intestine lesion(s) 44110 CPT 44110 | $1,600.80 | $2,668.00 | $928.00 – $2,679.00 | 3 |
| Excise intrspinl lesion lmbr CPT 63267 | $2,931.60 | $4,886.00 | $928.00 – $3,566.78 | 3 |
| Excise lip or cheek fold CPT 40819 | $591.60 | $986.00 | $719.78 – $2,679.00 | 3 |
| Excise oral mucosa for graft 40818 CPT 40818 | $688.80 | $1,148.00 | $838.04 – $2,679.00 | 3 |
| Excise parotid gland/lesion CPT 42410 | $1,221.00 | $2,035.00 | $928.00 – $2,679.00 | 3 |
| Excise parotid gland/lesion CPT 42415 | $2,095.20 | $3,492.00 | $928.00 – $2,679.00 | 3 |
| Excise parotid gland/lesion CPT 42420 | $2,358.00 | $3,930.00 | $928.00 – $2,868.90 | 3 |
| Excise pharynx lesion CPT 42808 | $448.80 | $748.00 | $546.04 – $2,679.00 | 3 |
| Excise/repair mouth lesion CPT 40812 | $552.00 | $920.00 | $671.60 – $2,679.00 | 3 |
| Excise sublingual gland CPT 42450 | $888.60 | $1,481.00 | $928.00 – $2,679.00 | 3 |
| Excise submaxillary gland CPT 42440 | $1,079.40 | $1,799.00 | $928.00 – $2,679.00 | 3 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $828.60 | $1,381.00 | $928.00 – $2,679.00 | 3 |
| Excise wrist tendon sheath CPT 25118 | $540.00 | $900.00 | $657.00 – $2,679.00 | 3 |
| Excision addl breast lesion 19126 CPT 19126 | $303.60 | $506.00 | $369.38 – $2,679.00 | 3 |
| Excision aural polyp CPT 69540 | $411.60 | $686.00 | $500.78 – $2,679.00 | 3 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $316.80 | $528.00 | $385.44 – $2,679.00 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $329.40 | $549.00 | $400.77 – $2,679.00 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $310.80 | $518.00 | $378.14 – $2,679.00 | 3 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $580.80 | $968.00 | $706.64 – $2,679.00 | 3 |
| Excision breast lesion CPT 19125 | $1,012.20 | $1,687.00 | $928.00 – $2,679.00 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | $641.40 | $1,069.00 | $780.37 – $2,679.00 | 3 |
| Excision graft extremity CPT 35903 | $1,131.60 | $1,886.00 | $928.00 – $2,679.00 | 3 |
| Excision graft thorax 35905 CPT 35905 | $3,390.60 | $5,651.00 | $928.00 – $4,125.23 | 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.