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 |
|---|---|---|---|---|
| Excision nasal polyp(s) simple 30110 CPT 30110 | $445.80 | $743.00 | $542.39 – $2,679.00 | 3 |
| Excision of anal lesion(s) CPT 46922 | $496.20 | $827.00 | $603.71 – $2,679.00 | 3 |
| Excision of gum lesion CPT 41826 | $474.00 | $790.00 | $576.70 – $2,679.00 | 3 |
| Excision of gum lesion 41825 CPT 41825 | $403.80 | $673.00 | $491.29 – $2,679.00 | 3 |
| Excision of lesion of mesentery 44820 CPT 44820 | $1,702.80 | $2,838.00 | $928.00 – $2,679.00 | 3 |
| Excision of meckels diverticulum 44800 CPT 44800 | $1,441.80 | $2,403.00 | $928.00 – $2,679.00 | 3 |
| Excision of mouth lesion complex 40816 CPT 40816 | $779.40 | $1,299.00 | $928.00 – $2,679.00 | 3 |
| Excision of neck cyst CPT 42815 | $1,101.00 | $1,835.00 | $928.00 – $2,679.00 | 3 |
| Excision of neck cyst confined 42810 CPT 42810 | $766.20 | $1,277.00 | $928.00 – $2,679.00 | 3 |
| Excision of penis lesion(s) 54060 CPT 54060 | $301.80 | $503.00 | $367.19 – $2,679.00 | 3 |
| Excision of salivary cyst CPT 42408 | $892.80 | $1,488.00 | $928.00 – $2,679.00 | 3 |
| Excision of stomach lesion CPT 43610 | $1,176.60 | $1,961.00 | $928.00 – $2,679.00 | 3 |
| Excision of tongue lesion CPT 41112 | $646.20 | $1,077.00 | $786.21 – $2,679.00 | 3 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $705.60 | $1,176.00 | $858.48 – $2,679.00 | 3 |
| Excision of umbilicus 49250 CPT 49250 | $1,099.20 | $1,832.00 | $928.00 – $2,679.00 | 3 |
| Excision of uvula CPT 42140 | $499.20 | $832.00 | $607.36 – $2,679.00 | 3 |
| Excision of vaginal septum 57130 CPT 57130 | $386.40 | $644.00 | $470.12 – $2,679.00 | 3 |
| Excision olecranon bursa CPT 24105 | $655.20 | $1,092.00 | $797.16 – $2,679.00 | 3 |
| Excision tongue lesion without closure 41110 CPT 41110 | $415.80 | $693.00 | $505.89 – $2,679.00 | 3 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $894.60 | $1,491.00 | $928.00 – $2,679.00 | 3 |
| Excis partial tal calc CPT 28120 | $1,317.00 | $2,195.00 | $928.00 – $2,679.00 | 3 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $1,042.80 | $1,738.00 | $928.00 – $2,679.00 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $1,118.40 | $1,864.00 | $928.00 – $2,679.00 | 3 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $397.80 | $663.00 | $483.99 – $2,679.00 | 3 |
| Excl laa open any method 33267 CPT 33267 | $1,598.40 | $2,664.00 | $928.00 – $2,679.00 | 3 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $199.80 | $333.00 | $243.09 – $2,679.00 | 3 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $376.20 | $627.00 | $457.71 – $2,679.00 | 3 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $516.60 | $861.00 | $628.53 – $2,679.00 | 3 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $752.40 | $1,254.00 | $915.42 – $2,679.00 | 3 |
| Exc malig feenl >4cm 11646 CPT 11646 | $982.20 | $1,637.00 | $928.00 – $2,679.00 | 3 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $364.80 | $608.00 | $443.84 – $2,679.00 | 3 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $436.20 | $727.00 | $530.71 – $2,679.00 | 3 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $570.00 | $950.00 | $693.50 – $2,679.00 | 3 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $359.40 | $599.00 | $437.27 – $2,679.00 | 3 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $431.40 | $719.00 | $524.87 – $2,679.00 | 3 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $469.80 | $783.00 | $571.59 – $2,679.00 | 3 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $535.80 | $893.00 | $651.89 – $2,679.00 | 3 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $593.40 | $989.00 | $721.97 – $2,679.00 | 3 |
| Exc mandible 21025 CPT 21025 | $1,697.40 | $2,829.00 | $928.00 – $2,679.00 | 3 |
| Exc neck tum deep < 5 cm CPT 21556 | $1,006.20 | $1,677.00 | $928.00 – $2,679.00 | 3 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,344.00 | $2,240.00 | $928.00 – $2,679.00 | 3 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | $1,170.60 | $1,951.00 | $928.00 – $2,679.00 | 3 |
| Exc of rectal prlpse 45130 CPT 45130 | $1,659.60 | $2,766.00 | $928.00 – $2,679.00 | 3 |
| Exc of residual cervix 57540 CPT 57540 | $1,517.40 | $2,529.00 | $928.00 – $2,679.00 | 3 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | $882.60 | $1,471.00 | $928.00 – $2,679.00 | 3 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $512.40 | $854.00 | $623.42 – $2,679.00 | 3 |
| Exc prtl bn phlnx toe CPT 28124 | $909.60 | $1,516.00 | $928.00 – $2,679.00 | 3 |
| Exc rect tum transanal full CPT 45172 | $1,563.60 | $2,606.00 | $928.00 – $2,679.00 | 3 |
| Exc rect tum transanal part CPT 45171 | $1,154.40 | $1,924.00 | $928.00 – $2,679.00 | 3 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $1,025.40 | $1,709.00 | $928.00 – $2,679.00 | 3 |
| Exc skn hdrdnt ax complex CPT 11451 | $1,647.60 | $2,746.00 | $928.00 – $2,679.00 | 3 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $702.00 | $1,170.00 | $854.10 – $2,679.00 | 3 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $487.20 | $812.00 | $592.76 – $2,679.00 | 3 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $641.40 | $1,069.00 | $780.37 – $2,679.00 | 3 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $775.20 | $1,292.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $868.20 | $1,447.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $851.40 | $1,419.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $789.00 | $1,315.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $684.60 | $1,141.00 | $832.93 – $2,679.00 | 3 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $916.80 | $1,528.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $798.60 | $1,331.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $796.20 | $1,327.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $890.40 | $1,484.00 | $928.00 – $2,679.00 | 3 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $802.20 | $1,337.00 | $928.00 – $2,679.00 | 3 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $882.00 | $1,470.00 | $928.00 – $2,679.00 | 3 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,083.00 | $1,805.00 | $928.00 – $2,679.00 | 3 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $851.40 | $1,419.00 | $928.00 – $2,679.00 | 3 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $1,150.80 | $1,918.00 | $928.00 – $2,679.00 | 3 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | $1,386.60 | $2,311.00 | $928.00 – $2,679.00 | 3 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $342.60 | $571.00 | $416.83 – $2,679.00 | 3 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $828.60 | $1,381.00 | $928.00 – $2,679.00 | 3 |
| Exc torus mandibularis 21031 CPT 21031 | $738.00 | $1,230.00 | $897.90 – $2,679.00 | 3 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | $1,670.40 | $2,784.00 | $928.00 – $2,679.00 | 3 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $844.20 | $1,407.00 | $928.00 – $2,679.00 | 3 |
| Exc vagina lesion 57135 CPT 57135 | $372.00 | $620.00 | $452.60 – $2,679.00 | 3 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $417.00 | $695.00 | $507.35 – $2,679.00 | 3 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,968.60 | $3,281.00 | $911.54 – $1,957.13 | 3 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $9,319.80 | $15,533.00 | $33.32 – $71.54 | 3 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $1,453.20 | $2,422.00 | $928.00 – $2,679.00 | 3 |
| Exploration carotid artery 35701 CPT 35701 | $1,119.00 | $1,865.00 | $928.00 – $2,679.00 | 3 |
| Exploration maxillary sinus CPT 31030 | $1,330.80 | $2,218.00 | $928.00 – $2,679.00 | 3 |
| Exploration maxillary sinus CPT 31256 | $517.80 | $863.00 | $629.99 – $2,679.00 | 3 |
| Exploration of chest 39000 CPT 39000 | $963.00 | $1,605.00 | $928.00 – $2,679.00 | 3 |
| Exploration of chest 39010 CPT 39010 | $1,534.80 | $2,558.00 | $928.00 – $2,679.00 | 3 |
| Exploration of foot joint CPT 28020 | $764.40 | $1,274.00 | $928.00 – $2,679.00 | 3 |
| Exploration of foot joint CPT 28022 | $915.60 | $1,526.00 | $928.00 – $2,679.00 | 3 |
| Exploration of middle ear CPT 69440 | $1,355.40 | $2,259.00 | $928.00 – $2,679.00 | 3 |
| Exploration of spinal fusion CPT 22830 | $1,119.00 | $1,865.00 | $928.00 – $2,679.00 | 3 |
| Exploration/repair of rectum 45563 CPT 45563 | $3,086.40 | $5,144.00 | $928.00 – $3,755.12 | 3 |
| Exploration retroperitoneal area 49010 CPT 49010 | $1,786.20 | $2,977.00 | $928.00 – $2,679.00 | 3 |
| Exploratory heart surgery 33310 CPT 33310 | $2,457.00 | $4,095.00 | $928.00 – $2,989.35 | 3 |
| Exploratory heart surgery 33315 CPT 33315 | $3,693.60 | $6,156.00 | $928.00 – $4,493.88 | 3 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | $1,998.60 | $3,331.00 | $928.00 – $2,679.00 | 3 |
| Explore chest vessels 35820 CPT 35820 | $3,891.00 | $6,485.00 | $928.00 – $4,734.05 | 3 |
| Explore deep node(s) neck CPT 38542 | $1,000.80 | $1,668.00 | $928.00 – $2,679.00 | 3 |
| Explore limb vessels 35860 CPT 35860 | $1,624.20 | $2,707.00 | $928.00 – $2,679.00 | 3 |
| Explore neck vessels 35800 CPT 35800 | $1,366.20 | $2,277.00 | $928.00 – $2,679.00 | 3 |
| Explore parathyroid glands CPT 60500 | $1,839.60 | $3,066.00 | $928.00 – $2,679.00 | 3 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,104.60 | $1,841.00 | $188.36 – $404.42 | 3 |
| Explore/repair chest 32110 CPT 32110 | $2,823.60 | $4,706.00 | $928.00 – $3,435.38 | 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.