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 |
|---|---|---|---|---|
| Ghs corneal fb with slit lamp bilat CPT 65222 | $500.40 | $834.00 | $174.47 – $189.04 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $1,248.60 | $2,081.00 | $696.42 – $707.54 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | $504.00 | $840.00 | $260.61 – $285.60 | 3 |
| Ghs cutdown placement under 1 yr CPT 36420 | $420.00 | $700.00 | $124.10 – $238.00 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $91.80 | $153.00 | $52.02 – $111.69 | 3 |
| Ghs dislocation elbow closed treatment CPT 24600 | $685.20 | $1,142.00 | $173.74 – $373.03 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $991.20 | $1,652.00 | $235.79 – $537.54 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $397.20 | $662.00 | $151.11 – $225.08 | 3 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,283.40 | $2,139.00 | $727.26 – $1,561.47 | 3 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $498.00 | $830.00 | $282.20 – $605.90 | 3 |
| Ghs electrostagmgraphy CPT 92537 | $275.40 | $459.00 | $156.06 – $335.07 | 3 |
| Ghs elect torsion swing CPT 92546 | $275.40 | $459.00 | $156.06 – $335.07 | 3 |
| Ghs elect vertical elct CPT 92547 | $141.60 | $236.00 | $18.25 – $80.24 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $250.80 | $418.00 | $73.10 – $156.95 | 3 |
| Ghs excision ingrown nail CPT 11765 | $427.80 | $713.00 | $242.42 – $372.30 | 3 |
| Ghs eye exam CPT 92002 | $100.20 | $167.00 | $56.78 – $121.91 | 3 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $553.80 | $923.00 | $168.64 – $362.08 | 3 |
| Ghs fat & muscle CPT 89160 | $85.20 | $142.00 | $48.28 – $103.66 | 3 |
| Ghs fb removal foot - deep - left CPT 28192 | $903.00 | $1,505.00 | $326.06 – $700.07 | 3 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,447.60 | $5,746.00 | $928.00 – $1,953.64 | 3 |
| Ghs fb removal - incisional CPT 10121 | $2,454.00 | $4,090.00 | $626.34 – $1,390.60 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | $455.40 | $759.00 | $258.06 – $462.82 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $78.60 | $131.00 | $44.54 – $95.63 | 3 |
| Ghs fish cytogen CPT 88271 | $173.40 | $289.00 | $52.70 – $113.15 | 3 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $100.80 | $168.00 | $55.42 – $118.99 | 3 |
| Ghs flow volume loop CPT 94375 | $141.00 | $235.00 | $77.52 – $90.52 | 3 |
| Ghs gastric intub aspiration lavage CPT 43753 | $347.40 | $579.00 | $50.37 – $188.36 | 3 |
| Ghs hcv amplificaiton CPT 87521 | $334.80 | $558.00 | $49.98 – $107.31 | 3 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $86.40 | $144.00 | $48.96 – $105.12 | 3 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $280.20 | $467.00 | $55.42 – $118.99 | 3 |
| Ghs hgb stability-thal CPT 83068 | $12.60 | $21.00 | $7.14 – $15.33 | 3 |
| Ghs histoplasma antigen CPT 87385 | $138.00 | $230.00 | $23.80 – $51.10 | 3 |
| Ghs HIV antibody CPT 86703 | $58.80 | $98.00 | $23.46 – $50.37 | 3 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $73.80 | $123.00 | $41.82 – $89.79 | 3 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,777.80 | $2,963.00 | $767.96 – $1,007.42 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,926.60 | $3,211.00 | $928.00 – $1,203.77 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $507.00 | $845.00 | $282.88 – $607.36 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $433.80 | $723.00 | $245.82 – $400.77 | 3 |
| Ghs immun0electrophoresis CPT 86320 | $66.60 | $111.00 | $37.74 – $81.03 | 3 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $534.60 | $891.00 | $302.94 – $407.34 | 3 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $413.40 | $689.00 | $135.66 – $291.27 | 3 |
| Ghs inf midline insertion CPT 36140 | $995.40 | $1,659.00 | $564.06 – $1,089.89 | 3 |
| Ghs inhibitor screen CPT 85335 | $118.80 | $198.00 | $67.32 – $144.54 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $242.40 | $404.00 | $137.36 – $161.33 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $607.80 | $1,013.00 | $344.42 – $739.49 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,059.60 | $1,766.00 | $519.03 – $600.44 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $356.40 | $594.00 | $137.24 – $201.96 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $386.40 | $644.00 | $145.86 – $313.17 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $916.20 | $1,527.00 | $346.12 – $677.44 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $202.80 | $338.00 | $114.92 – $214.62 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $715.80 | $1,193.00 | $193.46 – $415.37 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $794.40 | $1,324.00 | $193.46 – $415.37 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $891.60 | $1,486.00 | $193.46 – $415.37 | 3 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $42.60 | $71.00 | $22.44 – $48.18 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $564.60 | $941.00 | $319.94 – $475.23 | 3 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $61.80 | $103.00 | $35.02 – $75.19 | 3 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $300.60 | $501.00 | $170.34 – $365.73 | 3 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $300.60 | $501.00 | $170.34 – $365.73 | 3 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $300.60 | $501.00 | $170.34 – $365.73 | 3 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,450.80 | $2,418.00 | $263.84 – $566.48 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $492.00 | $820.00 | $227.80 – $489.10 | 3 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $445.20 | $742.00 | $167.28 – $359.16 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $454.80 | $758.00 | $213.86 – $459.17 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $492.60 | $821.00 | $222.02 – $476.69 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $565.20 | $942.00 | $232.90 – $500.05 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $550.80 | $918.00 | $224.74 – $482.53 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $651.00 | $1,085.00 | $244.46 – $524.87 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $586.20 | $977.00 | $183.94 – $394.93 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $669.00 | $1,115.00 | $235.62 – $505.89 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $692.40 | $1,154.00 | $256.70 – $551.15 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $742.20 | $1,237.00 | $247.52 – $531.44 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $879.60 | $1,466.00 | $269.28 – $578.16 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $784.80 | $1,308.00 | $260.10 – $558.45 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,030.80 | $1,718.00 | $282.88 – $607.36 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $482.40 | $804.00 | $273.36 – $586.92 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $523.80 | $873.00 | $296.82 – $637.29 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $102.60 | $171.00 | $17.34 – $37.23 | 3 |
| Ghs low level laser therapy CPT 97039 | $57.00 | $95.00 | $32.30 – $62.05 | 3 |
| Ghs mbp CPT 83873 | $102.60 | $171.00 | $31.28 – $67.16 | 3 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $112.80 | $188.00 | $63.92 – $64.24 | 3 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $145.20 | $242.00 | $71.40 – $153.30 | 3 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $130.20 | $217.00 | $73.78 – $153.30 | 3 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $47.40 | $79.00 | $18.25 – $26.86 | 3 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $90.60 | $151.00 | $26.86 – $57.67 | 3 |
| Ghs musc test done w/n test comp CPT 95886 | $331.20 | $552.00 | $116.07 – $187.68 | 3 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $276.60 | $461.00 | $132.13 – $156.74 | 3 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $81.00 | $135.00 | $45.90 – $73.00 | 3 |
| Ghs myocardial strain img spckl track CPT 93356 | $210.60 | $351.00 | $119.34 – $256.23 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $429.60 | $716.00 | $172.72 – $370.84 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,047.00 | $1,745.00 | $458.44 – $593.30 | 3 |
| Ghs nerve blk intercostal, single level CPT 64420 | $610.80 | $1,018.00 | $293.46 – $346.12 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | $610.80 | $1,018.00 | $310.25 – $346.12 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | $610.80 | $1,018.00 | $292.00 – $346.12 | 3 |
| Ghs nerve block celiac plexus CPT 64530 | $798.00 | $1,330.00 | $452.20 – $468.66 | 3 |
| Ghs nerve block interscaline CPT 64510 | $1,136.40 | $1,894.00 | $310.25 – $643.96 | 3 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $798.00 | $1,330.00 | $452.20 – $453.33 | 3 |
| Ghs nerve block sciatic nerve CPT 64445 | $540.60 | $901.00 | $306.34 – $318.28 | 3 |
| Ghs nerve block suprascapular CPT 64418 | $639.60 | $1,066.00 | $339.45 – $362.44 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | $366.60 | $611.00 | $164.90 – $354.05 | 3 |
| Ghs o2 saturation CPT 82810 | $45.00 | $75.00 | $22.10 – $47.45 | 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.