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 |
|---|---|---|---|---|
| Incision of foot tendon 28234 CPT 28234 | $781.80 | $1,303.00 | $928.00 – $2,679.00 | 3 |
| Incision of gallbladder 47480 CPT 47480 | $1,650.00 | $2,750.00 | $928.00 – $2,679.00 | 3 |
| Incision of heel bone CPT 28300 | $1,263.60 | $2,106.00 | $928.00 – $2,679.00 | 3 |
| Incision of metatarsal CPT 28306 | $1,168.80 | $1,948.00 | $928.00 – $2,679.00 | 3 |
| Incision of metatarsal CPT 28308 | $1,065.60 | $1,776.00 | $928.00 – $2,679.00 | 3 |
| Incision of midfoot bones CPT 28304 | $1,158.60 | $1,931.00 | $928.00 – $2,679.00 | 3 |
| Incision of pyloric muscle 43520 CPT 43520 | $1,306.20 | $2,177.00 | $928.00 – $2,679.00 | 3 |
| Incision of rectal abscess CPT 46060 | $891.60 | $1,486.00 | $928.00 – $2,679.00 | 3 |
| Incision of small bowel 44010 CPT 44010 | $1,430.40 | $2,384.00 | $928.00 – $2,679.00 | 3 |
| Incision of spinal nerve 64772 CPT 64772 | $1,095.60 | $1,826.00 | $928.00 – $2,679.00 | 3 |
| Incision of tendon sheath CPT 25000 | $487.80 | $813.00 | $593.49 – $2,679.00 | 3 |
| Incision of toe tendons 28011 CPT 28011 | $525.60 | $876.00 | $639.48 – $2,679.00 | 3 |
| Incision of tongue fold CPT 41010 | $401.40 | $669.00 | $488.37 – $2,679.00 | 3 |
| Incision tendon sheath CPT 26055 | $1,060.20 | $1,767.00 | $928.00 – $2,679.00 | 3 |
| Incisn of toe tndn CPT 28010 | $408.00 | $680.00 | $496.40 – $2,679.00 | 3 |
| Incisn windpipe CPT 31600 | $771.00 | $1,285.00 | $928.00 – $2,679.00 | 3 |
| Incobotulinumtoxin a HCPCS J0588 | $917.50 | $1,529.17 | $519.92 – $1,116.29 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | $1,003.20 | $1,672.00 | $928.00 – $2,679.00 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $853.20 | $1,422.00 | $928.00 – $2,679.00 | 3 |
| Induced abortion d&c CPT 59840 | $511.20 | $852.00 | $621.96 – $2,679.00 | 3 |
| Induced abortion dilat&evac CPT 59841 | $784.20 | $1,307.00 | $928.00 – $2,679.00 | 3 |
| Infect ag drug suscept pheno predict CPT 87900 | $447.60 | $746.00 | $116.62 – $250.39 | 3 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $454.80 | $758.00 | $257.72 – $553.34 | 3 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $937.20 | $1,562.00 | $230.18 – $494.21 | 3 |
| Infect ag ia optc obs influenza CPT 87804 | $50.40 | $84.00 | $27.20 – $44.53 | 3 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $68.40 | $114.00 | $38.76 – $83.22 | 3 |
| Infect ag if influenza a CPT 87276 | $43.20 | $72.00 | $24.48 – $52.56 | 3 |
| Infect ag if influenza b CPT 87275 | $33.60 | $56.00 | $19.04 – $40.88 | 3 |
| Infect ag if legionella pneumophila CPT 87278 | $44.40 | $74.00 | $23.46 – $50.37 | 3 |
| Infect ag if nos ea CPT 87299 | $43.20 | $72.00 | $24.48 – $52.56 | 3 |
| Infect ag if pneumocystis carinii CPT 87281 | $42.60 | $71.00 | $23.12 – $49.64 | 3 |
| Infect ag if varicella zoster CPT 87290 | $72.00 | $120.00 | $40.80 – $87.60 | 3 |
| Infect ag na hep b amp CPT 87516 | $295.20 | $492.00 | $78.20 – $167.90 | 3 |
| Infect ag na herpes simplex quant CPT 87530 | $162.00 | $270.00 | $91.80 – $197.10 | 3 |
| Infect ag na hpv high-risk types CPT 87624 | $124.20 | $207.00 | $70.38 – $151.11 | 3 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $295.20 | $492.00 | $28.56 – $61.32 | 3 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $175.80 | $293.00 | $99.62 – $213.89 | 3 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $78.00 | $130.00 | $44.20 – $94.90 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,167.00 | $1,945.00 | $595.34 – $1,278.23 | 3 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,675.80 | $2,793.00 | $698.02 – $1,498.69 | 3 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $99.00 | $165.00 | $49.30 – $105.85 | 3 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $36.60 | $61.00 | $20.74 – $44.53 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $103.80 | $173.00 | $23.12 – $49.64 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $116.40 | $194.00 | $23.46 – $50.37 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $65.40 | $109.00 | $23.12 – $49.64 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $183.60 | $306.00 | $27.20 – $58.40 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $65.40 | $109.00 | $21.08 – $45.26 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $85.80 | $143.00 | $47.26 – $101.47 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $149.40 | $249.00 | $23.12 – $49.64 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $99.00 | $165.00 | $23.12 – $49.64 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $42.00 | $70.00 | $17.34 – $37.23 | 3 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $373.80 | $623.00 | $49.98 – $107.31 | 3 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $151.20 | $252.00 | $48.62 – $104.39 | 3 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $132.60 | $221.00 | $66.64 – $143.08 | 3 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,051.20 | $1,752.00 | $595.68 – $1,278.96 | 3 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $224.40 | $374.00 | $49.98 – $107.31 | 3 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $141.00 | $235.00 | $50.66 – $108.77 | 3 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $199.80 | $333.00 | $49.30 – $105.85 | 3 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $133.20 | $222.00 | $32.98 – $70.81 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $136.80 | $228.00 | $9.86 – $21.17 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $196.80 | $328.00 | $111.52 – $239.44 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $267.00 | $445.00 | $127.50 – $273.75 | 3 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $96.00 | $160.00 | $116.80 – $2,679.00 | 3 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $129.00 | $215.00 | $61.88 – $132.86 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,051.20 | $1,752.00 | $595.34 – $1,278.23 | 3 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $300.00 | $500.00 | $89.76 – $192.72 | 3 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $143.40 | $239.00 | $69.36 – $148.92 | 3 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $472.20 | $787.00 | $61.20 – $131.40 | 3 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $310.80 | $518.00 | $156.06 – $335.07 | 3 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,080.86 | $3,468.10 | $1,179.15 – $2,531.71 | 3 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $898.02 | $1,496.70 | $508.88 – $1,092.59 | 3 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,688.48 | $2,814.13 | $956.80 – $2,054.31 | 3 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $73.99 | $123.31 | $41.93 – $90.02 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $63.28 | $105.46 | $13.49 – $28.97 | 3 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $705.00 | $1,175.00 | $857.75 – $2,679.00 | 3 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $253.20 | $422.00 | $308.06 – $2,679.00 | 3 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $322.20 | $537.00 | $392.01 – $2,679.00 | 3 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $178.80 | $298.00 | $217.54 – $2,679.00 | 3 |
| Initial observation care CPT 99218 | $196.20 | $327.00 | $238.71 – $2,679.00 | 3 |
| Initial observation care CPT 99219 | $268.20 | $447.00 | $326.31 – $2,679.00 | 3 |
| Initial observation care CPT 99220 | $369.00 | $615.00 | $448.95 – $2,679.00 | 3 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $270.00 | $450.00 | $328.50 – $2,679.00 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $5,156.77 | $8,594.61 | $2,922.17 – $6,274.07 | 3 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $6,143.09 | $10,238.49 | $3,481.09 – $7,474.10 | 3 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $9,648.88 | $16,081.47 | $5,467.70 – $11,739.47 | 3 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $4,325.66 | $7,209.44 | $2,451.21 – $5,262.89 | 3 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $3,478.84 | $5,798.07 | $1,971.34 – $4,232.59 | 3 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $10,067.08 | $16,778.47 | $5,704.68 – $12,248.28 | 3 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $6,760.17 | $11,266.95 | $3,830.76 – $8,224.87 | 3 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $22.69 | $37.81 | $11.51 – $24.72 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $64.46 | $107.44 | $36.53 – $78.43 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $442.01 | $736.69 | $250.47 – $537.78 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $166.80 | $278.00 | $94.52 – $202.94 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,338.80 | $2,231.34 | $391.06 – $839.62 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | $152.35 | $253.91 | $86.33 – $185.35 | 3 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $5,694.89 | $9,491.48 | $1,617.07 – $3,471.95 | 3 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,277.15 | $2,128.59 | $723.72 – $1,553.87 | 3 |
| Inj, durolane 1 mg HCPCS J7318 | $1,987.31 | $3,312.18 | $1,126.14 – $2,417.89 | 3 |
| Inj dx for sinogram CPT 20501 | $409.20 | $682.00 | $231.88 – $497.86 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $414.00 | $690.00 | $503.70 – $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.