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 |
|---|---|---|---|---|
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $249.60 | $416.00 | $94.52 – $202.94 | 3 |
| Injection, cangrelor HCPCS C9460 | $1,356.24 | $2,260.40 | $768.54 – $1,650.09 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $142.80 | $238.00 | $173.74 – $2,679.00 | 3 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,239.24 | $8,732.07 | $159.53 – $342.52 | 3 |
| Injection, doxercalciferol HCPCS J1270 | $58.44 | $97.40 | $10.53 – $22.61 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $928.20 | $1,547.00 | $407.34 – $525.98 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $582.60 | $971.00 | $219.98 – $472.31 | 3 |
| Injection, fulvestrant HCPCS J9395 | $3,446.87 | $5,744.78 | $207.77 – $446.10 | 3 |
| Injection glatiramer acetate HCPCS J1595 | $3,493.72 | $5,822.86 | $188.05 – $403.75 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,987.41 | $9,979.01 | $3,392.86 – $7,284.68 | 3 |
| Injection, isavuconazonium HCPCS J1833 | $674.71 | $1,124.52 | $382.34 – $820.90 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,318.52 | $3,864.20 | $660.43 – $1,417.99 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $78.60 | $131.00 | $95.63 – $2,679.00 | 3 |
| Injection, renflexis HCPCS Q5104 | $1,346.83 | $2,244.71 | $763.20 – $1,638.64 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $778.20 | $1,297.00 | $440.98 – $946.81 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $241.20 | $402.00 | $293.46 – $2,679.00 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $481.80 | $803.00 | $248.20 – $273.02 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,848.00 | $3,080.00 | $562.83 – $698.02 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $120.60 | $201.00 | $146.73 – $2,679.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,632.60 | $2,721.00 | $261.34 – $616.76 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $117.60 | $196.00 | $143.08 – $2,679.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,632.60 | $2,721.00 | $286.16 – $616.76 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $610.80 | $1,018.00 | $250.39 – $346.12 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $639.60 | $1,066.00 | $229.22 – $362.44 | 3 |
| Injection, siltuximab HCPCS J2860 | $9,427.67 | $15,712.78 | $1,348.17 – $2,894.60 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $348.00 | $580.00 | $135.05 – $197.20 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $363.60 | $606.00 | $126.29 – $206.04 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $436.20 | $727.00 | $143.81 – $247.18 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $106.80 | $178.00 | $60.52 – $129.94 | 3 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $26.06 | $43.43 | $14.77 – $31.70 | 3 |
| Inject sacroiliac joint CPT 27096 | $778.20 | $1,297.00 | $440.98 – $630.72 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $28,508.30 | $47,513.83 | $16,154.70 – $34,685.10 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $190.80 | $318.00 | $232.14 – $2,679.00 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $164.40 | $274.00 | $200.02 – $2,679.00 | 3 |
| Inj for ext venography CPT 36005 | $660.00 | $1,100.00 | $101.66 – $218.27 | 3 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $18.40 | $30.66 | $10.42 – $22.38 | 3 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $8,322.19 | $13,870.31 | $4,715.91 – $10,125.33 | 3 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $271.20 | $452.00 | $329.96 – $2,679.00 | 3 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,797.27 | $2,995.45 | $668.63 – $1,435.58 | 3 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $1,271.73 | $2,119.55 | $720.65 – $1,547.27 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $561.60 | $936.00 | $683.28 – $2,679.00 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $107.40 | $179.00 | $130.67 – $2,679.00 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | $134.40 | $224.00 | $163.52 – $2,679.00 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | $13,368.87 | $22,281.45 | $961.64 – $2,064.70 | 3 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $15,763.10 | $26,271.83 | $8,932.42 – $19,178.44 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1,174.88 | $1,958.14 | $276.37 – $593.39 | 3 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $65.56 | $109.26 | $37.15 – $79.76 | 3 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $2,951.66 | $4,919.43 | $1,658.54 – $3,560.98 | 3 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $30.04 | $50.07 | $7.38 – $15.85 | 3 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $120.04 | $200.07 | $68.02 – $146.05 | 3 |
| Inj multihance HCPCS A9577 | $64.93 | $108.22 | $36.79 – $79.00 | 3 |
| Inj. mycophenolate mofetil HCPCS J7519 | $220.86 | $368.10 | $125.15 – $268.71 | 3 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $14,110.18 | $23,516.97 | $7,995.77 – $17,167.39 | 3 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $233.40 | $389.00 | $283.97 – $2,679.00 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $180.00 | $300.00 | $219.00 – $2,679.00 | 3 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $73,159.94 | $121,933.23 | $41,457.30 – $89,011.26 | 3 |
| Inj ogivri 10 mg HCPCS Q5114 | $6,589.99 | $10,983.31 | $1,352.99 – $2,904.95 | 3 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $6,965.32 | $11,608.87 | $3,947.02 – $8,474.48 | 3 |
| Inj peritoneal venous shunt CPT 49427 | $586.20 | $977.00 | $332.18 – $713.21 | 3 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $5,146.85 | $8,578.08 | $2,189.15 – $4,700.23 | 3 |
| Inj proc ankle arthr CPT 27648 | $264.00 | $440.00 | $149.60 – $321.20 | 3 |
| Inj proc for lymphang CPT 38790 | $805.80 | $1,343.00 | $928.00 – $2,679.00 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | $666.00 | $1,110.00 | $810.30 – $2,679.00 | 3 |
| Inj proc myelogram lumbar CPT 62284 | $382.20 | $637.00 | $465.01 – $2,679.00 | 3 |
| Inj progesterone per 50 mg HCPCS J2675 | $14.93 | $24.88 | $8.46 – $18.16 | 3 |
| Inj retro urethrocysto CPT 51610 | $213.60 | $356.00 | $121.04 – $259.88 | 3 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $594.44 | $990.73 | $336.85 – $723.23 | 3 |
| Inj scleros sol mult veins CPT 36471 | $337.80 | $563.00 | $410.99 – $2,679.00 | 3 |
| Inj scleros sol sgl vein CPT 36470 | $286.20 | $477.00 | $348.21 – $2,679.00 | 3 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $112.20 | $187.00 | $136.51 – $2,679.00 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $281.30 | $468.83 | $159.40 – $342.25 | 3 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $17,249.16 | $28,748.60 | $1,935.43 – $4,155.48 | 3 |
| Inj tedizolid phosphate HCPCS J3090 | $685.81 | $1,143.01 | $388.62 – $834.40 | 3 |
| Inj testostero enanthate 1mg HCPCS J3121 | $157.81 | $263.01 | $30.82 – $66.17 | 3 |
| Inj testosterone cypionate HCPCS J1071 | $257.14 | $428.57 | $11.99 – $25.73 | 3 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $1,230.10 | $2,050.17 | $697.06 – $1,496.62 | 3 |
| Inj, uzedy, 1 mg HCPCS J2799 | $11,643.18 | $19,405.30 | $2,643.40 – $5,675.55 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $65.21 | $108.69 | $36.95 – $79.34 | 3 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $79.21 | $132.01 | $25.81 – $55.42 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $266.40 | $444.00 | $150.96 – $262.07 | 3 |
| Inpatient consultation CPT 99251 | $76.20 | $127.00 | $92.71 – $2,679.00 | 3 |
| Inpt/ed teleconsult30 HCPCS G0425 | $164.40 | $274.00 | $200.02 – $2,679.00 | 3 |
| Inpt/ed teleconsult50 HCPCS G0426 | $223.80 | $373.00 | $272.29 – $2,679.00 | 3 |
| Inpt/ed teleconsult70 HCPCS G0427 | $330.60 | $551.00 | $402.23 – $2,679.00 | 3 |
| Inpt/tele follow up 15 HCPCS G0406 | $64.80 | $108.00 | $78.84 – $2,679.00 | 3 |
| Inpt/tele follow up 25 HCPCS G0407 | $118.80 | $198.00 | $144.54 – $2,679.00 | 3 |
| Inpt/tele follow up 35 HCPCS G0408 | $171.60 | $286.00 | $208.78 – $2,679.00 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $3,481.80 | $5,803.00 | $928.00 – $4,236.19 | 3 |
| Ins cath ren art 1st uni CPT 36251 | $2,633.40 | $4,389.00 | $928.00 – $3,203.97 | 3 |
| Ins cath ren art 2nd+ uni CPT 36253 | $3,236.40 | $5,394.00 | $928.00 – $3,937.62 | 3 |
| Ins cerv dilator (sep proc) CPT 59200 | $150.60 | $251.00 | $183.23 – $2,679.00 | 3 |
| Insert and remove bone pin CPT 20650 | $381.00 | $635.00 | $463.55 – $2,679.00 | 3 |
| Insert brain-fluid device 61215 CPT 61215 | $1,432.80 | $2,388.00 | $928.00 – $2,679.00 | 3 |
| Insert cannula hemo oth 36815 CPT 36815 | $294.00 | $490.00 | $357.70 – $2,679.00 | 3 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $316.80 | $528.00 | $385.44 – $2,679.00 | 3 |
| Insert cath pleura with image CPT 32557 | $314.40 | $524.00 | $382.52 – $2,679.00 | 3 |
| Insert cath pleura without image CPT 32556 | $242.40 | $404.00 | $294.92 – $2,679.00 | 3 |
| Insert drug delivery implant CPT 11981 | $257.40 | $429.00 | $313.17 – $2,679.00 | 3 |
| Insert epicard eltrd endo 33203 CPT 33203 | $1,564.20 | $2,607.00 | $928.00 – $2,679.00 | 3 |
| Insert epicardial lead open 33202 CPT 33202 | $1,504.20 | $2,507.00 | $928.00 – $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.