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 |
|---|---|---|---|---|
| Angio trnslmnl balloon same vein ini CPT 37248 | $2,933.40 | $4,889.00 | $928.00 – $3,568.97 | 3 |
| Anidulafungin injection HCPCS J0348 | $367.72 | $612.86 | $208.37 – $447.39 | 3 |
| Ankle arthroscopy/surgery CPT 29891 | $938.40 | $1,564.00 | $928.00 – $2,679.00 | 3 |
| Ankle arthroscopy/surgery CPT 29898 | $787.80 | $1,313.00 | $928.00 – $2,679.00 | 3 |
| Ankle X-ray CPT 73610 | $280.80 | $468.00 | $62.05 – $105.74 | 3 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $200.40 | $334.00 | $52.56 – $75.82 | 3 |
| Annual alcohol screen 15 min HCPCS G0442 | $23.40 | $39.00 | $28.47 – $2,679.00 | 3 |
| Annual nursing fac assessmnt CPT 99318 | $184.80 | $308.00 | $224.84 – $2,679.00 | 3 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $155.40 | $259.00 | $189.07 – $2,679.00 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $166.20 | $277.00 | $108.04 – $2,679.00 | 3 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $174.60 | $291.00 | $212.43 – $2,679.00 | 3 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $229.20 | $382.00 | $278.86 – $2,679.00 | 3 |
| Anodyne therapy charges pt CPT 97026 | $46.20 | $77.00 | $21.08 – $45.26 | 3 |
| Anora (draw only) CPT 99001 | $21.00 | $35.00 | $6.12 – $13.14 | 3 |
| Anoscopy ablation lesion 46615 CPT 46615 | $310.20 | $517.00 | $377.41 – $2,679.00 | 3 |
| Anoscopy and biopsy CPT 46606 | $423.00 | $705.00 | $514.65 – $2,679.00 | 3 |
| Anoscopy and dilation 46604 CPT 46604 | $1,129.80 | $1,883.00 | $928.00 – $2,679.00 | 3 |
| Anoscopy control bleeding 46614 CPT 46614 | $242.40 | $404.00 | $294.92 – $2,679.00 | 3 |
| Anoscopy remove fb 46608 CPT 46608 | $1,162.80 | $1,938.00 | $533.63 – $658.92 | 3 |
| Anoscopy remove lesion 46610 CPT 46610 | $445.20 | $742.00 | $541.66 – $2,679.00 | 3 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $498.60 | $831.00 | $606.63 – $2,679.00 | 3 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $1,302.00 | $2,170.00 | $928.00 – $2,679.00 | 3 |
| Antibody CPT 86744 | $30.00 | $50.00 | $17.00 – $36.50 | 3 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $159.60 | $266.00 | $23.12 – $49.64 | 3 |
| Antibody elution rbc reference CPT 86860 | $73.80 | $123.00 | $28.56 – $61.32 | 3 |
| Antibody htlv/hiv confirm test CPT 86689 | $143.40 | $239.00 | $31.28 – $67.16 | 3 |
| Antibody htlv-i CPT 86687 | $39.60 | $66.00 | $22.44 – $48.18 | 3 |
| Antibody htlv-ii CPT 86688 | $42.00 | $70.00 | $23.80 – $51.10 | 3 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $382.20 | $637.00 | $29.92 – $64.24 | 3 |
| Antibody id rbc panel CPT 86870 | $439.80 | $733.00 | $40.80 – $87.60 | 3 |
| Antibody influenza virus CPT 86710 | $51.60 | $86.00 | $26.52 – $56.94 | 3 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $45.60 | $76.00 | $25.84 – $55.48 | 3 |
| Antibody screen rbc CPT 86850 | $183.00 | $305.00 | $20.06 – $43.07 | 3 |
| Antibody tetanus CPT 86774 | $52.20 | $87.00 | $29.58 – $63.51 | 3 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $15.34 | $25.57 | $8.69 – $18.67 | 3 |
| Anti-inhibitor HCPCS J7198 | $10,270.62 | $17,117.70 | $8.81 – $18.92 | 3 |
| Anti mog serum - sendout CPT 86362 | $551.40 | $919.00 | $312.46 – $670.87 | 3 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $82.80 | $138.00 | $46.92 – $100.74 | 3 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $30.60 | $51.00 | $17.34 – $37.23 | 3 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $1,378.20 | $2,297.00 | $928.00 – $2,679.00 | 3 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $1,430.40 | $2,384.00 | $928.00 – $2,679.00 | 3 |
| Antinuclear antibodies CPT 86038 | $163.20 | $272.00 | $12.92 – $27.74 | 3 |
| Antinuclear antibodies titer CPT 86039 | $58.20 | $97.00 | $18.02 – $38.69 | 3 |
| Antiphosphatidylserine antibody CPT 86148 | $79.20 | $132.00 | $31.28 – $67.16 | 3 |
| Antistreptolysin o screen CPT 86063 | $59.40 | $99.00 | $33.66 – $72.27 | 3 |
| Antistreptolysin o titer CPT 86060 | $43.20 | $72.00 | $13.94 – $29.93 | 3 |
| Antithrombin iii activity CPT 85300 | $262.20 | $437.00 | $23.12 – $49.64 | 3 |
| Antithrombin iii injection HCPCS J7197 | $19.51 | $32.51 | $11.05 – $23.73 | 3 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $8,977.01 | $14,961.69 | $5,086.97 – $10,922.03 | 3 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $1,776.00 | $2,960.00 | $928.00 – $2,679.00 | 3 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $193.20 | $322.00 | $109.48 – $235.06 | 3 |
| Aortic circulation assist 33971 CPT 33971 | $1,450.80 | $2,418.00 | $928.00 – $2,679.00 | 3 |
| Aortic hemiarch graft 33866 CPT 33866 | $2,064.60 | $3,441.00 | $928.00 – $2,679.00 | 3 |
| Apl(pml-rara) quant - sendout CPT 81315 | $717.00 | $1,195.00 | $406.30 – $872.35 | 3 |
| Appendectomy CPT 44950 | $1,209.60 | $2,016.00 | $928.00 – $2,679.00 | 3 |
| Appendectomy add-on 44955 CPT 44955 | $159.60 | $266.00 | $194.18 – $2,679.00 | 3 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,644.60 | $2,741.00 | $928.00 – $2,679.00 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,126.80 | $1,878.00 | $928.00 – $2,679.00 | 3 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $480.00 | $800.00 | $584.00 – $2,679.00 | 3 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $132.60 | $221.00 | $161.33 – $2,679.00 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $156.00 | $260.00 | $88.40 – $93.44 | 3 |
| Application long leg splint 29505 CPT 29505 | $213.60 | $356.00 | $121.04 – $184.69 | 3 |
| Application lower leg splint 29515 CPT 29515 | $226.20 | $377.00 | $128.18 – $164.25 | 3 |
| Application multi layer compression below knee (both sides) CPT 29581 | $98.40 | $164.00 | $119.72 – $2,679.00 | 3 |
| Application of cylinder cast 29365 CPT 29365 | $235.20 | $392.00 | $120.36 – $258.42 | 3 |
| Application of forearm cast 29075 CPT 29075 | $296.40 | $494.00 | $167.96 – $205.86 | 3 |
| Application of long arm cast 29065 CPT 29065 | $257.40 | $429.00 | $145.86 – $219.73 | 3 |
| Application of long leg cast 29345 CPT 29345 | $296.40 | $494.00 | $167.96 – $310.98 | 3 |
| Application of paste boot 29580 CPT 29580 | $99.60 | $166.00 | $121.18 – $2,679.00 | 3 |
| Application short leg cast 29405 CPT 29405 | $212.40 | $354.00 | $120.36 – $190.53 | 3 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $295.20 | $492.00 | $359.16 – $2,679.00 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $274.20 | $457.00 | $333.61 – $2,679.00 | 3 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $315.00 | $525.00 | $24.82 – $53.29 | 3 |
| Appl mltpln uni ext fixj sys CPT 20692 | $1,563.00 | $2,605.00 | $928.00 – $2,679.00 | 3 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $55.80 | $93.00 | $31.62 – $55.48 | 3 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $77.40 | $129.00 | $43.86 – $55.48 | 3 |
| Apply finger cast 29086 CPT 29086 | $195.00 | $325.00 | $110.50 – $178.12 | 3 |
| Apply forearm splintdynamic 29126 CPT 29126 | $145.80 | $243.00 | $177.39 – $2,679.00 | 3 |
| Apply hand/wrist cast 29085 CPT 29085 | $178.80 | $298.00 | $217.54 – $2,679.00 | 3 |
| Apply of finger splint 29131 CPT 29131 | $99.00 | $165.00 | $120.45 – $2,679.00 | 3 |
| Apply rigid leg cast 29445 CPT 29445 | $262.80 | $438.00 | $319.74 – $2,679.00 | 3 |
| Apply short leg castambul type 29425 CPT 29425 | $153.00 | $255.00 | $186.15 – $2,679.00 | 3 |
| App topical fluoride varnish CPT 99188 | $10.20 | $17.00 | $12.41 – $2,679.00 | 3 |
| #aptt mix-1:1 incubated CPT 87532 | $33.00 | $55.00 | $18.70 – $40.15 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | $553.20 | $922.00 | $313.48 – $673.06 | 3 |
| Aquaporin-4 antibody elisa CPT 86051 | $400.80 | $668.00 | $227.12 – $487.64 | 3 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $77.40 | $129.00 | $42.16 – $55.48 | 3 |
| Aquatic exercise - group charge CPT 97150 | $432.00 | $720.00 | $10.54 – $22.63 | 3 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,254.28 | $3,757.14 | $197.74 – $424.55 | 3 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $5,648.36 | $9,413.94 | $994.92 – $2,136.15 | 3 |
| Aripiprazole injection HCPCS J0400 | $61.73 | $102.88 | $34.98 – $75.10 | 3 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,753.80 | $2,923.00 | $662.32 – $1,422.04 | 3 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,744.80 | $2,908.00 | $659.26 – $1,415.47 | 3 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $154.20 | $257.00 | $52.56 – $87.38 | 3 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,301.95 | $3,836.58 | $174.01 – $373.61 | 3 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | $5,701.80 | $9,503.00 | $928.00 – $6,937.19 | 3 |
| Art byp aortofemoral 35647 CPT 35647 | $2,358.00 | $3,930.00 | $928.00 – $2,868.90 | 3 |
| Art byp aortoiliac 35637 CPT 35637 | $3,339.00 | $5,565.00 | $928.00 – $4,062.45 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | $3,095.40 | $5,159.00 | $928.00 – $3,766.07 | 3 |
| Art bypass aortobifemoral 35646 CPT 35646 | $3,443.40 | $5,739.00 | $928.00 – $4,189.47 | 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.