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 |
|---|---|---|---|---|
| Mayo fibrinogen antigen CPT 85385 | $33.00 | $55.00 | $18.70 – $40.15 | 3 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $46.80 | $78.00 | $26.52 – $56.94 | 3 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,058.40 | $1,764.00 | $139.06 – $298.57 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $275.40 | $459.00 | $49.98 – $107.31 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $282.60 | $471.00 | $49.98 – $107.31 | 3 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $57.00 | $95.00 | $17.34 – $37.23 | 3 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $217.20 | $362.00 | $115.26 – $247.47 | 3 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $34.20 | $57.00 | $18.36 – $39.42 | 3 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $96.00 | $160.00 | $25.84 – $55.48 | 3 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $143.40 | $239.00 | $54.74 – $117.53 | 3 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $447.60 | $746.00 | $24.48 – $52.56 | 3 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $301.20 | $502.00 | $30.60 – $65.70 | 3 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $157.20 | $262.00 | $39.44 – $84.68 | 3 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $83.40 | $139.00 | $39.44 – $84.68 | 3 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $142.20 | $237.00 | $24.48 – $52.56 | 3 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $75.60 | $126.00 | $23.80 – $51.10 | 3 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $124.20 | $207.00 | $70.38 – $151.11 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $120.60 | $201.00 | $68.34 – $146.73 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $202.80 | $338.00 | $53.72 – $115.34 | 3 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $149.40 | $249.00 | $81.26 – $174.47 | 3 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $182.40 | $304.00 | $103.36 – $221.92 | 3 |
| Mayo infliximab therapeutic drug level CPT 80230 | $103.20 | $172.00 | $58.48 – $125.56 | 3 |
| Mayo inhab inhibin a CPT 86336 | $114.60 | $191.00 | $23.46 – $50.37 | 3 |
| Mayo insft insulin free CPT 83527 | $90.60 | $151.00 | $27.20 – $58.40 | 3 |
| Mayo insulin antibodies CPT 86337 | $163.20 | $272.00 | $40.80 – $87.60 | 3 |
| Mayo iodine CPT 83789 | $82.20 | $137.00 | $36.72 – $78.84 | 3 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $405.60 | $676.00 | $111.18 – $238.71 | 3 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $118.20 | $197.00 | $66.98 – $143.81 | 3 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $46.20 | $77.00 | $25.16 – $54.02 | 3 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $42.60 | $71.00 | $24.14 – $51.83 | 3 |
| Mayo legionella antibody CPT 86713 | $129.60 | $216.00 | $30.94 – $66.43 | 3 |
| Mayo leptospira antibody igm CPT 86720 | $70.20 | $117.00 | $39.78 – $85.41 | 3 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $80.40 | $134.00 | $22.44 – $48.18 | 3 |
| Mayo manganese CPT 83785 | $87.00 | $145.00 | $49.30 – $105.85 | 3 |
| Mayo metanephrines plasma CPT 83835 | $238.20 | $397.00 | $32.30 – $69.35 | 3 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $288.60 | $481.00 | $117.98 – $253.31 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $120.60 | $201.00 | $68.34 – $146.73 | 3 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $46.80 | $78.00 | $26.52 – $56.94 | 3 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $86.40 | $144.00 | $25.84 – $55.48 | 3 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $250.80 | $418.00 | $25.84 – $55.48 | 3 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $523.20 | $872.00 | $195.84 – $420.48 | 3 |
| Mayo muramidase CPT 85549 | $66.00 | $110.00 | $26.86 – $57.67 | 3 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $520.20 | $867.00 | $294.78 – $632.91 | 3 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $79.20 | $132.00 | $36.72 – $78.84 | 3 |
| Mayo myoglobin CPT 83874 | $102.60 | $171.00 | $24.48 – $52.56 | 3 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $288.60 | $481.00 | $38.08 – $81.76 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $306.00 | $510.00 | $111.18 – $238.71 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $288.60 | $481.00 | $111.18 – $238.71 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $225.60 | $376.00 | $33.32 – $71.54 | 3 |
| Mayo organic acids qualitative each specimen CPT 83919 | $55.80 | $93.00 | $31.62 – $67.89 | 3 |
| Mayo oxalate 24 hour urine CPT 83945 | $159.60 | $266.00 | $25.84 – $55.48 | 3 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $451.80 | $753.00 | $256.02 – $549.69 | 3 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $114.60 | $191.00 | $21.42 – $45.99 | 3 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $293.40 | $489.00 | $17.34 – $37.23 | 3 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $124.20 | $207.00 | $70.38 – $151.11 | 3 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $82.20 | $137.00 | $25.84 – $55.48 | 3 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $85.20 | $142.00 | $19.04 – $40.88 | 3 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $28.80 | $48.00 | $16.32 – $35.04 | 3 |
| Mayo pregnenolone CPT 84140 | $69.60 | $116.00 | $39.44 – $84.68 | 3 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $58.80 | $98.00 | $32.30 – $69.35 | 3 |
| Mayo proinsulin CPT 84206 | $204.00 | $340.00 | $34.68 – $74.46 | 3 |
| Mayo psaft prostate specific antigen free CPT 84154 | $64.80 | $108.00 | $35.02 – $75.19 | 3 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $222.60 | $371.00 | $6.80 – $14.60 | 3 |
| Mayo receptor assay transferrin soluble CPT 84238 | $179.40 | $299.00 | $69.36 – $148.92 | 3 |
| Mayo renin CPT 84244 | $165.00 | $275.00 | $41.82 – $89.79 | 3 |
| Mayo repu protein electrophoresis urine CPT 84166 | $65.40 | $109.00 | $34.68 – $74.46 | 3 |
| Mayo selenium CPT 84255 | $88.20 | $147.00 | $48.28 – $103.66 | 3 |
| Mayo serotonin CPT 84260 | $256.80 | $428.00 | $11.56 – $24.82 | 3 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $78.00 | $130.00 | $27.54 – $59.13 | 3 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $60.60 | $101.00 | $27.20 – $58.40 | 3 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $57.00 | $95.00 | $32.30 – $69.35 | 3 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.40 | $89.00 | $7.82 – $16.79 | 3 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $526.80 | $878.00 | $298.52 – $640.94 | 3 |
| Mayo tgrp testosterone free CPT 84402 | $160.80 | $268.00 | $49.64 – $106.58 | 3 |
| Mayo tgrp testosterone total CPT 84403 | $160.80 | $268.00 | $33.32 – $71.54 | 3 |
| Mayo thyroglobulin CPT 84432 | $140.40 | $234.00 | $17.00 – $36.50 | 3 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $43.80 | $73.00 | $23.46 – $50.37 | 3 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $306.00 | $510.00 | $173.40 – $372.30 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $45.60 | $76.00 | $24.14 – $51.83 | 3 |
| Mayo vasoactive intestinal peptide CPT 84586 | $165.00 | $275.00 | $66.98 – $143.81 | 3 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $111.00 | $185.00 | $40.46 – $86.87 | 3 |
| Mayo vitamin b3 (niacin) CPT 84591 | $283.80 | $473.00 | $160.82 – $345.29 | 3 |
| Mayo vitamin k CPT 84597 | $171.00 | $285.00 | $41.14 – $88.33 | 3 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $46.80 | $78.00 | $26.52 – $56.94 | 3 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | $1,648.80 | $2,748.00 | $928.00 – $2,679.00 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | $1,071.00 | $1,785.00 | $928.00 – $2,679.00 | 3 |
| Md service required for pmd HCPCS G0372 | $16.80 | $28.00 | $20.44 – $2,679.00 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | $113.40 | $189.00 | $47.26 – $64.97 | 3 |
| Mechlorethamine hcl inj HCPCS J9230 | $292.91 | $488.18 | $165.98 – $356.37 | 3 |
| #mec-opiates CPT 80356 | $325.20 | $542.00 | $149.60 – $321.20 | 3 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $432.00 | $720.00 | $525.60 – $2,679.00 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $509.40 | $849.00 | $619.77 – $2,679.00 | 3 |
| Medical services after hrs CPT 99050 | $49.20 | $82.00 | $59.86 – $2,679.00 | 3 |
| Medical testimony CPT 99075 | $372.00 | $620.00 | $183.96 – $2,679.00 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $156.85 | $261.41 | $42.09 – $90.37 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $4,725.00 | $7,875.00 | $1,721.42 – $3,695.99 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $25.80 | $43.00 | $7.46 – $16.01 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $6,797.02 | $11,328.37 | $3,623.11 – $7,779.04 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $846.21 | $1,410.35 | $12.81 – $27.50 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $505.80 | $843.00 | $615.39 – $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.