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 |
|---|---|---|---|---|
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $352.14 | $586.90 | $48.55 – $104.24 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $16.32 – $35.04 | 3 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $110.40 | $184.00 | $57.80 – $124.10 | 3 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $248.95 | $414.92 | $141.07 – $302.89 | 3 |
| Methadone injection HCPCS J1230 | $71.31 | $118.85 | $40.41 – $86.76 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $35.37 | $58.95 | $20.04 – $43.03 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $10.88 | $18.14 | $6.17 – $13.24 | 3 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $106.46 | $177.43 | $27.11 – $58.20 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $47.40 | $79.00 | $26.86 – $57.67 | 3 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $47.42 | $79.03 | $26.87 – $57.69 | 3 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $313.40 | $522.33 | $43.53 – $93.47 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $54.13 | $90.22 | $1.73 – $3.71 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $47.36 | $78.93 | $16.71 – $35.87 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $134.49 | $224.15 | $11.13 – $23.90 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $18.36 | $30.60 | $8.29 – $17.79 | 3 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $360.82 | $601.37 | $70.04 – $150.38 | 3 |
| Microalbumin urine screen CPT 82044 | $31.20 | $52.00 | $17.68 – $29.93 | 3 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $402.60 | $671.00 | $489.83 – $2,679.00 | 3 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $165.00 | $275.00 | $62.78 – $93.50 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $73.70 | $122.84 | $7.66 – $16.44 | 3 |
| Mifepristone 200 mg ta HCPCS S0190 | $134.52 | $224.20 | $76.23 – $163.67 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $263.72 | $439.53 | $13.57 – $29.13 | 3 |
| Minocycline hydrochloride HCPCS J2265 | $487.46 | $812.44 | $276.23 – $593.08 | 3 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $12,054.30 | $20,090.50 | $6,830.77 – $14,666.07 | 3 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,130.88 | $3,551.47 | $402.27 – $863.71 | 3 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $2,274.68 | $3,791.13 | $368.76 – $791.76 | 3 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $5,467.80 | $9,113.00 | $928.00 – $6,652.49 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $117.00 | $195.00 | $142.35 – $2,679.00 | 3 |
| Mnt subs tx for change dx HCPCS G0270 | $88.20 | $147.00 | $107.31 – $2,679.00 | 3 |
| Mobilization of colon 44139 CPT 44139 | $253.80 | $423.00 | $308.79 – $2,679.00 | 3 |
| Modified maze/limited 33254 CPT 33254 | $2,655.00 | $4,425.00 | $928.00 – $3,230.25 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,137.00 | $1,895.00 | $928.00 – $2,679.00 | 3 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,451.40 | $17,419.00 | $5,922.46 – $12,715.87 | 3 |
| Monovisc inj per dose HCPCS J7327 | $2,669.22 | $4,448.70 | $1,512.56 – $3,247.55 | 3 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $274.48 | $457.47 | $8.99 – $19.30 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $49.58 | $82.63 | $14.76 – $31.69 | 3 |
| Mouth piece HCPCS A4617 | $3.60 | $6.00 | $4.38 – $2,679.00 | 3 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $738.60 | $1,231.00 | $898.63 – $2,679.00 | 3 |
| Mpl gene analysis common variants CPT 81338 | $449.40 | $749.00 | $214.88 – $461.36 | 3 |
| MRA abdomen post contrast CPT 74185 | $3,282.60 | $5,471.00 | $1,860.14 – $3,993.83 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,536.20 | $4,227.00 | $1,437.18 – $3,085.71 | 3 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,552.00 | $5,920.00 | $1,341.98 – $2,881.31 | 3 |
| MRA pelvis CPT 72198 | $1,995.00 | $3,325.00 | $1,130.50 – $2,427.25 | 3 |
| MRA spinal canal CPT 72159 | $2,598.00 | $4,330.00 | $1,472.20 – $3,160.90 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,207.60 | $5,346.00 | $1,817.64 – $3,902.58 | 3 |
| MRI breast without cont bi CPT 77047 | $1,151.40 | $1,919.00 | $652.46 – $1,400.87 | 3 |
| MRI breast w IV cont bi CPT 77049 | $1,685.40 | $2,809.00 | $955.06 – $2,050.57 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,232.40 | $2,054.00 | $698.36 – $1,499.42 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,499.40 | $2,499.00 | $849.66 – $1,824.27 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,499.60 | $4,166.00 | $1,416.44 – $3,041.18 | 3 |
| MRI chest without contrast CPT 71550 | $1,432.20 | $2,387.00 | $811.58 – $1,742.51 | 3 |
| MRI chest without & w/contrast CPT 71552 | $2,305.20 | $3,842.00 | $1,306.28 – $2,804.66 | 3 |
| MRI chest w IV cont CPT 71551 | $1,556.40 | $2,594.00 | $881.96 – $1,893.62 | 3 |
| MRI loex nonjt w IV cont CPT 73719 | $2,340.60 | $3,901.00 | $884.00 – $1,898.00 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,412.00 | $4,020.00 | $911.20 – $1,956.40 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,791.40 | $6,319.00 | $1,432.42 – $3,075.49 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,662.00 | $2,770.00 | $941.80 – $2,022.10 | 3 |
| MRI tmj CPT 70336 | $1,246.80 | $2,078.00 | $706.52 – $1,516.94 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,020.80 | $3,368.00 | $763.30 – $1,638.85 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,748.80 | $6,248.00 | $1,416.44 – $3,041.18 | 3 |
| MRI upper extremity w/dye CPT 73219 | $1,591.80 | $2,653.00 | $601.46 – $1,291.37 | 3 |
| Mr spectroscopy CPT 76390 | $1,117.20 | $1,862.00 | $633.08 – $1,359.26 | 3 |
| Mthfr gene analy common variants CPT 81291 | $150.60 | $251.00 | $82.62 – $177.39 | 3 |
| Mucin synovial fluid CPT 83872 | $33.60 | $56.00 | $19.04 – $40.88 | 3 |
| Multi family grp psychotherapy CPT 90849 | $121.20 | $202.00 | $147.46 – $2,679.00 | 3 |
| Multiple sleep latency test CPT 95805 | $264.60 | $441.00 | $321.93 – $2,679.00 | 3 |
| Mumps antibody igg CPT 86735 | $100.80 | $168.00 | $24.82 – $53.29 | 3 |
| Muscle-skin graft leg CPT 15738 | $2,716.80 | $4,528.00 | $928.00 – $3,305.44 | 3 |
| Muscle-skin graft trunk CPT 15734 | $2,268.00 | $3,780.00 | $928.00 – $2,679.00 | 3 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $40.85 | $68.09 | $9.98 – $21.43 | 3 |
| Mycophenolic acid HCPCS J7518 | $14.89 | $24.82 | $8.44 – $18.12 | 3 |
| Mycoplasma antibody igm CPT 86738 | $186.00 | $310.00 | $25.16 – $54.02 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $273.00 | $455.00 | $332.15 – $2,679.00 | 3 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $261.00 | $435.00 | $317.55 – $2,679.00 | 3 |
| Myelography via inj w/s&i thoracic CPT 62303 | $268.20 | $447.00 | $326.31 – $2,679.00 | 3 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,291.80 | $2,153.00 | $16.66 – $35.77 | 3 |
| Myocardial resection 33542 CPT 33542 | $5,106.60 | $8,511.00 | $928.00 – $6,213.03 | 3 |
| Myomectomy abdom complex CPT 58146 | $2,252.40 | $3,754.00 | $928.00 – $2,740.42 | 3 |
| Myomectomy abdom method CPT 58140 | $1,785.60 | $2,976.00 | $928.00 – $2,679.00 | 3 |
| Myomectomy vag method CPT 58145 | $1,188.00 | $1,980.00 | $928.00 – $2,679.00 | 3 |
| Myringoplasty CPT 69620 | $1,362.00 | $2,270.00 | $928.00 – $2,679.00 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $71.41 | $119.02 | $19.15 – $41.11 | 3 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $115.61 | $192.69 | $7.99 – $17.16 | 3 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $70.87 | $118.12 | $11.44 – $24.57 | 3 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $373.80 | $623.00 | $454.79 – $2,679.00 | 3 |
| Nasal/sinus endoscopy surg CPT 31287 | $664.20 | $1,107.00 | $808.11 – $2,679.00 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $634.80 | $1,058.00 | $772.34 – $2,679.00 | 3 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $778.20 | $1,297.00 | $928.00 – $2,679.00 | 3 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $438.60 | $731.00 | $533.63 – $2,679.00 | 3 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $781.80 | $1,303.00 | $928.00 – $2,679.00 | 3 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $1,179.60 | $1,966.00 | $928.00 – $2,679.00 | 3 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $1,129.20 | $1,882.00 | $928.00 – $2,679.00 | 3 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $517.80 | $863.00 | $629.99 – $2,679.00 | 3 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $585.00 | $975.00 | $711.75 – $2,679.00 | 3 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $242.40 | $404.00 | $294.92 – $2,679.00 | 3 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $15,756.49 | $26,260.81 | $4,447.02 – $9,548.02 | 3 |
| Natriuretic peptide CPT 83880 | $198.00 | $330.00 | $53.72 – $115.34 | 3 |
| Natural killer cells total count CPT 86357 | $130.20 | $217.00 | $73.44 – $157.68 | 3 |
| Navigational bronchoscopy 31627 CPT 31627 | $1,296.60 | $2,161.00 | $928.00 – $2,679.00 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $126.00 | $210.00 | $153.30 – $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.