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 |
|---|---|---|---|---|
| Ndl insj without njx 1 or 2 musc CPT 20560 | $33.60 | $56.00 | $19.04 – $40.88 | 3 |
| Ndl insj without njx 3+ musc CPT 20561 | $36.60 | $61.00 | $20.74 – $44.53 | 3 |
| Nebulizer Breathing Treatment CPT 94640 | $100.80 | $168.00 | $40.15 – $57.12 | 3 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $144.60 | $241.00 | $48.91 – $81.94 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,952.40 | $3,254.00 | $1,106.36 – $2,375.42 | 3 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,708.20 | $2,847.00 | $967.98 – $2,078.31 | 3 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,435.80 | $2,393.00 | $813.62 – $1,746.89 | 3 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,361.60 | $3,936.00 | $1,338.24 – $2,873.28 | 3 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,275.60 | $2,126.00 | $722.84 – $1,551.98 | 3 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,741.80 | $2,903.00 | $987.02 – $2,119.19 | 3 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $223.20 | $372.00 | $72.27 – $126.48 | 3 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $263.40 | $439.00 | $94.17 – $149.26 | 3 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $309.00 | $515.00 | $127.02 – $175.10 | 3 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,544.60 | $4,241.00 | $1,441.94 – $3,095.93 | 3 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,764.00 | $2,940.00 | $999.60 – $2,146.20 | 3 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,374.60 | $2,291.00 | $778.94 – $1,672.43 | 3 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,365.60 | $2,276.00 | $773.84 – $1,661.48 | 3 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,053.00 | $1,755.00 | $596.70 – $1,281.15 | 3 |
| Neck spine disk surgery CPT 63020 | $2,176.20 | $3,627.00 | $928.00 – $2,679.00 | 3 |
| Neck spine disk surgery 63075 CPT 63075 | $2,559.60 | $4,266.00 | $928.00 – $3,114.18 | 3 |
| Neck spine disk surgery 63076 CPT 63076 | $466.80 | $778.00 | $567.94 – $2,679.00 | 3 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $121.80 | $203.00 | $148.19 – $2,679.00 | 3 |
| Nelarabine injection HCPCS J9261 | $1,343.88 | $2,239.80 | $761.53 – $1,635.05 | 3 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $25.97 | $43.28 | $10.39 – $22.31 | 3 |
| Nephrectomy open 50220 CPT 50220 | $2,046.00 | $3,410.00 | $928.00 – $2,679.00 | 3 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $180.00 | $300.00 | $219.00 – $2,679.00 | 3 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $165.60 | $276.00 | $201.48 – $2,679.00 | 3 |
| Nerve conduction 7-8 studies CPT 95910 | $260.40 | $434.00 | $197.10 – $2,679.00 | 3 |
| Nerve conduction studies 11-12 CPT 95912 | $346.80 | $578.00 | $291.27 – $2,679.00 | 3 |
| Nerve conduction studies 1-2 CPT 95907 | $133.80 | $223.00 | $162.79 – $2,679.00 | 3 |
| Nerve conduction studies 13+ CPT 95913 | $427.80 | $713.00 | $346.02 – $2,679.00 | 3 |
| Nerve conduction studies 3-4 CPT 95908 | $165.00 | $275.00 | $123.37 – $2,679.00 | 3 |
| Nerve conduction studies 5-6 CPT 95909 | $197.40 | $329.00 | $148.19 – $2,679.00 | 3 |
| Nerve conduction studies 9-10 CPT 95911 | $315.00 | $525.00 | $244.55 – $2,679.00 | 3 |
| Nesiritide injection HCPCS J2325 | $9,386.59 | $15,644.31 | $5,319.07 – $11,420.35 | 3 |
| Neurolysis celiac plexus CPT 64680 | $838.20 | $1,397.00 | $474.98 – $757.74 | 3 |
| Neurolysis trigeminal nerve CPT 64600 | $779.40 | $1,299.00 | $928.00 – $2,679.00 | 3 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $135.60 | $226.00 | $164.98 – $2,679.00 | 3 |
| Neuroplasty digital 1/both same digit CPT 64702 | $946.20 | $1,577.00 | $928.00 – $2,679.00 | 3 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $732.00 | $1,220.00 | $890.60 – $2,679.00 | 3 |
| New Patient Office Visit (level 2) CPT 99202 | $100.80 | $168.00 | $51.34 – $110.23 | 3 |
| New Patient Office Visit (level 3) CPT 99203 | $145.80 | $243.00 | $58.14 – $124.83 | 3 |
| New Patient Office Visit (level 4) CPT 99204 | $223.20 | $372.00 | $95.54 – $205.13 | 3 |
| New Patient Office Visit (level 5) CPT 99205 | $277.80 | $463.00 | $96.56 – $207.32 | 3 |
| Nipple/areola reconst 19350 CPT 19350 | $1,594.80 | $2,658.00 | $928.00 – $2,679.00 | 3 |
| Nipple exploration CPT 19110 | $900.00 | $1,500.00 | $928.00 – $2,679.00 | 3 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $14,110.18 | $23,516.97 | $1,352.18 – $2,903.22 | 3 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $27,356.80 | $45,594.66 | $15,502.18 – $33,284.10 | 3 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $414.00 | $690.00 | $503.70 – $2,679.00 | 3 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | $7.20 | $12.00 | $8.76 – $2,679.00 | 3 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $197.40 | $329.00 | $62.05 – $111.86 | 3 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $248.40 | $414.00 | $302.22 – $2,679.00 | 3 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $190.20 | $317.00 | $231.41 – $2,679.00 | 3 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $5,495.40 | $9,159.00 | $928.00 – $6,686.07 | 3 |
| Nsl/sins ndsc surg max sins CPT 31295 | $4,049.40 | $6,749.00 | $928.00 – $4,926.77 | 3 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $5,444.40 | $9,074.00 | $928.00 – $6,624.02 | 3 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $46.20 | $77.00 | $56.21 – $2,679.00 | 3 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $25.20 | $42.00 | $30.66 – $2,679.00 | 3 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $46.20 | $77.00 | $56.21 – $2,679.00 | 3 |
| Nursing fac care supervision CPT 99379 | $196.20 | $327.00 | $238.71 – $2,679.00 | 3 |
| Nursing fac care supervision CPT 99380 | $183.00 | $305.00 | $222.65 – $2,679.00 | 3 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $201.60 | $336.00 | $245.28 – $2,679.00 | 3 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $139.20 | $232.00 | $169.36 – $2,679.00 | 3 |
| Nushield 1 square cm HCPCS Q4160 | $2,981.40 | $4,969.00 | $503.54 – $1,081.13 | 3 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $15,284.46 | $25,474.10 | $8,661.19 – $18,596.09 | 3 |
| Observation care discharge CPT 99217 | $144.00 | $240.00 | $175.20 – $2,679.00 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $137.40 | $229.00 | $77.86 – $167.17 | 3 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $438.60 | $731.00 | $533.63 – $2,679.00 | 3 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $269.40 | $449.00 | $327.77 – $2,679.00 | 3 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $340.80 | $568.00 | $414.64 – $2,679.00 | 3 |
| Obstetrical care 59410 CPT 59410 | $2,131.80 | $3,553.00 | $928.00 – $2,679.00 | 3 |
| Obstetrics panel CPT 80055 | $84.00 | $140.00 | $47.60 – $102.20 | 3 |
| Obtaining screen pap smear HCPCS Q0091 | $87.00 | $145.00 | $105.85 – $2,679.00 | 3 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $220.80 | $368.00 | $268.64 – $2,679.00 | 3 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $477.00 | $795.00 | $580.35 – $2,679.00 | 3 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $258.60 | $431.00 | $52.36 – $112.42 | 3 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $213.00 | $355.00 | $47.60 – $102.20 | 3 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $223.80 | $373.00 | $49.64 – $106.58 | 3 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $36,571.69 | $60,952.81 | $20,723.96 – $44,495.55 | 3 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $246.34 | $410.57 | $15.39 – $33.03 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $12,255.94 | $20,426.57 | $2,351.43 – $5,048.65 | 3 |
| Office consultation CPT 99241 | $74.40 | $124.00 | $90.52 – $2,679.00 | 3 |
| Office emergency care CPT 99058 | $104.40 | $174.00 | $127.02 – $2,679.00 | 3 |
| Off/op cnsltj new/est low 30 CPT 99243 | $183.00 | $305.00 | $222.65 – $2,679.00 | 3 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $273.60 | $456.00 | $332.88 – $2,679.00 | 3 |
| Off/op consltj new/est hi 55 CPT 99245 | $331.80 | $553.00 | $403.69 – $2,679.00 | 3 |
| Off/op consltj new/est sf 20 CPT 99242 | $133.80 | $223.00 | $162.79 – $2,679.00 | 3 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $101.44 | $169.07 | $41.75 – $89.64 | 3 |
| Ol dig e/m svc 11-20 min CPT 99422 | $30.60 | $51.00 | $37.23 – $2,679.00 | 3 |
| Ol dig e/m svc 21+ min CPT 99423 | $52.20 | $87.00 | $63.51 – $2,679.00 | 3 |
| Ol dig e/m svc 5-10 min CPT 99421 | $21.60 | $36.00 | $26.28 – $2,679.00 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,520.65 | $4,201.09 | $746.13 – $1,601.99 | 3 |
| Omental flap extra-abdom 49904 CPT 49904 | $2,767.20 | $4,612.00 | $928.00 – $3,366.76 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | $741.00 | $1,235.00 | $901.55 – $2,679.00 | 3 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $0.60 | $1.00 | $0.73 – $2,679.00 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $50.26 | $83.77 | $7.31 – $15.70 | 3 |
| One-way allow prorated trip HCPCS P9604 | $16.20 | $27.00 | $9.18 – $19.71 | 3 |
| Oophorectomy partial or total 58943 CPT 58943 | $2,196.60 | $3,661.00 | $928.00 – $2,679.00 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | $3,556.20 | $5,927.00 | $928.00 – $4,326.71 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $3,369.60 | $5,616.00 | $928.00 – $4,099.68 | 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.