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 |
|---|---|---|---|---|
| Open bx/exc inguinofem nodes CPT 38531 | $857.40 | $1,429.00 | $928.00 – $2,679.00 | 3 |
| Open bx of lung pleura 32098 CPT 32098 | $1,180.80 | $1,968.00 | $928.00 – $2,679.00 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $451.20 | $752.00 | $548.96 – $2,679.00 | 3 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $1,323.60 | $2,206.00 | $928.00 – $2,679.00 | 3 |
| Open skull for drainage 61312 CPT 61312 | $3,827.40 | $6,379.00 | $928.00 – $4,656.67 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $822.60 | $1,371.00 | $928.00 – $2,679.00 | 3 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $903.60 | $1,506.00 | $928.00 – $2,679.00 | 3 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $1,306.20 | $2,177.00 | $928.00 – $2,679.00 | 3 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $1,566.00 | $2,610.00 | $928.00 – $2,679.00 | 3 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $2,131.20 | $3,552.00 | $928.00 – $2,679.00 | 3 |
| Open tx/sternum fracture 21825 CPT 21825 | $1,054.20 | $1,757.00 | $928.00 – $2,679.00 | 3 |
| Open wedge bx lung nodule 32097 CPT 32097 | $1,553.40 | $2,589.00 | $928.00 – $2,679.00 | 3 |
| Opn exc/dst ntra-abd CPT 49189 | $2,880.00 | $4,800.00 | $928.00 – $3,504.00 | 3 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $567.00 | $945.00 | $689.85 – $2,679.00 | 3 |
| Opn tx complx malar fx CPT 21365 | $2,155.80 | $3,593.00 | $928.00 – $2,679.00 | 3 |
| Opn tx depress front sinus fx 21343 CPT 21343 | $2,340.60 | $3,901.00 | $928.00 – $2,847.73 | 3 |
| Opn tx dprsd zygomatic arch CPT 21356 | $961.20 | $1,602.00 | $928.00 – $2,679.00 | 3 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $1,084.80 | $1,808.00 | $928.00 – $2,679.00 | 3 |
| Opn tx orbit periorbtl implt CPT 21390 | $1,538.40 | $2,564.00 | $928.00 – $2,679.00 | 3 |
| Oprelvekin injection HCPCS J2355 | $464.08 | $773.46 | $262.98 – $564.63 | 3 |
| Optokinetic nystagmus test CPT 92534 | $40.80 | $68.00 | $49.64 – $2,679.00 | 3 |
| Optx complicated mndblr fx CPT 21470 | $1,780.80 | $2,968.00 | $928.00 – $2,679.00 | 3 |
| Optx medial ankle fx CPT 27766 | $848.40 | $1,414.00 | $928.00 – $2,679.00 | 3 |
| Oral aprepitant HCPCS J8501 | $302.47 | $504.11 | $89.92 – $193.07 | 3 |
| Oral busulfan HCPCS J8510 | $8.03 | $13.38 | $4.55 – $9.77 | 3 |
| Oral everolimus HCPCS J7527 | $1,182.59 | $1,970.99 | $670.14 – $1,438.82 | 3 |
| Orchiopexy ingun/scrot appr CPT 54640 | $658.20 | $1,097.00 | $800.81 – $2,679.00 | 3 |
| Organic acids total quant ea spec CPT 83918 | $210.60 | $351.00 | $119.34 – $256.23 | 3 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $1,741.77 | $2,902.95 | $987.00 – $2,119.15 | 3 |
| Oropharyngeal biopsy 42800 CPT 42800 | $312.60 | $521.00 | $380.33 – $2,679.00 | 3 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $56.42 | $94.03 | $19.08 – $40.97 | 3 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $82.20 | $137.00 | $100.01 – $2,679.00 | 3 |
| Orthopantogram CPT 70355 | $127.80 | $213.00 | $72.42 – $155.49 | 3 |
| Orthovisc inj per dose HCPCS J7324 | $859.06 | $1,431.76 | $486.80 – $1,045.18 | 3 |
| Osmolality blood CPT 83930 | $64.20 | $107.00 | $12.24 – $26.28 | 3 |
| Osmolality urine CPT 83935 | $69.00 | $115.00 | $12.92 – $27.74 | 3 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $964.80 | $1,608.00 | $928.00 – $2,679.00 | 3 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $135.00 | $225.00 | $164.25 – $2,679.00 | 3 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $139.80 | $233.00 | $170.09 – $2,679.00 | 3 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $167.40 | $279.00 | $203.67 – $2,679.00 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $1,446.60 | $2,411.00 | $928.00 – $2,679.00 | 3 |
| Oth resp proc, group HCPCS G0239 | $108.60 | $181.00 | $61.54 – $132.13 | 3 |
| Oth resp proc, indiv HCPCS G0238 | $58.80 | $98.00 | $21.08 – $45.26 | 3 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $88.20 | $147.00 | $48.28 – $103.66 | 3 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $59.40 | $99.00 | $72.27 – $2,679.00 | 3 |
| Otoplasty 69300 CPT 69300 | $1,738.20 | $2,897.00 | $928.00 – $2,679.00 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $213.00 | $355.00 | $35.02 – $75.19 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $36.60 | $61.00 | $20.06 – $43.07 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $48.60 | $81.00 | $27.54 – $59.13 | 3 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | $4,301.40 | $7,169.00 | $928.00 – $5,233.37 | 3 |
| Ovarian cystectomy 58925 CPT 58925 | $1,433.40 | $2,389.00 | $928.00 – $2,679.00 | 3 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $69.17 | $115.28 | $39.20 – $84.15 | 3 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $2,276.71 | $3,794.51 | $123.83 – $265.87 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $15.06 | $25.10 | $8.53 – $18.32 | 3 |
| Packing strips, non-impreg HCPCS A6407 | $48.60 | $81.00 | $59.13 – $2,679.00 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $938.32 | $1,563.86 | $32.80 – $70.43 | 3 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,944.34 | $4,907.23 | $1,450.74 – $3,114.83 | 3 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $6,334.10 | $10,556.83 | $604.04 – $1,296.90 | 3 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,798.91 | $4,664.85 | $928.00 – $1,586.05 | 3 |
| Palonosetron hcl HCPCS J2469 | $366.66 | $611.10 | $25.11 – $53.90 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $77.43 | $129.05 | $27.22 – $58.45 | 3 |
| Pancreatectomy 48153 CPT 48153 | $4,801.80 | $8,003.00 | $928.00 – $5,842.19 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $2,927.40 | $4,879.00 | $928.00 – $3,561.67 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $12,876.58 | $21,460.96 | $1,841.78 – $3,954.40 | 3 |
| Papaverin hcl injection HCPCS J2440 | $85.76 | $142.94 | $8.24 – $17.70 | 3 |
| Parathormone (pth) intact CPT 83970 | $232.80 | $388.00 | $71.06 – $152.57 | 3 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $2,681.40 | $4,469.00 | $928.00 – $3,262.37 | 3 |
| Parathyroid autotransplantation 60512 CPT 60512 | $465.60 | $776.00 | $566.48 – $2,679.00 | 3 |
| Paravaginal defect repair 57284 CPT 57284 | $1,598.40 | $2,664.00 | $928.00 – $2,679.00 | 3 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,675.20 | $2,792.00 | $928.00 – $2,679.00 | 3 |
| Paricalcitol HCPCS J2501 | $50.18 | $83.63 | $11.05 – $23.73 | 3 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $95.40 | $159.00 | $116.07 – $2,679.00 | 3 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $1,689.60 | $2,816.00 | $928.00 – $2,679.00 | 3 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $364.80 | $608.00 | $443.84 – $2,679.00 | 3 |
| Partial complicated cystectomy 51555 CPT 51555 | $2,497.20 | $4,162.00 | $928.00 – $3,038.26 | 3 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,161.60 | $1,936.00 | $928.00 – $2,679.00 | 3 |
| Partial hysterectomy CPT 58180 | $1,864.20 | $3,107.00 | $928.00 – $2,679.00 | 3 |
| Partial proctectomy; perineal 45123 CPT 45123 | $3,846.00 | $6,410.00 | $928.00 – $4,679.30 | 3 |
| Partial removal foot fascia CPT 28060 | $977.40 | $1,629.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of bladder CPT 51550 | $1,465.20 | $2,442.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of esophagus 43117 CPT 43117 | $4,973.40 | $8,289.00 | $928.00 – $6,050.97 | 3 |
| Partial removal of esophagus 43122 CPT 43122 | $3,921.00 | $6,535.00 | $928.00 – $4,770.55 | 3 |
| Partial removal of heart sac 33030 CPT 33030 | $3,809.40 | $6,349.00 | $928.00 – $4,634.77 | 3 |
| Partial removal of lip CPT 40530 | $1,029.00 | $1,715.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of lung 32480 CPT 32480 | $2,868.60 | $4,781.00 | $928.00 – $3,490.13 | 3 |
| Partial removal of pharynx 42890 CPT 42890 | $2,781.60 | $4,636.00 | $928.00 – $3,384.28 | 3 |
| Partial removal of rib CPT 21600 | $1,083.60 | $1,806.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of sternum CPT 21620 | $972.00 | $1,620.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of thyroid CPT 60220 | $1,367.40 | $2,279.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of thyroid CPT 60225 | $1,783.80 | $2,973.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of toe CPT 28160 | $802.20 | $1,337.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of tongue CPT 41120 | $2,065.20 | $3,442.00 | $928.00 – $2,679.00 | 3 |
| Partial removal of vaginal wall 57106 CPT 57106 | $936.60 | $1,561.00 | $928.00 – $2,679.00 | 3 |
| Partial thyroid excision CPT 60210 | $1,357.20 | $2,262.00 | $928.00 – $2,679.00 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $1,939.80 | $3,233.00 | $928.00 – $2,679.00 | 3 |
| Part removal of metatarsal CPT 28110 | $877.80 | $1,463.00 | $928.00 – $2,679.00 | 3 |
| Part removal of metatarsal CPT 28113 | $1,131.00 | $1,885.00 | $928.00 – $2,679.00 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | $934.20 | $1,557.00 | $928.00 – $2,679.00 | 3 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.60 | $1.00 | $0.34 – $0.73 | 3 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $28.80 | $48.00 | $35.04 – $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.