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 |
|---|---|---|---|---|
| Positional nystagmus test CPT 92532 | $48.00 | $80.00 | $58.40 – $2,679.00 | 3 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,383.00 | $2,305.00 | $928.00 – $2,679.00 | 3 |
| Postpartum Care Only CPT 59430 | $364.80 | $608.00 | $443.84 – $2,679.00 | 3 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,441.80 | $2,403.00 | $928.00 – $2,679.00 | 3 |
| Potassium 24 hour urine CPT 84133 | $50.40 | $84.00 | $8.84 – $18.98 | 3 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $38.73 | $64.55 | $9.34 – $20.05 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | $12.60 | $21.00 | $15.33 – $2,679.00 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $54.00 | $90.00 | $14.96 – $32.12 | 3 |
| Powder prem protct 1oz HCPCS A4371 | $1.80 | $3.00 | $1.02 – $2.19 | 3 |
| Pq biliary strict dil s&i CPT 74363 | $1,008.00 | $1,680.00 | $571.20 – $1,226.40 | 3 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $1,077.60 | $1,796.00 | $928.00 – $2,679.00 | 3 |
| Pq thr inj ext pse CPT 36002 | $261.00 | $435.00 | $317.55 – $2,679.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $453.60 | $756.00 | $551.88 – $2,679.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $961.80 | $1,603.00 | $928.00 – $2,679.00 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $904.20 | $1,507.00 | $928.00 – $2,679.00 | 3 |
| Pralatrexate injection HCPCS J9307 | $22,150.81 | $36,918.02 | $6,287.80 – $13,500.27 | 3 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $183.17 | $305.29 | $103.80 – $222.86 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,215.00 | $2,025.00 | $928.00 – $2,679.00 | 3 |
| Pr application of long arm splint CPT 29105 | $232.20 | $387.00 | $131.58 – $200.75 | 3 |
| Pr application splint static short arm CPT 29125 | $211.20 | $352.00 | $119.68 – $147.46 | 3 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $8.40 | $14.00 | $10.22 – $2,679.00 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $201.60 | $336.00 | $245.28 – $2,679.00 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,569.00 | $2,615.00 | $928.00 – $2,679.00 | 3 |
| Pr correction hammertoe CPT 28285 | $1,003.20 | $1,672.00 | $928.00 – $2,679.00 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $27.60 | $46.00 | $9.18 – $19.71 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | $614.40 | $1,024.00 | $747.52 – $2,679.00 | 3 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $144.00 | $240.00 | $175.20 – $2,679.00 | 3 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $213.60 | $356.00 | $259.88 – $2,679.00 | 3 |
| Prealbumin CPT 84134 | $130.20 | $217.00 | $27.54 – $59.13 | 3 |
| Pr ecg 12 lead report only CPT 93010 | $18.00 | $30.00 | $21.90 – $2,679.00 | 3 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $73.80 | $123.00 | $89.79 – $2,679.00 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.87 | $23.12 | $1.07 – $2.29 | 3 |
| Pregabalin - sendout CPT 80366 | $208.20 | $347.00 | $117.98 – $253.31 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $431.40 | $719.00 | $524.87 – $2,679.00 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | $54.00 | $90.00 | $30.60 – $65.70 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $451.80 | $753.00 | $235.79 – $256.02 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $379.20 | $632.00 | $205.13 – $214.88 | 3 |
| Pregnancy Ultrasound (limited) CPT 76815 | $322.20 | $537.00 | $84.68 – $182.58 | 3 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $183.00 | $305.00 | $222.65 – $2,679.00 | 3 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $934.20 | $1,557.00 | $928.00 – $2,679.00 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,672.80 | $2,788.00 | $928.00 – $2,679.00 | 3 |
| Prep skin to 100cm2 other CPT 15004 | $757.80 | $1,263.00 | $921.99 – $2,679.00 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $651.00 | $1,085.00 | $792.05 – $2,679.00 | 3 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $142.20 | $237.00 | $173.01 – $2,679.00 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $109.20 | $182.00 | $23.12 – $49.64 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $178.80 | $298.00 | $217.54 – $2,679.00 | 3 |
| Preventive counseling group CPT 99411 | $19.80 | $33.00 | $24.09 – $2,679.00 | 3 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $59.40 | $99.00 | $72.27 – $2,679.00 | 3 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $117.00 | $195.00 | $142.35 – $2,679.00 | 3 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $175.80 | $293.00 | $213.89 – $2,679.00 | 3 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $236.40 | $394.00 | $287.62 – $2,679.00 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $259.20 | $432.00 | $315.36 – $2,679.00 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $231.00 | $385.00 | $281.05 – $2,679.00 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $406.80 | $678.00 | $494.94 – $2,679.00 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $465.60 | $776.00 | $263.84 – $511.00 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,548.80 | $4,248.00 | $928.00 – $3,101.04 | 3 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $403.80 | $673.00 | $491.29 – $2,679.00 | 3 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $274.20 | $457.00 | $333.61 – $2,679.00 | 3 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $201.60 | $336.00 | $245.28 – $2,679.00 | 3 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $208.80 | $348.00 | $254.04 – $2,679.00 | 3 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $145.80 | $243.00 | $177.39 – $2,679.00 | 3 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $78.60 | $131.00 | $95.63 – $2,679.00 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $4,483.80 | $7,473.00 | $928.00 – $5,455.29 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,315.80 | $2,193.00 | $928.00 – $2,679.00 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $489.00 | $815.00 | $277.10 – $462.82 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $242.40 | $404.00 | $137.36 – $264.26 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $431.40 | $719.00 | $244.46 – $258.42 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $348.60 | $581.00 | $197.54 – $323.39 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $337.80 | $563.00 | $410.99 – $2,679.00 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $238.80 | $398.00 | $290.54 – $2,679.00 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $111.60 | $186.00 | $63.24 – $81.76 | 3 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,117.80 | $1,863.00 | $928.00 – $2,679.00 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,118.60 | $8,531.00 | $597.04 – $1,281.88 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,075.14 | $1,791.90 | $132.90 – $285.34 | 3 |
| Procalcitonin CPT 84145 | $240.60 | $401.00 | $39.10 – $83.95 | 3 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.34 | $37.23 | $9.66 – $20.73 | 3 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $2.59 | $4.31 | $1.47 – $3.15 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $3,588.60 | $5,981.00 | $928.00 – $4,366.13 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $3,515.40 | $5,859.00 | $928.00 – $4,277.07 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $453.60 | $756.00 | $551.88 – $2,679.00 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,764.60 | $2,941.00 | $928.00 – $2,679.00 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $229.80 | $383.00 | $279.59 – $2,679.00 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $436.80 | $728.00 | $531.44 – $2,679.00 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $369.00 | $615.00 | $448.95 – $2,679.00 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $429.00 | $715.00 | $521.95 – $2,679.00 | 3 |
| Progesterone CPT 84144 | $109.80 | $183.00 | $39.78 – $85.41 | 3 |
| Prolactin CPT 84146 | $118.20 | $197.00 | $30.94 – $66.43 | 3 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $63.00 | $105.00 | $76.65 – $2,679.00 | 3 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $57.00 | $95.00 | $69.35 – $2,679.00 | 3 |
| Prolng svc o/p 1st hour CPT 99354 | $198.60 | $331.00 | $241.63 – $2,679.00 | 3 |
| Prolng svc o/p ea addl 30 CPT 99355 | $196.20 | $327.00 | $238.71 – $2,679.00 | 3 |
| Prolong home eval add 15m HCPCS G0318 | $46.80 | $78.00 | $56.94 – $2,679.00 | 3 |
| Prolong service without contact CPT 99358 | $213.60 | $356.00 | $259.88 – $2,679.00 | 3 |
| Prolong serv without contact add CPT 99359 | $107.40 | $179.00 | $130.67 – $2,679.00 | 3 |
| _propoxygc/msur CPT 80367 | $306.00 | $510.00 | $173.40 – $372.30 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $32.75 | $54.59 | $18.56 – $39.85 | 3 |
| Prostate ca screening; dre HCPCS G0102 | $30.60 | $51.00 | $37.23 – $2,679.00 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $578.40 | $964.00 | $56.94 – $113.22 | 3 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $82.80 | $138.00 | $46.92 – $100.74 | 3 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $67.80 | $113.00 | $31.62 – $67.89 | 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.