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 |
|---|---|---|---|---|
| Art bypass aortobi-iliac 35638 CPT 35638 | $3,525.00 | $5,875.00 | $928.00 – $4,288.75 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | $2,208.60 | $3,681.00 | $928.00 – $2,687.13 | 3 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $3,058.80 | $5,098.00 | $928.00 – $3,721.54 | 3 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $2,665.80 | $4,443.00 | $928.00 – $3,243.39 | 3 |
| Art bypass common ipsi carotid 35601 CPT 35601 | $2,831.40 | $4,719.00 | $928.00 – $3,444.87 | 3 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $2,553.00 | $4,255.00 | $928.00 – $3,106.15 | 3 |
| Art bypass femoral-femoral 35661 CPT 35661 | $2,180.40 | $3,634.00 | $928.00 – $2,679.00 | 3 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $2,439.00 | $4,065.00 | $928.00 – $2,967.45 | 3 |
| Art bypass iliofemoral 35665 CPT 35665 | $2,358.00 | $3,930.00 | $928.00 – $2,868.90 | 3 |
| Art bypass subclav-subclavian 35612 CPT 35612 | $2,386.20 | $3,977.00 | $928.00 – $2,903.21 | 3 |
| Art byp axillary-axillary 35650 CPT 35650 | $954.60 | $1,591.00 | $928.00 – $2,679.00 | 3 |
| Art byp grft aortbifemoral 35540 CPT 35540 | $5,098.80 | $8,498.00 | $928.00 – $6,203.54 | 3 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | $4,594.80 | $7,658.00 | $928.00 – $5,590.34 | 3 |
| Art byp grft fem-femoral 35558 CPT 35558 | $2,477.40 | $4,129.00 | $928.00 – $3,014.17 | 3 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $2,806.20 | $4,677.00 | $928.00 – $3,414.21 | 3 |
| Art byp ilioiliac 35663 CPT 35663 | $1,854.00 | $3,090.00 | $928.00 – $2,679.00 | 3 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $2,674.20 | $4,457.00 | $928.00 – $3,253.61 | 3 |
| Arterial blood draw/perc 36620 CPT 36620 | $135.60 | $226.00 | $164.98 – $2,679.00 | 3 |
| Artery by graft; iliofemoral 35565 CPT 35565 | $1,875.00 | $3,125.00 | $928.00 – $2,679.00 | 3 |
| Artery transpose/endovas taa CPT 33889 | $1,052.40 | $1,754.00 | $928.00 – $2,679.00 | 3 |
| Artery-vein nonautograft CPT 36830 | $1,297.80 | $2,163.00 | $928.00 – $2,679.00 | 3 |
| Artery xray each vessel 7577426 CPT 75774 | $89.40 | $149.00 | $108.77 – $2,679.00 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $299.40 | $499.00 | $364.27 – $2,679.00 | 3 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $118.20 | $197.00 | $143.81 – $2,679.00 | 3 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $133.20 | $222.00 | $162.06 – $2,679.00 | 3 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $94.80 | $158.00 | $115.34 – $2,679.00 | 3 |
| Art expos/graft artery perfusion 33987 CPT 33987 | $460.80 | $768.00 | $560.64 – $2,679.00 | 3 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $2,812.20 | $4,687.00 | $928.00 – $3,421.51 | 3 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $2,208.00 | $3,680.00 | $928.00 – $2,686.40 | 3 |
| Arthrd ant ntrbdy cervical CPT 22551 | $3,213.60 | $5,356.00 | $928.00 – $3,909.88 | 3 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $3,481.20 | $5,802.00 | $928.00 – $4,235.46 | 3 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $2,886.00 | $4,810.00 | $928.00 – $3,511.30 | 3 |
| Arthrd si jt perq/min nvas CPT 27279 | $1,167.60 | $1,946.00 | $928.00 – $2,679.00 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $522.00 | $870.00 | $134.32 – $197.20 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $579.60 | $966.00 | $135.78 – $328.44 | 3 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $478.20 | $797.00 | $159.87 – $270.98 | 3 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $291.00 | $485.00 | $127.02 – $164.90 | 3 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $97.80 | $163.00 | $118.99 – $2,679.00 | 3 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $741.00 | $1,235.00 | $901.55 – $2,679.00 | 3 |
| Arthrodesis big toe joint 28760 CPT 28760 | $1,507.20 | $2,512.00 | $928.00 – $2,679.00 | 3 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $822.60 | $1,371.00 | $928.00 – $2,679.00 | 3 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $936.00 | $1,560.00 | $928.00 – $2,679.00 | 3 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $601.20 | $1,002.00 | $731.46 – $2,679.00 | 3 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | $2,064.00 | $3,440.00 | $928.00 – $2,679.00 | 3 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $2,786.40 | $4,644.00 | $928.00 – $3,390.12 | 3 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $738.60 | $1,231.00 | $898.63 – $2,679.00 | 3 |
| Arthrodesis subtalar CPT 28725 | $1,086.60 | $1,811.00 | $928.00 – $2,679.00 | 3 |
| Arthroplasty finger joint 26535 CPT 26535 | $805.20 | $1,342.00 | $928.00 – $2,679.00 | 3 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $793.20 | $1,322.00 | $928.00 – $2,679.00 | 3 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $901.80 | $1,503.00 | $928.00 – $2,679.00 | 3 |
| Artific inseminationintrauterine 58322 CPT 58322 | $167.40 | $279.00 | $203.67 – $2,679.00 | 3 |
| Art trnsposj subclav carotid 35694 CPT 35694 | $1,991.40 | $3,319.00 | $928.00 – $2,679.00 | 3 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | $6,285.00 | $10,475.00 | $928.00 – $7,646.75 | 3 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | $4,748.40 | $7,914.00 | $928.00 – $5,777.22 | 3 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | $6,670.20 | $11,117.00 | $928.00 – $8,115.41 | 3 |
| Ascenda two piece catheter HCPCS C1772 | $23,222.40 | $38,704.00 | $12,622.50 – $27,101.25 | 3 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | $3,182.40 | $5,304.00 | $928.00 – $3,871.92 | 3 |
| Asp & inj bone cyst CPT 20615 | $442.80 | $738.00 | $538.74 – $2,679.00 | 3 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $2,034.00 | $3,390.00 | $928.00 – $2,679.00 | 3 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $382.80 | $638.00 | $465.74 – $2,679.00 | 3 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $348.00 | $580.00 | $137.97 – $197.20 | 3 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,028.40 | $1,714.00 | $380.33 – $388.62 | 3 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $829.20 | $1,382.00 | $386.90 – $447.44 | 3 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $216.60 | $361.00 | $263.53 – $2,679.00 | 3 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $554.40 | $924.00 | $674.52 – $2,679.00 | 3 |
| Assay of interleukin-6 (il-6) CPT 83529 | $82.80 | $138.00 | $46.92 – $100.74 | 3 |
| Assay of leflunomide CPT 80193 | $385.80 | $643.00 | $94.18 – $202.21 | 3 |
| Assay of procainamide w/metab CPT 80192 | $85.20 | $142.00 | $48.28 – $103.66 | 3 |
| Assay of salicylate CPT 80179 | $70.80 | $118.00 | $40.12 – $86.14 | 3 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $253.80 | $423.00 | $55.42 – $118.99 | 3 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $587.40 | $979.00 | $714.67 – $2,679.00 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $30.00 | $50.00 | $17.00 – $36.50 | 3 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $134.40 | $224.00 | $163.52 – $2,679.00 | 3 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $552.00 | $920.00 | $250.39 – $2,679.00 | 3 |
| Assistive tech assessment, ot CPT 97755 | $63.00 | $105.00 | $35.70 – $55.48 | 3 |
| Ast/sgot CPT 84450 | $45.60 | $76.00 | $10.20 – $21.90 | 3 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $19,958.81 | $33,264.69 | $7,922.03 – $17,009.07 | 3 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $963.00 | $1,605.00 | $928.00 – $2,679.00 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $1,183.80 | $1,973.00 | $928.00 – $2,679.00 | 3 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $147.56 | $245.94 | $7.16 – $15.38 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | $1,704.60 | $2,841.00 | $928.00 – $2,679.00 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | $1,296.00 | $2,160.00 | $928.00 – $2,679.00 | 3 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $200.40 | $334.00 | $76.16 – $163.52 | 3 |
| Audiometry air + bone CPT 92553 | $67.80 | $113.00 | $82.49 – $2,679.00 | 3 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,705.00 | $11,175.00 | $3,799.50 – $8,157.75 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $492.60 | $821.00 | $599.33 – $2,679.00 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $1,156.80 | $1,928.00 | $928.00 – $2,679.00 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $2,357.01 | $3,928.35 | $1,335.64 – $2,867.70 | 3 |
| Av fistula revision CPT 36833 | $1,294.20 | $2,157.00 | $928.00 – $2,679.00 | 3 |
| Av fuse uppr arm basilic CPT 36819 | $1,462.20 | $2,437.00 | $928.00 – $2,679.00 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | $1,323.00 | $2,205.00 | $928.00 – $2,679.00 | 3 |
| Av fusion direct any site CPT 36821 | $1,361.40 | $2,269.00 | $928.00 – $2,679.00 | 3 |
| Av fusion/forearm vein 36820 CPT 36820 | $1,587.00 | $2,645.00 | $928.00 – $2,679.00 | 3 |
| Avul nail plate addl CPT 11732 | $69.60 | $116.00 | $84.68 – $2,679.00 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $242.40 | $404.00 | $137.36 – $226.30 | 3 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $1,295.40 | $2,159.00 | $928.00 – $2,679.00 | 3 |
| Azacitidine injection HCPCS J9025 | $953.01 | $1,588.35 | $234.23 – $502.91 | 3 |
| Azathioprine 50 mg tablet HCPCS J7500 | $78.05 | $130.09 | $24.67 – $52.96 | 3 |
| Azathioprine parenteral HCPCS J7501 | $484.20 | $807.00 | $274.38 – $589.11 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $62.08 | $103.47 | $22.89 – $49.15 | 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.