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 |
|---|---|---|---|---|
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $170.40 | $284.00 | $25.84 – $55.48 | 3 |
| Warde lipoprotein (a) CPT 83695 | $108.60 | $181.00 | $25.84 – $55.48 | 3 |
| Warde mitochondrial antibody each CPT 86381 | $78.60 | $131.00 | $44.54 – $95.63 | 3 |
| Warde neutralization rabies CPT 86382 | $85.80 | $143.00 | $25.84 – $55.48 | 3 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $44.40 | $74.00 | $25.16 – $54.02 | 3 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $232.20 | $387.00 | $131.58 – $282.51 | 3 |
| Warde protein c antigen CPT 85302 | $99.00 | $165.00 | $24.48 – $52.56 | 3 |
| Warde sex hormone binding globulin CPT 84270 | $156.60 | $261.00 | $43.86 – $94.17 | 3 |
| Warde somatomedin CPT 84305 | $177.00 | $295.00 | $40.46 – $86.87 | 3 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $124.80 | $208.00 | $14.28 – $30.66 | 3 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $55.80 | $93.00 | $30.26 – $64.97 | 3 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $403.20 | $672.00 | $96.22 – $206.59 | 3 |
| Warde topiramate therapeutic drug level CPT 80201 | $57.60 | $96.00 | $24.48 – $52.56 | 3 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $117.60 | $196.00 | $16.32 – $35.04 | 3 |
| Warde viscosity CPT 85810 | $42.60 | $71.00 | $24.14 – $51.83 | 3 |
| Warde vitamin a CPT 84590 | $39.60 | $66.00 | $22.44 – $48.18 | 3 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $135.60 | $226.00 | $40.46 – $86.87 | 3 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $198.60 | $331.00 | $56.44 – $121.18 | 3 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $21.00 | $35.00 | $11.56 – $24.82 | 3 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $288.00 | $480.00 | $77.18 – $165.71 | 3 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $47.40 | $79.00 | $26.86 – $57.67 | 3 |
| Warde zinc CPT 84630 | $85.80 | $143.00 | $22.10 – $47.45 | 3 |
| Wbc automated CPT 85048 | $30.00 | $50.00 | $8.84 – $18.98 | 3 |
| Wedge biopsy of liver 47100 CPT 47100 | $1,584.00 | $2,640.00 | $928.00 – $2,679.00 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | $1,362.60 | $2,271.00 | $928.00 – $2,679.00 | 3 |
| Wedge resect of lung add-on 32506 CPT 32506 | $301.20 | $502.00 | $366.46 – $2,679.00 | 3 |
| Wedge resect of lung diag 32507 CPT 32507 | $338.40 | $564.00 | $411.72 – $2,679.00 | 3 |
| Wedge resect of lung initial 32505 CPT 32505 | $1,333.80 | $2,223.00 | $928.00 – $2,679.00 | 3 |
| Wet mounts/ w preparations HCPCS Q0111 | $21.60 | $36.00 | $26.28 – $2,679.00 | 3 |
| Whole Skeleton X-ray Survey CPT 77075 | $464.40 | $774.00 | $263.16 – $565.02 | 3 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $669.00 | $1,115.00 | $132.13 – $379.10 | 3 |
| Wound closure by adhesive HCPCS G0168 | $154.20 | $257.00 | $187.61 – $2,679.00 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $82.20 | $137.00 | $100.01 – $2,679.00 | 3 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $216.00 | $360.00 | $262.80 – $2,679.00 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $70.80 | $118.00 | $86.14 – $2,679.00 | 3 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $75.00 | $125.00 | $91.25 – $2,679.00 | 3 |
| Wrist X-ray CPT 73110 | $264.60 | $441.00 | $70.08 – $99.96 | 3 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $184.20 | $307.00 | $58.40 – $69.36 | 3 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,469.40 | $2,449.00 | $928.00 – $2,679.00 | 3 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,335.60 | $2,226.00 | $928.00 – $2,679.00 | 3 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $669.00 | $1,115.00 | $813.95 – $2,679.00 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $186.00 | $310.00 | $104.04 – $124.10 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $412.20 | $687.00 | $155.72 – $334.34 | 3 |
| X-ray bone length studies CPT 77073 | $186.00 | $310.00 | $105.40 – $226.30 | 3 |
| X-ray bone survey infant CPT 77076 | $469.20 | $782.00 | $265.88 – $570.86 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $91.80 | $153.00 | $111.69 – $2,679.00 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | $115.20 | $192.00 | $140.16 – $2,679.00 | 3 |
| X-ray exam of arm infant CPT 73092 | $195.00 | $325.00 | $73.78 – $158.41 | 3 |
| X-ray exam of femur 1 CPT 73551 | $191.40 | $319.00 | $72.42 – $155.49 | 3 |
| X-ray exam of jaw joint CPT 70328 | $169.80 | $283.00 | $96.22 – $206.59 | 3 |
| X-ray exam si joints CPT 72200 | $170.40 | $284.00 | $54.75 – $96.56 | 3 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $161.40 | $269.00 | $51.83 – $91.46 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $83.40 | $139.00 | $80.30 – $2,679.00 | 3 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $376.20 | $627.00 | $213.18 – $457.71 | 3 |
| X-ray joint survey 1 view CPT 77077 | $121.20 | $202.00 | $68.68 – $81.03 | 3 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $232.20 | $387.00 | $60.59 – $87.72 | 3 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $144.60 | $241.00 | $81.94 – $175.93 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | $181.20 | $302.00 | $22.63 – $62.90 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $166.80 | $278.00 | $47.45 – $94.52 | 3 |
| X-ray of mammary ducts CPT 77054 | $231.60 | $386.00 | $131.24 – $281.78 | 3 |
| X-ray ribs 2 views left CPT 71100 | $243.60 | $406.00 | $55.48 – $138.04 | 3 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $383.40 | $639.00 | $217.26 – $466.47 | 3 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $250.80 | $418.00 | $142.12 – $305.14 | 3 |
| X-ray small intestine follow-through study CPT 74248 | $224.40 | $374.00 | $121.04 – $259.88 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $192.00 | $320.00 | $108.80 – $233.60 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $158.40 | $264.00 | $89.76 – $192.72 | 3 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $282.60 | $471.00 | $343.83 – $2,679.00 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | $102.00 | $170.00 | $36.38 – $78.11 | 3 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $4,764.60 | $7,941.00 | $1,361.70 – $2,923.65 | 3 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $8,543.16 | $14,238.60 | $1,629.35 – $3,498.31 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,949.30 | $3,248.83 | $24.31 – $52.19 | 3 |
| Zoster vaccine-live inj CPT 90736 | $407.60 | $679.34 | $230.98 – $495.92 | 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.