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 |
|---|---|---|---|---|
| Blood Count (CBC) Test (without differential) CPT 85027 | $398.40 | $664.00 | $12.24 – $26.28 | 3 |
| Blood count spun microhematocrit CPT 85013 | $20.40 | $34.00 | $11.56 – $24.82 | 3 |
| Blood Culture Test CPT 87040 | $112.20 | $187.00 | $58.82 – $126.29 | 3 |
| Blood draw capillary 36416 CPT 36416 | $13.80 | $23.00 | $6.80 – $14.60 | 3 |
| Blood Draw (Venipuncture) CPT 36415 | $27.60 | $46.00 | $3.74 – $8.03 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $138.00 | $230.00 | $59.16 – $127.02 | 3 |
| Blood gases ph venous CPT 82800 | $41.40 | $69.00 | $23.46 – $50.37 | 3 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $96.00 | $30.60 – $62.05 | 3 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $30.60 | $51.00 | $17.34 – $18.98 | 3 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $30.60 | $51.00 | $10.88 – $23.36 | 3 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $30.60 | $51.00 | $10.88 – $23.36 | 3 |
| Blood smear interpretation CPT 85060 | $52.20 | $87.00 | $12.24 – $26.28 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $37.80 | $63.00 | $20.40 – $43.80 | 3 |
| Blood Transfusion CPT 36430 | $545.40 | $909.00 | $86.14 – $268.60 | 3 |
| Blood typing abo CPT 86900 | $31.20 | $52.00 | $5.78 – $12.41 | 3 |
| Blood typing ag donor ea ag CPT 86902 | $104.40 | $174.00 | $14.96 – $32.12 | 3 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $15.00 | $25.00 | $8.50 – $18.25 | 3 |
| Blood typing rh (d) CPT 86901 | $21.00 | $35.00 | $5.78 – $12.41 | 3 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $130.20 | $217.00 | $34.31 – $73.78 | 3 |
| Bone biopsy open superficial CPT 20240 | $426.00 | $710.00 | $518.30 – $2,679.00 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | $246.00 | $410.00 | $139.40 – $299.30 | 3 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,914.00 | $3,190.00 | $370.11 – $1,084.60 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,981.80 | $3,303.00 | $387.63 – $1,123.02 | 3 |
| Bone survey-lead poisoning CPT 77074 | $244.20 | $407.00 | $138.38 – $297.11 | 3 |
| Boot heel care softcare one sz HCPCS E0191 | $79.20 | $132.00 | $44.88 – $96.36 | 3 |
| Boot j walker l HCPCS L4386 | $84.00 | $140.00 | $6.57 – $24.48 | 3 |
| Boot mlti podous univ xlg HCPCS L4396 | $80.40 | $134.00 | $39.10 – $83.95 | 3 |
| Boot softgait shrt m HCPCS L4387 | $33.60 | $56.00 | $40.88 – $2,679.00 | 3 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $46.80 | $78.00 | $56.94 – $2,679.00 | 3 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $139.80 | $233.00 | $24.48 – $52.56 | 3 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,880.64 | $4,801.06 | $58.59 – $125.79 | 3 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $16.80 | $28.00 | $20.44 – $2,679.00 | 3 |
| Brace ank air stirrup univ HCPCS L4350 | $46.80 | $78.00 | $15.64 – $33.58 | 3 |
| Brace ankle stablizing lg HCPCS L1902 | $16.80 | $28.00 | $20.44 – $2,679.00 | 3 |
| Brace knee extender plus 22-30in HCPCS L1832 | $288.00 | $480.00 | $127.50 – $273.75 | 3 |
| Brace knee hing pat open med HCPCS L1820 | $19.80 | $33.00 | $24.09 – $2,679.00 | 3 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $33.00 | $55.00 | $15.30 – $32.85 | 3 |
| Brace m arm board HCPCS L3809 | $24.60 | $41.00 | $29.93 – $2,679.00 | 3 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $52.80 | $88.00 | $29.92 – $55.48 | 3 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $16.20 | $27.00 | $19.71 – $2,679.00 | 3 |
| Brace wrist classic lft sm HCPCS L3908 | $19.80 | $33.00 | $5.10 – $9.49 | 3 |
| Brachioplasty 15836 CPT 15836 | $1,435.80 | $2,393.00 | $928.00 – $2,679.00 | 3 |
| Brach/thor cath 1st CPT 36215 | $2,207.40 | $3,679.00 | $928.00 – $2,685.67 | 3 |
| Brach/thor cath 2nd CPT 36216 | $2,453.40 | $4,089.00 | $928.00 – $2,984.97 | 3 |
| Brach/thor cath 3rd CPT 36217 | $564.60 | $941.00 | $686.93 – $2,679.00 | 3 |
| Brach/thor cath addl CPT 36218 | $374.40 | $624.00 | $455.52 – $2,679.00 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,329.20 | $3,882.00 | $1,319.88 – $2,833.86 | 3 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,891.80 | $3,153.00 | $1,072.02 – $2,301.69 | 3 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,755.60 | $2,926.00 | $994.84 – $2,135.98 | 3 |
| Brain MRI (with and without contrast) CPT 70553 | $2,997.60 | $4,996.00 | $1,698.64 – $3,647.08 | 3 |
| Brain MRI (with contrast) CPT 70552 | $1,600.20 | $2,667.00 | $906.78 – $1,946.91 | 3 |
| Brain MRI (without contrast) CPT 70551 | $1,509.60 | $2,516.00 | $855.44 – $1,836.68 | 3 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $110.40 | $184.00 | $37.40 – $80.30 | 3 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $1,176.00 | $1,960.00 | $666.40 – $1,430.80 | 3 |
| Brcassure comprehensive panel-sendout CPT 81162 | $5,110.20 | $8,517.00 | $2,761.14 – $5,928.33 | 3 |
| Breast augmentation 19325 CPT 19325 | $1,246.20 | $2,077.00 | $928.00 – $2,679.00 | 3 |
| Breastbone (Sternum) X-ray CPT 71120 | $176.40 | $294.00 | $55.48 – $99.96 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $825.60 | $1,376.00 | $254.77 – $296.82 | 3 |
| Breast reconstruction 19357 CPT 19357 | $2,886.00 | $4,810.00 | $928.00 – $3,511.30 | 3 |
| Breast reconstruction tram flap 19367 CPT 19367 | $3,478.80 | $5,798.00 | $928.00 – $4,232.54 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $3,096.00 | $5,160.00 | $928.00 – $3,766.80 | 3 |
| Breast reduction CPT 19318 | $2,145.60 | $3,576.00 | $928.00 – $2,679.00 | 3 |
| Breath hydrogen test 91065 CPT 91065 | $175.20 | $292.00 | $213.16 – $2,679.00 | 3 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $21,650.04 | $36,083.40 | $12,268.36 – $26,340.88 | 3 |
| Brief comunicaj tech-bsd svc CPT 98016 | $21.60 | $36.00 | $26.28 – $2,679.00 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $553.80 | $923.00 | $673.79 – $2,679.00 | 3 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $280.20 | $467.00 | $340.91 – $2,679.00 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | $481.80 | $803.00 | $586.19 – $2,679.00 | 3 |
| Bronch ebus samplng 3/> node CPT 31653 | $533.40 | $889.00 | $648.97 – $2,679.00 | 3 |
| Bronchial challenge CPT 94070 | $364.80 | $608.00 | $71.54 – $206.72 | 3 |
| Bronchoscopy clear airways 31645 CPT 31645 | $611.40 | $1,019.00 | $743.87 – $2,679.00 | 3 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $141.00 | $235.00 | $171.55 – $2,679.00 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $754.80 | $1,258.00 | $918.34 – $2,679.00 | 3 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $123.60 | $206.00 | $150.38 – $2,679.00 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,184.40 | $1,974.00 | $928.00 – $2,679.00 | 3 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $655.80 | $1,093.00 | $797.89 – $2,679.00 | 3 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $680.40 | $1,134.00 | $827.82 – $2,679.00 | 3 |
| Bronch w/balloon occlusion CPT 31634 | $2,519.40 | $4,199.00 | $928.00 – $3,065.27 | 3 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $878.40 | $1,464.00 | $928.00 – $2,679.00 | 3 |
| Br punct aspir ea add, l CPT 19001 | $423.60 | $706.00 | $81.03 – $228.48 | 3 |
| Bso omentectomy w/tah 58956 CPT 58956 | $2,578.20 | $4,297.00 | $928.00 – $3,136.81 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $18.34 | $30.56 | $8.80 – $18.89 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $28.80 | $48.00 | $16.32 – $35.04 | 3 |
| Bundled special stain group 2 CPT 88313 | $53.40 | $89.00 | $30.26 – $64.97 | 3 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $14.65 | $24.42 | $8.30 – $17.83 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $306.00 | $510.00 | $111.18 – $238.71 | 3 |
| Buprenorphine hydrochloride HCPCS J0592 | $36.55 | $60.91 | $19.22 – $41.27 | 3 |
| Burr hole for vent puncture 61120 CPT 61120 | $1,578.60 | $2,631.00 | $928.00 – $2,679.00 | 3 |
| Burr hole implant ventricular cath/other device CPT 61210 | $851.40 | $1,419.00 | $928.00 – $2,679.00 | 3 |
| Burr hole skull for biopsy 61140 CPT 61140 | $2,322.00 | $3,870.00 | $928.00 – $2,825.10 | 3 |
| Burr hole skull & remove clot 61154 CPT 61154 | $2,338.80 | $3,898.00 | $928.00 – $2,845.54 | 3 |
| Bur rotalink 2.15mm HCPCS C1724 | $8,539.20 | $14,232.00 | $83.64 – $179.58 | 3 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $25.38 | $42.30 | $9.24 – $19.85 | 3 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $489.00 | $815.00 | $594.95 – $2,679.00 | 3 |
| Bx breast perq without image 19100 CPT 19100 | $279.60 | $466.00 | $340.18 – $2,679.00 | 3 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $594.00 | $990.00 | $722.70 – $2,679.00 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $993.60 | $1,656.00 | $928.00 – $2,679.00 | 3 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $622.80 | $1,038.00 | $757.74 – $2,679.00 | 3 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $1,096.20 | $1,827.00 | $928.00 – $2,679.00 | 3 |
| Bx liver with other CPT 47001 | $238.20 | $397.00 | $289.81 – $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.