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 |
|---|---|---|---|---|
| Bx muscle CPT 20200 | $386.40 | $644.00 | $470.12 – $2,679.00 | 3 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $440.40 | $734.00 | $535.82 – $2,679.00 | 3 |
| Bx of breast open 19101 CPT 19101 | $637.20 | $1,062.00 | $775.26 – $2,679.00 | 3 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $554.40 | $924.00 | $674.52 – $2,679.00 | 3 |
| Bx shoulder tissues deep 23066 CPT 23066 | $1,012.80 | $1,688.00 | $928.00 – $2,679.00 | 3 |
| Bx shoulder tissues supf 23065 CPT 23065 | $417.60 | $696.00 | $508.08 – $2,679.00 | 3 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $84.00 | $140.00 | $102.20 – $2,679.00 | 3 |
| Bx skin punch ea sep/ addl les CPT 11105 | $70.20 | $117.00 | $85.41 – $2,679.00 | 3 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $58.80 | $98.00 | $71.54 – $2,679.00 | 3 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $484.20 | $807.00 | $589.11 – $2,679.00 | 3 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $646.80 | $1,078.00 | $786.94 – $2,679.00 | 3 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,293.00 | $2,155.00 | $928.00 – $2,679.00 | 3 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $833.40 | $1,389.00 | $928.00 – $2,679.00 | 3 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $495.00 | $825.00 | $602.25 – $2,679.00 | 3 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $513.60 | $856.00 | $624.88 – $2,679.00 | 3 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $215.40 | $359.00 | $262.07 – $2,679.00 | 3 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $171.00 | $285.00 | $208.05 – $2,679.00 | 3 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $160.20 | $267.00 | $194.91 – $2,679.00 | 3 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $115.20 | $192.00 | $140.16 – $2,679.00 | 3 |
| Bypass temp external fem-fem CPT 37799 | $493.80 | $823.00 | $600.79 – $2,679.00 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $40.80 | $68.00 | $23.12 – $49.64 | 3 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $25,473.62 | $42,456.03 | $14,435.05 – $30,992.90 | 3 |
| Cabg 2 arterial grafts 33534 CPT 33534 | $4,303.80 | $7,173.00 | $928.00 – $5,236.29 | 3 |
| Cabg 3 arterial grafts 33535 CPT 33535 | $4,795.20 | $7,992.00 | $928.00 – $5,834.16 | 3 |
| Cabg arterial four or more 33536 CPT 33536 | $5,693.40 | $9,489.00 | $928.00 – $6,926.97 | 3 |
| Cabgsingle artery graft 33533 CPT 33533 | $4,146.00 | $6,910.00 | $928.00 – $5,044.30 | 3 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | $3,787.20 | $6,312.00 | $928.00 – $4,607.76 | 3 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | $1,023.00 | $1,705.00 | $928.00 – $2,679.00 | 3 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | $4,157.40 | $6,929.00 | $928.00 – $5,058.17 | 3 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | $4,719.00 | $7,865.00 | $928.00 – $5,741.45 | 3 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | $4,843.20 | $8,072.00 | $928.00 – $5,892.56 | 3 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $365.40 | $609.00 | $444.57 – $2,679.00 | 3 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $801.60 | $1,336.00 | $928.00 – $2,679.00 | 3 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $1,061.40 | $1,769.00 | $928.00 – $2,679.00 | 3 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | $1,276.20 | $2,127.00 | $928.00 – $2,679.00 | 3 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | $1,964.40 | $3,274.00 | $928.00 – $2,679.00 | 3 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | $2,358.00 | $3,930.00 | $928.00 – $2,868.90 | 3 |
| Cable cath 22-pin diag HCPCS C1730 | $2,704.80 | $4,508.00 | $78.88 – $169.36 | 3 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $12,338.18 | $20,563.64 | $6,991.64 – $15,011.46 | 3 |
| Cadd pump refill CPT 96521 | $370.20 | $617.00 | $209.78 – $450.41 | 3 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $88.08 | $146.80 | $27.11 – $58.21 | 3 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $4,056.94 | $6,761.56 | $809.98 – $1,739.08 | 3 |
| Calcium 24 hour urine CPT 82340 | $64.20 | $107.00 | $12.24 – $26.28 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $30.17 | $50.28 | $17.10 – $36.70 | 3 |
| Calcium ionized CPT 82330 | $80.40 | $134.00 | $24.48 – $52.56 | 3 |
| Calcium total CPT 82310 | $36.60 | $61.00 | $9.52 – $20.44 | 3 |
| Calculi urinary-sendout CPT 82360 | $35.40 | $59.00 | $20.06 – $43.07 | 3 |
| Calprotectin fecal CPT 83993 | $142.20 | $237.00 | $80.58 – $173.01 | 3 |
| Candida dna CPT 87480 | $74.40 | $124.00 | $29.58 – $63.51 | 3 |
| Candida skin test CPT 86485 | $47.40 | $79.00 | $26.86 – $57.67 | 3 |
| Cannula declotting 36861 CPT 36861 | $468.00 | $780.00 | $569.40 – $2,679.00 | 3 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $9,000.00 | $15,000.00 | $8.84 – $18.98 | 3 |
| Canthotomy 67715 CPT 67715 | $436.80 | $728.00 | $531.44 – $2,679.00 | 3 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $59.42 | $99.03 | $10.76 – $23.10 | 3 |
| Cap nerve 2x15mm HCPCS C1763 | $6,246.00 | $10,410.00 | $238.00 – $511.00 | 3 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $750.60 | $1,251.00 | $913.23 – $2,679.00 | 3 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $934.80 | $1,558.00 | $928.00 – $2,679.00 | 3 |
| Cap trach decann 15mm HCPCS C1750 | $870.00 | $1,450.00 | $4.42 – $8.03 | 3 |
| Carbamazepine free CPT 80157 | $112.80 | $188.00 | $10.54 – $22.63 | 3 |
| Carbamazepine free -sendout CPT 80161 | $100.20 | $167.00 | $25.16 – $54.02 | 3 |
| Carbamazepine total therapeutic drug level CPT 80156 | $132.60 | $221.00 | $29.24 – $62.78 | 3 |
| Carbohydrate deficient transf - sendout CPT 82373 | $118.80 | $198.00 | $67.32 – $144.54 | 3 |
| Carbohydrate urine - sendout CPT 84377 | $154.20 | $257.00 | $10.88 – $23.36 | 3 |
| Carbon dioxide CPT 82374 | $82.80 | $138.00 | $11.22 – $24.09 | 3 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $156.53 | $260.88 | $31.74 – $68.15 | 3 |
| Carboxyhemoglobin quantitative CPT 82375 | $113.40 | $189.00 | $11.56 – $24.82 | 3 |
| Carcinoembryonic ag (cea) CPT 82378 | $102.00 | $170.00 | $29.24 – $62.78 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $154.80 | $258.00 | $45.90 – $98.55 | 3 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $141.00 | $235.00 | $79.90 – $171.55 | 3 |
| Cardiac Stress Test CPT 93015 | $196.20 | $327.00 | $238.71 – $2,679.00 | 3 |
| Cardiolipin antibody iga CPT 86147 | $239.40 | $399.00 | $36.72 – $78.84 | 3 |
| Cardioversion/elective/internal 92961 CPT 92961 | $489.00 | $815.00 | $594.95 – $2,679.00 | 3 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $724.20 | $1,207.00 | $410.38 – $519.03 | 3 |
| Card MRI veloc flow mapping CPT 75565 | $782.40 | $1,304.00 | $443.36 – $951.92 | 3 |
| Caregiver health risk assmt CPT 96161 | $9.00 | $15.00 | $10.95 – $2,679.00 | 3 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $79.20 | $132.00 | $44.88 – $96.36 | 3 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $40.20 | $67.00 | $22.78 – $48.91 | 3 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $6,306.47 | $10,510.78 | $109.59 – $235.29 | 3 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $336.97 | $561.62 | $190.95 – $409.98 | 3 |
| Carotene CPT 82380 | $107.40 | $179.00 | $25.84 – $55.48 | 3 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $606.60 | $1,011.00 | $43.07 – $343.74 | 3 |
| Carpal Tunnel Release Surgery CPT 64721 | $808.80 | $1,348.00 | $928.00 – $2,679.00 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $228.60 | $381.00 | $278.13 – $2,679.00 | 3 |
| Caspofungin acetate HCPCS J0637 | $633.91 | $1,056.51 | $101.38 – $217.68 | 3 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $29.40 | $49.00 | $35.77 – $2,679.00 | 3 |
| Cast sup lng arm splint plst HCPCS Q4017 | $19.80 | $33.00 | $24.09 – $2,679.00 | 3 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | $16.20 | $27.00 | $19.71 – $2,679.00 | 3 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | $8.40 | $14.00 | $10.22 – $2,679.00 | 3 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | $78.60 | $131.00 | $95.63 – $2,679.00 | 3 |
| Cast sup lng leg ped plaster HCPCS Q4031 | $28.80 | $48.00 | $35.04 – $2,679.00 | 3 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | $70.80 | $118.00 | $86.14 – $2,679.00 | 3 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | $36.60 | $61.00 | $44.53 – $2,679.00 | 3 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | $21.60 | $36.00 | $26.28 – $2,679.00 | 3 |
| Cast sup long arm adult fbrg HCPCS Q4006 | $61.20 | $102.00 | $74.46 – $2,679.00 | 3 |
| Cast sup long arm adult plst HCPCS Q4005 | $26.40 | $44.00 | $32.12 – $2,679.00 | 3 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | $29.40 | $49.00 | $35.77 – $2,679.00 | 3 |
| Cast sup long arm ped plster HCPCS Q4007 | $15.00 | $25.00 | $18.25 – $2,679.00 | 3 |
| Cast sup long leg fiberglass HCPCS Q4030 | $157.80 | $263.00 | $191.99 – $2,679.00 | 3 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | $43.20 | $72.00 | $52.56 – $2,679.00 | 3 |
| Cast sup shrt leg ped plster HCPCS Q4039 | $18.00 | $30.00 | $21.90 – $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.