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 |
|---|---|---|---|---|
| Cast sup shrt leg plaster HCPCS Q4037 | $34.20 | $57.00 | $41.61 – $2,679.00 | 3 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $41.40 | $69.00 | $50.37 – $2,679.00 | 3 |
| Cast sup sht arm adult plstr HCPCS Q4009 | $19.20 | $32.00 | $23.36 – $2,679.00 | 3 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $21.00 | $35.00 | $25.55 – $2,679.00 | 3 |
| Cast sup sht arm ped plaster HCPCS Q4011 | $8.40 | $14.00 | $10.22 – $2,679.00 | 3 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $25.20 | $42.00 | $30.66 – $2,679.00 | 3 |
| Cast sup sht arm splint plst HCPCS Q4021 | $15.60 | $26.00 | $18.98 – $2,679.00 | 3 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | $14.40 | $24.00 | $17.52 – $2,679.00 | 3 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | $6.60 | $11.00 | $8.03 – $2,679.00 | 3 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $39.60 | $66.00 | $48.18 – $2,679.00 | 3 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | $20.40 | $34.00 | $24.82 – $2,679.00 | 3 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | $13.80 | $23.00 | $16.79 – $2,679.00 | 3 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | $24.00 | $40.00 | $29.20 – $2,679.00 | 3 |
| Catecholamines,fractionated, urine CPT 82382 | $175.80 | $293.00 | $99.62 – $213.89 | 3 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $237.60 | $396.00 | $41.14 – $88.33 | 3 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,464.20 | $4,107.00 | $592.96 – $1,273.12 | 3 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,685.40 | $2,809.00 | $6.12 – $13.14 | 3 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $7,639.20 | $12,732.00 | $1,880.88 – $4,038.36 | 3 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $5,512.80 | $9,188.00 | $3,123.92 – $6,707.24 | 3 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $7,301.40 | $12,169.00 | $8.84 – $18.98 | 3 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $6,433.20 | $10,722.00 | $1,367.48 – $2,936.06 | 3 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $21,712.80 | $36,188.00 | $42.16 – $90.52 | 3 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $2,457.00 | $4,095.00 | $80.58 – $173.01 | 3 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,280.00 | $13,800.00 | $63.92 – $137.24 | 3 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,552.20 | $2,587.00 | $777.92 – $1,670.24 | 3 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $20,250.00 | $33,750.00 | $2.04 – $4.38 | 3 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,171.40 | $3,619.00 | $10.20 – $21.90 | 3 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,924.20 | $3,207.00 | $56.44 – $121.18 | 3 |
| Catheter insert artery CPT 36625 | $208.20 | $347.00 | $253.31 – $2,679.00 | 3 |
| Catheter stripping venous CPT 36595 | $647.40 | $1,079.00 | $787.67 – $2,679.00 | 3 |
| Catheter without bag 2-way latex HCPCS A4311 | $0.60 | $1.00 | $0.73 – $2,679.00 | 3 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $1.80 | $3.00 | $1.02 – $2.19 | 3 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $619.20 | $1,032.00 | $55.08 – $118.26 | 3 |
| Cath hawkone s directional HCPCS C1714 | $7,076.40 | $11,794.00 | $886.38 – $1,903.11 | 3 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,737.80 | $9,563.00 | $563.38 – $1,209.61 | 3 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $16.20 | $27.00 | $19.71 – $2,679.00 | 3 |
| Cath insertion tray w/bag HCPCS A4354 | $88.80 | $148.00 | $108.04 – $2,679.00 | 3 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $210.60 | $351.00 | $256.23 – $2,679.00 | 3 |
| Cath lt/rt pulm art CPT 36014 | $1,628.40 | $2,714.00 | $928.00 – $2,679.00 | 3 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,753.80 | $2,923.00 | $5.44 – $11.68 | 3 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $22,489.20 | $37,482.00 | $9,817.50 – $21,078.75 | 3 |
| Cath place 1st order venous 36011 CPT 36011 | $1,733.40 | $2,889.00 | $928.00 – $2,679.00 | 3 |
| Cath right heart w/o2 sat & card CPT 93451 | $1,669.80 | $2,783.00 | $928.00 – $2,679.00 | 3 |
| Cath right hrt mnpul art CPT 36013 | $1,590.60 | $2,651.00 | $928.00 – $2,679.00 | 3 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $667.20 | $1,112.00 | $138.72 – $297.84 | 3 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,925.00 | $4,875.00 | $2.72 – $5.84 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $16.80 | $28.00 | $5.84 – $9.52 | 3 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,099.20 | $1,832.00 | $0.68 – $1.46 | 3 |
| Cath w/drainage 2-way latex HCPCS A4314 | $2.40 | $4.00 | $2.92 – $2,679.00 | 3 |
| Cath w/drainage 2-way silcne HCPCS A4315 | $4.80 | $8.00 | $5.84 – $2,679.00 | 3 |
| Cath without bag 2-way silicone HCPCS A4312 | $8.40 | $14.00 | $10.22 – $2,679.00 | 3 |
| Cauterization chemical granulation tissue CPT 17250 | $148.20 | $247.00 | $180.31 – $2,679.00 | 3 |
| Cauterization of cervix 57510 CPT 57510 | $254.40 | $424.00 | $309.52 – $2,679.00 | 3 |
| #cbg+cort-cbg CPT 84449 | $61.80 | $103.00 | $35.02 – $75.19 | 3 |
| Cdna analysis for variants CPT 81403 | $467.40 | $779.00 | $264.86 – $568.67 | 3 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $71.88 | $119.80 | $9.22 – $19.80 | 3 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $93.14 | $155.23 | $13.06 – $28.04 | 3 |
| Cefotaxime sodium injection HCPCS J0698 | $49.51 | $82.51 | $18.65 – $40.03 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | $51.20 | $85.34 | $29.02 – $62.30 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $64.30 | $107.16 | $23.18 – $49.78 | 3 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $485.62 | $809.37 | $265.44 – $569.93 | 3 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $81.27 | $135.45 | $11.32 – $24.30 | 3 |
| Ceftazidime and avibactam HCPCS J0714 | $765.31 | $1,275.51 | $433.67 – $931.12 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $168.52 | $280.87 | $7.80 – $16.75 | 3 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $49.46 | $82.44 | $22.44 – $48.17 | 3 |
| #celiac hla-dq2 CPT 81377 | $253.80 | $423.00 | $143.82 – $308.79 | 3 |
| #celiac hla-dq8 CPT 81383 | $374.40 | $624.00 | $165.58 – $355.51 | 3 |
| Cell count body fluid CPT 89050 | $86.40 | $144.00 | $17.68 – $37.96 | 3 |
| Cell count w differential body fluid CPT 89051 | $86.40 | $144.00 | $20.40 – $43.80 | 3 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $19,391.69 | $32,319.48 | $10,988.62 – $23,593.22 | 3 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | $469.20 | $782.00 | $570.86 – $2,679.00 | 3 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $603.60 | $1,006.00 | $734.38 – $2,679.00 | 3 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $10,638.62 | $17,731.03 | $6,028.55 – $12,943.65 | 3 |
| Cervical lymphadenectomy 38720 CPT 38720 | $2,617.20 | $4,362.00 | $928.00 – $3,184.26 | 3 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $62.40 | $104.00 | $75.92 – $2,679.00 | 3 |
| Cesarean section delivery only 59514 CPT 59514 | $2,167.20 | $3,612.00 | $928.00 – $2,679.00 | 3 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,004.58 | $5,007.64 | $863.03 – $1,852.97 | 3 |
| #cf-97variants CPT 81220 | $1,402.80 | $2,338.00 | $49.64 – $106.58 | 3 |
| Change cystostomy tube; complex 51710 CPT 51710 | $337.80 | $563.00 | $410.99 – $2,679.00 | 3 |
| Change cystostomy tube simple CPT 51705 | $288.00 | $480.00 | $163.20 – $251.85 | 3 |
| Change of windpipe airway 31502 CPT 31502 | $313.20 | $522.00 | $164.25 – $177.48 | 3 |
| Chemical exfoliation acne 17360 CPT 17360 | $247.80 | $413.00 | $301.49 – $2,679.00 | 3 |
| Chemical peel face epiderm 15788 CPT 15788 | $865.20 | $1,442.00 | $928.00 – $2,679.00 | 3 |
| Chemical peel nonfacial 15793 CPT 15793 | $931.20 | $1,552.00 | $928.00 – $2,679.00 | 3 |
| Chemical peel nonfacial; epidermal CPT 15792 | $823.80 | $1,373.00 | $928.00 – $2,679.00 | 3 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $190.20 | $317.00 | $231.41 – $2,679.00 | 3 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $210.60 | $351.00 | $256.23 – $2,679.00 | 3 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $330.00 | $550.00 | $401.50 – $2,679.00 | 3 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $289.80 | $483.00 | $352.59 – $2,679.00 | 3 |
| Chemodenervation anal musc CPT 46505 | $469.80 | $783.00 | $571.59 – $2,679.00 | 3 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $322.80 | $538.00 | $392.74 – $2,679.00 | 3 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $415.20 | $692.00 | $505.16 – $2,679.00 | 3 |
| Chemodenerv eccrine glands CPT 64653 | $260.40 | $434.00 | $316.82 – $2,679.00 | 3 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $206.40 | $344.00 | $251.12 – $2,679.00 | 3 |
| Chemodenerv musc migraine 64615 CPT 64615 | $265.20 | $442.00 | $322.66 – $2,679.00 | 3 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $227.40 | $379.00 | $276.67 – $2,679.00 | 3 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $235.80 | $393.00 | $286.89 – $2,679.00 | 3 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $307.20 | $512.00 | $373.76 – $2,679.00 | 3 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $280.80 | $468.00 | $341.64 – $2,679.00 | 3 |
| Chemo intralesional up to 7 96405 CPT 96405 | $123.60 | $206.00 | $150.38 – $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.