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 |
|---|---|---|---|---|
| Chemotherapy injection 96542 CPT 96542 | $204.60 | $341.00 | $248.93 – $2,679.00 | 3 |
| Chest 2 vws w oblique CPT 71048 | $247.80 | $413.00 | $140.42 – $301.49 | 3 |
| Chest apical lordotic proj CPT 71047 | $219.60 | $366.00 | $124.44 – $267.18 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,603.20 | $2,672.00 | $908.48 – $1,950.56 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $1,554.60 | $2,591.00 | $880.94 – $1,891.43 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $1,145.40 | $1,909.00 | $649.06 – $1,393.57 | 3 |
| Chest Physiotherapy (first session) CPT 94667 | $144.00 | $240.00 | $34.34 – $55.48 | 3 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $96.60 | $161.00 | $43.86 – $94.17 | 3 |
| Chest Ultrasound CPT 76604 | $310.20 | $517.00 | $56.94 – $175.78 | 3 |
| Chest X-ray CPT 71046 | $201.60 | $336.00 | $75.92 – $91.12 | 3 |
| Chest X-ray (single view) CPT 71045 | $129.00 | $215.00 | $35.77 – $73.10 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $119.40 | $199.00 | $54.06 – $116.07 | 3 |
| Chlamydia culture CPT 87110 | $71.40 | $119.00 | $35.36 – $75.92 | 3 |
| Chlamydia type CPT 87140 | $97.20 | $162.00 | $11.22 – $24.09 | 3 |
| Chloramphenicol sodium injec HCPCS J0720 | $115.78 | $192.96 | $23.43 – $50.30 | 3 |
| Chloride CPT 82435 | $30.00 | $50.00 | $11.22 – $24.09 | 3 |
| Chloride 24 hour urine CPT 82436 | $40.80 | $68.00 | $23.12 – $49.64 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $53.72 | $89.53 | $8.26 – $17.73 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $779.38 | $1,298.97 | $131.67 – $282.70 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $71.05 | $118.42 | $36.03 – $77.37 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $1,196.40 | $1,994.00 | $677.96 – $1,455.62 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $454.80 | $758.00 | $257.72 – $553.34 | 3 |
| Cholecystectomy expl duct 47612 CPT 47612 | $2,383.20 | $3,972.00 | $928.00 – $2,899.56 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $1,845.00 | $3,075.00 | $928.00 – $2,679.00 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | $2,161.80 | $3,603.00 | $928.00 – $2,679.00 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,520.40 | $7,534.00 | $2,561.56 – $5,499.82 | 3 |
| Cholesterol CPT 82465 | $29.40 | $49.00 | $10.88 – $23.36 | 3 |
| Cholesterol body fluid CPT 84999 | $652.80 | $1,088.00 | $15.64 – $33.58 | 3 |
| Cholesterol (Lipid) Test CPT 80061 | $53.40 | $89.00 | $22.44 – $48.18 | 3 |
| Cholinesterase CPT 82480 | $66.00 | $110.00 | $12.58 – $27.01 | 3 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $351.46 | $585.76 | $199.16 – $427.60 | 3 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $191.40 | $319.00 | $232.87 – $2,679.00 | 3 |
| Chrom analysis CPT 88273 | $173.40 | $289.00 | $55.42 – $118.99 | 3 |
| Chromatography CPT 83021 | $85.80 | $143.00 | $18.36 – $39.42 | 3 |
| Chromo high res and frag x - sendout CPT 81243 | $308.40 | $514.00 | $74.80 – $160.60 | 3 |
| Chromosome analysis 15-20 cell count CPT 88262 | $448.80 | $748.00 | $250.92 – $538.74 | 3 |
| Chronic urticaria - sendout CPT 86343 | $175.20 | $292.00 | $99.28 – $213.16 | 3 |
| Chylomicron screen, bf - sendout CPT 82664 | $155.40 | $259.00 | $24.48 – $52.56 | 3 |
| Cidofovir injection HCPCS J0740 | $1,352.09 | $2,253.48 | $766.18 – $1,645.04 | 3 |
| Cilastatin sodium injection HCPCS J0743 | $87.44 | $145.74 | $34.19 – $73.42 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $73.90 | $123.17 | $19.79 – $42.49 | 3 |
| Circum 28 days or older CPT 54161 | $388.80 | $648.00 | $473.04 – $2,679.00 | 3 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $435.60 | $726.00 | $529.98 – $2,679.00 | 3 |
| Circumcision (newborn) CPT 54150 | $406.80 | $678.00 | $494.94 – $2,679.00 | 3 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $395.67 | $659.45 | $43.68 – $93.79 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $462.60 | $771.00 | $262.14 – $562.83 | 3 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $484.20 | $807.00 | $274.38 – $589.11 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $14,062.80 | $23,438.00 | $319.94 – $686.93 | 3 |
| Claviculectomy partial CPT 23120 | $1,008.60 | $1,681.00 | $928.00 – $2,679.00 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $40.80 | $68.00 | $19.33 – $41.49 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $528.60 | $881.00 | $23.12 – $49.64 | 3 |
| Cllr miami j sm HCPCS L0174 | $186.00 | $310.00 | $105.40 – $226.30 | 3 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $4,163.69 | $6,939.48 | $2,359.42 – $5,065.82 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $122.66 | $204.44 | $69.51 – $149.24 | 3 |
| Close bronchial fistula 32815 CPT 32815 | $5,377.80 | $8,963.00 | $928.00 – $6,542.99 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $682.80 | $1,138.00 | $830.74 – $2,679.00 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $793.20 | $1,322.00 | $928.00 – $2,679.00 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,498.80 | $2,498.00 | $173.74 – $373.03 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $999.60 | $1,666.00 | $928.00 – $2,679.00 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $871.80 | $1,453.00 | $928.00 – $2,679.00 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $606.00 | $1,010.00 | $737.30 – $2,679.00 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $934.20 | $1,557.00 | $928.00 – $2,679.00 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $294.60 | $491.00 | $358.43 – $2,679.00 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,022.40 | $1,704.00 | $928.00 – $2,679.00 | 3 |
| Closed tx septal&nose fx CPT 21337 | $781.20 | $1,302.00 | $928.00 – $2,679.00 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | $217.20 | $362.00 | $264.26 – $2,679.00 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $442.80 | $738.00 | $538.74 – $2,679.00 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $504.60 | $841.00 | $613.93 – $2,679.00 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | $1,331.40 | $2,219.00 | $928.00 – $2,679.00 | 3 |
| Clos txnose fx without stablz 21315 CPT 21315 | $537.00 | $895.00 | $653.35 – $2,679.00 | 3 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,641.60 | $2,736.00 | $928.00 – $2,679.00 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,457.00 | $4,095.00 | $928.00 – $2,989.35 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,934.40 | $3,224.00 | $928.00 – $2,679.00 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $2,654.40 | $4,424.00 | $928.00 – $3,229.52 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $641.40 | $1,069.00 | $780.37 – $2,679.00 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | $849.00 | $1,415.00 | $928.00 – $2,679.00 | 3 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $579.60 | $966.00 | $274.38 – $589.11 | 3 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $626.40 | $1,044.00 | $762.12 – $2,679.00 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $640.20 | $1,067.00 | $778.91 – $2,679.00 | 3 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $427.80 | $713.00 | $520.49 – $2,679.00 | 3 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $419.40 | $699.00 | $510.27 – $2,679.00 | 3 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $652.80 | $1,088.00 | $173.74 – $373.03 | 3 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $408.60 | $681.00 | $173.74 – $373.03 | 3 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $336.60 | $561.00 | $409.53 – $2,679.00 | 3 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $343.80 | $573.00 | $418.29 – $2,679.00 | 3 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $819.60 | $1,366.00 | $246.16 – $528.52 | 3 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $588.00 | $980.00 | $715.40 – $2,679.00 | 3 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $376.80 | $628.00 | $156.74 – $336.53 | 3 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,516.20 | $2,527.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $935.40 | $1,559.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx fracture of radius 25500 CPT 25500 | $507.00 | $845.00 | $616.85 – $2,679.00 | 3 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $273.00 | $455.00 | $332.15 – $2,679.00 | 3 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $303.60 | $506.00 | $166.26 – $356.97 | 3 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $597.60 | $996.00 | $241.74 – $519.03 | 3 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,914.00 | $3,190.00 | $928.00 – $1,273.85 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $511.80 | $853.00 | $173.74 – $373.03 | 3 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $974.40 | $1,624.00 | $928.00 – $2,679.00 | 3 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $504.60 | $841.00 | $613.93 – $2,679.00 | 3 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $756.60 | $1,261.00 | $233.24 – $500.78 | 3 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $711.00 | $1,185.00 | $865.05 – $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.