MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $63.05 | $97.00 | $22.10 – $97.00 | 49 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $230.00 | $230.00 | $51.55 – $194.00 | 768 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $2,315.00 | $2,315.00 | $595.77 – $1,870.00 | 768 |
| 3d ech img cgen car anomal CPT 93319 | $715.65 | $1,101.00 | $393.06 – $1,101.00 | 33 |
| 3-d radiotherapy plan CPT 77295 | $5,294.25 | $8,145.00 | $143.35 – $8,145.00 | 785 |
| 3d recon without postprocess indpndt CPT 76376 | $386.10 | $594.00 | $212.06 – $594.00 | 32 |
| 5' nucleotidase - sendout CPT 83915 | $626.60 | $964.00 | $10.80 – $964.00 | 49 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $105.00 | $105.00 | $22.37 – $105.00 | 768 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $7,377.95 | $7,377.95 | $43.87 – $7,377.95 | 120 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $65.00 | $100.00 | $11.64 – $36.00 | 49 |
| Abd aorta w/runoff s&i CPT 75630 | $3,902.60 | $6,004.00 | $2,143.43 – $6,702.68 | 120 |
| Abd/low ext cath 1st CPT 36245 | $581.10 | $894.00 | $227.41 – $637.00 | 32 |
| Abd/low ext cath 2nd CPT 36246 | $713.70 | $1,098.00 | $261.32 – $732.00 | 32 |
| Abd/low ext cath 3rd CPT 36247 | $867.75 | $1,335.00 | $317.37 – $889.00 | 32 |
| Abd/low ext cath addl CPT 36248 | $577.85 | $889.00 | $317.37 – $889.00 | 32 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $681.20 | $1,048.00 | $93.79 – $1,048.00 | 120 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,792.70 | $2,758.00 | $157.36 – $2,758.00 | 49 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,578.85 | $2,429.00 | $157.36 – $2,429.00 | 49 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,104.35 | $1,699.00 | $93.79 – $1,699.00 | 120 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,909.45 | $7,553.00 | $312.99 – $7,553.00 | 49 |
| Abdominal MRI (without contrast) CPT 74181 | $2,458.95 | $3,783.00 | $214.06 – $3,783.00 | 120 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,042.60 | $1,604.00 | $572.63 – $1,812.24 | 48 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,014.65 | $1,561.00 | $93.79 – $1,561.00 | 120 |
| Abdominal Ultrasound (limited) CPT 76705 | $592.15 | $911.00 | $93.79 – $911.00 | 49 |
| Abdominal X-ray (2 views) CPT 74019 | $271.70 | $418.00 | $93.79 – $418.00 | 49 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $349.70 | $538.00 | $93.79 – $538.00 | 120 |
| Abdominal X-ray (single view) CPT 74018 | $20,696.92 | $361.00 | $0.96 – $361.00 | 120 |
| Abl1 gene CPT 81170 | $863.85 | $1,329.00 | $290.70 – $1,329.00 | 49 |
| Ablate arrhythmia add on CPT 93655 | $2,743.65 | $4,221.00 | $1,506.90 – $4,221.00 | 32 |
| Ablate bone tumor(s) perq CPT 20982 | $54,110.19 | not published | $4.92 – $35,034.15 | 89 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $495.30 | $762.00 | $115.44 – $762.00 | 49 |
| Ablation cryo retro lymph node CPT 38999 | $28,895.92 | not published | $10.53 – $11,828.35 | 89 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,468.70 | $3,798.00 | $1,355.89 – $3,798.00 | 119 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $9,157.20 | $14,088.00 | $3,352.94 – $9,392.00 | 32 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $22,961.68 | $2,532.65 | $0.20 – $21,239.36 | 120 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $55.20 | $55.20 | $17.23 – $55.20 | 103 |
| Acetylcholine receptor modulating antibody CPT 86043 | $45.50 | $70.00 | $11.68 – $61.00 | 49 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $244.95 | $244.95 | $22.20 – $244.95 | 103 |
| Acute hepatitis panel CPT 80074 | $352.30 | $542.00 | $46.16 – $542.00 | 49 |
| Acyclovir 400 mg tablet HCPCS J8499 | $64.85 | $64.85 | $0.19 – $1.00 | 37 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $10.40 | $10.40 | $0.90 – $4.20 | 103 |
| #acylcarnitineprfl CPT 82017 | $84.50 | $130.00 | $16.35 – $130.00 | 49 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,860.90 | $30,555.23 | $0.01 – $14.62 | 33 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $695.70 | $695.70 | $2.68 – $7.50 | 33 |
| Adh-sendout CPT 84588 | $72.80 | $112.00 | $32.88 – $112.00 | 49 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $20,816.35 | not published | $4.77 – $7,823.39 | 89 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $78.60 | $78.60 | $0.22 – $30.48 | 104 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $95.55 | $147.00 | $53.80 – $4,237.00 | 49 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $561.60 | $864.00 | $296.33 – $4,237.00 | 49 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $364.00 | $560.00 | $204.96 – $4,237.00 | 49 |
| Administration immunization each additional component CPT 90461 | $40.00 | $32.00 | $5.90 – $28.00 | 784 |
| Administration immunization each additional vaccine CPT 90472 | $29.00 | $43.00 | $4.32 – $29.00 | 783 |
| Administration immunization first component each vaccine CPT 90460 | $55.00 | $66.00 | $7.03 – $55.00 | 786 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $39.65 | $61.00 | $7.03 – $143.86 | 120 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $23.40 | $36.00 | $7.03 – $102.00 | 33 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $39.00 | $60.00 | $7.03 – $102.00 | 49 |
| Administration vaccine hepatitis b HCPCS G0010 | $57.20 | $88.00 | $7.03 – $102.00 | 117 |
| Administration vaccine influenza virus HCPCS G0008 | $78.00 | $88.00 | $5.09 – $93.56 | 784 |
| Administration vaccine pneumococcal HCPCS G0009 | $57.20 | $88.00 | $7.03 – $102.00 | 120 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $36.40 | $56.00 | $7.03 – $102.00 | 49 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,916.25 | $19,916.25 | $38.66 – $12,447.70 | 120 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $370.50 | $570.00 | $111.78 – $570.00 | 49 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $18,756.30 | $18,756.30 | $213.59 – $18,756.30 | 120 |
| Albumin body fluid quantitative each specimen CPT 82042 | $161.85 | $249.00 | $7.54 – $249.00 | 49 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $3,314.25 | $871.00 | $9.09 – $871.00 | 120 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $332.50 | $332.50 | $77.65 – $217.50 | 33 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $189.80 | $292.00 | $5.60 – $292.00 | 49 |
| Albumin serum plasma or whole blood CPT 82040 | $347.10 | $68.00 | $4.79 – $68.00 | 49 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $94.90 | $146.00 | $16.74 – $146.00 | 49 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.75 | $89,232.75 | $2,398.16 – $89,232.75 | 120 |
| Alkaline phosphatase CPT 84075 | $769.60 | $76.00 | $5.02 – $76.00 | 49 |
| Allergen alpha lactalbumin ige CPT 86008 | $91.00 | $140.00 | $17.37 – $48.00 | 49 |
| Allergen egg white ige CPT 86003 | $53.95 | $83.00 | $5.06 – $60.00 | 49 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $43.26 | $66.55 | $12.90 – $66.55 | 41 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $424.66 | $653.33 | $44.93 – $231.82 | 41 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $3,961.09 | $6,093.98 | $22.05 – $113.80 | 41 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $3,663.49 | $5,636.14 | $6.88 – $35.50 | 41 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $159.49 | $245.37 | $5.59 – $28.85 | 41 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $2,097.63 | $3,227.12 | $12.20 – $62.95 | 41 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $238.13 | $366.35 | $38.76 – $200.01 | 41 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,609.82 | $8,630.50 | $149.76 – $772.75 | 41 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $232.74 | $358.06 | $66.94 – $345.41 | 41 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $815.54 | $1,254.67 | $116.69 – $602.10 | 41 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $12,452.40 | $12,452.40 | $5.26 – $2,595.00 | 120 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $221.65 | $341.00 | $62.41 – $341.00 | 49 |
| Alpha-fetoprotein tumor marker CPT 82105 | $261.30 | $402.00 | $16.25 – $184.00 | 49 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $25,477.05 | $25,477.05 | $86.75 – $264.05 | 120 |
| Alt/sgpt CPT 84460 | $769.60 | $78.00 | $5.14 – $78.00 | 49 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $32.20 | $32.20 | $1.86 – $5.20 | 104 |
| Amino acids quant 2-5 CPT 82136 | $48.75 | $75.00 | $19.00 – $75.00 | 49 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $33.20 | $33.20 | $7.50 – $27.50 | 103 |
| Aminolevulinic acid delta CPT 82135 | $299.00 | $460.00 | $15.94 – $460.00 | 49 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $101.15 | $101.15 | $6.55 – $18.35 | 33 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $159.50 | $159.50 | $13.05 – $159.50 | 103 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $73.00 | $73.00 | $2.55 – $9.20 | 103 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $11,933.95 | $11,933.95 | $19.77 – $11,933.95 | 120 |
| Ammonia CPT 82140 | $157.95 | $243.00 | $14.12 – $243.00 | 49 |
| Amphetamine confirm urine -sendout CPT 80324 | $58.50 | $90.00 | $32.94 – $116.72 | 42 |
| Amphetamines 5 or more CPT 80326 | $23.40 | $36.00 | $13.18 – $116.72 | 42 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $174.55 | $174.55 | $3.12 – $34.12 | 103 |
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.