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 |
|---|---|---|---|---|
| Family therapy with patient 50 min 90847 CPT 90847 | $104.00 | $160.00 | $57.12 – $181.34 | 103 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.10 | $4.10 | $0.80 – $3.00 | 104 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $27.37 – $9,722.40 | 120 |
| Fat/lipids feces qualitative CPT 82705 | $48.75 | $75.00 | $4.95 – $75.00 | 49 |
| Fatty acids nonesterified CPT 82725 | $81.25 | $125.00 | $18.19 – $125.00 | 49 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $61.99 – $28,233.45 | 120 |
| #fecal-sodium CPT 84302 | $13.00 | $20.00 | $4.71 – $20.00 | 49 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $0.65 | $1.00 | $0.37 – $37.47 | 49 |
| Fem/popl revasc w/stent CPT 37226 | $31,217.55 | $48,027.00 | $6,205.09 – $32,018.00 | 40 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $21,275.12 | $165.00 | $0.96 – $7,823.39 | 120 |
| Fern test HCPCS Q0114 | $39.65 | $61.00 | $9.55 – $61.00 | 46 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $1.86 – $5,262.00 | 36 |
| Ferritin CPT 82728 | $73.45 | $113.00 | $13.21 – $113.00 | 49 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,333.80 | $1,333.80 | $0.35 – $712.85 | 120 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $516.75 | $795.00 | $93.79 – $795.00 | 120 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,592.50 | $2,450.00 | $735.52 – $2,450.00 | 49 |
| Fetal fibronectin CPT 82731 | $469.95 | $723.00 | $62.41 – $723.00 | 49 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $48.75 | $75.00 | $7.49 – $75.00 | 49 |
| Fetal hemoglobin rosette CPT 85461 | $65.00 | $100.00 | $9.07 – $100.00 | 49 |
| Fetal non stress test CPT 59025 | $185.90 | $286.00 | $102.10 – $403.96 | 49 |
| Fibrin degradation d dimer quantitative CPT 85379 | $217.10 | $334.00 | $9.86 – $334.00 | 49 |
| Fibrinogen activity CPT 85384 | $92.30 | $142.00 | $9.41 – $142.00 | 49 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $268.45 | $413.00 | $15.00 – $88.00 | 49 |
| Fibrinolytic antiplasmin CPT 85410 | $154.05 | $237.00 | $7.47 – $237.00 | 34 |
| Fibrinolytic plasminogen CPT 85415 | $113.10 | $174.00 | $16.66 – $174.00 | 49 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $155.35 | $239.00 | $6.32 – $239.00 | 34 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $0.27 – $1,007.20 | 120 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $0.98 – $1,447.95 | 120 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $0.34 – $1,261.80 | 120 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $954.01 – $2,672.31 | 33 |
| Filter vena cava fem denali HCPCS C1880 | $23,327.77 | $35,888.87 | $129.59 – $363.00 | 33 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $35,107.86 | not published | $4.86 – $14,101.44 | 89 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $35,107.86 | not published | $4.86 – $14,101.44 | 89 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,623.70 | $2,498.00 | $45.05 – $2,498.00 | 32 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $316.00 – $885.15 | 33 |
| Finger X-ray (both hands) CPT 73140 | $373.75 | $575.00 | $78.07 – $383.00 | 120 |
| Fixation of knee joint CPT 27570 | $10,388.20 | not published | $6.50 – $3,212.91 | 89 |
| Flexible Sigmoidoscopy CPT 45330 | $2,705.30 | not published | $834.31 – $1,858.14 | 16 |
| Flow cytometry marker each additional CPT 88185 | $124.80 | $192.00 | $24.06 – $192.00 | 33 |
| Flow cytometry one marker technical component CPT 88184 | $8,365.50 | $634.00 | $152.08 – $716.21 | 49 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $74.00 | $74.00 | $6.60 – $18.50 | 33 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $59.53 – $434.65 | 104 |
| Fluorescent antibody titer dna CPT 86256 | $118.30 | $182.00 | $11.81 – $104.00 | 49 |
| Fluoroguide needle placement CPT 77002 | $678.60 | $1,044.00 | $372.71 – $1,044.00 | 32 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $414.05 | $637.00 | $214.06 – $637.00 | 120 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.00 | $147.00 | $1.88 – $48.65 | 103 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $23.10 | $23.10 | $7.53 – $23.10 | 103 |
| Fna bx w/ct gdn 1st les CPT 10009 | $5,132.86 | $4,499.00 | $2.46 – $4,499.00 | 119 |
| Folic acid CPT 82746 | $46.15 | $71.00 | $14.25 – $71.00 | 49 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $106.00 | $106.00 | $30.00 – $106.00 | 103 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,152.35 | $2,152.35 | $616.00 – $2,152.35 | 104 |
| Fondaparinux sodium HCPCS J1652 | $133.70 | $133.70 | $14.40 – $133.70 | 103 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $1,258.46 | $1,936.09 | $14.91 – $76.94 | 41 |
| Foot X-ray CPT 73630 | $386.10 | $594.00 | $78.07 – $396.00 | 120 |
| Foot X-ray (2 views, both feet) CPT 73620 | $356.20 | $548.00 | $78.07 – $365.00 | 49 |
| Forearm X-ray (both sides) CPT 73090 | $28,031.80 | $575.00 | $0.96 – $383.00 | 120 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $20,243.19 | not published | $8.13 – $7,080.68 | 90 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $66.70 | $66.70 | $23.81 – $66.70 | 33 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $54.75 | $54.75 | $1.31 – $25.20 | 116 |
| _fragile x methylation-sendout CPT 81244 | $766.35 | $1,179.00 | $43.50 – $1,179.00 | 49 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $152.75 | $235.00 | $64.78 – $306.00 | 120 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $148.20 | $228.00 | $75.50 – $306.00 | 120 |
| Fructosamine glycated protein CPT 82985 | $49.40 | $76.00 | $16.24 – $76.00 | 49 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $341.25 | $525.00 | $93.79 – $525.00 | 49 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $19,687.13 | not published | $12.15 – $3,300.04 | 89 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $17,086.43 | $3.00 | $0.20 – $1,393.26 | 119 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $6.75 | $6.75 | $1.31 – $6.75 | 41 |
| Fusion of finger joint CPT 26860 | $28,973.72 | not published | $1.92 – $6,537.75 | 88 |
| Fusion of foot bones CPT 28730 | $47,260.65 | not published | $9.09 – $25,652.84 | 89 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $253.10 | $253.10 | $90.36 – $253.10 | 32 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $15,600.00 | $15,600.00 | $48.64 – $15,600.00 | 117 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $591.40 | $591.40 | $19.76 – $591.40 | 33 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $231.00 | $231.00 | $7.35 – $231.00 | 32 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $99.80 | $99.80 | $24.00 – $99.80 | 33 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,522.95 | $2,343.00 | $358.66 – $2,343.00 | 49 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,694.55 | $2,607.00 | $487.13 – $2,607.00 | 49 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $29,966.85 | not published | $0.96 – $12,079.51 | 89 |
| Gamma globulin 1 cc inj HCPCS J1460 | $463.20 | $463.20 | $48.92 – $463.20 | 120 |
| Gammaglobulin iga CPT 82784 | $76.05 | $117.00 | $9.02 – $117.00 | 49 |
| Gammaglobulin ige CPT 82785 | $141.70 | $218.00 | $15.95 – $218.00 | 49 |
| Gamma glutamyltransferase CPT 82977 | $3,314.25 | $85.00 | $6.98 – $106.15 | 120 |
| Gamunex-c/gammaked HCPCS J1561 | $14,238.00 | $14,238.00 | $4.56 – $1,779.75 | 120 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $314.60 | $314.60 | $29.56 – $169.88 | 104 |
| Gated heart multiple CPT 78473 | $1,006.85 | $1,549.00 | $358.66 – $1,549.00 | 49 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $540.20 | $540.20 | $16.20 – $50.15 | 104 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $31,504.65 | $31,504.65 | $10,490.40 – $31,504.65 | 104 |
| Generator barostim neo2 2014 HCPCS C1767 | $44,831.44 | $68,971.44 | $1.20 – $3.36 | 33 |
| Generator emblem MRI sicd subq HCPCS C1722 | $22,347.00 | $34,380.00 | $268.85 – $753.08 | 33 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $37,570.90 | $57,801.38 | $15,955.76 – $44,694.00 | 33 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $17.40 | $17.40 | $1.55 – $4.35 | 33 |
| Gentamicin peak therapeutic drug level CPT 80170 | $198.25 | $305.00 | $15.87 – $305.00 | 49 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $4,661.15 | $7,171.00 | $2,560.05 – $7,171.00 | 119 |
| Ghs fish cytogen CPT 88271 | $111.80 | $172.00 | $20.76 – $172.00 | 49 |
| Ghs hgb stability-thal CPT 83068 | $106.60 | $164.00 | $9.18 – $164.00 | 49 |
| Ghs histoplasma antigen CPT 87385 | $235.95 | $363.00 | $12.84 – $285.00 | 49 |
| Ghs inf midline insertion CPT 36140 | $445.25 | $685.00 | $244.55 – $685.00 | 32 |
| Ghs inhibitor screen CPT 85335 | $344.50 | $530.00 | $12.47 – $530.00 | 49 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $30,271.57 | not published | $8.46 – $13,267.65 | 89 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $12,293.79 | not published | $5.01 – $812.25 | 89 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $14,485.61 | not published | $4.14 – $812.25 | 89 |
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.