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 |
|---|---|---|---|---|
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $21,313.56 | not published | $3.36 – $812.25 | 89 |
| Ghs mbp CPT 83873 | $81.90 | $126.00 | $16.67 – $126.00 | 49 |
| Ghs nerve block brachial plexus CPT 64415 | $36,628.72 | $1,997.00 | $0.96 – $1,767.26 | 119 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,680.25 | $2,585.00 | $615.11 – $1,723.00 | 119 |
| Ghs ng placement w fluoro guidance CPT 43752 | $323.05 | $497.00 | $177.43 – $892.60 | 119 |
| Ghs ot prosthetic training/15 min CPT 97761 | $1,227.20 | $85.00 | $24.86 – $231.00 | 49 |
| Ghs pacing - transcutaneous CPT 92953 | $1,275.95 | $1,963.00 | $592.96 – $1,963.00 | 119 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $67.00 | $67.00 | $15.34 – $67.00 | 768 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $33.15 | $51.00 | $9.36 – $51.00 | 49 |
| Ghs pr without cont pulse ox CPT 94625 | $133.90 | $206.00 | $52.92 – $239.00 | 49 |
| Ghs sphenopalatine ganglion block CPT 64505 | $700.70 | $1,078.00 | $256.68 – $719.00 | 119 |
| Ghs urine, porphyrins quant CPT 84120 | $92.30 | $142.00 | $14.25 – $142.00 | 49 |
| Gi inhouse confirmation CPT 87045 | $75.40 | $116.00 | $9.15 – $116.00 | 49 |
| Glove finger flexion right lg xl HCPCS L3912 | $53.03 | $81.59 | $20.87 – $58.47 | 33 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.40 | $655.40 | $177.28 – $655.40 | 36 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $567.40 | $567.40 | $202.56 – $567.40 | 36 |
| Glucagon plasma - sendout CPT 82943 | $48.75 | $75.00 | $13.85 – $75.00 | 49 |
| Glucose 1 hr post dose CPT 82950 | $14.95 | $23.00 | $4.60 – $23.00 | 49 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $22.75 | $35.00 | $3.18 – $35.00 | 49 |
| Glucose blood quantitative CPT 82947 | $551.85 | $78.00 | $3.80 – $78.00 | 49 |
| Glucose body fluid CPT 82945 | $103.35 | $159.00 | $3.80 – $159.00 | 49 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $915.20 | $142.00 | $12.47 – $62.00 | 49 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.25 | $45.00 | $3.79 – $26.00 | 49 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $25,966.19 | $7.00 | $0.86 – $12,935.28 | 120 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,516.60 | $5,516.60 | $11.40 – $5,516.60 | 120 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $156.00 | $240.00 | $18.00 – $240.00 | 49 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $162.50 | $250.00 | $17.94 – $250.00 | 49 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $16,064.55 | $16,064.55 | $705.14 – $5,895.10 | 117 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $98.92 | $152.19 | $29.49 – $152.19 | 41 |
| Graft axiofill 1000mg HCPCS J3590 | $6,300.79 | $9,693.53 | $577.83 – $1,618.56 | 33 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | $1.41 | $2.17 | $0.77 – $2.17 | 33 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,885.86 | $2,901.33 | $18.66 – $96.28 | 41 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $4,970.86 | $7,647.47 | $0.09 – $0.46 | 41 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $1,548.87 | $2,382.88 | $850.69 – $2,382.88 | 33 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $16,761.06 | $25,786.25 | $0.15 – $0.43 | 33 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $35,755.20 | $55,008.00 | $0.01 – $0.78 | 33 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $304.44 | $468.37 | $0.30 – $1.56 | 41 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $397.50 | $611.54 | $46.26 – $238.70 | 41 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $414.05 | $637.00 | $59.28 – $305.89 | 41 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $476.79 | $733.52 | $15.78 – $81.42 | 41 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $58.05 | $89.31 | $31.88 – $89.31 | 33 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $1,705.66 | $2,624.09 | $0.01 – $0.04 | 33 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | $593.61 | $913.25 | $67.83 – $350.01 | 41 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $312.02 | $480.03 | $22.17 – $62.10 | 33 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $25,506.74 | $39,241.14 | $1.51 – $4.24 | 33 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $17,074.23 | $26,268.04 | $39.04 – $109.36 | 33 |
| Granisetron hcl injection HCPCS J1626 | $92.00 | $92.00 | $2.30 – $11.45 | 103 |
| Grfg autol soft tiss dir exc CPT 15769 | $27,061.04 | not published | $9.81 – $11,828.35 | 89 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,307.80 | $2,012.00 | $635.30 – $2,012.00 | 119 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,547.89 | $3,919.83 | $1,389.17 – $3,891.24 | 33 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,925.86 | $7,578.25 | $0.01 – $0.33 | 33 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $747.95 | $1,150.70 | $0.01 – $30.66 | 33 |
| Guid loc target vol rad tx CPT 77387 | $787.15 | $1,211.00 | $19.11 – $1,211.00 | 783 |
| Gw stiffened micro access kit HCPCS C1894 | $9,830.88 | $15,124.43 | $0.01 – $0.86 | 33 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $124.20 | $124.20 | $44.34 – $124.20 | 33 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $3.65 | $3.65 | $1.30 – $3.65 | 33 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $14,876.30 | $22,886.61 | $2,635.66 – $7,382.80 | 33 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $83.20 | $128.00 | $23.75 – $212.00 | 49 |
| Hand X-ray CPT 73130 | $404.95 | $623.00 | $78.07 – $415.00 | 120 |
| Hand X-ray (2 views, both hands) CPT 73120 | $341.90 | $526.00 | $93.79 – $351.00 | 120 |
| Haptoglobin quantitative CPT 83010 | $136.50 | $210.00 | $12.19 – $210.00 | 49 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,537.25 | $2,365.00 | $588.00 – $2,365.00 | 46 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $568.75 | $875.00 | $198.35 – $875.00 | 46 |
| Hbb full gene sequence CPT 81364 | $1,066.00 | $1,640.00 | $318.09 – $1,640.00 | 46 |
| Hbb gene dup/del variants CPT 81363 | $455.00 | $700.00 | $202.40 – $700.00 | 33 |
| Hcg qualitative CPT 84703 | $45.50 | $70.00 | $7.28 – $70.00 | 49 |
| Hcg quantitative CPT 84702 | $148.85 | $229.00 | $14.59 – $167.00 | 49 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $732.55 | $1,127.00 | $402.34 – $1,135.13 | 33 |
| Head CT scan (with and without contrast) CPT 70470 | $2,004.60 | $3,084.00 | $157.36 – $3,084.00 | 120 |
| Head CT scan (with contrast) CPT 70460 | $1,563.90 | $2,406.00 | $157.36 – $2,406.00 | 120 |
| Head CT scan (without contrast) CPT 70450 | $40,312.09 | $2,213.00 | $4.56 – $2,213.00 | 120 |
| Heart first pass multiple CPT 78483 | $1,592.50 | $2,450.00 | $874.65 – $2,450.00 | 33 |
| Heart image spect CPT 78494 | $2,269.15 | $3,491.00 | $358.66 – $3,491.00 | 120 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $248.95 | $383.00 | $78.07 – $255.00 | 120 |
| Helicobacter pylori antibody igm CPT 86677 | $79.95 | $123.00 | $16.33 – $123.00 | 49 |
| Hematocrit CPT 85014 | $28,355.31 | $51.00 | $2.30 – $51.00 | 120 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $34,281.50 | $34,281.50 | $34.60 – $34,281.50 | 117 |
| Hemodialysis one evaluation CPT 90935 | $776.75 | $1,195.00 | $426.62 – $1,371.32 | 120 |
| Hemoglobin CPT 85018 | $24,662.63 | $60.00 | $2.30 – $60.00 | 120 |
| Hemoglobin fetal qualitative CPT 83033 | $198.25 | $305.00 | $8.00 – $305.00 | 33 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $256.10 | $394.00 | $7.95 – $394.00 | 34 |
| Hemoglobin plasma CPT 83051 | $59.80 | $92.00 | $7.08 – $92.00 | 49 |
| Hemophilus influenza antibdy CPT 86684 | $34.45 | $53.00 | $15.35 – $53.00 | 49 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,236.00 | $3,440.00 | $834.31 – $3,440.00 | 119 |
| Heparin assay CPT 85520 | $100.75 | $155.00 | $12.69 – $155.00 | 49 |
| Heparin bolus from bag HCPCS J1644 | $80.00 | $80.00 | $2.20 – $6.90 | 104 |
| Heparin neutralization CPT 85525 | $83.85 | $129.00 | $11.48 – $129.00 | 49 |
| Hepatitis a antibody igm CPT 86709 | $80.60 | $124.00 | $10.91 – $124.00 | 49 |
| Hepatitis b core antibody igm CPT 86705 | $205.40 | $316.00 | $11.40 – $316.00 | 49 |
| Hepatitis b core antibody total CPT 86704 | $240.50 | $370.00 | $11.68 – $370.00 | 49 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,148.75 | $3,148.75 | $130.66 – $605.10 | 120 |
| Hepatitis b surface antibody CPT 86706 | $240.50 | $370.00 | $10.40 – $370.00 | 49 |
| Hepatitis c antibody CPT 86803 | $240.50 | $370.00 | $13.83 – $370.00 | 49 |
| Hernia Repair (Inguinal) CPT 49505 | $19,679.05 | not published | $1.92 – $7,153.96 | 88 |
| Herpes simplex type 1 antibody igg CPT 86695 | $61.75 | $95.00 | $12.78 – $95.00 | 34 |
| Herpes simplex type 2 antibody igg CPT 86696 | $61.75 | $95.00 | $18.75 – $95.00 | 34 |
| Heterophile antibodies screening CPT 86308 | $63.70 | $98.00 | $5.02 – $98.00 | 49 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $410.80 | $632.00 | $93.79 – $632.00 | 120 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $410.80 | $632.00 | $93.79 – $632.00 | 120 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $42,689.96 | $443.00 | $6.50 – $443.00 | 120 |
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.