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 |
|---|---|---|---|---|
| Hip X-ray CPT 73502 | $360.75 | $555.00 | $78.07 – $555.00 | 49 |
| Histamine CPT 83088 | $121.55 | $187.00 | $28.61 – $187.00 | 49 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $359.45 | $553.00 | $164.64 – $553.00 | 49 |
| Hldr trach tb tie ad HCPCS A7526 | $1,057.54 | $1,626.99 | $0.21 – $0.59 | 33 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | $0.78 | $1.20 | $0.43 – $1.20 | 33 |
| Home sleep test/type 4 porta HCPCS G0400 | $603.00 | $603.00 | $71.66 – $603.00 | 534 |
| Homocysteine CPT 83090 | $189.80 | $292.00 | $17.36 – $292.00 | 49 |
| Homogenization tissue CPT 87176 | $48.10 | $74.00 | $5.70 – $74.00 | 49 |
| Human epididymis protein 4 (he4) CPT 86305 | $183.30 | $282.00 | $20.17 – $282.00 | 49 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,829.90 | $1,829.90 | $1.67 – $1,829.90 | 117 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $154.70 | $154.70 | $31.55 – $154.70 | 103 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $14.05 | $14.05 | $5.02 – $14.05 | 103 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $243.25 | $243.25 | $15.71 – $51.60 | 104 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $30,893.99 | $533.00 | $0.90 – $12,079.51 | 120 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $105.00 | $105.00 | $37.49 – $105.00 | 33 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.00 | $1.00 | $0.10 – $1.00 | 103 |
| Hysteroscopy biopsy CPT 58558 | $18,215.92 | not published | $4.92 – $6,468.07 | 89 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $177.45 | $273.00 | $54.60 – $273.00 | 111 |
| I-123 iobenguane diag HCPCS A9582 | $24,445.60 | $24,445.60 | $17.29 – $24,445.60 | 120 |
| I-123 ioflupane diag HCPCS A9584 | $12,340.00 | $12,340.00 | $1,359.99 – $12,340.00 | 117 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $412.50 | $412.50 | $143.25 – $401.25 | 32 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $6,709.35 | $6,709.35 | $2,395.24 – $6,709.35 | 32 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $149.14 – $417.75 | 32 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,149.75 | $1,149.75 | $92.40 – $1,149.75 | 103 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $2,574.70 | $2,574.70 | $186.77 – $2,574.70 | 120 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $20,112.30 | $30,942.00 | $0.01 – $400.26 | 33 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,933.75 | $42,975.00 | $58.11 – $162.77 | 33 |
| Icd crtp serena MRI HCPCS C2621 | $9,235.69 | $14,208.75 | $1,064.27 – $2,981.16 | 33 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,621.95 | $7,110.69 | $32.48 – $90.99 | 33 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $25.71 – $267.14 | 104 |
| Igh@ var region somatic mutation analy CPT 81263 | $906.75 | $1,395.00 | $288.63 – $1,395.00 | 46 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $19,153.29 | $358.00 | $3.42 – $6,468.07 | 785 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $236.60 | $364.00 | $23.00 – $716.21 | 785 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $18,283.34 | $968.00 | $2.46 – $340.41 | 785 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,434.55 | $2,207.00 | $787.90 – $2,207.00 | 32 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $57.14 – $7,982.85 | 117 |
| Immob elbow child sm HCPCS L3762 | $29.02 | $44.65 | $0.73 – $3.75 | 41 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $525.01 | $807.71 | $30.56 – $85.60 | 33 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $43,475.64 | $263.74 | $0.47 – $29,282.27 | 120 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $136.42 | $209.88 | $0.83 – $4.02 | 41 |
| Immobilizer shldr sling med HCPCS L3660 | $34.03 | $52.36 | $18.69 – $52.36 | 33 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $10,106.10 | $10,106.10 | $46.34 – $1,684.35 | 120 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $77.31 – $4,576.15 | 120 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $46.44 – $1,063.50 | 120 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $54,110.19 | $267.00 | $4.92 – $267.00 | 120 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $74.10 | $114.00 | $20.17 – $114.00 | 49 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $26.00 | $40.00 | $11.61 – $40.00 | 49 |
| Immunofixation electrophoresis serum CPT 86334 | $176.80 | $272.00 | $11.29 – $272.00 | 785 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $231.40 | $356.00 | $13.92 – $89.12 | 33 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $231.40 | $356.00 | $15.71 – $340.41 | 120 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,473.00 | $8,420.00 | $804.54 – $2,253.62 | 33 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $913.25 | $1,405.00 | $501.59 – $1,405.00 | 33 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,241.57 | $6,525.50 | $19.35 – $54.20 | 33 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,237.66 | $9,596.40 | $155.89 – $436.67 | 33 |
| Implant neuroelectrodes CPT 63655 | $57,499.48 | not published | $1.92 – $61,656.46 | 88 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,283.12 | $3,512.50 | $1,253.96 – $3,512.50 | 33 |
| Implant pulse generator remede el HCPCS C1823 | $12,314.25 | $18,945.00 | $3,500.66 – $9,805.78 | 33 |
| Implant ureth bulk agent HCPCS L8606 | $2,100.47 | $3,231.50 | $532.18 – $1,490.71 | 33 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,704.37 | $5,699.03 | $704.67 – $3,052.04 | 41 |
| Impl eye bio-eye 16mm HCPCS L8042 | $1,657.55 | $2,550.08 | $186.77 – $523.17 | 33 |
| Impl neurostim electr perc CPT 63650 | $54,798.65 | not published | $0.96 – $61,656.46 | 88 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $533.70 – $1,494.95 | 32 |
| In-111 autol wbc diag per dose HCPCS A9570 | $10,776.60 | $10,776.60 | $1,031.39 – $10,776.60 | 117 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $2,507.57 – $7,024.00 | 32 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $798.02 – $7,246.75 | 33 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $814.83 – $10,776.60 | 117 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $730.71 – $11,163.95 | 117 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $1,914.61 – $15,327.00 | 117 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $1,258.16 – $3,524.25 | 32 |
| Incision of anal sphincter CPT 46080 | $11,394.60 | not published | $0.96 – $5,546.02 | 88 |
| Incision of eardrum CPT 69421 | $11,300.54 | not published | $0.36 – $6,624.59 | 88 |
| Incision tendon sheath CPT 26055 | $10,178.42 | not published | $5.04 – $3,212.91 | 87 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $137.15 | $211.00 | $68.80 – $211.00 | 46 |
| Infect ag drug suscept pheno predict CPT 87900 | $685.10 | $1,054.00 | $126.31 – $1,054.00 | 49 |
| Infect ag na hpv high-risk types CPT 87624 | $139.75 | $215.00 | $34.01 – $215.00 | 49 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $65.00 | $100.00 | $36.60 – $100.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $70.20 | $108.00 | $11.61 – $108.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $63.70 | $98.00 | $13.01 – $98.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $73.45 | $113.00 | $13.39 – $113.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $73.45 | $113.00 | $11.61 – $113.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $358.15 | $551.00 | $13.93 – $551.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $240.50 | $370.00 | $10.01 – $370.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $167.05 | $257.00 | $10.01 – $257.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $1,496.30 | $226.00 | $9.09 – $226.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $105.95 | $163.00 | $11.61 – $163.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $143.00 | $220.00 | $11.61 – $220.00 | 49 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $62.40 | $96.00 | $11.61 – $96.00 | 49 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $184.60 | $284.00 | $34.01 – $284.00 | 49 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $176.80 | $272.00 | $34.01 – $271.00 | 49 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $3,152.30 | $416.00 | $4.92 – $416.00 | 120 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $627.90 | $966.00 | $353.56 – $966.00 | 49 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $83.20 | $128.00 | $34.01 – $128.00 | 49 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $171.60 | $264.00 | $34.01 – $264.00 | 49 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $181.35 | $279.00 | $40.39 – $279.00 | 49 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $176.80 | $272.00 | $34.01 – $213.00 | 49 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $0.65 | $1.00 | $0.37 – $103.13 | 49 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $361.40 | $556.00 | $138.21 – $556.00 | 49 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $361.40 | $556.00 | $138.21 – $556.00 | 49 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $67.60 | $104.00 | $34.01 – $104.00 | 49 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $67.60 | $104.00 | $34.01 – $104.00 | 49 |
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.