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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $137.15 | $211.00 | $68.78 – $211.00 | 46 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $181.35 | $279.00 | $75.23 – $279.00 | 46 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,325.35 | $2,039.00 | $666.17 – $2,039.00 | 46 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,010.10 | $966.00 | $353.56 – $966.00 | 49 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $191.75 | $295.00 | $107.97 – $295.00 | 49 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $357.50 | $550.00 | $201.30 – $550.00 | 49 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $168.35 | $259.00 | $41.51 – $259.00 | 49 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $317.20 | $488.00 | $41.51 – $488.00 | 49 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $263.90 | $406.00 | $41.51 – $406.00 | 49 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $390.00 | $600.00 | $82.47 – $600.00 | 49 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $309.40 | $476.00 | $138.21 – $476.00 | 49 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,222.55 | $3,222.55 | $31.77 – $3,222.55 | 120 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,379.70 | $1,379.70 | $23.33 – $1,379.70 | 120 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,739.55 | $2,739.55 | $23.74 – $2,739.55 | 120 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $217.75 | $335.00 | $119.60 – $437.54 | 120 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $878.00 | $878.00 | $223.74 – $878.00 | 768 |
| Inj ceftolozane tazobactam HCPCS J0695 | $881.35 | $881.35 | $160.80 – $881.35 | 104 |
| Inj dx for sinogram CPT 20501 | $403.65 | $621.00 | $221.70 – $621.00 | 32 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $760.50 | $1,170.00 | $278.46 – $780.00 | 32 |
| Injection during cath supravalvular aortography CPT 93567 | $488.15 | $751.00 | $268.11 – $751.00 | 32 |
| Injection epidural blood patch or clot CPT 62273 | $1,591.85 | $2,449.00 | $633.28 – $2,449.00 | 119 |
| Injection for arthrography wrist (both sides) CPT 25246 | $794.30 | $1,222.00 | $290.96 – $815.00 | 32 |
| Injection for bladder x-ray CPT 51600 | $447.20 | $688.00 | $245.62 – $688.00 | 32 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $722.15 | $1,111.00 | $264.18 – $740.00 | 32 |
| Injection for ureter x-ray CPT 50684 | $622.05 | $957.00 | $227.77 – $638.00 | 32 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,255.00 | $3,255.00 | $6.28 – $3,255.00 | 36 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,662.05 | $2,557.00 | $358.66 – $1,705.00 | 48 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $39,983.80 | $1,901.00 | $1.92 – $1,410.41 | 119 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $27,915.58 | $1,728.00 | $0.96 – $1,410.41 | 119 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $15,828.86 | $192.00 | $0.96 – $7,043.23 | 120 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,287.00 | $1,980.00 | $706.86 – $1,980.00 | 32 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $21.95 | $21.95 | $7.15 – $21.95 | 104 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $178.80 | $178.80 | $63.83 – $178.80 | 33 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $43,706.59 | not published | $0.32 – $25,652.84 | 88 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $64.80 | $64.80 | $23.13 – $64.80 | 33 |
| Inj. mycophenolate mofetil HCPCS J7519 | $108.10 | $108.10 | $20.50 – $108.10 | 103 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,057.25 | $3,165.00 | $625.58 – $2,110.00 | 119 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $984.90 | $984.90 | $157.00 – $984.90 | 104 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $16.80 | $16.80 | $6.00 – $16.80 | 103 |
| Inj proc elbow arthro CPT 24220 | $600.60 | $924.00 | $219.91 – $616.00 | 32 |
| Inj progesterone per 50 mg HCPCS J2675 | $3.00 | $3.00 | $0.63 – $3.00 | 103 |
| Inj w/fluor eval cv device CPT 36598 | $588.90 | $906.00 | $190.83 – $604.00 | 119 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $73,182.85 | $73,182.85 | $2,514.57 – $73,182.85 | 120 |
| Ins cath ren art 1st bi CPT 36252 | $5,024.50 | $7,730.00 | $2,759.61 – $7,730.00 | 119 |
| Insertion catheter bladder non indwelling CPT 51701 | $145.60 | $224.00 | $79.97 – $265.84 | 119 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $11,750.97 | not published | $3.87 – $7,153.96 | 87 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $2,593.50 | $3,990.00 | $1,424.43 – $3,990.00 | 32 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | $1,040.00 | $1,600.00 | $571.20 – $1,600.00 | 32 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $8,400.60 | $12,924.00 | $4,613.87 – $12,924.00 | 119 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,792.05 | $2,757.00 | $984.25 – $6,308.93 | 119 |
| Insertion of heart electrode 33211 CPT 33211 | $15,405.00 | $23,700.00 | $8,460.90 – $23,700.00 | 32 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $18,507.49 | $14,774.00 | $3.36 – $20,884.03 | 119 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $5,658.90 | $8,706.00 | $3,108.04 – $20,884.03 | 119 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $6,030.05 | $9,277.00 | $3,311.89 – $9,277.00 | 32 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,157.00 | $1,780.00 | $635.46 – $3,145.30 | 48 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,530.45 | $3,893.00 | $1,389.80 – $3,893.00 | 119 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $14,580.15 | $22,431.00 | $8,007.87 – $62,717.78 | 119 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $3,612.70 | $5,558.00 | $1,984.21 – $16,534.97 | 119 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $733.85 | $1,129.00 | $403.05 – $16,534.97 | 119 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $11,052.53 | $6,053.00 | $2,160.92 – $16,534.97 | 48 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $12,956.48 | $11,573.00 | $5.46 – $7,715.00 | 119 |
| Insert vad art access left hrt arterial access CPT 33990 | $2,245.75 | $3,455.00 | $273.00 – $3,455.00 | 48 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $192.40 | $296.00 | $104.37 – $296.00 | 33 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $13,951.66 | $314.00 | $2.52 – $340.41 | 120 |
| Insj biomechanical device 22853 CPT 22853 | $47,616.02 | not published | $9.09 – $25,652.84 | 89 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $44.30 | $68.15 | $24.33 – $68.15 | 33 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $63,153.07 | not published | $0.96 – $61,656.46 | 88 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $20,005.70 | $30,778.00 | $10,987.75 – $38,486.60 | 119 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,743.50 | $14,990.00 | $5,351.43 – $20,884.03 | 119 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $10,254.40 | $15,776.00 | $5,632.03 – $16,534.97 | 119 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $12,442.95 | $19,143.00 | $6,834.05 – $20,884.03 | 119 |
| Insrt/redo neurostim 1 array CPT 61885 | $61,190.90 | not published | $0.96 – $61,656.46 | 88 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $21,160.55 | not published | $32.40 – $10,713.35 | 89 |
| Insulin total CPT 83525 | $195.00 | $300.00 | $11.08 – $300.00 | 49 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $2,333.79 | $3,590.44 | $695.83 – $3,590.44 | 41 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $146.76 | $225.79 | $80.61 – $225.79 | 33 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $10,427.90 | $10,427.90 | $1,640.10 – $10,427.90 | 104 |
| Intraoral periapical first HCPCS D0220 | $19,833.06 | not published | $0.96 – $1,291.74 | 88 |
| Intrapul surf admin endo tube CPT 94610 | $147.55 | $227.00 | $81.04 – $227.00 | 33 |
| Intrinsic factor antibody CPT 86340 | $199.55 | $307.00 | $14.62 – $142.00 | 49 |
| Intro cath dialysis circuit CPT 36901 | $4,911.37 | $2,070.00 | $2.28 – $3,145.30 | 119 |
| Intro cath dialysis circuit w/pta CPT 36902 | $14,720.12 | $13,696.00 | $2.28 – $13,696.00 | 119 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,988.70 | $4,598.00 | $1,641.49 – $4,598.00 | 32 |
| Intubation endotracheal emergency procedure CPT 31500 | $450.00 | $520.00 | $13.56 – $520.00 | 785 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $192.00 | $192.00 | $68.54 – $192.00 | 33 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $227.50 | $227.50 | $4.19 – $11.75 | 33 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $110,829.85 | $110,829.85 | $172.83 – $27,707.50 | 120 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $522.90 | $522.90 | $22.83 – $63.95 | 33 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $9,268.95 | $9,268.95 | $64.64 – $9,268.95 | 120 |
| Iron CPT 83540 | $29.90 | $46.00 | $6.27 – $46.00 | 49 |
| Iron binding capacity CPT 83550 | $48.75 | $75.00 | $8.47 – $75.00 | 49 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $185.90 | $185.90 | $17.46 – $185.90 | 36 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $174.00 | $174.00 | $22.00 – $174.00 | 103 |
| Irradiation of blood product each unit reference CPT 86945 | $137.15 | $211.00 | $33.51 – $211.00 | 49 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $2,779.35 | $2,779.35 | $77.83 – $2,779.35 | 120 |
| IV Fluids (each additional hour) CPT 96361 | $4,095.00 | $160.00 | $0.72 – $2,691.00 | 120 |
| IV Fluids (first hour) CPT 96360 | $1,896.96 | $621.00 | $2.74 – $2,691.00 | 120 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $19,464.35 | $192.00 | $9.09 – $2,691.00 | 120 |
| IV Medicine Infusion (additional drug) CPT 96367 | $134.55 | $207.00 | $64.60 – $2,691.00 | 49 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $12,598.62 | $171.00 | $9.09 – $3,842.40 | 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.