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 |
|---|---|---|---|---|
| IV Medicine Infusion (first hour) CPT 96365 | $9,972.30 | $741.00 | $2.28 – $3,842.40 | 120 |
| IV Push Injection (each additional drug) CPT 96375 | $9,652.76 | $221.00 | $0.36 – $2,691.00 | 120 |
| IV Push Injection (first drug) CPT 96374 | $3,114.28 | $282.00 | $3.84 – $2,691.00 | 120 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $18,131.05 | $18,131.05 | $127.12 – $6,043.70 | 120 |
| Jkt lso inter HCPCS L0560 | $41.27 | $63.49 | $22.67 – $63.49 | 33 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $78.00 | $120.00 | $7.92 – $120.00 | 49 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $33,843.22 | $30.05 | $0.70 – $14,498.57 | 120 |
| Kidney imag w/bld flow multi CPT 78709 | $1,285.70 | $1,978.00 | $487.13 – $1,978.00 | 49 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $885.95 | $1,363.00 | $486.59 – $1,363.00 | 120 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $853.45 | $1,313.00 | $93.79 – $1,313.00 | 49 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $543.40 | $836.00 | $93.79 – $836.00 | 120 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,937.40 | $9,134.46 | $1,046.79 – $2,932.18 | 33 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $257.21 | $395.71 | $121.63 – $340.71 | 33 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $1.31 | $2.02 | $0.47 – $1.33 | 33 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,430.77 | $9,893.50 | $2,066.58 – $5,788.75 | 33 |
| Kit hfx iq ipg bundle HCPCS C1822 | $25,570.56 | $39,339.32 | $11,353.14 – $31,801.50 | 33 |
| Kit ipg optimizer smart HCPCS C1824 | $29,051.10 | $44,694.00 | $14,114.71 – $39,537.00 | 33 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $2.05 | $3.16 | $1.13 – $3.16 | 33 |
| Kit lead specify 5-6-5 HCPCS C1778 | $13,454.45 | $20,699.16 | $51.17 – $143.33 | 33 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $1,313.77 | $2,021.18 | $721.56 – $2,021.18 | 33 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,391.79 | $2,141.22 | $733.80 – $2,055.46 | 33 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $234.08 | $360.12 | $40.86 – $210.83 | 41 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $5,830.16 | $8,969.47 | $1,233.64 – $6,365.52 | 41 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $3,140.14 | $4,830.98 | $14.94 – $41.85 | 33 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | $18,992.62 | not published | $0.96 – $6,537.75 | 88 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $20,569.25 | not published | $1.92 – $6,537.75 | 88 |
| Knee arthroscopy/surgery CPT 29888 | $31,053.89 | not published | $0.96 – $14,498.57 | 88 |
| Knee MRI (with and without contrast) CPT 73723 | $5,265.65 | $8,101.00 | $312.99 – $5,400.00 | 49 |
| Knee MRI (without contrast) CPT 73721 | $4,561.70 | $7,018.00 | $214.06 – $4,679.00 | 120 |
| Knee X-ray CPT 73564 | $516.10 | $794.00 | $93.79 – $529.00 | 120 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $39,351.34 | $575.00 | $0.32 – $383.00 | 120 |
| Knee X-ray (3 views, both knees) CPT 73562 | $473.20 | $728.00 | $78.07 – $485.00 | 120 |
| Knee X-ray (standing, both knees) CPT 73565 | $161.85 | $249.00 | $78.07 – $249.00 | 120 |
| Kras gene addl variants CPT 81276 | $604.50 | $930.00 | $187.26 – $930.00 | 49 |
| Kras gene variants exon 2 CPT 81275 | $657.80 | $1,012.00 | $187.26 – $1,012.00 | 49 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $356.60 | $356.60 | $127.31 – $356.60 | 33 |
| Lactate dehydrogenase (ldh) CPT 83615 | $72.15 | $111.00 | $5.85 – $111.00 | 49 |
| Lactated ringers intravenous solution HCPCS J7120 | $17,410.74 | $20.00 | $4.92 – $6,468.07 | 120 |
| Lactic acid CPT 83605 | $3,152.30 | $128.00 | $4.92 – $128.00 | 120 |
| Lactoferrin fecal qualitative CPT 83630 | $67.60 | $104.00 | $19.09 – $104.00 | 49 |
| Lam facetec & foramot crv CPT 63045 | $31,140.57 | not published | $2.28 – $14,498.57 | 88 |
| Lam facetec & foramot lumbar CPT 63047 | $35,667.22 | not published | $0.96 – $14,498.57 | 88 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $29,832.00 | $29,832.00 | $93.06 – $29,832.00 | 36 |
| Laparo cholecystectomy/graph CPT 47563 | $29,377.98 | not published | $2.88 – $12,079.51 | 88 |
| Laparoscopy excise lesions CPT 58662 | $22,137.50 | not published | $12.15 – $21,239.36 | 89 |
| Laparoscopy lymphadenectomy CPT 38571 | $50,892.68 | not published | $9.09 – $21,239.36 | 90 |
| Laparoscopy pyeloplasty CPT 50544 | $40,104.89 | not published | $9.84 – $21,239.36 | 89 |
| Laparoscopy remove adnexa CPT 58661 | $30,192.79 | not published | $4.05 – $12,079.51 | 89 |
| Laparoscopy surg colpopexy CPT 57425 | $36,494.79 | not published | $12.30 – $21,239.36 | 89 |
| Laparo-vag hyst incl t/o CPT 58552 | $26,613.05 | not published | $10.79 – $21,239.36 | 89 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $27,304.22 | not published | $10.98 – $21,239.36 | 89 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $23,728.33 | not published | $9.09 – $2,216.55 | 89 |
| Lap ing hernia repair init CPT 49650 | $34,430.86 | not published | $0.96 – $12,079.51 | 88 |
| Lap paraesophag hern repair CPT 43281 | $35,116.28 | not published | $2.88 – $21,239.36 | 88 |
| Laps surg prst8ect rpbic rad CPT 55866 | $50,481.92 | not published | $7.38 – $21,239.36 | 89 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $800.15 | $1,231.00 | $275.38 – $820.00 | 119 |
| Laryngoscope w/vc inj CPT 31570 | $13,498.22 | not published | $0.96 – $7,449.57 | 88 |
| Laryngoscopy w/bx & op scope CPT 31536 | $16,018.86 | not published | $2.97 – $7,449.57 | 89 |
| Larynscop w/tumr exc + scope CPT 31541 | $13,955.14 | not published | $2.52 – $7,449.57 | 89 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,873.32 | $4,420.50 | $36.08 – $101.07 | 33 |
| Lead capillary CPT 83655 | $90.35 | $139.00 | $11.73 – $75.00 | 49 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,159.75 | $6,399.62 | $0.09 – $0.26 | 33 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,202.66 | $12,619.48 | $33.35 – $93.42 | 33 |
| Lefort i-1 piece without graft CPT 21141 | $54,351.11 | not published | $1.08 – $11,828.35 | 88 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,266.55 | $3,487.00 | $157.36 – $2,325.00 | 120 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $2,139.80 | $3,292.00 | $93.79 – $2,195.00 | 49 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,129.70 | $1,738.00 | $214.06 – $1,738.00 | 49 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $419.25 | $645.00 | $17.85 – $50.00 | 33 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $8,575.35 | $1,065.00 | $2.46 – $4,611.24 | 120 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $354.25 | $545.00 | $17.85 – $50.00 | 33 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $3.95 – $13.75 | 103 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $125.18 – $473.02 | 120 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $8.10 | $8.10 | $2.25 – $7.95 | 104 |
| Levetiracetam therapeutic drug level CPT 80177 | $232.70 | $358.00 | $12.84 – $192.00 | 49 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $61.50 | $61.50 | $1.96 – $6.50 | 103 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $553.55 | $553.55 | $77.00 – $553.55 | 103 |
| Liberta rc ipg HCPCS C1820 | $29,884.39 | $45,975.98 | $24.53 – $68.71 | 33 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $37.50 | $37.50 | $13.39 – $37.50 | 33 |
| Lidocaine therapeutic drug level CPT 80176 | $98.15 | $151.00 | $14.69 – $151.00 | 33 |
| Lift heel adj small gl60404sm HCPCS L3332 | $38.34 | $58.98 | $21.06 – $58.98 | 33 |
| Lift heel adjustable med HCPCS L3334 | $3.03 | $4.66 | $1.66 – $4.66 | 33 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $64.50 | $64.50 | $10.41 – $64.50 | 103 |
| Lipase CPT 83690 | $209.30 | $322.00 | $6.68 – $135.00 | 49 |
| Lipoprotein blood quant CPT 83704 | $137.80 | $212.00 | $33.13 – $212.00 | 49 |
| Lipoprotein direct measurement hdl CPT 83718 | $68.90 | $106.00 | $7.94 – $106.00 | 49 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.20 | $88.00 | $10.18 – $88.00 | 49 |
| Lithium therapeutic drug level CPT 80178 | $55.90 | $86.00 | $6.41 – $86.00 | 49 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $867.75 | $1,335.00 | $476.60 – $1,335.00 | 33 |
| Liver Function Test CPT 80076 | $255.45 | $393.00 | $7.92 – $393.00 | 49 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $197.84 – $87,089.35 | 120 |
| Loop ostmy bridg ster HCPCS A4421 | $45.43 | $69.90 | $0.13 – $0.36 | 33 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $22.20 | $22.20 | $1.89 – $5.30 | 33 |
| Low back disk surgery CPT 63030 | $31,330.99 | not published | $0.36 – $14,498.57 | 88 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $310.70 | $478.00 | $93.79 – $478.00 | 49 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,717.95 | $2,643.00 | $157.36 – $2,643.00 | 120 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,626.95 | $2,503.00 | $312.99 – $2,503.00 | 120 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,507.35 | $2,319.00 | $93.79 – $2,319.00 | 49 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,841.20 | $7,448.00 | $312.99 – $7,448.00 | 49 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,477.50 | $5,350.00 | $214.06 – $5,350.00 | 49 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $29,106.71 | $663.00 | $3.42 – $663.00 | 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.