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 |
|---|---|---|---|---|
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $70.12 – $361.84 | 41 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $79.42 – $409.78 | 41 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $127.65 | $127.65 | $15.69 – $100.30 | 103 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $31.25 – $18,374.40 | 120 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $8.05 | 103 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.49 – $1.38 | 33 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $3,585.26 – $10,042.74 | 33 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 103 |
| Metabolic Blood Panel (Basic) CPT 80048 | $18,552.49 | $164.00 | $2.28 – $164.00 | 120 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $3,304.31 | $336.00 | $2.46 – $336.00 | 120 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $620.95 | $620.95 | $24.63 – $69.00 | 33 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $32,814.32 | $1,450.00 | $4.79 – $25,652.84 | 119 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.95 | $1.95 | $0.22 – $1.95 | 103 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $16.99 – $47.60 | 33 |
| Methotrexate therapeutic drug level CPT 80204 | $128.05 | $197.00 | $37.37 – $197.00 | 49 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $620.55 | $620.55 | $18.19 – $620.55 | 36 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $104.35 | $104.35 | $22.06 – $104.35 | 103 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $106.08 – $572.60 | 111 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $3,327.61 | $1.00 | $0.23 – $2,416.32 | 120 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $93.70 | $93.70 | $19.28 – $54.00 | 33 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $40,578.50 | $317.00 | $0.96 – $25,652.84 | 120 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $5.75 | $5.75 | $1.00 – $3.00 | 103 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $4.60 | $4.60 | $0.65 – $4.60 | 104 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.50 | $14.50 | $5.18 – $14.50 | 33 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $860.05 | $860.05 | $307.04 – $860.05 | 33 |
| Microsatellite instability CPT 81301 | $552.50 | $850.00 | $311.10 – $850.00 | 49 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $252.85 | $389.00 | $78.07 – $389.00 | 120 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $110.00 | $110.00 | $0.32 – $3.00 | 104 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $110.00 | $110.00 | $10.26 – $28.75 | 33 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $64.26 – $20,601.45 | 120 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $25.58 – $298.95 | 120 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $30.26 – $1,048.45 | 120 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $487.50 | $750.00 | $36.56 – $750.00 | 49 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,234.66 | $9,591.79 | $34.00 – $95.24 | 33 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $1.07 – $4.55 | 103 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $18,641.49 | $10.55 | $0.96 – $12,079.51 | 88 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $45.90 | $45.90 | $1.07 – $10.79 | 104 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $325.65 | $501.00 | $152.85 – $501.00 | 120 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $287.95 | $443.00 | $25.77 – $716.21 | 785 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $780.00 | $1,200.00 | $24.92 – $340.41 | 785 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $613.69 – $1,936.45 | 120 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $295.75 | $455.00 | $152.85 – $455.00 | 120 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,278.90 | $3,506.00 | $232.44 – $3,506.00 | 117 |
| MRA without cont, abd HCPCS C8901 | $2,128.75 | $3,275.00 | $214.06 – $3,275.00 | 120 |
| MRA without cont, lwr ext HCPCS C8913 | $1,657.50 | $2,550.00 | $232.44 – $1,700.00 | 46 |
| MRI breast c- unilateral CPT 77046 | $1,391.65 | $2,141.00 | $30.31 – $2,141.00 | 120 |
| MRI breast without cont bi CPT 77047 | $1,797.25 | $2,765.00 | $199.57 – $2,765.00 | 49 |
| MRI chest without contrast CPT 71550 | $2,861.30 | $4,402.00 | $214.06 – $4,402.00 | 120 |
| MRI chest without & w/contrast CPT 71552 | $2,691.00 | $4,140.00 | $312.99 – $4,140.00 | 120 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,349.15 | $6,691.00 | $214.06 – $4,460.00 | 49 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,898.75 | $9,075.00 | $312.99 – $6,050.00 | 49 |
| MRI tmj CPT 70336 | $1,686.75 | $2,595.00 | $214.06 – $2,595.00 | 120 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,658.85 | $5,629.00 | $214.06 – $3,753.00 | 120 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,256.20 | $6,548.00 | $312.99 – $4,365.00 | 49 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,140.80 | $4,832.00 | $283.84 – $4,832.00 | 49 |
| Multiple sleep latency test CPT 95805 | $2,048.15 | $3,151.00 | $36.85 – $3,151.00 | 785 |
| Mumps antibody igg CPT 86735 | $372.45 | $573.00 | $12.65 – $573.00 | 49 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.00 | $1.00 | $0.16 – $1.00 | 103 |
| Mycophenolic acid HCPCS J7518 | $2.20 | $2.20 | $0.37 – $2.20 | 103 |
| Mycoplasma antibody igm CPT 86738 | $90.35 | $139.00 | $12.83 – $113.00 | 49 |
| Myelography l-s spine CPT 72265 | $1,424.80 | $2,192.00 | $703.29 – $2,192.00 | 120 |
| Myelography via inj w/s&i cervical CPT 62302 | $960.70 | $1,478.00 | $527.65 – $1,566.34 | 119 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,060.15 | $1,631.00 | $582.27 – $1,631.00 | 119 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $215.80 | $332.00 | $11.17 – $100.00 | 49 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $42.60 | $42.60 | $3.00 – $17.55 | 103 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $28.50 | $28.50 | $3.51 – $28.50 | 103 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $546.10 | $546.10 | $14.00 – $72.85 | 104 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $21,511.87 | not published | $1.92 – $7,449.57 | 89 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $24,443.80 | not published | $5.19 – $14,101.44 | 89 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $21,511.87 | not published | $6.88 – $14,101.44 | 89 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $24.02 – $26,637.70 | 120 |
| Natriuretic peptide CPT 83880 | $106.60 | $164.00 | $38.05 – $164.00 | 49 |
| Natural killer cells total count CPT 86357 | $122.20 | $188.00 | $36.56 – $188.00 | 49 |
| Navigational bronchoscopy 31627 CPT 31627 | $32,752.80 | $3,117.00 | $4.77 – $14,101.44 | 119 |
| Ndl round specialty proguide HCPCS C1715 | $1,221.47 | $1,879.19 | $12.66 – $35.45 | 33 |
| Nebulizer Breathing Treatment CPT 94640 | $15,154.36 | $211.00 | $2.28 – $437.54 | 120 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $226.20 | $348.00 | $78.07 – $348.00 | 49 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,478.10 | $2,274.00 | $157.36 – $2,274.00 | 120 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,972.75 | $3,035.00 | $312.99 – $3,035.00 | 120 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,955.20 | $3,008.00 | $93.79 – $3,008.00 | 120 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,189.25 | $6,445.00 | $312.99 – $6,445.00 | 49 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,367.00 | $5,180.00 | $214.06 – $5,180.00 | 49 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $3,684.85 | $489.00 | $78.07 – $489.00 | 49 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $414.70 | $638.00 | $93.79 – $638.00 | 120 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $479.05 | $737.00 | $93.79 – $737.00 | 120 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,019.25 | $4,645.00 | $312.99 – $4,645.00 | 120 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,229.50 | $3,430.00 | $214.06 – $3,430.00 | 120 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,641.90 | $2,526.00 | $157.36 – $2,526.00 | 120 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,573.00 | $2,420.00 | $157.36 – $2,420.00 | 49 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,237.60 | $1,904.00 | $93.79 – $1,904.00 | 120 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $9.20 | $9.20 | $3.28 – $9.20 | 33 |
| New Patient Office Visit (level 3) CPT 99203 | $180.00 | $180.00 | $45.58 – $175.00 | 768 |
| New Patient Office Visit (level 4) CPT 99204 | $17,315.35 | $307.00 | $63.00 – $285.00 | 769 |
| New Patient Office Visit (level 5) CPT 99205 | $402.00 | $402.00 | $102.24 – $402.00 | 771 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $27.30 | $27.30 | $9.75 – $27.30 | 103 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $14.20 – $112.50 | 103 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $31.59 – $4,051.00 | 120 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $183.98 – $94,382.55 | 120 |
| Njx interlaminar crv/thrc CPT 62324 | $2,624.05 | $4,037.00 | $1,441.21 – $4,037.00 | 32 |
| Njx interlaminar lmbr/sac CPT 62326 | $2,624.05 | $4,037.00 | $1,441.21 – $4,037.00 | 32 |
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.