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 |
|---|---|---|---|---|
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $956.80 | $1,472.00 | $358.66 – $1,472.00 | 49 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,019.85 | $1,569.00 | $358.66 – $1,569.00 | 120 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,255.15 | $1,931.00 | $487.13 – $1,931.00 | 49 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,546.35 | $2,379.00 | $487.13 – $2,379.00 | 120 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $690.30 | $1,062.00 | $358.66 – $1,062.00 | 49 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $975.00 | $1,500.00 | $209.34 – $1,500.00 | 120 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $231.40 | $356.00 | $78.07 – $356.00 | 120 |
| Nras gene variants exon 2&3 CPT 81311 | $971.75 | $1,495.00 | $286.62 – $1,495.00 | 49 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $5,836.35 | $8,979.00 | $1,604.15 – $8,979.00 | 49 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $22,389.96 | not published | $6.30 – $14,101.44 | 89 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $21,110.66 | not published | $6.88 – $14,101.44 | 89 |
| Ntrk translocation analysis CPT 81194 | $1,010.75 | $1,555.00 | $507.91 – $1,555.00 | 46 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,837.55 | $2,827.00 | $547.87 – $2,827.00 | 41 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,670.50 | $2,570.00 | $498.07 – $2,570.00 | 41 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $1,187.16 – $455,355.55 | 120 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $79.99 – $28,351.00 | 120 |
| Observation direct referral from physician office for admission HCPCS G0379 | $291.85 | $449.00 | $160.29 – $5,390.00 | 49 |
| Observation per hour HCPCS G0378 | $3,327.61 | $187.00 | $2.46 – $5,390.00 | 120 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $165.10 | $254.00 | $72.58 – $254.00 | 49 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $39,450.24 | $254.00 | $6.50 – $254.00 | 120 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $35,849.03 | $254.00 | $3.42 – $254.00 | 120 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $62.03 – $65,142.90 | 36 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $17.95 | $17.95 | $0.68 – $1.90 | 103 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $195.19 – $12,696.00 | 120 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $622.30 – $1,810.15 | 104 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $398.25 – $1,115.54 | 33 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $64.40 | $64.40 | $22.99 – $64.40 | 33 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $44.59 – $7,768.80 | 120 |
| Oncology colon mrna CPT 81525 | $11,381.50 | $17,510.00 | $3,116.00 – $17,510.00 | 33 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $40,100.55 | $1.00 | $0.04 – $3,351.04 | 120 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $27,349.79 | $4.10 | $0.36 – $11,828.35 | 119 |
| Open bx/exc inguinofem nodes CPT 38531 | $24,478.88 | not published | $7.38 – $13,267.65 | 89 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $51,774.41 | not published | $1.92 – $88,008.83 | 85 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $53,125.12 | not published | $0.96 – $88,008.83 | 89 |
| Optx clavicular fx w/int fix CPT 23515 | $30,200.40 | not published | $0.96 – $14,498.57 | 88 |
| Optx radial shaft fracture CPT 25515 | $28,031.80 | not published | $0.96 – $14,498.57 | 88 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $32,232.54 | not published | $1.92 – $14,498.57 | 88 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $32,319.04 | not published | $1.92 – $14,498.57 | 88 |
| Oral aprepitant HCPCS J8501 | $38.30 | $38.30 | $13.67 – $38.30 | 103 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $42.20 – $28,018.60 | 120 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $29.11 – $5,978.20 | 36 |
| Orthopantogram CPT 70355 | $252.85 | $389.00 | $78.07 – $389.00 | 120 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $493.78 – $1,383.14 | 33 |
| Oscillation chest wall mechanical per session CPT 94669 | $272.35 | $419.00 | $137.00 – $437.54 | 120 |
| Osmolality blood CPT 83930 | $111.80 | $172.00 | $6.41 – $172.00 | 49 |
| Osmolality urine CPT 83935 | $91.00 | $140.00 | $6.61 – $140.00 | 49 |
| Oth resp proc, group HCPCS G0239 | $146.25 | $225.00 | $33.51 – $225.00 | 49 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $87.75 | $135.00 | $26.42 – $212.00 | 49 |
| Ot re-evaluation patient/family CPT 97168 | $91.00 | $140.00 | $47.90 – $212.00 | 49 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $81.90 | $126.00 | $17.81 – $137.00 | 49 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $81.90 | $126.00 | $18.89 – $137.00 | 49 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $14.50 | 103 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $41.06 – $115.00 | 33 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.85 | $6.85 | $0.87 – $6.85 | 103 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $617.61 – $1,730.00 | 32 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 104 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $7,979.72 – $22,352.16 | 33 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $328.00 | $328.00 | $3.60 – $177.12 | 104 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,766.15 | $4,766.15 | $8.02 – $4,766.15 | 120 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $19.47 – $54.55 | 33 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $73.76 | 104 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $162.13 – $5,249.05 | 120 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $1.89 – $10.25 | 103 |
| Papaverin hcl injection HCPCS J2440 | $26.70 | $26.70 | $5.34 – $39.27 | 108 |
| Parathormone (pth) intact CPT 83970 | $128.70 | $198.00 | $40.00 – $198.00 | 49 |
| Parathyrd planar w/spect&ct CPT 78072 | $725.40 | $1,116.00 | $398.41 – $1,135.13 | 49 |
| Parathyroid planar imaging CPT 78070 | $880.75 | $1,355.00 | $358.66 – $1,355.00 | 120 |
| Parathyroid planar img w/tomo spect CPT 78071 | $729.30 | $1,122.00 | $358.66 – $1,122.00 | 120 |
| Paricalcitol HCPCS J2501 | $46.00 | $46.00 | $3.35 – $46.00 | 103 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $19,641.37 | not published | $0.96 – $6,537.75 | 88 |
| Partial removal of thyroid CPT 60220 | $25,877.94 | not published | $16.50 – $12,079.51 | 89 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $0.47 – $2.41 | 41 |
| Passy muir valve metal trach HCPCS L8501 | $242.38 | $372.89 | $28.08 – $78.66 | 33 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.31 | $0.47 | $0.17 – $0.47 | 33 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $94.19 | $144.91 | $51.73 – $144.91 | 33 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $120.38 – $17,709.85 | 120 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $130.39 – $10,830.70 | 120 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $158.75 – $20,144.40 | 120 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $11,866.15 | 104 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,037.30 | $5,037.30 | $96.89 – $5,037.30 | 120 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $124.68 – $11,497.50 | 120 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $3,610.60 – $95,364.75 | 120 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,831.05 | $2,817.00 | $157.36 – $2,817.00 | 120 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,657.50 | $2,550.00 | $157.36 – $2,550.00 | 120 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,524.90 | $2,346.00 | $93.79 – $2,346.00 | 49 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,649.75 | $5,615.00 | $312.99 – $5,615.00 | 49 |
| Pelvic MRI (without contrast) CPT 72195 | $2,894.45 | $4,453.00 | $214.06 – $4,453.00 | 49 |
| Pelvic Ultrasound (complete) CPT 76856 | $742.30 | $1,142.00 | $93.79 – $1,142.00 | 120 |
| Pelvic Ultrasound (limited) CPT 76857 | $344.50 | $530.00 | $93.79 – $530.00 | 120 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $2,374.45 | $361.00 | $93.79 – $361.00 | 49 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $251.55 | $387.00 | $93.79 – $387.00 | 120 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $18,047.05 | $18,047.05 | $57.42 – $18,047.05 | 120 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,906.25 | $5,906.25 | $3.52 – $1,181.25 | 120 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $21.71 – $1,113.35 | 120 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $234.00 | $234.00 | $0.88 – $3.25 | 103 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,529.89 | $20,815.21 | $17.85 – $50.00 | 33 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $792.75 | $792.75 | $283.01 – $792.75 | 33 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,486.35 – $14,509.25 | 120 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $16,485.30 | $25,362.00 | $9,054.23 – $36,628.26 | 119 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $6,163.30 | $9,482.00 | $3,385.07 – $9,482.00 | 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.