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 |
|---|---|---|---|---|
| Perc d-e cor revasc t cabg s HCPCS C9604 | $14,784.25 | $22,745.00 | $8,119.97 – $23,066.33 | 119 |
| Perc d-e cor stent ather br HCPCS C9603 | $8,215.35 | $12,639.00 | $4,512.12 – $12,639.00 | 32 |
| Perc d-e cor stent ather s HCPCS C9602 | $16,564.60 | $25,484.00 | $9,097.79 – $36,628.26 | 48 |
| Perc drug-el cor stent bran HCPCS C9601 | $7,694.70 | $11,838.00 | $4,226.17 – $11,838.00 | 32 |
| Perc drug-el cor stent sing HCPCS C9600 | $41,237.68 | $35,382.00 | $2.86 – $35,382.00 | 119 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,486.90 | $3,826.00 | $1,365.88 – $3,826.00 | 119 |
| Peripheral vascular rehab CPT 93668 | $624.00 | $240.00 | $57.47 – $240.00 | 116 |
| Perphenazine 4mg oral HCPCS Q0175 | $1.00 | $1.00 | $0.36 – $1.00 | 103 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,666.10 | $20,666.10 | $15.59 – $20,666.10 | 120 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $96.38 | $148.28 | $39.70 – $111.21 | 33 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,999.68 | $10,539.00 | $1,282.87 – $10,539.00 | 49 |
| Pet CT whole body initial CPT 78816 | $7,618.78 | $9,953.00 | $1,282.87 – $9,953.00 | 49 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,744.57 | $84,222.41 | $0.01 – $0.01 | 33 |
| Ph body fluid CPT 83986 | $23.40 | $36.00 | $3.47 – $36.00 | 49 |
| Phencyclidine (pcp) CPT 83992 | $54.60 | $84.00 | $30.74 – $116.72 | 46 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $201.80 | $201.80 | $23.37 – $65.45 | 103 |
| Phenobarbital therapeutic drug level CPT 80184 | $130.00 | $200.00 | $14.83 – $200.00 | 49 |
| Phentolaine mesylate inj HCPCS J2760 | $2,253.40 | $2,253.40 | $412.15 – $2,253.40 | 120 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $37,994.37 | $11.90 | $0.32 – $25,652.84 | 120 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $8.25 | $8.25 | $0.66 – $4.46 | 104 |
| Phenytoin total therapeutic drug level CPT 80185 | $77.35 | $119.00 | $12.84 – $119.00 | 49 |
| Phosphorus CPT 84100 | $23,978.47 | $60.00 | $4.59 – $60.00 | 120 |
| Phosphorus 24 hour urine CPT 84105 | $69.55 | $107.00 | $5.60 – $107.00 | 49 |
| Phys blood bank serv reactj CPT 86078 | $142.00 | $142.00 | $29.41 – $138.00 | 767 |
| Phys blood bank serv xmatch CPT 86077 | $142.00 | $142.00 | $29.41 – $142.00 | 767 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $195.65 | $301.00 | $74.80 – $301.00 | 49 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $195.65 | $301.00 | $74.80 – $301.00 | 49 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $1,105.65 | $301.00 | $74.80 – $301.00 | 49 |
| Physical Therapy Re-Evaluation CPT 97164 | $91.00 | $140.00 | $49.98 – $231.00 | 49 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $22.60 | $22.60 | $2.84 – $19.80 | 103 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $781.90 | $1,202.93 | $36.12 – $186.36 | 41 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,304.88 | $37,392.12 | $0.01 – $0.42 | 33 |
| Pinworm exam CPT 87172 | $45.50 | $70.00 | $4.14 – $70.00 | 49 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $89.80 | $89.80 | $2.12 – $5.95 | 103 |
| Place duod/jej tube perc CPT 49441 | $23,085.61 | not published | $8.46 – $6,308.93 | 89 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $18,185.07 | $4,360.00 | $6.12 – $3,300.04 | 119 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,749.15 | $2,691.00 | $44.46 – $2,691.00 | 32 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $25,182.94 | $4,360.00 | $4.05 – $2,906.00 | 119 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,904.60 | $9,084.00 | $1,875.39 – $6,055.00 | 119 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $29,059.06 | $250.00 | $6.84 – $36,628.26 | 119 |
| Placement of seton CPT 46020 | $12,713.97 | not published | $0.96 – $5,546.02 | 88 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $18,679.05 | $28,737.00 | $6,839.41 – $23,066.33 | 119 |
| Place slctv cath carotd art uni CPT 36224 | $9,934.60 | $15,284.00 | $3,637.47 – $11,118.34 | 119 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,557.85 | $10,089.00 | $2,401.18 – $6,726.00 | 119 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $7,682.35 | $11,819.00 | $2,812.80 – $11,118.34 | 119 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $247.65 | $381.00 | $136.02 – $381.00 | 33 |
| Platelet aggregation each agent teg CPT 85576 | $73.45 | $113.00 | $24.13 – $113.00 | 49 |
| Platelet automated CPT 85049 | $34.45 | $53.00 | $4.35 – $53.00 | 49 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,996.15 | $3,071.00 | $306.00 – $3,071.00 | 120 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $235.95 | $363.00 | $126.68 – $363.00 | 120 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $377.00 | $580.00 | $166.49 – $580.00 | 120 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,787.50 | $2,750.00 | $306.00 – $2,750.00 | 33 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,146.60 | $1,764.00 | $306.00 – $1,764.00 | 120 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $713.05 | $1,097.00 | $306.00 – $1,097.00 | 120 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $742.95 | $1,143.00 | $306.00 – $1,368.03 | 49 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $724.75 | $1,115.00 | $306.00 – $1,220.93 | 120 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,315.60 | $2,024.00 | $75.66 – $1,414.91 | 119 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,312.35 | $2,019.00 | $37.83 – $2,019.00 | 32 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $343.20 | $528.00 | $188.50 – $745.60 | 49 |
| Plmt nephroureteral catheter CPT 50433 | $4,988.10 | $7,674.00 | $1,826.41 – $7,043.23 | 119 |
| Plug insert indwelling 16f HCPCS L8511 | $153.33 | $235.90 | $84.22 – $235.90 | 33 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $1,298.70 | $264.00 | $25.27 – $251.00 | 49 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $122.12 – $12,682.40 | 120 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,877.25 | $5,965.00 | $79.02 – $5,965.00 | 785 |
| Positioner proc acufex leg acs HCPCS E0190 | $197.14 | $303.30 | $58.78 – $303.30 | 41 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $18,131.33 | not published | $0.96 – $1,291.74 | 88 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $18,522.40 | not published | $0.36 – $1,291.74 | 90 |
| Postpartum Care Only CPT 59430 | $580.00 | $580.00 | $34.14 – $384.00 | 768 |
| Potassium 24 hour urine CPT 84133 | $44.85 | $69.00 | $4.58 – $69.00 | 49 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $60.00 | $60.00 | $0.17 – $7.56 | 104 |
| Potassium serum/plasma/whole blood CPT 84132 | $12,258.09 | $56.00 | $3.51 – $56.00 | 120 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $282.29 | $434.29 | $155.04 – $434.29 | 33 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $0.28 | $0.43 | $0.15 – $0.43 | 33 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $0.38 | $0.59 | $0.17 – $0.47 | 33 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $67.84 | $104.37 | $0.17 – $0.49 | 33 |
| Powder prem protct 1oz HCPCS A4371 | $0.45 | $0.70 | $0.25 – $0.70 | 33 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $30,159.09 | not published | $3.36 – $14,498.57 | 89 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $411.85 | $411.85 | $86.70 – $411.85 | 103 |
| Pr application splint static short arm CPT 29125 | $403.65 | $621.00 | $119.37 – $414.00 | 120 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $33,178.71 | not published | $0.96 – $25,652.84 | 88 |
| Prcrd drg 6+yr without anomly CPT 33017 | $790.40 | $1,216.00 | $434.11 – $1,216.00 | 32 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $22,375.09 | not published | $0.96 – $7,043.23 | 89 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $174.00 | $174.00 | $10.50 – $173.00 | 768 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $256.00 | $256.00 | $13.00 – $245.00 | 768 |
| Prealbumin CPT 84134 | $81.25 | $125.00 | $14.14 – $125.00 | 49 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $151.70 | $151.70 | $38.61 – $151.70 | 103 |
| Prednisone 1 mg tablet HCPCS J7512 | $28,210.47 | $254.00 | $0.36 – $14,498.57 | 120 |
| Prefab stnlss steel crown pe HCPCS D2931 | $18,166.69 | not published | $0.96 – $1,291.74 | 88 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $19,833.06 | not published | $0.96 – $1,291.74 | 88 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $17,577.20 | not published | $3.34 – $6,308.93 | 89 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $772.20 | $1,188.00 | $93.79 – $1,188.00 | 49 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $475.80 | $732.00 | $93.79 – $732.00 | 49 |
| Pregnancy Ultrasound (limited) CPT 76815 | $434.20 | $668.00 | $93.79 – $668.00 | 120 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $17,191.69 | not published | $0.36 – $1,476.73 | 88 |
| Pressure velocity wire add ves CPT 93572 | $602.55 | $927.00 | $330.94 – $927.00 | 32 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $597.35 | $919.00 | $152.85 – $919.00 | 105 |
| Pretreat rbc absorption reference CPT 86978 | $173.55 | $267.00 | $33.96 – $267.00 | 120 |
| Pretreat rbc density gradient separation reference CPT 86972 | $226.20 | $348.00 | $127.37 – $348.00 | 120 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $226.20 | $348.00 | $33.96 – $348.00 | 105 |
| Pretreat rbc w enzyme reference CPT 86971 | $148.20 | $228.00 | $83.45 – $340.41 | 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.