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 |
|---|---|---|---|---|
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,507.85 | $1,507.85 | $52.63 – $562.35 | 36 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $38.85 | $38.85 | $0.49 – $3.75 | 103 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $14.55 | $14.55 | $2.27 – $6.35 | 104 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $512.85 | $789.00 | $257.73 – $789.00 | 46 |
| Amputation of midtarsal 28800 CPT 28800 | $19,641.37 | not published | $0.96 – $6,537.75 | 88 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $12,564.94 | not published | $5.31 – $6,537.75 | 89 |
| Amylase CPT 82150 | $273.00 | $420.00 | $6.28 – $125.00 | 49 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $150.80 | $232.00 | $84.91 – $232.00 | 45 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $157.00 | $157.00 | $27.05 – $134.68 | 768 |
| Analysis gene f2 20210g>a variant CPT 81240 | $446.55 | $687.00 | $63.66 – $687.00 | 49 |
| Analysis gene f5 leiden variant CPT 81241 | $369.20 | $568.00 | $71.09 – $568.00 | 49 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $76.70 | $118.00 | $34.01 – $118.00 | 49 |
| An cholangiogram percutaneous compl CPT 47531 | $1,426.75 | $2,195.00 | $783.62 – $7,153.96 | 119 |
| Anchor suture 3.5mm pushlock HCPCS C1741 | $2,155.00 | $3,315.38 | $601.15 – $1,683.89 | 33 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $12,173.85 | $18,729.00 | $2,419.79 – $12,486.00 | 40 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $17,722.00 | $15,938.00 | $2.28 – $10,625.00 | 119 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $7,192.25 | $11,065.00 | $2,144.40 – $11,065.00 | 40 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $10,933.65 | $16,821.00 | $2,173.27 – $11,214.00 | 40 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $11,519.30 | $17,722.00 | $4,217.96 – $11,815.00 | 119 |
| Ankle arthroscopy/surgery CPT 29897 | $19,733.23 | not published | $0.96 – $6,537.75 | 88 |
| Ankle X-ray CPT 73610 | $26,996.11 | $599.00 | $1.92 – $399.00 | 120 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $25,625.21 | $494.00 | $1.92 – $329.00 | 120 |
| Anora (draw only) CPT 99001 | $23.40 | $36.00 | $3.22 – $36.00 | 41 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $24,368.63 | not published | $10.79 – $21,239.36 | 89 |
| Antibody elution rbc reference CPT 86860 | $255.45 | $393.00 | $78.60 – $393.00 | 105 |
| Antibody htlv/hiv confirm test CPT 86689 | $162.50 | $250.00 | $18.75 – $250.00 | 49 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $306.15 | $471.00 | $17.80 – $462.00 | 49 |
| Antibody id rbc panel CPT 86870 | $173.55 | $267.00 | $97.72 – $716.21 | 49 |
| Antibody screen rbc CPT 86850 | $18,661.97 | $198.00 | $2.28 – $198.00 | 120 |
| Antidepressant not specified CPT 80338 | $48.75 | $75.00 | $27.45 – $116.72 | 45 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $1.46 – $2,670.45 | 120 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $46.80 | $72.00 | $11.68 – $62.00 | 49 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $37.70 | $58.00 | $11.68 – $58.00 | 49 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $52,032.18 | not published | $9.09 – $25,652.84 | 89 |
| Antinuclear antibodies CPT 86038 | $67.60 | $104.00 | $11.72 – $104.00 | 49 |
| Antinuclear antibodies titer CPT 86039 | $219.70 | $338.00 | $10.81 – $129.00 | 49 |
| Antiphosphatidylserine antibody CPT 86148 | $131.95 | $203.00 | $15.58 – $203.00 | 49 |
| Antistreptolysin o screen CPT 86063 | $48.75 | $75.00 | $5.59 – $75.00 | 49 |
| Antistreptolysin o titer CPT 86060 | $42.90 | $66.00 | $7.08 – $66.00 | 49 |
| Antithrombin iii activity CPT 85300 | $100.10 | $154.00 | $11.49 – $154.00 | 49 |
| Antithrombin iii injection HCPCS J7197 | $9,274.05 | $9,274.05 | $1,970.00 – $9,274.05 | 104 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $4,376.29 – $14,664.50 | 104 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $313.95 | $483.00 | $93.79 – $483.00 | 120 |
| Apl(pml-rara) quant - sendout CPT 81315 | $778.05 | $1,197.00 | $203.16 – $1,197.00 | 46 |
| Appendix Removal (Laparoscopic) CPT 44970 | $22,555.72 | not published | $5.46 – $12,079.51 | 88 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $0.94 – $2.64 | 33 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 120 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $330.85 | $509.00 | $36.56 – $509.00 | 49 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $77.35 | $119.00 | $27.67 – $231.00 | 49 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,247.70 | $3,458.00 | $312.99 – $2,305.00 | 120 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $2,146.95 | $3,303.00 | $93.79 – $2,202.00 | 49 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $475.80 | $732.00 | $58.20 – $732.00 | 49 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $57.48 – $2,478.30 | 104 |
| Artery xray each vessel 7577426 CPT 75774 | $1,197.30 | $1,842.00 | $657.59 – $1,842.00 | 32 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $15,810.48 | $5,581.00 | $4.56 – $6,702.68 | 120 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $18,552.49 | $7,280.00 | $2.28 – $7,280.00 | 120 |
| Artery x-rays chest CPT 75756 | $5,850.00 | $9,000.00 | $3,213.00 – $9,000.00 | 33 |
| Arthrd ant ntrbdy cervical CPT 22551 | $47,616.02 | not published | $9.09 – $25,652.84 | 89 |
| Arthrd si jt perq/min nvas CPT 27279 | $37,542.86 | not published | $0.36 – $35,034.15 | 88 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,326.00 | $2,040.00 | $485.52 – $1,410.41 | 119 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,514.50 | $2,330.00 | $275.38 – $1,553.00 | 119 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $42,588.11 | not published | $9.09 – $25,652.84 | 89 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $26,925.68 | not published | $0.96 – $6,537.75 | 88 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $26,925.68 | not published | $0.96 – $6,537.75 | 88 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $30.86 – $86.44 | 33 |
| Asp core fat pad CPT 17999 | $24,826.59 | not published | $2.97 – $7,823.39 | 89 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $13,724.32 | not published | $5.01 – $4,176.77 | 89 |
| Aspirate pleura without imaging 32554 CPT 32554 | $2,080.00 | $3,200.00 | $562.78 – $2,133.00 | 119 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,360.80 | $2,750.00 | $65.83 – $2,750.00 | 48 |
| Assay of interleukin-6 (il-6) CPT 83529 | $243.75 | $375.00 | $16.74 – $375.00 | 49 |
| Assay of leflunomide CPT 80193 | $227.50 | $350.00 | $37.37 – $350.00 | 49 |
| Assay of osteocalcin CPT 83937 | $183.95 | $283.00 | $28.93 – $283.00 | 49 |
| Assay of urine sulfate CPT 84392 | $22.75 | $35.00 | $5.32 – $35.00 | 49 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $354.90 | $546.00 | $4.14 – $546.00 | 49 |
| Ast/sgot CPT 84450 | $728.65 | $62.00 | $5.02 – $62.00 | 49 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $89.08 – $35,811.20 | 120 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $18,251.35 | $28,079.00 | $3,627.74 – $18,719.00 | 40 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $31,665.40 | $48,716.00 | $6,294.04 – $32,477.00 | 40 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $52.65 | $52.65 | $7.80 – $21.85 | 33 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $189.00 | $189.00 | $40.26 – $189.00 | 768 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $149.22 – $417.99 | 33 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $32,814.32 | not published | $9.58 – $25,652.84 | 89 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $29,128.50 | not published | $4.92 – $14,498.57 | 89 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $94.26 – $6,470.55 | 120 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $1.07 – $3.00 | 103 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.20 | $9.20 | $2.61 – $8.75 | 104 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $225.40 | $225.40 | $26.70 – $110.40 | 103 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $160.92 – $3,156.90 | 36 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $58.85 – $164.85 | 33 |
| Bacterial meningitis antigen CPT 86403 | $40.95 | $63.00 | $11.18 – $63.00 | 49 |
| Bacterial vaginosis pcr CPT 87801 | $521.30 | $802.00 | $68.02 – $802.00 | 34 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $63.46 | $97.63 | $25.05 – $70.16 | 33 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $1,489.80 | $129.00 | $26.48 – $212.00 | 49 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $560.30 | $862.00 | $157.36 – $862.00 | 120 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $505.05 | $777.00 | $157.36 – $777.00 | 120 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $415.58 | $624.00 | $157.36 – $624.00 | 49 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.12 – $0.35 | 33 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $10.50 – $29.40 | 33 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.24 – $0.67 | 33 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.14 – $0.40 | 33 |
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.