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 |
|---|---|---|---|---|
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $421.00 | $421.00 | $81.35 – $421.00 | 768 |
| Prgr stim/pace a/iv drug CPT 93623 | $7,779.20 | $11,968.00 | $4,272.58 – $11,968.00 | 32 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $483.00 | $483.00 | $99.68 – $368.00 | 768 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $328.00 | $11.13 – $44.16 | 768 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $241.00 | $47.50 – $175.00 | 768 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $255.00 | $68.16 – $250.00 | 768 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $173.00 | $44.94 – $168.00 | 785 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $106.00 | $3.45 – $102.00 | 785 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $16,996.20 | $26,148.00 | $6,223.22 – $36,628.26 | 119 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $13,287.04 | not published | $0.96 – $812.25 | 88 |
| Pr incision & drainage abscess simple/single CPT 10060 | $267.15 | $411.00 | $146.73 – $411.00 | 119 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $17,409.35 | not published | $2.28 – $6,477.67 | 89 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $20,144.13 | not published | $0.72 – $3,901.72 | 88 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,097.91 | $6,304.48 | $150.48 – $421.50 | 33 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $67.29 – $692.51 | 120 |
| Procalcitonin CPT 84145 | $198.25 | $305.00 | $26.38 – $305.00 | 49 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.40 | $24.40 | $2.52 – $24.40 | 103 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.35 – $1.00 | 103 |
| Progesterone CPT 84144 | $215.80 | $332.00 | $20.22 – $332.00 | 49 |
| Prolactin CPT 84146 | $210.60 | $324.00 | $18.78 – $324.00 | 49 |
| Promethazine 25 mg tablet HCPCS Q0169 | $25.10 | $25.10 | $0.06 – $1.00 | 103 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $18,562.70 | $46.50 | $0.72 – $1,291.74 | 120 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $45.50 | $45.50 | $3.28 – $24.57 | 104 |
| Prostate biopsy, any mthd HCPCS G0416 | $492.00 | $492.00 | $106.71 – $492.00 | 768 |
| Prostatectomy (turp) CPT 52601 | $22,052.03 | not published | $4.92 – $10,713.35 | 89 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.17 – $0.89 | 41 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $21.68 – $60.73 | 33 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $8.20 – $50.15 | 103 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $1,948.86 – $5,459.00 | 33 |
| Protein c activity CPT 85303 | $147.55 | $227.00 | $13.41 – $227.00 | 49 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $138.45 | $213.00 | $8.59 – $213.00 | 785 |
| Protein s total CPT 85305 | $157.30 | $242.00 | $11.25 – $242.00 | 49 |
| Protein total 24 hour urine CPT 84156 | $641.55 | $88.00 | $3.56 – $88.00 | 49 |
| Protein total body fluid CPT 84157 | $118.30 | $182.00 | $3.88 – $182.00 | 49 |
| Protein total serum plasma whole blood CPT 84155 | $41.60 | $64.00 | $3.56 – $64.00 | 34 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $44.85 | $69.00 | $3.81 – $69.00 | 49 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $37.03 – $103.73 | 33 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $190.00 | $190.00 | $39.02 – $159.00 | 768 |
| Prq cardiac angio addl art CPT 92921 | $4,030.00 | $6,200.00 | $1,201.56 – $6,200.00 | 40 |
| Prq card revasc mi 1 vsl CPT 92941 | $12,798.50 | $19,690.00 | $7,029.33 – $19,690.00 | 32 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $14,635.40 | $22,516.00 | $8,038.21 – $22,516.00 | 32 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $9,158.50 | $14,090.00 | $5,030.13 – $23,066.33 | 119 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $17,913.35 | $27,559.00 | $9,838.56 – $27,559.00 | 119 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $35,534.85 | $54,669.00 | $17,858.56 – $54,669.00 | 116 |
| Prq trlml c athrc st angiop1 CPT 92933 | $29,657.54 | $15,132.00 | $4.56 – $36,628.26 | 119 |
| Prq trluml c angiop 1art&/br CPT 92920 | $30,354.89 | $17,445.00 | $2.20 – $17,445.00 | 119 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $10,428.60 | $16,044.00 | $5,727.71 – $23,066.33 | 119 |
| Prq trluml revsc ch occ ant CPT 92943 | $11,446.50 | $17,610.00 | $6,286.77 – $23,066.33 | 119 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $24,478.88 | not published | $7.38 – $13,267.65 | 89 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $11,176.59 | not published | $180.00 – $400.89 | 16 |
| Pr robotic surgical system HCPCS S2900 | $32,555.33 | not published | $0.96 – $12,079.51 | 88 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $17,191.69 | not published | $0.36 – $4,122.62 | 88 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $101.00 | $101.00 | $22.58 – $84.00 | 768 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,066.00 | $1,640.00 | $390.20 – $3,145.30 | 119 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $35.00 | 767 |
| PSA (Prostate) Test CPT 84153 | $75.40 | $116.00 | $17.82 – $116.00 | 49 |
| Psychoeducation 45 min + HCPCS G0177 | $142.00 | $142.00 | $28.80 – $142.00 | 552 |
| Psychotherapy group therapy CPT 90853 | $263.25 | $405.00 | $10.16 – $295.00 | 784 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $98.15 | $151.00 | $53.91 – $151.00 | 32 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $172.25 | $265.00 | $94.61 – $265.00 | 103 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $118.95 | $183.00 | $65.33 – $183.00 | 32 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $187.85 | $289.00 | $20.10 – $289.00 | 555 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $81.90 | $126.00 | $13.90 – $231.00 | 49 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $61.75 | $95.00 | $10.53 – $212.00 | 49 |
| Pt application of modality traction mechanical CPT 97012 | $60.45 | $93.00 | $12.97 – $231.00 | 49 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $98.80 | $152.00 | $28.35 – $85.00 | 49 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $59.15 | $91.00 | $11.77 – $128.00 | 49 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $130.65 | $201.00 | $19.95 – $212.00 | 49 |
| Pt wheelchair management each 15 minutes CPT 97542 | $55.25 | $85.00 | $23.91 – $212.00 | 49 |
| Pulse ox continuous overnight monitoring CPT 94762 | $208.65 | $321.00 | $114.60 – $321.00 | 49 |
| Pulse ox multiple CPT 94761 | $34,537.26 | $207.00 | $18.54 – $13,267.65 | 120 |
| Pulse ox single CPT 94760 | $91.65 | $141.00 | $50.34 – $195.00 | 33 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $367.13 | $564.81 | $68.58 – $192.09 | 33 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $1,298.70 | $168.00 | $61.49 – $265.84 | 49 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $885.30 | $1,362.00 | $364.70 – $1,362.00 | 119 |
| Puncture spinal lumbar diagnostic CPT 62270 | $603.85 | $929.00 | $18.75 – $1,410.41 | 785 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $19.55 | $19.55 | $6.98 – $19.55 | 103 |
| Pyruvate CPT 84210 | $90.35 | $139.00 | $14.04 – $139.00 | 49 |
| Quest t3 uptake CPT 84479 | $84.50 | $130.00 | $6.27 – $130.00 | 49 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $274.35 – $3,213.80 | 120 |
| Radiation physics consult CPT 77336 | $28,681.25 | $878.00 | $74.50 – $952.00 | 49 |
| Radiation therapy dose plan CPT 77300 | $630.00 | $702.00 | $20.87 – $702.00 | 785 |
| Radiation treatment aid(s) CPT 77332 | $541.45 | $833.00 | $120.59 – $952.00 | 120 |
| Radiation treatment aid(s) CPT 77333 | $683.15 | $1,051.00 | $24.92 – $1,051.00 | 785 |
| Radiation treatment aid(s) CPT 77334 | $893.10 | $1,374.00 | $38.34 – $1,374.00 | 785 |
| Radiation treatment delivery CPT 77402 | $1,670.50 | $2,570.00 | $91.54 – $2,570.00 | 120 |
| Radiation treatment delivery CPT 77412 | $1,837.55 | $2,827.00 | $495.71 – $2,827.00 | 49 |
| Radiation tx management x5 CPT 77427 | $616.00 | $616.00 | $124.61 – $566.24 | 768 |
| Radiology port images(s) CPT 77417 | $199.55 | $307.00 | $112.36 – $952.00 | 33 |
| Radiotherapy dose plan imrt CPT 77301 | $6,325.80 | $9,732.00 | $267.32 – $9,732.00 | 785 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $127.77 – $507.10 | 120 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,939.60 | $2,984.00 | $487.13 – $2,986.36 | 120 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $71.62 – $4,569.90 | 120 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $375.70 – $3,354.20 | 117 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $220.31 – $20,086.15 | 120 |
| Rbc count only automated CPT 85041 | $19.50 | $30.00 | $2.93 – $30.00 | 49 |
| Rbc deglycerolized each unit HCPCS P9039 | $767.00 | $1,180.00 | $306.00 – $1,180.00 | 33 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | $63,745.75 | not published | $9.09 – $11,828.35 | 89 |
| Reconstruction of nose CPT 30420 | $27,061.04 | not published | $9.81 – $11,828.35 | 89 |
| Reconstruct shoulder joint CPT 23472 | $42,956.29 | not published | $6.50 – $35,034.15 | 89 |
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.