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 |
|---|---|---|---|---|
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $787.15 | $1,211.00 | $306.00 – $1,211.00 | 33 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $877.50 | $1,350.00 | $219.00 – $1,350.00 | 120 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $2,100.86 | $594.00 | $0.71 – $594.00 | 120 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $488.15 | $751.00 | $233.06 – $751.00 | 49 |
| Red blood cells washed each unit HCPCS P9022 | $604.50 | $930.00 | $306.00 – $930.00 | 120 |
| Release palm contracture CPT 26123 | $22,431.34 | not published | $0.96 – $6,537.75 | 88 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,543.15 | $3,543.15 | $5.91 – $3,543.15 | 120 |
| Remote 30 day ecg tech supp CPT 93229 | $1,464.45 | $2,253.00 | $331.00 – $2,253.00 | 120 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $13,611.55 | not published | $0.96 – $6,308.93 | 89 |
| Removal foreign body foot subcutaneous right CPT 28190 | $11,876.80 | not published | $635.30 – $1,414.91 | 16 |
| Removal implant from finger/hand 26320 CPT 26320 | $14,632.40 | not published | $0.96 – $3,300.04 | 88 |
| Removal of bladder stone CPT 51050 | $31,623.31 | not published | $1.92 – $10,713.35 | 88 |
| Removal of bone for graft CPT 20900 | $45,989.20 | not published | $1.92 – $25,652.84 | 88 |
| Removal of breast lesion CPT 19120 | $13,421.54 | not published | $3.36 – $7,823.39 | 89 |
| Removal of hydrocele CPT 55040 | $15,603.69 | not published | $0.96 – $7,153.96 | 88 |
| Removal of implant deep CPT 20680 | $22,392.96 | not published | $0.96 – $5,803.88 | 88 |
| Removal of lymph nodes neck CPT 38724 | $38,164.24 | not published | $9.63 – $2,326.96 | 89 |
| Removal of thyroid CPT 60240 | $25,450.52 | not published | $4.77 – $12,079.51 | 89 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $17,398.53 | $16,587.00 | $3.36 – $20,884.03 | 119 |
| Remove bladder stone CPT 52317 | $22,155.42 | not published | $0.96 – $7,043.23 | 88 |
| Remove bladder stone CPT 52318 | $24,548.31 | not published | $7.02 – $10,713.35 | 89 |
| Remove exostosis maxilla CPT 21032 | $16,269.85 | not published | $4.41 – $6,624.59 | 89 |
| Remove pilonidal cyst compl CPT 11772 | $20,769.45 | not published | $0.96 – $5,803.88 | 88 |
| Remove renal tube w/fluoro CPT 50389 | $1,246.70 | $1,918.00 | $456.60 – $1,393.26 | 119 |
| Remove spinal lamina add-on 63048 CPT 63048 | $34,436.49 | not published | $0.96 – $14,498.57 | 88 |
| Remove tonsils and adenoids CPT 42820 | $16,001.63 | not published | $0.96 – $11,828.35 | 88 |
| Remove tonsils and adenoids CPT 42821 | $14,883.15 | not published | $0.96 – $6,624.59 | 88 |
| Renal function panel CPT 80069 | $59.15 | $91.00 | $8.42 – $91.00 | 49 |
| Repair achilles tendon CPT 27650 | $34,236.41 | not published | $1.92 – $14,498.57 | 88 |
| Repair bladder defect CPT 57288 | $25,424.72 | not published | $10.79 – $14,816.71 | 89 |
| Repair brow defect CPT 67900 | $21,461.80 | not published | $9.09 – $4,750.43 | 89 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $16,910.30 | not published | $4.05 – $7,449.57 | 89 |
| Repair eardrum structures CPT 69631 | $19,425.50 | not published | $0.96 – $11,828.35 | 88 |
| Repair nasal stenosis CPT 30465 | $22,387.69 | not published | $4.92 – $11,828.35 | 89 |
| Repair of foot tendon CPT 28200 | $22,009.26 | not published | $0.36 – $6,537.75 | 88 |
| Repair of nasal septum CPT 30520 | $19,654.98 | not published | $4.92 – $6,624.59 | 89 |
| Repair rectum & vagina CPT 57250 | $34,680.20 | not published | $25.20 – $21,239.36 | 89 |
| Repair rotator cuff chronic CPT 23412 | $29,212.90 | not published | $9.09 – $14,498.57 | 89 |
| Replace g-j tube perc CPT 49452 | $635.70 | $978.00 | $349.15 – $1,812.24 | 119 |
| Reposition pm/icd lead CPT 33215 | $1,428.05 | $2,197.00 | $784.33 – $6,308.93 | 119 |
| Reptilase test CPT 85635 | $227.50 | $350.00 | $9.55 – $350.00 | 49 |
| Rerepair ing hernia reduce CPT 49520 | $13,767.04 | not published | $0.96 – $7,153.96 | 88 |
| Resect back tum 5 cm/> CPT 21936 | $33,987.06 | not published | $6.75 – $5,803.88 | 89 |
| Resect inferior turbinate CPT 30140 | $19,654.98 | not published | $4.05 – $6,624.59 | 89 |
| Resection palate/lesion 42120 CPT 42120 | $16,493.22 | not published | $3.33 – $11,828.35 | 89 |
| Resin three surfaces-anterio HCPCS D2332 | $16,826.94 | not published | $0.96 – $6,624.59 | 88 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $10.84 – $5,680.00 | 36 |
| Respirator motion mgmt simul CPT 77293 | $1,306.00 | $1,306.00 | $66.46 – $911.00 | 784 |
| Resuscitation delivery/birthing room CPT 99465 | $942.50 | $1,450.00 | $78.81 – $1,450.00 | 784 |
| Reticulated platelet assay CPT 85055 | $169.00 | $260.00 | $34.63 – $260.00 | 49 |
| Reticulocyte automated CPT 85045 | $39.00 | $60.00 | $3.87 – $60.00 | 49 |
| Reticulocyte direct measurement automated CPT 85046 | $53.30 | $82.00 | $5.40 – $82.00 | 49 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $29.43 – $45,114.00 | 120 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $16,549.65 | $25,461.00 | $5,544.68 – $16,974.00 | 116 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $17,005.95 | $26,163.00 | $5,544.68 – $17,442.00 | 116 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $53,963.65 | $83,021.00 | $17,858.56 – $55,347.00 | 116 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $23,234.25 | $35,745.00 | $8,507.31 – $36,628.26 | 116 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $48,633.00 | $74,820.00 | $17,807.16 – $49,880.00 | 116 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $33,567.30 | $51,642.00 | $11,246.27 – $34,428.00 | 116 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $16,549.65 | $25,461.00 | $5,544.68 – $16,974.00 | 45 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $12,948.00 | $19,920.00 | $4,740.96 – $23,066.33 | 116 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $54,779.40 | $84,276.00 | $17,858.56 – $56,184.00 | 116 |
| Revise spine eltrd perq aray CPT 63663 | $63,781.52 | not published | $9.09 – $12,733.82 | 89 |
| Revise two eye muscles CPT 67312 | $18,033.83 | not published | $0.96 – $7,855.29 | 88 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $25,592.59 | not published | $0.96 – $6,985.54 | 88 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $10.60 – $10,657.15 | 117 |
| Rheumatoid factor qualitative CPT 86430 | $26.00 | $40.00 | $6.14 – $40.00 | 33 |
| Rheumatoid factor quantitative CPT 86431 | $274.30 | $422.00 | $5.50 – $422.00 | 49 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $74.55 – $294.95 | 103 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $159.25 | $245.00 | $82.83 – $245.00 | 103 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $445.90 | $686.00 | $93.79 – $686.00 | 120 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $415.35 | $639.00 | $93.79 – $639.00 | 120 |
| Rib X-ray (3 views, both sides) CPT 71110 | $283.40 | $436.00 | $93.79 – $436.00 | 120 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $82.10 | $82.10 | $9.60 – $82.10 | 103 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $0.66 | $1.01 | $0.36 – $1.01 | 33 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,052.12 | $1,618.64 | $40.70 – $114.00 | 33 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.33 | $0.51 | $0.18 – $0.51 | 33 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $14.63 – $30,071.50 | 120 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $6,314.65 | $6,314.65 | $10.96 – $6,314.65 | 120 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $73.27 – $2,818.60 | 120 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $36.14 – $19,729.75 | 120 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $29.54 – $2,407.05 | 120 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $74.05 – $1,660.15 | 36 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $13.00 – $1,978.00 | 120 |
| Rmvl perm pm pulse gen CPT 33233 | $7,220.85 | $11,109.00 | $3,965.91 – $16,534.97 | 119 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $11,430.25 | $17,585.00 | $6,277.85 – $17,585.00 | 119 |
| Rmvl tv pm lead sgl CPT 33234 | $6,654.05 | $10,237.00 | $3,352.60 – $10,237.00 | 119 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $30.29 – $8,826.40 | 120 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $10.83 – $4,336.10 | 117 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $11.40 – $13,801.85 | 120 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $13.12 | 104 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $22.32 – $56,796.70 | 120 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,939.60 | $2,984.00 | $1,065.29 – $2,986.36 | 49 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,200.25 | $3,385.00 | $1,208.45 – $3,385.00 | 120 |
| Rpl tun-cvad w subq port CPT 36582 | $12,825.02 | not published | $3.69 – $6,308.93 | 88 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $24,508.69 | not published | $9.09 – $12,935.28 | 89 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $31,527.12 | not published | $0.96 – $12,079.51 | 88 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $26,282.83 | not published | $1.92 – $12,935.28 | 88 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $17,859.06 | not published | $0.36 – $7,153.96 | 88 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $30,336.71 | not published | $0.96 – $12,935.28 | 88 |
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.