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 |
|---|---|---|---|---|
| Sr-89 stront chlor ther / mci HCPCS A9600 | $40,862.00 | $40,862.00 | $4,063.41 – $40,862.00 | 117 |
| Srs linear based CPT 77372 | $16,142.75 | $24,835.00 | $2,680.00 – $24,835.00 | 120 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $290.55 | $447.00 | $88.93 – $447.00 | 49 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $24,354.20 | $37,468.00 | $4,840.74 – $24,978.00 | 40 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $32,403.15 | $49,851.00 | $0.01 – $11.93 | 33 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,063.30 | $9,328.16 | $10.62 – $29.75 | 33 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,714.49 | $28,791.53 | $0.83 – $2.32 | 33 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $4,918.86 | $7,567.48 | $300.95 – $843.00 | 33 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $38,722.63 | $45,259.00 | $2.28 – $30,173.00 | 119 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $20,246.20 | $31,148.00 | $4,024.26 – $20,765.00 | 40 |
| Stereoscopic x-ray guidance HCPCS G6002 | $236.00 | $236.00 | $13.76 – $51.69 | 767 |
| Stereotactic radiation trmt CPT 77432 | $1,370.00 | $1,370.00 | $270.51 – $1,211.76 | 768 |
| St evaluate speech sound production CPT 92522 | $290.55 | $447.00 | $86.24 – $447.00 | 49 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $306.15 | $471.00 | $84.86 – $471.00 | 49 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,613.30 | $2,482.00 | $358.66 – $2,482.00 | 49 |
| Strap chin dlx f/cpap HCPCS A7036 | $34.90 | $53.70 | $19.17 – $53.70 | 33 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | $0.25 | $0.39 | $0.14 – $0.39 | 33 |
| Strep b dna amp probe CPT 87653 | $254.15 | $391.00 | $34.01 – $391.00 | 49 |
| Stress test pulmonary CPT 94618 | $145.60 | $224.00 | $79.97 – $265.84 | 49 |
| Str markers specimen anal CPT 81265 | $1,240.85 | $1,909.00 | $228.41 – $1,909.00 | 46 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $1,002.00 | $1,002.00 | $257.84 – $1,002.00 | 768 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $316.00 | $316.00 | $80.55 – $227.00 | 768 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $304.00 | $304.00 | $77.53 – $218.00 | 768 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $23.00 | $23.00 | $8.21 – $23.00 | 33 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $17.70 | $17.70 | $3.54 – $65.71 | 111 |
| Support clav 29.6-40.5in med HCPCS L3650 | $94.19 | $144.91 | $0.63 – $3.26 | 41 |
| Surgical pathology level 1 gross examination only CPT 88300 | $89.05 | $137.00 | $2.77 – $137.00 | 785 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $144.95 | $223.00 | $4.26 – $223.00 | 785 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $222.95 | $343.00 | $6.60 – $343.00 | 785 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $265.00 | $386.00 | $22.37 – $374.00 | 785 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $27,058.65 | $740.00 | $7.83 – $716.21 | 785 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $624.65 | $961.00 | $85.84 – $1,609.82 | 785 |
| Susceptibility agar dilution per agent CPT 87181 | $52.00 | $80.00 | $4.60 – $80.00 | 49 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $28.60 | $44.00 | $4.60 – $44.00 | 49 |
| Susceptibility mic per plate CPT 87186 | $12,564.94 | $184.00 | $5.31 – $184.00 | 120 |
| Swallowing Evaluation (Bedside) CPT 92610 | $349.05 | $276.00 | $55.26 – $276.00 | 49 |
| Swallowing Therapy Session CPT 92526 | $169.65 | $261.00 | $72.01 – $261.00 | 49 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $153.40 | $236.00 | $4.26 – $156.00 | 49 |
| System cardiomems hosp electronics HCPCS C2624 | $24,023.02 | $36,958.50 | $5,646.51 – $15,816.55 | 33 |
| System pacing micra av HCPCS C1786 | $16,760.25 | $25,785.00 | $27.67 – $77.51 | 33 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $27,099.09 | $41,690.91 | $39.26 – $109.96 | 33 |
| System recell skin grafting/harvesting HCPCS C1832 | $8,955.20 | $13,777.23 | $4,918.47 – $13,777.23 | 33 |
| System sealant biosentry tract HCPCS C2613 | $652.35 | $1,003.62 | $358.29 – $1,003.62 | 33 |
| T3 (triiodothyronine) free CPT 84481 | $111.80 | $172.00 | $16.41 – $172.00 | 49 |
| T3 (triiodothyronine) total CPT 84480 | $77.35 | $119.00 | $13.74 – $119.00 | 49 |
| T4 (thyroxine) free CPT 84439 | $812.50 | $119.00 | $8.74 – $119.00 | 49 |
| T4 (thyroxine) total CPT 84436 | $55.25 | $85.00 | $6.66 – $85.00 | 49 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $170.70 | $170.70 | $0.15 – $1.00 | 103 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,208.10 | $1,208.10 | $255.06 – $1,208.10 | 104 |
| Tacrolimus therapeutic drug level CPT 80197 | $231.40 | $356.00 | $13.30 – $356.00 | 49 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,272.00 | $4,272.00 | $13.52 – $4,272.00 | 120 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $216.45 | $333.00 | $78.07 – $333.00 | 49 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $88,021.00 | $88,021.00 | $65.46 – $880.35 | 120 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $35,941.50 | $35,941.50 | $73.42 – $4,492.75 | 117 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $3.04 | $4.67 | $1.67 – $4.67 | 33 |
| Target gsa panel hmtlmph neop CPT 81450 | $934.05 | $1,437.00 | $525.94 – $1,526.66 | 49 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,350.00 | $46,350.00 | $1,535.25 – $4,635.00 | 117 |
| Tavr perq femoral CPT 33361 | $26,642.20 | $40,988.00 | $4,122.99 – $11,549.00 | 32 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $463.10 | $463.10 | $0.24 – $289.40 | 120 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $191.75 | $295.00 | $96.90 – $295.00 | 49 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $188.50 | $290.00 | $60.06 – $290.00 | 49 |
| Tc-99m apcitide diag HCPCS A9504 | $1,765.30 | $1,765.30 | $630.21 – $1,765.30 | 32 |
| Tc-99m arcitumomab HCPCS A9568 | $4,224.15 | $4,224.15 | $809.51 – $4,224.15 | 41 |
| Tc-99m bicisate HCPCS A9557 | $7,128.20 | $7,128.20 | $683.80 – $7,128.20 | 117 |
| Tc-99m depreotide HCPCS A9536 | $1,937.35 | $1,937.35 | $691.63 – $1,937.35 | 32 |
| Tc-99m diag per dose HCPCS A4641 | $575.50 | $575.50 | $205.45 – $575.50 | 32 |
| Tc-99m disofenin HCPCS A9510 | $339.80 | $339.80 | $121.31 – $339.80 | 32 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $8,194.15 | $8,194.15 | $915.45 – $8,194.15 | 117 |
| Tc-99m exametazime diag HCPCS A9521 | $7,382.05 | $7,382.05 | $802.34 – $7,382.05 | 117 |
| Tc-99m fanolesomab diag HCPCS A9566 | $17,688.75 | $17,688.75 | $6,314.88 – $17,688.75 | 32 |
| Tc-99m gluceptate HCPCS A9550 | $1,105.40 | $1,105.40 | $394.63 – $1,105.40 | 32 |
| Tc-99m labeled rbc HCPCS A9560 | $857.40 | $857.40 | $306.09 – $857.40 | 32 |
| Tc-99m maa HCPCS A9540 | $760.95 | $760.95 | $271.66 – $760.95 | 32 |
| Tc-99m mebrofenin HCPCS A9537 | $308.25 | $308.25 | $110.05 – $308.25 | 32 |
| Tc-99m medronate HCPCS A9503 | $210.35 | $210.35 | $75.09 – $210.35 | 32 |
| Tc-99m mertiatide HCPCS A9562 | $1,340.90 | $1,340.90 | $478.70 – $1,340.90 | 32 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $2,169.96 | $1.00 | $0.19 – $667.64 | 49 |
| Tc-99m oxidronate HCPCS A9561 | $199.60 | $199.60 | $71.26 – $199.60 | 32 |
| Tc-99m pentetate dtpa HCPCS A9539 | $627.25 | $627.25 | $223.93 – $627.25 | 32 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $627.25 | $627.25 | $223.93 – $627.25 | 32 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $99.30 | $99.30 | $35.45 – $99.30 | 32 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $335.80 | $335.80 | $119.88 – $335.80 | 32 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $221.60 | $221.60 | $79.11 – $221.60 | 32 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,988.10 | $2,988.10 | $646.73 – $2,988.10 | 116 |
| Tc-99m sulfur colloid HCPCS A9541 | $855.40 | $855.40 | $305.38 – $855.40 | 32 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $198.05 | $198.05 | $70.70 – $198.05 | 32 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,740.00 | $2,740.00 | $978.18 – $2,740.00 | 32 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $99.45 | $153.00 | $38.06 – $104.00 | 49 |
| T cells total count CPT 86359 | $73.45 | $113.00 | $36.56 – $104.00 | 49 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $107,550.00 | $107,550.00 | $203.61 – $107,550.00 | 120 |
| Telavancin injection HCPCS J3095 | $3,365.50 | $3,365.50 | $7.22 – $3,365.50 | 120 |
| Telehealth original site facility fee HCPCS Q3014 | $26.00 | $40.00 | $8.00 – $40.00 | 41 |
| Telethx isodose plan cplx CPT 77307 | $718.90 | $1,106.00 | $96.92 – $1,106.00 | 785 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,041.00 – $5,015.55 | 104 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $53.30 – $10,501.70 | 36 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $4,061.50 – $23,582.35 | 104 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $92.00 | $92.00 | $32.84 – $92.00 | 33 |
| Test for chlorohydrocarbons CPT 82441 | $68.90 | $106.00 | $6.01 – $106.00 | 33 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $104.00 | $160.00 | $52.92 – $160.00 | 49 |
| Test stress cardiovascular tracing only CPT 93017 | $763.10 | $1,174.00 | $193.72 – $1,174.00 | 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.