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 |
|---|---|---|---|---|
| Tetanus immune globulin inj HCPCS J1670 | $2,622.15 | $2,622.15 | $575.76 – $2,622.15 | 120 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $18.16 – $22,937.05 | 36 |
| Theophylline therapeutic drug level CPT 80198 | $227.50 | $350.00 | $13.70 – $350.00 | 49 |
| Therapeutic procd strg endur HCPCS G0237 | $79.30 | $122.00 | $28.18 – $137.00 | 117 |
| Therapeutic pulpotomy HCPCS D3220 | $18,488.57 | not published | $0.96 – $1,291.74 | 88 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $139.00 | $139.00 | $26.18 – $139.00 | 552 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $1,852.50 | $69.00 | $24.63 – $212.00 | 49 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $1,378.00 | $148.00 | $25.38 – $212.00 | 49 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $35.10 | $54.00 | $14.72 – $152.00 | 49 |
| Ther radiology tx plng cplx CPT 77263 | $544.00 | $544.00 | $107.35 – $496.88 | 768 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $8.30 | $8.30 | $1.79 – $8.30 | 103 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $423.80 | $652.00 | $78.07 – $435.00 | 120 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $389.13 – $1,090.00 | 33 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,263.00 | $5,020.00 | $562.78 – $3,346.00 | 119 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $560.95 | $863.00 | $308.09 – $874.53 | 120 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,373.15 | $3,651.00 | $1,303.41 – $3,651.00 | 32 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,722.25 | $7,265.00 | $2,593.61 – $11,372.26 | 119 |
| Thrombin time CPT 85670 | $186.55 | $287.00 | $5.59 – $287.00 | 49 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $122.85 | $189.00 | $6.27 – $189.00 | 49 |
| Thyroglobulin antibody CPT 86800 | $63.05 | $97.00 | $15.41 – $97.00 | 49 |
| Thyroid mets imag whole body CPT 78018 | $1,679.60 | $2,584.00 | $487.13 – $2,584.00 | 120 |
| Thyroid met uptake CPT 78020 | $494.65 | $761.00 | $271.68 – $761.00 | 32 |
| Thyroid (TSH) Test CPT 84443 | $723.45 | $259.00 | $9.09 – $259.00 | 49 |
| Thyroid Ultrasound CPT 76536 | $514.80 | $792.00 | $93.79 – $792.00 | 49 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $1,992.78 – $10,828.50 | 120 |
| Thyroxine binding globulin (tbg) CPT 84442 | $53.30 | $82.00 | $14.32 – $82.00 | 49 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $15,832.05 | $24,357.00 | $3,146.92 – $16,238.00 | 40 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $22,202.40 | $22,202.40 | $170.43 – $22,202.40 | 120 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $2,555.89 | $3,932.14 | $737.33 – $2,065.35 | 33 |
| Tissue culture placenta CPT 88235 | $737.75 | $1,135.00 | $145.65 – $1,135.00 | 49 |
| Tissue culture skin/biopsy CPT 88233 | $748.80 | $1,152.00 | $136.36 – $1,152.00 | 49 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $67.73 | $104.20 | $37.20 – $104.20 | 33 |
| Tissue exam koh skin/hair/nails CPT 87220 | $84.50 | $130.00 | $4.14 – $130.00 | 49 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $271.69 | $417.99 | $81.01 – $417.99 | 41 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $49.04 | $75.45 | $14.62 – $75.45 | 41 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $38.88 | $59.82 | $21.36 – $59.82 | 33 |
| Tissue transglutaminase iga CPT 86364 | $26.65 | $41.00 | $11.17 – $41.00 | 49 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $28.60 – $80.10 | 32 |
| Tlh w/t/o 250 g or less CPT 58571 | $31,549.18 | not published | $7.92 – $21,239.36 | 89 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $31,107.11 | not published | $8.10 – $21,239.36 | 89 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $354.15 | $354.15 | $1.29 – $3.60 | 103 |
| Tobramycin peak therapeutic drug level CPT 80200 | $123.50 | $190.00 | $15.63 – $190.00 | 34 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $5.50 – $2,442.90 | 120 |
| Toe X-ray (both feet) CPT 73660 | $333.45 | $513.00 | $78.07 – $342.00 | 120 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $68.90 | $106.00 | $11.38 – $199.76 | 43 |
| Tomosynthesis breast screen bilateral CPT 77063 | $57.20 | $88.00 | $20.96 – $59.00 | 49 |
| Tonsillectomy (age 12+) CPT 42826 | $17,075.62 | not published | $0.96 – $6,624.59 | 88 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $188.75 | $188.75 | $41.06 – $115.00 | 33 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $48,786.25 | $48,786.25 | $9,384.00 – $48,786.25 | 104 |
| Total Hip Replacement CPT 27130 | $42,385.43 | not published | $7.65 – $25,652.84 | 89 |
| Total Knee Replacement CPT 27447 | $39,409.48 | not published | $1.92 – $25,652.84 | 88 |
| Total tau CPT 84394 | $183.95 | $283.00 | $103.58 – $283.00 | 46 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $39,977.94 | not published | $2.28 – $35,034.15 | 88 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $39,977.94 | not published | $2.28 – $35,034.15 | 88 |
| Toxoplasma antibody igg CPT 86777 | $72.15 | $111.00 | $13.94 – $111.00 | 49 |
| Toxoplasma antibody igm CPT 86778 | $435.50 | $670.00 | $13.96 – $670.00 | 49 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $11,852.96 | not published | $0.96 – $10,713.35 | 88 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,842.80 | $11,842.80 | $332.90 – $11,842.80 | 120 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $27.60 | $27.60 | $2.00 – $27.60 | 109 |
| Transcutaneous hgb 88738 CPT 88738 | $8.45 | $13.00 | $4.76 – $13.00 | 49 |
| Transferrin CPT 84466 | $128.05 | $197.00 | $12.36 – $197.00 | 49 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $645.45 | $993.00 | $93.79 – $993.00 | 49 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $671.45 | $1,033.00 | $93.79 – $1,033.00 | 120 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,708.00 | $4,708.00 | $72.01 – $4,675.30 | 120 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $10,508.35 | $10,508.35 | $50.41 – $2,766.05 | 120 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,357.40 | $9,357.40 | $8.04 – $3,365.30 | 120 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,591.55 | $3,987.00 | $1,138.83 – $3,190.00 | 33 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $699.55 | $1,076.23 | $21.78 – $61.00 | 33 |
| Tray trach basic clean/care ster HCPCS A4626 | $0.44 | $0.68 | $0.24 – $0.68 | 33 |
| Treat lower leg joint CPT 27829 | $31,932.42 | not published | $1.92 – $14,498.57 | 88 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $34,307.86 | not published | $1.92 – $14,498.57 | 88 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $29,691.72 | not published | $0.96 – $14,498.57 | 88 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $13,058.99 | not published | $12.00 – $6,468.07 | 89 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $241.15 | $371.00 | $119.37 – $371.00 | 120 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $93.60 | $144.00 | $51.41 – $144.00 | 33 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $13,143.26 | not published | $12.00 – $6,468.07 | 89 |
| Treatment of ankle fracture CPT 27814 | $31,430.44 | not published | $1.92 – $14,498.57 | 88 |
| Treatment of ankle fracture CPT 27822 | $37,995.74 | not published | $15.69 – $14,498.57 | 88 |
| Treatment radiation delivery level 2 CPT 77407 | $1,754.35 | $2,699.00 | $346.03 – $2,699.00 | 49 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $127,265.40 | $127,265.40 | $134.29 – $10,605.45 | 120 |
| Treponema pallidum antibody CPT 86780 | $139.75 | $215.00 | $12.83 – $101.00 | 49 |
| Trg gene rearrangement anal CPT 81342 | $10,455.65 | $1,318.00 | $2.46 – $1,502.07 | 120 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $39.10 | $39.10 | $0.86 – $21.11 | 104 |
| Triglycerides CPT 84478 | $55.90 | $86.00 | $5.56 – $86.00 | 49 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $8,065.15 | $8,065.15 | $5.24 – $8,065.15 | 120 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $8,533.85 | $13,129.00 | $3,124.82 – $8,753.00 | 32 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $19,349.97 | not published | $5.58 – $7,823.39 | 89 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $20,769.45 | not published | $0.96 – $5,803.88 | 88 |
| Troponin quantitative CPT 84484 | $38,522.35 | $356.00 | $4.55 – $356.00 | 120 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $17.68 | $27.20 | $9.71 – $27.20 | 33 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $425.24 | $654.22 | $1.21 – $3.39 | 33 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $2.78 | $4.28 | $0.70 – $1.97 | 33 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $128.15 | $197.15 | $0.39 – $1.10 | 33 |
| Tympanic membrane repair CPT 69610 | $21,409.08 | not published | $0.96 – $3,100.20 | 88 |
| Ua w/micro/comp poc CPT 81000 | $68.25 | $105.00 | $3.90 – $105.00 | 49 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $35,496.45 | $35,496.45 | $67.73 – $35,496.45 | 120 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $562.25 | $865.00 | $75.49 – $576.00 | 49 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $239.20 | $368.00 | $93.79 – $368.00 | 120 |
| Ultrasound encephalogram CPT 76506 | $657.15 | $1,011.00 | $93.79 – $1,011.00 | 120 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $447.85 | $689.00 | $93.79 – $689.00 | 49 |
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.