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 |
|---|---|---|---|---|
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $835.90 | $1,286.00 | $53.57 – $1,286.00 | 32 |
| Ultrasound guidance for vascular access CPT 76937 | $299.00 | $460.00 | $164.22 – $460.00 | 32 |
| Ultrasound guide intraoperative CPT 76998 | $636.35 | $979.00 | $349.50 – $979.00 | 32 |
| Ultrasound joint complete left CPT 76881 | $208.00 | $320.00 | $93.79 – $320.00 | 120 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $169.00 | $260.00 | $92.82 – $260.00 | 32 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $325.65 | $501.00 | $93.79 – $501.00 | 49 |
| Ultrasound spinal canal and contents CPT 76800 | $742.95 | $1,143.00 | $93.79 – $1,143.00 | 49 |
| Umbilical artery cath newborn 36660 CPT 36660 | $235.00 | $235.00 | $18.32 – $172.42 | 768 |
| Unit mobile power mpu HCPCS Q0479 | $11,821.68 | $18,187.20 | $6,492.83 – $18,187.20 | 33 |
| Unlisted procedure microbiology CPT 87999 | $507.00 | $780.00 | $285.48 – $780.00 | 33 |
| Unlisted px leg/ankle CPT 27899 | $30,325.57 | not published | $9.09 – $492.86 | 89 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $616.85 | $949.00 | $338.79 – $1,371.32 | 117 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $249.60 | $384.00 | $78.07 – $384.00 | 120 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,623.05 | $2,497.00 | $157.36 – $2,497.00 | 120 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,530.75 | $2,355.00 | $93.79 – $2,355.00 | 120 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,609.15 | $7,091.00 | $312.99 – $7,091.00 | 49 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,915.90 | $4,486.00 | $214.06 – $4,486.00 | 49 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $52,641.78 | $261.00 | $0.96 – $261.00 | 120 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $387.40 | $596.00 | $93.79 – $596.00 | 120 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $4,349.57 | not published | $3.51 – $1,812.24 | 87 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $6,644.53 | not published | $4.05 – $3,834.15 | 89 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $471.25 | $725.00 | $157.36 – $725.00 | 120 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $433.55 | $667.00 | $157.36 – $667.00 | 120 |
| Urea nitrogen CPT 84520 | $1,348.75 | $200.00 | $3.83 – $200.00 | 49 |
| Urea nitrogen 24 hour urine CPT 84540 | $66.95 | $103.00 | $5.39 – $103.00 | 49 |
| Urethrocystography void s&i CPT 74455 | $787.80 | $1,212.00 | $214.06 – $1,212.00 | 120 |
| Uric acid blood CPT 84550 | $37.70 | $58.00 | $4.38 – $58.00 | 49 |
| Uric acid urine CPT 84560 | $163.15 | $251.00 | $4.93 – $251.00 | 49 |
| Urinalysis microscopic only CPT 81015 | $22.75 | $35.00 | $2.96 – $35.00 | 49 |
| Urinalysis (with microscopy) CPT 81001 | $529.75 | $71.00 | $3.07 – $71.00 | 49 |
| Urinalysis (without microscopy) CPT 81003 | $354.25 | $27.00 | $2.18 – $27.00 | 49 |
| Urine Culture Test CPT 87086 | $824.20 | $58.00 | $7.82 – $58.00 | 49 |
| Urine pregnancy test CPT 81025 | $36.40 | $56.00 | $8.34 – $56.00 | 49 |
| Urography, antegrade CPT 74425 | $345.15 | $531.00 | $189.57 – $828.97 | 120 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $6,677.00 | $6,677.00 | $12.24 – $6,677.00 | 120 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $45,913.60 | $45,913.60 | $3,644.10 – $45,913.60 | 112 |
| Vaccine Administration (one shot) CPT 90471 | $39.65 | $61.00 | $4.32 – $143.86 | 786 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $286.65 | $441.00 | $121.01 – $441.00 | 120 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $559.65 | $861.00 | $147.06 – $861.00 | 120 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $103.35 | $159.00 | $43.63 – $168.37 | 120 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $68.90 | $106.00 | $29.09 – $106.00 | 120 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $52.00 | $80.00 | $21.95 – $80.00 | 120 |
| Vaccine dtap < 7 years im CPT 90700 | $142.05 | $142.05 | $19.28 – $54.00 | 103 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $100.10 | $154.00 | $30.80 – $154.00 | 111 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $57.20 | $88.00 | $31.42 – $88.00 | 103 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $135.20 | $208.00 | $41.60 – $208.00 | 111 |
| Vaccine dtap-ipv/hib im CPT 90698 | $103.35 | $159.00 | $56.76 – $159.00 | 103 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $39.00 | $60.00 | $21.42 – $60.00 | 103 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $64.30 | $64.30 | $13.17 – $57.00 | 103 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $142.35 | $219.00 | $72.68 – $219.00 | 103 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $124.80 | $192.00 | $68.54 – $192.00 | 103 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $45.50 | $70.00 | $24.99 – $70.00 | 103 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $48.10 | $74.00 | $26.42 – $74.00 | 32 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $57.20 | $88.00 | $24.15 – $88.00 | 120 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $345.70 | $345.70 | $60.64 – $221.00 | 120 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $326.30 | $502.00 | $137.75 – $502.00 | 120 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $138.80 | $138.80 | $26.07 – $95.00 | 120 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $257.40 | $396.00 | $79.20 – $396.00 | 111 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $226.20 | $348.00 | $69.60 – $348.00 | 40 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $149.50 | $230.00 | $63.11 – $230.00 | 120 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $303.40 | $303.40 | $23.87 – $98.16 | 120 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $21.45 | $33.00 | $6.60 – $33.00 | 117 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $102.45 | $102.45 | $8.78 – $49.00 | 786 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $42.90 | $66.00 | $18.11 – $66.00 | 120 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $157.95 | $243.00 | $66.68 – $243.00 | 120 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $20.80 | $32.00 | $8.78 – $32.00 | 117 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $45.50 | $70.00 | $19.21 – $70.00 | 120 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $22.10 | $34.00 | $9.22 – $34.00 | 117 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $56.55 | $87.00 | $23.87 – $87.00 | 117 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $149.50 | $230.00 | $63.11 – $230.00 | 120 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $524.55 | $807.00 | $33.39 – $807.00 | 120 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $32.50 | $50.00 | $10.93 – $50.00 | 117 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,156.10 | $1,156.10 | $58.40 – $292.00 | 111 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $169.00 | $260.00 | $92.82 – $260.00 | 103 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $149.50 | $230.00 | $46.00 – $230.00 | 111 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $813.00 | $813.00 | $123.40 – $617.00 | 111 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $45.70 – $128.00 | 103 |
| Vaccine mmrv live subcutaneous CPT 90710 | $423.80 | $652.00 | $130.40 – $652.00 | 111 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $114.70 – $418.00 | 120 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $524.55 | $807.00 | $221.44 – $807.00 | 120 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $501.15 | $771.00 | $211.56 – $771.00 | 120 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,419.70 | $1,419.70 | $247.78 – $903.00 | 120 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $38.35 | $59.00 | $21.06 – $59.00 | 103 |
| Vaccine rabies im CPT 90675 | $1,998.80 | $1,998.80 | $312.03 – $1,028.00 | 120 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $263.90 | $406.00 | $81.20 – $406.00 | 111 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $442.65 | $681.00 | $136.20 – $681.00 | 111 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $442.65 | $681.00 | $136.20 – $681.00 | 111 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $250.90 | $386.00 | $77.20 – $386.00 | 111 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $120.90 | $186.00 | $37.20 – $186.00 | 111 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $102.70 | $158.00 | $56.41 – $158.00 | 103 |
| Vaccine tdap >=7 years im CPT 90715 | $231.55 | $231.55 | $29.27 – $85.00 | 785 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $211.80 | $211.80 | $32.84 – $92.00 | 103 |
| Vaccine typhoid vicps im CPT 90691 | $119.60 | $184.00 | $65.69 – $184.00 | 103 |
| Vaccine varicella live subcutaneous CPT 90716 | $960.60 | $960.60 | $48.00 – $240.00 | 111 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $137.15 | $211.00 | $75.33 – $211.00 | 103 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $6,388.06 | $9,827.78 | $3,508.52 – $9,827.78 | 33 |
| Vaginal hysterectomy CPT 58260 | $23,291.71 | not published | $4.92 – $9,995.34 | 89 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $30.00 | $30.00 | $1.29 – $3.60 | 33 |
| Valproic acid total therapeutic drug level CPT 80164 | $111.15 | $171.00 | $13.12 – $171.00 | 49 |
| Valvuloplasty aortic CPT 92986 | $5,714.80 | $8,792.00 | $3,138.74 – $11,372.26 | 119 |
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.