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 |
|---|---|---|---|---|
| Warde vitamin c (ascorbic acid) CPT 82180 | $69.55 | $107.00 | $9.59 – $107.00 | 49 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $209.95 | $323.00 | $37.31 – $323.00 | 49 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $76.05 | $117.00 | $13.74 – $117.00 | 49 |
| Warde zinc CPT 84630 | $157.30 | $242.00 | $11.04 – $242.00 | 49 |
| Wbc automated CPT 85048 | $27.95 | $43.00 | $2.46 – $43.00 | 49 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $977.60 | $1,504.00 | $306.00 – $1,504.00 | 33 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $576.55 | $887.00 | $133.10 – $887.00 | 120 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $560.95 | $863.00 | $308.09 – $874.53 | 49 |
| Whole Skeleton X-ray Survey CPT 77075 | $40.95 | $63.00 | $22.49 – $240.48 | 120 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | $0.01 | $0.02 | $0.01 – $0.02 | 33 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $519.35 | $799.00 | $285.24 – $812.25 | 120 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $545.35 | $839.00 | $287.00 – $839.00 | 120 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $269.75 | $415.00 | $148.16 – $415.00 | 120 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $346.45 | $533.00 | $190.28 – $812.25 | 120 |
| Wrist X-ray CPT 73110 | $22,887.75 | $599.00 | $0.96 – $399.00 | 120 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $22,392.96 | $504.00 | $0.96 – $336.00 | 120 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $9,347.84 | not published | $3.44 – $4,611.24 | 89 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $2,960.10 | $4,554.00 | $1,083.85 – $3,036.00 | 32 |
| X-ray abdomen >=3 views CPT 74021 | $352.95 | $543.00 | $93.79 – $543.00 | 120 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,173.90 | $1,806.00 | $312.99 – $1,204.00 | 120 |
| X-ray bone length studies CPT 77073 | $140.40 | $216.00 | $77.11 – $240.48 | 120 |
| X-ray bone survey infant CPT 77076 | $175.50 | $270.00 | $93.79 – $270.00 | 120 |
| X-ray exam of arm infant CPT 73092 | $266.50 | $410.00 | $93.79 – $273.00 | 120 |
| X-ray exam si joints CPT 72200 | $329.55 | $507.00 | $93.79 – $507.00 | 120 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $257.40 | $396.00 | $78.07 – $264.00 | 120 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $452.40 | $696.00 | $93.79 – $696.00 | 120 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $378.30 | $582.00 | $78.07 – $387.00 | 120 |
| X-ray nose to rectum for foreign body child CPT 76010 | $317.20 | $488.00 | $78.07 – $488.00 | 120 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $505.05 | $777.00 | $277.39 – $828.97 | 49 |
| X-ray ribs 2 views left CPT 71100 | $314.60 | $484.00 | $78.07 – $484.00 | 120 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $529.75 | $815.00 | $290.96 – $1,132.04 | 120 |
| X-ray small intestine follow-through study CPT 74248 | $371.80 | $572.00 | $204.20 – $572.00 | 32 |
| X-ray surgical specimen CPT 76098 | $23,323.13 | $784.00 | $4.32 – $1,132.04 | 120 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $159.90 | $246.00 | $78.07 – $246.00 | 120 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $55,035.00 | $55,035.00 | $19,647.50 – $114,217.34 | 117 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $83.25 | $83.25 | $18.12 – $83.25 | 103 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $54.60 | $54.60 | $19.49 – $54.60 | 33 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $8,000.00 | $8,000.00 | $7.08 – $4,000.00 | 120 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $4,848.00 | $4,848.00 | $32.99 – $4,848.00 | 117 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $43.00 | $43.00 | $15.35 – $43.00 | 33 |
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.