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 |
|---|---|---|---|---|
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.10 | $1.69 | $0.60 – $1.69 | 33 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.24 – $0.67 | 33 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $17.85 – $50.00 | 33 |
| B cells total count CPT 86355 | $378.30 | $582.00 | $36.56 – $263.00 | 49 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $3.21 – $864.15 | 119 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $3.81 – $4,849.40 | 120 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $52.79 – $3,302.00 | 120 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.49 | $0.76 | $0.26 – $0.74 | 33 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $2.01 – $14,338.95 | 120 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $13.38 – $11,945.90 | 120 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $12.58 – $8,355.30 | 120 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $2,724.00 – $19,642.40 | 104 |
| #_benzodiazconfur CPT 80346 | $155.35 | $239.00 | $87.47 – $239.00 | 42 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $215.25 | $215.25 | $76.84 – $215.25 | 33 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $85.15 | $131.00 | $24.66 – $131.00 | 49 |
| Beta-2 microglobulin CPT 82232 | $390.00 | $600.00 | $15.68 – $600.00 | 49 |
| Beta-amyloid 1-40 CPT 82233 | $121.55 | $187.00 | $68.44 – $259.13 | 46 |
| Beta-amyloid 1-42 CPT 82234 | $183.95 | $283.00 | $103.58 – $283.00 | 46 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $34.45 – $175.75 | 103 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $72.16 – $2,390.85 | 120 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $23.36 – $1,925.35 | 120 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $25.28 – $6,770.50 | 120 |
| Bilirubin direct CPT 82248 | $97.50 | $150.00 | $4.87 – $150.00 | 49 |
| Bilirubin total CPT 82247 | $334.75 | $124.00 | $4.87 – $124.00 | 49 |
| Biopsy abdominal mass CPT 49180 | $1,293.50 | $1,990.00 | $710.43 – $3,300.04 | 48 |
| Biopsy bone trocar/needle superficial CPT 20220 | $655.85 | $1,009.00 | $360.21 – $3,300.04 | 119 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,955.90 | $6,086.00 | $1,448.35 – $5,803.88 | 119 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,201.20 | $1,848.00 | $659.74 – $3,300.04 | 119 |
| Biopsy needle liver percutaneous CPT 47000 | $1,581.45 | $2,433.00 | $868.58 – $3,300.04 | 48 |
| Biopsy needle lymph node superficial CPT 38505 | $1,561.30 | $2,402.00 | $77.42 – $3,300.04 | 48 |
| Biopsy of prostate CPT 55700 | $9,417.49 | not published | $0.96 – $3.96 | 72 |
| Biopsy/removal lymph nodes CPT 38525 | $27,356.99 | not published | $6.93 – $13,267.65 | 89 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,774.50 | $2,730.00 | $649.74 – $3,300.04 | 48 |
| Biopsy skin incisional single lesion CPT 11106 | $15,903.63 | not published | $3.69 – $1,476.73 | 89 |
| Bivalirudin HCPCS J0583 | $481.40 | $481.40 | $171.86 – $481.40 | 33 |
| Bladder Catheter Insertion (simple) CPT 51702 | $148.20 | $228.00 | $81.40 – $265.84 | 119 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $633.10 | $974.00 | $224.15 – $974.00 | 119 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $488.00 | $488.00 | $22.87 – $263.10 | 103 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $20,688.62 | not published | $9.09 – $4,122.62 | 89 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $144.64 – $17,670.55 | 120 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,830.88 | $15,124.43 | $0.01 – $15.19 | 33 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,840.11 | $7,446.33 | $14.26 – $39.95 | 33 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,036.55 | $3,133.15 | $239.36 – $670.49 | 33 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,619.02 | $5,567.73 | $19.10 – $53.50 | 33 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,109.53 | $15,553.13 | $1,619.45 – $4,536.28 | 33 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,815.54 | $2,793.14 | $626.98 – $1,756.25 | 33 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $1.82 | $2.80 | $1.00 – $2.80 | 33 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,751.10 | $2,694.00 | $641.17 – $1,796.00 | 119 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $3,510.00 | $5,400.00 | $1,285.20 – $3,600.00 | 32 |
| Block tap inj(s) w/wo img bi CPT 64488 | $774.80 | $1,192.00 | $425.54 – $1,192.00 | 32 |
| Blood Clotting (PT/INR) Test CPT 85610 | $16,602.90 | $57.00 | $2.28 – $46.00 | 120 |
| Blood Clotting (PTT) Test CPT 85730 | $3,269.52 | $130.00 | $2.46 – $130.00 | 120 |
| Blood Count (CBC) Test CPT 85025 | $15,681.39 | $113.00 | $2.28 – $113.00 | 120 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $3,818.70 | $104.00 | $2.28 – $104.00 | 120 |
| Blood Culture Test CPT 87040 | $2,923.05 | $335.00 | $9.09 – $335.00 | 49 |
| Blood Draw (Venipuncture) CPT 36415 | $6,277.62 | $25.00 | $0.96 – $25.00 | 120 |
| Blood gases o2 saturation direct measurement CPT 82805 | $180.05 | $277.00 | $76.33 – $277.00 | 49 |
| Blood gases ph venous CPT 82800 | $71.50 | $110.00 | $10.66 – $110.00 | 49 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $58.50 | $90.00 | $15.42 – $90.00 | 49 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $33.15 | $51.00 | $4.24 – $51.00 | 49 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $49.40 | $76.00 | $5.15 – $76.00 | 49 |
| Blood smear interpretation CPT 85060 | $70.00 | $70.00 | $12.14 – $70.00 | 768 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $39.00 | $60.00 | $3.68 – $60.00 | 49 |
| Blood Transfusion CPT 36430 | $2,662.07 | $1,216.00 | $0.71 – $1,216.00 | 120 |
| Blood typing abo CPT 86900 | $18,661.97 | $65.00 | $2.28 – $265.84 | 120 |
| Blood typing ag donor ea ag CPT 86902 | $195.65 | $301.00 | $6.35 – $716.21 | 120 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $90.35 | $139.00 | $3.83 – $716.21 | 120 |
| Blood typing rh (d) CPT 86901 | $18,661.97 | $78.00 | $2.28 – $78.00 | 120 |
| Blood typing rh phenotype complete reference CPT 86906 | $137.15 | $211.00 | $7.75 – $211.00 | 120 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,983.96 | $3,052.25 | $15.56 – $80.31 | 41 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $271.70 | $418.00 | $93.79 – $418.00 | 120 |
| Bone filler cerament 10cc HCPCS C1602 | $10,175.74 | $15,654.99 | $207.32 – $580.74 | 33 |
| Bone/joint imaging ltd area CPT 78300 | $560.95 | $863.00 | $308.09 – $874.53 | 49 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,002.00 | $3,080.00 | $1,099.56 – $3,300.04 | 119 |
| Bone marrow interpretation CPT 85097 | $448.50 | $690.00 | $27.95 – $1,609.82 | 785 |
| Bone tendon board add on HCPCS C9356 | $4,850.45 | $7,462.23 | $186.09 – $521.26 | 33 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,242.75 | $4,988.85 | $69.18 – $193.78 | 33 |
| Boot cast sandal rocker med HCPCS L3265 | $2.19 | $3.37 | $1.20 – $3.37 | 33 |
| Boot heel care softcare one sz HCPCS E0191 | $132.09 | $203.21 | $1.12 – $54.27 | 41 |
| Boot j walker l HCPCS L4386 | $347.24 | $534.21 | $12.05 – $62.18 | 41 |
| Boot mlti podous univ xlg HCPCS L4396 | $165.01 | $253.86 | $13.06 – $67.37 | 41 |
| Boot softgait shrt m HCPCS L4387 | $41.49 | $63.83 | $4.96 – $25.60 | 41 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $81.97 | $126.11 | $12.37 – $63.83 | 41 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $81.03 | $124.66 | $24.16 – $124.66 | 41 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $126.10 | $194.00 | $16.50 – $194.00 | 49 |
| Borrelia miyamotoi amp prb CPT 87478 | $82.55 | $127.00 | $34.01 – $127.00 | 49 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,800.00 | $1,800.00 | $60.90 – $211.60 | 103 |
| Bowel imaging CPT 78290 | $746.85 | $1,149.00 | $358.66 – $1,149.00 | 120 |
| Brace adj motion lerman type HCPCS L2186 | $316.44 | $486.83 | $173.80 – $486.83 | 33 |
| Brace afo dbl upright cust HCPCS L1990 | $748.46 | $1,151.48 | $411.08 – $1,151.48 | 33 |
| Brace afo lg left 6607 HCPCS L1930 | $129.79 | $199.67 | $19.40 – $100.12 | 41 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,145.78 | $1,762.74 | $629.30 – $1,762.74 | 33 |
| Brace afo spiral prefab HCPCS L1951 | $1,741.42 | $2,679.11 | $956.44 – $2,679.11 | 33 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $55.82 | $85.87 | $13.91 – $38.95 | 33 |
| Brace ank air stirrup univ HCPCS L4350 | $47.97 | $73.80 | $7.74 – $39.95 | 41 |
| Brace ankle joint dflxn assist HCPCS L2210 | $163.94 | $252.21 | $90.04 – $252.21 | 33 |
| Brace ankle stablizing lg HCPCS L1902 | $33.47 | $51.50 | $18.39 – $51.50 | 33 |
| Brace back epic lo 627 HCPCS L0642 | $140.30 | $215.85 | $41.83 – $215.85 | 41 |
| Brace back epic lso 637 HCPCS L0650 | $186.50 | $286.92 | $55.61 – $286.92 | 41 |
| Brace back epic tslo 456 HCPCS L0457 | $390.58 | $600.89 | $145.94 – $408.80 | 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.