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 |
|---|---|---|---|---|
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $12.37 – $34.65 | 33 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $20.75 | $20.75 | $3.34 – $14.00 | 104 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $1.21 – $3.39 | 33 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $295.94 – $828.95 | 33 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $10.85 – $55.98 | 41 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $14.08 – $17,608.50 | 120 |
| Clot factor xii hageman CPT 85280 | $61.75 | $95.00 | $18.75 – $95.00 | 49 |
| Clot factor xiii fibrin scrn CPT 85291 | $81.25 | $125.00 | $8.82 – $125.00 | 49 |
| Clot factor xiii fibrin stab CPT 85290 | $195.00 | $300.00 | $15.83 – $300.00 | 49 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $10,564.16 | not published | $0.96 – $3,212.91 | 88 |
| Cmbn ant pst colprhy CPT 57260 | $18,634.86 | not published | $9.09 – $9,995.34 | 89 |
| Cmv pcr-sendout CPT 87496 | $332.15 | $511.00 | $34.01 – $128.00 | 49 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $8,628.75 | $8,628.75 | $2.57 – $8,628.75 | 120 |
| Coagulation time activated teg CPT 85347 | $85.15 | $131.00 | $4.15 – $131.00 | 49 |
| Cocaine 4 % nasal solution HCPCS C9046 | $3,354.90 | $3,354.90 | $294.40 – $3,354.90 | 103 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $701.22 – $1,964.19 | 33 |
| Cold agglutinin screen (arc) CPT 86156 | $102.70 | $158.00 | $7.82 – $158.00 | 49 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $365.95 | $563.00 | $78.07 – $375.00 | 120 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $0.46 – $2.36 | 41 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $50.43 | $77.58 | $1.61 – $4.52 | 33 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,198.73 | $1,844.20 | $0.51 – $2.63 | 41 |
| Collar cerv patriot adlt HCPCS L0150 | $3.18 | $4.89 | $1.75 – $4.89 | 33 |
| Collar extrication adult univ HCPCS L0200 | $41.92 | $64.50 | $23.03 – $64.50 | 33 |
| Colonoscopy (diagnostic) CPT 45378 | $4,111.54 | not published | $2.46 – $1,858.14 | 89 |
| Colonoscopy submucous njx CPT 45381 | $7,775.14 | not published | $6.84 – $2,391.00 | 89 |
| Colonoscopy thru stoma spx CPT 44388 | $4,259.03 | not published | $2.97 – $1,858.14 | 87 |
| Colonoscopy (with biopsy) CPT 45380 | $5,294.44 | not published | $3.33 – $2,391.00 | 89 |
| Colonoscopy (with polyp removal) CPT 45385 | $4,950.04 | not published | $4.50 – $2,391.00 | 89 |
| Colpopexy extraperitoneal CPT 57282 | $20,547.99 | not published | $0.96 – $14,816.71 | 88 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $350.35 | $539.00 | $152.85 – $539.00 | 49 |
| Compatibility test each unit immediate spin technique CPT 86920 | $2,617.52 | $78.00 | $3.00 – $340.41 | 120 |
| Compatibility test incubate CPT 86921 | $25.35 | $39.00 | $14.27 – $340.41 | 120 |
| Complement antigen each component c3 CPT 86160 | $357.50 | $550.00 | $11.63 – $120.00 | 49 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $20,229.20 | not published | $0.96 – $5,803.88 | 88 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,750.12 | $2,692.49 | $961.22 – $2,692.49 | 33 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,914.25 | $2,945.00 | $339.87 – $2,945.00 | 117 |
| Concentration infection agents any type CPT 87015 | $66.30 | $102.00 | $6.48 – $102.00 | 49 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,352.21 | $5,157.25 | $146.23 – $409.61 | 33 |
| Conization of cervix CPT 57520 | $16,076.72 | not published | $5.67 – $6,468.07 | 89 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,780.10 | $1,780.10 | $369.15 – $1,780.10 | 120 |
| Connect omega .5mm HCPCS L8613 | $22,574.95 | $34,730.69 | $24.06 – $67.40 | 33 |
| Connector tis 2x10mm HCPCS C9352 | $6,756.42 | $10,394.49 | $451.43 – $1,264.50 | 33 |
| Consultation pathology during surgery CPT 88329 | $103.00 | $103.00 | $25.49 – $117.87 | 785 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $252.20 | $388.00 | $30.01 – $1,609.82 | 785 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $120.90 | $186.00 | $18.53 – $186.00 | 784 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $203.45 | $313.00 | $33.03 – $340.41 | 785 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $293.80 | $452.00 | $46.75 – $452.00 | 785 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $416.65 | $641.00 | $33.51 – $641.00 | 785 |
| Consult comp w/report rfrd material CPT 88325 | $479.00 | $387.00 | $87.48 – $387.00 | 768 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,097.60 | $6,304.00 | $2,250.53 – $6,702.68 | 120 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $9,995.05 | $15,377.00 | $4,992.16 – $15,377.00 | 120 |
| Contrast x-ray of hip CPT 73525 | $1,218.75 | $1,875.00 | $312.99 – $1,250.00 | 120 |
| Contrast x-ray of knee joint CPT 73580 | $1,193.40 | $1,836.00 | $312.99 – $1,224.00 | 120 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $9,782.99 | $15,050.75 | $4,133.17 – $11,577.50 | 33 |
| Controller infinity pt dbs HCPCS C1787 | $27,497.09 | $42,303.21 | $17.85 – $50.00 | 33 |
| Coombs direct CPT 86880 | $84.50 | $130.00 | $5.39 – $117.87 | 120 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $92.30 | $142.00 | $5.72 – $340.41 | 120 |
| Coombs indirect titer reference CPT 86886 | $263.90 | $406.00 | $5.18 – $340.41 | 120 |
| Core ndl bx lng/med perq CPT 32408 | $1,598.35 | $2,459.00 | $877.86 – $3,300.04 | 119 |
| Cor hlx vlgs double osteot CPT 28299 | $38,383.29 | not published | $1.92 – $14,498.57 | 88 |
| Cornea 1/2moon str split thick HCPCS L8609 | $794.53 | $1,222.35 | $436.38 – $1,222.35 | 33 |
| Corneal trnspl endothelial CPT 65756 | $25,105.40 | not published | $0.96 – $8,258.95 | 88 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,705.60 | $8,777.85 | $139.23 – $513.90 | 46 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $17,132.80 | $18,562.00 | $2.28 – $18,562.00 | 119 |
| Coronary angio/lv gram/lt heart CPT 93458 | $16,172.97 | $17,529.00 | $2.28 – $17,529.00 | 119 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $18,692.49 | $20,741.00 | $2.28 – $20,741.00 | 119 |
| Coronary art/grft angio s&i CPT 93455 | $10,231.00 | $15,740.00 | $2,908.49 – $15,740.00 | 119 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $29,657.54 | $14,692.00 | $4.56 – $14,692.00 | 119 |
| Cortisol total am CPT 82533 | $244.40 | $376.00 | $15.80 – $376.00 | 49 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $101.75 | $101.75 | $28.02 – $101.75 | 103 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,235.69 | $14,208.75 | $45.72 – $128.06 | 33 |
| Cover wrist HCPCS L3984 | $0.01 | $0.01 | $0.01 – $0.01 | 31 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.50 | $110.00 | $7.03 – $102.00 | 49 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $443.95 | $683.00 | $102.00 – $683.00 | 33 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $443.95 | $683.00 | $102.00 – $683.00 | 33 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $659.75 | $1,015.00 | $137.00 – $1,015.00 | 120 |
| C-peptide CPT 84681 | $134.55 | $207.00 | $20.17 – $207.00 | 49 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $391.95 | $603.00 | $193.72 – $932.00 | 120 |
| Cr-51 sodium chromate HCPCS A9553 | $7,028.75 | $7,028.75 | $2,509.26 – $7,028.75 | 32 |
| C-reactive protein CPT 86140 | $65.65 | $101.00 | $5.02 – $101.00 | 49 |
| C-reactive protein high sensitivity CPT 86141 | $87.75 | $135.00 | $12.55 – $135.00 | 49 |
| Create eardrum opening CPT 69436 | $21,409.08 | not published | $0.96 – $3,100.20 | 88 |
| Creatine kinase CPT 82550 | $78.00 | $120.00 | $6.30 – $120.00 | 49 |
| Creatine kinase isoenzymes CPT 82552 | $82.55 | $127.00 | $12.97 – $127.00 | 49 |
| Creatine kinase mb CPT 82553 | $160.55 | $247.00 | $11.19 – $247.00 | 49 |
| Creatinine CPT 82565 | $5,196.10 | $74.00 | $4.96 – $74.00 | 49 |
| Creatinine 24 hour urine CPT 82570 | $677.30 | $75.00 | $5.02 – $75.00 | 49 |
| Creatinine clearance urine CPT 82575 | $78.65 | $121.00 | $9.17 – $121.00 | 49 |
| #creutz-prot.,western blot CPT 84182 | $45.50 | $70.00 | $25.62 – $70.00 | 49 |
| Critical care each additional 30 minutes CPT 99292 | $336.70 | $518.00 | $56.25 – $518.00 | 784 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $4,735.90 | $7,286.00 | $122.23 – $3,299.00 | 785 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,358.85 | $7,358.85 | $126.70 – $7,358.85 | 120 |
| Crotalidae poly immune fab HCPCS J0840 | $8,824.60 | $8,824.60 | $1,755.81 – $8,824.60 | 104 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $52.66 | $81.01 | $19.83 – $55.55 | 33 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $48.75 | $75.00 | $13.70 – $75.00 | 49 |
| Cryoprecipitate each unit HCPCS P9012 | $123.50 | $190.00 | $63.18 – $306.00 | 120 |
| Crystal identification light microscopy CPT 89060 | $51.35 | $79.00 | $7.10 – $79.00 | 49 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,175.90 | $4,886.00 | $157.36 – $3,257.00 | 120 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,707.90 | $4,166.00 | $312.99 – $4,166.00 | 49 |
| CT Angiogram of the Abdomen CPT 74175 | $2,322.45 | $3,573.00 | $157.36 – $3,573.00 | 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.