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 |
|---|---|---|---|---|
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $3,071.90 | $4,726.00 | $157.36 – $4,726.00 | 49 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $7,231.54 | $4,145.00 | $157.36 – $4,145.00 | 49 |
| CT Angiogram of the Head CPT 70496 | $2,692.30 | $4,142.00 | $157.36 – $4,142.00 | 49 |
| CT Angiogram of the Neck CPT 70498 | $2,692.95 | $4,143.00 | $157.36 – $4,143.00 | 49 |
| CT angio hrt w/3d image CPT 75574 | $2,482.35 | $3,819.00 | $312.99 – $3,819.00 | 120 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,164.15 | $1,791.00 | $157.36 – $1,791.00 | 120 |
| CT guidance for needle placement CPT 77012 | $1,675.70 | $2,578.00 | $920.35 – $2,578.00 | 32 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $554.45 | $853.00 | $304.52 – $853.00 | 32 |
| CT hrt w/3d image CPT 75572 | $1,639.30 | $2,522.00 | $312.99 – $2,522.00 | 49 |
| CT limited or localized follow-up study CPT 76380 | $668.85 | $1,029.00 | $78.07 – $1,029.00 | 120 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,797.25 | $2,765.00 | $157.36 – $1,843.00 | 120 |
| CT scan for therapy guide CPT 77014 | $365.00 | $365.00 | $29.95 – $134.36 | 767 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,944.20 | $6,068.00 | $312.99 – $6,068.00 | 49 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,785.83 | $5,534.00 | $312.99 – $5,534.00 | 49 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,138.20 | $4,828.00 | $214.06 – $4,828.00 | 49 |
| CT t-spine w /wo contrast CPT 72130 | $1,646.45 | $2,533.00 | $157.36 – $2,533.00 | 120 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,140.75 | $1,755.00 | $405.77 – $1,170.00 | 33 |
| Culture aerobic additional method definitive id each CPT 87077 | $83.85 | $129.00 | $7.83 – $90.00 | 49 |
| Culture afb any source CPT 87116 | $94.25 | $145.00 | $10.47 – $145.00 | 49 |
| Culture anaerobic additional method definitive id each CPT 87076 | $160.55 | $247.00 | $7.83 – $247.00 | 49 |
| Culture anaerobic except blood CPT 87075 | $20,824.11 | $160.00 | $9.18 – $5,321.16 | 120 |
| Culture bact stool aero addl path ea CPT 87046 | $56.55 | $87.00 | $9.15 – $81.00 | 49 |
| Culture body fluid CPT 87070 | $5,745.59 | $172.00 | $2.46 – $172.00 | 120 |
| Culture fungi definitive id mold CPT 87107 | $364.00 | $560.00 | $10.00 – $560.00 | 49 |
| Culture fungi definitive id yeast CPT 87106 | $112.45 | $173.00 | $10.00 – $173.00 | 49 |
| Culture fungi other (except blood) CPT 87102 | $157.30 | $242.00 | $8.15 – $242.00 | 49 |
| Culture fungi skin/hair/nail CPT 87101 | $85.15 | $131.00 | $7.47 – $131.00 | 49 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $74.10 | $114.00 | $14.16 – $114.00 | 49 |
| Culture quantitative aerobic other source CPT 87071 | $90.35 | $139.00 | $9.59 – $139.00 | 49 |
| Culture screening strep group a CPT 87081 | $176.80 | $70.00 | $6.43 – $70.00 | 49 |
| Culture typing immunologic CPT 87147 | $42.25 | $65.00 | $5.02 – $46.00 | 49 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $354.25 | $545.00 | $199.47 – $545.00 | 49 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $97.50 | $150.00 | $34.01 – $150.00 | 49 |
| Cutter lead HCPCS C1773 | $3,329.03 | $5,121.59 | $127.77 – $357.89 | 33 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.00 | $3.00 | $1.07 – $3.00 | 33 |
| Cyclic citrullinated peptide antibody CPT 86200 | $127.40 | $196.00 | $12.55 – $196.00 | 49 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $5,154.25 | $5,154.25 | $460.03 – $1,288.60 | 33 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $17.10 | $17.10 | $2.17 – $10.85 | 103 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $137.50 | $137.50 | $49.09 – $137.50 | 33 |
| Cyclosporine 2 hour CPT 80158 | $239.85 | $369.00 | $17.49 – $369.00 | 49 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.00 | $1.00 | $0.36 – $1.00 | 103 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1.55 | $1.55 | $0.55 – $2.07 | 103 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,794.15 | $24,298.69 | $17.85 – $50.00 | 33 |
| Cyp2c19 gene com variants CPT 81225 | $880.75 | $1,355.00 | $282.33 – $1,355.00 | 49 |
| Cystatin c CPT 82610 | $163.80 | $252.00 | $17.94 – $252.00 | 49 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $704.60 | $1,084.00 | $312.99 – $1,084.00 | 120 |
| Cystoscopy and treatment CPT 52214 | $31,381.25 | not published | $7.38 – $7,043.23 | 89 |
| Cystoscopy and treatment CPT 52224 | $18,682.01 | not published | $32.40 – $7,043.23 | 89 |
| Cystoscopy and treatment CPT 52234 | $20,182.93 | not published | $4.92 – $7,043.23 | 89 |
| Cystoscopy and treatment CPT 52235 | $19,803.84 | not published | $4.92 – $7,043.23 | 89 |
| Cystoscopy and treatment CPT 52310 | $11,626.48 | not published | $0.96 – $4,176.77 | 88 |
| Cystoscopy (Bladder Scope) CPT 52000 | $13,890.99 | not published | $0.96 – $1,393.26 | 88 |
| Cystoscopy chemodenervation CPT 52287 | $13,057.20 | not published | $650.00 – $4,176.77 | 87 |
| Cystouretero & or pyeloscope CPT 52351 | $18,232.64 | not published | $0.96 – $7,043.23 | 88 |
| Cystouretero w/biopsy CPT 52354 | $29,117.82 | not published | $5.85 – $10,713.35 | 89 |
| Cysto/uretero w/lithotripsy CPT 52356 | $25,095.64 | not published | $0.96 – $10,713.35 | 88 |
| Cystouretero w/lithotripsy CPT 52353 | $22,324.15 | not published | $0.96 – $10,713.35 | 88 |
| Cystouretero w/stone remove CPT 52352 | $21,380.72 | not published | $0.96 – $7,043.23 | 88 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $17,526.01 | not published | $3.36 – $4,176.77 | 89 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $48.40 | 103 |
| Cytogenetics 25-99 CPT 88274 | $111.80 | $172.00 | $41.07 – $172.00 | 49 |
| Cytogenomic neo microra alys CPT 81277 | $3,591.90 | $5,526.00 | $1,160.00 – $5,526.00 | 33 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $81.25 | $125.00 | $13.94 – $125.00 | 49 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $84.50 | $130.00 | $16.33 – $130.00 | 49 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $226.00 | $190.00 | $16.61 – $184.00 | 785 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $83.85 | $129.00 | $19.64 – $129.00 | 49 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $99.45 | $153.00 | $33.51 – $153.00 | 120 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $57.20 | $88.00 | $31.42 – $88.00 | 120 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $61.00 | $61.00 | $7.68 – $61.00 | 784 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $109.20 | $168.00 | $18.26 – $340.41 | 785 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $194.00 | $291.00 | $41.75 – $291.00 | 785 |
| Cytopath smear other source CPT 88162 | $2,008.95 | $154.00 | $2.46 – $824.87 | 120 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $55.20 | 103 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $288.80 – $13,542.70 | 120 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $16,123.44 | not published | $9.09 – $4,671.00 | 91 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $64.40 | 104 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $52.34 – $33,713.70 | 36 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $2.96 – $932.45 | 120 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $230.33 – $34,410.00 | 120 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $110.13 – $308.50 | 33 |
| Dch pulmonary stress test CPT 94621 | $427.70 | $658.00 | $195.00 – $745.60 | 120 |
| Deamidated gliadin antibody iga CPT 86258 | $141.70 | $218.00 | $11.68 – $218.00 | 49 |
| Debridement bone <= 20 sq cm CPT 11044 | $12,334.40 | not published | $1,481.73 – $3,300.04 | 87 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $10,204.64 | not published | $2.62 – $812.25 | 87 |
| Decalcification CPT 88311 | $100.10 | $154.00 | $6.73 – $154.00 | 784 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $224.90 | $224.90 | $80.29 – $224.90 | 33 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $187.30 | $187.30 | $9.02 – $65.35 | 103 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $4.36 – $1,460.15 | 120 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $22,387.69 | $161.00 | $4.92 – $437.54 | 120 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $27.97 – $11,252.60 | 120 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $14,868.10 | not published | $4.50 – $460.00 | 90 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.06 | $0.10 | $0.04 – $0.10 | 33 |
| Design mlc device for imrt CPT 77338 | $33,122.05 | $2,528.00 | $143.56 – $2,528.00 | 785 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $51.55 | $51.55 | $18.40 – $51.55 | 33 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,773.25 | $5,805.00 | $2,072.39 – $5,805.00 | 32 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $155.49 – $435.55 | 33 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $1,164.80 – $3,262.75 | 33 |
| Device intraute mirena HCPCS J7298 | $2,105.82 | $3,239.73 | $627.86 – $3,239.73 | 41 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $378.20 – $1,059.37 | 33 |
| Device tiss remov myosure reach HCPCS C1782 | $3,961.70 | $6,094.92 | $380.20 – $1,064.99 | 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.