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 |
|---|---|---|---|---|
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $21.00 | $21.00 | $7.50 – $21.00 | 33 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.00 | $1.00 | $0.04 – $1.00 | 103 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $28,355.31 | $20.20 | $0.60 – $12,079.51 | 120 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,752.60 | $2,752.60 | $32.09 – $344.95 | 120 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $7.14 – $20.00 | 33 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $20.00 | $7.14 – $20.00 | 33 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $30.00 | $7.14 – $20.00 | 33 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $308.75 | $475.00 | $21.54 – $475.00 | 49 |
| Diabetes (HbA1c) Test CPT 83036 | $1,045.20 | $119.00 | $9.09 – $119.00 | 49 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $217.00 | $217.00 | $19.49 – $172.20 | 768 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $343.85 | $529.00 | $98.79 – $529.00 | 49 |
| Diagnostic Mammogram (one breast) CPT 77065 | $312.65 | $481.00 | $77.11 – $481.00 | 49 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.15 | $68.15 | $24.33 – $68.15 | 33 |
| Diffusing capacity CPT 94729 | $239.20 | $368.00 | $131.38 – $368.00 | 33 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $25.30 | $25.30 | $1.12 – $4.00 | 103 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,725.30 | $13,725.30 | $4,899.93 – $13,725.30 | 104 |
| Digoxin total therapeutic drug level CPT 80162 | $41.60 | $64.00 | $12.87 – $64.00 | 49 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $184.00 | $184.00 | $32.84 – $92.00 | 33 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $16.51 – $46.25 | 33 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $26.00 | $26.00 | $0.20 – $3.00 | 104 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $3.70 | $3.70 | $0.90 – $3.70 | 103 |
| Disability dlco CPT 94727 | $121.55 | $187.00 | $66.76 – $431.43 | 120 |
| Disaccharidases CPT 82657 | $526.50 | $810.00 | $21.48 – $810.00 | 49 |
| Dise eval slp do brth flx dx CPT 42975 | $6,087.28 | not published | $3.33 – $3,556.40 | 87 |
| Dna antibody native/double stranded CPT 86225 | $48.75 | $75.00 | $13.31 – $75.00 | 49 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $183.75 | $183.75 | $7.98 – $38.30 | 103 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $134.65 | 103 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $72.50 | $72.50 | $6.60 – $24.25 | 103 |
| Doppler echo complete CPT 93320 | $557.05 | $857.00 | $305.95 – $857.00 | 33 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,455.35 | $2,239.00 | $799.32 – $2,239.00 | 32 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $489.77 – $1,371.90 | 33 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $229.63 – $36,812.65 | 120 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $93.40 | 103 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,093.75 | $7,093.75 | $342.45 – $1,920.95 | 36 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $86.65 | $86.65 | $12.00 – $86.65 | 103 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $76.03 – $212.98 | 33 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $17.95 – $92.61 | 41 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.80 | $32.80 | $5.36 – $32.80 | 103 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $243.24 – $681.34 | 33 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $46.76 – $241.26 | 41 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $8.46 – $43.65 | 41 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $11.73 – $60.55 | 41 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $38.03 – $106.53 | 33 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.26 – $0.73 | 33 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $40.04 – $112.15 | 33 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $16.64 – $46.60 | 33 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $17.86 – $74.31 | 41 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $1.40 – $3.91 | 33 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $71.24 – $199.54 | 33 |
| Drug assay posaconazole CPT 80187 | $53.30 | $82.00 | $26.27 – $82.00 | 49 |
| Drug assay vedolizumab CPT 80280 | $253.50 | $390.00 | $37.37 – $390.00 | 49 |
| Drug assay voriconazole CPT 80285 | $121.55 | $187.00 | $26.27 – $187.00 | 49 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $912.60 | $484.00 | $21.67 – $484.00 | 49 |
| Drvvt confirm - quest CPT 85597 | $234.00 | $360.00 | $17.42 – $360.00 | 49 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $217.43 – $609.04 | 33 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $9.73 – $27.25 | 33 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $81.58 – $3,169.50 | 120 |
| Dx bronchoscope/brush 31623 CPT 31623 | $30,352.80 | not published | $3.15 – $14,101.44 | 89 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $31,946.34 | $3,458.00 | $94.35 – $3,556.40 | 119 |
| Ear cartilage graft CPT 21235 | $22,387.69 | not published | $4.92 – $11,828.35 | 89 |
| Ecg < 30 days transmission & analysis CPT 93271 | $638.95 | $983.00 | $85.29 – $983.00 | 120 |
| Ecg external < 48 hours recording CPT 93225 | $286.65 | $441.00 | $119.37 – $441.00 | 49 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $596.70 | $918.00 | $52.92 – $918.00 | 120 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $84.50 | $130.00 | $33.51 – $331.00 | 49 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $52.65 | $81.00 | $28.92 – $331.00 | 49 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,198.95 | $3,383.00 | $490.22 – $3,383.00 | 49 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $543.40 | $836.00 | $214.06 – $836.00 | 49 |
| Echocardiography doppler color flow mapping CPT 93325 | $535.60 | $824.00 | $294.17 – $824.00 | 33 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,200.25 | $3,385.00 | $505.00 – $3,385.00 | 49 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $766.35 | $1,179.00 | $339.87 – $1,179.00 | 117 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $247.00 | $380.00 | $135.66 – $505.00 | 33 |
| Echo guide for artery repair CPT 76936 | $754.00 | $1,160.00 | $193.72 – $1,160.00 | 120 |
| Echo tee guidance CPT 93355 | $1,652.30 | $2,542.00 | $505.00 – $2,542.00 | 33 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,054.65 | $3,161.00 | $490.22 – $3,161.00 | 120 |
| Echo transesophageal CPT 93313 | $978.25 | $1,505.00 | $490.22 – $1,505.00 | 120 |
| Echo transthoracic CPT 93303 | $1,798.55 | $2,767.00 | $490.22 – $2,767.00 | 49 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $831.35 | $1,279.00 | $456.60 – $1,279.00 | 32 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $44.13 – $18,199.20 | 117 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,197.95 | $1,843.00 | $193.72 – $1,843.00 | 49 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $848.25 | $1,305.00 | $193.72 – $1,305.00 | 120 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,227.85 | $1,889.00 | $193.72 – $1,889.00 | 120 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $599.30 | $922.00 | $193.72 – $922.00 | 120 |
| Eeg recording awake and asleep CPT 95819 | $1,036.10 | $1,594.00 | $193.72 – $1,594.00 | 49 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $31.34 – $18,942.60 | 120 |
| Egd control bleeding any CPT 43255 | $45,200.17 | not published | $12.30 – $21,239.36 | 89 |
| Egd dilate stricture CPT 43245 | $6,106.88 | not published | $4.86 – $3,834.15 | 89 |
| Egd remove foreign body CPT 43247 | $7,063.97 | not published | $2.70 – $1,812.24 | 89 |
| Egd remove lesion snare CPT 43251 | $7,234.86 | not published | $3.33 – $3,834.15 | 89 |
| Egd varices ligation CPT 43244 | $5,127.04 | not published | $2.46 – $3,834.15 | 87 |
| Egfr gene com variants CPT 81235 | $312.65 | $481.00 | $176.05 – $652.41 | 49 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $76.70 | $118.00 | $34.01 – $118.00 | 49 |
| EKG (Tracing Only) CPT 93005 | $3,692.10 | $285.00 | $5.46 – $285.00 | 120 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $329.55 | $507.00 | $78.07 – $338.00 | 120 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $40,229.89 | $629.00 | $7.50 – $419.00 | 120 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,374.87 | $11,345.95 | $1,068.74 – $2,993.66 | 33 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $75.40 | $116.00 | $13.77 – $231.00 | 49 |
| Electroconvulsive therapy 90870 CPT 90870 | $636.35 | $979.00 | $349.50 – $1,715.84 | 48 |
| Electrolyte panel CPT 80051 | $164.45 | $253.00 | $6.79 – $253.00 | 49 |
| Electron microscopy diagnostic CPT 88348 | $1,272.05 | $1,957.00 | $698.65 – $1,957.00 | 120 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $7.38 – $7,102.80 | 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.