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 |
|---|---|---|---|---|
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $184.75 – $42,858.30 | 117 |
| Endo cath bile duct s&i CPT 74328 | $794.30 | $1,222.00 | $436.25 – $1,222.00 | 32 |
| Endo cholangiopancreatograph CPT 43261 | $17,883.96 | not published | $62.90 – $12,130.20 | 89 |
| Endoluminl ivus oct c 1st CPT 92978 | $40,008.76 | $1,086.00 | $2.28 – $36,628.26 | 119 |
| Endoluminl ivus oct c ea CPT 92979 | $435.50 | $670.00 | $239.19 – $670.00 | 32 |
| Endoscopy maxillary sinus CPT 31267 | $22,106.86 | not published | $6.88 – $14,101.44 | 89 |
| Endoscopy swallow (fees) vid CPT 92612 | $291.85 | $449.00 | $51.13 – $449.00 | 49 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $16,493.22 | not published | $3.33 – $11,828.35 | 89 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $9,316.45 | $14,333.00 | $5,116.88 – $14,333.00 | 32 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $35.57 – $8,427.00 | 120 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $29.70 | $29.70 | $2.86 – $8.00 | 33 |
| Ep & ablate supravent arrhyt CPT 93653 | $27,836.90 | $42,826.00 | $15,288.88 – $52,225.79 | 119 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $52.43 – $4,202.50 | 120 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $20.71 – $58.00 | 33 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $13.14 – $36.80 | 104 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $390.90 | $390.90 | $5.80 – $50.40 | 104 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $487.50 | $487.50 | $11.40 – $35.20 | 104 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 103 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,039.50 | $1,039.50 | $7.42 – $1,039.50 | 120 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $152.50 | $152.50 | $7.59 – $152.50 | 120 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $156.15 | $156.15 | $55.75 – $156.15 | 33 |
| Epstein barr early antigen antibody CPT 86663 | $87.75 | $135.00 | $12.71 – $135.00 | 49 |
| Epstein barr nuclear antigen antibody CPT 86664 | $72.15 | $111.00 | $14.82 – $111.00 | 49 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $27.30 | $42.00 | $15.37 – $42.00 | 49 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $432.30 | $432.30 | $3.45 – $233.44 | 120 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $17.65 – $10,020.45 | 120 |
| Ercp biliary & pancreas CPT 74330 | $764.40 | $1,176.00 | $419.83 – $1,176.00 | 32 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $17,883.96 | not published | $62.90 – $12,130.20 | 89 |
| Ercp remove duct calculi 43264 CPT 43264 | $13,373.44 | $7,396.00 | $4.05 – $7,703.58 | 119 |
| Ercp remove forgn body duct 43275 CPT 43275 | $13,373.44 | not published | $4.05 – $7,703.58 | 87 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $71.16 – $7,050.00 | 120 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $66.70 | $66.70 | $1.07 – $18.04 | 104 |
| ER Visit (level 1, minor) CPT 99281 | $253.50 | $390.00 | $5.86 – $636.00 | 49 |
| ER Visit (level 2) CPT 99282 | $514.15 | $506.00 | $5.46 – $636.00 | 49 |
| ER Visit (level 3) CPT 99283 | $1,172.31 | $825.00 | $1.20 – $825.00 | 785 |
| ER Visit (level 4) CPT 99284 | $3,524.95 | $5,423.00 | $4.56 – $1,436.00 | 785 |
| ER Visit (level 5, high severity) CPT 99285 | $5,830.99 | $7,286.00 | $9.09 – $3,385.00 | 49 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $908.50 | $908.50 | $44.77 – $490.59 | 104 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $271.25 | $271.25 | $96.84 – $271.25 | 33 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $427.50 | $427.50 | $2.80 – $230.85 | 104 |
| Esophagosc dilate balloon 30 CPT 43214 | $14,224.13 | not published | $0.96 – $3,834.15 | 88 |
| Esophagoscopy balloon <30mm CPT 43220 | $7,212.48 | not published | $0.96 – $3,834.15 | 88 |
| Esophagoscopy flex biopsy CPT 43202 | $17,301.80 | not published | $4.05 – $3,834.15 | 89 |
| Esoph egd dilation <30 mm CPT 43249 | $6,683.20 | not published | $3.78 – $3,834.15 | 89 |
| Established Patient Office Visit (level 1) CPT 99211 | $591.50 | not published | $7.22 – $222.34 | 19 |
| Established Patient Office Visit (level 2) CPT 99212 | $76.00 | $76.00 | $1.91 – $12.00 | 768 |
| Established Patient Office Visit (level 3) CPT 99213 | $141.00 | $141.00 | $3.18 – $22.40 | 768 |
| Established Patient Office Visit (level 4) CPT 99214 | $209.00 | $209.00 | $5.10 – $33.12 | 768 |
| Established Patient Office Visit (level 5) CPT 99215 | $307.00 | $307.00 | $66.77 – $306.00 | 768 |
| Estradiol total CPT 82670 | $191.10 | $294.00 | $27.07 – $294.00 | 49 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $174.75 | $174.75 | $62.39 – $174.75 | 103 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $469.30 | $722.00 | $91.16 – $722.00 | 49 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $460.20 | $708.00 | $96.15 – $708.00 | 46 |
| Evaluation of speech fluency 92521 CPT 92521 | $176.80 | $272.00 | $97.10 – $272.00 | 49 |
| Evaluation psychiatric diagnostic CPT 90791 | $377.00 | $377.00 | $75.00 – $307.00 | 784 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $7,166.25 | $11,025.00 | $3,935.93 – $11,025.00 | 32 |
| Event monitor CPT 93270 | $266.50 | $410.00 | $33.48 – $410.00 | 49 |
| Exc abd les sc 3 cm/> CPT 22903 | $25,966.19 | not published | $7.38 – $12,935.28 | 89 |
| Exchange biliary drg cath CPT 47536 | $4,289.35 | $6,599.00 | $2,355.84 – $7,153.96 | 119 |
| Exchange nephrostomy cath CPT 50435 | $3,507.06 | $4,790.00 | $1,139.90 – $4,176.77 | 119 |
| Excise parotid gland/lesion CPT 42410 | $23,471.77 | not published | $8.10 – $11,828.35 | 90 |
| Excise parotid gland/lesion CPT 42415 | $28,895.92 | not published | $10.53 – $11,828.35 | 89 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $14,485.61 | not published | $4.14 – $1,414.91 | 89 |
| Excision breast lesion CPT 19125 | $23,399.10 | not published | $3.42 – $7,823.39 | 89 |
| Excision of tongue lesion CPT 41112 | $20,960.06 | not published | $4.92 – $6,624.59 | 89 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $18,018.03 | not published | $9.09 – $3,300.04 | 89 |
| Exc malig feenl >4cm 11646 CPT 11646 | $19,518.33 | not published | $10.08 – $5,803.88 | 89 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $12,832.95 | not published | $3.96 – $1,414.91 | 89 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $12,293.79 | not published | $5.01 – $812.25 | 89 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $21,313.56 | not published | $3.36 – $1,414.91 | 89 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $12,364.23 | not published | $3.51 – $3,300.04 | 89 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $20,229.20 | not published | $0.96 – $5,803.88 | 88 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $18,058.62 | not published | $14.49 – $5,803.88 | 89 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $23,485.90 | not published | $5.31 – $13,267.65 | 89 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $16,924.69 | not published | $4.92 – $6,624.59 | 89 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,420.11 | $3,723.25 | $0.02 – $0.12 | 41 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,952.42 | $4,542.19 | $8.93 – $25.00 | 33 |
| Exploration maxillary sinus CPT 31256 | $20,846.93 | not published | $1.92 – $7,449.57 | 89 |
| Explore parathyroid glands CPT 60500 | $26,731.86 | not published | $4.92 – $11,828.35 | 89 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $131.30 | $202.00 | $72.11 – $331.00 | 120 |
| External chromosome analysis 20-25 cells CPT 88264 | $331.50 | $510.00 | $140.13 – $510.00 | 49 |
| External newborn metabolic screening panel HCPCS S3620 | $123.50 | $190.00 | $36.82 – $190.00 | 40 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $50.70 | $78.00 | $24.96 – $78.00 | 120 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $3,003.00 | $4,620.00 | $1,690.92 – $7,784.73 | 49 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $737.75 | $1,135.00 | $139.29 – $1,135.00 | 49 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $142.35 | $219.00 | $17.37 – $85.00 | 49 |
| Extraction erupted tooth/exr HCPCS D7140 | $18,562.70 | not published | $0.96 – $1,291.74 | 88 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $19.01 – $53.25 | 33 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,444.95 | $2,223.00 | $157.36 – $2,223.00 | 120 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,392.95 | $2,143.00 | $93.79 – $2,143.00 | 120 |
| F-18 fdg pet diag HCPCS A9552 | $7,999.68 | $1,768.20 | $631.25 – $3,351.04 | 49 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $1,789.13 – $15,145.00 | 117 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $315.82 – $27,455.00 | 117 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $496.68 – $1,391.25 | 32 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,925.65 | $4,501.00 | $312.99 – $4,501.00 | 49 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,742.00 | $2,680.00 | $214.06 – $2,680.00 | 120 |
| Facial Bones X-ray (complete) CPT 70150 | $288.60 | $444.00 | $93.79 – $444.00 | 120 |
| Facility svs dental rehab HCPCS G0330 | $18,761.21 | not published | $0.96 – $6,624.59 | 88 |
| Factor ix CPT 85250 | $340.60 | $524.00 | $18.45 – $524.00 | 49 |
| Factor viii CPT 85240 | $169.00 | $260.00 | $17.35 – $260.00 | 49 |
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.