MercyOne Dyersville Medical Center
1111 Third St. SW, Dyersville, IA · MercyOne · · NPI 1205816725
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 |
|---|---|---|---|---|
| Mammosite ced HCPCS C1728 | $1,437.46 | $2,211.47 | $835.94 – $2,489.23 | 40 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $2,760.50 – $9,705.65 | 111 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,312.87 | $5,096.73 | $0.01 – $0.18 | 40 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,262.93 | $1,942.97 | $734.44 – $2,187.01 | 40 |
| Mask full face lg af531 HCPCS A7030 | $47.34 | $72.83 | $26.85 – $79.96 | 40 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $6,518.34 | $10,028.22 | $3,790.67 – $11,287.76 | 40 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $72.92 | $112.19 | $1.36 – $4.06 | 40 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $81.90 | $126.00 | $47.63 – $141.83 | 40 |
| Mayo activated protein c resistance assay CPT 85307 | $128.05 | $197.00 | $15.01 – $197.00 | 40 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $305.50 | $470.00 | $37.80 – $470.00 | 40 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $108.55 | $167.00 | $63.13 – $187.98 | 40 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $101.40 | $156.00 | $58.97 – $175.59 | 40 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.80 | $192.00 | $13.17 – $192.00 | 40 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $561.60 | $864.00 | $326.59 – $972.52 | 40 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $520.65 | $801.00 | $302.78 – $901.61 | 40 |
| Mayo androstenedione CPT 82157 | $170.95 | $263.00 | $99.41 – $296.03 | 40 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $118.95 | $183.00 | $69.17 – $205.98 | 40 |
| Mayo antithrombin iii antigen CPT 85301 | $157.95 | $243.00 | $91.85 – $273.52 | 40 |
| Mayo avwpr vw factor activity CPT 85397 | $229.45 | $353.00 | $30.24 – $353.00 | 40 |
| Mayo c1 esterase inhibitor CPT 83883 | $103.35 | $159.00 | $60.10 – $178.97 | 40 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $220.35 | $339.00 | $128.14 – $381.58 | 40 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $317.20 | $488.00 | $184.46 – $549.29 | 40 |
| Mayo ceruloplasmin CPT 82390 | $71.50 | $110.00 | $41.58 – $123.82 | 40 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $122.20 | $188.00 | $71.06 – $211.61 | 40 |
| Mayo chromium CPT 82495 | $108.55 | $167.00 | $19.87 – $167.00 | 40 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $750.75 | $1,155.00 | $436.59 – $1,300.07 | 40 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $148.20 | $228.00 | $24.76 – $228.00 | 40 |
| Mayo dihydrotestosterone CPT 82642 | $55.25 | $85.00 | $28.69 – $85.00 | 40 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $133.25 | $205.00 | $77.49 – $230.75 | 40 |
| Mayo everolimus therapeutic drug level CPT 80169 | $125.45 | $193.00 | $13.46 – $193.00 | 40 |
| Mayo factor v CPT 85220 | $91.65 | $141.00 | $53.30 – $158.71 | 40 |
| Mayo factor vii CPT 85230 | $91.65 | $141.00 | $23.81 – $141.00 | 40 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $218.40 | $336.00 | $127.01 – $378.20 | 40 |
| Mayo factor x CPT 85260 | $109.85 | $169.00 | $17.54 – $169.00 | 40 |
| Mayo factor xi CPT 85270 | $122.20 | $188.00 | $17.54 – $188.00 | 40 |
| Mayo fat/lipids feces quantitative CPT 82710 | $109.20 | $168.00 | $63.50 – $189.10 | 40 |
| Mayo fbl culture fungi blood CPT 87103 | $309.40 | $476.00 | $179.93 – $535.79 | 40 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $261.30 | $402.00 | $78.85 – $402.00 | 40 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $144.95 | $223.00 | $26.63 – $223.00 | 40 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,147.90 | $208.00 | $9.09 – $234.12 | 40 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $62.40 | $96.00 | $14.69 – $96.00 | 40 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $148.20 | $228.00 | $20.39 – $228.00 | 40 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $68.25 | $105.00 | $39.69 – $118.19 | 40 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $133.90 | $206.00 | $77.87 – $231.87 | 40 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $148.20 | $228.00 | $86.18 – $256.64 | 40 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $229.45 | $353.00 | $41.98 – $353.00 | 40 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $295.10 | $454.00 | $171.61 – $511.02 | 40 |
| Mayo infliximab therapeutic drug level CPT 80230 | $234.00 | $360.00 | $136.08 – $405.22 | 40 |
| Mayo iodine CPT 83789 | $157.95 | $243.00 | $91.85 – $273.52 | 40 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $175.50 | $270.00 | $102.06 – $303.91 | 40 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $14.30 | $22.00 | $8.32 – $24.76 | 26 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $65.00 | $100.00 | $37.80 – $112.56 | 40 |
| Mayo lipoprotein electrophoresis CPT 83700 | $135.20 | $208.00 | $11.03 – $208.00 | 40 |
| Mayo metanephrines plasma CPT 83835 | $170.95 | $263.00 | $99.41 – $296.03 | 40 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $78.00 | $120.00 | $24.47 – $120.00 | 40 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $114.40 | $176.00 | $66.53 – $198.11 | 40 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $268.45 | $413.00 | $156.11 – $464.87 | 40 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $152.10 | $234.00 | $17.69 – $234.00 | 40 |
| Mayo myoglobin CPT 83874 | $98.80 | $152.00 | $57.46 – $171.09 | 40 |
| Mayo nickel CPT 83885 | $97.50 | $150.00 | $24.02 – $150.00 | 40 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $37.05 | $57.00 | $21.55 – $64.16 | 40 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $183.30 | $282.00 | $106.60 – $317.42 | 40 |
| Mayo organic acids qualitative each specimen CPT 83919 | $1,247.35 | $1,919.00 | $725.38 – $2,160.03 | 40 |
| Mayo oxalate 24 hour urine CPT 83945 | $113.75 | $175.00 | $14.16 – $175.00 | 40 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $115.05 | $177.00 | $66.91 – $199.23 | 40 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $94.90 | $146.00 | $55.19 – $164.34 | 40 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $195.00 | $300.00 | $17.62 – $300.00 | 40 |
| Mayo pregnenolone CPT 84140 | $126.10 | $194.00 | $73.33 – $218.37 | 40 |
| Mayo psaft prostate specific antigen free CPT 84154 | $140.40 | $216.00 | $81.65 – $243.13 | 40 |
| Mayo receptor assay transferrin soluble CPT 84238 | $126.10 | $194.00 | $73.33 – $218.37 | 40 |
| Mayo renin CPT 84244 | $120.25 | $185.00 | $69.93 – $208.24 | 40 |
| Mayo repu protein electrophoresis urine CPT 84166 | $72.80 | $112.00 | $42.34 – $126.07 | 40 |
| Mayo selenium CPT 84255 | $50.70 | $78.00 | $29.48 – $87.80 | 40 |
| Mayo serotonin CPT 84260 | $148.85 | $229.00 | $66.15 – $196.98 | 40 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $100.10 | $154.00 | $58.21 – $173.34 | 40 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.95 | $83.00 | $31.37 – $93.42 | 26 |
| Mayo tgrp testosterone free CPT 84402 | $152.10 | $234.00 | $88.45 – $263.39 | 40 |
| Mayo tgrp testosterone total CPT 84403 | $180.70 | $278.00 | $105.08 – $312.92 | 40 |
| Mayo thyroglobulin CPT 84432 | $124.80 | $192.00 | $72.58 – $216.12 | 40 |
| Mayo vasoactive intestinal peptide CPT 84586 | $139.75 | $215.00 | $34.62 – $215.00 | 40 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $71.50 | $110.00 | $41.58 – $123.82 | 40 |
| Mayo vitamin b3 (niacin) CPT 84591 | $326.95 | $503.00 | $190.13 – $566.18 | 40 |
| Mayo vitamin k CPT 84597 | $138.45 | $213.00 | $80.51 – $239.75 | 40 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $105.30 | $162.00 | $12.99 – $162.00 | 40 |
| Measurement post void urine by ultrasound CPT 51798 | $130.00 | $200.00 | $75.60 – $225.12 | 40 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $250.00 | $250.00 | $94.50 – $281.40 | 40 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $362.03 | $556.97 | $210.53 – $626.93 | 40 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $350.14 | $538.68 | $128.88 – $383.76 | 40 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,873.32 | $4,420.50 | $142.29 – $423.71 | 40 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $607.31 | $934.33 | $92.75 – $276.19 | 40 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $65,273.35 | $100,420.54 | $37,958.96 – $113,033.36 | 40 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $136.78 – $407.29 | 40 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $154.90 – $461.25 | 40 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $127.65 | $127.65 | $15.69 – $112.90 | 111 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $3,133.00 – $20,682.22 | 111 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $9.06 | 111 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.52 – $1.55 | 40 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $3,796.16 – $11,304.11 | 40 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $129.44 | 111 |
| Metabolic Blood Panel (Basic) CPT 80048 | $448.50 | $159.00 | $9.09 – $178.97 | 40 |
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.