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 |
|---|---|---|---|---|
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $64.30 | $64.30 | $13.17 – $60.78 | 111 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $135.85 | $209.00 | $72.68 – $235.25 | 111 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $118.95 | $183.00 | $69.17 – $205.98 | 111 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $43.55 | $67.00 | $25.33 – $75.42 | 111 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $45.50 | $70.00 | $26.46 – $78.79 | 40 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $54.60 | $84.00 | $31.75 – $94.55 | 111 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $345.70 | $345.70 | $70.38 – $236.38 | 111 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $310.70 | $478.00 | $177.56 – $538.04 | 111 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $138.80 | $138.80 | $31.67 – $101.30 | 111 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $245.05 | $377.00 | $142.51 – $424.35 | 111 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $215.15 | $331.00 | $125.12 – $372.57 | 40 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $142.35 | $219.00 | $82.78 – $246.51 | 111 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $303.40 | $303.40 | $31.37 – $98.16 | 111 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $20.15 | $31.00 | $11.72 – $34.89 | 111 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $102.45 | $102.45 | $11.34 – $33.77 | 111 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $40.95 | $63.00 | $18.44 – $70.91 | 111 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $150.15 | $231.00 | $67.98 – $260.01 | 111 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $19.50 | $30.00 | $11.34 – $33.77 | 111 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $43.55 | $67.00 | $19.73 – $75.42 | 111 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $20.80 | $32.00 | $9.22 – $36.02 | 111 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $53.95 | $83.00 | $24.50 – $93.42 | 111 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $142.35 | $219.00 | $64.51 – $246.51 | 111 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $499.85 | $769.00 | $49.50 – $865.59 | 111 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $31.20 | $48.00 | $11.03 – $54.03 | 111 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,156.10 | $1,156.10 | $105.08 – $312.92 | 111 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $161.20 | $248.00 | $93.74 – $279.15 | 111 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $142.35 | $219.00 | $82.78 – $246.51 | 111 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $813.00 | $813.00 | $166.75 – $661.85 | 111 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $46.12 – $137.32 | 111 |
| Vaccine mmrv live subcutaneous CPT 90710 | $403.65 | $621.00 | $234.74 – $699.00 | 111 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $133.47 – $447.99 | 111 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $499.85 | $769.00 | $257.99 – $865.59 | 111 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $477.10 | $734.00 | $261.15 – $826.19 | 111 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,419.70 | $1,419.70 | $312.90 – $968.02 | 111 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $36.40 | $56.00 | $21.17 – $63.03 | 111 |
| Vaccine rabies im CPT 90675 | $1,998.80 | $1,998.80 | $312.03 – $1,876.38 | 111 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $251.55 | $387.00 | $146.29 – $435.61 | 111 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $421.85 | $649.00 | $245.32 – $730.51 | 111 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $421.85 | $649.00 | $245.32 – $730.51 | 111 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $239.20 | $368.00 | $139.10 – $414.22 | 111 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $115.05 | $177.00 | $66.91 – $199.23 | 111 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $97.50 | $150.00 | $56.70 – $168.84 | 111 |
| Vaccine tdap >=7 years im CPT 90715 | $231.55 | $231.55 | $39.71 – $200.36 | 111 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $211.80 | $211.80 | $33.26 – $99.05 | 111 |
| Vaccine typhoid vicps im CPT 90691 | $113.75 | $175.00 | $66.15 – $196.98 | 111 |
| Vaccine varicella live subcutaneous CPT 90716 | $960.60 | $960.60 | $86.56 – $257.76 | 111 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $130.65 | $201.00 | $75.98 – $226.25 | 111 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $6,388.06 | $9,827.78 | $3,714.90 – $11,062.15 | 40 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $30.00 | $30.00 | $1.36 – $4.05 | 40 |
| Valproic acid total therapeutic drug level CPT 80164 | $131.95 | $203.00 | $13.81 – $228.50 | 40 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $215.00 | $215.00 | $0.15 – $3.38 | 111 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $21.30 | $21.30 | $8.05 – $23.98 | 40 |
| Vancomycin peak therapeutic drug level CPT 80202 | $159.90 | $246.00 | $92.99 – $276.90 | 40 |
| Varicella zoster antibody igg CPT 86787 | $90.35 | $139.00 | $52.54 – $156.46 | 40 |
| Varicella-zoster immue globin im CPT 90396 | $1,916.20 | $2,948.00 | $1,114.34 – $3,318.27 | 111 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $105.80 | $105.80 | $39.99 – $119.09 | 40 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,326.10 | $30,326.10 | $6,618.00 – $34,135.06 | 111 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $7,637.95 | $7,637.95 | $1,520.72 – $8,597.28 | 111 |
| Verify external neurostimulato HCPCS A4290 | $730.60 | $1,124.00 | $424.87 – $1,265.17 | 40 |
| Vest large holster HCPCS Q0498 | $779.19 | $1,198.75 | $453.13 – $1,349.31 | 40 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | $134.93 | $207.59 | $70.32 – $209.38 | 40 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $244.80 | $244.80 | $57.90 – $275.55 | 111 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $87.15 | $87.15 | $8.60 – $96.52 | 111 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $223.55 | $223.55 | $23.47 – $69.90 | 40 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $332.15 | $511.00 | $8.04 – $253.26 | 40 |
| Vitamin b-12 CPT 82607 | $94.90 | $146.00 | $55.19 – $164.34 | 40 |
| Vitamin D Test CPT 82306 | $174.85 | $269.00 | $101.68 – $302.79 | 40 |
| Volume measurement urine timed CPT 81050 | $21.45 | $33.00 | $3.57 – $33.00 | 40 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $561.40 | $561.40 | $5.76 – $17.17 | 111 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $272,036.50 | $272,036.50 | $102,829.80 – $306,204.28 | 111 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $92.30 | $142.00 | $53.68 – $159.84 | 40 |
| Warde 1003990 aldosterone CPT 82088 | $287.30 | $442.00 | $103.95 – $309.54 | 40 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $182.00 | $280.00 | $27.24 – $280.00 | 40 |
| Warde 1015200 kappa light chain free CPT 83521 | $126.10 | $194.00 | $73.33 – $218.37 | 40 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $64.35 | $99.00 | $37.42 – $111.43 | 40 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $70.85 | $109.00 | $41.20 – $122.69 | 40 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $59.80 | $92.00 | $8.72 – $92.00 | 40 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $170.95 | $263.00 | $99.41 – $296.03 | 40 |
| Warde 3400852 arsenic CPT 82175 | $71.50 | $110.00 | $41.58 – $123.82 | 40 |
| Warde 3708165 mercury urine CPT 83825 | $65.00 | $100.00 | $37.80 – $112.56 | 40 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $118.30 | $182.00 | $68.80 – $204.86 | 40 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $243.75 | $375.00 | $141.75 – $422.10 | 40 |
| Warde aldolase CPT 82085 | $85.80 | $132.00 | $49.90 – $148.58 | 40 |
| Warde analysis gene hfe common variants CPT 81256 | $289.90 | $446.00 | $64.05 – $446.00 | 40 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $343.20 | $528.00 | $199.58 – $594.32 | 40 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $125.45 | $193.00 | $72.95 – $193.00 | 37 |
| Warde anti-mullerian hormone CPT 82166 | $199.55 | $307.00 | $116.05 – $345.56 | 40 |
| Warde apolipoprotein b CPT 82172 | $120.25 | $185.00 | $69.93 – $208.24 | 40 |
| Warde cadmium blood CPT 82300 | $76.70 | $118.00 | $23.17 – $118.00 | 40 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $111.15 | $171.00 | $21.52 – $171.00 | 40 |
| Warde complement total hemolytic CPT 86162 | $108.55 | $167.00 | $19.91 – $167.00 | 40 |
| Warde copper CPT 82525 | $65.00 | $100.00 | $37.80 – $112.56 | 40 |
| Warde erythropoietin CPT 82668 | $140.40 | $216.00 | $81.65 – $243.13 | 40 |
| Warde estrogen fractionated CPT 82671 | $243.10 | $374.00 | $31.65 – $374.00 | 40 |
| Warde folic acid rbc CPT 82747 | $182.65 | $281.00 | $106.22 – $316.29 | 40 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $121.55 | $187.00 | $70.69 – $210.49 | 40 |
| Warde gastrin CPT 82941 | $94.90 | $146.00 | $55.19 – $164.34 | 40 |
| Warde growth hormone (hgh) CPT 83003 | $117.65 | $181.00 | $68.42 – $203.73 | 40 |
| Warde haloperidol therapeutic drug level CPT 80173 | $48.10 | $74.00 | $27.97 – $83.29 | 40 |
| Warde helminth antibody strongyloides igg CPT 86682 | $82.55 | $127.00 | $41.20 – $122.69 | 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.