healthcosts.net

MercyOne Dyersville Medical Center

1111 Third St. SW, Dyersville, IA · MercyOne · · NPI 1205816725

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

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
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 $1,829.90 $1,829.90 $691.70 – $2,059.74 111
Hyaluronidase 150 unit/ml injection solution HCPCS J3470 $154.70 $154.70 $31.55 – $174.13 111
Hydralazine 20 mg/ml injection solution HCPCS J0360 $14.05 $14.05 $5.19 – $15.81 111
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 $243.25 $243.25 $16.63 – $49.53 111
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 $533.00 $533.00 $0.90 – $16.38 111
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 $105.00 $105.00 $39.69 – $118.19 40
Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 $1.00 $1.00 $0.10 – $1.13 111
Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 $169.00 $260.00 $98.28 – $292.66 111
I-123 iobenguane diag HCPCS A9582 $24,445.60 $24,445.60 $9,240.44 – $27,515.97 40
I-123 ioflupane diag HCPCS A9584 $12,340.00 $12,340.00 $4,664.52 – $13,889.90 40
I-123 sod iodide diag per 100 uci HCPCS A9516 $412.50 $412.50 $151.67 – $451.65 40
I-131 iobenguane sulf diag mibg HCPCS A9508 $6,709.35 $6,709.35 $2,536.13 – $7,552.04 40
I-131 sod iodide sol diag per mci HCPCS A9529 $417.75 $417.75 $157.91 – $470.22 40
Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 $1,149.75 $1,149.75 $92.40 – $1,294.16 111
Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 $2,574.70 $2,574.70 $298.30 – $2,898.08 111
Icd cobalt xt dr MRI is1 df1 HCPCS C1721 $20,112.30 $30,942.00 $0.01 – $0.01 40
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 $27,933.75 $42,975.00 $94.34 – $191.57 40
Icd crtp serena MRI HCPCS C2621 $9,235.69 $14,208.75 $1,652.46 – $3,355.59 40
Icd reliance df4 ib 64cm HCPCS C1895 $4,621.95 $7,110.69 $50.44 – $102.42 40
Ifosfamide 1 gram intravenous solution HCPCS J9208 $494.70 $494.70 $25.71 – $190.23 111
Ihc/icc per specimen each additional single antibody stain CPT 88341 $132.60 $204.00 $77.11 – $229.62 39
Ihc/icc per specimen each multiplex antibody stain CPT 88344 $378.95 $583.00 $220.37 – $656.22 40
Ihc/icc per specimen initial single antibody stain CPT 88342 $285.00 $354.00 $20.87 – $398.46 781
Imetelstat 188 mg intravenous solution HCPCS J0870 $31,931.40 $31,931.40 $2,679.94 – $8,985.50 111
Immob elbow child sm HCPCS L3762 $29.02 $44.65 $1.42 – $4.22 40
Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 $525.01 $807.71 $32.36 – $96.35 40
Immobilizer shldr cntor adlt HCPCS L3670 $171.43 $263.74 $0.92 – $2.75 40
Immobilizer shldr dlx str 24-36in med HCPCS L1830 $136.42 $209.88 $1.52 – $4.52 40
Immobilizer shldr sling med HCPCS L3660 $34.03 $52.36 $19.79 – $58.94 40
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 $10,106.10 $10,106.10 $478.00 – $1,895.90 111
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 $4,576.15 $4,576.15 $1,634.00 – $5,150.91 111
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 $6,381.00 $6,381.00 $402.00 – $1,197.08 111
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $131.95 $203.00 $76.73 – $228.50 40
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $104.65 $161.00 $60.86 – $181.22 40
Immunofixation electrophoresis serum CPT 86334 $155.35 $239.00 $90.34 – $269.02 40
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $76.05 $117.00 $44.23 – $131.70 40
Immunofluorescence per specimen initial single antibody stain CPT 88346 $260.65 $401.00 $151.58 – $451.37 40
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 $5,473.00 $8,420.00 $851.87 – $2,536.67 40
Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 $913.25 $1,405.00 $531.09 – $1,581.47 40
Implant cartilage 10mm synthetic HCPCS L8699 $4,241.57 $6,525.50 $20.49 – $61.01 40
Implant cochlear osia osi300 HCPCS L8690 $6,357.14 $9,780.21 $165.06 – $491.52 40
Implant power module patient cable cable 14 volt HCPCS Q0477 $2,283.12 $3,512.50 $1,327.73 – $3,953.67 40
Implant pulse generator remede el HCPCS C1823 $12,314.25 $18,945.00 $3,706.58 – $11,037.39 40
Implant ureth bulk agent HCPCS L8606 $2,141.57 $3,294.73 $563.49 – $1,677.94 40
Impl ear abutment ba300 9mm HCPCS L8693 $3,704.37 $5,699.03 $1,213.38 – $3,613.18 40
Impl eye bio-eye 16mm HCPCS L8042 $1,657.55 $2,550.08 $197.76 – $588.88 40
In-111 autologous plt stdy dx HCPCS A9571 $1,494.95 $1,494.95 $565.09 – $1,682.72 40
In-111 autol wbc diag per dose HCPCS A9570 $10,776.60 $10,776.60 $4,073.55 – $12,130.14 40
In-111 capromab pendet HCPCS A9507 $7,024.00 $7,024.00 $2,655.07 – $7,906.21 40
In-111 ibritumomab tiux dx HCPCS A9542 $7,246.75 $7,246.75 $2,739.27 – $8,156.94 40
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $10,776.60 $10,776.60 $4,073.55 – $12,130.14 40
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $11,163.95 $11,163.95 $4,219.97 – $12,566.14 40
In-111 pentetreotide HCPCS A9572 $15,327.00 $15,327.00 $5,793.61 – $17,252.07 40
In-111 satumomab pend HCPCS A4642 $3,524.25 $3,524.25 $1,332.17 – $3,966.90 40
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 $137.15 $211.00 $69.48 – $237.50 40
Infect ag na influenza r/amp 1st 2 types CPT 87502 $284.05 $437.00 $93.88 – $437.00 40
Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 $65.00 $100.00 $37.80 – $112.56 40
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $68.25 $105.00 $39.69 – $118.19 40
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $64.35 $99.00 $13.15 – $99.00 40
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $103.35 $159.00 $60.10 – $178.97 40
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $100.10 $154.00 $58.21 – $173.34 40
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $210.60 $324.00 $14.67 – $364.69 40
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $94.25 $145.00 $10.12 – $145.00 40
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $49.40 $76.00 $10.12 – $76.00 40
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $123.50 $190.00 $71.82 – $213.86 40
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $53.30 $82.00 $31.00 – $92.30 40
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $118.30 $182.00 $11.74 – $182.00 40
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $63.70 $98.00 $37.04 – $110.31 40
Infectious agent nucleic acid amplified probe CPT 87798 $213.85 $329.00 $124.36 – $370.32 40
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $200.85 $309.00 $116.80 – $347.81 40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $126.10 $194.00 $73.33 – $218.37 40
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $1,146.60 $1,764.00 $408.44 – $1,764.00 40
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $193.70 $298.00 $112.64 – $335.43 40
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $181.35 $279.00 $37.20 – $314.04 40
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $109.20 $168.00 $63.50 – $189.10 40
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $193.05 $297.00 $112.27 – $334.30 40
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $187.20 $288.00 $51.31 – $324.17 40
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $361.40 $556.00 $210.17 – $625.83 40
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $298.35 $459.00 $173.50 – $516.65 40
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $100.10 $154.00 $58.21 – $173.34 40
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $202.15 $311.00 $117.56 – $350.06 40
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 $137.15 $211.00 $79.76 – $237.50 40
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $209.95 $323.00 $122.09 – $363.57 40
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 $1,325.35 $2,039.00 $770.74 – $2,295.10 40
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $579.80 $892.00 $337.18 – $1,004.04 40
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $313.95 $483.00 $182.57 – $543.66 40
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $414.05 $637.00 $240.79 – $717.01 40
Infectious agent nucleic acid quantification bk virus CPT 87799 $231.40 $356.00 $134.57 – $400.71 40
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $310.70 $478.00 $180.68 – $538.04 40
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $308.10 $474.00 $179.17 – $533.53 40
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $219.05 $337.00 $127.39 – $379.33 40
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $287.30 $442.00 $167.08 – $497.52 40
Infliximab 100 mg intravenous solution HCPCS J1745 $3,222.55 $3,222.55 $311.80 – $3,627.30 111
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 $1,379.70 $1,379.70 $358.80 – $1,552.99 111
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $2,739.55 $2,739.55 $405.00 – $3,083.64 111
Initial nursing facility care/day 35 minutes CPT 99305 $224.25 $345.00 $130.41 – $388.33 40
Initial nursing facility care/day low severity 99304 CPT 99304 $127.40 $196.00 $74.09 – $220.62 40
Inj ceftolozane tazobactam HCPCS J0695 $881.35 $881.35 $182.60 – $992.05 111
Injection,onabotulinumtoxina HCPCS J0585 $3,255.00 $3,255.00 $1,230.39 – $3,663.83 40
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $145.60 $224.00 $84.67 – $252.13 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.