MercyOne Elkader Medical Center
901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434
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 |
|---|---|---|---|---|
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $3.95 – $14.37 | 113 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $170.08 – $366.50 | 113 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $5,218.50 | $5,218.50 | $1,737.10 – $5,454.38 | 113 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.95 | $7.95 | $2.25 – $7.68 | 113 |
| Levetiracetam therapeutic drug level CPT 80177 | $130.00 | $200.00 | $102.94 – $209.04 | 42 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $61.50 | $61.50 | $1.96 – $6.79 | 113 |
| Liberta rc ipg HCPCS C1820 | $29,884.39 | $45,975.98 | $35.37 – $71.82 | 42 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $37.50 | $37.50 | $19.30 – $39.20 | 42 |
| Lidocaine therapeutic drug level CPT 80176 | $43.55 | $67.00 | $34.48 – $70.03 | 42 |
| Lift heel adj small gl60404sm HCPCS L3332 | $38.34 | $58.98 | $30.36 – $61.65 | 42 |
| Lift heel adjustable med HCPCS L3334 | $3.03 | $4.66 | $2.40 – $4.87 | 42 |
| Lipase CPT 83690 | $83.20 | $128.00 | $65.88 – $133.79 | 42 |
| Lipoprotein direct measurement hdl CPT 83718 | $62.40 | $96.00 | $8.03 – $96.00 | 42 |
| Lipoprotein direct measurement ldl CPT 83721 | $62.40 | $96.00 | $49.41 – $100.34 | 42 |
| Lithium therapeutic drug level CPT 80178 | $61.10 | $94.00 | $6.61 – $98.25 | 42 |
| Liver Function Test CPT 80076 | $110.50 | $170.00 | $87.50 – $177.68 | 42 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $31,546.27 – $91,025.79 | 113 |
| Loop ostmy bridg ster HCPCS A4421 | $45.43 | $69.90 | $0.22 – $0.36 | 32 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.90 | $60.90 | $2.64 – $5.54 | 113 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,402.05 | $2,157.00 | $1,110.21 – $2,254.50 | 42 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,517.10 | $2,334.00 | $1,201.31 – $2,439.50 | 42 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,803.15 | $5,851.00 | $3,011.51 – $6,115.47 | 41 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,598.70 | $3,998.00 | $2,057.77 – $4,178.71 | 42 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $286.00 | $440.00 | $226.47 – $459.89 | 42 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $369.20 | $568.00 | $292.35 – $593.67 | 42 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $295.75 | $455.00 | $155.95 – $316.70 | 42 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $453.05 | $697.00 | $358.75 – $728.50 | 42 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,230.00 | $25,230.00 | $9,022.80 – $26,370.40 | 113 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $4,196.00 – $13,155.10 | 113 |
| Lvad shower bag heartmate HCPCS Q0501 | $887.68 | $1,365.66 | $702.91 – $1,427.39 | 42 |
| Macroscopic exam arthropod CPT 87168 | $40.95 | $63.00 | $4.18 – $63.00 | 42 |
| Macroscopic exam parasite CPT 87169 | $19.50 | $30.00 | $4.22 – $30.00 | 42 |
| Magnesium CPT 83735 | $69.55 | $107.00 | $55.07 – $111.84 | 42 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $75.00 | $75.00 | $5.00 – $15.42 | 113 |
| Mammosite ced HCPCS C1728 | $1,437.46 | $2,211.47 | $1,138.24 – $2,311.43 | 42 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $2,760.50 – $9,012.39 | 113 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,312.87 | $5,096.73 | $0.01 – $0.01 | 42 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,283.48 | $1,974.59 | $1,016.32 – $2,063.84 | 42 |
| Mask full face lg af531 HCPCS A7030 | $47.34 | $72.83 | $36.56 – $74.25 | 42 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $6,518.34 | $10,028.22 | $5,161.52 – $10,481.50 | 42 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $72.92 | $112.19 | $1.86 – $3.77 | 42 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $81.90 | $126.00 | $64.85 – $131.70 | 42 |
| Mayo activated protein c resistance assay CPT 85307 | $128.05 | $197.00 | $15.01 – $197.00 | 42 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $305.50 | $470.00 | $37.80 – $470.00 | 42 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $97.50 | $150.00 | $77.21 – $156.78 | 42 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $108.55 | $167.00 | $85.95 – $174.55 | 42 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $101.40 | $156.00 | $80.29 – $163.05 | 42 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.80 | $192.00 | $13.17 – $192.00 | 42 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $561.60 | $864.00 | $91.66 – $903.05 | 42 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $520.65 | $801.00 | $412.27 – $837.21 | 42 |
| Mayo androstenedione CPT 82157 | $170.95 | $263.00 | $135.37 – $274.89 | 42 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $118.95 | $183.00 | $94.19 – $191.27 | 42 |
| Mayo antithrombin iii antigen CPT 85301 | $157.95 | $243.00 | $125.07 – $253.98 | 42 |
| Mayo avwpr vw factor activity CPT 85397 | $229.45 | $353.00 | $30.24 – $353.00 | 42 |
| Mayo c1 esterase inhibitor CPT 83883 | $103.35 | $159.00 | $81.84 – $166.19 | 42 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $220.35 | $339.00 | $174.48 – $354.32 | 42 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $317.20 | $488.00 | $251.17 – $510.06 | 42 |
| Mayo ceruloplasmin CPT 82390 | $71.50 | $110.00 | $56.62 – $114.97 | 42 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $122.20 | $188.00 | $96.76 – $196.50 | 42 |
| Mayo chromium CPT 82495 | $108.55 | $167.00 | $19.87 – $167.00 | 42 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $68.25 | $105.00 | $54.04 – $109.75 | 42 |
| Mayo cyanide CPT 82600 | $120.25 | $185.00 | $95.22 – $193.36 | 42 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $750.75 | $1,155.00 | $594.48 – $1,207.21 | 42 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $148.20 | $228.00 | $24.76 – $228.00 | 42 |
| Mayo dihydrotestosterone CPT 82642 | $55.25 | $85.00 | $28.69 – $85.00 | 42 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $133.25 | $205.00 | $105.51 – $214.27 | 42 |
| Mayo everolimus therapeutic drug level CPT 80169 | $125.45 | $193.00 | $13.46 – $193.00 | 42 |
| Mayo factor v CPT 85220 | $91.65 | $141.00 | $72.57 – $147.37 | 42 |
| Mayo factor vii CPT 85230 | $91.65 | $141.00 | $23.81 – $141.00 | 42 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $218.40 | $336.00 | $172.94 – $351.19 | 42 |
| Mayo factor x CPT 85260 | $109.85 | $169.00 | $17.54 – $169.00 | 42 |
| Mayo factor xi CPT 85270 | $122.20 | $188.00 | $17.54 – $188.00 | 42 |
| Mayo fat/lipids feces quantitative CPT 82710 | $109.20 | $168.00 | $86.47 – $175.59 | 42 |
| Mayo fbl culture fungi blood CPT 87103 | $309.40 | $476.00 | $245.00 – $497.52 | 42 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $261.30 | $402.00 | $78.85 – $402.00 | 42 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $144.95 | $223.00 | $26.63 – $223.00 | 42 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $135.20 | $208.00 | $17.27 – $217.40 | 42 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $62.40 | $96.00 | $14.69 – $96.00 | 42 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $148.20 | $228.00 | $20.39 – $228.00 | 42 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $68.25 | $105.00 | $54.04 – $109.75 | 42 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $133.90 | $206.00 | $106.03 – $215.31 | 42 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $148.20 | $228.00 | $117.35 – $238.31 | 42 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $229.45 | $353.00 | $181.69 – $368.96 | 42 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $295.10 | $454.00 | $233.67 – $474.52 | 42 |
| Mayo infliximab therapeutic drug level CPT 80230 | $234.00 | $360.00 | $185.29 – $376.27 | 42 |
| Mayo iodine CPT 83789 | $157.95 | $243.00 | $125.07 – $253.98 | 42 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $175.50 | $270.00 | $138.97 – $282.20 | 42 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $14.30 | $22.00 | $11.32 – $22.99 | 28 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $65.00 | $100.00 | $51.47 – $104.52 | 42 |
| Mayo lipoprotein electrophoresis CPT 83700 | $135.20 | $208.00 | $11.03 – $208.00 | 42 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $102.70 | $158.00 | $15.49 – $165.14 | 42 |
| Mayo metanephrines plasma CPT 83835 | $170.95 | $263.00 | $135.37 – $274.89 | 42 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $78.00 | $120.00 | $24.47 – $120.00 | 42 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $114.40 | $176.00 | $14.55 – $183.96 | 42 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $268.45 | $413.00 | $212.57 – $431.67 | 42 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $152.10 | $234.00 | $17.69 – $234.00 | 42 |
| Mayo myoglobin CPT 83874 | $98.80 | $152.00 | $78.23 – $158.87 | 42 |
| Mayo nickel CPT 83885 | $97.50 | $150.00 | $24.02 – $150.00 | 42 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $37.05 | $57.00 | $29.34 – $59.58 | 42 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $84.50 | $130.00 | $66.91 – $135.88 | 42 |
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.