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 |
|---|---|---|---|---|
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $183.30 | $282.00 | $21.21 – $294.75 | 42 |
| Mayo organic acids qualitative each specimen CPT 83919 | $1,247.35 | $1,919.00 | $987.71 – $2,005.74 | 42 |
| Mayo oxalate 24 hour urine CPT 83945 | $113.75 | $175.00 | $14.16 – $175.00 | 42 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $115.05 | $177.00 | $91.10 – $185.00 | 42 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $94.90 | $146.00 | $75.15 – $152.60 | 42 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $195.00 | $300.00 | $17.62 – $300.00 | 42 |
| Mayo pregnenolone CPT 84140 | $126.10 | $194.00 | $99.85 – $202.77 | 42 |
| Mayo psaft prostate specific antigen free CPT 84154 | $140.40 | $216.00 | $18.39 – $225.76 | 42 |
| Mayo receptor assay transferrin soluble CPT 84238 | $126.10 | $194.00 | $99.85 – $202.77 | 42 |
| Mayo renin CPT 84244 | $120.25 | $185.00 | $95.22 – $193.36 | 42 |
| Mayo repu protein electrophoresis urine CPT 84166 | $72.80 | $112.00 | $57.65 – $117.06 | 42 |
| Mayo selenium CPT 84255 | $50.70 | $78.00 | $40.15 – $81.53 | 42 |
| Mayo serotonin CPT 84260 | $148.85 | $229.00 | $90.07 – $182.91 | 42 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $100.10 | $154.00 | $79.26 – $160.96 | 42 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.95 | $83.00 | $4.27 – $86.75 | 28 |
| Mayo tgrp testosterone free CPT 84402 | $152.10 | $234.00 | $120.44 – $244.58 | 42 |
| Mayo tgrp testosterone total CPT 84403 | $180.70 | $278.00 | $143.09 – $290.57 | 42 |
| Mayo thyroglobulin CPT 84432 | $124.80 | $192.00 | $98.82 – $200.68 | 42 |
| Mayo vasoactive intestinal peptide CPT 84586 | $139.75 | $215.00 | $34.62 – $215.00 | 42 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $71.50 | $110.00 | $56.62 – $114.97 | 42 |
| Mayo vitamin b3 (niacin) CPT 84591 | $326.95 | $503.00 | $258.89 – $525.74 | 42 |
| Mayo vitamin k CPT 84597 | $138.45 | $213.00 | $109.63 – $222.63 | 42 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $105.30 | $162.00 | $12.99 – $162.00 | 42 |
| Measurement post void urine by ultrasound CPT 51798 | $130.00 | $200.00 | $102.94 – $209.04 | 42 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $252.95 | $252.95 | $39.00 – $261.30 | 556 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $362.03 | $556.97 | $286.67 – $582.15 | 42 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $350.14 | $538.68 | $175.48 – $356.35 | 42 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,873.32 | $4,420.50 | $193.75 – $393.44 | 42 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $607.31 | $934.33 | $126.29 – $256.46 | 42 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $65,273.35 | $100,420.54 | $51,686.45 – $104,959.55 | 42 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $186.24 – $378.20 | 42 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $210.91 – $428.30 | 42 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $100.30 | $100.30 | $5.74 – $15.69 | 113 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $3,133.00 – $19,204.92 | 113 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $14.74 | 113 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.71 – $1.44 | 42 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $5,169.00 – $10,496.67 | 42 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $120.20 | 113 |
| Metabolic Blood Panel (Basic) CPT 80048 | $103.35 | $159.00 | $81.84 – $166.19 | 42 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $126.10 | $194.00 | $99.85 – $202.77 | 42 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.25 | $1.25 | $0.22 – $1.31 | 113 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $7.95 – $16.15 | 42 |
| Methotrexate therapeutic drug level CPT 80204 | $128.05 | $197.00 | $101.40 – $205.90 | 42 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $620.55 | $620.55 | $319.40 – $648.60 | 42 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $104.35 | $104.35 | $22.06 – $109.07 | 113 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $113.60 – $598.48 | 113 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $93.70 | $93.70 | $0.09 – $56.44 | 780 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $317.00 | $317.00 | $0.21 – $20.40 | 518 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $5.75 | $5.75 | $1.00 – $3.14 | 113 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $3.00 | $3.00 | $0.65 – $3.14 | 113 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $10.50 | $10.50 | $5.40 – $10.97 | 42 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $4.25 | $4.25 | $0.32 – $3.14 | 113 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $7,608.00 – $21,532.64 | 113 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $30.94 – $312.46 | 113 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $194.34 – $1,095.84 | 113 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,234.66 | $9,591.79 | $49.02 – $99.54 | 42 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $1.54 – $4.55 | 113 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $41.05 | $41.05 | $8.13 – $8.13 | 72 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $3.00 | $3.00 | $1.54 – $3.14 | 42 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $313.95 | $483.00 | $104.85 – $504.83 | 42 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $252.20 | $388.00 | $107.52 – $405.54 | 40 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $714.33 – $2,023.98 | 113 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,087.20 | $6,288.00 | $2,157.62 – $4,381.48 | 41 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,818.15 | $8,951.00 | $3,071.21 – $6,236.71 | 41 |
| Mumps antibody igg CPT 86735 | $78.00 | $120.00 | $61.76 – $125.42 | 42 |
| Mycoplasma antibody igm CPT 86738 | $73.45 | $113.00 | $58.16 – $118.11 | 42 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $115.05 | $177.00 | $91.10 – $185.00 | 42 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $27.30 | $27.30 | $6.00 – $28.53 | 113 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $69.00 | $69.00 | $13.56 – $27.54 | 113 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $7,239.00 – $27,841.72 | 113 |
| Natriuretic peptide CPT 83880 | $204.10 | $314.00 | $38.47 – $314.00 | 42 |
| Natural killer cells total count CPT 86357 | $99.45 | $153.00 | $36.98 – $153.00 | 42 |
| Ndl round specialty proguide HCPCS C1715 | $1,221.47 | $1,879.19 | $18.25 – $37.05 | 42 |
| Nebulizer Breathing Treatment CPT 94640 | $197.60 | $304.00 | $156.47 – $317.74 | 42 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,506.05 | $2,317.00 | $1,192.56 – $2,421.73 | 42 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,547.35 | $3,919.00 | $2,017.11 – $4,096.14 | 42 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $251.55 | $387.00 | $199.19 – $404.49 | 42 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $351.00 | $540.00 | $277.94 – $564.41 | 42 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,547.70 | $5,458.00 | $2,809.23 – $5,704.70 | 42 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,603.55 | $2,467.00 | $1,269.76 – $2,578.51 | 42 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,277.25 | $1,965.00 | $1,011.39 – $2,053.82 | 42 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $16.40 | $16.40 | $1.54 – $3.14 | 42 |
| New Patient Office Visit (level 2) CPT 99202 | $178.00 | $178.00 | $32.21 – $186.05 | 780 |
| New Patient Office Visit (level 3) CPT 99203 | $252.00 | $252.00 | $55.95 – $263.39 | 780 |
| New Patient Office Visit (level 4) CPT 99204 | $386.00 | $386.00 | $79.75 – $403.45 | 780 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $27.30 | $27.30 | $14.05 – $28.53 | 113 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $14.20 – $117.59 | 113 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $1,444.80 – $4,234.11 | 113 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $34,606.40 – $98,648.64 | 113 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $208.65 | $321.00 | $165.22 – $335.51 | 42 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $129.35 | $199.00 | $69.63 – $207.99 | 42 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $146,299.20 – $475,937.62 | 113 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $8,586.00 – $29,632.47 | 113 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $404.00 | $466.00 | $91.16 – $487.06 | 780 |
| Observation per hour HCPCS G0378 | $78.65 | $121.00 | $55.59 – $112.88 | 42 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $216.45 | $333.00 | $171.40 – $348.05 | 42 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $179.40 | $276.00 | $142.06 – $288.48 | 42 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $198.90 | $306.00 | $157.50 – $319.83 | 42 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $65,142.90 | $65,142.90 | $33,529.05 – $68,087.36 | 42 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $2.35 | $2.35 | $0.98 – $1.99 | 113 |
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.