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 |
|---|---|---|---|---|
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $4,244.00 – $13,269.86 | 113 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $699.90 – $1,891.97 | 113 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $574.17 – $1,165.96 | 42 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $51.25 | $51.25 | $26.38 – $53.57 | 42 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $1,216.80 – $8,119.95 | 113 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.00 | $1.00 | $0.04 – $1.05 | 113 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.24 | $14.00 | $0.07 – $3.14 | 780 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $4,968.00 – $29,285.04 | 113 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $3,076.98 – $6,248.41 | 42 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $711.90 – $1,445.66 | 42 |
| Osmolality blood CPT 83930 | $77.35 | $119.00 | $61.25 – $124.38 | 42 |
| Osmolality urine CPT 83935 | $74.75 | $115.00 | $9.07 – $115.00 | 42 |
| Ot re-evaluation patient/family CPT 97168 | $146.90 | $226.00 | $116.32 – $236.22 | 42 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $3.28 – $15.16 | 113 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $59.19 – $120.20 | 42 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.85 | $6.85 | $0.87 – $7.16 | 113 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $890.43 – $1,808.20 | 42 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,445.62 | 113 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $11,504.66 – $23,362.48 | 42 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $328.00 | $328.00 | $3.60 – $38.36 | 113 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,766.15 | $4,766.15 | $1,327.00 – $4,981.58 | 113 |
| Pad repl cerv collr univ adult HCPCS L0999 | $60.66 | $93.32 | $28.08 – $57.02 | 42 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $16,808.50 | $16,808.50 | $5,767.70 – $11,712.46 | 42 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $136.60 | $136.60 | $11.16 – $69.45 | 113 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $1,888.30 – $5,486.31 | 113 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $13.80 | $13.80 | $1.89 – $10.71 | 113 |
| Parathormone (pth) intact CPT 83970 | $238.55 | $367.00 | $188.89 – $383.59 | 42 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $118.95 | $183.00 | $94.19 – $191.27 | 42 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $221.06 | $340.09 | $1.24 – $2.52 | 42 |
| Passy muir valve metal trach HCPCS L8501 | $242.38 | $372.89 | $40.49 – $82.22 | 42 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.32 | $0.50 | $0.30 – $0.50 | 32 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $94.19 | $144.91 | $74.59 – $151.46 | 42 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,709.85 | $17,709.85 | $700.80 – $18,510.34 | 113 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,830.70 | $10,830.70 | $1,584.48 – $11,320.25 | 113 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $20,144.40 | $20,144.40 | $1,632.48 – $21,054.93 | 113 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $11,866.15 | $11,866.15 | $2,749.32 – $12,402.50 | 113 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,037.30 | $5,037.30 | $1,244.52 – $5,264.99 | 113 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,497.50 | $11,497.50 | $1,790.52 – $12,017.19 | 113 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $95,364.75 | $95,364.75 | $29,110.88 – $99,675.24 | 113 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,290.90 | $1,986.00 | $1,022.19 – $2,075.77 | 42 |
| Pelvic MRI (without contrast) CPT 72195 | $2,063.75 | $3,175.00 | $1,651.00 – $3,318.51 | 41 |
| Pelvic Ultrasound (complete) CPT 76856 | $598.00 | $920.00 | $473.52 – $961.58 | 42 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $226.85 | $349.00 | $179.63 – $364.77 | 42 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $18,047.05 | $18,047.05 | $6,409.00 – $18,862.78 | 113 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,906.25 | $5,906.25 | $40.90 – $1,234.64 | 113 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,928.25 | $1,928.25 | $351.60 – $2,015.41 | 113 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $11.40 | $11.40 | $4.40 – $11.92 | 113 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,529.89 | $20,815.21 | $25.74 – $52.26 | 42 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $792.75 | $792.75 | $408.03 – $828.58 | 42 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $14,509.25 | $14,509.25 | $2,783.88 – $15,165.07 | 113 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,666.10 | $20,666.10 | $7,765.80 – $21,600.21 | 113 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $96.38 | $148.28 | $57.24 – $116.24 | 42 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,744.57 | $84,222.41 | $0.01 – $0.01 | 42 |
| Ph body fluid CPT 83986 | $52.65 | $81.00 | $3.51 – $41.00 | 42 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $201.80 | $201.80 | $27.36 – $68.41 | 113 |
| Phenobarbital therapeutic drug level CPT 80184 | $120.90 | $186.00 | $15.61 – $194.41 | 42 |
| Phentolaine mesylate inj HCPCS J2760 | $1,621.15 | $1,621.15 | $436.51 – $1,694.43 | 113 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $11.90 | $11.90 | $6.12 – $12.44 | 42 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $3.00 | $3.00 | $0.66 – $3.14 | 113 |
| Phenytoin total therapeutic drug level CPT 80185 | $100.10 | $154.00 | $79.26 – $160.96 | 42 |
| Phosphorus CPT 84100 | $52.00 | $80.00 | $41.18 – $83.62 | 42 |
| Phosphorus 24 hour urine CPT 84105 | $76.05 | $117.00 | $60.22 – $122.29 | 42 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $196.95 | $303.00 | $155.95 – $316.70 | 42 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $222.95 | $343.00 | $176.54 – $358.50 | 42 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $194.35 | $299.00 | $153.90 – $312.51 | 42 |
| Physical Therapy Re-Evaluation CPT 97164 | $162.50 | $250.00 | $128.68 – $261.30 | 42 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $22.60 | $22.60 | $2.84 – $20.69 | 113 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $781.90 | $1,202.93 | $95.92 – $194.78 | 42 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,304.88 | $37,392.12 | $0.01 – $0.01 | 42 |
| Pinworm exam CPT 87172 | $33.80 | $52.00 | $4.18 – $52.00 | 42 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $89.80 | $89.80 | $2.22 – $10.61 | 113 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $247.65 | $381.00 | $196.10 – $398.22 | 42 |
| Platelet aggregation each agent teg CPT 85576 | $134.55 | $207.00 | $106.54 – $216.36 | 42 |
| Platelet automated CPT 85049 | $32.50 | $50.00 | $4.39 – $50.00 | 42 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,504.10 | $2,314.00 | $1,191.02 – $2,418.59 | 42 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $245.05 | $377.00 | $194.04 – $394.04 | 42 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $397.15 | $611.00 | $314.48 – $638.62 | 42 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,001.00 | $1,540.00 | $792.64 – $1,609.61 | 42 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,170.65 | $1,801.00 | $926.97 – $1,882.41 | 42 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $953.55 | $1,467.00 | $755.06 – $1,533.31 | 42 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,231.75 | $1,895.00 | $975.36 – $1,980.65 | 42 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,053.00 | $1,620.00 | $833.81 – $1,693.22 | 42 |
| Plug insert indwelling 16f HCPCS L8511 | $153.33 | $235.90 | $121.42 – $246.56 | 42 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $220.35 | $339.00 | $130.73 – $265.48 | 42 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $4,472.40 – $13,255.64 | 113 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,024.15 | $6,191.00 | $3,186.51 – $6,470.83 | 42 |
| Positioner proc acufex leg acs HCPCS E0190 | $197.14 | $303.30 | $156.11 – $317.01 | 42 |
| Potassium 24 hour urine CPT 84133 | $53.95 | $83.00 | $4.64 – $83.00 | 42 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.00 | $35.00 | $0.17 – $3.14 | 113 |
| Potassium serum/plasma/whole blood CPT 84132 | $617.00 | $67.00 | $9.09 – $70.03 | 42 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $282.29 | $434.29 | $260.57 – $434.29 | 32 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $0.28 | $0.43 | $0.22 – $0.45 | 42 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $0.38 | $0.59 | $0.24 – $0.49 | 42 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $67.84 | $104.37 | $0.29 – $0.49 | 32 |
| Powder prem protct 1oz HCPCS A4371 | $0.45 | $0.70 | $0.36 – $0.73 | 42 |
| Pr application splint static short arm CPT 29125 | $325.00 | $500.00 | $10.08 – $348.05 | 780 |
| Pr biopsy skin punch single lesion CPT 11104 | $416.00 | $416.00 | $12.14 – $343.87 | 780 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $174.00 | $240.00 | $47.71 – $250.85 | 780 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $256.00 | $256.00 | $67.95 – $267.57 | 780 |
| Prealbumin CPT 84134 | $73.45 | $113.00 | $14.30 – $113.00 | 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.