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 |
|---|---|---|---|---|
| Pr ecg 12 lead report only CPT 93010 | $26.00 | $32.00 | $5.33 – $27.18 | 780 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.40 | $4.40 | $0.81 – $4.60 | 113 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.00 | $1.00 | $0.51 – $1.05 | 42 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $323.00 | $323.00 | $32.15 – $322.97 | 568 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $129.35 | $199.00 | $102.43 – $207.99 | 27 |
| Pretreat rbc absorption reference CPT 86978 | $118.95 | $183.00 | $109.80 – $183.00 | 32 |
| Pretreat rbc density gradient separation reference CPT 86972 | $75.40 | $116.00 | $59.71 – $121.24 | 42 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $88.40 | $136.00 | $70.00 – $142.15 | 27 |
| Pretreat rbc w enzyme reference CPT 86971 | $59.80 | $92.00 | $47.35 – $96.16 | 42 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $425.00 | $447.00 | $80.88 – $467.20 | 779 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $423.00 | $423.00 | $24.28 – $442.12 | 780 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $666.00 | $666.00 | $30.04 – $696.10 | 780 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $348.40 | $536.00 | $148.12 – $560.23 | 42 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $402.00 | $74.55 – $420.17 | 780 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $277.00 | $47.50 – $289.52 | 780 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $323.00 | $31.50 – $337.60 | 780 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $239.00 | $44.94 – $249.80 | 780 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $115.00 | $28.12 – $120.20 | 780 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $705.00 | $705.00 | $5.92 – $65.12 | 768 |
| Pr incision & drainage abscess simple/single CPT 10060 | $630.00 | $417.00 | $0.82 – $435.85 | 780 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $371.15 | $571.00 | $94.48 – $596.81 | 42 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,097.91 | $6,304.48 | $216.95 – $440.55 | 42 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $97.02 – $197.02 | 113 |
| Procalcitonin CPT 84145 | $258.70 | $398.00 | $26.68 – $398.00 | 42 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $21.15 | $21.15 | $2.52 – $22.11 | 113 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.35 – $1.05 | 113 |
| Progesterone CPT 84144 | $107.25 | $165.00 | $20.86 – $172.46 | 42 |
| Prolactin CPT 84146 | $149.50 | $230.00 | $118.38 – $240.40 | 42 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.06 – $1.05 | 113 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $46.50 | $46.50 | $4.79 – $9.72 | 42 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $9.20 | $9.20 | $4.74 – $9.62 | 113 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.46 – $0.93 | 42 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $31.26 – $63.47 | 42 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $41.00 – $157.30 | 113 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $2,809.75 – $5,705.75 | 42 |
| Protein c activity CPT 85303 | $119.60 | $184.00 | $94.70 – $192.32 | 42 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $74.75 | $115.00 | $59.19 – $120.20 | 42 |
| Protein s total CPT 85305 | $63.05 | $97.00 | $49.93 – $101.38 | 42 |
| Protein total 24 hour urine CPT 84156 | $48.75 | $75.00 | $38.60 – $78.39 | 42 |
| Protein total body fluid CPT 84157 | $46.15 | $71.00 | $3.96 – $74.21 | 42 |
| Protein total serum plasma whole blood CPT 84155 | $1,306.00 | $85.00 | $9.09 – $88.84 | 42 |
| Prothrombin complex kcentra HCPCS J7168 | $3,227.40 | $3,227.40 | $1,490.00 – $3,373.28 | 113 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $126.75 | $195.00 | $3.86 – $195.00 | 42 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $53.39 – $108.42 | 42 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $204.00 | $204.00 | $41.96 – $159.00 | 768 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $83.00 | $83.00 | $17.47 – $66.00 | 768 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $278.20 | $428.00 | $38.43 – $297.88 | 42 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $15,617.55 | $1,008.00 | $0.96 – $1,053.56 | 113 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $370.00 | $370.00 | $17.36 – $386.72 | 780 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $351.00 | $351.00 | $17.79 – $264.42 | 768 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $309.00 | $309.00 | $14.06 – $322.97 | 780 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $330.00 | $374.00 | $18.32 – $390.90 | 780 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $656.00 | $656.00 | $7.11 – $52.48 | 768 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $43.90 | 779 |
| PSA (Prostate) Test CPT 84153 | $122.20 | $188.00 | $96.76 – $196.50 | 42 |
| Psychotherapy group therapy CPT 90853 | $501.80 | $772.00 | $397.35 – $806.89 | 42 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $396.50 | $610.00 | $313.97 – $637.57 | 42 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $490.75 | $755.00 | $388.60 – $789.13 | 42 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $500.50 | $770.00 | $396.32 – $804.80 | 42 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $63.05 | $97.00 | $49.93 – $101.38 | 42 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $87.75 | $135.00 | $69.48 – $141.10 | 42 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $74.75 | $115.00 | $59.19 – $120.20 | 42 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $68.90 | $106.00 | $54.56 – $110.79 | 42 |
| Pt wheelchair management each 15 minutes CPT 97542 | $128.70 | $198.00 | $101.91 – $206.95 | 42 |
| Pulse ox continuous overnight monitoring CPT 94762 | $291.85 | $449.00 | $231.10 – $469.29 | 42 |
| Pulse ox multiple CPT 94761 | $156.00 | $240.00 | $123.53 – $250.85 | 42 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $367.13 | $564.81 | $98.87 – $200.77 | 42 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $113.75 | $175.00 | $90.07 – $182.91 | 42 |
| Puncture spinal lumbar diagnostic CPT 62270 | $603.85 | $929.00 | $478.16 – $970.99 | 42 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $532.88 – $3,359.06 | 113 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $169.08 – $530.02 | 113 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $1,629.60 – $4,776.46 | 113 |
| Rapid Strep Test CPT 87880 | $43.00 | $43.00 | $13.22 – $37.30 | 768 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $1,129.44 – $3,505.81 | 113 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $6,755.70 – $20,994.04 | 113 |
| Rbc count only automated CPT 85041 | $18.20 | $28.00 | $14.41 – $29.27 | 42 |
| Rbc deglycerolized each unit HCPCS P9039 | $71.50 | $110.00 | $56.62 – $114.97 | 42 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $572.00 | $880.00 | $452.94 – $919.78 | 42 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $486.20 | $748.00 | $385.00 – $781.81 | 42 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $2,855.10 | $654.00 | $1.42 – $683.56 | 113 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $457.60 | $704.00 | $362.35 – $735.82 | 42 |
| Red blood cells washed each unit HCPCS P9022 | $429.00 | $660.00 | $339.70 – $689.83 | 42 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,543.15 | $3,543.15 | $673.00 – $3,703.30 | 113 |
| Remote 30 day ecg rev/report CPT 93228 | $482.95 | $743.00 | $382.42 – $776.58 | 42 |
| Removal cerumen impacted (both sides) CPT 69210 | $356.20 | $548.00 | $8.63 – $381.50 | 780 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $161.20 | $248.00 | $127.65 – $259.21 | 42 |
| Renal function panel CPT 80069 | $94.25 | $145.00 | $74.63 – $151.55 | 42 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,146.00 | $1,146.00 | $79.25 – $1,146.00 | 768 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $2,923.50 – $5,936.74 | 42 |
| Reticulated platelet assay CPT 85055 | $52.00 | $80.00 | $41.18 – $83.62 | 42 |
| Reticulocyte automated CPT 85045 | $47.45 | $73.00 | $3.99 – $76.30 | 42 |
| Reticulocyte direct measurement automated CPT 85046 | $44.85 | $69.00 | $35.51 – $72.12 | 42 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $16,405.00 – $47,153.15 | 113 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $2,124.00 – $11,138.85 | 113 |
| Rheumatoid factor qualitative CPT 86430 | $54.60 | $84.00 | $43.23 – $87.80 | 42 |
| Rheumatoid factor quantitative CPT 86431 | $70.20 | $108.00 | $55.59 – $112.88 | 42 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $74.55 – $308.28 | 113 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $151.45 | $233.00 | $82.83 – $243.53 | 113 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $494.00 | $760.00 | $391.17 – $794.35 | 42 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $507.65 | $781.00 | $401.98 – $816.30 | 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.