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 |
|---|---|---|---|---|
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $82.10 | $82.10 | $9.60 – $85.81 | 113 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $0.66 | $1.01 | $0.52 – $1.06 | 42 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,052.12 | $1,618.64 | $58.68 – $119.15 | 42 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.33 | $0.51 | $0.26 – $0.53 | 42 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $8,904.00 – $31,430.73 | 113 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,735.80 | $4,735.80 | $820.50 – $4,949.86 | 113 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $4,154.50 – $14,729.79 | 113 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $5,663.00 – $20,621.53 | 113 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $311.80 – $2,515.85 | 113 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $854.48 – $1,735.19 | 42 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $265.00 – $2,067.41 | 113 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $3,401.00 – $9,225.35 | 113 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $1,375.00 – $4,532.09 | 113 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $2,520.00 – $14,425.69 | 113 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $3.40 | 113 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $21,294.00 – $59,363.91 | 113 |
| Rsv assay w/optic CPT 87807 | $30.29 | $29.00 | $9.94 – $29.00 | 768 |
| Rubella antibody igg CPT 86762 | $76.70 | $118.00 | $19.14 – $118.00 | 42 |
| Rubeola antibody igg CPT 86765 | $48.10 | $74.00 | $38.09 – $77.34 | 42 |
| Russell viper venom diluted CPT 85613 | $81.90 | $126.00 | $64.85 – $131.70 | 42 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,844.35 | $7,844.35 | $2,856.96 – $8,198.91 | 113 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $222.95 | $343.00 | $176.54 – $358.50 | 42 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $161.00 | $161.00 | $30.94 – $114.05 | 768 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $165.00 | $195.00 | $30.80 – $192.32 | 780 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $228.00 | $256.00 | $56.64 – $267.57 | 780 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $105.00 | $134.00 | $24.50 – $125.42 | 780 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $735.80 | $1,132.00 | $582.64 – $1,183.17 | 42 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $503.10 | $774.00 | $398.38 – $808.98 | 42 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,514.76 | $3,868.86 | $933.62 – $1,895.90 | 42 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $6,650.75 | not published | $0.96 – $3.24 | 73 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $61.75 | $95.00 | $48.90 – $99.29 | 42 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $56.55 | $87.00 | $28.27 – $90.93 | 42 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $85.80 | $132.00 | $67.94 – $137.97 | 42 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $96.85 | $149.00 | $24.08 – $155.73 | 42 |
| Screening Mammogram CPT 77067 | $461.50 | $710.00 | $81.59 – $473.00 | 42 |
| Screening prostate cancer PSA HCPCS G0103 | $129.35 | $199.00 | $102.43 – $207.99 | 42 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $776,558.25 | $1,194,705.00 | $0.01 – $0.01 | 42 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $542.75 | $835.00 | $429.77 – $872.74 | 42 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $558.35 | $859.00 | $4.65 – $62.71 | 42 |
| Sedimentation rate erythrocyte automated CPT 85652 | $44.20 | $68.00 | $35.00 – $71.07 | 42 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $93.60 | $144.00 | $74.12 – $150.51 | 42 |
| Semen analysis presence/motility CPT 89321 | $100.75 | $155.00 | $79.78 – $162.01 | 42 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $187.20 | $288.00 | $148.23 – $301.02 | 42 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $4,727.59 | $7,273.22 | $376.04 – $763.62 | 42 |
| Sheath laser cavaclear 14f HCPCS C1603 | $5,815.06 | $8,946.25 | $3,421.87 – $6,948.78 | 42 |
| Shoe post-op mens m HCPCS L3260 | $42.87 | $65.95 | $1.49 – $3.03 | 42 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $11,364.95 | $159.00 | $3.21 – $166.19 | 780 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $249.60 | $384.00 | $197.64 – $401.36 | 42 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $622.05 | $957.00 | $328.38 – $666.84 | 42 |
| Shoulder MRI (without contrast) CPT 73221 | $3,858.40 | $5,936.00 | $2,036.67 – $4,135.86 | 42 |
| Shoulder X-ray CPT 73030 | $386.10 | $594.00 | $203.82 – $413.90 | 42 |
| Shrinker prosth above knee HCPCS L8460 | $230.16 | $354.09 | $182.25 – $370.09 | 42 |
| Shrinker prosth below knee HCPCS L8440 | $178.39 | $274.45 | $141.26 – $286.86 | 42 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,209.23 | $4,937.28 | $91.93 – $186.68 | 42 |
| Sickling rbc CPT 85660 | $50.70 | $78.00 | $5.51 – $81.53 | 42 |
| Sinus CT scan (without contrast) CPT 70486 | $1,275.30 | $1,962.00 | $1,009.84 – $2,050.68 | 42 |
| Skin Biopsy CPT 11102 | $337.00 | $337.00 | $9.59 – $352.23 | 780 |
| Sleep study attended CPT 95807 | $1,034.80 | $1,592.00 | $819.40 – $1,663.96 | 42 |
| Sleep Study (Polysomnography) CPT 95810 | $3,901.30 | $6,002.00 | $3,089.23 – $6,273.29 | 42 |
| Sleeve fing rolyan med HCPCS L3933 | $37.65 | $57.93 | $29.82 – $60.55 | 42 |
| Sleeve irr assura 1pc disp HCPCS A4397 | $0.65 | $1.00 | $0.51 – $1.05 | 42 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $529.06 | $813.94 | $1.07 – $2.16 | 42 |
| Sling pelv split sam med HCPCS L0621 | $165.55 | $254.70 | $131.09 – $266.21 | 42 |
| Sling suprapubic suburetheral HCPCS C1771 | $9,671.50 | $14,879.23 | $1,050.89 – $2,134.04 | 42 |
| Sm-153 lexidron ther HCPCS A9604 | $57,456.00 | $57,456.00 | $4,314.91 – $60,053.01 | 113 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $50.70 | $78.00 | $5.34 – $81.53 | 42 |
| Smear gram stain CPT 87205 | $35.75 | $55.00 | $4.27 – $57.49 | 28 |
| Smear nasal eosinophil CPT 89190 | $37.05 | $57.00 | $29.34 – $59.58 | 42 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $64.35 | $99.00 | $5.87 – $99.00 | 42 |
| Smear wet mount CPT 87210 | $41.60 | $64.00 | $32.94 – $66.89 | 42 |
| Sock wool above knee HCPCS L8430 | $158.68 | $244.12 | $125.65 – $255.15 | 42 |
| Sodium 24 hour urine CPT 84300 | $74.10 | $114.00 | $6.73 – $114.00 | 42 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $25.00 | $25.00 | $6.69 – $13.59 | 42 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $22.50 | $22.50 | $9.01 – $18.29 | 42 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $17.50 | $17.50 | $7.08 – $14.37 | 42 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $30.00 | $30.00 | $15.44 – $75.00 | 113 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $40.85 | $40.85 | $10.90 – $42.70 | 113 |
| Sodium serum/plasma/whole blood CPT 84295 | $39.65 | $61.00 | $31.40 – $63.76 | 42 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $495.00 | $495.00 | $105.00 – $517.37 | 113 |
| Specific gravity body fluid CPT 84315 | $30.55 | $47.00 | $24.19 – $49.12 | 42 |
| Speech Therapy Session (one-on-one) CPT 92507 | $245.70 | $378.00 | $194.56 – $395.09 | 42 |
| Spine X-ray (single view, one level) CPT 72020 | $182.65 | $281.00 | $144.63 – $293.70 | 42 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $16.25 | $25.00 | $12.87 – $26.13 | 42 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $43.09 | $66.30 | $15.03 – $30.52 | 42 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $50.38 | $77.51 | $20.33 – $41.29 | 42 |
| Splint finger 4 prong foam sm HCPCS A4570 | $0.55 | $0.85 | $0.34 – $0.70 | 42 |
| Splint finger fold over sm HCPCS L3924 | $0.44 | $0.67 | $0.34 – $0.70 | 42 |
| Splint finger frog med HCPCS L3927 | $0.54 | $0.83 | $0.20 – $0.41 | 42 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $1.04 | $1.60 | $0.82 – $1.67 | 42 |
| Splint func pos polyflex ii med HCPCS L3999 | $33.60 | $51.70 | $26.61 – $54.04 | 42 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $101.18 | $155.66 | $24.89 – $50.54 | 42 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $40,862.00 | $40,862.00 | $15,000.00 – $42,708.96 | 113 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $32,403.15 | $49,851.00 | $0.01 – $0.01 | 42 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,063.30 | $9,328.16 | $15.31 – $31.09 | 42 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,714.49 | $28,791.53 | $1.19 – $2.42 | 42 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $4,918.86 | $7,567.48 | $433.89 – $881.10 | 42 |
| St evaluate speech sound production CPT 92522 | $336.70 | $518.00 | $266.61 – $541.41 | 42 |
| Strap chin dlx f/cpap HCPCS A7036 | $34.90 | $53.70 | $27.64 – $56.13 | 42 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | $0.25 | $0.39 | $0.20 – $0.41 | 42 |
| Strep a ag ia CPT 87430 | $37.00 | $37.00 | $12.88 – $37.00 | 768 |
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.