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 |
|---|---|---|---|---|
| Strep b dna amp probe CPT 87653 | $145.60 | $224.00 | $115.29 – $234.12 | 42 |
| Stress test pulmonary CPT 94618 | $273.65 | $421.00 | $216.69 – $440.03 | 42 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $77.20 | $77.20 | $39.73 – $80.69 | 42 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $17.70 | $17.70 | $9.11 – $49.00 | 113 |
| Support clav 29.6-40.5in med HCPCS L3650 | $94.19 | $144.91 | $1.68 – $3.41 | 42 |
| Surgical pathology level 1 gross examination only CPT 88300 | $72.15 | $111.00 | $57.13 – $116.02 | 42 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $116.35 | $179.00 | $92.13 – $187.09 | 42 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $122.20 | $188.00 | $96.76 – $196.50 | 42 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $12,467.75 | $274.00 | $3.96 – $286.38 | 113 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $321.10 | $494.00 | $183.41 – $516.33 | 42 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $531.05 | $817.00 | $420.51 – $853.93 | 42 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $14.30 | $22.00 | $11.32 – $22.99 | 42 |
| Susceptibility mic per plate CPT 87186 | $89.70 | $138.00 | $71.03 – $144.24 | 42 |
| Swallowing Evaluation (Bedside) CPT 92610 | $293.15 | $451.00 | $232.13 – $471.39 | 42 |
| Swallowing Therapy Session CPT 92526 | $221.00 | $340.00 | $175.00 – $355.37 | 42 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $21.45 | $33.00 | $4.31 – $33.00 | 42 |
| System cardiomems hosp electronics HCPCS C2624 | $24,023.02 | $36,958.50 | $8,140.78 – $16,531.46 | 42 |
| System pacing micra av HCPCS C1786 | $16,760.25 | $25,785.00 | $39.89 – $81.01 | 42 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $27,099.09 | $41,690.91 | $56.60 – $114.93 | 42 |
| System recell skin grafting/harvesting HCPCS C1832 | $8,955.20 | $13,777.23 | $7,091.14 – $14,399.96 | 42 |
| System sealant biosentry tract HCPCS C2613 | $652.35 | $1,003.62 | $516.56 – $1,048.98 | 42 |
| T3 (triiodothyronine) free CPT 84481 | $122.20 | $188.00 | $96.76 – $196.50 | 42 |
| T3 (triiodothyronine) total CPT 84480 | $96.85 | $149.00 | $14.18 – $155.73 | 42 |
| T4 (thyroxine) free CPT 84439 | $78.65 | $121.00 | $62.28 – $126.47 | 42 |
| T4 (thyroxine) total CPT 84436 | $52.65 | $81.00 | $6.73 – $81.00 | 42 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,208.10 | $1,208.10 | $262.23 – $1,262.71 | 113 |
| Tacrolimus therapeutic drug level CPT 80197 | $158.60 | $244.00 | $125.59 – $255.03 | 42 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,272.00 | $4,272.00 | $1,540.00 – $4,465.09 | 113 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $221.65 | $341.00 | $175.51 – $356.41 | 42 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $88,021.00 | $88,021.00 | $321.96 – $920.14 | 113 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $35,941.50 | $35,941.50 | $868.80 – $4,695.82 | 113 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $3.04 | $4.67 | $2.80 – $4.67 | 32 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,350.00 | $46,350.00 | $1,715.37 – $4,844.50 | 113 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $463.10 | $463.10 | $90.00 – $302.48 | 113 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $221.65 | $341.00 | $98.00 – $341.00 | 42 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $164.45 | $253.00 | $61.98 – $264.44 | 42 |
| Tc-99m apcitide diag HCPCS A9504 | $1,765.30 | $1,765.30 | $908.60 – $1,845.09 | 42 |
| Tc-99m arcitumomab HCPCS A9568 | $4,224.15 | $4,224.15 | $2,174.17 – $4,415.08 | 42 |
| Tc-99m bicisate HCPCS A9557 | $7,128.20 | $7,128.20 | $3,668.88 – $7,450.39 | 42 |
| Tc-99m depreotide HCPCS A9536 | $1,937.35 | $1,937.35 | $997.15 – $2,024.92 | 42 |
| Tc-99m diag per dose HCPCS A4641 | $575.50 | $575.50 | $296.21 – $601.51 | 42 |
| Tc-99m disofenin HCPCS A9510 | $339.80 | $339.80 | $174.90 – $355.16 | 42 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $8,194.15 | $8,194.15 | $4,217.53 – $8,564.53 | 42 |
| Tc-99m exametazime diag HCPCS A9521 | $7,382.05 | $7,382.05 | $3,799.54 – $7,715.72 | 42 |
| Tc-99m fanolesomab diag HCPCS A9566 | $17,688.75 | $17,688.75 | $9,104.40 – $18,488.28 | 42 |
| Tc-99m gluceptate HCPCS A9550 | $1,105.40 | $1,105.40 | $568.95 – $1,155.36 | 42 |
| Tc-99m labeled rbc HCPCS A9560 | $857.40 | $857.40 | $441.30 – $896.15 | 42 |
| Tc-99m maa HCPCS A9540 | $760.95 | $760.95 | $391.66 – $795.34 | 42 |
| Tc-99m mebrofenin HCPCS A9537 | $308.25 | $308.25 | $158.66 – $322.18 | 42 |
| Tc-99m medronate HCPCS A9503 | $210.35 | $210.35 | $108.27 – $219.86 | 42 |
| Tc-99m mertiatide HCPCS A9562 | $1,340.90 | $1,340.90 | $690.16 – $1,401.51 | 42 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $1.00 | $1.00 | $0.51 – $1.05 | 42 |
| Tc-99m oxidronate HCPCS A9561 | $199.60 | $199.60 | $102.73 – $208.62 | 42 |
| Tc-99m pentetate dtpa HCPCS A9539 | $627.25 | $627.25 | $322.85 – $655.60 | 42 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $627.25 | $627.25 | $322.85 – $655.60 | 42 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $99.30 | $99.30 | $51.11 – $103.79 | 42 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $335.80 | $335.80 | $172.84 – $350.98 | 42 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $221.60 | $221.60 | $114.06 – $231.62 | 42 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,988.10 | $2,988.10 | $1,537.98 – $3,123.16 | 42 |
| Tc-99m sulfur colloid HCPCS A9541 | $855.40 | $855.40 | $440.27 – $894.06 | 42 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $198.05 | $198.05 | $101.94 – $207.00 | 42 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,740.00 | $2,740.00 | $1,410.28 – $2,863.85 | 42 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $99.45 | $153.00 | $46.98 – $159.92 | 42 |
| T cells total count CPT 86359 | $91.65 | $141.00 | $36.98 – $141.00 | 42 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $107,550.00 | $107,550.00 | $23,757.00 – $112,411.26 | 113 |
| Telehealth original site facility fee HCPCS Q3014 | $52.00 | $80.00 | $41.18 – $83.62 | 42 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,137.00 – $5,242.25 | 113 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $5,405.22 – $10,976.38 | 42 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $4,298.50 – $24,325.83 | 113 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $6.90 | $6.90 | $3.55 – $7.21 | 42 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $73.45 | $113.00 | $58.16 – $118.11 | 42 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $11,805.70 – $23,973.80 | 42 |
| Theophylline therapeutic drug level CPT 80198 | $117.00 | $180.00 | $92.65 – $188.14 | 42 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $128.70 | $198.00 | $101.91 – $206.95 | 42 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $129.35 | $199.00 | $102.43 – $207.99 | 42 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $94.90 | $146.00 | $75.15 – $152.60 | 42 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $8.30 | $8.30 | $1.79 – $8.68 | 113 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $403.65 | $621.00 | $213.09 – $432.71 | 42 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $561.02 – $1,139.27 | 42 |
| Thrombin time CPT 85670 | $33.80 | $52.00 | $5.65 – $52.00 | 42 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $41.60 | $64.00 | $32.94 – $66.89 | 42 |
| Thyroglobulin antibody CPT 86800 | $122.20 | $188.00 | $15.91 – $196.50 | 42 |
| Thyroid (TSH) Test CPT 84443 | $835.00 | $192.00 | $9.09 – $200.68 | 42 |
| Thyroid Ultrasound CPT 76536 | $553.80 | $852.00 | $438.52 – $890.51 | 42 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $2,113.24 – $11,317.95 | 113 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $22,202.40 | $22,202.40 | $8,257.60 – $23,205.95 | 113 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $2,555.89 | $3,932.14 | $1,063.04 – $2,158.70 | 42 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $67.73 | $104.20 | $53.63 – $108.91 | 42 |
| Tissue exam koh skin/hair/nails CPT 87220 | $28.60 | $44.00 | $22.65 – $45.99 | 42 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $271.69 | $417.99 | $215.14 – $436.88 | 42 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $49.04 | $75.45 | $38.83 – $78.86 | 42 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $38.88 | $59.82 | $30.79 – $62.52 | 42 |
| Tissue transglutaminase iga CPT 86364 | $176.80 | $272.00 | $140.00 – $284.29 | 42 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $41.23 – $83.72 | 42 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $3.60 | $3.60 | $1.85 – $3.76 | 113 |
| Tobramycin peak therapeutic drug level CPT 80200 | $121.55 | $187.00 | $16.13 – $195.45 | 28 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $463.20 – $2,553.32 | 113 |
| Toe X-ray (both feet) CPT 73660 | $270.40 | $416.00 | $142.57 – $289.52 | 42 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $221.65 | $341.00 | $116.84 – $237.26 | 41 |
| Tomosynthesis breast screen bilateral CPT 77063 | $78.00 | $120.00 | $41.18 – $83.62 | 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.