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 |
|---|---|---|---|---|
| Application multi layer compression below knee (both sides) CPT 29581 | $612.30 | $942.00 | $323.23 – $656.39 | 42 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $1.36 – $2.76 | 42 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $235.41 – $1,238.82 | 113 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,701.70 | $2,618.00 | $898.15 – $1,823.87 | 42 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $514.15 | $791.00 | $58.20 – $826.75 | 42 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $76.92 – $2,590.32 | 113 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $268.15 | $242.00 | $10.23 – $79.00 | 768 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $44.49 – $90.35 | 42 |
| Assay of breath ethanol CPT 82075 | $33.80 | $52.00 | $26.76 – $54.35 | 42 |
| Assay of salicylate CPT 80179 | $36.40 | $56.00 | $28.82 – $58.53 | 42 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $43.55 | $67.00 | $4.18 – $67.00 | 42 |
| Ast/sgot CPT 84450 | $59.15 | $91.00 | $46.84 – $95.11 | 42 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $11,953.20 – $37,429.87 | 113 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $52.65 | $52.65 | $27.10 – $55.03 | 42 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $215.14 – $436.88 | 42 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $2,195.20 – $6,763.02 | 113 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $480.00 | $480.00 | $15.55 – $501.70 | 780 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.20 | $9.20 | $2.61 – $9.15 | 113 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $110.40 | $110.40 | $26.70 – $115.39 | 113 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $1,624.86 – $3,299.59 | 42 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $84.85 – $172.30 | 42 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $63.46 | $97.63 | $36.11 – $73.33 | 42 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $129.35 | $199.00 | $102.43 – $207.99 | 42 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.21 – $0.35 | 32 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $15.13 – $30.73 | 42 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.34 – $0.70 | 42 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.21 – $0.42 | 42 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.10 | $1.69 | $0.87 – $1.77 | 42 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.34 – $0.70 | 42 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $25.74 – $52.26 | 42 |
| B cells total count CPT 86355 | $131.30 | $202.00 | $36.98 – $202.00 | 42 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $171.00 – $903.21 | 113 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $972.50 – $5,068.59 | 113 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $672.12 – $3,451.25 | 113 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.49 | $0.76 | $0.44 – $0.74 | 32 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $202.00 – $14,987.07 | 113 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $1,312.00 – $12,485.85 | 113 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $1,436.00 – $8,732.96 | 113 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $20,530.24 | 113 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $108.55 | $167.00 | $85.95 – $174.55 | 42 |
| Beta-2 microglobulin CPT 82232 | $96.20 | $148.00 | $76.18 – $154.69 | 42 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $799.40 – $2,498.92 | 113 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $288.50 – $2,012.38 | 113 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $957.20 – $7,076.53 | 113 |
| Bilirubin direct CPT 82248 | $42.90 | $66.00 | $33.97 – $68.98 | 42 |
| Bilirubin total CPT 82247 | $507.00 | $99.00 | $9.09 – $87.80 | 42 |
| Biopsy skin incisional single lesion CPT 11106 | $516.00 | $516.00 | $14.74 – $275.32 | 768 |
| Bladder Catheter Insertion (simple) CPT 51702 | $202.80 | $312.00 | $160.59 – $326.10 | 42 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $488.00 | $488.00 | $22.87 – $274.99 | 113 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $6,251.00 – $18,469.26 | 113 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,830.88 | $15,124.43 | $0.01 – $0.01 | 42 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,840.11 | $7,446.33 | $20.56 – $41.76 | 42 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,036.55 | $3,133.15 | $345.10 – $700.80 | 42 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,619.02 | $5,567.73 | $27.54 – $55.92 | 42 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,109.53 | $15,553.13 | $2,334.82 – $4,741.32 | 42 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,815.54 | $2,793.14 | $903.94 – $1,835.63 | 42 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $1.82 | $2.80 | $1.68 – $2.80 | 32 |
| Blood Clotting (PT/INR) Test CPT 85610 | $291.00 | $66.00 | $3.43 – $68.98 | 780 |
| Blood Clotting (PTT) Test CPT 85730 | $1,418.00 | $99.00 | $6.01 – $103.47 | 42 |
| Blood Count (CBC) Test CPT 85025 | $804.00 | $112.00 | $9.09 – $117.06 | 42 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $618.00 | $87.00 | $6.47 – $90.93 | 42 |
| Blood Culture Test CPT 87040 | $118.95 | $183.00 | $94.19 – $191.27 | 42 |
| Blood Draw (Venipuncture) CPT 36415 | $55.00 | $55.00 | $3.00 – $47.03 | 780 |
| Blood gases o2 saturation direct measurement CPT 82805 | $220.35 | $339.00 | $174.48 – $354.32 | 42 |
| Blood gases ph venous CPT 82800 | $68.25 | $105.00 | $10.78 – $105.00 | 42 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $42.90 | $66.00 | $33.97 – $68.98 | 42 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $56.55 | $87.00 | $44.78 – $90.93 | 42 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $38.35 | $59.00 | $30.37 – $61.67 | 42 |
| Blood Transfusion CPT 36430 | $778.05 | $1,197.00 | $616.10 – $1,251.10 | 42 |
| Blood typing abo CPT 86900 | $83.85 | $129.00 | $2.99 – $134.83 | 42 |
| Blood typing ag donor ea ag CPT 86902 | $234.00 | $360.00 | $185.29 – $376.27 | 42 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $90.35 | $139.00 | $71.54 – $145.28 | 42 |
| Blood typing rh (d) CPT 86901 | $44.85 | $69.00 | $2.99 – $72.12 | 42 |
| Blood typing rh phenotype complete reference CPT 86906 | $148.20 | $228.00 | $117.35 – $238.31 | 42 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,983.96 | $3,052.25 | $41.34 – $83.94 | 42 |
| Bone Density Scan (DEXA) CPT 77080 | $453.70 | $698.00 | $359.26 – $729.55 | 42 |
| Bone filler cerament 10cc HCPCS C1602 | $10,175.74 | $15,654.99 | $298.91 – $606.99 | 42 |
| Bone tendon board add on HCPCS C9356 | $4,850.45 | $7,462.23 | $268.29 – $544.82 | 42 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,242.75 | $4,988.85 | $99.74 – $202.54 | 42 |
| Boot cast sandal rocker med HCPCS L3265 | $2.19 | $3.37 | $1.73 – $3.52 | 42 |
| Boot heel care softcare one sz HCPCS E0191 | $132.09 | $203.21 | $1.62 – $3.28 | 42 |
| Boot j walker l HCPCS L4386 | $347.24 | $534.21 | $32.00 – $64.99 | 42 |
| Boot mlti podous univ xlg HCPCS L4396 | $165.01 | $253.86 | $34.68 – $70.42 | 42 |
| Boot softgait shrt m HCPCS L4387 | $41.49 | $63.83 | $13.18 – $26.76 | 42 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $81.97 | $126.11 | $32.85 – $66.72 | 42 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $81.03 | $124.66 | $64.16 – $130.29 | 42 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $136.50 | $210.00 | $108.09 – $219.49 | 42 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,800.00 | $1,800.00 | $60.90 – $221.16 | 113 |
| Brace adj motion lerman type HCPCS L2186 | $316.44 | $486.83 | $250.57 – $508.83 | 42 |
| Brace afo dbl upright cust HCPCS L1990 | $748.46 | $1,151.48 | $592.67 – $1,203.53 | 42 |
| Brace afo lg left 6607 HCPCS L1930 | $129.79 | $199.67 | $51.53 – $104.65 | 42 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,145.78 | $1,762.74 | $907.28 – $1,842.42 | 42 |
| Brace afo spiral prefab HCPCS L1951 | $1,741.42 | $2,679.11 | $1,378.94 – $2,800.21 | 42 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $55.82 | $85.87 | $20.05 – $40.71 | 42 |
| Brace ank air stirrup univ HCPCS L4350 | $47.97 | $73.80 | $20.56 – $41.76 | 42 |
| Brace ankle joint dflxn assist HCPCS L2210 | $163.94 | $252.21 | $129.81 – $263.61 | 42 |
| Brace ankle stablizing lg HCPCS L1902 | $33.47 | $51.50 | $26.51 – $53.83 | 42 |
| Brace back epic lo 627 HCPCS L0642 | $140.30 | $215.85 | $111.10 – $225.61 | 42 |
| Brace back epic lso 637 HCPCS L0650 | $186.50 | $286.92 | $147.68 – $299.89 | 42 |
| Brace back epic tslo 456 HCPCS L0457 | $390.58 | $600.89 | $210.41 – $427.28 | 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.