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 |
|---|---|---|---|---|
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $869.63 | $1,337.90 | $137.45 – $279.11 | 42 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $405.55 | $623.93 | $321.14 – $652.13 | 42 |
| Brace back t-lso custom HCPCS L0486 | $2,912.40 | $4,480.62 | $2,306.18 – $4,683.14 | 42 |
| Brace back vista 464 tlso HCPCS L0648 | $475.16 | $731.02 | $259.94 – $527.87 | 42 |
| Brace cust back lso HCPCS L0631 | $1,821.40 | $2,802.16 | $0.51 – $1.05 | 42 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $103.61 | $159.40 | $82.04 – $166.60 | 42 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $682.51 | $1,050.01 | $35.75 – $72.59 | 42 |
| Brace halo bremer l2830 HCPCS L2830 | $195.59 | $300.91 | $154.88 – $314.51 | 42 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,418.37 | $3,720.57 | $1,914.98 – $3,888.74 | 42 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $272.60 | $419.39 | $215.86 – $438.35 | 42 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,503.03 | $2,312.35 | $59.06 – $119.94 | 42 |
| Brace knee hing pat open med HCPCS L1820 | $47.55 | $73.15 | $37.65 – $76.46 | 42 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $901.84 | $1,387.44 | $94.03 – $190.95 | 42 |
| Brace knee postop tscope xl HCPCS L1845 | $288.59 | $443.98 | $228.52 – $464.05 | 42 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $176.49 | $271.52 | $30.80 – $62.56 | 42 |
| Brace m arm board HCPCS L3809 | $45.37 | $69.80 | $18.89 – $38.36 | 42 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $243.55 | $374.69 | $188.43 – $382.64 | 42 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $476.06 | $732.40 | $309.28 – $628.05 | 42 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $432.84 | $665.91 | $1.65 – $3.36 | 42 |
| Brace tlso flex cust HCPCS L0450 | $1,982.56 | $3,050.10 | $1,569.89 – $3,187.96 | 42 |
| Brace wrist classic lft sm HCPCS L3908 | $78.86 | $121.32 | $1.66 – $3.37 | 42 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $93.68 – $190.23 | 42 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $20.59 – $41.81 | 42 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $38.60 – $78.39 | 42 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $58.97 – $119.76 | 42 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $25.74 – $52.26 | 42 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,500.55 | $3,847.00 | $1,980.05 – $4,020.88 | 42 |
| Brain MRI (with and without contrast) CPT 70553 | $3,606.85 | $5,549.00 | $2,856.07 – $5,799.81 | 42 |
| Brain MRI (without contrast) CPT 70551 | $2,297.10 | $3,534.00 | $1,837.68 – $3,693.74 | 40 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $161.28 | $248.13 | $48.22 – $97.92 | 42 |
| Breastbone (Sternum) X-ray CPT 71120 | $191.10 | $294.00 | $151.32 – $307.29 | 42 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $14,145.00 – $41,296.37 | 113 |
| Brush provox 4-10mm HCPCS L8513 | $27.23 | $41.90 | $21.57 – $43.79 | 42 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $15.15 | $15.15 | $1.22 – $15.83 | 113 |
| Bundled special stain group 1 microorganisms CPT 88312 | $222.30 | $342.00 | $176.03 – $357.46 | 42 |
| Bundled special stain group 2 CPT 88313 | $175.50 | $270.00 | $111.69 – $226.81 | 42 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $741.00 | $741.00 | $1.54 – $3.14 | 42 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,849.42 | $7,460.65 | $117.36 – $238.32 | 42 |
| Bx skin punch ea sep/ addl les CPT 11105 | $196.00 | $196.00 | $13.63 – $113.75 | 768 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $53.30 | $82.00 | $42.21 – $85.71 | 42 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $621.64 | $273.00 | $16.51 – $131.00 | 768 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $14,911.20 – $46,155.56 | 113 |
| Cable cath 22-pin diag HCPCS C1730 | $8,141.09 | $12,524.75 | $28.05 – $56.96 | 42 |
| Cable centrimag pressure HCPCS Q0508 | $123,355.44 | $189,777.60 | $1.10 – $2.23 | 42 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $4,726.00 – $14,910.77 | 113 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $46.00 | $46.00 | $23.68 – $48.08 | 42 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $39,813.25 – $80,848.68 | 42 |
| Calcium 24 hour urine CPT 82340 | $69.55 | $107.00 | $5.97 – $111.84 | 42 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $36.80 | $36.80 | $15.00 – $38.46 | 113 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $52.50 | $52.50 | $22.54 – $45.78 | 42 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $20.20 – $41.02 | 42 |
| Calcium ionized CPT 82330 | $105.30 | $162.00 | $13.54 – $169.32 | 42 |
| Calcium total CPT 82310 | $63.70 | $98.00 | $50.44 – $102.43 | 42 |
| Calprotectin fecal CPT 83993 | $160.55 | $247.00 | $127.13 – $258.16 | 42 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $78.94 | $121.45 | $55.94 – $113.59 | 42 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $36,313.87 | $55,867.50 | $24.86 – $50.48 | 42 |
| Cap nerve 2x15mm HCPCS C1763 | $24,158.39 | $37,166.76 | $27.85 – $56.55 | 42 |
| Cap trach decann 15mm HCPCS C1750 | $3,283.80 | $5,052.00 | $1.74 – $3.54 | 42 |
| Carbamazepine total therapeutic drug level CPT 80156 | $124.15 | $191.00 | $98.31 – $199.63 | 42 |
| Carbon dioxide CPT 82374 | $35.75 | $55.00 | $28.31 – $57.49 | 42 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $459.90 | $459.90 | $2.31 – $39.67 | 113 |
| Carboxyhemoglobin quantitative CPT 82375 | $118.30 | $182.00 | $93.68 – $190.23 | 42 |
| Carcinoembryonic ag (cea) CPT 82378 | $165.75 | $255.00 | $18.96 – $266.53 | 42 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $260.65 | $401.00 | $206.39 – $419.13 | 42 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $235.30 | $362.00 | $186.32 – $378.36 | 42 |
| Cardiolipin antibody iga CPT 86147 | $151.45 | $233.00 | $119.93 – $243.53 | 42 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $602.90 – $1,977.94 | 113 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $1,775.33 – $3,605.16 | 42 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $719.55 | $1,107.00 | $569.77 – $1,157.04 | 42 |
| Cassette provox xtraflow hme HCPCS A7507 | $2.67 | $4.11 | $2.12 – $4.30 | 42 |
| Cataract Surgery CPT 66984 | $9,136.24 | not published | $0.96 – $2.46 | 73 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,555.72 | $2,393.42 | $55.51 – $112.71 | 42 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,378.40 | $6,736.00 | $707.28 – $1,436.26 | 42 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,894.35 | $2,914.39 | $2.51 – $5.09 | 42 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,679.08 | $7,198.59 | $34.26 – $69.57 | 42 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,008.97 | $6,167.65 | $2,689.65 – $5,461.86 | 42 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $41,900.62 | $64,462.50 | $0.01 – $0.01 | 42 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,014.47 | $7,714.57 | $907.12 – $1,842.09 | 42 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $13,681.13 | $21,047.90 | $0.01 – $0.01 | 42 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,539.55 | $6,983.93 | $0.01 – $0.01 | 42 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,908.31 | $7,551.25 | $60.39 – $122.64 | 42 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,737.87 | $4,212.11 | $190.95 – $387.77 | 42 |
| Cath council tip 16fr 5cc HCPCS A4344 | $40.07 | $61.65 | $27.88 – $56.61 | 42 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,827.10 | $16,657.08 | $0.78 – $1.58 | 42 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,762.57 | $2,711.65 | $0.01 – $0.01 | 42 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $44.43 | $68.35 | $35.18 – $71.44 | 42 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,561.66 | $2,402.55 | $0.71 – $1.44 | 42 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $70.20 | $108.00 | $9.15 – $108.00 | 42 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $0.59 | $0.91 | $0.39 – $0.78 | 42 |
| Cath follower heyman 20f HCPCS A4352 | $234.78 | $361.20 | $1.25 – $2.53 | 42 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,758.92 | $2,706.03 | $30.70 – $62.35 | 42 |
| Cath hawkone s directional HCPCS C1714 | $4,862.62 | $7,480.96 | $717.14 – $1,456.29 | 42 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,270.57 | $1,954.72 | $1,006.09 – $2,043.07 | 42 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,489.04 | $5,367.75 | $638.98 – $1,297.57 | 42 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $1,380.83 | $2,124.36 | $42.66 – $71.10 | 32 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $2,045.54 | $3,146.98 | $1,619.75 – $3,289.22 | 42 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $5,636.22 | $8,671.11 | $0.21 – $0.43 | 42 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,846.69 | $21,302.60 | $55.33 – $112.36 | 42 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $23.92 | $36.80 | $22.08 – $36.80 | 32 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,730.61 | $11,893.25 | $6,059.16 – $12,304.31 | 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.