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 |
|---|---|---|---|---|
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $330.23 | $508.05 | $61.75 – $125.39 | 42 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,374.45 | $3,653.00 | $58.80 – $119.40 | 42 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $54.83 | $84.35 | $0.11 – $0.18 | 32 |
| Cath symplicity spyral HCPCS C1735 | $17,877.60 | $27,504.00 | $14,156.31 – $28,747.18 | 42 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $7,413.18 | $11,404.89 | $27.02 – $54.87 | 42 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $926.04 | $1,424.67 | $0.01 – $0.01 | 42 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $5.85 | $5.85 | $1.54 – $3.14 | 42 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $101.65 | $101.65 | $2.46 – $11.92 | 113 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $12.65 | $12.65 | $6.51 – $13.22 | 42 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $12.59 | $12.59 | $0.26 – $12.45 | 780 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $16.20 | $16.20 | $4.58 – $16.93 | 113 |
| Cell count body fluid CPT 89050 | $117.00 | $180.00 | $4.63 – $180.00 | 42 |
| Cell count w differential body fluid CPT 89051 | $83.20 | $128.00 | $65.88 – $133.79 | 42 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $10,990.00 – $35,540.98 | 113 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $1,796.00 – $18,775.19 | 113 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $858.70 – $2,448.75 | 113 |
| Chest CT scan (with contrast) CPT 71260 | $1,812.20 | $2,788.00 | $1,434.98 – $2,914.02 | 42 |
| Chest CT scan (without contrast) CPT 71250 | $1,441.70 | $2,218.00 | $1,141.60 – $2,318.25 | 42 |
| Chest Physiotherapy (first session) CPT 94667 | $178.75 | $275.00 | $141.54 – $287.43 | 42 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $151.45 | $233.00 | $119.93 – $243.53 | 42 |
| Chest X-ray CPT 71046 | $206.70 | $318.00 | $163.67 – $332.37 | 42 |
| Chest X-ray (single view) CPT 71045 | $167.70 | $258.00 | $132.79 – $269.66 | 42 |
| Chg pr pul rehab for copd patients CPT 94626 | $371.80 | $572.00 | $294.41 – $597.85 | 42 |
| Chloride CPT 82435 | $39.65 | $61.00 | $31.40 – $63.76 | 42 |
| Chloride 24 hour urine CPT 82436 | $38.35 | $59.00 | $30.37 – $61.67 | 42 |
| Cholesterol CPT 82465 | $40.95 | $63.00 | $32.43 – $65.85 | 42 |
| Cholesterol body fluid CPT 84999 | $209.30 | $322.00 | $193.20 – $322.00 | 32 |
| Cholesterol (Lipid) Test CPT 80061 | $110.50 | $170.00 | $87.50 – $177.68 | 42 |
| Cholinesterase CPT 82480 | $73.45 | $113.00 | $58.16 – $118.11 | 42 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $4.64 – $38.67 | 113 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $97.99 | 113 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $106.40 – $519.15 | 113 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $17.83 – $36.22 | 42 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $20.75 | $20.75 | $3.34 – $18.29 | 113 |
| Clip ligating vesolock lg HCPCS C1760 | $8,209.50 | $12,630.00 | $1.74 – $3.54 | 42 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $426.66 – $866.42 | 42 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $28.81 – $58.51 | 42 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $322.20 – $18,404.40 | 113 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $350.00 | $350.00 | $22.79 – $345.36 | 768 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,413.10 | $2,174.00 | $444.62 – $1,514.49 | 42 |
| Coagulation time activated teg CPT 85347 | $50.05 | $77.00 | $39.63 – $80.48 | 42 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $1,010.97 – $2,052.97 | 42 |
| Cold agglutinin screen (arc) CPT 86156 | $66.95 | $103.00 | $53.01 – $107.66 | 42 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $271.05 | $417.00 | $143.09 – $290.57 | 42 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $1.21 – $2.47 | 42 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $50.43 | $77.58 | $2.33 – $4.72 | 42 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,198.73 | $1,844.20 | $1.35 – $2.74 | 42 |
| Collar cerv patriot adlt HCPCS L0150 | $3.18 | $4.89 | $2.52 – $5.11 | 42 |
| Collar extrication adult univ HCPCS L0200 | $41.92 | $64.50 | $33.20 – $67.42 | 42 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $306.80 | $472.00 | $242.94 – $493.33 | 42 |
| Colonoscopy (diagnostic) CPT 45378 | $10,740.75 | $1,249.00 | $2.46 – $1,305.45 | 113 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $14,658.80 | $1,794.00 | $2.97 – $1,875.09 | 113 |
| Colonoscopy (with biopsy) CPT 45380 | $13,244.75 | $1,597.00 | $2.61 – $1,669.18 | 113 |
| Colonoscopy (with polyp removal) CPT 45385 | $10,066.00 | $1,672.00 | $4.77 – $1,747.57 | 113 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $144.95 | $223.00 | $114.78 – $233.08 | 41 |
| Compatibility test each unit immediate spin technique CPT 86920 | $107.25 | $165.00 | $84.93 – $172.46 | 42 |
| Complement antigen each component c3 CPT 86160 | $91.00 | $140.00 | $72.06 – $146.33 | 42 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,752.13 | $2,695.58 | $1,387.42 – $2,817.42 | 42 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $694.85 | $1,069.00 | $550.21 – $1,117.32 | 42 |
| Concentration infection agents any type CPT 87015 | $52.65 | $81.00 | $41.69 – $84.66 | 42 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,352.21 | $5,157.25 | $210.83 – $428.12 | 42 |
| Condylomata destruction 56420 CPT 56420 | $432.25 | $665.00 | $91.51 – $695.06 | 42 |
| Connect omega .5mm HCPCS L8613 | $20,722.49 | $31,880.76 | $34.69 – $70.45 | 42 |
| Connector tis 2x10mm HCPCS C9352 | $6,756.42 | $10,394.49 | $650.84 – $1,321.66 | 42 |
| Consultation pathology during surgery CPT 88329 | $139.10 | $214.00 | $31.71 – $223.67 | 42 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $279.50 | $430.00 | $221.32 – $449.44 | 42 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $66.95 | $103.00 | $49.80 – $107.66 | 42 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $128.05 | $197.00 | $92.09 – $205.90 | 42 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $370.50 | $570.00 | $293.38 – $570.00 | 33 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $9,782.99 | $15,050.75 | $5,958.94 – $12,100.80 | 42 |
| Controller infinity pt dbs HCPCS C1787 | $27,497.09 | $42,303.21 | $25.74 – $52.26 | 42 |
| Coombs direct CPT 86880 | $91.00 | $140.00 | $59.19 – $120.20 | 42 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $92.30 | $142.00 | $73.09 – $148.42 | 42 |
| Coombs indirect titer reference CPT 86886 | $112.45 | $173.00 | $89.04 – $180.82 | 42 |
| Cornea 1/2moon str split thick HCPCS L8609 | $794.53 | $1,222.35 | $629.14 – $1,277.60 | 42 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,705.60 | $8,777.85 | $200.73 – $407.63 | 42 |
| Cortisol total am CPT 82533 | $122.20 | $188.00 | $96.76 – $196.50 | 42 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $101.75 | $101.75 | $28.02 – $106.35 | 113 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,235.69 | $14,208.75 | $67.54 – $137.16 | 42 |
| Cover wrist HCPCS L3984 | $0.01 | $0.01 | $0.01 – $0.01 | 42 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.50 | $110.00 | $10.13 – $20.57 | 42 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $443.95 | $683.00 | $351.54 – $713.87 | 42 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $443.95 | $683.00 | $351.54 – $713.87 | 42 |
| #covid19rsv-rsv CPT 87634 | $140.40 | $216.00 | $68.80 – $216.00 | 42 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $641.55 | $987.00 | $508.01 – $1,031.61 | 42 |
| C-peptide CPT 84681 | $163.80 | $252.00 | $129.70 – $263.39 | 42 |
| Cr-51 sodium chromate HCPCS A9553 | $7,028.75 | $7,028.75 | $3,617.70 – $7,346.45 | 42 |
| C-reactive protein CPT 86140 | $70.85 | $109.00 | $56.10 – $113.93 | 42 |
| C-reactive protein high sensitivity CPT 86141 | $129.35 | $199.00 | $12.69 – $199.00 | 42 |
| Creatine kinase CPT 82550 | $66.30 | $102.00 | $52.50 – $106.61 | 42 |
| Creatine kinase mb CPT 82553 | $109.20 | $168.00 | $86.47 – $175.59 | 42 |
| Creatinine CPT 82565 | $1,390.00 | $65.00 | $9.09 – $67.94 | 42 |
| Creatinine 24 hour urine CPT 82570 | $63.05 | $97.00 | $49.93 – $101.38 | 42 |
| Creatinine clearance urine CPT 82575 | $69.55 | $107.00 | $55.07 – $111.84 | 42 |
| Critical care each additional 30 minutes CPT 99292 | $325.00 | $500.00 | $94.09 – $306.24 | 42 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,240.20 | $1,908.00 | $186.97 – $688.79 | 42 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,358.85 | $7,358.85 | $2,591.60 – $7,691.47 | 113 |
| Cryoprecipitate each unit HCPCS P9012 | $123.50 | $190.00 | $97.79 – $198.59 | 42 |
| Crystal identification light microscopy CPT 89060 | $83.20 | $128.00 | $65.88 – $133.79 | 42 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,206.80 | $6,472.00 | $3,331.14 – $6,764.53 | 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.