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 |
|---|---|---|---|---|
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $983.45 | $1,513.00 | $778.74 – $1,581.39 | 42 |
| CT Angiogram of the Head CPT 70496 | $2,528.50 | $3,890.00 | $2,002.18 – $4,065.83 | 42 |
| CT Angiogram of the Neck CPT 70498 | $2,558.40 | $3,936.00 | $2,025.86 – $4,113.91 | 42 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,115.15 | $6,331.00 | $3,258.57 – $6,617.16 | 42 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,664.05 | $5,637.00 | $2,901.36 – $5,891.79 | 42 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,052.40 | $4,696.00 | $2,417.03 – $4,908.26 | 42 |
| Culture aerobic additional method definitive id each CPT 87077 | $62.40 | $96.00 | $49.41 – $100.34 | 42 |
| Culture afb any source CPT 87116 | $76.05 | $117.00 | $10.69 – $122.29 | 42 |
| Culture anaerobic additional method definitive id each CPT 87076 | $53.30 | $82.00 | $42.21 – $85.71 | 42 |
| Culture anaerobic except blood CPT 87075 | $82.55 | $127.00 | $65.37 – $132.74 | 42 |
| Culture bact stool aero addl path ea CPT 87046 | $52.65 | $81.00 | $41.69 – $84.66 | 42 |
| Culture body fluid CPT 87070 | $94.90 | $146.00 | $75.15 – $152.60 | 42 |
| Culture fungi other (except blood) CPT 87102 | $92.95 | $143.00 | $8.41 – $149.46 | 42 |
| Culture fungi skin/hair/nail CPT 87101 | $55.25 | $85.00 | $7.71 – $88.84 | 42 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $210.60 | $324.00 | $166.76 – $338.64 | 42 |
| Culture quantitative aerobic other source CPT 87071 | $85.80 | $132.00 | $67.94 – $137.97 | 42 |
| Culture screening strep group a CPT 87081 | $65.65 | $101.00 | $40.15 – $81.53 | 42 |
| Culture typing immunologic CPT 87147 | $29.90 | $46.00 | $5.18 – $48.08 | 42 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $325.00 | $500.00 | $257.35 – $522.60 | 42 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $157.30 | $242.00 | $34.73 – $252.94 | 42 |
| Cutter lead HCPCS C1773 | $3,329.03 | $5,121.59 | $184.21 – $374.07 | 42 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $16.40 | $16.40 | $0.56 – $7.87 | 780 |
| Cyclic citrullinated peptide antibody CPT 86200 | $97.50 | $150.00 | $77.21 – $156.78 | 42 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $5,154.25 | $5,154.25 | $663.24 – $1,346.84 | 42 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $17.10 | $17.10 | $2.17 – $17.87 | 113 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $137.50 | $137.50 | $70.77 – $143.72 | 42 |
| Cyclosporine 2 hour CPT 80158 | $126.10 | $194.00 | $99.85 – $202.77 | 42 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,794.15 | $24,298.69 | $25.74 – $52.26 | 42 |
| Cystatin c CPT 82610 | $72.80 | $112.00 | $57.65 – $117.06 | 42 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $4.40 – $50.59 | 113 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $94.90 | $146.00 | $75.15 – $152.60 | 42 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $109.85 | $169.00 | $86.98 – $176.64 | 42 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $159.90 | $246.00 | $126.62 – $257.12 | 42 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $70.85 | $109.00 | $20.26 – $113.93 | 42 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $57.70 | 113 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $331.50 – $14,154.83 | 113 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $67.31 | 113 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $17,352.44 – $35,237.56 | 42 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $75.00 – $974.60 | 113 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $12,283.04 – $35,965.33 | 113 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $308.50 | $308.50 | $158.78 – $322.44 | 42 |
| Dch validity tests CPT 81002 | $9.12 | $8.00 | $2.58 – $8.00 | 768 |
| Deamidated gliadin antibody iga CPT 86258 | $63.70 | $98.00 | $12.05 – $102.43 | 42 |
| Decalcification CPT 88311 | $72.15 | $111.00 | $57.13 – $116.02 | 42 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $224.90 | $224.90 | $115.76 – $235.07 | 42 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $159.70 | $159.70 | $9.02 – $166.92 | 113 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $381.60 – $1,526.15 | 113 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15,865.45 | $15,865.45 | $3,508.80 – $16,582.57 | 113 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $0.06 | $0.10 | $0.05 – $0.10 | 42 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $941.00 | $941.00 | $15.23 – $238.31 | 780 |
| Destruction 2-14 lesions 17003 CPT 17003 | $82.55 | $127.00 | $1.07 – $132.74 | 780 |
| Destruction benign lesions < 14 lesions CPT 17110 | $376.00 | $376.00 | $14.54 – $327.15 | 780 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $559.00 | $559.00 | $52.82 – $353.75 | 768 |
| Device ablt adv novasure HCPCS C1886 | $6,237.48 | $9,596.13 | $224.18 – $455.24 | 42 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,599.67 | $3,999.50 | $1,679.34 – $3,410.23 | 42 |
| Device intraute mirena HCPCS J7298 | $2,105.82 | $3,239.73 | $1,667.49 – $3,386.17 | 42 |
| Device sut capio slim opn HCPCS C2631 | $1,534.26 | $2,360.40 | $545.26 – $1,107.25 | 42 |
| Device tiss remov myosure reach HCPCS C1782 | $3,961.70 | $6,094.92 | $548.15 – $1,113.13 | 42 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.00 | $1.00 | $0.32 – $1.05 | 113 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $25.95 | $25.95 | $0.60 – $3.14 | 113 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.80 | $884.80 | $32.09 – $360.54 | 113 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $20.00 | $10.29 – $20.90 | 42 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $35.00 | $35.00 | $18.01 – $36.58 | 42 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $30.00 | $9.01 – $18.29 | 42 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $185.90 | $286.00 | $147.20 – $298.93 | 42 |
| Diabetes (HbA1c) Test CPT 83036 | $79.30 | $122.00 | $6.80 – $127.51 | 780 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $445.90 | $686.00 | $142.21 – $717.01 | 42 |
| Diagnostic Mammogram (one breast) CPT 77065 | $297.05 | $457.00 | $112.74 – $477.66 | 42 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $250.05 | $250.05 | $56.08 – $113.87 | 42 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $25.30 | $25.30 | $1.62 – $4.00 | 113 |
| Digoxin total therapeutic drug level CPT 80162 | $91.65 | $141.00 | $13.01 – $141.00 | 42 |
| Dilator fascial 10fx20cm HCPCS C2627 | $274.98 | $423.05 | $23.80 – $48.34 | 42 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $41.90 | $41.90 | $2.00 – $16.46 | 113 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $3.70 | $3.70 | $0.90 – $3.87 | 113 |
| Dna antibody native/double stranded CPT 86225 | $101.40 | $156.00 | $13.74 – $163.05 | 42 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $35.10 | $35.10 | $7.98 – $36.69 | 113 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,567.60 | $2,567.60 | $8.20 – $140.74 | 113 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $65.00 | $65.00 | $6.60 – $37.52 | 113 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $588.25 | $905.00 | $465.80 – $945.91 | 42 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $444.60 | $684.00 | $352.05 – $714.92 | 42 |
| Dornhoffer fixed part w/window HCPCS L8614 | $20,628.52 | $31,736.18 | $706.12 – $1,433.91 | 42 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,812.65 | $36,812.65 | $13,341.50 – $38,476.58 | 113 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,578.20 | $1,578.20 | $5.96 – $97.62 | 113 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,093.75 | $7,093.75 | $988.71 – $2,007.78 | 42 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $28.30 | $28.30 | $12.00 – $29.58 | 113 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $448.50 | $690.00 | $355.14 – $721.19 | 42 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $138.44 | $212.98 | $109.62 – $222.61 | 42 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $978.05 | $1,504.70 | $47.67 – $96.80 | 42 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.80 | $32.80 | $5.36 – $34.28 | 113 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,826.54 | $5,886.99 | $350.69 – $712.14 | 42 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $156.82 | $241.26 | $124.18 – $252.16 | 42 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $34.84 | $53.60 | $22.47 – $45.62 | 42 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $41.79 | $64.30 | $31.17 – $63.29 | 42 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $80.11 | $123.24 | $54.83 – $111.35 | 42 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.38 – $0.76 | 42 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $57.72 – $117.22 | 42 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $23.99 – $48.71 | 42 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $38.25 – $77.67 | 42 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $2.01 – $4.09 | 42 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $102.70 – $208.56 | 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.