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 |
|---|---|---|---|---|
| Drug of abuse screen urine CPT 80305 | $28.00 | $28.00 | $8.98 – $27.49 | 768 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $137.15 | $211.00 | $61.51 – $220.54 | 42 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $313.47 – $636.57 | 42 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $14.03 – $28.48 | 42 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $1,119.48 – $3,312.76 | 113 |
| Ear irrigation 69209 CPT 69209 | $108.00 | $156.00 | $4.65 – $108.70 | 780 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $219.70 | $338.00 | $173.97 – $353.28 | 42 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $458.25 | $705.00 | $362.86 – $736.87 | 42 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,527.50 | $2,350.00 | $117.76 – $240.40 | 42 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $292.50 | $450.00 | $231.62 – $470.34 | 42 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $6,715.50 – $19,021.80 | 113 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $7,090.00 – $19,798.81 | 113 |
| EKG (Electrocardiogram) CPT 93000 | $81.25 | $125.00 | $9.80 – $130.65 | 780 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $49.00 | $49.00 | $10.47 – $42.00 | 767 |
| EKG interpret & report preve g0405 HCPCS G0405 | $30.55 | $47.00 | $24.19 – $49.12 | 42 |
| EKG tracing for initial prev HCPCS G0404 | $62.40 | $96.00 | $49.41 – $100.34 | 42 |
| EKG (Tracing Only) CPT 93005 | $1,219.00 | $245.00 | $4.47 – $256.07 | 780 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $237.25 | $365.00 | $125.07 – $253.98 | 42 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $327.60 | $504.00 | $172.94 – $351.19 | 42 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,374.87 | $11,345.95 | $1,540.84 – $3,128.97 | 42 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $81.25 | $125.00 | $64.34 – $125.00 | 34 |
| Electrolyte panel CPT 80051 | $63.05 | $97.00 | $7.01 – $101.38 | 42 |
| Electron microscopy diagnostic CPT 88348 | $455.00 | $700.00 | $360.29 – $731.64 | 42 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $2,586.00 – $7,423.85 | 113 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $14,083.56 – $44,795.50 | 113 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $3,209.60 – $8,807.90 | 113 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $54.00 | $54.00 | $4.12 – $8.36 | 42 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $1,522.75 – $4,392.45 | 113 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $29.85 – $60.62 | 42 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $13.20 – $38.46 | 113 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $655.40 | $655.40 | $5.80 – $52.68 | 113 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $35.20 | $35.20 | $18.12 – $36.79 | 42 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $231.25 | 113 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,079.00 | $2,079.00 | $15.14 – $108.70 | 113 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $15.36 – $159.39 | 113 |
| Epstein barr early antigen antibody CPT 86663 | $94.25 | $145.00 | $74.63 – $151.55 | 42 |
| Epstein barr nuclear antigen antibody CPT 86664 | $107.90 | $166.00 | $85.44 – $173.50 | 42 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $1,879.00 | $186.00 | $9.09 – $194.41 | 42 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $1,985.00 – $10,473.37 | 113 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $1,144.50 – $7,368.66 | 113 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $184.00 | $184.00 | $1.54 – $18.04 | 113 |
| ER Visit (level 1, minor) CPT 99281 | $341.25 | $525.00 | $10.28 – $56.44 | 42 |
| ER Visit (level 2) CPT 99282 | $487.50 | $750.00 | $25.77 – $108.70 | 780 |
| ER Visit (level 3) CPT 99283 | $1,772.00 | $927.00 | $9.09 – $163.05 | 780 |
| ER Visit (level 4) CPT 99284 | $3,580.10 | $1,280.00 | $1.92 – $296.84 | 780 |
| ER Visit (level 5, high severity) CPT 99285 | $6,878.70 | $1,908.00 | $0.71 – $900.96 | 780 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $125.40 | $125.40 | $64.54 – $131.07 | 113 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $427.50 | $427.50 | $220.03 – $446.82 | 42 |
| Established Patient Office Visit (level 1) CPT 99211 | $54.00 | $54.00 | $6.48 – $56.44 | 780 |
| Established Patient Office Visit (level 2) CPT 99212 | $120.00 | $120.00 | $8.04 – $120.00 | 780 |
| Established Patient Office Visit (level 3) CPT 99213 | $192.00 | $192.00 | $36.25 – $192.00 | 780 |
| Established Patient Office Visit (level 4) CPT 99214 | $272.00 | $272.00 | $56.78 – $272.00 | 780 |
| Established Patient Office Visit (level 5) CPT 99215 | $382.00 | $382.00 | $76.90 – $378.36 | 780 |
| Estradiol total CPT 82670 | $154.70 | $238.00 | $122.50 – $248.76 | 42 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $174.75 | $174.75 | $71.50 – $182.65 | 113 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $208.65 | $321.00 | $165.22 – $335.51 | 42 |
| Exam pelvic add-on CPT 99459 | $56.00 | $56.00 | $11.08 – $55.00 | 768 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,795.95 | $2,763.00 | $289.55 – $1,925.26 | 42 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $275.60 | $424.00 | $70.58 – $443.16 | 42 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $531.00 | $531.00 | $31.53 – $336.47 | 768 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $263.90 | $406.00 | $208.97 – $424.35 | 42 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $15,617.55 | not published | $0.96 – $2.79 | 73 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,040.00 | $1,600.00 | $405.36 – $1,672.32 | 42 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $654.00 | $654.00 | $23.97 – $375.33 | 768 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $758.00 | $758.00 | $33.39 – $544.04 | 768 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $812.00 | $812.00 | $41.93 – $567.10 | 768 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,028.00 | $1,028.00 | $57.73 – $683.02 | 768 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,420.11 | $3,723.25 | $0.06 – $0.13 | 42 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,952.42 | $4,542.19 | $12.87 – $26.13 | 42 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $48.38 – $98.25 | 42 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $133.25 | $205.00 | $105.51 – $214.27 | 42 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $27.41 – $55.66 | 42 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $910.09 – $1,848.12 | 42 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $7,795.13 – $15,829.55 | 42 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $14,131.09 – $28,695.97 | 42 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $716.08 – $1,454.13 | 42 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,714.10 | $5,714.00 | $2,941.00 – $5,972.27 | 42 |
| Factor ix CPT 85250 | $146.25 | $225.00 | $18.66 – $225.00 | 42 |
| Factor viii CPT 85240 | $246.35 | $379.00 | $195.07 – $396.13 | 42 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.15 | $4.15 | $0.80 – $3.14 | 113 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $3,283.00 – $10,161.85 | 113 |
| Fat/lipids feces qualitative CPT 82705 | $45.50 | $70.00 | $5.00 – $70.00 | 42 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $9,604.50 – $29,509.60 | 113 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $53.25 | $53.25 | $1.54 – $3.14 | 42 |
| Fern test HCPCS Q0114 | $40.95 | $63.00 | $32.43 – $65.85 | 42 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $2,708.35 – $5,499.84 | 42 |
| Ferritin CPT 82728 | $107.25 | $165.00 | $84.93 – $172.46 | 42 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $712.85 | $712.85 | $158.10 – $745.07 | 113 |
| Fetal fibronectin CPT 82731 | $442.00 | $680.00 | $350.00 – $710.74 | 42 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $48.75 | $75.00 | $38.60 – $78.39 | 42 |
| Fetal hemoglobin rosette CPT 85461 | $81.90 | $126.00 | $64.85 – $131.70 | 42 |
| Fibrin degradation d dimer quantitative CPT 85379 | $145.60 | $224.00 | $115.29 – $234.12 | 42 |
| Fibrinogen activity CPT 85384 | $67.60 | $104.00 | $10.30 – $108.70 | 42 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $222.30 | $342.00 | $15.17 – $342.00 | 42 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $87.00 – $1,052.73 | 113 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $297.00 – $1,513.40 | 113 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $111.00 – $1,318.83 | 113 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $1,375.44 – $2,793.10 | 42 |
| Filter vena cava fem denali HCPCS C1880 | $23,327.77 | $35,888.87 | $186.84 – $379.41 | 42 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $455.59 – $925.16 | 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.