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 |
|---|---|---|---|---|
| Finger X-ray (both hands) CPT 73140 | $282.75 | $435.00 | $149.26 – $303.11 | 42 |
| Flow cytometry marker each additional CPT 88185 | $85.15 | $131.00 | $67.43 – $136.92 | 42 |
| Flow cytometry one marker technical component CPT 88184 | $248.95 | $383.00 | $197.13 – $400.31 | 42 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $78.41 – $454.30 | 113 |
| Fluorescent antibody titer dna CPT 86256 | $79.95 | $123.00 | $63.31 – $128.56 | 42 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.00 | $147.00 | $1.88 – $50.85 | 113 |
| Folic acid CPT 82746 | $94.25 | $145.00 | $74.63 – $151.55 | 42 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $106.00 | $106.00 | $30.00 – $110.79 | 113 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $275.11 | $423.24 | $39.60 – $80.42 | 42 |
| Foot X-ray CPT 73630 | $339.30 | $522.00 | $11.84 – $24.04 | 42 |
| Foot X-ray (2 views, both feet) CPT 73620 | $270.40 | $416.00 | $142.57 – $289.52 | 42 |
| Forearm X-ray (both sides) CPT 73090 | $349.05 | $537.00 | $184.26 – $374.18 | 42 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,539.00 | $1,539.00 | $792.12 – $1,608.56 | 42 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $150.40 | $150.40 | $4.74 – $9.62 | 113 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $337.35 | $519.00 | $267.13 – $542.46 | 42 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $144.95 | $223.00 | $114.78 – $233.08 | 42 |
| Fructosamine glycated protein CPT 82985 | $69.55 | $107.00 | $55.07 – $111.84 | 42 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $5.10 | $5.10 | $0.40 – $3.29 | 113 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $6.75 | $6.75 | $3.47 – $7.06 | 42 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $253.10 | $253.10 | $130.27 – $264.54 | 42 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $15,600.00 | $15,600.00 | $8,029.32 – $16,305.12 | 42 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $591.40 | $591.40 | $19.76 – $618.13 | 42 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $231.00 | $231.00 | $7.35 – $241.44 | 42 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,440.40 | $2,216.00 | $1,140.58 – $2,316.16 | 42 |
| Gammaglobulin iga CPT 82784 | $81.90 | $126.00 | $64.85 – $131.70 | 42 |
| Gammaglobulin ige CPT 82785 | $83.85 | $129.00 | $66.40 – $134.83 | 42 |
| Gamma glutamyltransferase CPT 82977 | $60.45 | $93.00 | $47.87 – $97.20 | 42 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $138.00 | $138.00 | $39.62 – $86.54 | 113 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $540.20 | $540.20 | $16.20 – $52.42 | 113 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $31,504.65 | $31,504.65 | $11,652.30 – $32,928.66 | 113 |
| General health panel CPT 80050 | $263.25 | $405.00 | $208.45 – $423.31 | 42 |
| Generator barostim neo2 2014 HCPCS C1767 | $44,831.44 | $68,971.44 | $1.73 – $3.51 | 42 |
| Generator emblem MRI sicd subq HCPCS C1722 | $22,347.00 | $34,380.00 | $387.61 – $787.12 | 42 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $37,570.90 | $57,801.38 | $23,004.00 – $46,714.17 | 42 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $17.40 | $17.40 | $2.24 – $4.55 | 42 |
| Gentamicin peak therapeutic drug level CPT 80170 | $97.50 | $150.00 | $77.21 – $156.78 | 42 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $52.00 | $80.00 | $27.28 – $443.15 | 42 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,201.00 | $1,201.00 | $79.19 – $912.00 | 768 |
| Ghs HIV antibody CPT 86703 | $64.35 | $99.00 | $50.96 – $103.47 | 42 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $761.00 | $761.00 | $19.14 – $577.25 | 768 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $914.00 | $914.00 | $72.01 – $680.57 | 768 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $873.00 | $873.00 | $37.85 – $341.00 | 768 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $479.00 | $479.00 | $6.59 – $51.36 | 768 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $559.00 | $559.00 | $47.61 – $559.00 | 768 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $676.00 | $676.00 | $55.07 – $676.00 | 768 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $149.50 | $230.00 | $37.25 – $240.40 | 42 |
| Ghs ppd (tb intradermal) CPT 86580 | $30.00 | $30.00 | $6.59 – $24.87 | 768 |
| Ghs pr without cont pulse ox CPT 94625 | $157.30 | $242.00 | $124.56 – $252.94 | 42 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $282.10 | $434.00 | $64.28 – $453.62 | 42 |
| Gi inhouse confirmation CPT 87045 | $83.85 | $129.00 | $66.40 – $134.83 | 42 |
| Glove finger flexion right lg xl HCPCS L3912 | $53.03 | $81.59 | $30.09 – $61.11 | 42 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.40 | $655.40 | $337.33 – $685.02 | 41 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $567.40 | $567.40 | $292.04 – $593.05 | 42 |
| Glucose 1 hr post dose CPT 82950 | $41.60 | $64.00 | $32.94 – $66.89 | 42 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $8.00 | $8.00 | $2.30 – $6.82 | 768 |
| Glucose blood quantitative CPT 82947 | $36.40 | $56.00 | $28.82 – $58.53 | 42 |
| Glucose body fluid CPT 82945 | $45.50 | $70.00 | $3.89 – $73.16 | 42 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $92.30 | $142.00 | $21.62 – $148.42 | 42 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $53.95 | $83.00 | $3.84 – $83.00 | 42 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $10,066.00 | $7.00 | $0.86 – $7.32 | 113 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,516.60 | $5,516.60 | $551.50 – $5,765.95 | 113 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $133.25 | $205.00 | $105.51 – $214.27 | 42 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $135.20 | $208.00 | $107.06 – $217.40 | 42 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $16,064.55 | $16,064.55 | $803.41 – $6,161.56 | 113 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $94.54 | $145.45 | $74.86 – $152.02 | 42 |
| Graft axiofill 1000mg HCPCS J3590 | $6,300.79 | $9,693.53 | $833.07 – $1,691.72 | 42 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | $1.41 | $2.17 | $1.12 – $2.27 | 42 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,885.86 | $2,901.33 | $49.56 – $100.63 | 42 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $4,970.86 | $7,647.47 | $0.24 – $0.48 | 42 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $1,548.87 | $2,382.88 | $1,226.47 – $2,490.59 | 42 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $16,761.06 | $25,786.25 | $0.22 – $0.45 | 42 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $35,755.20 | $55,008.00 | $0.01 – $0.01 | 42 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $304.44 | $468.37 | $0.80 – $1.63 | 42 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $397.50 | $611.54 | $122.86 – $249.49 | 42 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $414.05 | $637.00 | $157.44 – $319.72 | 42 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $476.79 | $733.52 | $41.91 – $85.10 | 42 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $58.05 | $89.31 | $45.97 – $93.35 | 42 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $1,705.66 | $2,624.09 | $0.03 – $0.05 | 42 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | $593.61 | $913.25 | $180.15 – $365.83 | 42 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $312.02 | $480.03 | $31.96 – $64.91 | 42 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $25,506.74 | $39,241.14 | $25.74 – $52.26 | 42 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $17,074.23 | $26,268.04 | $56.29 – $114.30 | 42 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,547.89 | $3,919.83 | $2,002.82 – $4,067.12 | 42 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,925.86 | $7,578.25 | $0.01 – $0.01 | 42 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $747.95 | $1,150.70 | $0.01 – $0.01 | 42 |
| Gw stiffened micro access kit HCPCS C1894 | $9,830.88 | $15,124.43 | $0.01 – $0.01 | 42 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $31.05 | $31.05 | $15.98 – $32.45 | 42 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $3.65 | $3.65 | $1.88 – $3.81 | 42 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $14,876.30 | $22,886.61 | $3,799.93 – $7,716.50 | 42 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $128.70 | $198.00 | $101.91 – $206.95 | 42 |
| Hand X-ray CPT 73130 | $305.50 | $470.00 | $161.10 – $327.15 | 42 |
| Hand X-ray (2 views, both hands) CPT 73120 | $235.95 | $363.00 | $124.56 – $252.94 | 42 |
| Haptoglobin quantitative CPT 83010 | $126.10 | $194.00 | $12.58 – $202.77 | 42 |
| Hcg qualitative CPT 84703 | $85.15 | $131.00 | $7.52 – $136.92 | 42 |
| Hcg quantitative CPT 84702 | $109.20 | $168.00 | $15.05 – $175.59 | 42 |
| Head CT scan (without contrast) CPT 70450 | $2,626.00 | $2,105.00 | $9.09 – $2,200.15 | 42 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $274.95 | $423.00 | $145.15 – $294.75 | 42 |
| Helicobacter pylori antibody igm CPT 86677 | $79.95 | $123.00 | $63.31 – $128.56 | 42 |
| Hematocrit CPT 85014 | $30.55 | $47.00 | $24.19 – $49.12 | 42 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $34,281.50 | $34,281.50 | $11,959.50 – $35,831.02 | 113 |
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.