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 |
|---|---|---|---|---|
| Hemoglobin CPT 85018 | $25.35 | $39.00 | $1.84 – $40.76 | 780 |
| Hemoglobin fetal qualitative CPT 83033 | $128.70 | $198.00 | $101.91 – $206.95 | 42 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $74.75 | $115.00 | $8.20 – $120.20 | 28 |
| Hemoglobin plasma CPT 83051 | $83.85 | $129.00 | $7.16 – $129.00 | 42 |
| Heparin assay CPT 85520 | $53.95 | $83.00 | $42.72 – $86.75 | 42 |
| Heparin bolus from bag HCPCS J1644 | $38.75 | $38.75 | $5.50 – $20.02 | 112 |
| Heparin neutralization CPT 85525 | $47.45 | $73.00 | $37.57 – $76.30 | 42 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $3.00 | $3.00 | $1.54 – $3.14 | 42 |
| Hepatitis a antibody igm CPT 86709 | $100.10 | $154.00 | $79.26 – $160.96 | 42 |
| Hepatitis b core antibody igm CPT 86705 | $118.95 | $183.00 | $11.77 – $191.27 | 42 |
| Hepatitis b core antibody total CPT 86704 | $96.20 | $148.00 | $76.18 – $154.69 | 42 |
| Hepatitis b surface antibody CPT 86706 | $107.90 | $166.00 | $10.74 – $173.50 | 42 |
| Hepatitis c antibody CPT 86803 | $126.75 | $195.00 | $13.98 – $195.00 | 42 |
| Herpes simplex type 1 antibody igg CPT 86695 | $85.80 | $132.00 | $67.94 – $137.97 | 28 |
| Herpes simplex type 2 antibody igg CPT 86696 | $57.85 | $89.00 | $45.81 – $93.02 | 28 |
| Heterophile antibodies screening CPT 86308 | $52.00 | $80.00 | $41.18 – $83.62 | 42 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $312.65 | $481.00 | $247.57 – $502.74 | 42 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $306.80 | $472.00 | $242.94 – $493.33 | 42 |
| Hip X-ray CPT 73502 | $222.30 | $342.00 | $176.03 – $357.46 | 42 |
| Hldr trach tb tie ad HCPCS A7526 | $1,057.54 | $1,626.99 | $0.30 – $0.62 | 42 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | $0.78 | $1.20 | $0.62 – $1.25 | 42 |
| Home/res vst new mod mdm 60 CPT 99344 | $436.00 | $436.00 | $107.12 – $390.44 | 768 |
| Home sleep test/type 3 porta HCPCS G0399 | $447.20 | $688.00 | $354.11 – $719.10 | 42 |
| Home sleep test/type 4 porta HCPCS G0400 | $449.15 | $691.00 | $355.66 – $722.23 | 42 |
| Homocysteine CPT 83090 | $181.35 | $279.00 | $17.92 – $291.61 | 42 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $396.50 | $610.00 | $313.97 – $637.57 | 42 |
| Hopd mntl hlt, grp HCPCS C7903 | $477.75 | $735.00 | $378.30 – $768.22 | 42 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,829.90 | $1,829.90 | $941.85 – $1,912.61 | 113 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $236.10 | $236.10 | $54.00 – $246.77 | 113 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $64.40 | $64.40 | $5.19 – $67.31 | 113 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $243.25 | $243.25 | $21.20 – $45.99 | 113 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $185.75 | $185.75 | $5.40 – $63.65 | 113 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $117.55 | $117.55 | $54.04 – $109.75 | 42 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.00 | $1.00 | $0.10 – $1.05 | 113 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $442.00 | $442.00 | $132.87 – $442.00 | 556 |
| I-123 iobenguane diag HCPCS A9582 | $24,445.60 | $24,445.60 | $12,582.15 – $25,550.54 | 42 |
| I-123 ioflupane diag HCPCS A9584 | $12,340.00 | $12,340.00 | $6,351.40 – $12,897.77 | 42 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $412.50 | $412.50 | $206.52 – $419.39 | 42 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $6,709.35 | $6,709.35 | $3,453.30 – $7,012.61 | 42 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $215.02 – $436.63 | 42 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,149.75 | $1,149.75 | $92.40 – $1,201.72 | 113 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $20,112.30 | $30,942.00 | $0.01 – $0.01 | 42 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,933.75 | $42,975.00 | $83.78 – $170.13 | 42 |
| Icd crtp serena MRI HCPCS C2621 | $9,235.69 | $14,208.75 | $1,534.40 – $3,115.91 | 42 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,621.95 | $7,110.69 | $46.83 – $95.10 | 42 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $25.71 – $176.64 | 113 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $132.60 | $204.00 | $61.13 – $213.22 | 42 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $378.95 | $583.00 | $300.07 – $609.35 | 42 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $230.10 | $354.00 | $69.55 – $370.00 | 42 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $2,679.94 – $8,343.67 | 113 |
| Immob elbow child sm HCPCS L3762 | $29.02 | $44.65 | $1.93 – $3.92 | 42 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $525.01 | $807.71 | $44.06 – $89.47 | 42 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $171.43 | $263.74 | $1.26 – $2.55 | 42 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $136.42 | $209.88 | $2.07 – $4.20 | 42 |
| Immobilizer shldr sling med HCPCS L3660 | $34.03 | $52.36 | $26.95 – $54.73 | 42 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $10,106.10 | $10,106.10 | $478.00 – $1,760.48 | 113 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $1,634.00 – $4,782.99 | 113 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $483.80 – $1,111.57 | 113 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $131.95 | $203.00 | $20.81 – $212.18 | 42 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $104.65 | $161.00 | $20.81 – $168.28 | 42 |
| Immunofixation electrophoresis serum CPT 86334 | $155.35 | $239.00 | $123.01 – $249.80 | 42 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $76.05 | $117.00 | $60.22 – $122.29 | 42 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $260.65 | $401.00 | $206.39 – $419.13 | 42 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,473.00 | $8,420.00 | $1,159.94 – $2,355.48 | 42 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $913.25 | $1,405.00 | $723.15 – $1,468.51 | 42 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,241.57 | $6,525.50 | $27.90 – $56.65 | 42 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,357.14 | $9,780.21 | $224.75 – $456.41 | 42 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,283.12 | $3,512.50 | $1,807.88 – $3,671.27 | 42 |
| Implant pulse generator remede el HCPCS C1823 | $12,314.25 | $18,945.00 | $5,047.03 – $10,249.00 | 42 |
| Implant ureth bulk agent HCPCS L8606 | $2,141.57 | $3,294.73 | $767.27 – $1,558.09 | 42 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,704.37 | $5,699.03 | $1,652.19 – $3,355.09 | 42 |
| Impl eye bio-eye 16mm HCPCS L8042 | $1,657.55 | $2,550.08 | $269.28 – $546.82 | 42 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $769.45 – $1,562.52 | 42 |
| In-111 autol wbc diag per dose HCPCS A9570 | $10,776.60 | $10,776.60 | $5,546.72 – $11,263.70 | 42 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $3,615.25 – $7,341.48 | 42 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $3,729.90 – $7,574.30 | 42 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $5,546.72 – $11,263.70 | 42 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $5,746.09 – $11,668.56 | 42 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $7,888.81 – $16,019.78 | 42 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $1,813.93 – $3,683.55 | 42 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $137.15 | $211.00 | $70.20 – $220.54 | 42 |
| Infect ag ia optc obs influenza CPT 87804 | $286.00 | $93.00 | $13.24 – $97.20 | 780 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $284.05 | $437.00 | $93.88 – $437.00 | 42 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $135.00 | $135.00 | $28.97 – $104.52 | 780 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $68.25 | $105.00 | $54.04 – $109.75 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $64.35 | $99.00 | $13.15 – $99.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $103.35 | $159.00 | $81.84 – $166.19 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $100.10 | $154.00 | $79.26 – $160.96 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $210.60 | $324.00 | $14.38 – $338.64 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $94.25 | $145.00 | $10.12 – $145.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $49.40 | $76.00 | $10.12 – $76.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $123.50 | $190.00 | $97.79 – $198.59 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $53.30 | $82.00 | $42.21 – $85.71 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $118.30 | $182.00 | $11.74 – $182.00 | 42 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $63.70 | $98.00 | $50.44 – $102.43 | 42 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $213.85 | $329.00 | $169.34 – $343.87 | 42 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $200.85 | $309.00 | $159.04 – $322.97 | 42 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $126.10 | $194.00 | $99.85 – $202.77 | 42 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,146.60 | $1,764.00 | $408.44 – $1,764.00 | 42 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $193.70 | $298.00 | $35.09 – $311.47 | 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.