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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $181.35 | $279.00 | $35.09 – $291.61 | 42 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $109.20 | $168.00 | $86.47 – $175.59 | 42 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $193.05 | $297.00 | $152.87 – $310.42 | 42 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $187.20 | $288.00 | $51.31 – $301.02 | 42 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $361.40 | $556.00 | $286.17 – $581.13 | 42 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $298.35 | $459.00 | $236.25 – $479.75 | 42 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $100.10 | $154.00 | $79.26 – $160.96 | 42 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $202.15 | $311.00 | $160.07 – $325.06 | 42 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $137.15 | $211.00 | $108.60 – $220.54 | 42 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,325.35 | $2,039.00 | $1,049.47 – $2,131.16 | 42 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $579.80 | $892.00 | $459.11 – $932.32 | 42 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $313.95 | $483.00 | $248.60 – $504.83 | 42 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $414.05 | $637.00 | $260.31 – $665.79 | 42 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $231.40 | $356.00 | $42.84 – $372.09 | 42 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $310.70 | $478.00 | $246.03 – $499.61 | 42 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $308.10 | $474.00 | $42.84 – $495.42 | 42 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $219.05 | $337.00 | $85.10 – $352.23 | 42 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $287.30 | $442.00 | $227.50 – $461.98 | 42 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,222.55 | $3,222.55 | $311.80 – $3,368.21 | 113 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,379.70 | $1,379.70 | $358.80 – $1,442.06 | 113 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,739.55 | $2,739.55 | $405.00 – $2,863.38 | 113 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $310.00 | $345.00 | $57.41 – $360.59 | 780 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $403.88 | $399.00 | $57.41 – $399.00 | 768 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $127.40 | $196.00 | $67.80 – $204.86 | 42 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10,183.70 | $10,183.70 | $2,172.00 – $10,644.00 | 113 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $286.65 | $441.00 | $12.25 – $307.29 | 780 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $649.35 | $999.00 | $514.19 – $1,044.15 | 42 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $145.60 | $224.00 | $115.29 – $234.12 | 42 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $32.20 | $32.20 | $16.57 – $33.66 | 42 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $984.90 | $984.90 | $157.00 – $1,029.42 | 113 |
| Inj, uzedy, 1 mg HCPCS J2799 | $31,407.80 | $31,407.80 | $1,254.00 – $6,564.90 | 113 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $73,182.85 | $73,182.85 | $26,573.31 – $76,490.71 | 113 |
| Insertion catheter bladder non indwelling CPT 51701 | $250.90 | $386.00 | $198.67 – $403.45 | 42 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,022.15 | $3,111.00 | $1,601.23 – $3,251.62 | 42 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,737.80 | $4,212.00 | $2,167.92 – $4,402.38 | 42 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $158.60 | $244.00 | $115.96 – $255.03 | 42 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $280.15 | $431.00 | $156.19 – $450.48 | 42 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $44.30 | $68.15 | $35.08 – $71.23 | 42 |
| Insulin total CPT 83525 | $85.80 | $132.00 | $67.94 – $137.97 | 42 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $2,333.79 | $3,590.44 | $1,848.00 – $3,752.73 | 42 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $146.76 | $225.79 | $116.21 – $236.00 | 42 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $191.75 | $295.00 | $151.84 – $308.33 | 42 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $10,427.90 | $10,427.90 | $2,159.40 – $10,899.24 | 113 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $431.50 | $431.50 | $60.35 – $122.55 | 42 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $110,829.85 | $110,829.85 | $10,036.00 – $28,959.88 | 113 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $522.90 | $522.90 | $32.92 – $66.84 | 42 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $9,268.95 | $9,268.95 | $3,070.63 – $9,687.91 | 113 |
| Iron CPT 83540 | $53.30 | $82.00 | $42.21 – $85.71 | 42 |
| Iron binding capacity CPT 83550 | $63.05 | $97.00 | $8.74 – $101.38 | 42 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $185.90 | $185.90 | $95.68 – $194.30 | 42 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $158.45 | $158.45 | $22.00 – $165.61 | 113 |
| Irradiation of blood product each unit reference CPT 86945 | $202.15 | $311.00 | $160.07 – $325.06 | 42 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $163.15 | $251.00 | $129.19 – $262.35 | 42 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $2,779.35 | $2,779.35 | $906.80 – $2,904.98 | 113 |
| IV Fluids (each additional hour) CPT 96361 | $541.00 | $152.00 | $2.28 – $158.87 | 113 |
| IV Fluids (first hour) CPT 96360 | $239.85 | $369.00 | $189.92 – $385.68 | 42 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $113.10 | $174.00 | $89.56 – $181.86 | 42 |
| IV Medicine Infusion (additional drug) CPT 96367 | $191.10 | $294.00 | $151.32 – $307.29 | 42 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $9,494.10 | $149.00 | $4.50 – $155.73 | 113 |
| IV Medicine Infusion (first hour) CPT 96365 | $1,260.50 | $445.00 | $9.09 – $465.11 | 113 |
| IV Push Injection (each additional drug) CPT 96375 | $17,636.50 | $192.00 | $98.82 – $3,528.72 | 113 |
| IV Push Injection (first drug) CPT 96374 | $9,494.10 | $310.00 | $4.50 – $324.01 | 113 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $18,131.05 | $18,131.05 | $2,276.25 – $6,316.88 | 113 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $234.00 | $360.00 | $185.29 – $376.27 | 42 |
| Jkt lso inter HCPCS L0560 | $41.27 | $63.49 | $32.68 – $66.36 | 42 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $72.80 | $112.00 | $57.65 – $117.06 | 42 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $17.25 | $17.25 | $0.29 – $8.41 | 780 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $603.85 | $929.00 | $478.16 – $970.99 | 42 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $443.95 | $683.00 | $351.54 – $713.87 | 42 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,937.40 | $9,134.46 | $1,509.19 – $3,064.71 | 42 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $257.21 | $395.71 | $175.36 – $356.11 | 42 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $1.31 | $2.02 | $0.68 – $1.39 | 42 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,430.77 | $9,893.50 | $2,979.47 – $6,050.40 | 42 |
| Kit hfx iq ipg bundle HCPCS C1822 | $26,541.53 | $40,833.13 | $20,159.47 – $40,937.79 | 42 |
| Kit ipg optimizer smart HCPCS C1824 | $29,051.10 | $44,694.00 | $20,349.69 – $41,324.07 | 42 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $2.05 | $3.16 | $1.63 – $3.30 | 42 |
| Kit lead specify 5-6-5 HCPCS C1778 | $13,454.45 | $20,699.16 | $73.77 – $149.81 | 42 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $1,313.77 | $2,021.18 | $1,040.30 – $2,112.54 | 42 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,391.79 | $2,141.22 | $1,058.48 – $2,149.45 | 42 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $234.08 | $360.12 | $108.51 – $220.36 | 42 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $6,106.28 | $9,394.28 | $3,276.33 – $6,653.24 | 42 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $3,140.14 | $4,830.98 | $21.54 – $43.74 | 42 |
| Knee MRI (without contrast) CPT 73721 | $3,903.25 | $6,005.00 | $2,060.34 – $4,183.94 | 42 |
| Knee X-ray CPT 73564 | $483.60 | $744.00 | $255.29 – $518.42 | 42 |
| Knee X-ray (3 views, both knees) CPT 73562 | $319.15 | $491.00 | $168.31 – $341.78 | 42 |
| Lactate dehydrogenase (ldh) CPT 83615 | $48.75 | $75.00 | $6.04 – $78.39 | 42 |
| Lactated ringers intravenous solution HCPCS J7120 | $20.00 | $20.00 | $9.01 – $18.29 | 42 |
| Lactic acid CPT 83605 | $81.90 | $126.00 | $64.85 – $131.70 | 42 |
| Lactoferrin fecal qualitative CPT 83630 | $126.75 | $195.00 | $19.31 – $195.00 | 42 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $29,832.00 | $29,832.00 | $15,354.53 – $31,180.41 | 42 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $861.90 | $1,326.00 | $2.03 – $923.96 | 780 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,873.32 | $4,420.50 | $52.02 – $105.64 | 42 |
| Lead capillary CPT 83655 | $90.35 | $139.00 | $12.11 – $145.28 | 42 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,159.75 | $6,399.62 | $0.13 – $0.27 | 42 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,202.66 | $12,619.48 | $48.08 – $97.64 | 42 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $2,120.95 | $3,263.00 | $1,119.47 – $2,273.31 | 42 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $987.35 | $1,519.00 | $781.83 – $1,587.66 | 42 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $419.25 | $645.00 | $25.74 – $52.26 | 42 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $692.25 | $1,065.00 | $25.74 – $52.26 | 42 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $354.25 | $545.00 | $25.74 – $52.26 | 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.