MercyOne New Hampton Medical Center
308 North Maple Ave, New Hampton, IA · MercyOne · · NPI 1770651515
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 |
|---|---|---|---|---|
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $78.00 | $120.00 | $24.47 – $120.00 | 43 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $114.40 | $176.00 | $69.68 – $176.00 | 43 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $268.45 | $413.00 | $163.51 – $413.00 | 43 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $267.15 | $411.00 | $134.26 – $411.00 | 43 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $250.90 | $386.00 | $24.47 – $386.00 | 43 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $152.10 | $234.00 | $17.69 – $234.00 | 43 |
| Mayo myoglobin CPT 83874 | $98.80 | $152.00 | $60.18 – $152.00 | 43 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $183.30 | $282.00 | $111.64 – $282.00 | 43 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $78.00 | $120.00 | $15.03 – $100.00 | 43 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $94.90 | $146.00 | $57.80 – $146.00 | 43 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $195.00 | $300.00 | $17.62 – $300.00 | 43 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $91.00 | $140.00 | $13.48 – $140.00 | 43 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $65.00 | $100.00 | $8.27 – $100.00 | 43 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $78.00 | $120.00 | $16.26 – $120.00 | 43 |
| Mayo psaft prostate specific antigen free CPT 84154 | $140.40 | $216.00 | $18.39 – $216.00 | 43 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $83.85 | $129.00 | $51.07 – $129.00 | 43 |
| Mayo renin CPT 84244 | $120.25 | $185.00 | $73.24 – $185.00 | 43 |
| Mayo repu protein electrophoresis urine CPT 84166 | $72.80 | $112.00 | $44.34 – $112.00 | 43 |
| Mayo selenium CPT 84255 | $50.70 | $78.00 | $30.88 – $78.00 | 43 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $46.15 | $71.00 | $28.11 – $71.00 | 43 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $100.10 | $154.00 | $60.97 – $154.00 | 43 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $71.50 | $110.00 | $43.55 – $184.98 | 43 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.95 | $83.00 | $4.27 – $83.00 | 29 |
| Mayo tgrp testosterone free CPT 84402 | $152.10 | $234.00 | $92.64 – $234.00 | 43 |
| Mayo tgrp testosterone total CPT 84403 | $180.70 | $278.00 | $110.06 – $278.00 | 43 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $262.60 | $404.00 | $21.73 – $404.00 | 43 |
| Mayo thyroglobulin CPT 84432 | $124.80 | $192.00 | $76.01 – $192.00 | 43 |
| Mayo vasoactive intestinal peptide CPT 84586 | $139.75 | $215.00 | $34.62 – $215.00 | 43 |
| Measurement post void urine by ultrasound CPT 51798 | $130.00 | $200.00 | $79.18 – $200.00 | 43 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $250.00 | $250.00 | $33.94 – $250.00 | 555 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $450.93 | $693.74 | $274.65 – $693.74 | 43 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $436.12 | $670.95 | $140.19 – $354.10 | 43 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,730.00 | $4,200.00 | $185.62 – $468.86 | 43 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $756.44 | $1,163.75 | $100.89 – $254.84 | 43 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $75,943.40 | $116,836.00 | $46,255.37 – $116,836.00 | 43 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $769.18 | $1,183.35 | $178.43 – $450.70 | 43 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $331.77 | $510.41 | $202.07 – $510.41 | 43 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $100.30 | $100.30 | $4.41 – $15.69 | 114 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $3,133.00 – $18,374.40 | 114 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $14.10 | 114 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $3.59 | $5.52 | $2.19 – $5.52 | 43 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,202.17 | $9,541.80 | $3,777.60 – $9,541.80 | 43 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 114 |
| Metabolic Blood Panel (Basic) CPT 80048 | $322.40 | $159.00 | $8.63 – $159.00 | 43 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $624.65 | $194.00 | $9.09 – $194.00 | 43 |
| Metabolic panel ionized ca CPT 80047 | $26.00 | $40.00 | $15.84 – $40.00 | 43 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.25 | $1.25 | $0.22 – $1.25 | 114 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $6.12 – $15.45 | 43 |
| Methotrexate therapeutic drug level CPT 80204 | $128.05 | $197.00 | $77.99 – $197.00 | 43 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $104.35 | $104.35 | $22.06 – $104.35 | 114 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $113.60 – $572.60 | 114 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.00 | $1.00 | $0.23 – $1.00 | 114 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $93.70 | $93.70 | $0.09 – $93.70 | 779 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $217.95 | $217.95 | $2.08 – $5.85 | 114 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $3.00 | $3.00 | $1.00 – $3.00 | 114 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $3.55 | $3.55 | $0.65 – $3.55 | 114 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.50 | $14.50 | $5.74 – $14.50 | 43 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $216.45 | $333.00 | $131.83 – $333.00 | 43 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $4.70 | $4.70 | $0.32 – $3.00 | 114 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $38.00 | $38.00 | $15.04 – $38.00 | 43 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $7,608.00 – $20,601.45 | 114 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $30.94 – $298.95 | 114 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $194.34 – $1,048.45 | 114 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,923.67 | $9,113.34 | $44.75 – $113.04 | 43 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $1.19 – $4.55 | 114 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $41.05 | $41.05 | $8.13 – $8.13 | 71 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $3.00 | $3.00 | $1.19 – $3.00 | 43 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $714.33 – $1,936.45 | 114 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $479.70 | $738.00 | $292.17 – $738.00 | 43 |
| M/phmtrc alysishquant/semiq CPT 88369 | $157.95 | $243.00 | $96.20 – $243.00 | 43 |
| MRI chest without & w/contrast CPT 71552 | $2,592.85 | $3,989.00 | $1,579.25 – $3,989.00 | 43 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,087.20 | $6,288.00 | $1,659.61 – $4,192.00 | 42 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,818.15 | $8,951.00 | $2,362.34 – $5,967.00 | 43 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,421.60 | $5,264.00 | $1,389.21 – $3,509.00 | 43 |
| Mumps antibody igg CPT 86735 | $78.00 | $120.00 | $47.51 – $120.00 | 43 |
| Mycoplasma antibody igm CPT 86738 | $73.45 | $113.00 | $44.74 – $113.00 | 43 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $115.05 | $177.00 | $70.07 – $177.00 | 43 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $27.30 | $27.30 | $6.00 – $27.30 | 114 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $72.45 | $72.45 | $9.11 – $23.00 | 114 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $7,239.00 – $26,637.70 | 114 |
| Natriuretic peptide CPT 83880 | $204.10 | $314.00 | $124.31 – $314.00 | 43 |
| Natural killer cells total count CPT 86357 | $99.45 | $153.00 | $36.98 – $153.00 | 43 |
| Ndl insj without njx 3+ musc CPT 20561 | $63.05 | $97.00 | $38.40 – $97.00 | 43 |
| Ndl round specialty proguide HCPCS C1715 | $1,086.72 | $1,671.88 | $11.23 – $28.36 | 43 |
| Nebulizer Breathing Treatment CPT 94640 | $197.60 | $304.00 | $5.07 – $304.00 | 779 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $189.15 | $291.00 | $115.21 – $291.00 | 43 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,506.05 | $2,317.00 | $917.30 – $2,317.00 | 43 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,764.80 | $5,792.00 | $2,293.05 – $5,792.00 | 43 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,547.35 | $3,919.00 | $1,551.53 – $3,919.00 | 43 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $251.55 | $387.00 | $153.21 – $387.00 | 43 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $351.00 | $540.00 | $213.79 – $540.00 | 43 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $438.75 | $675.00 | $267.23 – $675.00 | 43 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,547.70 | $5,458.00 | $2,160.82 – $5,458.00 | 43 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,603.55 | $2,467.00 | $976.69 – $2,467.00 | 43 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,277.25 | $1,965.00 | $777.94 – $1,965.00 | 43 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $9.20 | $9.20 | $3.64 – $9.20 | 43 |
| Nerve conduction 7-8 studies CPT 95910 | $545.35 | $839.00 | $332.16 – $839.00 | 43 |
| Nerve conduction studies 11-12 CPT 95912 | $780.00 | $1,200.00 | $475.08 – $1,200.00 | 43 |
| Nerve conduction studies 1-2 CPT 95907 | $217.10 | $334.00 | $132.23 – $334.00 | 43 |
| Nerve conduction studies 13+ CPT 95913 | $1,238.25 | $1,905.00 | $754.19 – $1,905.00 | 43 |
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.