healthcosts.net

MercyOne New Hampton Medical Center

308 North Maple Ave, New Hampton, IA · MercyOne · · NPI 1770651515

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

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
Nerve conduction studies 3-4 CPT 95908 $295.75 $455.00 $180.13 – $455.00 43
Nerve conduction studies 5-6 CPT 95909 $421.20 $648.00 $256.54 – $648.00 43
Nerve conduction studies 9-10 CPT 95911 $671.45 $1,033.00 $408.96 – $1,033.00 43
New Patient Office Visit (level 2) CPT 99202 $294.45 $178.00 $26.20 – $178.00 781
New Patient Office Visit (level 3) CPT 99203 $358.80 $252.00 $35.78 – $252.00 780
New Patient Office Visit (level 4) CPT 99204 $507.65 $386.00 $74.55 – $386.00 781
New Patient Office Visit (level 5) CPT 99205 $402.00 $488.00 $93.00 – $488.00 780
Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 $27.30 $27.30 $10.81 – $27.30 114
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 $112.50 $112.50 $14.20 – $112.50 114
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 $24,305.85 $24,305.85 $1,444.80 – $4,051.00 114
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 $94,382.55 $94,382.55 $34,606.40 – $94,382.55 114
Njx interlaminar crv/thrc CPT 62325 $227.50 $350.00 $95.11 – $350.00 43
Nose (Nasal Bone) X-ray (complete) CPT 70160 $208.65 $321.00 $127.08 – $321.00 43
Nuclear Stress Test (Heart) CPT 78452 $2,913.30 $4,482.00 $27.71 – $322.13 43
Nursing facility discharge management 30 min/less than 99315 CPT 99315 $107.90 $166.00 $65.72 – $166.00 43
Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 $455,355.55 $455,355.55 $146,299.20 – $455,355.55 114
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 $28,351.00 $28,351.00 $8,586.00 – $28,351.00 114
Observation/inpatient hospital care hi severity 99236 CPT 99236 $386.10 $594.00 $179.57 – $594.00 43
Observation/inpatient hospital care mod severity 99235 CPT 99235 $302.90 $466.00 $135.68 – $466.00 43
Observation per hour HCPCS G0378 $78.65 $121.00 $42.76 – $108.00 43
Occupational Therapy Evaluation (high complexity) CPT 97167 $216.45 $333.00 $131.83 – $333.00 43
Occupational Therapy Evaluation (low complexity) CPT 97165 $179.40 $276.00 $109.27 – $276.00 43
Occupational Therapy Evaluation (moderate complexity) CPT 97166 $198.90 $306.00 $121.15 – $306.00 43
Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 $65,142.90 $65,142.90 $25,790.07 – $65,142.90 43
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 $2.35 $2.35 $0.75 – $1.90 114
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 $19,011.30 $19,011.30 $4,244.00 – $12,696.00 114
Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 $1,810.15 $1,810.15 $699.90 – $1,810.15 114
Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 $903.16 $1,389.47 $550.09 – $1,389.47 43
Olanzapine 10 mg intramuscular solution HCPCS J2359 $129.10 $129.10 $51.11 – $129.10 43
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 $7,768.80 $7,768.80 $1,216.80 – $7,768.80 114
Ondansetron 4 mg s0119 HCPCS S0119 $14.30 $1.00 $0.05 – $1.00 533
Ondansetron 8 mg disintegrating tablet HCPCS Q0162 $6.85 $6.85 $0.04 – $1.00 114
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 $3.00 $3.00 $0.36 – $3.00 114
Oritavancin 1,200 mg intravenous solution HCPCS J2406 $28,018.60 $28,018.60 $4,968.00 – $28,018.60 114
Oritavancin 400 mg intravenous solution HCPCS J2407 $5,978.20 $5,978.20 $2,366.77 – $5,978.20 43
Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 $15.85 $15.85 $5.15 – $15.85 779
Orthosis lso rigd frm hyperex HCPCS L0472 $1,119.80 $1,722.77 $682.04 – $1,722.77 43
Osmolality blood CPT 83930 $77.35 $119.00 $47.11 – $119.00 43
Osmolality urine CPT 83935 $74.75 $115.00 $45.53 – $115.00 43
Ot re-evaluation patient/family CPT 97168 $146.90 $226.00 $89.47 – $226.00 43
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 $14.50 $14.50 $3.28 – $14.50 114
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $1,200.00 $1,200.00 $45.53 – $115.00 43
Oxytocin 10 unit/ml injection solution HCPCS J2590 $6.85 $6.85 $0.87 – $6.85 114
P-32 chromic phos ther per mci HCPCS A9564 $1,730.00 $1,730.00 $684.91 – $1,730.00 43
P-32 sod phosphate ther per mci HCPCS A9563 $1,383.10 $1,383.10 $179.12 – $1,383.10 114
Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 $16,903.90 $26,006.00 $10,295.78 – $26,006.00 43
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $328.00 $328.00 $3.60 – $36.70 114
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $4,766.15 $4,766.15 $1,327.00 – $4,766.15 114
Pad repl cerv collr univ adult HCPCS L0999 $71.99 $110.76 $17.28 – $43.64 43
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $136.60 $136.60 $11.16 – $66.45 114
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 $20,996.10 $20,996.10 $1,888.30 – $5,249.05 114
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 $4.55 $4.55 $1.80 – $4.55 114
Parathormone (pth) intact CPT 83970 $238.55 $367.00 $145.30 – $367.00 43
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $154.05 $237.00 $12.98 – $183.00 43
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 $275.35 $423.61 $3.82 – $9.64 43
Passy muir valve metal trach HCPCS L8501 $251.73 $387.28 $36.96 – $93.36 43
Paste skin barrier .5oz adapt HCPCS A4406 $1.22 $1.88 $0.95 – $1.88 33
Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 $111.80 $172.00 $68.09 – $172.00 43
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 $17,709.85 $17,709.85 $700.80 – $17,709.85 114
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 $10,830.70 $10,830.70 $1,584.48 – $10,830.70 114
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 $20,144.40 $20,144.40 $1,632.48 – $20,144.40 114
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 $11,866.15 $11,866.15 $2,749.32 – $11,866.15 114
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 $5,037.30 $5,037.30 $1,244.52 – $5,037.30 114
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 $11,497.50 $11,497.50 $1,790.52 – $11,497.50 114
Pegloticase 8 mg/ml intravenous solution HCPCS J2507 $95,364.75 $95,364.75 $29,110.88 – $95,364.75 114
Pelvic CT scan (with contrast) CPT 72193 $1,740.05 $2,677.00 $1,059.82 – $2,677.00 43
Pelvic CT scan (without contrast) CPT 72192 $1,290.90 $1,986.00 $786.26 – $1,986.00 43
Pelvic MRI (with and without contrast) CPT 72197 $3,833.70 $5,898.00 $2,335.02 – $5,898.00 43
Pelvic MRI (without contrast) CPT 72195 $2,063.75 $3,175.00 $1,270.00 – $3,175.00 42
Pelvic Ultrasound (complete) CPT 76856 $598.00 $920.00 $364.23 – $920.00 43
Pelvic Ultrasound (limited) CPT 76857 $293.80 $452.00 $178.95 – $452.00 43
Pelvis X-ray (1 to 2 views) CPT 72170 $226.85 $349.00 $138.17 – $349.00 43
Pelvis X-ray (complete, 4 or more views) CPT 72190 $505.05 $777.00 $307.61 – $777.00 43
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $18,047.05 $18,047.05 $6,409.00 – $18,047.05 114
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 $5,906.25 $5,906.25 $40.90 – $1,181.25 114
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $1,928.25 $1,928.25 $12.95 – $1,928.25 779
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $58.55 $58.55 $4.40 – $11.40 114
Penile rear tip xtnd 0.5cm HCPCS C2622 $12,855.00 $19,776.92 $15.84 – $40.00 43
Pentamidine 300 mg solution for injection HCPCS J2516 $792.75 $792.75 $313.85 – $792.75 43
Pentostatin 10 mg intravenous solution HCPCS J9268 $14,509.25 $14,509.25 $2,783.88 – $14,509.25 114
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 $393.60 $393.60 $155.83 – $393.60 43
Pertuzumab 30 mg/ml desensitization HCPCS J9306 $20,666.10 $20,666.10 $7,765.80 – $20,666.10 114
Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 $114.40 $176.00 $52.26 – $132.00 43
Pfc sigma fem post aug sz3 8mm HCPCS C1776 $63,693.50 $97,990.00 $0.01 – $0.02 43
Ph body fluid CPT 83986 $52.65 $81.00 $3.51 – $41.00 43
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 $201.80 $201.80 $25.91 – $65.45 114
Phenobarbital therapeutic drug level CPT 80184 $120.90 $186.00 $15.61 – $186.00 43
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $11.90 $11.90 $4.71 – $11.90 43
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 $3.00 $3.00 $0.66 – $3.00 114
Phenytoin total therapeutic drug level CPT 80185 $100.10 $154.00 $60.97 – $154.00 43
Phlebotomy therapeutic CPT 99195 $306.80 $472.00 $186.86 – $472.00 43
Phosphorus CPT 84100 $1,155.70 $80.00 $9.09 – $80.00 43
Phosphorus 24 hour urine CPT 84105 $76.05 $117.00 $46.32 – $117.00 43
Physical Therapy Evaluation (high complexity) CPT 97163 $196.95 $303.00 $119.96 – $303.00 43
Physical Therapy Evaluation (low complexity) CPT 97161 $222.95 $343.00 $135.79 – $343.00 43
Physical Therapy Evaluation (moderate complexity) CPT 97162 $194.35 $299.00 $118.37 – $299.00 43
Physical Therapy Re-Evaluation CPT 97164 $162.50 $250.00 $98.98 – $250.00 43
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $22.60 $22.60 $2.84 – $19.80 114
Pillow shldr abduc inflat univ HCPCS L3960 $973.91 $1,498.32 $76.63 – $193.55 43
Pin caspar distraction 12mm HCPCS C1821 $28,277.92 $43,504.50 $0.02 – $0.04 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.