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 |
|---|---|---|---|---|
| Pinworm exam CPT 87172 | $33.80 | $52.00 | $4.18 – $52.00 | 43 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $89.80 | $89.80 | $2.22 – $5.95 | 114 |
| Platelet aggregation each agent teg CPT 85576 | $134.55 | $207.00 | $81.95 – $207.00 | 43 |
| Platelet automated CPT 85049 | $32.50 | $50.00 | $4.39 – $50.00 | 43 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $245.05 | $377.00 | $149.25 – $377.00 | 43 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $397.15 | $611.00 | $241.89 – $611.00 | 43 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $953.55 | $1,467.00 | $580.79 – $1,467.00 | 43 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,231.75 | $1,895.00 | $750.23 – $1,895.00 | 43 |
| Plug insert indwelling 16f HCPCS L8511 | $159.25 | $245.00 | $97.00 – $245.00 | 43 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $220.35 | $339.00 | $134.21 – $339.00 | 43 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $4,472.40 – $12,682.40 | 114 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,024.15 | $6,191.00 | $79.02 – $6,191.00 | 779 |
| Positioner proc acufex leg acs HCPCS E0190 | $204.75 | $315.00 | $124.71 – $315.00 | 43 |
| Potassium 24 hour urine CPT 84133 | $53.95 | $83.00 | $4.64 – $83.00 | 43 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.00 | $35.00 | $0.17 – $3.00 | 114 |
| Potassium serum/plasma/whole blood CPT 84132 | $72.80 | $67.00 | $9.09 – $67.00 | 43 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $351.60 | $540.93 | $273.17 – $540.93 | 33 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $1.12 | $1.72 | $0.68 – $1.72 | 43 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $1.53 | $2.36 | $0.74 – $1.88 | 43 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $80.52 | $123.88 | $0.99 – $1.96 | 33 |
| Powder prem protct 1oz HCPCS A4371 | $1.82 | $2.80 | $1.11 – $2.80 | 43 |
| Pr application of long arm splint CPT 29105 | $287.95 | $443.00 | $12.04 – $286.00 | 780 |
| Pr application splint static short arm CPT 29125 | $239.20 | $368.00 | $10.08 – $245.00 | 780 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $749.45 | $74.00 | $2.92 – $74.00 | 779 |
| Pr biopsy skin punch single lesion CPT 11104 | $329.00 | $416.00 | $12.14 – $329.00 | 780 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.00 | $42.00 | $6.82 – $42.00 | 780 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $156.00 | $240.00 | $70.64 – $240.00 | 43 |
| Prealbumin CPT 84134 | $73.45 | $113.00 | $14.30 – $113.00 | 43 |
| Pr ecg 12 lead report only CPT 93010 | $26.00 | $32.00 | $5.33 – $32.00 | 781 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $83.00 | $83.00 | $11.29 – $65.92 | 768 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $720.00 | $720.00 | $0.81 – $20.85 | 114 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.00 | $1.00 | $0.40 – $1.00 | 43 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $732.55 | $1,127.00 | $446.18 – $1,127.00 | 43 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $549.90 | $846.00 | $334.93 – $846.00 | 43 |
| Pregnancy Ultrasound (limited) CPT 76815 | $632.45 | $973.00 | $9.80 – $973.00 | 780 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $247.00 | $309.00 | $32.15 – $309.00 | 568 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $1,886.30 | $447.00 | $80.88 – $425.00 | 779 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $331.50 | $510.00 | $23.01 – $510.00 | 780 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $540.00 | $540.00 | $43.23 – $372.00 | 768 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $666.00 | $666.00 | $15.25 – $449.00 | 780 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $209.95 | $323.00 | $101.50 – $323.00 | 43 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $155.35 | $239.00 | $66.92 – $239.00 | 43 |
| Pr incision & drainage abscess simple/single CPT 10060 | $604.80 | $417.00 | $0.82 – $349.00 | 780 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $895.05 | $571.00 | $23.30 – $438.00 | 780 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $549.00 | $574.00 | $106.07 – $544.00 | 780 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $374.00 | $435.00 | $77.96 – $404.00 | 780 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $37.00 | $37.00 | $5.94 – $26.00 | 768 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $9,097.13 | not published | $0.96 – $4.92 | 72 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,893.50 | $5,990.00 | $207.85 – $525.00 | 43 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $188.50 | $188.50 | $74.63 – $194.32 | 114 |
| Procalcitonin CPT 84145 | $258.70 | $398.00 | $157.57 – $398.00 | 43 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.40 | $24.40 | $2.52 – $24.40 | 114 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.35 – $1.00 | 114 |
| Progesterone CPT 84144 | $107.25 | $165.00 | $65.32 – $165.00 | 43 |
| Prolactin CPT 84146 | $149.50 | $230.00 | $91.06 – $230.00 | 43 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $79.00 | $82.00 | $16.83 – $82.00 | 568 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.00 | $1.00 | $0.12 – $1.00 | 114 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $46.50 | $46.50 | $5.94 – $15.00 | 43 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $9.20 | $9.20 | $3.64 – $9.20 | 114 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,683.50 | $2,590.00 | $1.41 – $3.56 | 43 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $576.30 | $886.62 | $28.54 – $72.08 | 43 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $41.00 – $150.50 | 114 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,402.10 | $5,234.00 | $2,053.41 – $5,186.70 | 43 |
| Protein c activity CPT 85303 | $119.60 | $184.00 | $72.85 – $184.00 | 43 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $74.75 | $115.00 | $45.53 – $115.00 | 43 |
| Protein s total CPT 85305 | $63.05 | $97.00 | $38.40 – $97.00 | 43 |
| Protein total 24 hour urine CPT 84156 | $48.75 | $75.00 | $29.69 – $75.00 | 43 |
| Protein total body fluid CPT 84157 | $46.15 | $71.00 | $3.96 – $71.00 | 43 |
| Protein total serum plasma whole blood CPT 84155 | $1,011.40 | $85.00 | $9.09 – $85.00 | 43 |
| Prothrombin complex kcentra HCPCS J7168 | $3,227.40 | $3,227.40 | $1,277.73 – $3,227.40 | 114 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $126.75 | $195.00 | $3.86 – $195.00 | 43 |
| Provox xtraflange 17fr HCPCS L8499 | $99.97 | $153.80 | $48.74 – $123.12 | 43 |
| Pr removal drug delivery implant CPT 11982 | $326.36 | $463.00 | $3.22 – $463.00 | 780 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $185.23 | $168.00 | $11.76 – $168.00 | 768 |
| Pr removal intrauterine device CPT 58301 | $197.00 | $291.00 | $7.52 – $291.00 | 780 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $627.00 | $627.00 | $42.32 – $627.00 | 768 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $265.00 | $370.00 | $17.36 – $370.00 | 780 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $992.55 | $487.00 | $14.06 – $309.00 | 780 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $1,168.70 | $518.00 | $18.32 – $374.00 | 780 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $656.00 | $656.00 | $7.11 – $52.48 | 768 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $35.00 | 779 |
| PSA (Prostate) Test CPT 84153 | $122.20 | $188.00 | $74.43 – $188.00 | 43 |
| Psychoeducation 45 min + HCPCS G0177 | $422.50 | $650.00 | $257.34 – $650.00 | 43 |
| Psychotherapy group therapy CPT 90853 | $501.80 | $772.00 | $305.63 – $772.00 | 43 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $396.50 | $610.00 | $241.50 – $610.00 | 43 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $490.75 | $755.00 | $298.90 – $755.00 | 43 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $500.50 | $770.00 | $304.84 – $770.00 | 43 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $503.10 | $774.00 | $306.43 – $774.00 | 43 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $63.05 | $97.00 | $38.40 – $97.00 | 43 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $102.05 | $157.00 | $62.16 – $157.00 | 43 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $87.75 | $135.00 | $53.45 – $135.00 | 43 |
| Pt application of modality traction mechanical CPT 97012 | $70.85 | $109.00 | $43.15 – $109.00 | 43 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $213.20 | $328.00 | $129.86 – $328.00 | 43 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $74.75 | $115.00 | $45.53 – $115.00 | 43 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $68.90 | $106.00 | $41.97 – $106.00 | 43 |
| Pulse ox continuous overnight monitoring CPT 94762 | $291.85 | $449.00 | $177.76 – $449.00 | 43 |
| Pulse ox single CPT 94760 | $50.70 | $78.00 | $30.88 – $78.00 | 43 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $457.27 | $703.50 | $78.98 – $199.50 | 43 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $113.75 | $175.00 | $69.28 – $175.00 | 43 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $382.85 | $589.00 | $18.97 – $430.00 | 780 |
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.