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 |
|---|---|---|---|---|
| Boot j walker l HCPCS L4386 | $432.50 | $665.39 | $30.06 – $75.92 | 43 |
| Boot mlti podous univ xlg HCPCS L4396 | $171.38 | $263.66 | $31.66 – $79.96 | 43 |
| Boot softgait shrt m HCPCS L4387 | $49.24 | $75.76 | $8.11 – $20.48 | 43 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $97.29 | $149.68 | $29.99 – $75.76 | 43 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $96.17 | $147.96 | $58.58 – $147.96 | 43 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $136.50 | $210.00 | $83.14 – $210.00 | 43 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,800.00 | $1,800.00 | $60.90 – $211.60 | 114 |
| Brace adj motion lerman type HCPCS L2186 | $394.15 | $606.38 | $240.07 – $606.38 | 43 |
| Brace afo dbl upright cust HCPCS L1990 | $932.25 | $1,434.23 | $567.81 – $1,434.23 | 43 |
| Brace afo lg left 6607 HCPCS L1930 | $134.80 | $207.38 | $47.05 – $118.84 | 43 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,019.38 | $1,568.28 | $620.88 – $1,568.28 | 43 |
| Brace afo spiral prefab HCPCS L1951 | $1,549.31 | $2,383.55 | $943.65 – $2,383.55 | 43 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $66.25 | $101.92 | $40.35 – $101.92 | 43 |
| Brace ank air stirrup univ HCPCS L4350 | $38.38 | $59.04 | $13.52 – $34.16 | 43 |
| Brace ankle joint dflxn assist HCPCS L2210 | $170.26 | $261.94 | $103.70 – $261.94 | 43 |
| Brace ankle stablizing lg HCPCS L1902 | $26.78 | $41.20 | $16.31 – $41.20 | 43 |
| Brace back epic lo 627 HCPCS L0642 | $145.72 | $224.18 | $88.75 – $224.18 | 43 |
| Brace back epic lso 637 HCPCS L0650 | $193.69 | $297.99 | $117.97 – $297.99 | 43 |
| Brace back epic tslo 456 HCPCS L0457 | $486.49 | $748.44 | $201.58 – $509.18 | 43 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,083.17 | $1,666.42 | $109.80 – $277.34 | 43 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $505.14 | $777.14 | $307.67 – $777.14 | 43 |
| Brace back t-lso custom HCPCS L0486 | $2,767.13 | $4,257.12 | $1,685.39 – $4,257.12 | 43 |
| Brace back vista 464 tlso HCPCS L0648 | $591.84 | $910.53 | $249.04 – $629.06 | 43 |
| Brace cust back lso HCPCS L0631 | $1,620.47 | $2,493.03 | $1.58 – $4.00 | 43 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $122.98 | $189.20 | $74.90 – $189.20 | 43 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $850.10 | $1,307.85 | $22.00 – $55.56 | 43 |
| Brace halo bremer l2830 HCPCS L2830 | $203.14 | $312.52 | $123.73 – $312.52 | 43 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,297.74 | $3,534.98 | $1,399.50 – $3,534.98 | 43 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $339.55 | $522.38 | $206.81 – $522.38 | 43 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,337.21 | $2,057.25 | $53.92 – $136.20 | 43 |
| Brace knee hing pat open med HCPCS L1820 | $38.04 | $58.52 | $23.17 – $58.52 | 43 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,123.28 | $1,728.13 | $75.12 – $189.74 | 43 |
| Brace knee postop tscope xl HCPCS L1845 | $359.45 | $553.00 | $218.93 – $553.00 | 43 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $183.30 | $282.00 | $18.96 – $47.88 | 43 |
| Brace m arm board HCPCS L3809 | $36.30 | $55.84 | $11.62 – $29.36 | 43 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $128.70 | $198.00 | $78.39 – $198.00 | 43 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $303.35 | $466.69 | $180.52 – $455.98 | 43 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $592.96 | $912.24 | $296.31 – $748.44 | 43 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $539.13 | $829.43 | $5.08 – $12.84 | 43 |
| Brace tlso flex cust HCPCS L0450 | $1,883.67 | $2,897.96 | $1,147.30 – $2,897.96 | 43 |
| Brace wrist classic lft sm HCPCS L3908 | $180.00 | $180.00 | $5.10 – $160.18 | 780 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $72.05 – $182.00 | 43 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $12.67 – $32.00 | 43 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $23.75 – $60.00 | 43 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $53.84 – $136.00 | 43 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $15.84 – $40.00 | 43 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,500.55 | $3,847.00 | $1,523.03 – $3,847.00 | 43 |
| Brain MRI (with and without contrast) CPT 70553 | $3,606.85 | $5,549.00 | $2,196.85 – $5,549.00 | 43 |
| Brain MRI (without contrast) CPT 70551 | $2,297.10 | $3,534.00 | $1,399.11 – $3,534.00 | 43 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $167.51 | $257.71 | $44.02 – $111.20 | 43 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,898.00 | $2,920.00 | $1,474.60 – $3,668.01 | 43 |
| Breastbone (Sternum) X-ray CPT 71120 | $191.10 | $294.00 | $116.39 – $294.00 | 43 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $14,145.00 – $39,510.50 | 114 |
| Brush provox 4-10mm HCPCS L8513 | $21.79 | $33.52 | $13.27 – $33.52 | 43 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $15.15 | $15.15 | $1.22 – $4.80 | 114 |
| Bundled special stain group 1 microorganisms CPT 88312 | $222.30 | $342.00 | $135.40 – $342.00 | 43 |
| Bundled special stain group 2 CPT 88313 | $175.50 | $270.00 | $106.89 – $270.00 | 43 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $741.00 | $741.00 | $1.19 – $3.00 | 43 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,607.52 | $7,088.50 | $93.75 – $236.81 | 43 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $200.85 | $309.00 | $23.39 – $193.00 | 43 |
| Bx skin punch ea sep/ addl les CPT 11105 | $159.00 | $208.00 | $13.63 – $170.00 | 780 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $139.00 | $139.00 | $11.29 – $97.15 | 768 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $14,911.20 – $44,159.55 | 114 |
| Cable cath 22-pin diag HCPCS C1730 | $7,735.00 | $11,900.00 | $17.26 – $43.60 | 43 |
| Cable centrimag pressure HCPCS Q0508 | $143,520.00 | $220,800.00 | $3.37 – $8.52 | 43 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $4,726.00 – $14,265.95 | 114 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $46.00 | $46.00 | $18.21 – $46.00 | 43 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $30,623.80 – $77,352.35 | 43 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,177.05 | $2,177.05 | $861.89 – $2,177.05 | 43 |
| Calcium 24 hour urine CPT 82340 | $69.55 | $107.00 | $5.97 – $107.00 | 43 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $44.05 | $44.05 | $15.00 – $44.05 | 114 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $52.50 | $52.50 | $7.86 – $19.85 | 43 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $15.54 – $39.25 | 43 |
| Calcium ionized CPT 82330 | $105.30 | $162.00 | $13.54 – $162.00 | 43 |
| Calcium total CPT 82310 | $752.70 | $98.00 | $9.09 – $98.00 | 43 |
| Calprotectin fecal CPT 83993 | $160.55 | $247.00 | $97.79 – $247.00 | 43 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $93.70 | $144.16 | $51.07 – $129.00 | 43 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $42,250.00 | $65,000.00 | $15.30 – $38.64 | 43 |
| Cap nerve 2x15mm HCPCS C1763 | $28,107.49 | $43,242.30 | $17.13 – $43.28 | 43 |
| Cap trach decann 15mm HCPCS C1750 | $3,120.00 | $4,800.00 | $5.37 – $13.56 | 43 |
| Carbamazepine total therapeutic drug level CPT 80156 | $124.15 | $191.00 | $75.62 – $191.00 | 43 |
| Carbon dioxide CPT 82374 | $35.75 | $55.00 | $21.77 – $55.00 | 43 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $459.90 | $459.90 | $2.31 – $37.95 | 114 |
| Carboxyhemoglobin quantitative CPT 82375 | $118.30 | $182.00 | $72.05 – $182.00 | 43 |
| Carcinoembryonic ag (cea) CPT 82378 | $165.75 | $255.00 | $18.96 – $255.00 | 43 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $260.65 | $401.00 | $158.76 – $401.00 | 43 |
| Cardiolipin antibody iga CPT 86147 | $151.45 | $233.00 | $92.24 – $233.00 | 43 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,225.90 | $1,886.00 | $746.67 – $1,886.00 | 43 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $602.90 – $1,892.40 | 114 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $1,365.56 – $3,449.25 | 43 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $719.55 | $1,107.00 | $438.26 – $1,107.00 | 43 |
| Carpal Tunnel Release Surgery CPT 64721 | $4,849.78 | not published | $1.00 – $1.00 | 71 |
| Cassette provox xtraflow hme HCPCS A7507 | $10.69 | $16.44 | $6.51 – $16.44 | 43 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,384.10 | $2,129.38 | $50.68 – $128.00 | 43 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,160.00 | $6,400.00 | $650.27 – $1,642.50 | 43 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,543.35 | $2,374.38 | $7.71 – $19.48 | 43 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,445.69 | $6,839.52 | $31.28 – $79.00 | 43 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $3,809.00 | $5,860.00 | $1,965.64 – $4,965.00 | 43 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $48,750.00 | $75,000.00 | $0.02 – $0.04 | 43 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $4,764.34 | $7,329.76 | $620.77 – $1,568.00 | 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.