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 |
|---|---|---|---|---|
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $12,998.70 | $19,998.00 | $0.02 – $0.04 | 43 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,313.11 | $6,635.56 | $0.02 – $0.04 | 43 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,664.58 | $7,176.28 | $55.14 – $139.28 | 43 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,601.30 | $4,002.00 | $182.95 – $462.11 | 43 |
| Cath council tip 16fr 5cc HCPCS A4344 | $41.78 | $64.28 | $18.97 – $47.92 | 43 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,287.03 | $15,826.20 | $2.39 – $6.04 | 43 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,568.12 | $2,412.50 | $0.02 – $0.04 | 43 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $35.54 | $54.68 | $21.65 – $54.68 | 43 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,389.37 | $2,137.50 | $2.19 – $5.52 | 43 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $2.37 | $3.64 | $1.19 – $3.00 | 43 |
| Cath follower heyman 20f HCPCS A4352 | $243.83 | $375.13 | $3.83 – $9.68 | 43 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,564.87 | $2,407.50 | $18.89 – $47.72 | 43 |
| Cath hawkone s directional HCPCS C1714 | $4,620.07 | $7,107.80 | $687.06 – $1,735.44 | 43 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,130.40 | $1,739.08 | $688.50 – $1,739.08 | 43 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,315.00 | $5,100.00 | $544.36 – $1,375.00 | 43 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $1,228.50 | $1,890.00 | $28.72 – $56.88 | 33 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $1,943.50 | $2,990.00 | $1,183.74 – $2,990.00 | 43 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $5,355.08 | $8,238.58 | $0.65 – $1.64 | 43 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,156.00 | $20,240.00 | $50.52 – $127.60 | 43 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $19.14 | $29.44 | $14.87 – $29.44 | 33 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,345.00 | $11,300.00 | $4,428.14 – $11,185.00 | 43 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $411.32 | $632.80 | $56.38 – $142.40 | 43 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,690.00 | $2,600.00 | $53.68 – $135.60 | 43 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $65.08 | $100.12 | $0.36 – $0.72 | 33 |
| Cath symplicity spyral HCPCS C1735 | $20,800.00 | $32,000.00 | $12,668.80 – $32,000.00 | 43 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $7,043.40 | $10,836.00 | $24.67 – $62.32 | 43 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $823.87 | $1,267.50 | $0.02 – $0.04 | 43 |
| Cauterization chemical granulation tissue CPT 17250 | $1,789.45 | $2,753.00 | $1,089.91 – $2,753.00 | 43 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $10,811.25 | $6.10 | $1.19 – $3.36 | 114 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $101.65 | $101.65 | $2.46 – $11.40 | 114 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,224.65 | $1,224.65 | $254.40 – $1,224.65 | 114 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $30.80 | $30.80 | $0.26 – $12.45 | 779 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $16.20 | $16.20 | $4.58 – $16.20 | 114 |
| Cell count body fluid CPT 89050 | $117.00 | $180.00 | $4.63 – $180.00 | 43 |
| Cell count w differential body fluid CPT 89051 | $83.20 | $128.00 | $50.68 – $128.00 | 43 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $10,990.00 – $34,004.00 | 114 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $1,796.00 – $17,963.25 | 114 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $858.70 – $2,342.85 | 114 |
| Cftr gene dup/delet variants CPT 81222 | $241.15 | $371.00 | $146.88 – $371.00 | 43 |
| Chemodenerv musc migraine 64615 CPT 64615 | $300.95 | $463.00 | $94.32 – $350.00 | 43 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,193.40 | $1,836.00 | $31.13 – $413.00 | 780 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,252.90 | $3,466.00 | $1,372.19 – $3,466.00 | 43 |
| Chest CT scan (with contrast) CPT 71260 | $1,812.20 | $2,788.00 | $1,103.77 – $2,788.00 | 43 |
| Chest CT scan (without contrast) CPT 71250 | $1,441.70 | $2,218.00 | $878.11 – $2,218.00 | 43 |
| Chest Ultrasound CPT 76604 | $512.20 | $788.00 | $311.97 – $788.00 | 43 |
| Chest X-ray CPT 71046 | $206.70 | $318.00 | $125.90 – $318.00 | 43 |
| Chest X-ray (single view) CPT 71045 | $167.70 | $258.00 | $102.14 – $258.00 | 43 |
| Chloride CPT 82435 | $39.65 | $61.00 | $24.15 – $61.00 | 43 |
| Chloride 24 hour urine CPT 82436 | $38.35 | $59.00 | $23.36 – $59.00 | 43 |
| Cholesterol CPT 82465 | $40.95 | $63.00 | $24.94 – $63.00 | 43 |
| Cholesterol body fluid CPT 84999 | $209.30 | $322.00 | $162.61 – $322.00 | 33 |
| Cholesterol (Lipid) Test CPT 80061 | $646.10 | $170.00 | $9.09 – $170.00 | 43 |
| Cholinesterase CPT 82480 | $73.45 | $113.00 | $44.74 – $113.00 | 43 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $4.64 – $37.00 | 114 |
| Circumcision (newborn) CPT 54150 | $2,372.50 | $3,650.00 | $12.01 – $3,650.00 | 780 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $93.75 | 114 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $496.70 | $496.70 | $106.40 – $496.70 | 114 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $14,300.00 | $22,000.00 | $10.97 – $27.72 | 43 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $20.75 | $20.75 | $3.34 – $14.00 | 114 |
| Clip ligating vesolock lg HCPCS C1760 | $7,800.00 | $12,000.00 | $5.37 – $13.56 | 43 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $671.12 | $1,032.50 | $408.77 – $1,032.50 | 43 |
| Cllr miami j sm HCPCS L0174 | $756.44 | $1,163.75 | $26.30 – $66.44 | 43 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $322.20 – $17,608.50 | 114 |
| Clot factor xii hageman CPT 85280 | $122.20 | $188.00 | $18.96 – $188.00 | 43 |
| Clot factor xiii fibrin scrn CPT 85291 | $74.10 | $114.00 | $8.93 – $114.00 | 43 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $361.40 | $556.00 | $220.12 – $556.00 | 43 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $350.00 | $350.00 | $22.79 – $341.52 | 768 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $2,409.55 | $3,707.00 | $33.23 – $2,471.00 | 780 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $1,316.00 | $1,316.00 | $52.36 – $694.67 | 768 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,203.00 | $1,203.00 | $73.53 – $1,121.50 | 768 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $1,606.15 | $2,471.00 | $978.27 – $2,471.00 | 43 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,007.15 | $1,005.00 | $74.70 – $805.00 | 768 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $1,008.15 | $1,551.00 | $255.73 – $1,034.00 | 43 |
| Coagulation time activated teg CPT 85347 | $50.05 | $77.00 | $30.48 – $77.00 | 43 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,801.50 | $4,310.00 | $691.84 – $1,747.50 | 43 |
| Cold agglutinin titer CPT 86157 | $54.60 | $84.00 | $33.26 – $84.00 | 43 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $271.05 | $417.00 | $110.06 – $278.00 | 43 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $52.78 | $81.20 | $3.74 – $9.44 | 43 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $27.30 | $42.00 | $7.16 – $18.08 | 43 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,066.49 | $1,640.75 | $4.15 – $10.48 | 43 |
| Collar extrication adult univ HCPCS L0200 | $33.54 | $51.60 | $20.43 – $51.60 | 43 |
| Colonoscopy (diagnostic) CPT 45378 | $9,560.35 | $671.00 | $2.46 – $671.00 | 768 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,166.10 | $1,794.00 | $186.84 – $1,794.00 | 43 |
| Colonoscopy submucous njx CPT 45381 | $4,024.57 | $729.00 | $2.46 – $574.10 | 768 |
| Colonoscopy (with biopsy) CPT 45380 | $9,560.35 | $1,597.00 | $2.46 – $1,597.00 | 780 |
| Colonoscopy (with polyp removal) CPT 45385 | $5,306.53 | $1,672.00 | $2.46 – $1,672.00 | 780 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $144.95 | $223.00 | $88.29 – $223.00 | 42 |
| Compatibility test each unit electronic CPT 86923 | $191.75 | $295.00 | $116.79 – $295.00 | 43 |
| Compatibility test each unit immediate spin technique CPT 86920 | $107.25 | $165.00 | $65.32 – $165.00 | 43 |
| Complement antigen each component c3 CPT 86160 | $91.00 | $140.00 | $55.43 – $140.00 | 43 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,558.83 | $2,398.20 | $949.45 – $2,398.20 | 43 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $694.85 | $1,069.00 | $423.22 – $1,069.00 | 43 |
| Concentration infection agents any type CPT 87015 | $52.65 | $81.00 | $32.07 – $81.00 | 43 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,185.00 | $4,900.00 | $201.99 – $510.20 | 43 |
| Condylomata destruction 56420 CPT 56420 | $380.90 | $586.00 | $232.00 – $586.00 | 43 |
| Connect omega .5mm HCPCS L8613 | $26,265.21 | $40,408.02 | $21.35 – $53.92 | 43 |
| Connector tis 2x10mm HCPCS C9352 | $6,419.40 | $9,876.00 | $623.54 – $1,575.00 | 43 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $109.00 | $111.00 | $22.37 – $109.00 | 780 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $9,295.00 | $14,300.00 | $4,354.90 – $11,000.00 | 43 |
| Controller infinity pt dbs HCPCS C1787 | $31,991.96 | $49,218.40 | $15.84 – $40.00 | 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.