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 |
|---|---|---|---|---|
| Home sleep test/type 3 porta HCPCS G0399 | $1,077.39 | $688.00 | $36.62 – $688.00 | 553 |
| Homocysteine CPT 83090 | $181.35 | $279.00 | $17.92 – $279.00 | 43 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $396.50 | $610.00 | $241.50 – $610.00 | 43 |
| Hopd mntl hlt, grp HCPCS C7903 | $477.75 | $735.00 | $290.99 – $735.00 | 43 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,829.90 | $1,829.90 | $724.46 – $1,829.90 | 114 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $236.10 | $236.10 | $54.00 – $236.10 | 114 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $23.00 | $23.00 | $5.19 – $23.00 | 114 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $243.25 | $243.25 | $17.42 – $44.00 | 114 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $185.75 | $185.75 | $1.80 – $11.10 | 114 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $105.00 | $105.00 | $41.57 – $105.00 | 43 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.00 | $1.00 | $0.10 – $1.00 | 114 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $442.00 | $442.00 | $102.93 – $442.00 | 554 |
| I-123 iobenguane diag HCPCS A9582 | $24,445.60 | $24,445.60 | $9,678.01 – $24,445.60 | 43 |
| I-123 ioflupane diag HCPCS A9584 | $12,340.00 | $12,340.00 | $4,885.41 – $12,340.00 | 43 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $412.50 | $412.50 | $158.85 – $401.25 | 43 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $6,709.35 | $6,709.35 | $2,656.23 – $6,709.35 | 43 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $165.39 – $417.75 | 43 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,149.75 | $1,149.75 | $92.40 – $1,149.75 | 114 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $23,400.00 | $36,000.00 | $0.02 – $0.04 | 43 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $32,500.00 | $50,000.00 | $76.49 – $193.20 | 43 |
| Icd crtp serena MRI HCPCS C2621 | $8,775.00 | $13,500.00 | $840.03 – $2,121.82 | 43 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,391.40 | $6,756.00 | $42.76 – $108.00 | 43 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $25.71 – $169.00 | 114 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $132.60 | $204.00 | $61.13 – $204.00 | 43 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $230.10 | $354.00 | $69.55 – $354.00 | 43 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $2,679.94 – $7,982.85 | 114 |
| Immob elbow child sm HCPCS L3762 | $23.22 | $35.72 | $5.94 – $15.00 | 43 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $653.93 | $1,006.04 | $40.22 – $101.60 | 43 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $178.04 | $273.91 | $3.86 – $9.76 | 43 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $141.69 | $217.98 | $6.37 – $16.08 | 43 |
| Immobilizer shldr sling med HCPCS L3660 | $27.23 | $41.89 | $16.58 – $41.89 | 43 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $10,106.10 | $10,106.10 | $478.00 – $1,684.35 | 114 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $1,634.00 – $4,576.15 | 114 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $421.04 – $1,063.50 | 114 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $131.95 | $203.00 | $20.81 – $203.00 | 43 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $104.65 | $161.00 | $20.81 – $161.00 | 43 |
| Immunofixation electrophoresis serum CPT 86334 | $155.35 | $239.00 | $94.62 – $239.00 | 43 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,200.00 | $8,000.00 | $793.78 – $2,005.00 | 43 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,137.50 | $1,750.00 | $692.83 – $1,750.00 | 43 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,030.00 | $6,200.00 | $17.17 – $43.36 | 43 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,040.03 | $9,292.36 | $215.33 – $543.90 | 43 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $1,625.00 | $2,500.00 | $989.75 – $2,500.00 | 43 |
| Implant pulse generator remede el HCPCS C1823 | $11,700.00 | $18,000.00 | $3,688.47 – $9,316.66 | 43 |
| Implant ureth bulk agent HCPCS L8606 | $1,524.25 | $2,345.00 | $525.06 – $1,326.25 | 43 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,519.59 | $5,414.76 | $1,207.45 – $3,049.88 | 43 |
| Impl eye bio-eye 16mm HCPCS L8042 | $1,474.69 | $2,268.75 | $257.98 – $651.63 | 43 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $591.85 – $1,494.95 | 43 |
| In-111 autol wbc diag per dose HCPCS A9570 | $10,776.60 | $10,776.60 | $4,266.46 – $10,776.60 | 43 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $2,780.80 – $7,024.00 | 43 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $2,868.99 – $7,246.75 | 43 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $4,266.46 – $10,776.60 | 43 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $4,419.81 – $11,163.95 | 43 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $6,067.96 – $15,327.00 | 43 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $1,395.25 – $3,524.25 | 43 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $500.00 | $560.00 | $3.23 – $560.00 | 780 |
| Incision tendon sheath CPT 26055 | $5,352.85 | not published | $0.50 – $0.50 | 71 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $137.15 | $211.00 | $70.20 – $211.00 | 43 |
| Infect ag drug suscept pheno predict CPT 87900 | $254.15 | $391.00 | $127.74 – $391.00 | 43 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $250.90 | $386.00 | $126.16 – $386.00 | 43 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $501.80 | $772.00 | $252.30 – $772.00 | 43 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $812.50 | $1,250.00 | $494.88 – $1,250.00 | 43 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $65.00 | $100.00 | $39.59 – $100.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $68.25 | $105.00 | $41.57 – $105.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $64.35 | $99.00 | $13.15 – $99.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $103.35 | $159.00 | $62.95 – $159.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $100.10 | $154.00 | $60.97 – $154.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $210.60 | $324.00 | $128.27 – $324.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $94.25 | $145.00 | $57.41 – $145.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $49.40 | $76.00 | $10.12 – $76.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $123.50 | $190.00 | $75.22 – $190.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $53.30 | $82.00 | $32.46 – $82.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $118.30 | $182.00 | $11.74 – $182.00 | 43 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $213.85 | $329.00 | $130.25 – $329.00 | 43 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $200.85 | $309.00 | $122.33 – $309.00 | 43 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $126.10 | $194.00 | $76.80 – $194.00 | 43 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,146.60 | $1,764.00 | $408.44 – $1,764.00 | 43 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $193.70 | $298.00 | $117.98 – $298.00 | 43 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $181.35 | $279.00 | $110.46 – $279.00 | 43 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $109.20 | $168.00 | $66.51 – $168.00 | 43 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $193.05 | $297.00 | $117.58 – $297.00 | 43 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $187.20 | $288.00 | $51.31 – $288.00 | 43 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $361.40 | $556.00 | $220.12 – $556.00 | 43 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $298.35 | $459.00 | $181.72 – $459.00 | 43 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $100.10 | $154.00 | $60.97 – $154.00 | 43 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $202.15 | $311.00 | $123.12 – $311.00 | 43 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $137.15 | $211.00 | $83.53 – $211.00 | 43 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,325.35 | $2,039.00 | $807.24 – $2,039.00 | 43 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $579.80 | $892.00 | $353.14 – $892.00 | 43 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $313.95 | $483.00 | $191.22 – $483.00 | 43 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $414.05 | $637.00 | $252.19 – $637.00 | 43 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $231.40 | $356.00 | $140.94 – $356.00 | 43 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $310.70 | $478.00 | $189.24 – $478.00 | 43 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $308.10 | $474.00 | $42.84 – $474.00 | 43 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $219.05 | $337.00 | $133.42 – $337.00 | 43 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $287.30 | $442.00 | $174.99 – $442.00 | 43 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,222.55 | $3,222.55 | $311.80 – $3,222.55 | 114 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,379.70 | $1,379.70 | $358.80 – $1,379.70 | 114 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,739.55 | $2,739.55 | $405.00 – $2,739.55 | 114 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $24.70 | $38.00 | $15.04 – $38.00 | 114 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $194.35 | $299.00 | $118.37 – $299.00 | 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.