healthcosts.net

MercyOne Newton Medical Center

204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179

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
3d recon without postprocess indpndt CPT 76376 $449.80 $692.00 $394.44 – $692.00 29
88334 ap bill cytologic exam each additional site CPT 88334 $65.65 $101.00 $57.57 – $101.00 29
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 $7,377.95 $7,377.95 $43.87 – $7,377.95 111
Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 $841.75 $1,295.00 $225.85 – $1,295.00 111
Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 $762.45 $1,173.00 $23.64 – $1,173.00 781
Abdominal CT scan (with and without contrast) CPT 74170 $1,951.30 $3,002.00 $166.03 – $3,002.00 111
Abdominal CT scan (with contrast) CPT 74160 $1,591.20 $2,448.00 $166.03 – $2,448.00 111
Abdominal CT scan (without contrast) CPT 74150 $1,290.90 $1,986.00 $98.96 – $1,986.00 111
Abdominal MRI (with and without contrast) CPT 74183 $3,478.15 $5,351.00 $330.23 – $5,351.00 111
Abdominal MRI (without contrast) CPT 74181 $2,859.35 $4,399.00 $225.85 – $4,399.00 111
Abdominal paracentesis w/image guidance CPT 49083 $2,452.00 $2,052.00 $858.52 – $2,052.00 111
Abdominal Ultrasound (complete) CPT 76700 $692.90 $1,066.00 $98.96 – $1,066.00 111
Abdominal Ultrasound (limited) CPT 76705 $556.40 $856.00 $98.96 – $856.00 111
Abdominal X-ray (2 views) CPT 74019 $250.90 $386.00 $98.96 – $386.00 111
Abdominal X-ray (single view) CPT 74018 $163.15 $251.00 $82.37 – $251.00 111
Acetaminophen 120 mg rectal suppository HCPCS A9270 $8,150.85 $2,532.65 $0.20 – $3,791.04 111
Acetone qualitative CPT 82009 $42.25 $65.00 $4.38 – $65.00 45
Acetylcholine receptor modulating antibody CPT 86043 $85.15 $131.00 $11.68 – $131.00 45
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 $244.95 $244.95 $22.20 – $244.95 95
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $94.90 $146.00 $11.60 – $146.00 42
Actinotherapy uv light CPT 96900 $63.05 $97.00 $35.35 – $97.00 111
Acute hepatitis panel CPT 80074 $316.55 $487.00 $46.16 – $487.00 45
Acyclovir 400 mg tablet HCPCS J8499 $1.00 $1.00 $0.20 – $1.00 33
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 $10.40 $10.40 $0.90 – $4.20 95
Adapter b 8 channel 10cm HCPCS C1883 $19,860.90 $30,555.23 $0.01 – $0.01 29
Adenosine 3 mg/250 ml bag for osm HCPCS J0153 $695.70 $695.70 $4.88 – $7.50 29
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 $78.60 $78.60 $0.22 – $1.00 95
Administration chemotherapy IV infusion each additional hour CPT 96415 $340.60 $524.00 $68.15 – $524.00 111
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $319.15 $491.00 $68.15 – $491.00 111
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $543.40 $836.00 $312.65 – $836.00 111
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $492.05 $757.00 $312.65 – $757.00 111
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $299.65 $461.00 $68.15 – $461.00 111
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $271.05 $417.00 $68.15 – $417.00 111
Administration immunization each additional component CPT 90461 $27.95 $43.00 $8.11 – $19.68 45
Administration immunization each additional vaccine CPT 90472 $65.00 $100.00 $12.79 – $19.68 29
Administration immunization first component each vaccine CPT 90460 $42.25 $65.00 $12.79 – $43.62 45
Administration immunization intranasal/oral route 1 vaccine CPT 90473 $46.80 $72.00 $12.79 – $139.78 111
Administration immunization intranasal/oral route each additional vaccine CPT 90474 $27.95 $43.00 $12.79 – $19.68 29
Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 $39.00 $60.00 $12.79 – $56.18 45
Administration vaccine hepatitis b HCPCS G0010 $57.20 $88.00 $12.79 – $90.91 108
Administration vaccine influenza virus HCPCS G0008 $57.20 $88.00 $12.79 – $90.91 111
Administration vaccine pneumococcal HCPCS G0009 $57.20 $88.00 $12.79 – $90.91 111
Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 $27.95 $43.00 $12.79 – $45.47 45
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 $19,916.25 $19,916.25 $38.66 – $12,447.70 111
Agalsidase beta 35 mg intravenous solution HCPCS J0180 $18,756.30 $18,756.30 $213.59 – $18,756.30 111
Albumin body fluid quantitative each specimen CPT 82042 $47.45 $73.00 $7.54 – $73.00 45
Albumin, human 25 % intravenous solution HCPCS P9046 $331.50 $331.50 $215.48 – $331.50 29
Albumin, human 5 % intravenous solution HCPCS P9041 $332.50 $332.50 $141.38 – $217.50 29
Albumin (microalbumin) 24 hour urine quantitative CPT 82043 $57.20 $88.00 $5.60 – $88.00 45
Albumin serum plasma or whole blood CPT 82040 $506.00 $89.00 $4.79 – $89.00 45
Alcohol (ethanol) any specimen except urine/breath CPT 82077 $94.90 $146.00 $16.74 – $146.00 45
Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 $89,232.75 $89,232.75 $2,398.16 – $89,232.75 111
Alkaline phosphatase CPT 84075 $1,715.00 $63.00 $5.02 – $63.00 45
Allergen alpha lactalbumin ige CPT 86008 $1,606.00 $48.00 $9.09 – $48.00 45
Allergen egg white ige CPT 86003 $28.60 $44.00 $5.06 – $44.00 45
Allograft 160mg placental salera mini membrane HCPCS Q4168 $43.26 $66.55 $13.31 – $66.55 37
Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 $424.66 $653.33 $46.36 – $231.82 37
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 $3,961.09 $6,093.98 $22.76 – $113.80 37
Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 $3,663.49 $5,636.14 $7.42 – $37.10 37
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 $159.49 $245.37 $5.77 – $28.85 37
Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 $2,097.63 $3,227.12 $12.59 – $62.95 37
Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 $238.13 $366.35 $40.00 – $200.01 37
Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 $5,609.82 $8,630.50 $154.55 – $772.75 37
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 $232.74 $358.06 $69.08 – $345.41 37
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 $815.54 $1,254.67 $120.42 – $602.10 37
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 $2,450.00 $2,450.00 $5.33 – $2,435.40 32
Alpha-fetoprotein tumor marker CPT 82105 $129.35 $199.00 $16.25 – $199.00 45
Alteplase 100 mg infusion from pyxis vial HCPCS J2997 $25,477.05 $25,477.05 $86.75 – $264.05 111
Alt/sgpt CPT 84460 $481.00 $104.00 $5.14 – $104.00 45
Altuviiio per factor viii iu HCPCS J7214 $28,108.60 $28,108.60 $4.51 – $28,108.60 111
Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 $5.20 $5.20 $3.38 – $5.20 29
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 $27.50 $27.50 $7.50 – $27.50 95
Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 $101.15 $101.15 $11.93 – $18.35 29
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 $212.00 $212.00 $13.05 – $159.50 95
Amiodarone 50 mg/ml intravenous solution HCPCS J0282 $73.00 $73.00 $2.54 – $3.90 95
Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 $11,933.95 $11,933.95 $19.77 – $11,933.95 111
Ammonia CPT 82140 $154.70 $238.00 $14.12 – $238.00 45
Amphetamines 5 or more CPT 80326 $32.50 $50.00 $13.20 – $116.72 39
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 $8.75 $8.75 $5.69 – $34.12 95
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 $562.35 $562.35 $52.63 – $562.35 32
Ampicillin 1 gram solution for injection HCPCS J0290 $38.85 $38.85 $0.49 – $3.05 95
Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 $590.00 $590.00 $1.49 – $6.35 95
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 $512.85 $789.00 $257.73 – $789.00 42
Amputation toe metatarsophalangeal joint CPT 28820 $10,476.90 not published $31.45 – $6,352.30 83
Amylase CPT 82150 $81.25 $125.00 $6.28 – $110.00 45
Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 $154.05 $237.00 $62.57 – $237.00 42
Analysis gene f2 20210g>a variant CPT 81240 $110.50 $170.00 $63.66 – $170.00 45
Analysis gene f5 leiden variant CPT 81241 $379.60 $584.00 $71.09 – $584.00 45
Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 $700.70 $1,078.00 $89.99 – $1,078.00 111
Anchor suture 3.5mm pushlock HCPCS C1741 $2,155.00 $3,315.38 $1,094.53 – $1,683.89 29
Ankle arthroscopy/surgery CPT 29898 $34,203.50 not published $1.92 – $14,087.30 83
Ankle X-ray CPT 73610 $407.55 $627.00 $82.37 – $418.00 111
Ankle X-ray (2 views, both ankles) CPT 73600 $356.20 $548.00 $82.37 – $365.00 111
Antibody elution rbc reference CPT 86860 $85.80 $132.00 $26.40 – $330.76 97
Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 $257.40 $396.00 $17.80 – $396.00 45
Antibody id rbc panel CPT 86870 $291.85 $449.00 $255.93 – $695.89 111
Antibody screen rbc CPT 86850 $85.80 $132.00 $49.33 – $132.00 111
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 $5,144.60 $5,144.60 $1.46 – $2,670.45 111
Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 $147.55 $227.00 $11.68 – $227.00 45
Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 $85.80 $132.00 $11.68 – $132.00 45

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.