MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
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 |
|---|---|---|---|---|
| Intrinsic factor antibody CPT 86340 | $122.20 | $188.00 | $14.62 – $188.00 | 45 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,591.20 | $2,448.00 | $224.19 – $2,448.00 | 111 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $46.90 | $46.90 | $30.49 – $46.90 | 29 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $117.25 | $117.25 | $7.64 – $11.75 | 29 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $110,829.85 | $110,829.85 | $172.83 – $27,707.50 | 111 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $522.90 | $522.90 | $41.57 – $63.95 | 29 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $9,268.95 | $9,268.95 | $64.64 – $9,268.95 | 111 |
| Iron CPT 83540 | $53.30 | $82.00 | $6.27 – $82.00 | 45 |
| Iron binding capacity CPT 83550 | $63.05 | $97.00 | $8.47 – $97.00 | 45 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $185.90 | $185.90 | $17.46 – $185.90 | 32 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $104.40 | $104.40 | $22.00 – $104.40 | 95 |
| Irradiation of blood product each unit reference CPT 86945 | $202.15 | $311.00 | $35.35 – $311.00 | 45 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $163.15 | $251.00 | $55.84 – $251.00 | 111 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $2,779.35 | $2,779.35 | $77.83 – $2,779.35 | 111 |
| IV Fluids (each additional hour) CPT 96361 | $637.00 | $152.00 | $0.36 – $152.00 | 111 |
| IV Fluids (first hour) CPT 96360 | $705.00 | $369.00 | $9.09 – $412.94 | 111 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $8,934.40 | $174.00 | $74.50 – $3,106.22 | 111 |
| IV Medicine Infusion (additional drug) CPT 96367 | $1,300.90 | $294.00 | $21.67 – $294.00 | 111 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $890.15 | $149.00 | $44.32 – $149.00 | 111 |
| IV Medicine Infusion (first hour) CPT 96365 | $896.00 | $445.00 | $74.50 – $445.00 | 111 |
| IV Push Injection (each additional drug) CPT 96375 | $909.15 | $192.00 | $21.67 – $192.00 | 111 |
| IV Push Injection (first drug) CPT 96374 | $637.50 | $310.00 | $201.34 – $412.94 | 111 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $18,131.05 | $18,131.05 | $127.12 – $6,043.70 | 111 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $345.80 | $532.00 | $82.37 – $532.00 | 111 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $234.00 | $360.00 | $98.96 – $360.00 | 111 |
| Jkt lso inter HCPCS L0560 | $41.27 | $63.49 | $41.27 – $63.49 | 29 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $72.80 | $112.00 | $7.92 – $112.00 | 45 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $22.95 | $22.95 | $1.53 – $4.65 | 32 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $929.00 | $929.00 | $98.96 – $929.00 | 111 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $443.95 | $683.00 | $98.96 – $683.00 | 111 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,934.85 | $9,130.54 | $1,905.92 – $2,932.18 | 29 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $257.21 | $395.71 | $221.46 – $340.71 | 29 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $1.31 | $2.02 | $0.86 – $1.33 | 29 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,430.77 | $9,893.50 | $3,762.69 – $5,788.75 | 29 |
| Kit hfx iq ipg bundle HCPCS C1822 | $27,810.84 | $42,785.91 | $25,584.12 – $39,360.18 | 29 |
| Kit ipg optimizer smart HCPCS C1824 | $29,051.10 | $44,694.00 | $25,699.05 – $39,537.00 | 29 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $2.05 | $3.16 | $2.05 – $3.16 | 29 |
| Kit lead specify 5-6-5 HCPCS C1778 | $13,454.45 | $20,699.16 | $93.16 – $143.33 | 29 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $1,313.77 | $2,021.18 | $1,313.77 – $2,021.18 | 29 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,391.79 | $2,141.22 | $1,336.91 – $2,056.78 | 29 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $234.08 | $360.12 | $42.17 – $210.83 | 37 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $6,106.28 | $9,394.28 | $1,273.10 – $6,365.52 | 37 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $3,140.14 | $4,830.98 | $27.20 – $41.85 | 29 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | $25,449.97 | $2,143.00 | $2.88 – $14,087.30 | 769 |
| Knee arthroscopy dx CPT 29870 | $1,483.17 | $1,409.00 | $127.48 – $1,409.00 | 768 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $13,026.95 | $2,440.00 | $1.92 – $6,352.30 | 769 |
| Knee arthroscopy/surgery CPT 29880 | $12,511.65 | $1,941.00 | $0.96 – $6,352.30 | 769 |
| Knee arthroscopy/surgery CPT 29882 | $18,232.87 | $2,377.00 | $3.84 – $6,352.30 | 769 |
| Knee arthroscopy/surgery CPT 29883 | $19,314.71 | not published | $2.88 – $6,352.30 | 83 |
| Knee arthroscopy/surgery CPT 29887 | $2,593.00 | $2,593.00 | $30.40 – $274.72 | 768 |
| Knee MRI (with and without contrast) CPT 73723 | $4,938.70 | $7,598.00 | $330.23 – $5,065.00 | 111 |
| Knee MRI (without contrast) CPT 73721 | $8,006.00 | $6,005.00 | $225.85 – $4,003.00 | 111 |
| Knee X-ray CPT 73564 | $483.60 | $744.00 | $98.96 – $496.00 | 111 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $266.50 | $410.00 | $82.37 – $273.00 | 111 |
| Knee X-ray (3 views, both knees) CPT 73562 | $491.00 | $491.00 | $82.37 – $327.00 | 111 |
| Knee X-ray (standing, both knees) CPT 73565 | $337.35 | $519.00 | $82.37 – $519.00 | 111 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $13.80 | $13.80 | $8.97 – $13.80 | 29 |
| Lactate dehydrogenase (ldh) CPT 83615 | $48.75 | $75.00 | $5.85 – $75.00 | 45 |
| Lactated ringers intravenous solution HCPCS J7120 | $20.00 | $20.00 | $13.00 – $20.00 | 29 |
| Lactic acid CPT 83605 | $405.00 | $153.00 | $11.21 – $126.00 | 45 |
| Lactoferrin fecal qualitative CPT 83630 | $126.75 | $195.00 | $19.09 – $195.00 | 45 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $29,832.00 | $29,832.00 | $93.06 – $29,832.00 | 32 |
| Laparo cholecystectomy/graph CPT 47563 | $25,967.76 | not published | $0.96 – $11,736.86 | 83 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $2,650.65 | $1,326.00 | $2.03 – $884.00 | 781 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,873.32 | $4,420.50 | $65.70 – $101.07 | 29 |
| Lead capillary CPT 83655 | $90.35 | $139.00 | $11.73 – $139.00 | 45 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,159.75 | $6,399.62 | $0.17 – $0.26 | 29 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,202.66 | $12,619.48 | $60.72 – $93.42 | 29 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $880.75 | $1,355.00 | $23.43 – $1,355.00 | 781 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,269.15 | $3,491.00 | $166.03 – $2,327.00 | 111 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $2,120.95 | $3,263.00 | $98.96 – $2,175.00 | 111 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $987.35 | $1,519.00 | $225.85 – $1,519.00 | 111 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $419.25 | $645.00 | $32.50 – $50.00 | 29 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $692.25 | $1,065.00 | $32.50 – $50.00 | 29 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $354.25 | $545.00 | $32.50 – $50.00 | 29 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $3.95 – $13.75 | 95 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $167.36 – $473.02 | 111 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $15,655.60 | $15,655.60 | $1,728.59 – $5,218.50 | 111 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.90 | $17.90 | $2.25 – $7.95 | 95 |
| Levetiracetam therapeutic drug level CPT 80177 | $130.00 | $200.00 | $12.84 – $200.00 | 45 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $61.50 | $61.50 | $1.96 – $11.75 | 95 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $422.25 | $422.25 | $77.00 – $422.25 | 95 |
| Liberta rc ipg HCPCS C1820 | $29,884.39 | $45,975.98 | $44.66 – $68.71 | 29 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $50.00 | $50.00 | $32.50 – $50.00 | 29 |
| Lidocaine therapeutic drug level CPT 80176 | $43.55 | $67.00 | $38.19 – $67.00 | 29 |
| Lift heel adj small gl60404sm HCPCS L3332 | $38.34 | $58.98 | $38.34 – $58.98 | 29 |
| Lift heel adjustable med HCPCS L3334 | $3.03 | $4.66 | $3.03 – $4.66 | 29 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $36.00 | $36.00 | $10.41 – $36.00 | 95 |
| Lipase CPT 83690 | $83.20 | $128.00 | $6.68 – $128.00 | 45 |
| Lipoprotein direct measurement hdl CPT 83718 | $62.40 | $96.00 | $7.94 – $96.00 | 45 |
| Lipoprotein direct measurement ldl CPT 83721 | $62.40 | $96.00 | $10.18 – $96.00 | 45 |
| Lithium therapeutic drug level CPT 80178 | $61.10 | $94.00 | $6.41 – $94.00 | 45 |
| Liver Function Test CPT 80076 | $110.50 | $170.00 | $7.92 – $170.00 | 45 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $197.84 – $87,089.35 | 111 |
| Loop ostmy bridg ster HCPCS A4421 | $45.43 | $69.90 | $0.23 – $0.36 | 29 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.90 | $60.90 | $2.64 – $4.70 | 95 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,402.05 | $2,157.00 | $98.96 – $2,157.00 | 111 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,824.55 | $2,807.00 | $330.23 – $2,807.00 | 111 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,517.10 | $2,334.00 | $98.96 – $2,334.00 | 111 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,803.15 | $5,851.00 | $330.23 – $5,851.00 | 111 |
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.