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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,598.70 | $3,998.00 | $225.85 – $3,998.00 | 111 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $286.00 | $440.00 | $98.96 – $440.00 | 111 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $369.20 | $568.00 | $98.96 – $568.00 | 111 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $295.75 | $455.00 | $82.37 – $303.00 | 111 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $453.05 | $697.00 | $6.60 – $724.45 | 781 |
| Lung Function Test (Spirometry) CPT 94010 | $221.65 | $341.00 | $5.06 – $419.20 | 781 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,230.00 | $25,230.00 | $202.23 – $25,230.00 | 111 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $39.26 – $12,586.20 | 111 |
| Lvad shower bag heartmate HCPCS Q0501 | $887.68 | $1,365.66 | $887.68 – $1,365.66 | 29 |
| Magnesium CPT 83735 | $719.00 | $107.00 | $6.50 – $107.00 | 45 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $522.50 | $522.50 | $0.50 – $14.75 | 95 |
| Mammosite ced HCPCS C1728 | $1,437.46 | $2,211.47 | $1,437.46 – $2,211.47 | 29 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $46.45 – $8,622.65 | 111 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,312.87 | $5,096.73 | $0.01 – $0.01 | 29 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,283.48 | $1,974.59 | $394.92 – $1,974.59 | 37 |
| Mask full face lg af531 HCPCS A7030 | $47.34 | $72.83 | $46.18 – $71.04 | 29 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $6,518.34 | $10,028.22 | $6,518.34 – $10,028.22 | 29 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $72.92 | $112.19 | $0.72 – $3.61 | 37 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $81.90 | $126.00 | $14.01 – $126.00 | 45 |
| Mayo aathr protein s free CPT 85306 | $153.40 | $236.00 | $14.84 – $236.00 | 45 |
| Mayo activated protein c resistance assay CPT 85307 | $128.05 | $197.00 | $14.84 – $197.00 | 45 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $305.50 | $470.00 | $37.37 – $470.00 | 45 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $97.50 | $150.00 | $39.60 – $150.00 | 39 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $145.60 | $224.00 | $59.14 – $224.00 | 42 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $108.55 | $167.00 | $14.32 – $167.00 | 45 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $101.40 | $156.00 | $41.18 – $156.00 | 42 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.80 | $192.00 | $13.03 – $192.00 | 45 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $169.65 | $261.00 | $68.90 – $261.00 | 39 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $561.60 | $864.00 | $88.82 – $864.00 | 45 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,683.50 | $2,590.00 | $1,124.04 – $2,590.00 | 45 |
| Mayo androstenedione CPT 82157 | $170.95 | $263.00 | $28.38 – $263.00 | 45 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $118.95 | $183.00 | $14.15 – $183.00 | 45 |
| Mayo antithrombin iii antigen CPT 85301 | $157.95 | $243.00 | $10.48 – $243.00 | 45 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $142.35 | $219.00 | $14.59 – $219.00 | 45 |
| Mayo avwpr vw factor activity CPT 85397 | $229.45 | $353.00 | $29.91 – $353.00 | 45 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $79.30 | $122.00 | $34.01 – $122.00 | 45 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $39.00 | $60.00 | $15.84 – $116.72 | 39 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $77.35 | $119.00 | $9.86 – $119.00 | 31 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $394.55 | $607.00 | $140.35 – $607.00 | 45 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $90.35 | $139.00 | $12.51 – $139.00 | 45 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $96.85 | $149.00 | $12.78 – $149.00 | 45 |
| Mayo brcmg brucella antibody igm CPT 86622 | $35.75 | $55.00 | $8.65 – $55.00 | 45 |
| Mayo c1 esterase inhibitor CPT 83883 | $103.35 | $159.00 | $13.18 – $159.00 | 45 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $62.40 | $96.00 | $25.34 – $116.72 | 42 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $56.55 | $87.00 | $16.35 – $87.00 | 45 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $317.20 | $488.00 | $119.78 – $488.00 | 42 |
| Mayo ceruloplasmin CPT 82390 | $71.50 | $110.00 | $10.40 – $110.00 | 45 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $122.20 | $188.00 | $13.68 – $188.00 | 45 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $79.30 | $122.00 | $11.45 – $122.00 | 45 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $61.75 | $95.00 | $12.29 – $95.00 | 45 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $227.50 | $350.00 | $112.88 – $350.00 | 45 |
| Mayo chromium CPT 82495 | $108.55 | $167.00 | $19.66 – $167.00 | 45 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $57.85 | $89.00 | $23.50 – $116.72 | 39 |
| Mayo coccidioides antibody CPT 86635 | $68.90 | $106.00 | $11.12 – $88.00 | 45 |
| Mayo cocou cortisone urine CPT 82542 | $186.55 | $287.00 | $23.35 – $287.00 | 45 |
| Mayo cortisol free CPT 82530 | $109.85 | $169.00 | $16.19 – $144.00 | 45 |
| Mayo cyanide CPT 82600 | $120.25 | $185.00 | $18.80 – $185.00 | 45 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $271.70 | $418.00 | $12.84 – $418.00 | 45 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $148.20 | $228.00 | $24.49 – $228.00 | 45 |
| Mayo efpo chloride stool CPT 82438 | $84.50 | $130.00 | $4.85 – $130.00 | 45 |
| Mayo estrone CPT 82679 | $142.35 | $219.00 | $24.17 – $219.00 | 45 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $68.25 | $105.00 | $15.83 – $105.00 | 45 |
| Mayo everolimus therapeutic drug level CPT 80169 | $125.45 | $193.00 | $13.30 – $193.00 | 45 |
| Mayo factor ii CPT 85210 | $91.65 | $141.00 | $12.58 – $141.00 | 45 |
| Mayo factor vii CPT 85230 | $91.65 | $141.00 | $17.35 – $141.00 | 45 |
| Mayo factor viii vw factor antigen CPT 85246 | $243.10 | $374.00 | $22.23 – $374.00 | 45 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $231.40 | $356.00 | $22.23 – $356.00 | 45 |
| Mayo factor x CPT 85260 | $109.85 | $169.00 | $17.35 – $169.00 | 45 |
| Mayo fat/lipids feces quantitative CPT 82710 | $109.20 | $168.00 | $16.28 – $168.00 | 45 |
| Mayo fbl culture fungi blood CPT 87103 | $106.60 | $164.00 | $19.83 – $164.00 | 45 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $261.30 | $402.00 | $77.97 – $402.00 | 45 |
| Mayo ffspg allergen clam igg CPT 86001 | $142.35 | $219.00 | $7.58 – $219.00 | 45 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $39.65 | $61.00 | $21.00 – $61.00 | 45 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $898.30 | $1,382.00 | $276.40 – $1,382.00 | 37 |
| Mayo hemosiderin qualitative urine CPT 83070 | $81.90 | $126.00 | $4.60 – $126.00 | 45 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $57.85 | $89.00 | $13.36 – $89.00 | 45 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $164.45 | $253.00 | $25.01 – $253.00 | 45 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $120.90 | $186.00 | $8.62 – $186.00 | 45 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $144.95 | $223.00 | $26.33 – $223.00 | 45 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $135.20 | $208.00 | $16.74 – $208.00 | 45 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $62.40 | $96.00 | $14.52 – $96.00 | 45 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $141.05 | $217.00 | $20.17 – $200.00 | 45 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $148.20 | $228.00 | $20.17 – $228.00 | 45 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $68.25 | $105.00 | $34.39 – $105.00 | 42 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $59.80 | $92.00 | $15.58 – $80.00 | 45 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $133.90 | $206.00 | $11.61 – $206.00 | 45 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $229.45 | $353.00 | $34.01 – $353.00 | 45 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $93.60 | $144.00 | $34.01 – $144.00 | 45 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $253.50 | $390.00 | $34.01 – $390.00 | 45 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $280.15 | $431.00 | $41.51 – $353.00 | 45 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $295.10 | $454.00 | $69.95 – $454.00 | 45 |
| Mayo infliximab therapeutic drug level CPT 80230 | $234.00 | $360.00 | $37.37 – $360.00 | 45 |
| Mayo inhab inhibin a CPT 86336 | $60.45 | $93.00 | $15.11 – $93.00 | 45 |
| Mayo insulin antibodies CPT 86337 | $133.90 | $206.00 | $20.75 – $206.00 | 45 |
| Mayo iodine CPT 83789 | $157.95 | $243.00 | $23.36 – $243.00 | 45 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $202.15 | $311.00 | $26.27 – $311.00 | 45 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $175.50 | $270.00 | $26.27 – $270.00 | 45 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $14.30 | $22.00 | $12.54 – $26.63 | 31 |
| Mayo legionella antibody CPT 86713 | $139.75 | $215.00 | $14.83 – $215.00 | 45 |
| Mayo leptospira antibody igm CPT 86720 | $110.50 | $170.00 | $15.70 – $170.00 | 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.