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 |
|---|---|---|---|---|
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $102.70 | $158.00 | $15.01 – $158.00 | 45 |
| Mayo manganese CPT 83785 | $113.10 | $174.00 | $25.83 – $174.00 | 45 |
| Mayo metanephrines plasma CPT 83835 | $170.95 | $263.00 | $16.41 – $263.00 | 45 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $171.60 | $264.00 | $69.70 – $264.00 | 39 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $84.50 | $130.00 | $11.68 – $130.00 | 45 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $78.00 | $120.00 | $17.83 – $120.00 | 45 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $116.35 | $179.00 | $14.10 – $176.00 | 45 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $268.45 | $413.00 | $18.06 – $413.00 | 45 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $250.90 | $386.00 | $17.83 – $386.00 | 45 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $152.10 | $234.00 | $17.49 – $234.00 | 45 |
| Mayo myoglobin CPT 83874 | $98.80 | $152.00 | $12.52 – $152.00 | 45 |
| Mayo nickel CPT 83885 | $97.50 | $150.00 | $23.75 – $150.00 | 45 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $70.85 | $109.00 | $28.78 – $116.72 | 39 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $37.05 | $57.00 | $15.05 – $116.72 | 42 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $183.30 | $282.00 | $20.55 – $282.00 | 45 |
| Mayo oxalate 24 hour urine CPT 83945 | $113.75 | $175.00 | $14.00 – $175.00 | 45 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $78.00 | $120.00 | $14.57 – $120.00 | 45 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $94.90 | $146.00 | $11.68 – $146.00 | 45 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $308.10 | $474.00 | $34.01 – $474.00 | 45 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $91.00 | $140.00 | $13.33 – $140.00 | 45 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $78.00 | $120.00 | $16.08 – $120.00 | 45 |
| Mayo proinsulin CPT 84206 | $71.50 | $110.00 | $25.87 – $110.00 | 45 |
| Mayo psaft prostate specific antigen free CPT 84154 | $140.40 | $216.00 | $17.82 – $216.00 | 45 |
| Mayo receptor assay transferrin soluble CPT 84238 | $126.10 | $194.00 | $35.43 – $194.00 | 45 |
| Mayo renin CPT 84244 | $120.25 | $185.00 | $21.31 – $185.00 | 45 |
| Mayo repu protein electrophoresis urine CPT 84166 | $72.80 | $112.00 | $17.28 – $112.00 | 45 |
| Mayo selenium CPT 84255 | $120.90 | $186.00 | $24.74 – $186.00 | 45 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $46.15 | $71.00 | $15.02 – $71.00 | 45 |
| Mayo serotonin CPT 84260 | $148.85 | $229.00 | $30.02 – $229.00 | 45 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $100.10 | $154.00 | $18.75 – $154.00 | 45 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $100.10 | $154.00 | $13.30 – $154.00 | 45 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $71.50 | $110.00 | $62.70 – $184.98 | 42 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.95 | $83.00 | $4.14 – $83.00 | 31 |
| Mayo tau phosphorylated 217 each CPT 84393 | $204.75 | $315.00 | $126.34 – $315.00 | 42 |
| Mayo tgrp testosterone free CPT 84402 | $152.10 | $234.00 | $24.68 – $234.00 | 45 |
| Mayo tgrp testosterone total CPT 84403 | $180.70 | $278.00 | $25.01 – $278.00 | 45 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $262.60 | $404.00 | $21.48 – $404.00 | 45 |
| Mayo thyroglobulin CPT 84432 | $124.80 | $192.00 | $15.57 – $192.00 | 45 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $63.05 | $97.00 | $9.86 – $97.00 | 45 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $156.00 | $240.00 | $12.01 – $240.00 | 45 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $169.00 | $260.00 | $68.64 – $260.00 | 39 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $46.80 | $72.00 | $41.04 – $103.07 | 28 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $48.10 | $74.00 | $13.72 – $74.00 | 45 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $88.40 | $136.00 | $13.12 – $136.00 | 45 |
| Mayo vasoactive intestinal peptide CPT 84586 | $139.75 | $215.00 | $34.23 – $215.00 | 45 |
| Mayo vitamin b3 (niacin) CPT 84591 | $326.95 | $503.00 | $16.53 – $503.00 | 45 |
| Mayo vitamin k CPT 84597 | $138.45 | $213.00 | $13.29 – $213.00 | 45 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $105.30 | $162.00 | $12.84 – $162.00 | 45 |
| Measurement post void urine by ultrasound CPT 51798 | $1,266.00 | $200.00 | $55.84 – $200.00 | 111 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $250.00 | $250.00 | $162.50 – $250.00 | 29 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $362.03 | $556.97 | $111.39 – $556.97 | 37 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $350.14 | $538.68 | $68.19 – $340.94 | 37 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,873.32 | $4,420.50 | $244.68 – $376.43 | 29 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $607.31 | $934.33 | $159.49 – $245.37 | 29 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $67,784.04 | $104,283.14 | $20,856.63 – $104,283.14 | 37 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $72.37 – $361.84 | 37 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $81.96 – $409.78 | 37 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $11.15 | $11.15 | $6.96 – $15.69 | 95 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $31.25 – $18,374.40 | 111 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $14.10 | 95 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.90 – $1.38 | 29 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $6,527.78 – $10,042.74 | 29 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 95 |
| Metabolic Blood Panel (Basic) CPT 80048 | $103.35 | $159.00 | $8.20 – $159.00 | 45 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $810.00 | $194.00 | $9.09 – $194.00 | 45 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $1,450.00 | $1,450.00 | $23.95 – $71.50 | 95 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.25 | $1.25 | $0.22 – $1.25 | 95 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $99.45 – $153.00 | 29 |
| Methotrexate therapeutic drug level CPT 80204 | $128.05 | $197.00 | $37.37 – $197.00 | 45 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $620.55 | $620.55 | $18.19 – $620.55 | 32 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $75.65 | $75.65 | $22.06 – $75.65 | 95 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $106.08 – $572.60 | 103 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $8,146.20 | $93.70 | $4.80 – $3,791.04 | 111 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $317.00 | $317.00 | $2.08 – $9.35 | 95 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $5.75 | $5.75 | $1.00 – $3.00 | 95 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $4.60 | $4.60 | $0.65 – $4.60 | 95 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.50 | $14.50 | $9.43 – $14.50 | 29 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $216.45 | $333.00 | $82.37 – $333.00 | 111 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $4.25 | $4.25 | $0.32 – $3.00 | 95 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $38.00 | $38.00 | $24.70 – $38.00 | 29 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $64.26 – $20,601.45 | 111 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $25.58 – $298.95 | 111 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $30.26 – $1,048.45 | 111 |
| Mlh1 gene CPT 81288 | $375.05 | $577.00 | $186.35 – $577.00 | 45 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $677.00 | $677.00 | $58.90 – $587.50 | 768 |
| Mnt subs tx for change dx HCPCS G0270 | $292.00 | $146.00 | $20.85 – $146.00 | 42 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,223.72 | $9,574.95 | $61.91 – $95.24 | 29 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $1.95 – $4.55 | 95 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $10.55 | $10.55 | $8.13 – $8.13 | 66 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $48.00 | $48.00 | $1.95 – $10.79 | 95 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $479.70 | $738.00 | $161.27 – $738.00 | 111 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $252.20 | $388.00 | $69.84 – $388.00 | 111 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $613.69 – $1,936.45 | 111 |
| MRI chest without & w/contrast CPT 71552 | $2,592.85 | $3,989.00 | $330.23 – $3,989.00 | 111 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,087.20 | $6,288.00 | $225.85 – $4,192.00 | 111 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,818.15 | $8,951.00 | $330.23 – $5,967.00 | 111 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,421.60 | $5,264.00 | $225.85 – $3,509.00 | 111 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,011.50 | $7,710.00 | $330.23 – $5,140.00 | 111 |
| Mumps antibody igg CPT 86735 | $78.00 | $120.00 | $12.65 – $120.00 | 45 |
| Mycoplasma antibody igm CPT 86738 | $73.45 | $113.00 | $12.83 – $113.00 | 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.